{"id":4205,"date":"2019-10-11T14:09:01","date_gmt":"2019-10-11T05:09:01","guid":{"rendered":"http:\/\/163.180.4.222\/lab\/?p=4205"},"modified":"2019-10-11T14:09:01","modified_gmt":"2019-10-11T05:09:01","slug":"the-first-drug-designed-for-a-single-patient-scientists-designed-a-drug-for-just-one-patient-her-name-is-mila","status":"publish","type":"post","link":"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=4205","title":{"rendered":"The first drug designed for a single patient &#8211; Scientists Designed a Drug for Just One Patient. Her Name Is Mila"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div class=\"css-1wm0p4l\">\n<header class=\"css-llk6mt euiyums4\">\n<p class=\"css-1ifw933 e1wiw3jv0\">An achievement in ultra-personalized medicine also raises questions about fairness and regulation.<\/p>\n<div class=\"css-79elbk\" data-testid=\"photoviewer-wrapper\">\n<div class=\"css-z3e15g\" data-testid=\"photoviewer-wrapper-hidden\"><\/div>\n<div class=\"css-18sfyd ehw59r12\" data-testid=\"photoviewer-children\">\n<div class=\"css-t972an ehw59r13\" data-testid=\"photoviewer-overlay\">\n<div class=\"css-h9j7ug ehw59r11\" data-testid=\"photoviewer-captionblock\"><\/div>\n<div class=\"css-ocroog ehw59r14\">\n<div>\n<div class=\"css-8h527k\">\n<div data-testid=\"lazyimage-container\"><img decoding=\"async\" src=\"https:\/\/static01.nyt.com\/images\/2019\/10\/15\/lens\/09GENE1\/merlin_162438567_486e3acb-54da-4a73-874e-b89ff93d1450-articleLarge.jpg?quality=75&amp;auto=webp&amp;disable=upscale\" sizes=\"((min-width: 600px) and (max-width: 1004px)) 84vw, (min-width: 1005px) 60vw, 100vw\" srcset=\"https:\/\/static01.nyt.com\/images\/2019\/10\/15\/lens\/09GENE1\/merlin_162438567_486e3acb-54da-4a73-874e-b89ff93d1450-articleLarge.jpg?quality=90&amp;auto=webp 600w,https:\/\/static01.nyt.com\/images\/2019\/10\/15\/lens\/09GENE1\/merlin_162438567_486e3acb-54da-4a73-874e-b89ff93d1450-jumbo.jpg?quality=90&amp;auto=webp 1024w,https:\/\/static01.nyt.com\/images\/2019\/10\/15\/lens\/09GENE1\/merlin_162438567_486e3acb-54da-4a73-874e-b89ff93d1450-superJumbo.jpg?quality=90&amp;auto=webp 2048w\" alt=\"\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div data-testid=\"lazyimage-container\">\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<div class=\"css-1a48zt4 ehw59r15\" data-testid=\"photoviewer-children\">\n<figure class=\"sizeMedium layoutHorizontal css-1ox9jel\" role=\"group\" aria-label=\"media\">\n<div class=\"css-bsn42l\"><img decoding=\"async\" class=\"css-11cwn6f\" src=\"https:\/\/static01.nyt.com\/images\/2019\/10\/15\/lens\/09GENE1\/merlin_162438567_486e3acb-54da-4a73-874e-b89ff93d1450-articleLarge.jpg?quality=75&amp;auto=webp&amp;disable=upscale\" sizes=\"((min-width: 600px) and (max-width: 1004px)) 84vw, (min-width: 1005px) 60vw, 100vw\" srcset=\"https:\/\/static01.nyt.com\/images\/2019\/10\/15\/lens\/09GENE1\/merlin_162438567_486e3acb-54da-4a73-874e-b89ff93d1450-articleLarge.jpg?quality=90&amp;auto=webp 600w,https:\/\/static01.nyt.com\/images\/2019\/10\/15\/lens\/09GENE1\/merlin_162438567_486e3acb-54da-4a73-874e-b89ff93d1450-jumbo.jpg?quality=90&amp;auto=webp 1024w,https:\/\/static01.nyt.com\/images\/2019\/10\/15\/lens\/09GENE1\/merlin_162438567_486e3acb-54da-4a73-874e-b89ff93d1450-superJumbo.jpg?quality=90&amp;auto=webp 2048w\" alt=\"Julia Vitarello with her daughter, Mila, 8, who has a rare neurological disorder. Scientists were able to create a drug to treat only the form of the illness she has.\" \/><\/div><figcaption class=\"css-17ai7jg emkp2hg0\"><span class=\"css-8i9d0s e13ogyst0\" style=\"color: #737373; font-size: 1rem;\" aria-hidden=\"true\">Julia Vitarello with her daughter, Mila, 8, who has a rare neurological disorder. Scientists were able to create a drug to treat only the form of the illness she has.