August 11th, 2024

It took my savings and 14 years – but I'm about to cure arthritis

Simon Westbrook developed LEVI-04, a promising osteoarthritis drug, after being laid off. Phase-two trials showed significant pain reduction. It may be available on the NHS in three to four years.

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It took my savings and 14 years – but I'm about to cure arthritis

Simon Westbrook, after being laid off from Pfizer in 2011, dedicated 14 years and his savings to develop a new drug for osteoarthritis, known as LEVI-04. This drug, which can be administered via a monthly EpiPen-style injection, aims to restore protective processes in diseased joints and alleviate pain by blocking pain signal transmission. The drug has shown promising results in phase-two trials involving 510 patients, with many reporting significant pain reduction and improved mobility. Westbrook's journey included financial struggles, including living in a camper van to save costs while seeking investors. His efforts culminated in a successful trial that could lead to the drug being available on the NHS within three to four years. The drug is expected to benefit the estimated 600 million people suffering from osteoarthritis globally and may also be applicable for treating rheumatoid arthritis and chemotherapy-induced pain in the future. Westbrook's story highlights the challenges and determination involved in drug development, as well as the potential for significant improvements in quality of life for patients.

- Simon Westbrook developed LEVI-04 after being laid off from Pfizer.

- The drug has shown significant effectiveness in reducing pain for osteoarthritis patients.

- Phase-two trials involved 510 patients, with many experiencing improved mobility.

- LEVI-04 could be available on the NHS within three to four years.

- The drug may also be applicable for other types of pain management in the future.

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AI: What people are saying
The comments on the article about Simon Westbrook's osteoarthritis drug reveal a mix of skepticism and curiosity regarding the drug's development and implications.
  • Many commenters question the drug's efficacy, suggesting it may primarily serve as a painkiller rather than a cure for osteoarthritis.
  • Concerns are raised about the legal implications of Westbrook's use of a molecule discovered while working at Pfizer.
  • Several users share personal experiences with arthritis and dietary interventions, indicating a broader interest in alternative treatments.
  • There is a general skepticism about the hype surrounding new drug developments, with references to past failures in clinical trials.
  • Some commenters express hope for the drug's potential while acknowledging the challenges ahead in the approval process.
Link Icon 30 comments
By @brianleb - 8 months
My only commentary would be that these results do not read like clinical success, but rather something suggesting they should move on to phase III clinical trials.

This is the only publication I found in a quick search:

https://pubmed.ncbi.nlm.nih.gov/37976118/

>> Abstract

Objectives: Nerve growth factor β (β-NGF) is a protein which is important to the development of neurons particularly those involved in the transmission of pain and is central to the experience of pain in osteoarthritis (OA). Direct NGF antagonism has been shown to reduce OA pain but is associated with rapidly progressive OA. The aim of the study is to investigate the ability of soluble neurotrophin receptors in the NGF pathway to modulate pain in OA.

Methods: Synovial fluid (SF) was obtained from the knee joints of 43 subjects who underwent total knee arthroplasty. Visual analogue scale (VAS) pain scores were obtained prior to surgery. Customised-automated-ELISAs and commercial-ELISAs and LEGENDplex™ were used to measure soluble low-affinity nerve growth factor (LNGFR), soluble tropomyosin receptor kinase (TrkA), proNGF, β-NGF, other neurotrophins (NT) and cytokines including inflammatory marker TNF-α.

Results: The VAS score positively correlated with β-NGF (r=0.34) and there was positive association trend with neurotrophin-3 (NT-3), BDNF and negative association trend with ProNGF. sLNGFR positively correlated with VAS (r=0.33). The β-NGF/soluble TrkA ratio showed a strong positive correlation with VAS (r=0.80). In contrast, there was no correlation between pain and the β-NGF/sLNGFR ratio (r=-0.08). TNF-α positively correlated with β-NGF (r=0.83), NT-3 (r=0.66), and brain-derived neurotrophic factor (BDNF) (r=0.50) and negatively with ProNGF (r= -0.74) and positively correlated with both soluble TrkA (r=0.62), sLNGFR (r=0.26).

Conclusions: This study suggests that endogenous or cleaved sLNGFR, but not soluble TrkA may participate in OA pain modulation thus supporting further research into soluble LNGFR as a therapeutic target in OA.

By @fsckboy - 8 months
where it says he took all his savings and "beat arthritis": it doesn't appear he has arthritis, he's an entrepreneur who took all his savings and founded a drug startup company with an idea he had around the time Pfizer laid him off
By @Buttons840 - 8 months
> The drug is based on a molecule he discovered while working at Pfizer, and can be delivered via a once-a-month EpiPen-style injection, where it restores protective processes to diseased joints and enables the regeneration of affected tissues. It works by blocking a compound that supports the nerve cells involved in transmitting pain signals to the brain.

So, it restores lost tissue by numbing nerves? This makes no sense.

Wonder if it's just poor reporting or if there is something to this?

