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“This Tiny, Unknown Biotech is About to Unleash Its ‘Holy Grail’ Drug”

Biotech Supertrader teases that "This May be the Most Radical Advance in Medicine in the Last 100 Years"

By Travis Johnson, Stock Gumshoe, January 8, 2014

Robert Morris is helming a biotech-focused stock newsletter that’s called Biotech Supertrader (modesty has no place in the world of newsletter promotions, of course), and I’ve never covered this letter before so I thought I ought to have a look at the latest teaser we’ve been asked about.

Morris, incidentally, has been featured in our pages before — but that was back when he was editor of China Stock Insider at the same publisher. That letter, like almost all China-focused investment newsletters, seems to have disappeared quietly into that good night … which probably tells you that it’s time to invest in China again, since the newsletter publishers are ignoring the Middle Kingdom and rushing out their pitches about biotech and tech stocks. At the time, Morris was teasing NQ Mobile (NQ), which has turned out to be pretty good if you bought it down there in the $6-8 neighborhood (though it’s been a wild ride).

So now what’s he pitching for his Biotech Supertrader?

Well, the destruction of “Man’s deadliest disease”, of course. Here’s how the teaser gets our attention:

“This Tiny, Unknown Biotech is About to Unleash Its ‘Holy Grail’ Drug on Man’s Deadliest Disease

“Their ‘Guided Missile Approach’ Could Save Thousands of Lives Each Year

“It’s about to become the most talked about advancement in cancer treatment in our lifetimes and you can lock in a life-transforming fortune if you act quickly….

“I’m urging my subscribers to load up on this stock NOW….

“I’ve just uncovered a tiny, unknown biotechnology company with a new cancer drug in phase 3 clinical trials which is showing remarkable success at treating several types of cancer.

“Their scientists have found an innovative approach to cancer care which involves a breakthrough in treatment. It goes deep inside the inner workings of our cells.

“Plus, this medicine looks to be many times more effective and with fewer side effects than the chemo, radiation, and drug therapies currently available.”

If there’s one thing that investors know can make them rich and make them feel good about themselves and the world, it’s a cure for cancer — we’ve seen that effective cancer treatments can and do (occasionally) turn little biotech stocks into gigantic successes, so the dream lives on that you’re going to catch one of these lottery tickets and own the next Genentech. Will we be so lucky? Well, let’s see which one he’s pitching:

“When this drug wins FDA approval – which I believe it will – this small company’s $4.16 stock price will go straight to the moon.

“And the market for this drug is absolutely huge!

“You see, this small biotech is targeting its new drug, let’s call it ‘drug S’, at cancers of the blood and bone marrow. And it is already in very promising phase 3 trials for these two types of cancer.

“But here’s where it gets really interesting. It looks like the drug this company is developing will also work on other types of cancer!

“There are positive signs it works on Non-Small Cell Lung Cancer (NSCLC) too. There are 1.1 million people with this type of malignancy. Just in the United States alone there are over 300,000 patients with this disease according to The American Cancer Society. Each desperate for a cure.

“Plus it looks like ‘drug S’ may turn out to be an effective treatment for ovarian Cancer. There are more than 204,000 new cases of ovarian cancer diagnosed worldwide each year with 22,280 of these in the United States according to the National Cancer Institute estimates.”

So … who is it? Thinkolator sez this is Cyclacel Pharmaceuticals (CYCC)

Cyclacel is indeed a little biotech around $4 (it closed at $4.35 yesterday), with a market capitalization of only about $80 million — so be careful, we’re a big enough group here that if just a small percentage of Stock Gumshoe readers got enthused about this stock it could drive the shares up, less than a million dollars worth of shares trade each day (Biotech Supertrader says they limited their readership to 750 people — I don’t know if that’s still their cap or if they’ve hit it, but we’ll have more folks than that reading this free article).

And like many biotech stocks, it’s got some impressive scientists and it’s been losing money for a long time as they’ve been searching for a viable drug (their current lead drug also was a big focus of theirs back when it was in Phase 1 trials five or more years ago, so that’s a good reminder of the time these things take, it’s just starting Phase 3 trials now). It looks like they must have gone public in 2004, when they were about eight years old, and a quick scan of ten years of their financials over at Morningstar indicates that they’ve never generated more than a token amount of revenue (meaning, they’ve probably had some research collaboration payments or partnership funding, but never got a product to market), and have accumulated more than $250 million in losses to date. And had two reverse splits to keep the price from sinking far into penny territory.

So that’s not unusual, but it means that — as with all developmental-stage biotechs — it’s not about the financials or the fundamentals, it’s about what’s going to happen in their clinical trials and whether things are going well enough that they can continue to finance the trials … which get much more expensive as you progress through Phase 2 and Phase 3.