<\/span><span class=\"emkp2hg2 css-1nwzsjy e1z0qqy90\" style=\"color: #737373; font-size: 1rem;\"><span class=\"css-1ly73wi e1tej78p0\">Credit<\/span><span class=\"css-1dv1kvn\">Credit<\/span>Nick Cote for The New York Times<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<div class=\"css-acwcvw epjyd6m0\">\n<div class=\"css-vp77d3 epjyd6m2\">\n<div class=\"css-hus3qt ey68jwv0\" aria-hidden=\"true\"><a class=\"css-uwwqev\" href=\"https:\/\/www.nytimes.com\/by\/gina-kolata\"><img decoding=\"async\" class=\"css-1rjmmt7 ey68jwv2\" title=\"Gina Kolata\" src=\"https:\/\/static01.nyt.com\/images\/2018\/02\/16\/multimedia\/author-gina-kolata\/author-gina-kolata-thumbLarge.jpg\" alt=\"Gina Kolata\" \/><\/a><\/div>\n<div class=\"css-1baulvz\">\n<p class=\"css-1nuro5j e1jsehar1\">By\u00a0<a class=\"css-1riqqik e1jsehar0\" href=\"https:\/\/www.nytimes.com\/by\/gina-kolata\"><span class=\"css-1baulvz last-byline\">Gina Kolata<\/span><\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/header>\n<\/div>\n<section class=\"meteredContent css-1i2y565\">\n<div class=\"css-1fanzo5 StoryBodyCompanionColumn\">\n<div class=\"css-53u6y8\">\n<p class=\"css-exrw3m evys1bk0\">A new drug, created to treat just one patient,\u00a0<a class=\"css-1g7m0tk\" title=\"\" href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1813279\" target=\"_blank\" rel=\"noopener noreferrer\">has pushed the bounds of personalized medicine<\/a>\u00a0and has raised unexplored regulatory and ethical questions, scientists reported on Wednesday.<\/p>\n<p class=\"css-exrw3m evys1bk0\">The drug, described in The New England Journal of Medicine, is believed to be the first \u201ccustom\u201d treatment for a genetic disease. It is called milasen, named after the only patient who will ever take it: Mila (mee-lah) Makovec, who lives with her mother, Julia Vitarello, in Longmont, Colo.<\/p>\n<p class=\"css-exrw3m evys1bk0\">Mila, 8, has a rapidly progressing neurological disorder that is fatal. Her symptoms started at age 3. Within a few years, she had gone from an agile, talkative child to one who was blind and unable to stand or hold up her head. She needed a feeding tube and experienced up to 30 seizures a day, each lasting one or two minutes.<\/p>\n<p class=\"css-exrw3m evys1bk0\">Ms. Vitarello learned in December 2016 that Mila had Batten\u2019s disease. But the girl\u2019s case was puzzling, doctors said. Batten\u2019s disease is recessive \u2014 a patient must inherit two mutated versions of a gene, MFSD8, to develop the disease.<\/p>\n<\/div>\n<aside class=\"css-o6xoe7\" aria-label=\"companion column\" aria-hidden=\"false\">\n<div class=\"css-ke163a\" data-testid=\"article-companion-wrapper\">\n<div id=\"newsletter-module\" class=\"css-48vsi0\">\n<div class=\"css-1k9ek97\">\n<div class=\"css-1hdd06o\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/aside>\n<\/div>\n<div id=\"story-ad-1-wrapper\" class=\"css-2ninbb\" aria-hidden=\"true\">\n<div class=\"ad story-ad-1-wrapper\">\n<div id=\"story-ad-1\" class=\"\" data-position=\"mid1\" data-google-query-id=\"CKPk6_m2k-UCFVm6lgodr80MVQ\">\n<div id=\"google_ads_iframe_\/29390238\/nyt\/health\/_4__container__\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"css-1fanzo5 StoryBodyCompanionColumn\">\n<div class=\"css-53u6y8\">\n<p class=\"css-exrw3m evys1bk0\">Mila had just one mutated gene, and the other copy seemed normal. That should have been sufficient to prevent the disease.<\/p>\n<p class=\"css-exrw3m evys1bk0\">In March 2017, Dr. Timothy Yu and his colleagues at Boston Children\u2019s Hospital discovered that the problem with the intact gene lay in an extraneous bit of DNA that had scrambled the manufacturing of an important protein.<\/p>\n<div class=\"css-1o6jhnk\" data-testid=\"inline-message\" aria-live=\"polite\">\n<div><\/div>\n<div class=\"css-10klw3m optimizelyOK vi_inline\"><\/div>\n<\/div>\n<p class=\"css-exrw3m evys1bk0\">That gave Dr. Yu an idea: Why not make a custom piece of RNA to block the effects of the extraneous DNA? Developing such a drug would be expensive, but there were no other options.