Replying to Avatar Spore

I think it will all go down to weight the risks and the benefits of when to take it. In 2018, the first LNP medication was approved and I think it's important to look at articles after this year. Partisiran has shown amazing results for the patients with transthyretin-related amyloidosis ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9653129/ , https://pubmed.ncbi.nlm.nih.gov/33212063/ , https://pubmed.ncbi.nlm.nih.gov/30586695/)

Although it is a rare disease, these patients are taking injections every 3 weeks since 2018 so it is interesting to observe their progression. As more of these types of medications will be approved, it sure will increase the information available, and for sure it is important to be critic and continue the surveillance, the same as with all the medications available in the market.

Sorry for late reply. Yeah I agree, if youre a terminal patient, then it makes sense you might want to try cutting edge treatment.

So Partisiran is using the same form of drug delivery as Moderna? Seems to peg-2000, Distearoylphosphatidylcholine and cholesterol.

+ DLin-MC3-DMA

"Formulations containing DLin-MC3-DMA have been used in the development of LNPs for siRNA delivery in patients with hereditary transthyretin-mediated amyloidosis.

WARNING This product is not for human or veterinary use."

Using it on terminal patients, Ok. Mandating it on billions of people, not ok.

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Discussion

Always nice to discuss these topics.

About the amyloidosis patients, they used to be terminal patients, but with partisiran they are not terminal anymore!

They are taking LNPs every 2 weeks for the rest of their lives, the oldest of them since 2015 (https://clinicaltrials.gov/ct2/show/NCT02510261 - it took 3 years more to approve it). So it's not a single shot once in a while, it's a very suitable cohort to test chronic exposition to those molecules. Under that clear evidence and weighting the risks and benefits of its mass administration, the decision was made.

My point is, where is the new evidence (after 2018) that supports all the conspiracy theories going around?

(Just as a note apart, testing exact molecular compounds for decades before approving them is just unrealistic, that's why phase 3 and phase 4 was delineated...

Another note: on clinical trials, terminal patient = ok give whatever, is an over simplification of how the real process is going on. Terminal patients are still humans, they are on a very vulnerable position and there are still many regulations that must be met, this is more of a bioethics topic...)

Might not be the delivery vehicle that's as damaging as much as the spike protein the body's cells are instructed to produce, which is highly cytotoxic. The fact that LNPs can cross the blood brain barrier is a feature in cancer treatment, but a bug when its producing a toxic protein that has no business being in blood stream, lymph nodes and organs. If it too concentrated ie. Accidentally Injected intravenously (happens ca 1% of the time), it can damage the endothelium because the T cells will kill the cells expressing the spike. Bolus theory.