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(48 replies, posted in Focused Discussion)

Dalmore wrote:

Additional info on human trial of Alda-1: w w w.decodedscience.com/aldh2-activator-the-answer-to-nitroglycerine-tolerance/7829
"ALDH activators have not yet been tested in humans. In an exclusive interview with Decoded Science, she explains, “The next step is formal toxicity studies in animals, followed by a request from the FDA for permission to do clinical trials in humans (this request is called IND = Investigative New Drug application). A company, called ALDEA (which I co-founded) is working on this last stage of drug development with the hope to start human trials in the next year and a half.”

No complications of using aldehyde dehydrogenase activators in mice have been observed, but potential complications still need to be examined in human studies."

@Dalmore-

How is it going at ALDEA?  I read that there was some funding that was procured for clinical trials of Alda-1.  I posted earlier about a reply I received from a researcher at Raptor Pharmaceuticals concerning some issues with Alda-1 that still need to be hashed out.  "...Alda-1, for its part, has compelling proof-of-principle that involves the actual mutated enzyme.  But from a chemist's perspective, Alda-1 looks to have some potential toxicological issues, especially for a long-term, repetitive-dosing application like Asian flush.  For example, a primary hydrolysis product of Alda-1 is 2,6-dichlorobenzoic acid, a known breakdown product of herbicides and a compound with some level of known toxicity..." Has there been any progress?

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(48 replies, posted in Focused Discussion)

here is a research project done on alda-1-

http://dolly.biochem.arizona.edu/Bioc46 … index.html

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(48 replies, posted in Focused Discussion)

http://www.sciencebase.com/science-blog … ruths.html

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(48 replies, posted in Focused Discussion)

"Large pharmaceutical companies are taking advantage of the weak economy by acquiring or in-licensing selective compounds because deal terms are highly attractive due to depressed equity valuations of smaller companies."

-as in Raptor stock is undervalued right now, which I guess has an effect on licensing terms also.  Check this out, it has info on licensing pharmaceutical products: http://www.wipo.int/sme/en/documents/ph … nsing.html

-It might be good to invest in Raptor stock right now, assuming they manage to get a licensing deal with a large pharma company.  If Convivia comes out before Alda-1, which it probably will, it will reap big profits- even though Alda-1 is probably better in the long term.

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(48 replies, posted in Focused Discussion)

Here is another one about alda-1, on youtube-

http://www.youtube.com/watch?v=8z0uz6HfQxY


I looked up the average cost of developing a new drug, which is around $800 million.  If everyone around the world with the mutation donated $1, it would easily be about that amount, and although some people wouldn't be able to afford it, other people could donate more.  Research is being done on it for the treatment of both asian glow and heart attacks- either way I think it might be a good investment opportunity.

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(48 replies, posted in Focused Discussion)

http://www.physorg.com/news182439565.html

http://pda.physorg.com/enzyme-mutatedfo … 26944.html

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(48 replies, posted in Focused Discussion)

It looks like they've been doing research since then, because they're testing Alda-44:

http://www.sciencedirect.com/science?_o … a85c3cbf47

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(48 replies, posted in Focused Discussion)

I posted this on he Convivia thread, but I'll put it here also-

I emailed Raptor Pharmaceuticals about whether they had looked at Alda-1 (which stands for ALdehyde Dehydrogenase Activator) as an alternative to 4-methylpyrazole, an here was the reply-

"Yours is an excellent suggestion, which I, at least, had missed.  We appreciate your interest in the program.  One aspect of Alda-1 that gives very small companies pause is the expected time it would take before one could test it in humans.  One advantage of 4-MP is that it is already approved for use in humans for certain applications.  While that provides no comfort as to whether it would work in the Asian flush application, it does mean that a lot of toxicological work has already been done and risks reduced.  Alda-1, for its part, has compelling proof-of-principle that involves the actual mutated enzyme.  But from a chemist's perspective, Alda-1 looks to have some potential toxicological issues, especially for a long-term, repetitive-dosing application like Asian flush.  For example, a primary hydrolysis product of Alda-1 is 2,6-dichlorobenzoic acid, a known breakdown product of herbicides and a compound with some level of known toxicity.  As you probably already know, there are those who consider treatments for Asian flush to be enabling of alcoholism or, at a minimum, unworthy of biotechnology efforts.  The fairness of those assessments aside, they tend to increase the regulatory hurdles likely to be thrown up by the FDA, particularly with regard to long-term safety.
That said, we will keep Alda-1 in mind and thank you again for bringing it to our attention."

So, Alda-1 still has some issues and requires some more research (money), maybe there are some wealthy individuals who might be willing to contribute to the cause.  I have a feeling that in the current economy, it is difficult for small pharmaceutical companies to take risks on controversial products, regardless of the potential market (about 800 million people).  I would think that some large companies might interested in this as well, like Sapporo, Asahi, Kirin, and Tsingtao since 40% of their customer base is not purchasing their product.  Then again, many in the medical establishment think that this kind of research is not very legitimate, since it is trying to enable people to become "alcoholics". 

