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Saturday, October 23, 2010 8:15 AM | Ken Torbert Volg link
Manitoba’s Opposition leader says the province should co-operate with

Saskatchewan to ensure that clinical trials on a controversial

treatment for multiple sclerosis get off the ground as soon as possible.




Hugh McFadyen said Friday that the two provinces have the highest rates of MS in Canada and, therefore, have the most at stake from such
trials.






Health Minister Theresa Oswald is advocating a pan-Canadian approach in studying the so-called ‘liberation’ treatment for MS, which involves
unblocking veins to increase blood flow from the brain. (The procedure

is available abroad, but not in Canada.)




But McFadyen called that a "delay tactic," terming the NDP government’s response as "slow and inadequate."




He said by waiting for a pan-Canadian plan Manitoba was essentially putting the fate of MS patients in the hands of jurisdictions that "may
not have the same level of interest" in pursuing the research.




"A pan-Canadian approach is a good thing if and when it materializes," he said in an interview. "What we’re saying is that until
such time that approach comes together let’s be leaders along with

Saskatchewan."




There are about 3,000 multiple sclerosis sufferers in Manitoba. A number of Canadians have travelled offshore to have the liberation
procedure done — with some reporting spectacular results. That has put

considerable pressure on governments to test the treatment here and make

it available.




Last week, Manitoba committed $500,000 towards pan-Canadian clinical trials, should researchers find it safe and ethical to carry them out.
Its strategy was endorsed by the Manitoba division of the Multiple

Sclerosis Society of Canada.




This week, Saskatchewan announced it was committing $5 million to launch province-based clinical trials. It said it will soon put out a
call for research proposals and expects to announce a research team

early next year.




Oswald was unavailable for comment on Friday.




Brian Postl, dean of the University of Manitoba faculty of medicine, said the proposed MS treatment presents a dilemma for politicians. On
one hand the scientific community is cautiously waiting for more

evidence before it proceeds with aggressive testing. But on the other

hand, MS sufferers and advocates are desperate to find solutions to the

complex and difficult illness. "The politicians are absolutely caught in

the middle and they’re trying to find ways to keep things going without

making commitments that are undoable," Postl said.




Clinical trials require large numbers of participants to be able to statistically conclude that a procedure works, he said. "It’s unlikely
any one province, certainly not any of the smaller provinces, can

generate enough numbers to do anything very definitive," he said of the

decision by Saskatchewan to strike out on its own, if necessary.




Meanwhile, Wendy O’Malley, president of the Manitoba division of the Multiple Sclerosis Society of Canada, said while there have been some
reported success stories involving the liberation treatment, "we know

for some people that it hasn’t worked."




She said that while she applauds Saskatchewan’s initiative, there is no reason to say that Manitoba’s approach places it behind its neighbour
in achieving results for patients. That’s because no one can proceed

with clinical trials until researchers are assured that they are safe,

she said.




larry.kusch@freepress.mb.ca




http://www.winnipegfreepress.com/breakingnews/NDP-need-to-do-more-for-MS-sufferers-McFadyen-105529443.html