Sukumar Nagendran
Analyst · Baird. Please proceed with your question.
Yes. So Sean, I mean, to answer the first question -- so if you think about consistency, though, yes, the CGIS, right, I mean, these patients for protocol depending on which study they are, they tend to fall into a range of 4% to 6%. And as we all know, in Rett Syndrome the severity may sometimes drive the response and there could be limitations to that as well. But what is more important is that there are clinical features though, in the low dose patients, which I think are consistent. So autonomic dysfunction, I mean, for example, many of these patients have vascular abnormalities of the upper and lower extremities. Many of these patients did have respiratory abnormalities, the apneic spells and the hyperventilation. Seizures were pretty common. Loss of hand function, as you know, is very common in a sense, loss of fine hand motor function and gross motor function and the repetitive movements, etcetera. I guess my point is there are certain clinical features that will always be there. And I think when you talk to the experts, they do confirm this. But what we are doing is we have natural history databases that we're looking at, which hopefully will also further support what we need to do for the future if this consistency is proven. So all I can say is that you have to stay tuned. And having said that, then if you look at the high dose patients, I would anticipate you would see very similar common commonalities in the clinical presentations that exist in Rett Syndrome patients, the hand function, I guess you could say social withdrawal, maybe seizures, etcetera, etcetera. So this will all be there. And then the other piece of the puzzle is when you have whatever the mutation is, missense mutation, [indiscernible] mutation or massive deletion, which then results in a horrible or severe clinical presentation. Then the question becomes any gene therapy due to -- the disease, what is the greatest impact it will have and on which clinical features. So these are things that we are still collecting. And I would say that, again, I would assume in gene therapy if you have a product that has significant clinical impact, the commonalities that the features will only see -- be seen in a few patients, because you're dosing five, six, seven patients to move into -- from Part A into Part B and then Part B into other studies, if that’s what needs to be done. Sean, I mean, I don't know whether that helps answer the question, but the answer to the question for me is not it's complex. And -- and then the second question was I lost my trend there, Sean.