What Does Fast Track Status From the FDA Mean for You and Me?

A few days ago, the Food and Drug Administration (FDA) granted fast track status to a new potential drug to help people with Huntington's Disease.  This drug currently named as OMS824 is an inhibitor that can help to suppress one of the enzymes in the brain that has been linked to Huntington's Disease. That got me excited. And makes me wonder what exactly that means. Thank you Google for making it easier to research and find the answers.


The FDA's Fast Track program designates a drug as a fast track drug "if it is intended, whether alone or in combination with one or more drugs, for the treatment of a serious or life-threatening disease or condition AND it demonstrates the potential to address unmet medical needs for such a disease or condition." according to the FDA's website. We have already established that HD is a serious and life-threatening disease for which there is no cure. So, it meets the first criteria for Fast Track Status. In initial tests, OMS824 has shown to effectively inhibit the production of an enzyme that is linked to HD. That sounds like it meets a current unmet need for those living with HD. So, thank you to the FDA for realizing this and granting Fast Track Status.


The fast track designation means that it is given more access to the FDA for the sole purpose of speeding up the development of the drug. There is more interaction with FDA review team for the product including more frequent meetings to discuss the development of the drug and more communications from the FDA about the design of the trails and what can and cannot be used.


In a nutshell, from what I have been able to find out, is that a fast track designation will make it easier for the company that is developing the potential drug to interact with the FDA and make sure it is meeting and maintaining all of the appropriate criteria to allow continued development of the drug. So, it might speed up the whole process of getting this new drug tested and to market if the clinical trails are as successful as everyone hopes.


It can still take a few years for all of this to happen but it may be even closer than we think. I think it also means that science is getting closer and I am really hopeful of seeing something to end this horrific disease in my lifetime. 

Sad, but Hopeful for the Future

For the last 3 years, this day has always been a bittersweet day for Robert’s family. It was on this day, three years ago that Cheryl Everett finally stopped suffering from the effects Huntington’s Disease had on her body. While we are all happy she no longer has to endure all the horrors of this disease, it is always hard for those left behind. There are many times that each one of us has had that thought of how nice it would be if Cheryl was here with us to see this or to be a part of that. But, we can take comfort in knowing that she is watching down on her one of sons, daughter, daughters-in-law grandsons and granddaughters from heaven and has seen each one of those moments we wished she had been here to be a part of.

It is also a reminder of the three - that we currently know of- that she has left behind who will one day face her fate for the same reason. It adds to the sadness to know that we have to watch other loved ones face what she did in the not so distant future. And while that thought does bring sadness, this year brings more hope than years past have. Research has made so many advancements in just the three years since Cheryl left us. Advancements that have given hope to researches, scientists and doctors that treatment is close at hand. Each step closer to finding a way to stop the spread of Huntington’s Disease is one step closer to saving Cheryl’s children from experiencing the same fate as she has. 

While we are all a bit sad knowing Cheryl is no longer with us, we take comfort knowing her body is now free of the effects of Huntington’s Disease. We can also be hopeful that these advancements will continue to be fruitful in the future and each day bring us one step closer to finding an end to Huntington’s Disease. Today, there is a lot more hope the future of Cheryl’s family than ever before. So, while we are sad today, we can still have hope that her death was not in vain. One day there will be an answer and it might be sooner than we think. 

We miss you, Cheryl, and think of you often remembering so many good times that we each got to experience with you.

The HDSA and Team Hope

The Huntington's Disease Society of America (HDSA) is the largest non-profit organization dedicated to improving the lives of all who are affected by Huntington's Disease. Not just the gene-positive person, but the gene-negative family members and friends, too. There mission is to provide "help for today and hope for tomorrow" by promoting and supporting research and medical research to end HD and to assist those affected by HD to cope with the problems the disease brings. They also strive to educate health organizations and professionals and the general public about the disease. The HDSA is dedicated to provide the family services, education, advocacy and research that will help those affected today and also hope for a cure tomorrow for those family.

The HDSA is a 501(c)(3) organization that was originally founded by folk singer Woody Guthrie's wife - Marjorie Guthrie. Marjorie began seeking other families that had been affected by this dreadful disease soon after she lost her husband to HD. This lead to the Committee to Combat Huntington's Disease created in 1967 by a handful of volunteers. Later becoming the HDSA, the organization continues the mission she started with 54 community based volunteer chapters and a national office that provides leadership, support and guidance to the families of Huntington's Disease.

This support and guidance is provided in many different ways. There are support groups located throughout the country, publications for family, doctors and friends to help better understand the disease, assistance for the care giver, and the most current news about research and clinical trials that are going on. You can learn more by visiting their website.

Each year, in various places around the country, the HDSA also has a fundraising walk called the Team Hope Walk. The goal is to raise money for more research and study to learn even more about this disease and also provide assistance to the families living with HD. This will be the second year that Robert and I have participated. This year, it will take place on October 20, 2013. This is 6 days after the second anniversary of Cheryl's death. We will be walking in honor of her and hope you will consider sponsoring us. The HDSA is an important part of our lives and the lives of the many across the world who must live with this disease. Your donation will help the goal to eradicate this disease so that no other family will have to suffer the effects of HD. 

Please visit Cheryl's Kids and donate today. We appreciate your support.

