Brinsupri (aka Brensocatib)

Posted by scoop @scoop, Aug 12 10:55am

FDA approved Brensocatib today. Hooray for us. Let’s hope we have access to it as soon as possible and it gives us some measure of relief. Thank you to all the scientists and doctors and patients!
https://www.multivu.com/insmed/9347351-en-fda-approves-brinsupri-brensocatib

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Profile picture for @ling @wangling

I have a friend who was in the trial and she has two friends who were in the trial also, and it turned out that they were all on placebo. After the trial they have been on brensocatib given by Dr. Winthrop. After reading all the side effects about the drug, I called her. She and her two friends have been on the drug for two years now, no side effects for them.
Hope this helps.

Ling

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Great info, thanks.

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I have heard via the Lung Matters Facebook page that some (1 or 2) people on the trial have had to have all their teeth pulled after using this drug. Just something to be aware of...as a side effect.

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Profile picture for narelled23 @narelled23

I have heard via the Lung Matters Facebook page that some (1 or 2) people on the trial have had to have all their teeth pulled after using this drug. Just something to be aware of...as a side effect.

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I must have read the same post. Someone commented (and my pulmonologist confirmed) that it may be have been due to Papillon–Lefèvre syndrome (PLS) is a very rare inherited disorder caused by mutations in the CTSC gene.

It is characterized by:
Thickened, scaly skin on the palms and soles (palmoplantar keratoderma)
Severe early-onset gum disease (periodontitis)
Premature loss of both baby and adult teeth
It usually begins in early childhood and is linked to a deficiency of the enzyme cathepsin C (DPP1).

When taking Brinsupri regular dental checks are imperative, every 3-6 months.

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Profile picture for scoop @scoop

I must have read the same post. Someone commented (and my pulmonologist confirmed) that it may be have been due to Papillon–Lefèvre syndrome (PLS) is a very rare inherited disorder caused by mutations in the CTSC gene.

It is characterized by:
Thickened, scaly skin on the palms and soles (palmoplantar keratoderma)
Severe early-onset gum disease (periodontitis)
Premature loss of both baby and adult teeth
It usually begins in early childhood and is linked to a deficiency of the enzyme cathepsin C (DPP1).

When taking Brinsupri regular dental checks are imperative, every 3-6 months.

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Thank you, Scoop. Appreciate that.

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Profile picture for @ling @wangling

I have a friend who was in the trial and she has two friends who were in the trial also, and it turned out that they were all on placebo. After the trial they have been on brensocatib given by Dr. Winthrop. After reading all the side effects about the drug, I called her. She and her two friends have been on the drug for two years now, no side effects for them.
Hope this helps.

Ling

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Hi Ling
Did your friends report on the benefits to them after 2 years on it?

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Profile picture for narelled23 @narelled23

Hi Ling
Did your friends report on the benefits to them after 2 years on it?

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They said that it helped to cut down exacerbations.

Ling

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Profile picture for scoop @scoop

I must have read the same post. Someone commented (and my pulmonologist confirmed) that it may be have been due to Papillon–Lefèvre syndrome (PLS) is a very rare inherited disorder caused by mutations in the CTSC gene.

It is characterized by:
Thickened, scaly skin on the palms and soles (palmoplantar keratoderma)
Severe early-onset gum disease (periodontitis)
Premature loss of both baby and adult teeth
It usually begins in early childhood and is linked to a deficiency of the enzyme cathepsin C (DPP1).

When taking Brinsupri regular dental checks are imperative, every 3-6 months.

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Thanks for that comment Scoop.
(Sigh) "That" page immediately posted a boogy man story in response to a new drug therapy that could be a game changer for many people. Yes, it has side effects as do all drugs. We all need to read, ask questions and educate ourselves before taking something one person posted at face value. Follow the science.

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Profile picture for scoop @scoop

I must have read the same post. Someone commented (and my pulmonologist confirmed) that it may be have been due to Papillon–Lefèvre syndrome (PLS) is a very rare inherited disorder caused by mutations in the CTSC gene.

It is characterized by:
Thickened, scaly skin on the palms and soles (palmoplantar keratoderma)
Severe early-onset gum disease (periodontitis)
Premature loss of both baby and adult teeth
It usually begins in early childhood and is linked to a deficiency of the enzyme cathepsin C (DPP1).

When taking Brinsupri regular dental checks are imperative, every 3-6 months.

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So are you saying that this very rare genetic disorder was the cause of the one or two cases? That seems highly coincidental and unlikely. If it is a known possible side effect (gum disease) and they were in the trial it seems obvious to be caused by Brensocatib.

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Profile picture for irenea8 @irenea8

So are you saying that this very rare genetic disorder was the cause of the one or two cases? That seems highly coincidental and unlikely. If it is a known possible side effect (gum disease) and they were in the trial it seems obvious to be caused by Brensocatib.

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No, I am not saying that. In reality, there could be other contributing factors (dental health at time of trial, age, other medications, environmental factors, etc.) Rare things do happen even in clinical trials.

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Profile picture for scoop @scoop

No, I am not saying that. In reality, there could be other contributing factors (dental health at time of trial, age, other medications, environmental factors, etc.) Rare things do happen even in clinical trials.

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The rare genetic condition creates a deficiency of DPPI and Brensocatib lowers ones DPPI. Logically it would seem that is the cause of those cases along with a likely predisposition to gum disease.

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