I disagree, since many are continuing to harm their bodies despite their alcohol intolerance, due to social factors, or not knowing about their genetic mutation.  Increasing ALDH2*2 activity should coincide with reduced rates of cancer, stress, and other health issues, even if it results in increased alcohol use.  I think there are too many physicians in Japan who point to reduced alcohol usage vis-a-vis the West as something to be proud of, whether the people themselves want it or not.

FYI here is a link to the Wikipedia article that mentions Alda-1:

http://en.wikipedia.org/wiki/ALDH2

Also, here is the URL for the Wikipedia entry for ALDH2, which is the enzyme that is mutated in asian flushers.  There's an image and brief description of Alda-1:

http://en.wikipedia.org/wiki/ALDH2

Convivia sounds good, but I think that the real cure is Alda-1, which is a compound that was developed pretty recently to prevent damage to the heart during a heart attack.   I think it's better because it increases acetaldehyde metabolism, rather than slowing down alcohol metabolism.  If you think about it, using 4-MP, the active ingredient of Convivia, will make you much drunker than you usually would get- probably dangerously drunk after even a small amount.  So, I emailed Raptor to see if they'd considered Alda-1, and here was the reply:


"Yours is an excellent suggestion, which I, at least, had missed.  We appreciate your interest in the program.  One aspect of Alda-1 that gives very small companies pause is the expected time it would take before one could test it in humans.  One advantage of 4-MP is that it is already approved for use in humans for certain applications.  While that provides no comfort as to whether it would work in the Asian flush application, it does mean that a lot of toxicological work has already been done and risks reduced.  Alda-1, for its part, has compelling proof-of-principle that involves the actual mutated enzyme.  But from a chemist's perspective, Alda-1 looks to have some potential toxicological issues, especially for a long-term, repetitive-dosing application like Asian flush.  For example, a primary hydrolysis product of Alda-1 is 2,6-dichlorobenzoic acid, a known breakdown product of herbicides and a compound with some level of known toxicity.  As you probably already know, there are those who consider treatments for Asian flush to be enabling of alcoholism or, at a minimum, unworthy of biotechnology efforts.  The fairness of those assessments aside, they tend to increase the regulatory hurdles likely to be thrown up by the FDA, particularly with regard to long-term safety.

That said, we will keep Alda-1 in mind and thank you again for bringing it to our attention."

hope this is of some use-

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(137 replies, posted in Focused Discussion)

there are probably no offers because a treatment for asian blush is considered enabling of alcoholism- i think the issue is that a lot of people have this condition and drink anyway, so deliberately avoiding a treatment is not going to do any good. should people be counseled by doctors to stop drinking, or should there be a treatment for ALDH2 deficiency?  either way, people should not be subjecting themselves to such high amounts of acetaldehyde- it causes damage to your entire body, and you can feel it right away.  acetaldehyde feels like shit!

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(137 replies, posted in Focused Discussion)

it might also be why raptor is trying to do further development in asia, because it might be easier to bring to the market.

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(137 replies, posted in Focused Discussion)

on the other hand they said they would keep the suggestion in mind-

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(137 replies, posted in Focused Discussion)

I emailed Raptor pointing out that there is another compound called Alda-1 that treats the same condition but works by increasing the activity of ALDH2, and part of his response was-

As you probably already know, there are those who consider treatments for Asian flush to be enabling of alcoholism or, at a minimum, unworthy of biotechnology efforts.  The fairness of those assessments aside, they tend to increase the regulatory hurdles likely to be thrown up by the FDA, particularly with regard to long-term safety.

So there are some people saying that an asian flush cure is unnecessary, because is helps prevent alcoholism, and this increases the amount of time it takes to find a remedy.  It probably would exist right now if it were not for this fact-

I keep posting this, but I'll mention it again- I've noticed that this forum has over 20,000,000 hits so far.  Obviously some are repeat viewers, but still, if each person interested in a cure (I know there are a lot) contributed $1, it could be donated to research.  $20,000,000 sound like something?  Also, given that the compound ALREADY EXISTS and receives funding, I think it would make a difference-

I've been reading about Alda-1, which is a recently developed compound that is designed to increase acetaldehyde dehydrogenase (ALDH) activity.  The research is being done at Stanford, and I emailed the person in charge (Dr. Mochley-Rosen), and heres the reply-

Thank you for your interest. At the moment, we continue our academic research to
determine the benefit of activating ALDH2 in both wildtype and ALDH2*2 mutant
animals. We focus on diseases where people with this mutation have a
disproportionate incidence, such as esophageal cancer (see Plos article from
last month), neurodegenerative diseases, higher ethanol intoxication and of
course nitroglycerin insensitivity (see Stammler's work). Since Alda-1 increases
the biological activity of both wildtype and mutant - the potential of this
drugs as enhancor of the natural mechanism of cytoprotection is quite large.
Lots to do, as you can see. Hope this addresses your question.

