שלום רב
תודה על פנייתכם
המחקר המתואר מעניין מאד אך נמצא בשלבים מוקדמים מאד אמנם החדרת הגן לדיסטרופין לתאי השריר אינו ענין של מה בכך ולכן המחקר הצליח בכך אולם המחקר לא ניסה וגם לא הראה כל שיפור קליני. יקח עוד זמן רב לפני שנין יהיה לקבוע כי כיווון זה של טיפול הנו יעיל. עם זאת, אינני רואה כל סיב שלא לפרסם את המאמר, ובלבד שלא לתלות בטכניקה זו, בשלב זה לפחות - תקוות לא ראליות



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מנהל היחידה לאבחון גנטי טרום לידתי

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שני המחקרים מעניינים. יש יחד עם זאת להדגיש את אופיים הראשוני של מחקרים אלו. ביטוי מועט של דיסטרופין בכ- 1-10% מהתאים אינו מביא להשפעה קלינית משמעותית. גם יכולת הדרבון של תאי גזע לכיוון שריר חשוב. יחד עם זאת על התאים הללו לצאת ממח העצם לעבור לדם להגיע לשריר ולהתבטא שם בכמות כזו שתביא לשינוי קליני. יש לדעתי חשיבות בפרסום מחקרים אלו עם הסבר על משמעות המוגבלת של התוצאות. אנו באופן אישי מעונינים לפתח בארץ מחקר על אפשרויות טיפוליות כך שהעלאת הנושא יתכן ותעזור בגיוס משאבים לכך.

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אילה ויצחק שלום, From: MSN NicknameBeritSofie  (Original Message)
Sent: 6/5/2003 9:23 PM
 
CONTACT:

AFM                                  Transgene                               Cohn & Wolf
Emmanuelle Guiraud            Serge Braun                              (for Transgene)
Estelle Assaf                        V.P., Research                          Julio Cantre
                    
+ 33 1 69 47 28 28             + 33 3 88 27 91 21                   (212) 798 9779
 
 
Press release
 
The AFM and Transgene Release Results of the first Phase I Gene Therapy Trial on Duchenne and Becker Muscular Dystrophies
at the American Society of Gene Therapy Annual Meeting

Evry / Strasbourg, France, June 5, 2003 - The French Association against Muscular Dystrophies (Association Fran?aise contre les Myopathies, AFM) and Transgene (Nouveau March?: TRANSGENE or 6274 - NASDAQ: TRGNY) announced that the results of their Phase I trial on gene transfer for Duchenne/Becker's Muscular Dystrophy will be presented today at the Conference of the American Society of Gene Therapy in Washington, D.C.
 
This trial involved the administration of a plasmid (non-viral vector) containing the whole sequence of the human dystrophin gene in patients with Duchenne’s and Becker's Muscular Dystrophies.  These genetic muscular diseases are characterized by the lack of, or incomplete expression of the dystrophin protein, resulting in serious progressive muscular degeneration.  Duchenne’s dystrophy, the most frequent neuromuscular disease in children, affects approximately one male out of 4,000. Becker’s dystrophy has a later onset and affects one teenager out of 50,000. No curative treatment has been found to date for these disorders. 
 
This trial was initiated through the impetus given by AFM, a patient association, and was mostly funded with proceeds from the Telethon, AFM’s annual fund-raising event. It is the first completed gene-transfer trial in humans for a neuromuscular disease. The vector used in the trial is a plasmid constructed by Transgene, sponsor of the trial, under its long-standing partnership with AFM. The trial was conducted in Paris at the Myology Institute and in the Department of Internal Medicine of the Piti?-Salp?tri?re Hospital, under the direction of Professors Michel Fardeau and Serge Herson. It started in September 2000 after obtaining regulatory approvals on November 30, 1999.

Objectives and methodology :
 
This clinical trial was designed to demonstrate the vector-induced expression of the normal protein in Duchenne/Becker’s Muscular Dystrophy patients and the absence of toxicity and rejection of this protein by their immune systems.
 
Nine patients were enrolled according to specific genetic and histological criteria.  The patients were divided into three cohorts, the first two of which received a single injection of 200 µg or 600 µg of plasmid-dystrophin, while patients in the third cohort received two injections of 600 µg, two weeks apart. A sample of the muscle segment which received the injection (radial muscle) was collected 21 days after the first (or single) injection.  As a precautionary measure, patients were sequentially enrolled in the trial, with an independent committee examining the results of each patient before enrolling the next one.
 
Results :
 
The plasmid-dystrophin administered has been found in muscle samples from all patients.  Expression of the dystrophin has been detected, generally in a small quantity in one to ten percent of muscle fibers, in three out of six patients in the first two cohorts, and in all three patients in the third cohort.  No immune reaction against the plasmid or the newly expressed dystrophin was detected.  The clinical safety profile of the plasmid administration was always excellent.
 