<\/p>\n<\/div>\n<\/div>\n<div class=\"css-1bmqgre epkadsg3\"><\/div>\n<div id=\"story-ad-2-wrapper\" class=\"css-1r07izm\" aria-hidden=\"true\">\n<div class=\"ad story-ad-2-wrapper\">\n<div id=\"story-ad-2\" class=\"\" data-position=\"mid2\" data-google-query-id=\"COD0gvq2k-UCFZWzlgodlXEBIA\">\n<div id=\"google_ads_iframe_\/29390238\/nyt\/health\/_5__container__\">\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"css-1fanzo5 StoryBodyCompanionColumn\">\n<div class=\"css-53u6y8\">\n<p class=\"css-exrw3m evys1bk0\">Dr. Yu\u2019s team oversaw development of the drug, tested it in rodents, and consulted with the Food and Drug Administration. In January 2018, the agency granted permission to give the drug to Mila. She got her first dose on Jan. 31, 2018.<\/p>\n<p class=\"css-exrw3m evys1bk0\">The drug was delivered through a spinal tap, so it could reach her brain. Within a month, Ms. Vitarello noticed a difference. Mila was having fewer seizures, and they were not lasting as long.<\/p>\n<p class=\"css-exrw3m evys1bk0\">With continued treatments, the number of seizures has diminished so much that the girl has between none and six a day, and they last less than a minute.<\/p>\n<p class=\"css-exrw3m evys1bk0\">Mila rarely needs the feeding tube now, and is able once again to eat pur\u00e9ed foods. She cannot stand unassisted, but when she is held upright, her neck and back are straight, no longer slumped.<\/p>\n<p class=\"css-exrw3m evys1bk0\">Still, Mila has lost the last few words of her vocabulary and remains severely disabled.<\/p>\n<p class=\"css-exrw3m evys1bk0\">\u201cShe is starting not to respond to things that made her laugh or smile,\u201d Ms. Vitarello said.<\/p>\n<\/div>\n<aside class=\"css-o6xoe7\" aria-label=\"companion column\" aria-hidden=\"false\">\n<div id=\"c-col-editors-picks\" class=\"css-j64t31\"><\/div>\n<\/aside>\n<\/div>\n<div class=\"css-79elbk\" data-testid=\"photoviewer-wrapper\">\n<div class=\"css-1rsmjhm ehw59r12\">\n<div class=\"css-t972an ehw59r13\" data-testid=\"photoviewer-overlay\">\n<div class=\"css-1lr5sxc ehw59r14\">\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<picture style=\"font-size: 1rem;\"><source srcset=\"https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE2\/merlin_162437811_16ee4482-d24d-4665-842c-a05c7de16ddc-mobileMasterAt3x.jpg?quality=75&amp;auto=webp&amp;disable=upscale&amp;width=600\" media=\"(max-width: 599px) and (min-device-pixel-ratio: 3),(max-width: 599px) and (-webkit-min-device-pixel-ratio: 3),(max-width: 599px) and (min-resolution: 3dppx),(max-width: 599px) and (min-resolution: 288dpi)\" \/><source srcset=\"https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE2\/merlin_162437811_16ee4482-d24d-4665-842c-a05c7de16ddc-mobileMasterAt3x.jpg?quality=75&amp;auto=webp&amp;disable=upscale&amp;width=1200\" media=\"(max-width: 599px) and (min-device-pixel-ratio: 2),(max-width: 599px) and (-webkit-min-device-pixel-ratio: 2),(max-width: 599px) and (min-resolution: 2dppx),(max-width: 599px) and (min-resolution: 192dpi)\" \/><source srcset=\"https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE2\/merlin_162437811_16ee4482-d24d-4665-842c-a05c7de16ddc-mobileMasterAt3x.jpg?quality=75&amp;auto=webp&amp;disable=upscale&amp;width=1800\" media=\"(max-width: 599px) and (min-device-pixel-ratio: 1),(max-width: 599px) and (-webkit-min-device-pixel-ratio: 1),(max-width: 599px) and (min-resolution: 1dppx),(max-width: 599px) and (min-resolution: 96dpi)\" \/><img decoding=\"async\" class=\"css-1m50asq\" src=\"https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE2\/merlin_162437811_16ee4482-d24d-4665-842c-a05c7de16ddc-articleLarge.jpg?quality=75&amp;auto=webp&amp;disable=upscale\" sizes=\"((min-width: 600px) and (max-width: 1004px)) 84vw, (min-width: 1005px) 60vw, 100vw\" srcset=\"https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE2\/merlin_162437811_16ee4482-d24d-4665-842c-a05c7de16ddc-articleLarge.jpg?quality=90&amp;auto=webp 600w,https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE2\/merlin_162437811_16ee4482-d24d-4665-842c-a05c7de16ddc-jumbo.jpg?quality=90&amp;auto=webp 1024w,https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE2\/merlin_162437811_16ee4482-d24d-4665-842c-a05c7de16ddc-superJumbo.jpg?quality=90&amp;auto=webp 2048w\" alt=\"Ms. Vitarello feeding Mila at home.