Dr. Bruce Given
Management
Just a couple of fine points. Michael, thanks for your question and good questions as always. First of all, I mean, what do we expected to see at 3mgs/kg. Will we see a log as a number, it’s little bit hard to say. I mean, the one thing that we can say is that with all of our RNAi programs across mice, rats, primates, the one thing that we have consistently seen is the various deep dose response curve. Frankly, having been in the industry a long time, these are the steepest dose response curve I’ve ever seen. And I think it just has to do with the catalytic nature of risk and how the process works. But from my perspective, if in human, it is similarly steep then I think we’re going to be in good shape at 3mgs/kg. If as Chris said, if it’s little bit more shallow in humans then we just don’t know yet because we only have two points that’s enough for curve. But if it’s a bit more shallow, we could wind up having to go to 4mgs/kg and that would be fine with us. But if we are as steep as we’ve seen in primates and other species, the chances are pretty good that 3mgs/kg gives us what we have been looking for. That’s item one. Item two, just to be a little more specific, the Phase 2b core studies are designed to last 12 weeks and then patients will roll into an extension. And that extension will take patients out to somewhere around a year of therapy. We don’t know if the theory is correct that you need to derepress these patients by reducing surface energy. We don’t know how long -- how long therapy needs to be for that to work. And because of that, it’s hard to say as Chris said, we would hope that in the second half of 2015 that we’ll have some patients that have been on therapy for over six months at that point. And if the answer is with the kind of reduction, surface antigen that we’re providing is six months or so is long enough for body to come back, we could start seeing some functional cures. If actually it’s less, we could see them earlier and if it’s going to take a full year or if it’s even going to be a little bit like interferon, that derepresses and then takes a little bit time to come back, it could be a little longer, we just don’t know, Michael.