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All I know about them so far is that they say they’ve got enough cash to get through enrollment in their key Phase 3 study for “drug S” (which is sapacitabine) as of September when they last updated their investor presentation, but I know nothing about the science or the competing cancer drugs that are out there or how fabulous this particular one might be, so I asked our favorite medical writer, Doc Gumshoe (who, yes, is not a doctor) to check them out quickly and chime in. Here’s what he could share after looking into them for a few minutes (he’s just looking at the medical stuff, not so much the “investor presentations”):

    Cyclacel’s Prospects

    Cyclacel has three drugs in development at this time, and is involved in eight clinical trials with these drugs, not including two clinical trials that have been terminated. Their top contender is sapacitabine which targets the division of cancer cells. If you can prevent cancer cells from dividing and reproducing, you have the cancer whipped, so targeting cancer cell division (or mitosis, which is the technical term) is a highly promising avenue for treating cancer. However, we need to take note of the fact that sapacitabine is one of a large number of drugs that propose to fight cancer by this method.

    At present, all eight of Cyclacel’s clinical trials involve sapacitabine. Of these, at least one has been completed – a Phase 1 study of the safety and pharmacology of the drug. Four others are current, with no information about results. These are likely Phase 1 or small Phase 2 studies, to assess safety, determine what a correct dose might be, and evaluate whether the drug does what it’s supposed to do in human subjects with the target diseases, which in this case include acute myeloid leukemia (AML), cutaneous T-cell lymphoma, and some advanced solid tumors. Prior to the clinical trials, sapacitabine has demonstrated impressive results in delaying the spread of metastatic liver cancers in mice.

    From what I can gather from public sources (i.e., the NIH Clinical Trials Registry), there is one Phase 3 trial, which started recruiting patients in February of 2013 and is expected to be completed in late 2015. The trial is in elderly patients with AML, and compares alternating cycles of sapacitabine and decitabine with decitabine alone. Decitabine (Dacogen) is FDA-approved for treating AML and also targets cancer cells’ replication by attacking their DNA.

    It is possible that the Phase 3 trial by itself could lead to FDA approval for sapacitabine, depending on the strength of the results. However, that trial would not get the drug approved for use as monotherapy, since it is not being investigated as monotherapy. My guess is that Cyclacel is planning more trials of sapacitabine as monotherapy, perhaps in younger patients. And my further guess is that FDA approval is still quite a long way off.

    Sapacitabine is also in a Phase 3 trial with cyclophosphamide and rituximab for the treatment of relapsed chronic lymphocytic leukemia. Cyclophosphamide (marketed under several trade names) is a well-established chemotherapy agent used in a number of cancers, and has led to remission in many cases; however, it is associated with truly harrowing adverse effects. Rituximab (Rituxan, Genentech) is used not only in cancers but in some autoimmune diseases. And sapacitabine is also being studied in patients with previously-treated non-small-cell lung cancers.

    Although the piece from Biotech Supertrader said that the drug – identified as “drug S” –is also a promising treatment for ovarian cancer, I find no clue that it is being studied in such patients. [ed note: that’s because that “promise” is in the lab still, not in people — they had a press release about this in the Fall, “75% of Ovarian Cancer Patient Samples Highly Sensitive to Sapacitabine”, not studied in patients but on patient samples]

    Cyclacel has two other drugs in development: selicilib and a drug designated as CYC116. One selicilib study has been terminated, and in a second Phase 1 study, selicilib is used with sapacitabine in patients with advanced solid tumors. Remember, however, that Phase 1 studies are many rungs of the ladder below what’s needed to gain FDA approval.

    CYC116 is an aurora kinase inhibitor, meaning that it blocks the action of an intracellular enzyme that facilitates cancer cell mitosis. This is a promising avenue of cancer treatment, however, the traffic on this avenue is fairly heavy, and includes several other classes of drugs including tyrosine kinase inhibitors, and taxol based agents such as paclitaxel (Taxol, Bristol Myers Squibb); docetaxel (Taxotere, Sanofi-Aventis), Abraxane (a newer formulation of paclitaxel from Celgene) and others.

    CYC116 supposedly also inhibits vascular endothelial growth factor (VEGF), which induces the growth of blood vessels that nourish cancer cells. Inhibiting VEGF is a well-established means of combating cancer, and CYC116 could hardly be characterized as a radically new departure in cancer treatment.

    The one trial involving this agent has been terminated. That, of course, does not mean that development of CYC116 stops dead in its tracks – there are many reasons why a trial can be terminated, and ours is not to speculate without more information.

