Anti-Aging Stem Cell Treatment Proves Successful In Early Human Trials (newatlas.com) 84
An anonymous reader quotes a report from New Atlas: The results of two human clinical trials into a stem cell therapy that can reverse symptoms of age-associated frailty have been published, and the indications are that this landmark treatment is both safe and strikingly effective in tackling key factors in aging. Mesenchymal stem cells (MSCs) are a particular type of adult stem cell generating a great deal of interest in the world of science. This new MSC treatment is targeted at reducing the effects of frailty on senior citizens. This is the first anti-aging stem cell treatment directed specifically at the problem of age-associated frailty to move close to a final FDA approval stage. The treatment derives human mesenchymal stem cells from adult donor bone marrow and in these clinical trials involves a single infusion in patients with an average age of 76. Both Phase 1 and Phase 2 human trials have demonstrated the treatment to have no adverse health effects.
Although the two human trials were ostensibly designed to just demonstrate safety they do offer remarkable results in efficacy as well, paving the way for larger, Phase 3 clinical trials. In the first trial 15 frail patients received a single MSC infusion collected from bone marrow donors aged between 20 and 45 years old. Six months later all patients demonstrated improved fitness outcomes, tumor necrosis factor levels and overall quality of life. The second trial was a randomized, double blind study with placebo group. Again no adverse affects were reported and physical improvements were noted by the researchers as "remarkable." The next stage for the research is to move into an expanded Phase 2b clinical trial involving 120 subjects across 10 locations. After that a final, large randomized Phase 3 clinical trial will be the only thing holding the treatment back from final public approval. The results of the Phase 1 clinical trial were recently published in The Journals of Gerontology. The results of the Phase 2 clinical trial were recently published in The Journals of Gerontology. Further reading available via University of Miami, Miller School of Medicine.
Although the two human trials were ostensibly designed to just demonstrate safety they do offer remarkable results in efficacy as well, paving the way for larger, Phase 3 clinical trials. In the first trial 15 frail patients received a single MSC infusion collected from bone marrow donors aged between 20 and 45 years old. Six months later all patients demonstrated improved fitness outcomes, tumor necrosis factor levels and overall quality of life. The second trial was a randomized, double blind study with placebo group. Again no adverse affects were reported and physical improvements were noted by the researchers as "remarkable." The next stage for the research is to move into an expanded Phase 2b clinical trial involving 120 subjects across 10 locations. After that a final, large randomized Phase 3 clinical trial will be the only thing holding the treatment back from final public approval. The results of the Phase 1 clinical trial were recently published in The Journals of Gerontology. The results of the Phase 2 clinical trial were recently published in The Journals of Gerontology. Further reading available via University of Miami, Miller School of Medicine.
Doesn't hold water (Score:5, Interesting)
Reposted from a more reputable interpreter of the results on reddit:
"I look at these results [imgur.com]
(Fig. 2 from the journal article, supposedly demonstrating an improvement in frailty markers) and just see noise. No dose-response. No consistent benefit across measures for different treatment groups.
The figure shows four different tests for resilience to age-related frailty - each fig. 2a, 2b, 2c and 2d represent how each of the treatment groups performed on these tests at different time points.
There were three treatment groups: patients receiving 100 million cells (100-M), patients receiving 200 million cells (200-M) and a placebo group.
The 100 million cell group showed a stat dig improvement in the six minute walk test.
The problem, though, is that the 200 million group did not. So there is no dose response relationship. Generally, if a drug is real, the more drug you apply the stronger treatment effect you observe (lots of caveats to this generality, but none seem too relevant here).
Further, the 100 million group on showed a positive outcome in the six minute walk test. It failed to demonstrate efficacy consistently in the other three tests the researchers used to measure resilience against age-related frailty. In some cases it was even worse than placebo.
I would happily bet an amount of money that mattered to me that this result would fail to be replicated in a randomized, placebo-controlled study."
Re:Doesn't hold water (Score:5, Interesting)
Very interesting results -- thanks for pointing them out.
It's notable that the 200M cell group performed at best the same, but usually worse than placebo on almost every test at every time frame. I'd have to disagree with you about dose response, though. Every medicine is going to have a bell curve of efficacy, and it looks like they just guessed too high on higher dose.
Also, you imply that the 100M cell group only improved on the 6 minute walk test. In fact, that group had statistically significant improvement on 3 out of 4 tests.
