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Re: AlpineBV_Miller post# 43785

Wednesday, 03/28/2007 5:10:07 PM

Wednesday, March 28, 2007 5:10:07 PM

Post# of 252816
>> Of course that would ignore dozens of trials where GMCSF did nothing for cancer patients. <<

I'm not saying the DNDN procedure is not working , just that I haven't seen much that convinces me that it's acting in a prostate-specific way as opposed to as a general immune stimulant. If DNDN or others have shown that GM-CFS fused to a non-tumor-specific protein , used in the same ex-vivo stimulation process , doesn't work as well as PAP-GM-CSF against prostate cancer , fine. Cite those studies.

I may not have made myself clear in my point about frozen Provenge. With Provenge , we're talking about a treatment where the MOA is immunological , but beyond that it's poorly characterized. Now you're going to freeze/store/rethaw/infuse a cellular infusion product and assume that no unknown ( read : confounding ) immunogenic species will be generated in that process that will cause it to be different from fresh Provenge. Not a problem if the surrogate marker is the final endpoint , but IMO a bad idea if post crossover endpoints like survival are critical.
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