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May• 2019 | 121
dren’s hospital in Ohio participate.
However, the ethics board and re-
search coordinators from the hos-
pital had concerns. Delivering an
enzyme directly to a child’s delicate
brain had never been done before,
and it was a scary prospect. “Even
with rare diseases where children are
dying, we don’t want to hasten their
death,” Dr de los Rey-
es explained.
She invited the hos-
pital’s decision-mak-
ers to her clinic to
meet children with
Batten disease. Some
had never seen an
aff licted patient. By
the end of the tour,
one of the research
directors was crying.
“Emily, we want to
help,” she said. Need
was weighed against
risk, and the hospi-
tal’s participation in
the trial was approved.
Three children were enrolled at
the Ohio site. One by one, starting in
December 2014, they had catheters
and ports inserted into their skulls.
After that, Dr de los Reyes used the
surgical implants to administer the
infusions.
Weeks passed, then months. None
of the three children got sicker. They
maintained their motor skills or even
made gains. “They were acquiring
new words, which is so important,”
said Dr de los Reyes. “They could tell
their family what they wanted.”
The first trial results weren’t
released until March 2016. On av-
erage, participants’ clinical decline
was 80 per cent slower than expect-
ed during the first 48 weeks of treat-
ment. In nearly two-thirds of cases,
the disease stabilised. Batten disease
effectively had been
halted in its tracks.
News of the results
reached the Beishes
in late January 2017.
Hollie immediate-
ly called Dr de Dr
los Reyes and left a
message: She wanted
Conner in the trial.
When Dr de los
Reyes called back, she
offered to evaluate
Conner as soon as the
Beishes could get him
to Ohio. On March
12, 2017, Hollie, Jeff
and Conner piled into the family’s
SU V for the eight-hour drive through
snow and slush for an appointment
the next day.
AG ON ISI NG WA I T
In the examination room, Conner sat
on a narrow green table, a sippy cup
in one hand. When Dr de los Reyes
came in, Hollie was struck by how
tiny she was – scarcely 1.5 metres tall.
“Hi, Conner,” said Dr de los Reyes.
“You’re holding that cup very well!”
Hollie
immediately
called Dr de
los Reyes
andleft a
message:
she wanted
Conner in
the trial