Wednesday 22 May 2013

Making Great Strides for the Cystic Fibrosis Trust

David Turner writes about the the Cystic Fibrosis Trust's Great Strides 65 challenge.

Dawn broke over the North Downs on Saturday 18th May to the sound and smell of bacon being fried on a camping cooker to feed the intrepid walkers participating in the second running of the “Great Strides 65” – a 65km (40 mile) supported team walk from Newlands Corner, just outside Guildford, to Shoreham-by-Sea.

Eight teams took part in the 2013 event, with the aim of bettering the £20,000 plus Gift Aid raised on the inaugural running in 2012. Remarkably the Dorset Dawdlers and Somerset Strollers came back for more, having successfully completed the previous year’s event: the Dawdlers’ Mike Rutter was determined to finish in better style than he had 12 months ago – when he walked the last five miles wrapped in a space blanket.

The Dawdlers were joined by teams from Surrey, London and as far afield as the West Midlands, Bristol, Somerset and northern Cambridgeshire. All of the teams had some connection with CF, whether through family friends or as parents of children or adults with the disease. Walkers ranged in age between their late-20s and 70 and included siblings, parents, uncles, aunts and grandparents of those with CF, and even a vicar who had once baptised a girl with cystic fibrosis! The remarkable Sue Ward from March was walking in memory of her son, motivated by a burning determination to help fund the research which will improve the outcome for current and future generations of patients

Ready for the “off” – Newlands Corner at 7am

After setting off at 7am, and an initial leg which involved a couple of gentle drops and climbs as the walkers moved away from the North Downs, the teams settled onto the Downs Link – a long distance path linking the North and South Downs which largely follows the route of the disused Cranleigh and Steyning railway lines. There were pre-arranged checkpoints every five to seven miles for the teams to meet up with their support crews so that they could refill their camelbacks, top up on Mars bars and bananas and change their socks and T-shirts. Despite earlier forecasts of incessant and heavy rain, weather conditions on the day were kind: dry, reasonably cool and no wind.

The teams made good progress, with the leaders reaching the third checkpoint at Slinfold (about 17½  miles into the route) at about midday. However, by the time that the teams reached Southwater (just five miles further on), many were beginning to suffer from sore feet, and the paramedics assigned to the event were earning their money as they performed a series of essential running repairs to keep people going. One walker’s feet were so badly blistered by this stage that she completed the walk wearing flip-flops!

For many, the final checkpoint at Upper Beeding was a welcome respite: conveniently located in a pub, participants were able to replenish depleted carbohydrate reserves with a pint of Sussex or a plateful of home-cooked chips before embarking on the final five-mile slog to the finish. Unfortunately, half the teams bypassed the pub (through inadvertence not design) and so denied themselves the simple pleasures on offer.

The posse was led across the finish line by the SW15 Ramblers at 7.30pm. The other teams followed, with the last team hobbling over the finish line at 9.50pm after nearly 15 hours of walking. Some of the walkers had pushed themselves to the point of exhaustion and beyond, and there were some spectacular blisters on display well before the end of the walk. The extraordinary determination of all of the walkers was both inspiring and humbling, and has helped the Trust raise a huge sum of money: to date almost £30,000 has been pledged. With gift aid, the total could exceed £34,000. We owe a huge “thank you” to all of the walkers and their support crews; to Katie Burr of the CF Trust who has organised the event for the last two years and who leaves the Trust shortly to go travelling (perhaps she will be back in time to “walk the walk” in next year’s iteration) and to the volunteers who helped the event to run so smoothly (most of all Mel Urwin, another walker from last year, who volunteered to help for a few hours but ended up staying the whole day!).

The date for next year’s “Great Strides 65” will be announced shortly. If you fancy doing something a bit different and surprising your family, friends and even yourself, then give it a go!!

The Mail Publisher Solutions team, and paramedics, at the finish

Thursday 2 May 2013

Dare to Hope - Tim Wotton's views on the Research Strategy launched this week

Dare to Hope
Hope of a cure is crucial for anyone suffering with cystic fibrosis (CF). My hopes have been raised and dashed in equal measure over the years. But is the outlook at last changing?

The UK Cystic Fibrosis Trust is at the heart of CF research into finding a cure and is holding a Research Strategy Conference on 29 April in London. This conference is integral to the way care will be improved over the next decade. More can and needs to be done by the Pharmaceuticals to bring a cure one step closer for the cystic fibrosis community…

From my perspective, having just turned 42, I’m keeping just above the median age of life expectancy for CF sufferers in the UK which is currently set at 41. Based on existing UK records, each week five babies are born with CF, and two people die. More than half of the CF population will live past 41, and improved care and treatments mean that a baby born today is expected to live even longer.

The ‘c’ word of ‘cure’ is of paramount importance to all of us and our loved ones. This word has been bandied about in many different ways by all sorts of people from scientists to the media for more than half my life.

It was way back in August 1989 that scientists from the U.S. and Canada triumphantly announced the discovery of the gene associated with CF. It was the early days of gene hunting, and the CF gene was a big prize. At the time, they predicted that a genetic test for CF was just around the corner. But they also thought a drug to treat the disease was in reach.