    Beyond those three drugs, it’s hard to guess what Cyclacel may have up its corporate sleeve. It is certainly true that a successful cancer drug – even if only moderately successful– can be transformational for the biotech that develops the drug. But the drugs that Cyclacel has under development do not appear to this skeptical observer to be radically new departures in cancer treatment.

    It’s important to remember, when trying to estimate the likelihood of a single drug demonstrating sufficient efficacy and safety to gain FDA approval and market share, that the competitive field is vast. As I mentioned earlier, Cyclacel has a total of 8 clinical trials in process at this time.

    For the sake of perspective, it’s worth knowing that at present there are 41,445 cancer trials being conducted. So those are the odds.

So there you have it — it’s almost impossible to find a development-stage biotech whose financials look great or that makes your heart go pit-a-pat over their valuation, especially in a biotech bull market like we’ve seen over the past year or so, and Cyclacel doesn’t jump out as spectacular on that front either, not unless you’re a big believer in the promise of their specific drug. They’re a small stock and they don’t get much attention, other than from the analysts who probably helped them sell shares in secondary offerings in recent years, and there aren’t any major “skin in the game” insiders as far as I can tell (the CEO owns $1 million worth of shares, but he gets paid more than that every year), and there’s only one really focused owner on the institutional side that seems to have any kind of biotech focus (Eastern Capital owns about 7% of the shares, roughly $5 million worth … don’t know much about them).

So I don’t see a lot to make them stand out other than Robert Morris’ apparent enthusiasm for the shares (which certainly goes over the top, he calls his special report “The End of Cancer Worries Forever“), and I don’t know enough about the science to be a believer (though, to be fair, I almost never speculate on developmental biotechs because they’re so hit-driven and I’m not smart enough to be a hit-picker in the sector). It is at least encouraging that they are enrolling patients for Phase 3, and that they probably won’t have to raise more money before they have some indication of how the trial is going, but sometime in the next year or two they’re probably going to have to either get good results from this trial that let them raise cash at a good price, or have promising enough results that some big pharma company wants to jump in and help fund development of “drug S” (or just buy up the whole company, as happens with some regularity when a little biotech gets promising results).

Oh, and they are presenting at an investor conference next week, so maybe they’ll have something interesting to share then. As you can tell, this one doesn’t jump into my cup of tea … but these kinds of stocks almost never do. Sound interesting to you? Interested in the science or the lottery-ticket possibilities of $80-million developmental biotechs? Have any experience with Robert Morris or know whether or not we should consider him a biotech savant? Let us know with a comment below.

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Leslie
Leslie
January 28, 2014 10:16 pm

Wondering as well what Dr. K and others may think of Exelixis. EXEL’s primary compound, Cometriq (Cabozantinib), has been approved for MTC and is in P3 trials for late stage CRPC, MHC, MRC. Cabo is a VEGF and MET inhibitor that has shown novel clinical activity in reduction of bone lesions and accompanying pain. It nears unblinding of P3 trials.

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sivapann
Member
sivapann
January 28, 2014 10:37 pm

Tanglewood: Guess I didn’t state the looming issue correctly. Very soon, we will hit 2000 messages and the page will take 2 minutes to load. I will not mind if we are able to post our comments from our mailbox to stockgumshoe. You and I have to come to this page to post comments and that will be painful in the next few days is my grouse.

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RHandyman
Member
RHandyman
January 29, 2014 12:45 am
Reply to  sivapann

Dr. Karma I really appreciate your willingness to share your knowledge. Earlier you spoke of a company using Rose Vera to dye melanoma cells. I came across a company using light to detect skin cancer and would appreciate your take on this company, Mela Sciences (MELA). Also in the nano spectrum is Nano Viricides (NNVC), in your opinion is there science worthwhile in the treatment of HBV, HCV, INF, HSV and AIDS. Appreciate any comments or insight.

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kwoodj
January 29, 2014 9:40 pm
Reply to  sivapann

I’ll gladly wait 2 minutes for this great information!

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Brandon
Guest
Brandon
January 29, 2014 2:40 am

Dr. K,
CTIX does look good, but its cash is almost gone. Shouldn’t you wait for a new round of dilution before jumping in? I also checked out the girls in the RNN website, not bad…good looks and brain…if only they are the real employees there!

