RE: Rns18 Aug 2020 22:48
I am equally weighted in synairgen and faron(after taking some synairgen profits) and as Ghia says the inhaled treatment is cheaper and easier to administer so very practical for early stage infection.IV treatment is more expensive/,intrusive and is suited to a hospital setting, but potentially has the advantage when organs other than the lungs are impacted.subcutaneous injection(rebif)in some ways lies between the other 2 methods .given the inhaled treatment appears to be effective at a relatively early stage,then logically IV should also be effective at that stage.however my understanding is that it is only being tested on severely ill patients in the WHO trial.with my optimistic hat on I would like to think that this reflects a view that beta 1a has already effectively demonstrated its effectiveness regardless of delivery method,and the trial is leapfrogging to the scenario where IV delivery is most likely to be the best option. With my pessimist hat on I worry slightly that rebif(subcutaneous injection) has flexed its financial muscle to grab slightly less severe patients (with probably greater chance of success as a result).overall even that scenario is likely to be positive for faron if rebif proves successful. If subcutaneous injection demonstrates success for moderately severe patients it would be hard not to conclude the IV would be at least as successful (and probably better). If combined with positive IV results on very severe cases,the practical end result is probably a market for all 3 methods of delivery.inhaled at early stage where problems localised in lungs,subcutaneous where some wider issues,and IV where those issues have increased in severity. The exact crossover point from subcutaneous to IV would then be based on a cost/benefit analysis,with the higher cost of IV being a factor.