Top Tweets for #ALSFRS
Promoting @pactals collaborations across the #Asia-Pacific with today’s symposium focus on clinical trial #networks in Japan, Taiwan, Australia, China | Regional harmonisation #diversity #equity #inclusion & the development of standardised operations #ALSFRS #ALS #MND #allstar

Are you questioning the accounts of the #ALS patients who have benefited from #Nurown, including @sandymorris333?
Are you forgetting to take into account the challenge of showing efficacy with #ALS heterogeneity, small sample size trials, and a flawed #ALSFRS endpoint measure?
"We KNOW #NurOwnWorks"
~@GoettlShelly (11.9.22)
▪️May 2017 #ALS thumb onset
Roberto's hand paralyzed
▪️Aug 30 #NurOwn EAP dose
Regained function in his fingers & strength in arm. Now he can operate his own wheelchair!
ZERO pts on #ALSFRS but "clinically meaningful" for QOL!

What was your child doing when he was a teen?
Playing football? Video games? Fishing trips? Skiing?
Or emptying catheters for a parent who lost 1 pt on the #ALSFRS?
@US_FDA please #TriageALS & act with same urgency that #ALS acts on life.
@FDACDERDirector
#everypointmatters
Dear @US_FDA when you delayed @AmylyxPharma decision did you think of kids missing out on activities b/c of caregiving duties?Loss of pts in the dressing & hygiene category of the ALSFRS-R scale equates to loss of independence.#everypointmatters @HealthCanadaNOC understands it!

Dear @US_FDA with the delay of the @AmylyxPharma decision did you think of #everpointmatters on the #ALSFRS-R?Loss of speech w/ non vocal comm(1pt) to loss of useful speech(0pt) landed Mike in the hospital. It was over Thanksgiving break so we had to move traditions there, uurgh!

#everypointmatters
A point on the #ALSFRS scale is the difference between walking and not walking. Rolling yourself in bed or waking a loved one. Breathing on your own or with a machine.
#dyingWaiting @RepScottPerry @PeteAguilar @RepRaulRuizMD @Team_Thriving @jackiesmom12
Dear @FDA when delaying the @AmylyxPharma decision by 3 months did you consider that #everypointmatters? It can equate to telling my kids "I love you" in my voice instead of via machine.@klink52 @ThurmanTough @SarahNauser @JamieRoseBerryy what does 1 pt mean to you?@RepJasonCrow
...and @califf001 @FDACBER If I were to lose the ability to stand from a crouched position, the #ALSFRS-R would not care. It doesn't fit under any question. What happens if I regain the ability to stand from a crouched position? Nothing with the ALSFRS, but I'd be one happy dad.
2+ yrs ago, Eric was losing 2 pts/mo on #ALSFRS scale
Thx to #NurOwn, he can still push his daughter's stroller, read her a book, bathe, feed her & play with her.
Eric is #LivingProof that #NurOwnWorks
@BrainstormCell #FileTheBLA so Eric can keep making memories
#GirlDad
#ALS
Eric can still get down on the floor to play w/ our 5 mo old daughter. He gets up by himself using the couch for help. 2 years ago, doctors said he probably wouldn’t be here. Well, not only is he here—he’s singing, laughing & playing w/ our little girl. #LivingProof #NurOwnWorks

In the @CleneNano CNM-Au8 Phase 2 study in #ALS, note the difference between bulbar onset vs limb onset. Good evidence that drug has significant impact on limb onset.
#MND #ALSFRS

1 pt improvement in SWALLOWING on #ALSFRS-R & HUGE improvement in QOL.
#NurOwn improved function & Sandy just proved it!
#LivingProof #NurOwnWorks
@FDACBER @DrWoodcockFDA @WHCOS
@SecBecerra @HHS_ASH @RepAnnaEshoo @rosadelauro @RepSchakowsky
@SenFeinstein @SenAlexPadilla
Before getting #NurOwn in EAP, mama could barely eat/swallow soft foods without difficulty. This weekend, our clients gifted us delicious sourdough bread. Mom ate everything you see on this plate - crispy, delicious crust & all! Thank you @BrainStormCell and @Cylebo 1/2

Imagine if scales didn't exist and you had to use the ALSFRS to guess how much you weighed? You'll have to choose from Light, Average, & Heavy. Imagine if a drugs efficacy was decided this way? Welcome to #ALS. #ALSFRS @FDACDERDirector @FDACommissioner RepAnnaEshoo @rosadelauro
PI Neurologists said they couldn't testify to "reasonable degree of medical certainty" re a dx based solely on subjective #ALSFRS score. If it wouldn't withstand cross exam, why use it deny efficacy of $50M #ALS trials & block access to drugs for 450,000 lives?
#ALSHearings

@ScottFightsALS So glad it a a good day!
Great evidence of flaw in measuring tool ... but no where does this triumph get reflected in the #ALSFRS-R score.
Flawed tool = flawed data = flawed statistical conclusions re #ALS efficacy & "substantial evidence"
Stop pretending #ALSFRS-R measures #ALS progression or drug's efficacy like cancer antigen or CT scan
p-values based on subjective tools would never hold up in courtroom. How can #FDA use it to withhold potential lifechanging drugs to people w 100% chance of dying?
@SecBecerra
In this study, serum #creatinine was positively correlated with #ALSFRS-R score and inversely linked to rate of progression of #ALS. Could this be a reliable biomarker for future trials?
https://t.co/d0crmQs9m5
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