Vermelle benoit
Guest
Vermelle benoit
January 29, 2014 5:47 am

hello, a news about GENFIT
http://genfit.com/fileadmin/press/press/press_release/2014.01.29_PR_GENFIT_GFT505___cancer.pdf

I m french, sorry i don’t write very well

Vermelle benoit
Guest
sivapann
Member
sivapann
January 29, 2014 10:50 am

Stem cell breakthrough: Japanese scientists discover way to create ’embryonic-like’ cells without the ethical dilemma

Scientists have created embryonic-like stem cells by simply bathing ordinary skin or blood cells in a weak acid solution for half an hour in an astonishing breakthrough that could allow doctors in the future to repair diseased tissue with a patient’s own cells.

http://www.independent.co.uk/news/science/stem-cell-breakthrough-japanese-scientists-discover-way-to-create-embryoniclike-cells-without-the-ethical-dilemma-9093235.html

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radhawaii
radhawaii
January 30, 2014 2:23 am
Reply to  sivapann

Suggest you read chapter 7 of Suzanne Somers’ book “Bombshell”–an interview with Dr. Abraham Morgentaler, associate clinical professor of urology at Harvard Medical School. Connection between testosterone and prostate cancer debunked. Kind of scary how this connection and treatment was ever approved.

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karmaswimswami
January 29, 2014 12:12 pm

Tanglewood: I am sorry that you are in a plight with prostate cancer. I do think it is important for me to be honest and clear about the fact that I am not a urologist. My main point about testosterone and prostate cancer is not so much that the tumor is oblivious to hormones, but rather that testosterone gets converted in men (especially obese men) to estrogen, and that the latter maybe wreaking more havoc than the testosterone. Thus castration may help by getting rid of a source of what becomes estrogen. Castration (I prefer to call it orchiectomy…fewer horror connotations) is clearly a sobering step not to be taken lightly, and there are agents that are anti-androgenic and that also block gonadotropin releasing hormones. I honestly might consider asking your urologist if he would mind you just getting a second opinion with someone who can look at the totality of your data, which is unique to you and which I do not have access to. That person should also examine you, which I can’t, and take stock of all your intercurrent issues if you have any. Tell your doctor you are not displeased with him. A good doctor won’t be offended by you wanting a second opinion for a major step that there is no going back on.

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karmaswimswami
January 29, 2014 1:27 pm

We have sometimes spoken here about biotech companies whose shares may get bought up in a feeding frenzy because of public perception, even though their science isn’t so great. Evoke Pharma (EVOK) is setting up to be such an opportunity. How this company got to be a 67 million dollar one on the NASDAQ I have no idea. But it is pursuing a metoclopramide nasal spray for gastroparesis. This is an age-old dirt-cheap drug that they are about to reinvent for an enormously common problem in all diabetics. The phase III trial won’t be finished til 2015, but frankly, I would be utterly dumbstruck if this is not FDA approved. Their preliminary evidence is that it works faster intranasally than orally (which I am sure it does). It would be hard for me personally to get all amped up about putting money in something as low-tech and non-original as this, but believe me, once that agent is approved, it will be prescribed like candy and handed out like Tylenol. Everybody will be on it. There will be huge fanfare, that will cool off after a year when everybody realizes that tachyphylaxis sets in. But during the first infatuative phase after approval, yeah, this stock will do well. They will make billions on this.

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Alan Harris
Guest
Alan Harris
January 29, 2014 4:08 pm

Swami….post #254. You have told us youre ‘….. long, CELG, AGN, ARNA, NVO, CBST and SLNCF. And ISRG.” sinc they were babies. Now theyre toddlers, would YOU still consider investing?

karmaswimswami
January 29, 2014 5:43 pm

Alan: re: the longs: Celgene yes. A brilliant company with many positive surprises in store, AGN probably because they are in an acquisition spree and trying to diversify. They were too much a botox one-trick pony, and the days of broadening indications for botox are gone. CBST probably, because even though there has been some insider selling, this company executes well and keeps delivering. It is speculative but I just wonder if some pairing with CTIX over brilacidin could be in the offing. ISRG probably not….uncertain future, and unclear if it will ever again see the grandiose highs of 2012. The others are I-don’t-knows. Novo Nordisk clearly is ambitious, but I know of no surprises to expect. I got in before the big runup they have had over GLP-1 drugs and before they released recombinant factor VII. Arena could surprise and could falter. Its one drug lorcaserin is likely to be a good seller for weight loss but not a blockbuster. Silence (SLNCF) is a brilliant company near you, but that is just what they are: silent most of the time about their prospects. I get the impression that companies there are often not carved up, analyzed and dissected by analysts the way they are here. I think they will stay mysterious and then shock the world with great news, but I have no sense of when. I am long on a few old and big pharma titans because I think they will always gradually appreciate, But here we are mostly looking at biotech that we think may really grow in value. Discerning which will prosper, which will get snagged despite great science, and which are (deliberately or not) leading people astray is hard work.

