RE: Dead or alive – Does it really matter?28 Feb 2026 12:27
Why would ‘ANY death bring into question durability’? Hemo are trialling at half the dose they themselves feel is the optimum therapeutic dose, and this stage chiefly is for safety and secondary for efficacy. I’m not dismissing the importance of whether a patient is still alive or not, but if P1 has died, however sad, that still doesn’t bring any particular focus on durability. Now, if P3 dies, that’s more of a worry. That treatment was RNS’d as showing complete remission, whereas the RNS’ for the first two weren’t that specific. So for P3, even at half dose, it eliminated all leukaemic blasts. Therefore, they’re at the very starting position after treatment, that Hemo will be hoping for after a full dose, for future trial participants. If P3 subsequently dies, that’s more of most definitely will do as you say, ‘question durability, particularly at the lower dose’. The caveat to all this is that we don’t know the demographic that P3 belongs to. Because Hemo needed FDA permission to treat this particular patient, does that indicate the possibility that p3 was an adolescent? From reading Haywains posts over the years which indicated youth responded more favourably to immunotherapy, I believe they were. Anyway, what I’m saying is, I agree with your position, but only with P3.