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Post by zieg on Sept 18, 2014 14:49:33 GMT -5
doctor.stockpicker • 19 hours ago Flag43 users liked this posts users disliked this posts 2 Reply Mr. Mann's interview from a physician's viewpoint
I read Mr Mann's interview last night and was pleased when he stated that Afrezza should be dosed a few minutes after the beginning of a meal. Previously, I had came to the same conclusion as I was studying the pharmacodynmacs of Afrezza. Reading those comments along with the statements about the upcoming larger dosed cartridges lead me to make this definitive statement and prediction. Afrezza will be the standard of care for mealtime insulin use in all type 1 diabetics and will be used very early in all type 2 diabetics in combination with metformin. My reasoning is this. In type 1 diabetics, the disease process is a lack of beta cells that produce insulin. Afrezza more closely (especially dosed as Mr. Mann discussed) replicates any prandial insulin that is currently available. In type 2 diabetics, it is now known that there is two defects. The one that was first discovered was that diabetics are resistant to the insulin produced by the pancreas. More recently discovered is that diabetics have a defect in first phase insulin response and Afrezza is the drug that most replicates this response. I am challenging anyone to post the medical reasoning that would contradict these statements. I have owned Mannkind for a long time and I am more convinced that ever that this is future for all diabetics.
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Post by babaoriley on Sept 18, 2014 17:30:52 GMT -5
Nice, sounds a bit like mannmade! LOL. That thinking plus rapidly growing sales will get us really going. Seems that all developmental biotechs these days have varying degrees of shorts attached like barnacles on a whale and fleas on a dog. We have more than most. Seems only one thing will do the trick. Lots of sales. Sales that start first quarter and ramp up through the year. The fleas are apparently tough enough to fight off the occasional good news like FDA approval and BP partnership.
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Post by seanismorris on Sept 18, 2014 18:17:20 GMT -5
doc, I agree with you and Al about the timing of taking Afrezza being important. I'm not sure why Mannkind left the timeframe for inhalation so open. With a drug that's Ultra Rapid Acting they should have known better. Luckly Sanofi is now in charge and they will fix this. I've been waiting eagerly to see the new trials and how they are designed. Inhaled Insulin is not new to Sanofi. Check out the listed Collaberator on Exubera. www.clinicaltrials.gov/ct2/results?term=Sanofi+afrezza&Search=SearchSanofi entered this partnership with Mannkind with their eyes wide open. If anyone knows the potential for inhaled insulin its Sanofi. Blockbuster status here we come.
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Post by zieg on Sept 18, 2014 19:57:05 GMT -5
Sean, I'm not the Doc. I suggested he come to this board to post his thoughts. I didn't see that he had done it thus far, so I quoted him and gave him credit. I believe he is right in line with a lot of the sentiment we all share on this board.
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Post by mnholdem on Sept 20, 2014 7:59:35 GMT -5
Getting that label upgraded to instruct that Afrezza be taken AFTER beginning a meal may be first on Sanofi's actions with FDA. The kinetics are why FDA test protocols were flawed and resulted in higher a1c and why Afrezza should have been granted a new first-in-class status of "ultra fast acting". But I'd better not get started on the FDA's level of competence or that the husband of the FDA Commissioner is a fund manager... I'll be here all day!
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