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Alan Harris
Guest
Alan Harris
January 29, 2014 5:50 pm
Reply to  karmaswimswami

Thanks….and I will defend you against ANYONE (inc me) who complains that you didnt provide a free crystal ball.

sfimar
sfimar
January 29, 2014 6:32 pm

Let me say this again, the conversation we have here is amazing…I really like to learn more and more about small biotech companies, I enjoy Dr. Karma comments a lot and I am a proud owner of a couple thousand shares of BLT.AX…just the way I like Mirton’s messages and decided to invest with RGX.TO

What I try to say is that I have found here a lot of good info about small companies, with very little “deep” analysis anywhere else and all thanks to people like Dr. Karma and Mirton who share their knowledge with us.

Thanks once more!! and lets keep this conversation going on for many months to come…and I am with Alan…no complaints whatsoever about one of the companies going down or crashing, we are all “big boys” now and should know what we do with our money…

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sivapann
Member
sivapann
January 29, 2014 7:21 pm

On TT-034 study, when is the P1 planned to be complete? Not sure if this was answered before, but the clinical trials system gives me an “Estimated Completion Date” of January 2016.
http://www.clinicaltrials.gov/ct2/show/record/NCT01899092?term=shrna&rank=5

I also read somewhere that they will be kind of providing running commentary on the progress. Any insights on how these trial results will be announced?

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Andy Bell
Andy Bell
January 29, 2014 9:54 pm

The phase one TT-034 study is going to be completed In Jan. 2016?? Wow! Thank you
for researching this question Siva Panneerselvam! Gilead’s sovaldi and ABBV’S new
HCV drug will have quite a first mover advantage over any Benitech offering. And when
might the Phase II and Phase III trials be complete? 2020 like people with excellent vision? Maybe we should be thinking of Benitech as an intellectual property company
and not a drug development one. On their website graphics page, their HIV drug
candidate should be ready long before their TT-034 product. Thanks again Siva.

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sivapann
Member
sivapann
January 29, 2014 11:41 pm
Reply to  Andy Bell

This is what the system says:
Study Start Date: January 2014
Estimated Study Completion Date: January 2016
Estimated Primary Completion Date: September 2015 (Final data collection date for primary outcome measure)

I would guess that as the company reports progress and if they are phenomenal, the valuation should go up. Also any of its licensees’ results will also help validate its science and that will push the capitalization up. So we should start tracking the progress of all of its licensees 🙂

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JJ
Guest
JJ
January 30, 2014 1:59 am
Reply to  Andy Bell

Blockbusters don’t do PIII they ask for Breakthrough Therapy Designation. TT-034’s trial is an adaptive PI/II design and protocols can be amended on preliminary results. Benitec plans on adding additional participants if/once safety and efficacy are shown at additional sites in Australia and Europe. If this one shot drug works, it will be approved by Jan 2016 and will be a fraction of the price of other therapies.

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William Bogert
Irregular
William Bogert
January 29, 2014 10:09 pm

Dr. KSS….just wondering if you have heard of another company doing stem cell science–ISCO. I invested early and have done well and their tech seems viable from a layman’s perspective. Any comments would be greatly appreciated.
Bogey

RHandyman
Member
RHandyman
January 29, 2014 11:21 pm
Reply to  William Bogert

Bogey
I thought I read something on this company, check comment #224, Dr. Karma commented on this one couple of days ago.

William Bogert
Irregular
William Bogert
January 31, 2014 2:20 pm
Reply to  RHandyman

Thanks! Got it.

karmaswimswami
January 30, 2014 10:11 am

To Andy Bell and Siva: You are misconstruing things about Benitec. If you look at databases such as clinicaltrials.gov, studies such as the one we are discussing always have later-than-realistic stop dates. All of them. The TT-034 story will be over well before 2016. That is merely the date by which they anticipate having all study analyses done, a point by which they are sure they won’t be going back to the patients asking for another serum sample or another biopsy. Studies are written up this way to leave room for conducting post hoc analyses without having to get re-approval from the FDA or an institutional review board. A study that will have all its work done by the end of year n is going to have a completion date of year n+2 or higher. It’s the way things are done.

I have made all of these points before, but since it has come up again, I will resummarize. As regards HCV and drugs for it, sorry Andy, but you mistaken and do not seem to understand what it going on at all. Gilead is a long way from controlling the market with sofosbuvir because Medicaid formularies are not picking it up. Abbvie’s drugs are a long way from approval, and you are completely ignoring Bristol Meyers Squibb. In fact, this subject, this space, is so vast and complicated, it would take me one post that is the length of this whole thread to report all that is going on in HCV. This is my specialty and I get at least 50 news items, reports of clinical trials, updates on others, abstracts, reports from the FDA, manuscripts and reports from companies every day. And, as I have said before, the upshot of what I know is that Benitec interests me most and is best poised to shake up the field and topple others.