\" \/><\/picture><\/div>\n<\/div>\n<\/div>\n<div class=\"css-1a48zt4 ehw59r15\" data-testid=\"photoviewer-children\">\n<figure class=\"css-jcw7oy e1g7ppur0\" role=\"group\" aria-label=\"media\"><figcaption class=\"css-1l44abu e1xdpqjp0\"><span class=\"css-8i9d0s e13ogyst0\" aria-hidden=\"true\">Ms. Vitarello feeding Mila at home.<\/span><span class=\"css-vuqh7u e1z0qqy90\"><span class=\"css-1ly73wi e1tej78p0\">Credit<\/span>Nick Cote for The New York Times<\/span><\/figcaption><\/figure>\n<\/div>\n<\/div>\n<div class=\"css-1fanzo5 StoryBodyCompanionColumn\">\n<div class=\"css-53u6y8\">\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p class=\"css-exrw3m evys1bk0\">Milasen is believed to be the first drug developed for a single patient (CAR-T cancer therapies, while individualized, are not drugs). But the path forward is not clear, Dr. Yu and his colleagues acknowledged.<\/p>\n<\/div>\n<\/div>\n<div id=\"story-ad-3-wrapper\" class=\"css-1r07izm\" aria-hidden=\"true\">\n<div id=\"story-ad-3-slug\" class=\"css-l9onyx\">\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<div class=\"css-1fanzo5 StoryBodyCompanionColumn\">\n<div class=\"css-53u6y8\">\n<p class=\"css-exrw3m evys1bk0\">There are over 7,000 rare diseases, and over 90 percent have no F.D.A.-approved treatment, according to Rachel Sher, vice president of regulatory and government affairs at the National Organization for Rare Disorders.<\/p>\n<p class=\"css-exrw3m evys1bk0\">Tens of thousands of patients could be in Mila\u2019s situation in the United States alone. But there are nowhere near enough researchers to make custom drugs for all who might want them.<\/p>\n<p class=\"css-exrw3m evys1bk0\">And even if there were, who would pay? Not the federal government, not drug\u00a0companies\u00a0and not insurers, said Dr. Steven Joffe, professor of medical ethics and health policy at the University of Pennsylvania.<\/p>\n<p class=\"css-exrw3m evys1bk0\">\u201cUnfortunately, that leaves it to families,\u201d he added. \u201cIt feels awfully uncomfortable, but that is the reality.\u201d<\/p>\n<p class=\"css-exrw3m evys1bk0\">That means custom drugs would be an option only for the very wealthy, those with the skills to raise large sums of money, or those who gain the support of foundations.<\/p>\n<p class=\"css-exrw3m evys1bk0\">Mila\u2019s drug development was mostly paid for by the foundation run by her mother, but she and Dr. Yu declined to say how much was spent.<\/p>\n<p class=\"css-exrw3m evys1bk0\">The idea of custom drugs also leads the F.D.A. into uncharted territory. In\u00a0<a class=\"css-1g7m0tk\" title=\"\" href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMe1911295\" target=\"_blank\" rel=\"noopener noreferrer\">an editorial published with Dr. Yu\u2019s paper<\/a>, Dr. Janet Woodcock, director of the F.D.A.\u2019s Center for Drug Evaluation and Research, raised tough questions:<\/p>\n<blockquote class=\"css-scfbvi etf134l0\">\n<p class=\"css-ma92ss evys1bk0\">What type of evidence is needed before exposing a human to a new drug? Even in rapidly progressing, fatal illnesses, precipitating severe complications or death is not acceptable, so what is the minimum assurance of safety that is needed?<\/p>\n<\/blockquote>\n<p class=\"css-exrw3m evys1bk0\">She also asked how a custom drug\u2019s efficacy might be evaluated, and how regulators should weigh the urgency of the patient\u2019s situation and the number of patients who could ultimately be treated. None of those questions have an easy answer.