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Strategies & Market Trends : YellowLegalPad

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To: John McCarthy who wrote (1139)9/17/2010 5:18:02 PM
From: John McCarthy  Read Replies (1) of 1182
 
RVX.TO

Archie, you don't seem to be intentional uniformed but I not sure if your just a paid basher or geniunely have concerns

Lets get you up to speed with this comment from BFW on another board

If the just-released statin metadata study turns out to be accurate and if RVX's NexVas program turns out to deal with far more fundamental causes of CVD (reverse cholesetrol transport [RCT] and inflammation)

then

the NexVas program could produce drugs that supplant almost all current CVD treatments.

We could be looking at sales of $30 billion per year and more.

We may even be looking at near universally prescribed preventive treatment with this.

Absolute monster in the waiting..."

The metadata study showed no benefit for statins in primary prevention with regards to mortality.

I'm sure the stats were done correctly so it has internal accuracy.

I suspect it is valid as well as Nissen said

""Because mortality is low in primary-prevention patients, it is difficult to show a mortality benefit. This has been established previously. The primary benefit in this setting is reduction in nonfatal MI, which remains a worthwhile goal of therapy,"

So..the Jupiter study still stands out as for primary prevention...

but

they selected patient with high hsCRP levels so it was primary prevention in an "inflamed" group.

The metadata study above took all comers.


One would expect that RVX208's niche would be in focusing on either an inflamed group or a group with low HDL/low ApoA1.

One might even postulate that they would have an easier time showing a benefit for RVX208 in a group of patients exhibiting both of the above characteristics.

If I was designing the trials, I'd want to focus on those most likely to show a statistically significant benefit in the shortest period of time.

Hopefully, RVX is using the ASSERT data in this manner to tweak the ASSURE trial.

Furthermore, even if RVX208 only shows a benefit in a specific group prior to coming to market, one would suspect that the use of the medication would leak out in to primary prevention.

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