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Project Marilyn Part I: Non-Patented Cancer Pharmaceutical (crowdtilt.com)
95 points by ajaymehta on Dec 11, 2013 | hide | past | favorite | 29 comments



For perspective, the average R&D cost per successful drug is somewhere well into the billions:

http://www.forbes.com/sites/matthewherper/2012/02/10/the-tru...

Not sure what the idea is here. Going by cold statistics, this will cost orders of magnitude more than they are seeking from crowd funding. And even then, with overwhelming likelihood, it will fail in clinical trials.


that is total R&D cost divided by successful drugs. So think, a lot of failed candidates, dumb ideas, and since pharma is siloed and closed, duplicated effort between different companies' skunk works. Also, regulatory burden for things that are lifestyle drugs (think: viagra) is understandably higher than a chemotherapeutic.

The actual cost of getting a chemotherapeutic developed is about 1-2 million in preclinical, and 12-20 million through clinical. Counting lots of inefficiencies, and, as I discuss downthread, we're stacking the deck in our favor.

Indeed, though your broader point is correct, clinical is more expensive and I think ultimately that should be done by a for-profit entity. But crowdfunding can nudge things in that direction by completing the preclinical.


Of course it's including the failures, we don't know whether your candidate will succeed. I'm reasoning in terms of the expectation value of the a success: the cost of one project such as yours, divided by the probability of it creating a useful drug.

"The actual cost of getting a chemotherapeutic developed is about 1-2 million in preclinical, and 12-20 million through clinical. Counting lots of inefficiencies, and, as I discuss downthread, we're stacking the deck in our favor."

That's only part of the equation. What's the probability that it fails preclinical or clinical trials? What are the historical success rates for chemotherapeutics? (Serious question)

edit: I've Googled up what I think is a relevant statistic? According to this source, of cancer drug candidates which completed US clinical trials between 2004-2011, 6.7% of the ones which entered phase I ended up as approved drugs (the rest failing out). Apparently this is much worse than non-cancer drugs, which have a 12.1% rate.

http://www.biotech-now.org/business-and-investments/2012/02/...


Research should not be avoided merely because it isn't likely to succeed.


The cost of developing the Windows 3.1 OS in 1992 was $250 million.*

Clearly, software development was expensive and difficult.

In 1992 could an open-source OS on a shoestring budget contribute something of real value?

*adjusted for inflation: $150 million in 1992 = $250 in 2013.

http://en.wikipedia.org/wiki/Windows_NT_3.1


This may be off-topic but I always wondered where all the billions raised by charities for cancer research end up. It has to be one of the top money earning charitable causes out there.

Are we really just donating money and time to people who end up over-charging us for pharmaceuticals and procedures? I'm not saying we are but I scratch my head when I hear about the astronomical cost of cancer treatment.


A significant portion is doled out in 5-7 figure grants to research laboratories for a particular research project with a 2-5 year time-horizon. The projects are proposed by a PI (a researcher), and conducted by students, postdocs, or other scientists. The money goes directly to equipment, materials and sometimes salaries or stipends in order to undertake the particular research project. The materials can be anything from tissue-culture materials, to DNA sequencing, to microscopy equipment, to anything else required to achieve the proposed research goal. And all of that is pricy.


For anyone else wondering on what types of cancer this might work on, from [1]:

Q: Which cancers will 9DS work on?

A: We don't have a definitive answer, but initial tests show that it's strongest against some forms of renal (kidney) cancer, melanoma(skin) cancer, and triple-negative breast cancer. We have reason to believe that variants of 9DS will target different cancer types, as well.

[1]: http://www.indysci.org/details.html "Details"


Well given I already had one melanoma I would be interesting in anything that solves that area. But how do a layman determine whether they are on to something or not?


(founder of indysci/main researcher on this project here).

That's a great question. And I don't have a good answer for you. Any suggestions would be welcome.


This is the question you most need to answer. Why is this project, of all possible projects, a good scientific bet?

Biology is complicated, which makes layman explanations a challenge.

Perhaps the best you can do is lay out in clear terms what you know and what you don't. This compound has been shown to be XXX±XXX% effective against these three cancers. It has also been shown to kill 90% of test animals. These three respected theory papers [1,2,3] have highlighted the fact that, if only the animals hadn't died, this compound would be more promising than YYY,ZZZ, and QQQ. Furthermore, in these references [4-10], making the modification we propose to make (9DS) in other related substances has been shown to reduce lethality by 100x. Our goal is to explore this alteration to see if we can address the lethality of the compound while preserving its anti-cancer properties.

Give people the references, and some laymen will dig all day long. Motivated people are really smart.



Yes, but with well-supported numbers (and uncertainties) and links to references?

Not trying to be a hard-ass, just stating what I'd look for in either a paper up for funding review or for making my own crowdfunded investment.

You guys are doing something awesome.


totally understood. It's really good that you're holding my feet to the fire. It's a little bit buried, but linked from the "details" page is the full proposal:

https://drive.google.com/file/d/0By7AdX1eMEY2ZXZ5RzZ0Vl9QZG8...

I apologize, I had accidentally put in a wrong link there previously, it's been fixed, but the file has been publically available and visible for a while. Some non-scientific aspects (like our launch date) have obviously been changed at the last minute, but the proposal stands.