All HCV patients have a virus burden. The burden is measured on serum using reverse transcription polymeriase chain reaction, and is reported in either copies of HCV genome per milliliter of blood, or more usually in international units per milliliter of blood (for arcane reasons). It is also always rendered in its base 10 logarithm value. For those who don’t understand logs, here is all you need to know. The log of something is the base 10 exponent needed to create the number in question. The log of 1000 is 3 as 1000 is 10 exponentiated to the third power, 10 x 10 x 10. Logs are used because they are an easy way of comparing large numbers. A 1-log reduction in something is a 90 per cent reduction. 2 logs is 99 per cent. 3 logs is 99.9 per cent.

In treating HCV, there are validated mathematical models showing that how rapidly virus clears in response to initiation of treatment reveals who will be cured and who will remain persistently infected. The first model was that a patient needed a 2-log decrement by week 12 on therapy. That has been refined somewhat, and we know now that if there is not a 2-log decrement by week 4 that treatment really needs extension. This can be further refined for the various genotypes.

Each HCV patient has a baseline virus burden. It never changes unless something fundamental happens to the patient. A typical virus burden for a genotype Ia patient would be one million IU/mL, log 6. If that patient got cancer and received chemo, virus burden would surge to log 7 quickly and might touch log 8. We often speak of the immune system being ineffective against HCV, but of course if that were true, each HCV patient would have a virus burden that goes inexorably up. This never happens. One’s immune system seems to choose a level at which to keep it. Why the immune system does that with this virus is not understood fully.

Benitec’s first TT-034 patients have already been dosed. 28 days afer that first dose, the protocol calls for them to have repeat HCV RNA by RT-PCR done. Even if the does of TT-034 they got was in the deliberately subtherapeutic arm, my view is that something will happen. A subtherapeutic dose is going to affect virus kinetics. It may not be a huge drop, but if there is a drop at all, that drop is not capricious. It means the agent is doing something. If a patient has more than a 0.3 log change, people are going to really wish they had been in Benitec.

What I wish we could all know on this is if Australia has reporting requirements similar to those of our SEC here. I will ask my friend there. If Benitec insiders start buying, they will buy on the ASX, not here.

My view is that the first 28-day data point will be intensely closely watched. Maybe it is my ornate imagination, but here is what I think could happen. Gilead’s executive vice president for HCV is John McHutchinson, an Australian physician. Much of the great work as regards IFN and ribavirin therapy for HCV was done by McHutchinson when he was at Scripps. He was lured to Duke, one of two trial sites for TT-034. In many ways, i wish Benitec had not chosen Duke for this trial because Duke is a gossipy, porous institution where people do not always keep their mouths shut. It is an extremely young institution that has been through radical changes in the last two decades as it has grown in eminence. It is still in what remains a very small town and is run by those small town people and the fact is that southerners love to gossip. Southerners melt when they hear British and Australian accents, and so McHutchinson was very socially successful at Duke (though he alienated Schering Plough with some remarks). Do not think for a second he is not following this trial. And do not doubt that as the third week of February rolls around, he is going to be on the phone……to some study nurse there he remembers, to some PA who used to work for him. He is going to be asking…..heard anything about Benitec? He is not a bad guy. He is a good clinician and scientist. This is just how the system works.

Gilead has been on an acquisitive tear starting with Triangle Pharmaceuticals in 1999. Since that buy, they have bought 12 other companies, and yet little of that acquired property has been converted into profit channels for Gilead. Gilead paid 11 billion dollars to acquire Pharmasett just to get sofosbuvir, and after they paid that, they paid billions more for further studies of it. Gilead right now is literally years away from being in the black on sofosbuvir. Every morning I get a new blurb….someone else is refusing to pay $83,000 for 12 weeks of sofosbuvir. Gilead has deliberately put itself on a path of managing HCV in a way that does not use HCV proteinase inhibitors (for Gilead, all HCV can be cured with 12 weeks of a fixed combo of sofosbuvir and ledipasvir…both Gilead agents). They did this both because the data support it but also to torpedo all the companies that have in aggregate spent well over 100 billion developing PI’s: Vertex, Merck, Janssen, Boehringer, AbbVie and others. They are doing this to be brutarian because they must be that way to SURVIVE. The whole investing community misses one key thing about Gilead: doctors mostly hate them! Doctors look for reasons NOT to prescribe Gilead drugs because there is a view that their prices are confiscatory. Doctors resent that there literally was fraud in Gilead’s Tamiflu development. Tamiflu does NOTHING for flu, and Gilead concealed data showing that it does nothing.