The Power of Prayers and Faith

I have made no secret about it. I am a firm believer in God and all the Bible has to say. I know that He can and will perform miracles in the lives of those who love Him and believe in Him. I may not have experienced a miracle myself but have seen it happen to those around me. Or so I thought.

However I have begun to wonder if maybe I have been seeing a small miracle taking place in the life of my husband but haven't attributed it to that. It started when one of our fellow church members approached Robert and said he felt led to pray for healing for Robert and that God wanted to do a miracle in Robert's life. As he said "God spoke to me this morning to pray for Robert. I have a heavy heart for you guys. God is more than able and will heal."

And this got me thinking... In Robert's mother, his sister and his brother, they were already showing a lot more symptoms at Robert's age than Robert is showing. History has shown that when it is passed on by the mother, the time of symptom onset is usually the same as it was for the mother. So, in all honesty, based on these patterns, Robert should be showing more symptoms that what he does. Now, it is possible that some of it could be the stress of various situations that each of them were going through or any other number of things. But, I believe that it is part God. God has given Robert one of the biggest hearts for service of anybody I have ever met. And if God has a plan for Robert to serve for a long time to come then Robert must be in good health. So, I like to think that God is keeping Robert healthy so that he can continue to fulfill the plan God has.

To add to this is some additional recent events that have taken place. Sometime last year, Robert went to a neurologist specializing in HD for the first time. This doctor performed some various simple tests designed to test his motor skills, memory and cognitive skills. To be honest, Robert did not do well at all.  He struggled with all of them. Especially the memory ones. It left us feeling a bit down and disappointed thinking that Robert was further along in the disease track than we had thought. It was a bit disheartening. But, we haven't been back to this doctor. He is located at Southwestern Medical Center in Dallas which is a bit of a drive with crazy traffic and major inconveniences to get to. The fact that it takes an hour with little traffic to get to the office does not make it an easy journey for us.

But, as many in the HD world know, to find a doctor that specializes in HD is hard. Not many of them have enough knowledge to work with it properly and provide the right combinations of medicines and therapy that  work for HD. And since no HD patient is the same, a doctor that understands all of this is paramount.  And distance to the doctor is important. Especially as the disease progresses. For a person with advanced stages of HD to sit in a car for an hour to go to the doctor is very unpleasant. Both for the HD patient and the caregiver. We began talking to people in our support group about other doctors in the area that treated patients with HD. And there is one that comes highly recommended by many in the group within 10 miles of our house! A doctor this close to the house is an answer to prayers in itself.

So, a couple of weeks ago, Robert made his first visit to this new doctor. She performed a lot of the same tests that the other doctor did. Only this time Robert did much better. The biggest one that meant so much to us was the memory test. He was given five words at the start of their conversation to remember. Then about 10 minutes later, he had to tell her what those words were. And he remembered all of them. With the first doctor, he couldn't remember 3 of them. So that is a huge improvement. In addition, the other tests had much better outcomes.  Visiting this doctor was a totally different experience than the previous one.

I am not saying he no longer carries the HD gene. A test has not been performed to verify that. All I am saying is that based on the information we know about HD, the history of the disease in his family and the results of two doctors visits, something is different in Robert as compared to the rest of his family. And I chose to believe in the power of wonderful praying friends and God's hand in our lives.

We don't know what the future with HD holds, but we know who is in charge of it and have the utmost faith that it will all work out in a plan that will bring glory to God as a result.

Is a Drug to Treat HD Close?

A few days ago, the Huntington's Disease Society of America posted a link that one of the drugs that is in the testing phases has passed Phase II of the Three Phase process to obtain approval from the FDA for a potential new treatment for HD.

PBT2 as it is called has shown positive improvements in the cognitive ability and has reduced brain deteriation in some of the animal models that were used. So, the purpose of Phase II is to conduct studies on actual people during period of at least one year. This particular study has been going on since 2011. This has been done on 109 people with early and mid-stage symptoms of HD. According to Prana Biotechnology Limited (PBT) who conducted the study, the results were very promising and they plan to move on to Phase III to obtain approval from the FDA and make the drug avaialble to HD patients. 

Another exciting factor about this potential new drug is that it has also shown improvements on study animals infected with Alzheimer's Disease as well.  If the results continue to be as promising as they have thus far, there may be treatment for not one, but two diseases that affect the brain. I like the sound of that.

I was so excited when I first read this. Surely that must mean we can have this drug available to the public very soon, right? Well, as I learned today, that all depends on your defintion of soon. Phase III, which looks fro 1000 - 3000 people to test normally takes THREE years! Yes, three.  And then, when the application is filed with the FDA, they may take two years or longer to approve the applicaitons.

But, still even five years doesn't sound so bad. After all, as early as 2010 when Robert's mother passed away, there wasn't even a Phase II being conducted. News like this gives me hope for Robert, Debbie, Chrissy and many of the people we have met in our Support Group.

PBT2 will not cure HD or Alzhiemer's, but it could stop the effects that the two diseases have on the brain.  While that is wonderful news, research is still needed and being done to find a way to stop them both before they even begin.

Parana Biotechnology Limited plans to release the official results of the Phase II studies in October. I eargerly look forward to that to seeing the full details of those results and seeing what the potential for this promising drug really are. I am sure I will have another blog posting then to share it with you.