Re:Doesn't hold water (Score:5, Interesting)
I agree that it likely won't be replicated in a larger trial, but not for the reasons that you state.
Dose response can be straightforward in small molecule drugs, like aspirin. It becomes more complicated in biologic drugs, like granulocyte colony stimulating factor (filgrastim). We don't really know how it will work with stem cells, and the authors do list biologically plausible reasons why they don't see a dose response.
The real issue (besides the really low # of subjects) is the statistical analysis. They compare change from baseline (outcomes at 6 months vs. baseline) within a treatment group and look for statistical significance. What they should be doing is comparing change from baseline within a group vs. the change from baseline of the placebo group. See how the error bars of the 100 M group at 90 and 180 days overlap with the error bars of the placebo group in figure 2A? Not statistically different from placebo.
Granted, it would be crazy effective if it were statistically significant vs. placebo in such a small trial. However, their poor use of statistics (including no accounting for multiple analyses) is a major red flag. But this is about raising VC, as others might have pointed out. Multiple authors with MBAs rather than professional degrees (PhD, MD) is a giveaway.
Re:Doesn't hold water (Score:5, Interesting)
Dose response is for medication. This is not medicine, but instead a transplant of live cells.
Live cell transplants often do not get a dose response.
Compare with bread making - the difference between putting in 1 tablespoon of yeast and 2 tablespoons of yeast is minute.
I am not saying the study did great, but your major criticism is not appropriate for this type of treatment.
Re:Doesn't hold water (Score:5, Informative)
Generally, if a drug is real, the more drug you apply the stronger treatment effect you observe (lots of caveats to this generality, but none seem too relevant here).
Why? First - it's not a drug. Second, even drugs (e.g. Seroquel) don't always do that - as you increase the dosage first it's an antihistamine, then causes low blood pressure, then it's an anti-psychotic - and that's a single molecule. Some drugs even manage to have a U-shaped response curve.
I would happily bet an amount of money that mattered to me that this result would fail to be replicated in a randomized, placebo-controlled study.
I would as well, just because of how often these early trials fail to produce usable results. But in the long run we have to make some long shots or we'll never get anywhere.
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I will, however, point out that the purpose of the trial phase they were in was not to demonstrate efficacy, but to demonstrate the safety of the procedure. I would presume that many of the criticisms/questions you raise will be studied more thoroughly in the next phase. It would not be the first time that a drug or treatment was found to be safe, but mostly
Too good to be true (Score:1)
We see health breakthroughs like this reported all the time, yet the ages people live to and the quality of life for the elderly haven't budged in the developed world for a long time. So what's the catch, what's the misrepresentation, what's the flaw in this treatment?
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It's the outsourcing and Walmarting of jobs.
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Or maybe it's the elimination of trans-fats in fast foods and snack foods. Who can say? It's not like our world population is a properly controlled study.
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People on average are poorer than they were. And being poor is a surprisingly huge factor when it comes to life expectancy.
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Median income for White Males is HIGHER [bls.gov] than in 2001 [census.gov]
As always, the facts get in the way
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You had to go back to 2001 to make it true?
Hey, guess what: You really did [wikipedia.org].
And we're not even adjusting for inflation yet.
Not to mention that median income says exactly zilch. If you have one leg in the oven and the other in the freezer, your median temperature is cozy. What you would at least have to add is the actual distribution.
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Check the Census links and the Dept. of Labor. EVERYTHING is in 2001 dollars
MEDIAN means 50% of the PEOPLE are above that level and 50% below, so YES incomes for the majority of Americans are up, however slightly, in 2001 dollars
Nice try though
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Median still means jack shit if you offer no deviation. The median income in some countries looks nice until you notice that you basically have a group of fantastically rich and a group of incredibly poor with little in between. Quite a few places in the middle east are looking that way and it looks like China is preparing to go that way too.
But I guess as long as you find an excuse to call me stupid, it matters little to you, right?
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Which would have made you look even more incorrect (stupid)
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I expect other factors (non medical) are coming into play that are counteracting it’s benefits for some people.
The people who are in their 70’s and 80’s who are active and involved are actually in better conditions then they ever been in. However for the people the same age who have been more or less isolated and inactive are in worse case.
I think the problem isn’t Health Care but general Caring.
As the boomers who grew up in the Hippie culture to the yuppie culture to the hot mess t
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Great, yet another way for boomer to f**k millennials and gen-Y.