Right now, this little Australian biotech that no one has heard of has an HCV strategy that could topple Gilead’s ability to stay solvent because Gilead has leveraged itself so deeply to control the HCV drug market. McHutchinson is worried. Has to be. He will be making some phone calls.

So anyway, if BLTor BNIKF shares start popping up mysteriously in February, we are going to know. I am sure Benitec plans to present a poster or talk at the 9-13 April 2014 European Association for Study of Liver conference in London. They planned the timing of this study so as to be able to release data there, and it will probably come in the form of a late-breaking abstract that does not get published but gets presented at the meeting.

I realize that over time many column inches here have been devoted to Benitec, and it has not been my intent to subvert the thread. No investor is ever always successful and even though some very smart money is riding on Benitec, yes, we could be wrong. I have merely tried to use the thinking methodology I have used to pick many other winners in picking this one. I am occasionally wrong, but am correct far more often. I truly think the science of Benitec is too sophisticated for most to grasp. Some time back, I posted something on a physician only site about ddRNAi and TT-034 just to see if others were interested. It wasn’t about investing. No one responded to it except for one person who wrote in and said “This is WAY beyond most of us. Don’t think anybody will be interested.” Doctors are not intellectual as a group. So I guess what I am saying is that the medical community and investors are just mostly oblivious to what is going on. Benitec has stealth. If you feel you can afford to sit this one out, do so. But the train is in motion and pulling out of the station .

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ockrazor
ockrazor
January 30, 2014 12:30 pm
Reply to  karmaswimswami

Thanks again for the color.

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ockrazor
ockrazor
January 30, 2014 1:22 pm
Reply to  ockrazor

Just read the piece from Quantas as well as the interview from bloomberg.
Where are Fire and Mello? Are they at some Biotech now? Is the real difference between what they are doing and BLT the administration amount?

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ockrazor
ockrazor
January 30, 2014 1:28 pm
Reply to  ockrazor

From the Quantas article it appears the technolgy exists it is more of a one shot solution. Just asking.

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sivapann
Member
sivapann
January 30, 2014 9:32 pm
Reply to  karmaswimswami

Thank you Dr. KSS. I do believe that as reports start coming out as the trial progresses and if the data is positive, the valuation will increase. I’m super excited about this stock. I did notice today that Ameritrade started showing the Bid and Ask which weren’t available before.

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DBMD
Irregular
DBMD
January 31, 2014 4:52 pm
Reply to  karmaswimswami

#273 l am an ER physician, and less cerebral than an MD, PhD. However, I did purchase Pharmasset and made some quick money becoming a share holder in Gilead again. I’ve followed this feed since it began and have read with interest some of the articles by Doc Gumshoe (very well done). I recognized the genius of Dr KSS right away, and knew he wasn’t just blowing smoke. His compassion is amazing considering what time constraints he must have. I’ll add some brief thoughts in the age of the ACA, Obamacare. The US has the largest Healthcare market and most innovations. This administration’s signature policy is failing. To look good money will be directed to healthcare to make it look like the government is irradicating cancer, and diseases like HCV,HBV, HIV, and HPV. Another aspect to look at besides disruptive, ground breaking science, market need and financials is will the government promote it. Government funds will eventually be involved, and more so for political then beneficence to the people.

Aside for Dr KSS. I did not notice your mention of 5 alpha reductase inhibitors (avodart! Dutasteride; proscar, finasteride) in prostate Ca. The apparent mechanism with pattern baldness, BPH, and acne have not been as helpful as hoped. In prostate Ca is it a promoter of Ca through blocking testosterone and thus having estrogen unopposed leading to more aggressive prostate cancer? If they worked for all the maladies above what a block buster drug, but if future drugs blocked more receptors and worked better at blocking Testosterone, then higher grade cancer should result from the estrogen effect.

Regarding the sublingual Reglan, metoclopramide drug, it is great for migraines IV, and may havehave a similar effect for SL. It is the only anti emetic that is category B for pregnancy, and would have an excellent delivery system.

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roblites
roblites
January 30, 2014 10:45 am

I own about 60+ “Micrbios” and the one I’m most excited about is CTSO which has been mentioned previously. Their 1-15-2014 presentation has gotten some recent attention and an increase in price, but you’re in on the ground floor. Note the people involved. Impressive.
http://www.cytosorbents.com/news.htm
Investors-News Media- CytoSorbents 2013 – The Rise of an Emerging Critical Care Immunotherapy Company (good overview)
Wednesday January 15, 2014
competition that is not exactly in their niche:
Terumo Medical…TRUMF OR TRUMY,
Aethion Medical…AEMD
Pall…PLL
Blood Filtration makes so much sense. Take a look.