24 years and over 8500 days later a CF cure is still proving elusive. Throughout this extensive period of hope, I’ve experienced many false dawns and had to rationalise the sensationalism of many press reports. I’ve also have to manage the delight of my family and friends who tell me they’ve just heard that “a cure for CF has just been discovered!”

From 1997 I endured a fallow decade of no new drugs that could improve both my body and mind. Based on the premise that if you don’t ask, you don’t get in this life; I must have sounded like a broken record with my doctor during every appointment, “Anything new coming soon?”

Often my doctor would name a couple of drugs that I’d never heard of and tell me that we needed to ‘save them for a rainy day’. Well England has had its fair share of rain in this period, but still I had no joy. I did ask but I didn’t get.

Strangely, the years have taught me about patience. Patience is waiting. Patience is keeping going when the going is torturous and slow. Waiting hurts. But not knowing if a cure will ever come my way can sometimes be even more painful.

I know a few CFers who have withstood lung transplants and are doing pretty well but very sadly I know some that didn’t survive after receiving their new organs. I know and see others around the hospital, heavily dependent on oxygen, who are desperately holding out for the right donated organs. I can only imagine that that must require the most amazing amount of patience.

There are now a handful of successful drugs making their way onto the market. Like buses, you have to wait an age for one to turn up and then suddenly a couple turn up all at once.

A new generation of transformational drugs are coming. I have luckily lived long enough to see a time where drugs for the first time are available that treat the root cause of CF.

‘TOBI Podhaler’ by Novartis, consisting of a dry powder formulation of Tobramycin for oral inhalation via a handy device is one such medication. I’ve been on this for a few months and it’s improved my lung function by over 5 per cent.

Also there are two further dry powder inhalations - ‘Colobreathe’ from Forest Laboratories and ‘Bronchitol’ (mannitol) by Pharmaxis. Lastly there is an oral medication called ‘Kalydeco’ from Vertex Pharmaceuticals.

The drug that is receiving a lot of press is Kalydeco. It took Vertex a while to find a drug that would help restore the function of the protein the CF gene makes. One of those chemicals ultimately became a successful drug, but it had to be modified so patients could take it by mouth, and so it would last the right length of time in a patient's body. Overall the success of Kalydeco has been more than two decades in the making.

Kalydeco only treats patients with CF who have at least one copy of the G551D mutation. There are around four per cent in England - about 350 patients - who are benefiting from this medicine. While not quite a cure, the drug is extremely effective for those patients who have that mutation.

It has opened up a new era of genotype specific medicines that are the closest thing to a cure yet for cystic fibrosis. It comes in the form of two blue tablets, which control the symptoms in the lungs and for some of the digestive system too. After 42 years battling with CF, taking 40 tablets a day and many other treatments, I can’t imagine having only two little pills to take a day.

I don’t have the G551D mutation. I have the most common type of CF mutation, F508Del, which 90 per cent of people with CF carry, but Kalydeco could still help me in the long run. There are further trials using Kalydeco in combination with a substance called VX-809. The first results from these trials have shown a potentially positive impact on the more common F508del mutation.

However, this is not an actual cure as the damaged CF gene still exists. The only way to fix that would be gene therapy, where a healthy form of the gene would supplant the damaged one. Although it seems simple in theory, in practice, gene therapy has been incredibly difficult to accomplish and clinical trials in the UK and US are ongoing. When perfected hopefully inside the next decade (but I don’t want to get my hopes up), the effect will be close to a cure for CF children and it will be very helpful for older adults depending on their state of health.

There is and always has been a lot of fanfare about curing CF, but this new generation of drugs offer an alternative ‘c word’ and that is ‘control’ - controlling CF at the basic level, and that offers hope while we wait for gene therapy. We are at last beginning to win a few battles while we hold out to win the whole war... but there’s still more waiting and patience required.

More can and needs to be done by pharmaceuticals to maintain the momentum on treating CF. Scientists need to have an ‘ABC mindset’ to CF - Always Be Curing!

Once a drug is available it would help to keep it at a realistic funding price so that it’s actually benefiting those that need it. There’s nothing worse for a person with a chronic health condition then knowing of the existence of a game-changing drug, only for funding red tape to delay or eliminate it ever being taken. People talk about dangling a carrot, but this is more like suspending a bar of gold above someone’s head and then taking it away.

There’s a golden opportunity for drug companies and R&D staff to leave a lasting legacy by making a tangible difference to the quality of life and longevity of CF sufferers, so that in my lifetime the average age for a CF life is doubled.

It would also have a massive impact on my life, hopefully prolonging it so that I can enjoy a better quality of life with my wife Katie and son Felix.

I’m told that time is a great healer. Up to now that hasn’t been the case. I’m hoping that I can dare to hope for a brighter future and that time will still be on my side...

Visit the Cystic Fibrosis Trust's website to read the strategy.


Tim Wotton
Read more of my CF blog ‘Postcards from Earth’