Generally speaking you don't.

This is research funding. He's trying to raise money to see if it's something or not. If he can raise the money this way, then he can release it without patent encumbrance, and it's for everyone - including the world's poor.

Most drugs fail. This one probably will too.

I gave because I want to see intellectual property not be the only viable funding path anymore.


well we are trying to stack the deck in the drug's favor. A few things:

1) it's a "natural product derivative". These compounds do way way better than most other drug classes.

2) it has single-digit nanomolar activity in the dish. This is on-par and competitive with currently used chemotherapeutics, a prerequisite for any sort of chemotherapy.

3) there is another compound in the same family called SJG-136 which has passed phase II.

4) phase I trials for SJG-136 apparently showed extremely mild side effects. I still need to double-check clinicaltrials.gov on this, this was a personal communication from the developer of SJG-136. Because SJG-136 and 9DS broadly share the same mechanism it's very likely that 9DS will also have mild side effects.

To answer ThomPete's question, I'm not sure how I can verify this besides "trust me" to the layperson (especially #4). However, there is literature on #1 and #2, although, again I'm not sure how useful this is to the lay person.

#1: http://onlinelibrary.wiley.com/doi/10.1111/j.1751-7915.2010....

#2: https://www.ncbi.nlm.nih.gov/pubmed/22390171


Thanks I will have a look and just to be clear, I trust your intend 100%.

I have been lucky enough to be accepted at Sloan Memorial en New York given I have more than a thousand moles.

I wonder if I could ask my dermatologist there.


Yes, but don't all pharma researchers "stack their decks" in similar ways, to maximize their chance of success? And still fail with the dismal statistics I linked to?


yes and no.

For example, the trend now is toward maintenance drugs and biologicals, because that's what the execs want. Whether or not this has anything to do with efficacy is questionable. During my biophysics days, I saw so many drugs enter the clinical pipeline even purporting to treat alzheimers, that were basically following up on "popular memes in the field" that from first principles I would look at and say, there's no way this will work.

I've spoken to one pharma consultant (to get the chat, I didn't tell him I was making an unpatented drug) who basically lamented what had happened to the cancer field as the big companies lost their R&D and turned to acquiring biotechs for their blue sky stuff - and he characterized biotechs as being on to "fad-dey" stuff. Now, it's alos possible that he's wrong too, and that I'm on the wrong track. So you are correct to worry about the likelihood of success.


I don't know how bad pharma politics are, but I have hard time imagining they're worse than crowdfunding! I think no one on this site really understands what you're doing. We know you're more credible than a homeopathic scam artist, which is to our credit because the broader crowdfunding demographic is unlikely to figure out the difference. (See fig. 1, sales of homeopathic remedies in billion USD). But would you trust us to figure out that your compound is more promising than some other one, with similar-looking technical jargon, proposed by similarly credentialed researchers?

I think the concept is incredibly radical. If this were a business idea, it would be functionally illegal: you could only solicit funding from wealthy, accredited investors under highly regulated procedures. Because people are easily mislead. And that's for stupid things like selling sporks. But here we are, pretending to scrutinize a million-dollar medical research grant, as if we were PhDs at the NIH office or something. Where do you want to go with this?


Is your presupposition that the TLAs are better at this than you are? There's a huge project right now at DARPA (https://www.fbo.gov/index?s=opportunity&mode=form&id=0d71fc7...) that is being led by program manager whose graduate work is increasingly suspected of being completely artefactual. http://raphazlab.wordpress.com/2012/12/11/seven-years-of-ima...


Just FYI, I wouldn't put too much faith in safety profiles of related family drugs. The classic med chem example of really unpredictable toxicology is mevastatin vs lovastatin, which have exactly the same structure but for one lowly methyl group. The former molecule was basically an unusably toxic drug candidate that never would have been approved by the FDA, whereas the latter was the first safe and effective statin to go to market.


it's a known mechanistic issue. the pyrrolobenzodiazepine molecules are pretty selective DNA alkylators. Cardiotox is caused probably by transport chain involvement when the 9-position is oxygenated (makes it look like Co-Q). Without that oxygen, the PBDs zip on over to the DNA. PBDs have a slight twist to the molecule which allows them to nestle in the minor groove with exactly the right pitch so that the lesion evades base excision repair response, which is what is thought to cause the more serious side effects in DNA-alkylating chemotherapies.

However, you are right, there could be unforseen toxicity issues.


I appreciate that but I guess I am a little more biased perhaps because of my history.


When you say "open notebook" does that mean outside people can see your results and contribute intellectually to the project? Is there a synthetic route to 9DS? I didn't see much on a quick google search but it doesn't look like a terribly difficult molecule to make.


see our results, definitely (I'll be working on some software to get this to work, but our fallback is to just use mediawiki). Contribute intellectually - we should have some sort of commenting system.

9DS is probably synthetically tractable, but attachment of the sugar typically uses chemistry that destroys the imine on the other side, and vice versa. So that kicks any industrial processes in the knees.


What about drug resistance? Any data available/planned in that regard?

Curious about it, because I work on this stuff from a structural perspective as my profession.


This page isn't working? http://www.indysci.org/details.html


sorry, it should work now. We redid the site and did a CNAME change; some people aren't getting the DNS-updated version yet =(




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