<\/p>\n<\/div>\n<\/div>\n<div id=\"story-ad-4-wrapper\" class=\"css-1r07izm\" aria-hidden=\"true\">\n<div id=\"story-ad-4-slug\" class=\"css-l9onyx\"><\/div>\n<div class=\"ad story-ad-4-wrapper\">\n<div id=\"story-ad-4\" class=\"\" data-position=\"mid4\" data-google-query-id=\"CJqyxfq2k-UCFYLClgod28UG7g\">\n<div id=\"google_ads_iframe_\/29390238\/nyt\/health\/_7__container__\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"css-1fanzo5 StoryBodyCompanionColumn\">\n<div class=\"css-53u6y8\">\n<p class=\"css-exrw3m evys1bk0\">Brad Margus, founder of the A-T Children\u2019s Project, said he was hoping Dr. Yu would develop another custom drug for a 2-year-old girl with A-T, or ataxia telangiectasia, an extremely rare genetic disorder that causes a variety of symptoms, including problems moving, a weakened immune system and slowed mental development. Mr. Margus\u2019s two sons have A-T.<\/p>\n<p class=\"css-exrw3m evys1bk0\">His foundation would pay for the work, although the drug would be suitable for only one child. But Mr. Margus wondered how generalizable the custom-drug approach would be for \u201cpatients whose parents or disease advocates haven\u2019t been lucky enough to capture a slice of Tim Yu\u2019s time.\u201d<\/p>\n<p class=\"css-exrw3m evys1bk0\">Milasen will not cure Mila, Ms. Vitarello acknowledged. But Mila was 7 when she got her first dose.<\/p>\n<p class=\"css-exrw3m evys1bk0\">\u201cWhat if the next Mila is treated when she is 4 or 5?\u201d she asked. The development of milasen \u201cis opening up an entirely new treatment path.\u201d<\/p>\n<p class=\"css-exrw3m evys1bk0\">\u201cAs a mom, I still feel hopeful,\u201d Ms. Vitarello added. \u201cBut I have one foot in hope and one foot in reality.\u201d<\/p>\n<\/div>\n<\/div>\n<div class=\"css-79elbk\" data-testid=\"photoviewer-wrapper\">\n<div class=\"css-z3e15g\" data-testid=\"photoviewer-wrapper-hidden\"><\/div>\n<div class=\"css-1m1eum3 ehw59r12\">\n<div class=\"css-t972an ehw59r13\" data-testid=\"photoviewer-overlay\">\n<div class=\"css-1fbzqhu ehw59r11\" data-testid=\"photoviewer-captionblock\"><\/div>\n<div class=\"css-1hxcymq ehw59r14\">\n<div>\n<div class=\"css-8h527k\">\n<div data-testid=\"lazyimage-container\"><picture class=\"css-1j5kxti\"><source srcset=\"https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE3\/merlin_162438261_c68512b6-96e7-4e39-808a-166583579772-mobileMasterAt3x.jpg?quality=75&amp;auto=webp&amp;disable=upscale&amp;width=600\" media=\"(max-width: 599px) and (min-device-pixel-ratio: 3),(max-width: 599px) and (-webkit-min-device-pixel-ratio: 3),(max-width: 599px) and (min-resolution: 3dppx),(max-width: 599px) and (min-resolution: 288dpi)\" \/><source srcset=\"https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE3\/merlin_162438261_c68512b6-96e7-4e39-808a-166583579772-mobileMasterAt3x.jpg?quality=75&amp;auto=webp&amp;disable=upscale&amp;width=1200\" media=\"(max-width: 599px) and (min-device-pixel-ratio: 2),(max-width: 599px) and (-webkit-min-device-pixel-ratio: 2),(max-width: 599px) and (min-resolution: 2dppx),(max-width: 599px) and (min-resolution: 192dpi)\" \/><source srcset=\"https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE3\/merlin_162438261_c68512b6-96e7-4e39-808a-166583579772-mobileMasterAt3x.jpg?quality=75&amp;auto=webp&amp;disable=upscale&amp;width=1800\" media=\"(max-width: 599px) and (min-device-pixel-ratio: 1),(max-width: 599px) and (-webkit-min-device-pixel-ratio: 1),(max-width: 599px) and (min-resolution: 1dppx),(max-width: 599px) and (min-resolution: 96dpi)\" \/><img decoding=\"async\" src=\"https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE3\/merlin_162438261_c68512b6-96e7-4e39-808a-166583579772-articleLarge.jpg?quality=75&amp;auto=webp&amp;disable=upscale\" sizes=\"((min-width: 