From what I've read, this is still going to take a while, but from what I know, this is a real solution.  Both H2 antagonists and the Convivia drug currently being developed by Raptor work by slowing down alcohol metabolism, whereas Alda-1 (which is being developed primarily for heart attack damage) works by increasing ALDH activity.  The biggest advantage is that it specifically increases the activity of mutant ALDH, which is the main issue.  It seems to be a long time in the making, though-

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(137 replies, posted in Focused Discussion)

i checked the number of hits on this website and it is currently past 18,000,000.  That's a giant number of people, and (no offense echeng) i think theyre mostly checking the asian flush website.  So that means you, eric cheng, and this forum, has quite a bit of influence now, and everyone has the exact same problem!  there has to be something this forum could do, considering there are not a lot of forums with followings this large or loyal.  what do you think about starting a money drive to donate to research, like of products like convivia and alda-1, which specifically say they are trying to treat the asian flush?  plus, with the current financial crisis, these smaller research programs could run out of funding.  If 1% of the people who have visited this website donated $1, we would have raised $180,000 already...

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(48 replies, posted in Focused Discussion)

alda-1 seems like a great idea, but it sounds like its going to be like 5-10 years before it comes out.  but this solution, speeding up ALDH2, is the perfect way to solve the problem.  Convivia, which is being researched right now (see the topic in this forum on convivia), slows down ADH, or the conversion of ethanol to acetaldehyde, which is different from alda-1, but it might be coming out much sooner.  from internet research it sounds like convivia should be going into a phase IIb trial pretty soon, which is testing a "final reformulated product".  but there haven't been any updates since the beginning of the phase IIa trial, which was a dose-ranging study, so we don't even know if they were successfull at that stage, or if they decided to delay the program.  all i know is that 4-methylpyrazole (the active ingredient in convivia) is already approved by the FDA for methanol poisoning, so apparently convivia is likely to come into the market relatively quickly.

would the company divulge that kind of information on the phone to a random caller?

cant find any status updates after the phase IIa study, which started in April and ended in July.  ive read articles though that say that they are trying to push the product through the developement chain because 4-methylpyrazole, the compound used in convivia, is already approved by the FDA.  the only difference is in usage, since it is currently used for methanol poisoning.  i wonder how it is going too-

Ding Chavez wrote:

Ethanol is the substance that makes you drunk. if one were to use an inhibitor such as Formepizole or 4-Methylpyrazole hydrochloride to inhibit the enzyme activity of ADH (alcohol dehydrogenase)  would you not get drunk really fast but reduce the whole affect of asian flush? That is the basic concept behind using H-2 blockers as they inhbit the action of ADH. However Im unsure as to whether such drugs are available on the high street and what side affects they may have.

btw Formepizole and 4-Methylpyrazole hydrochloride are inhibitors used to inhbit ADH when someone has methanol poisoning. (methanol and ethanol are broken down by the same enzyme ADH thats why ethanol used to be used as a treatment for methanol poisoning.) sorry this might be gobbledy gook for some but any Medic students out there want to shed some light?

by the way there is research going on right now in hawaii to find the correct dose of 4-mp in treating flushing associated with drinking-

http://www.raptorpharma.com/programs_convivia.html

here is a link to a product that is in developement right now to treat ALDH2 deficiency / Asian Glow

http://www.raptorpharma.com/programs_convivia.html

here it is guys - a better cure for asian glow-

http://www.raptorpharma.com/programs_convivia.html

[UPDATE: There is a new thread about Convivia here: http://echeng.com/asianblush/viewtopic.php?pid=1266 Please discuss Convivia over there. -Editor]

johanowns wrote:
redhead wrote:

i think we should form a group and maybe have eric cheng pool money for us and we can donate it to acetaldehyde research (which is CANCEROUS) by the way, so that we all, and billions of people in the future, can do without this very inconvenient problem.

n-acetylcysteine is the answer, i'm convinced of it and the only question for me is dosage.

yeah i agree and ive tried it but it doesnt work very well for me.  at all.  i dont know if the problem is dosage, absorption, or some kind of chemistry going on in the body that is preventing the NAC from neutralizing the acetaldehyde quickly

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(137 replies, posted in Focused Discussion)

i agree with you, and i admit that i have gone through the same thing, and i think there are tons of people who do the same- i dont think pepcid works 100% and until there is something that does, im not drinking very much at all.  i think being in denial about it is the worst, because it causes excess anxiety and also poor health.  i basically came to terms with the fact that i wont be drinking a lot in my life, which is disappointing, but not a reason to self-terminate or get depressed, because other people use alcohol as a lubricant or as a way to mask unhappiness also.  drinking definitely does not entail happiness, and i think having to go trhough this asian glow bs is a major process in maturity and learning what it is to be truly sociable, not just drunk sociable.  my grandpa was/is an alcoholic and is still a silent recluse.  if that is considered "being a man" then not drinking is no big deal.  still, it would be awesome to have a cure, and there was a post in the free-for-all section with a link to a possible cure that is being researched, but not widely publicized-

http://www.research.va.gov/programs/tec … 99-071.htm