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New Approved Medications/Drug Clinical Trials

User Profile: AffyAvo
AffyAvo April 3rd, 2018

It's always great to have new options available to treat a condition, but how would you feel personally participating in a clinical trial for a drug, or using a newly approved medication?

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User Profile: vivelespatates
vivelespatates April 9th, 2018

@AffyAvo I was used in those researchs when i was younger, and it was a terrible experience. many of those have never got approved/ got rejected as result of those researchs

User Profile: caringShoulder14
caringShoulder14 April 10th, 2018

@AffyAvo if there were new medications out that had shown to be helpful during trials I would be willing to take it

User Profile: MistyMagic
MistyMagic April 11th, 2018

@AffyAvo

I think it all depends on the current sitiation that I wass in. Sometimes it would be easy to grasp at anything that might help, another it would be no way!

What about you?

User Profile: AffyAvo
AffyAvo OP April 11th, 2018

For me it depends on the medication, the condition, and how bad it already is. I agreed to be in a clinical trial for the HAE medication I used to be using, but a more concentrated version and injecting it subcutaneously instead of via IV. I only go through the initial period of stopping for a bit and testing though, because one of my blood tests was normal which is actually abnormal for my type of HAE. About a year later I got to do it off-label anyway which was nice, as then I didn't have to worry about taking a placebo for a while which was guaranteed as it was a crossover study. So I was concerned about having attacks during that phase.

There is a new HAE medication that is upcoming. It's a monoclonal antibody that targets kallikrein. It would mean less injections as the frequency of use is much lower. I have concerns though about side effects, especially as it's not the lowest level of the pathway that creates swelling (although neither are the plasma products I use) and isn't just replacing what I don't make properly (that is what the plasma products do).

WIth new medications, the potential side effects and drug-drug interactions aren't always known, plus long term effects are a concern.

I'm not even sure when this will be approved and once it is there's still the consideration of coverage - many HAE drugs cost well into the $100s or $1000s per dose. In Canada, patients cannot pay for blood products, so coverage via goverment insurance (which is mandatory and often doesn't even have a direct fee, depending on province, it's mostly covered by taxes) is how those costs are covered. For this new medication, if I use it at home it would most likely be only private insurance, and it might not be covered at all. One of my attack meds is over $3000/dose and my current plan covers 80% and only 12 doses/year.

My current prophalaxis treatment is also working really well. There was a huge change in the last year and I suspect certain things to be a factor in that but I don't totally know why. So switching I would also be concerned about it not being as effective for me, although trials have shown that most do really well on it.