These results demonstrate for the first time that it is possible to obtain local expression of dystrophin in patients with Duchenne/Becker’s Muscular Dystrophies following the administration of a plasmid containing the human dystrophin gene, without any detectable immune reaction observed under the trial’s experimental dosing and time conditions.
 
The AFM and Transgene are currently working on continued development of this approach with the goal of increasing the protein expression level and extending the targeted muscle regions.
 
About AFM
 
Created in 1958, the French Muscular Dystrophy Association (AFM) is a non-profit association registered under French law which includes patients and families affected by neuromuscular diseases. Its mission is to find a cure for these seriously disabling - and currently incurable- diseases, most of which have a genetic origin, and also help people affected by them. Funding comes from a Telethon, the Association’s annual fund-raising event held on the first week-end in December. Thanks to the generosity of millions of donors, AFM has become a major player in genetic research in France. In 1990, it created the Genethon laboratory which produced the first maps of  the human genome, thus paving the way for the sequencing of the human genome. It was also a partner in the first successful gene therapy for bubble-boys announced by Pr Alain Fischer in 2000. AFM has supported more than 7,500 research programs since 1987 and has contributed to the discovery of the genes responsible for more than 700 diseases.

 
About Transgene
 
Transgene, based in Strasbourg, France, is a biopharmaceutical company dedicated to the discovery and development of therapeutic vaccines, gene therapy products, and delivery technologies for the treatment of diseases for which there is no cure or adequate treatment at present, with a focus on the treatment of cancer.  Transgene has five products in clinical development, two of which are in Phase II clinical trials and three of which have completed Phase I clinical trials.  Transgene’s proprietary vector technology platform consists of multiple vector families with an emphasis on adenovirus, poxvirus and non-viral vectors.

This press release contains forward-looking statements, including statements regarding  the efficiency and safety of and potential market for Transgene’s product candidates and prospects.  Statements that are not historical facts are based on Transgene’s current expectations, beliefs, estimates, forecasts and assumptions.  The statements contained in this release are not guarantees of future performance and involve certain risks, uncertainties and assumptions which are difficult to predict.  Accordingly, actual outcomes and results may differ materially from what is expressed in those forward-looking statements. Important factors which may affect Transgene’s future operating results include the following: Transgene’s product candidates may not demonstrate therapeutic efficacy after initial promising results, Transgene may be unable to obtain regulatory approval for its product candidates, Transgene may be unable to conduct its clinical trials as quickly as it has predicted, Transgene may not have sufficient resources to complete the research and commercialization of any of its product candidates, competitors may develop technologies or products superior to Transgene’s technologies or products, and other important factors described in Transgene's Annual Report on Form 20-F for the year ended December 31, 2001 filed with the U.S. Securities and Exchange Commission, including those factors described in the section entitled “Risk Factors.”

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Reply
Recommend  Message 2 of 4 in Discussion 
From: Uli Sent: 6/8/2003 10:59 AM
Bonjour Monsieur Braun,
 
thank you for your work and for the good news.
I have several questions concerning this very promising article:
The first one I guess you hear all the time: How long will it take for a cure? My son Julian is 13 months old and I really hope that it is possible for him to spend his life without a wheelchair....
Do you work on a way to increase the effiency of the gene-transfer? 1 to 10 Percent of the muscle-fibers is a good start, however.... And is it possible to transfer the gene through the blood, because it seems that to many injections would be needed.....?
 
And again: thank you, thank you, thank you for helping our children (and of course, us -the parents)
 
Greetings from Germany
 
Uli
 
 
 

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Recommend  Message 3 of 4 in Discussion 
From: Seb Sent: 6/10/2003 11:49 AM
Dear Uli,
your question is perfectly justified. We are currently actively working on this issue in collaboration with Jon Wolff and Mirus Corp in Madison, WI, on locoregional intra-arterial delivery of our vector. The plasmid vector is administred under pressure into arteries, leading to the transfer of the therapeutic gene into the irrigated muscles. As already published by Wolff's group in Monkeys, the technique works very well to massively transfer genes into skeletal muscles of whole limbs (reference: Zhang et al. Human Gene Therapy, 2001; 12: 427). We have promising data in Golden retriever dystrophic dogs with this technique and using a canine dystrophin plasmid vector.
Our goal is now to take it into Duchenne and Becker patients. However, this will take years, as we must proceed step by step, with a very cautious, conservative approach.
The completed phase I trial paves the way for the more ambitious intra-arterial delivery strategy. We are glad that we could demonstrate that the vector is safe and well tolerated. Now we must show that we can administer much more of it and using the highly efficient intra-vascular route of administration.
 
Serge Braun

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Recommend  Message 4 of 4 in Discussion 
From: Uli Sent: 6/11/2003 11:17 AM
Dear Serge,
 
thank you for your answer. It's good to hear that there is progress, and I think it sounds really promising. When I look at other research programs it seems that you are years ahead!
I guess I speak for all DMD-parents when I say: We press our thumbs and hope that you will have success!
 
Uli