Are there better Strive candidates ?16 Sep 2022 11:18
Starting a new thread for this to consider the questions raised by Size82. Not offering anything else up as such, more to underline a couple of points that should make SNG the strongest candidate - and hope others can fill in with details of other competing therapies.
The main point that supports our hope for inclusion - and perhaps even to be the first candidate - is the Sprinter post-hoc analysis that showed such a strong signal in the most at risk patients in hospital - even on top of SOC. I don't need to re-present it here but by all measures it was impressive. It needs to be peer reviewed for sure - but if NIH is considering SNG it has the scientists to do that job ahead of any published pr.
Why do these stats make us a strong candidate ? Because nothing else has been trialed successfully to this level in hospitals yet. Nothing. In the whole world. It's a little nugget that can hopefully be proven and expanded on with the right trial design and holds the possibly of saving another 1/3 of lives in hospitals.
And it can be given on admission to the most at risk population - those we know are most likely to end up in ICU. Given well before Dexamethasone can be safely administered.
What else is coming along ? Hopefully others can answer ?
Dexa higher dose is still trialling on Recovery - as are Mol and Paxlo. All of the A3 Mabs failed in hospitals. Outpatient setting will alost certainly see new authorisations in the near future, but that's shifting sand and as new ones are approved old ones may be deleted (although protease inhibitors are retaining multi-viral function when Mabs do not )
Still hopeful Gilead might be there somewhere - as per that intriguing paragraph i posted yesterday. Remdes has co-trialled with almost everything in hospitals and it would be a great partner / future owner.
The other question Size raises is "what are the factors which could mean SNG is overlooked " And that answer is - I'm afraid - down to the size and influence of the company. Would we have completed a successful P3 with a BP partner - we all believe so. Are the power brokers in NIH and NIHR overly influenced by Big Pharma - undoubtedly so. But science is above all else a numbers game, and whatever our disadvantages we do appear to have the numbers.