Literally. The subjects were tested for changes in sexual functioning via the Sexual Quality of Life-Female (SQOL-F) and International Index of Erectile Dysfunction (IIEF) Questionnaires. The authors reported no improvement in the men, but in the women... bingo!
With a mean age of 75.5, and improved sexual response and quality of life, they'll be preying on millennials and gen-Y.
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The sense of entitlement is strong in this one. "Those old farts had better die on schedule and get out of my way." You too will be an old fart one day, except that these treatments will be much further along and you'll be the one telling the kids to fuck off.
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Anyone going for life-prolonging treatment should become ineligible for SS and pension payments at 80.
Gradual increasing of retirement age has been the general rule for increasing longevity and more healthy years.
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The problem we face today is that longevity increases, but healthy years don't.
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That hasn't actually stopped retirement age from increasing. Knowledge workers don't need to be healthy to get work done (says the 3-letter bosses, anyway).
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That's fine for jobs where brain power is more relevant than brawn power, but what are you going to tell the 60 year old bricklayer with a bad enough back that he can't sit straight for more than a few minutes, let alone stand?
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The bad news is that you've been replaced by a robot....the good news is that you are the robot (after a few more surgeries).
Next is Modern Human Trials? (Score:2, Funny)
So, where did they manage to find early Humans to do these trials on? I mean, everything from Homo Habilis through Neanderthal is extinct. :D
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Most likely in COBOL shops?
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More in Apple shops. You know them as "genius".
Once again (Score:2)
Life imitates Futurama.
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I was thinking about this scene: https://youtu.be/6FFnPjhEoF4?t... [youtu.be]
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Life imitates Futurama.
Or South Park [wikia.com]
In "Krazy Kripples", Christopher Reeve comes to town to promote stem cell research. In order to 'cure' his quadriplegia, he is shown sucking the fluids out of fetuses from a medical bio-hazard container. With each fetus he sucks dry, Reeves becomes healthier and more dependent on them for his developing super human strength.
Hmm... Maybe it's art imitating life.
This kind of PR is to lure gullible investors... (Score:5, Insightful)
And BTW: If such a method actually worked well, people would rather not make this public, but use it in seclusion, knowing well that otherwise they would soon compete with way too many eternal-living people for resources on this planet.
Or would you think that somebody who's able to live for 1000 years would still want to work for others after the first 100?
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... into investing their fortune into some pot of gold that waits at the end of the rainbow.
And BTW: If such a method actually worked well, people would rather not make this public, but use it in seclusion, knowing well that otherwise they would soon compete with way too many eternal-living people for resources on this planet.
Or would you think that somebody who's able to live for 1000 years would still want to work for others after the first 100?
Not gonna happen. At least not for long.
Such a discovery will require a lot of people. Lot of people with even more friend/families that you would need to shut up.
Add to this the greed. You live forever, but you could be rich by selling the thing to billionaire. And now you got even more people to shut up.
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When tylenol was introduced there may have been some people who tried to hide their stash, but I wouldn't call them the super-geniuses.
The premise here is blatantly false.
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"I've never seen a Government do anything good, ever, when revolutionary new advances occur."
Really? You've never seen treated municipal drinking water (reducing water-borne illnesses), sewer systems, regulated hospitals, food safety laws, etc?
Put down the Ayn Rand, and perhaps join us in reality?
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Well, mostly because they eliminated most other ways you could die.
You know why most people die of cancer these days? Because we don't die earlier from diseases anymore.
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Cancer's starting a downtrend as well. Next up is either COPD or age related neurologicals. Though the pill epidemic is certainly taking its toll.
I don't know why so many people react so badly to news of anti-senescence research. Maybe they are afraid if they live too long all their bullshit will catch up to them?
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MD's look at it in terms of
HHS was set up to ENFORCE that this perspective is shoved down the throats of people with morals.
I am close with a health director at a major hospital and she is always telling me how obscene it is that people who are barely sick or not sick at all get euthenized in one form or flavor
Mysterious disappearances... (Score:2)
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In a related story, authorities are investigating the mysterious disappearance of a number of people aged 20 to 45 years old who lived near the testing facilities conducting the Trials...
Ya, but the testing facility is also next to the Soylent Green [wikipedia.org] processing plant.
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For specific organs, it's likely that they'll be able to clone them without having to clone an entire person. Just figure out the right chemical signals, and have your DNA grow a new heart in a pig to be harvested in a year. Oh, and edit the DNA a touch first to remove any known issues that won't lead to organ rejection.
