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Dr. Kevin Tracey

๐Ÿ‘ค Speaker
536 total appearances

Appearances Over Time

Podcast Appearances

Ground Truths
Vagus Nerve Stimulation and the Immune System

And the answer was yes.

Ground Truths
Vagus Nerve Stimulation and the Immune System

When we implanted the device, measured, collected blood before the implant and after the implant, but before it was turned on,

Ground Truths
Vagus Nerve Stimulation and the Immune System

and then collected blood again after the implant was turned on, there was a statistically significant reduction in the TNF ability of the white blood cells of those patients to make TNF in response to endotoxins.

Ground Truths
Vagus Nerve Stimulation and the Immune System

So that was really important.

Ground Truths
Vagus Nerve Stimulation and the Immune System

And then the open-label trial had a positive signal in rheumatoid arthritis.

Ground Truths
Vagus Nerve Stimulation and the Immune System

That laid the groundwork for the FDA to grant

Ground Truths
Vagus Nerve Stimulation and the Immune System

set point, a breakthrough designation, which turns out now to be very important, as you know, in these regulated times, and laid the groundwork for the labeling trial.

Ground Truths
Vagus Nerve Stimulation and the Immune System

If you're in the drug business, you would call it a phase three equivalent trial.

Ground Truths
Vagus Nerve Stimulation and the Immune System

This is a device, so it's the definitive trial that

Ground Truths
Vagus Nerve Stimulation and the Immune System

That was set up, as you describe.

Ground Truths
Vagus Nerve Stimulation and the Immune System

That trial, I was not a co-author on that trial.

Ground Truths
Vagus Nerve Stimulation and the Immune System

That was an independent trial done at 40 sites across the United States.

Ground Truths
Vagus Nerve Stimulation and the Immune System

It was led by John Tesser from Arizona and by Dave Chernoff from the chief medical officer at Setpoint.

Ground Truths
Vagus Nerve Stimulation and the Immune System

The study enrolled, as you said, 242 patients, and all of them had refractory rheumatoid arthritis, which means they were having serious signs and symptoms despite the fact that they tried these powerful immunosuppressive drugs we talked about, the biologics or the JAK inhibitors.

Ground Truths
Vagus Nerve Stimulation and the Immune System

So these people were sort of out of options, and they enrolled in the trial.

Ground Truths
Vagus Nerve Stimulation and the Immune System

Now, there's a really important point about this.

Ground Truths
Vagus Nerve Stimulation and the Immune System

242 patients made it into the trial.

Ground Truths
Vagus Nerve Stimulation and the Immune System

Guess how many created a portal, logged in, and put their information in trying to get into the trial?

Ground Truths
Vagus Nerve Stimulation and the Immune System

Probably 1,000, right?

Ground Truths
Vagus Nerve Stimulation and the Immune System

It's 30,000.