Genmab — November 2018

[Bulder]

In a clinic. According to Winkel home-administration is not possible at all.

[JørgenVarnæs]

also for the subsequent doses?

[Bulder]

Could be a good Q for the Q&A

[E_L]

Do I have this right on AMG420; they started this study in 2015, recruited only 35 patients of which 21 had disease progression , but they are talking positive about the 5(!!) that are still remaining?

[Bulder]

I don't know if they have a hjemmesygeplejerske system in US. If they have home administration should be possible. If we talk about self-administration a syringe pump is nescessary. Then it takes 20 min as I remember it.

[E_L]

The Legend study to be honest i dont know. I also don't trust these guys…

[JørgenVarnæs]

I had a gander at the durability of the drug - seems if it is refrigerated dara has a shelf life of 24 months

[JørgenVarnæs]

you can keep dara in your fridge at home and shoot it just like insulin

[Bulder]

Who makes a Q to Winkel about this?

[Bulder]

I asked him long ago, and he said home adm is not possible. But I've seen Plesner in the Myelomatosebladet say that it will be possible,

[JørgenVarnæs]

maybe its just a question of the trial results coming in? there could be a difference between relatively healthy first line / maintenance patients and subsequent lines

[Bulder]

Men eet er den kæmpe fordel der ligger i tidsbesparelsen og de færre bivirkninger. Noget andet er hvis sc også er mere effektiv. Hvis de 52% ORR i Pavo holder vand - og hvis pts kan sammenlignes med Sirius - Så er det næsten en fordobling af egeneffektiviteten, og historiebøgerne vil skulle skrives om. Alle hidtil kendte data fra Castor, Pollux, Maia mv vil være forældede. Og vi vil formentlig se helt andre effektdata i kombinationerne.

[JørgenVarnæs]

i første omgang vil jeg stille mig tilfreds med, at sc klarer safety - det er hurdlen for at komme til den egentlige fordel. Effektforbedringer vil være icing on the cake for mig

[JørgenVarnæs]

...men noget kan tyde på, at "molekyleniveauet" daler ved IV administration og SC rent faktisk giver en effektfordel. Det er sgu win-win

[Bulder]

samme her. En ekstra overraskelse.

[nohope]

Hvordan vil økonomien i en SC behandling se ud i forhold til en IV behandling - nogen der vil gætte ?

[GeorgeBest]

De vil nok forlange højere pris for SC, pga HALO skal have en bid auf kagen...

[GeorgeBest]

auf=af

[Solsen]

HALO get 5% but I think the price on dara will be higher

[JørgenVarnæs]

Det har jeg svært ved at bedømme lige nu - der vil være en kæmpe volumenmæssig fordel i maintenance. Måske det kan modvirke en prisforhøjelse?