Probably the hardest part in all of this is wiring up the nerves that get disconnected. Much of the organ control in the body is chemical, but there's still plenty we don't know. That's
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I'll start with the severing of their spinal cords, you try the rest, deal?
No thanks (Score:4, Insightful)
I don't mind aging. As I get older, I just get more dangerous.
92-year-old with 7 speeding tickets in 5 months (Score:2)
How about this example [stuff.co.nz]. Being old is no guarantee that you will be responsible.
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Yes. In my lane, coming toward me, on the interstate. With two other terrified passengers sitting inside.
Luckily he was half on the shoulder and I was looking far enough ahead and had space to get over into the other lane.
To this day, I don't know why he didn't just stop and turn around. Or just pull over and stop.
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Don't worry, there are three stages of brain aging.
First only you notice. This is worrying.
Then others notice it too. This sucks.
Then only others notice it anymore. This is great.
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Live fast, die old is my motto. Anyway, nobody's wanted to be a passenger in my car since about 1987. Blasting Suicidal Tendencies on the car stereo made sure of that.
Wish I could get my fellow Americans (Score:2)
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Yes, by all means, let's 86 the whole concept of insurance because future tech might do something useful. After all, health insurance is exactly like a car warranty.
My God, why didn't we think of this before?
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Normally I'd agree with you and normally I'd never buy one. BUT, I've got mag shocks in a car and saw they are like 1200/pr. I got an extended warranty for around 1.6K that covered the shocks along with almost everything else. 2 months out of manufacturer warranty the rear diff went. The extended warranty covered it. 4K with labor. Paid for the extended warranty and then some and I still have a couple years left on the extended. First one I have ever bought (and this is like my 10th car) and I am normally a
Fox News won't be pleased. (Score:1)
Anti-aging treatments will decimate their demographics, the median age, someone noted [slashdot.org], is "dead five years".
As I'm getting older ... (Score:4, Informative)
my body starts to wear - f.e. my eyes are getting worse and I'll need glasses soon ... annoying. Anyway, as my body starts to wear and show signs of the perpetual usage it's under I phantasize about being able to counteract signs of age, cyberpunk style. Like imagineing some drug I could take to regain brain performance (I feel that declining a little even though I'm putting it to good use (47, just enrolled in college for a BSc+MSc in Media-CompSci now that my daughter is out of the house) or some bioware/cyber treatment that replenishes joints and vertebrae disks and pushes bones back into shape.
Just at the turn of this year I finally had a long overdue laser surgery on my inner nose. I've got an ever so slightly lopsided skull and had breathing problems as a result - this is not that uncommen. However, the mordern laser surgery was minimaly invasive and changed my quality of life in leaps and bounds - for the first time I can breathe correctly through the nose for extended periods of time. A change that has countless minor effects on my everday life including how I can socially interact.
Long story short, we have bodies that are imperfect, wear out and we eventually die and that *does* suck. We all have our personal apocalypse coming and I really wish we'd have some way to add another 5 decades or so. I personally can't complain - I have good long-life genes in the family, I'm notably fit for my age - performing arts training, social dancing, cute ladies and sex as a hobby, bike as main means of transport, lean minimalist lifestyle - and I plan to get fitter - but I still notice end of warranty moving in on me.
If there were a way to slow this, even if it were expensive - costing like a house or something - I'd try to do it. However, if I had the means to extend my life notably vis-a-vis my peers and I'd have to watch them wither and die whilst I stay lean and fit, I am well aware of the fact that that would only work out for me if I'd go along with a notable change of perspective on life in general. I'd probably eventually move to become some sort of guru to help people live their life to the fullest. ... After all, imagine what wisdom you gain from consciously living for 150 years or so. ... Quite awesome a proposition if you ask me.
My thoughts on this. I do have those these days and I sure hope that someone makes some significant advances in anti-aging tech. Soon. That would be cool.
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Tut, tut!
Re: As I'm getting older ... (Score:2)
Or is this an extension of your "phantasy"?
Nope. I am partly prototypical nerd and nice guy but I managed to systematically get a little handle on the heterosexual mating game, with an, shall I say, OK throughput of intimate encounters and occasional mind-blowing sex. I could use and would want more, but I guess every heterosexual male could say that.
Interacting a lot with ladies, being genuinely interested/fascinated by them, writing poetry and, this did 98% of the way in the last 10 years, getting into Ar