By @dotdi - 8 months
By @gamblor956 - 8 months
The drug is based on a molecule he discovered while working at Pfizer

On leaving the company, he acquired the intellectual property [IP] rights from his former employer

A lot of people don't do this when they leave or are terminated. It doesn't usually succeed, but it's always worth at least making the attempt. (In this case, Pfizer gave him the IP rights to the molecule he discovered in exchange for a portion of his company.)

By @ruok_throwaway - 8 months
One thing I learned repeatedly while dealing with a chronic health condition is to never assume that you're "about to beat it". I've had that feeling about 1000 times now, and telling that to my family and friends just made me sound like an idiot, since I would invariably regress again.

Now I'm at a point I would only be fine with saying this if I didn't have any issues after a prolonged interval.

By @bilsbie - 8 months
Has anyone treated arthritis with diet? I feel way better when I get off processed foods for a few days.

(Not sure if I have arthritis but really sore hips and lower back.)

By @Renaud - 8 months
Tangential question: as I now start suffering from arthritis in my hands, I was wondering if there is anything linked to diet that could help reduce it?

I had read that fatty fishes were a good source to reduce pain but in your experience, is there any other food/lifestyle changes that can help alleviate it before resorting to medication?

By @mgarfias - 8 months
Beef: it’s a pain killer, not a fix.
By @purple-leafy - 8 months
Paywalled. How legitimate is this? As a young sufferer
By @shoggouth - 8 months
By @fnord77 - 8 months
They had very good, robust Phase II results.

Thinks can go wrong in Phase III.

Relyvrio (HIV vaccine) did well in P2 but flopped on P3.

Cancer drug xevinapant failed in P3 after Merck executives were reassuring analysts that the failure of a phase 3 trial of xevinapant was “unlikely.”

By @supertofu - 8 months
Anecdote: I have reactive arthritis comorbid with ulcerative colitis. I was getting debilitating arthritis flares once a month until I stopped eating gluten, peanuts, and added sugar. I haven't had an arthritis flare since eliminating these foods.

My rheumatologist wanted to put me on methotrexate but I declined out of fear if the side effects. He never mentioned anything about diet, but clearly a dietary intervention worked for me.

By @freediver - 8 months
Was hoping to see something that actually helps regenerate cartilage but this seems to be more in the range of a specific pain killer.

This looks more promising: https://www.youtube.com/watch?v=pQ1CLtc8oIk

By @DataDive - 8 months
I used to work in life sciences data analysis.

Many times, I met people who genuinely believed they were super close and about to achieve a "huge" breakthrough.

In each case, the scientists themselves, in their minds, were absolutely convinced they were on the brink of unfathomable achievements: curing Alzheimers, or some cancers etc.

Particularly true for the scientists in biomedical startups - they were like Mulder from X-Files; they all wanted (and were desperately eager) to believe. Like Elizabeth Holmes of Theranos, I think she completely believed her own exaggerations and BS - at some point, fact and fiction merge.

Thus I've become extraordinarily skeptical of articles like these.

By @__alexs - 8 months
My cat has the occasional bad arthritis flare up which we give her Solensia (another NGF targeting drug, but via monoclonal antibodies) for. It works incredibly well. Within 12 hours they go from being barely able to walk to being totally fine and mobile again.
By @ludston - 8 months
If true, what an amazing discovery.
By @notpushkin - 8 months
By @martin82 - 8 months
If you want to beat arthritis, eat a strict carnivore diet for six weeks. Thank me later.
By @feverzsj - 8 months
>> laid off

More like Pfizer invested in an employee's startup.

By @ChrisMarshallNY - 8 months
I really want him to be a success, but...

> The drug is based on a molecule he discovered while working at Pfizer

tells me that he'd better have good lawyers on speed-dial.

By @gk13131 - 8 months
Here is the article with no paywall: https://archive.ph/Cwtq3
By @lloydatkinson - 8 months
More paywalled content being posted to HN? Ugh.

https://archive.ph/Cwtq3

By @thomassmith65 - 8 months
The title is misleading. It's not a "cure for Arthritis"; it's a pain killer.
By @oulu2006 - 8 months
This is revolutionary!! truly exciting stuff, I wish I read more about these sorts of breakthroughs monthly....I hope we'll get to this level more regularly with AI biology models.
By @usaphp - 8 months
> It is hoped the drug — which is not a cure but will make the condition much less painful for sufferers

> It works by blocking a compound that supports the nerve cells involved in transmitting pain signals to the brain.

Unfortunately it doesn't fix the underlying issue.

By @ein0p - 8 months
> The drug is based on a molecule he discovered while working at Pfizer

I can see Pfizer lawyers salivating uncontrollably after reading that phrase. Extremely unwise of him to mention this.

By @ProjectArcturis - 8 months
Headline seems a bit overdone. The drug completed Phase 1 trials. Roughly 14% of successful P1 trials eventually get approved. It'll be probably another 5-10 years before this finishes P3.
By @DoingIsLearning - 8 months
> The drug is based on a molecule he discovered while working at Pfizer.

Is Pharma different than Engineering in terms of IP?

If my former employer has evidence that what I am working on in a new gig was discovered while on company time using company resources couldn't they sue?