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Expert Interview

Slingshot members are talking to an expert! The topic is:

A Second Look: Discussing the Phase 3 LELANTOS data of FibroGen's Pamrevlumab in patients with non-ambulatory DMD

Ticker(s): FGEN

Who's the expert?

Institution: Texas Children's Hospital / Baylor College of Medicine

  • Assistant Professor of Pediatric Neurology at Baylor College of Medicine.
  • Manages 36 patients with SMA and 85 patients with DMD per year.
  • PI on several clinical trials including the pamrevlumab study; Clinical and research interest in muscular dystrophy with focus on Duchenne Muscular Dystrophy.

Interview Questions
Q1.

What are your high level thoughts, including  familiarity with this program even before we approached you with this topic?

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Q2.

What are personal thoughts on targeting CTGF as just a general idea in DMD? Are you more optimistic or pessimistic about this pathway making a big difference in these patients?

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Q3.

Could you talk about the natural history of DMD? For the 46 patients in the placebo arm what your expectation would be after 104 weeks, what kind of FVC decline would you expect, and is there even a possibility that the placebo arm would be stable?

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Q4.

Looking at upper limb performance, do you think that those all correlate together, or what's the chance that we might get a split result where there's really encouraging signs on one endpoint, but then on the others maybe not so much? 

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Q5.

If this drug did nothing else but stabilize the functional assessment, even if we don't know the effect size, would that be pretty likely to yield a positive outcome?

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Q6.

What is your level of confidence regarding the ambulatory trial, and is the North Star Ambulatory Assessment endpoint more difficult to hit as compared to the non-ambulatory trial endpoint?

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Reason

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