600px) and (max-width: 1004px)) 84vw, (min-width: 1005px) 60vw, 100vw\" srcset=\"https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE3\/merlin_162438261_c68512b6-96e7-4e39-808a-166583579772-articleLarge.jpg?quality=90&amp;auto=webp 600w,https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE3\/merlin_162438261_c68512b6-96e7-4e39-808a-166583579772-jumbo.jpg?quality=90&amp;auto=webp 1024w,https:\/\/static01.nyt.com\/images\/2019\/10\/09\/science\/09GENE3\/merlin_162438261_c68512b6-96e7-4e39-808a-166583579772-superJumbo.jpg?quality=90&amp;auto=webp 2048w\" alt=\"\" \/><\/picture><span class=\"css-8i9d0s e13ogyst0\" style=\"font-size: 1rem;\" aria-hidden=\"true\">\u201cAs a mom, I still feel hopeful,\u201d Ms. Vitarello said about her daughter\u2019s treatment.<\/span><span class=\"css-vuqh7u e1z0qqy90\" style=\"font-size: 1rem;\"><span class=\"css-1ly73wi e1tej78p0\">Credit<\/span>Nick Cote for The New York Times<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>(\uc6d0\ubb38: <a href=\"https:\/\/www.nytimes.com\/2019\/10\/09\/health\/mila-makovec-drug.html\">\uc5ec\uae30<\/a>\ub97c \ud074\ub9ad\ud558\uc138\uc694~)<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; An achievement in ultra-personalized medicine also raises questions about fairness and regulation. &nbsp; &nbsp; Julia Vitarello with her daughter, Mila, 8, who has<a href=\"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=4205\" class=\"more-link\">(more&#8230;)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[32,33,34,29,30],"tags":[],"class_list":["post-4205","post","type-post","status-publish","format-standard","hentry","category-essays-on-science","category-do-biology","category-lets-do-chemistry","category-lets-do-science","category-recent-science-news"],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack-related-posts":[{"id":1185,"url":"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=1185","url_meta":{"origin":4205,"position":0},"title":"A new portal for patient data","author":"biochemistry","date":"July 20, 2018","format":false,"excerpt":"\u00a0 \u00a0 (\uc6d0\ubb38: \uc5ec\uae30\ub97c \ud074\ub9ad\ud558\uc138\uc694~) \u00a0 Science\u00a0\u00a020 Jul 2018: Vol. 361, Issue 6399, pp. 212 DOI: 10.1126\/science.361.6399.212 \u00a0 Under pressure to be more transparent about the results of drug testing studies, some companies have begun to share anonymized patient data from clinical trials with approved researchers on secure websites. An\u2026","rel":"","context":"In &quot;Let's Do Biology!&quot;","block_context":{"text":"Let's Do Biology!","link":"https:\/\/biochemistry.khu.ac.kr\/lab\/?cat=33"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":2264,"url":"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=2264","url_meta":{"origin":4205,"position":1},"title":"Confronting conflict of interest","author":"biochemistry","date":"December 4, 2018","format":false,"excerpt":"\u00a0 \u00a0 Recent news stories about conflict of interest in biomedical research have shaken up public and private institutions alike, but their focus was on clinical research. Amidst the renewed focus on conflicts of interest in clinical work, let\u2019s not disregard the fact that financial conflicts also pose a concern\u2026","rel":"","context":"In &quot;Essays on Science&quot;","block_context":{"text":"Essays on Science","link":"https:\/\/biochemistry.khu.ac.kr\/lab\/?cat=32"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":3720,"url":"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=3720","url_meta":{"origin":4205,"position":2},"title":"Antisense therapies pose a regulatory conundrum","author":"biochemistry","date":"June 8, 2019","format":false,"excerpt":"\u00a0 \u00a0 A wave of customized medicines is coming, but are drug agencies ready? \u00a0 \u00a0 Congressman Steve King meets Jaci Hermstad. Lori Hermstad This is the second article in Nature Medicine\u2019s three-part series on personalized antisense oligonucleotides and the future of regulating them. Read the first story in the\u2026","rel":"","context":"In &quot;Let's Do Biology!