I was emailed an article from the LA TImes called: 'Boston Legal' lawyer makes his case for Alzheimer's drug' (http://www.latimes.com/features/printedition/health/la-he-unreal15-2008dec15,0,5785716.column)
I watched the season finale where they argue before the Supreme Court to allow "Denny" (played by William Shatner) to be able to use the drug Dimebon.
What do we have to lose by asking our spouse's physician's to fill out the form and request it.
Here's some info:
Physician Request for a Single Patient IND for Compassionate or Emergency Use
When a physician would like to request an Investigational New Drug (IND) application to use an unapproved drug or other product for a single patient, the first step is to obtain permission from the manufacturer. Without the consent of the manufacturer, the unapproved product will not be available to the patient. After the manufacturer agrees to provide the product, the recommended procedure is to submit the following information to the appropriate review division. The request may be made by fascimile with a letter to follow.
1. Request for a single patient IND for Compassionate or Emergency Use should be stated at the top of the correspondence. 2. Brief Clinical History of the patient including the diagnosis, the disease status, prior therapy, response to prior therapy and the rationale for requesting the proposed treatment. 3. Proposed Treatment Plan including the dose, route, planned duration, monitoring procedures and modifications (e.g. dose reduction or treatment delay) for toxicity. Reference a published protocol or journal article if appropriate. 4. Drug Supply Reference Statement which would name the supplier or manufacturer and a statement that a Letter of Authorization to cross reference an appropriate IND of the supplier or Drug Master File (DMF) of the manufacturer is included. The treating physician must contact the supplier or manufacturer for such a statement. 5. Informed Consent Statement that states that informed consent and approval of an appropriate Institutional Review Board (IRB) will be obtained prior to initiating treatment. There are some IRBs that have specific procedures for approving emergency requests. 6. Investigator Qualification Statement that specifies the training, experience, and licensure of the treating physician. The first two pages of a Curriculum Vitae typically contain this information and are usually sufficient. 7. FDA Form 1571 completed with the treating physician listed as the sponsor. Form 1571 and other forms can be downloaded from the Internet. 8. Contact telephone number and facsimile number. If the request is approved, an IND number will be issued by the FDA and the treating physician will be contacted by phone or fax with a letter to follow. The IND is considered active upon issuance of the number. The IND sponsor (treating physician) will then contact the drug supplier and provide the IND number. The supplier may then ship the drug directly to the treating physician.
On my home page - www.thealzheimerspouse.com - on the left side, towards the bottom, there is a link to clinical trials in your area. Also on the left side, there is a section titled "Articles of Interest". In that section, under "drugs and treatments, there are a lot of articles about what is going on with new and experimental drugs.
I called the study for Dimebon and they told my that my wife is not eligible because she is already on Arecipt and Namenda. I asked if she was off the medications for a period of time, would she be eligible then? They did not recommend she stop the medication. So I don't think I have anything to lose by asking the Neuro if he would allow for the compassionate use.
Guy, I don't remember what stage your DW is in but mine is in late 5 and early 6. The few times he has not taken his aricept and namenda for only 1 or 2 times he immediately spiraled downward close to 7. It is helping him immensly and I plan to keep him on it as long as he is not showing signs of it not helping him. When he was in earlier stage our pcp heard about a trial at WVU he wanted him to try. One of the requirements was he had to be off the aricept and namenda for 1 month in order to be considered. I signed him up and stopped the 2 meds. Neuro, had a fit about doing that and STRONGLE recommended not doing the med. stoppage. At the end of the month, without obvious ill effects he was tested for the test and declaired inelligable because of the associated Parkenism. We started him back on the aricept and namenda at that time. I didn't notice any immediate ill effects from the month off at that time.
I understand and hope things work out for both of you.
Guy, I think the biggest question is whether you will be able to get your hands on the Dimebon. Most experimental drugs are not available other than through a trial.
I had asked the doctor for Arecept long before anyone else would have seen symptoms, and our doc gave it to him. he does take a lot of meds, so I spoke to the doc then asn asked if maybe we were premature in giving him the Arecept. (this was 6 yrs ago). Anyway, he said to stop... within a few weeks he went wy downhill. Of course, no I would think of that as normal but at that time you could really see the change. We then went to a nouro who started him on arecept again and stabelized him. I don't think he ever got as good as he was before we stopped the arecept. DH has now been accepted into a trial for Resveratrol. The only reason why we agreed to it was because it does not include giving up the meds (Exelon 2x per day) that he takes now. I would not take that chance again. As it is, he is becoming more confused every day. I'm really hoping he doesn't get a placebo.