&quot;","block_context":{"text":"Let's Do Biology!","link":"https:\/\/biochemistry.khu.ac.kr\/lab\/?cat=33"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":3003,"url":"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=3003","url_meta":{"origin":4205,"position":3},"title":"Cancer immunotherapy may have a dark side","author":"biochemistry","date":"March 29, 2019","format":false,"excerpt":"\u00a0 \u00a0 Although the 65-year-old woman had a rare type of endometrial cancer that had spread to her liver and was expected to be fatal, she still felt well enough to work and swim. As a last hope, her doctors gave her a type of immune-stimulating drug that had had\u2026","rel":"","context":"In &quot;Essays on Science&quot;","block_context":{"text":"Essays on Science","link":"https:\/\/biochemistry.khu.ac.kr\/lab\/?cat=32"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":4724,"url":"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=4724","url_meta":{"origin":4205,"position":4},"title":"After decades, progress against an \u2018undruggable\u2019 cancer target","author":"biochemistry","date":"November 2, 2019","format":false,"excerpt":"\u00a0 \u00a0 Cancer researchers are making progress toward a goal that has eluded them for more than 30 years: shrinking tumors by shutting off a protein called KRAS that drives growth in many cancer types. A new type of drug aimed at KRAS made tumors disappear in mice and shrank\u2026","rel":"","context":"In &quot;Essays on Science&quot;","block_context":{"text":"Essays on Science","link":"https:\/\/biochemistry.khu.ac.kr\/lab\/?cat=32"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":2237,"url":"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=2237","url_meta":{"origin":4205,"position":5},"title":"Industry is more alarmed about reproducibility than academia","author":"biochemistry","date":"December 3, 2018","format":false,"excerpt":"\u00a0 \u00a0 The reproducibility crisis in biomedical science seems to have alarmed industry more than the academic community (see\u00a0C. G. Begley and L. M. Ellis\u00a0Nature\u00a0483, 531\u2013533; 2012). In our view, this is because they have different yardsticks for success in research. Despite the advent of important new therapeutics, the number\u2026","rel":"","context":"In &quot;Essays on Science&quot;","block_context":{"text":"Essays on Science","link":"https:\/\/biochemistry.khu.ac.kr\/lab\/?cat=32"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_sharing_enabled":false,"jetpack_shortlink":"https:\/\/wp.me\/p9Xo1j-15P","_links":{"self":[{"href":"https:\/\/biochemistry.khu.ac.kr\/lab\/index.php?rest_route=\/wp\/v2\/posts\/4205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/biochemistry.khu.ac.kr\/lab\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/biochemistry.khu.ac.kr\/lab\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/biochemistry.khu.ac.kr\/lab\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/biochemistry.khu.ac.kr\/lab\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4205"}],"version-history":[{"count":1,"href":"https:\/\/biochemistry.khu.ac.kr\/lab\/index.php?rest_route=\/wp\/v2\/posts\/4205\/revisions"}],"predecessor-version":[{"id":4206,"href":"https:\/\/biochemistry.khu.ac.kr\/lab\/index.php?rest_route=\/wp\/v2\/posts\/4205\/revisions\/4206"}],"wp:attachment":[{"href":"https:\/\/biochemistry.khu.ac.kr\/lab\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4205"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/biochemistry.khu.ac.kr\/lab\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4205"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/biochemistry.khu.ac.kr\/lab\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}