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karmaswimswami
January 30, 2014 2:31 pm

Some cancellations because of weather, so a few thoughts.

I am still studying CTSO. The reason I am hesitant to say yes, get in, is that the company’s tech goes after cytokines, “evil humors,” released into blood in response to sepsis, trauma, and multi-organ failure. And they are selling in the EU. But I worry that the technology ignores the fact that where interleukins and interferons work is at a cell level, and that in many of these cases, cytokines are being poured out in tissues and are acting locally rather than in the blood. Tissue represents a distribution compartment with which blood is in equilibrium. A technology vaguely similar to what CTSO is offering is the older but still used method of plasmapheresis or plasma exchange. In this technique, blood is siphoned off by a central line, and gently spun to separate cells. Supernatant is discarded and replaced with fresh frozen plasma. Plasmapheresis has been used for cytokine storm, and isn’t effective. It is still used for thrombotic thrombocytopenic purpura, the deadly brain and kidney destroying process that gets initiated by H7017 E coli tainted beef. And yet for TTP, it takes at least 10 days for plasmapheresis to begin working. That is felt to be because the toxin is systemic, in tissue, as cytokines are.

We have talked a lot here about gene silencing, which means either turning off transcription from DNA as with locked oligonucleotides, or interfering with RNA translation into protein, as with silencing/inhibitory RNA. RNAi work has taken years to get going. It was widely dreamt about in the mid 90’s, but the perception then was that it could never work, for one reason: while RNA is stable, RNases abound. They are ubiquitous and hard to inactivate. The feeling was that you could administer all the RNA in the world, and none of it would reach a cell because it would get degraded during the trip. It has long been speculated, joked about, that Asian scientists make better cloners than other races do because Asian skin secretions have so little RNase activity compared with other ethnicities. When you work with RNA, you become paranoid because everything you touch will ruin your experiment if it touches your work. Glassware and instruments must be treated comprehensively to inactive RNases. Whenever an RNA experiment has a null result, it needs to be repeated 3 times to be sure that RNA wasn’t just degraded accidentally.

So, RNAi shuts down protein synthesis in a highly selective targeted way (the nanobot in the barn analogy). You either have to give naked RNAI in a way that gets it into cells and to the nucleus. Alnylam has accomplished that by conjugating RNA to a molecule called GalNAc, which trafficks the RNAi to the asialoglyocprotein receptor on liver cells. Arrowhead is doing it with naked RNAi conjugated to lipid so that the RNA gets taken up by cholesterol receptors. And for anyone doubing RNAi and virus hepatitis, just look at what Arrowhead did with hepatitis B! They took an HBV-infected chimp. These chimps are very very expensive, and also have all been subjected to many drug trials. As a result they have mutated, resistant, ugly hepatitis B. The gave the chimp their drug. The chimp began with levels of hepatitis B surface antigen, E antigen, and DNA in blood wildly higher than you would ever see in a human. In a brief time, the chimp had a 3-log-order drop in these, something NO drug could possibly accomplish. This is why it would be foolish to bet Benitec’s agent won’t work for HCV. And if it does work for HCV, then they rejigger their virus vector to go after HBV.

The Benitec method is to put DNA in the cell that makes the RNAi and can continue making it for months. No giving shots over and over of RNA. A virus proven not to be harmful and that goes to liver does the work. And of course if the Benitec method is working, then Benitec could quickly become not only a gene silencing company, but a gene therapy company. Put good genes in their adenoviral vectors and administer them to overcome congenital illnesses owing to mutant proteins. There are literally thousands of these conditions. This is a reboot of the Gelsinger case at Penn, where the kid died, but he died not because the method was flawed but because of technical considerations that were ignored.

We covered here Marina Bio, which is trying to give RNA by having bacteria encoding with their DNA, and then also giving the bacteria a gene that makes them invade normal host cells. Personally I feel this is extremely risky. It will probably not succeed, but if it does, it represents a true biohazard! If bacteria like that get into the wild and all “learn” to invade normal cells, harmless, friendly bacteria become lethal. I feel that at some point an ethical authority is going to say no more to this.

Someone asked about Fire and Mello. Craig Mello started RXi Pharma. I am keeping an eye on them, but at this juncture I don’t regard them as going in an interesting or viable direction. As far as I know, Andrew Fire isn’t with a company. Remember, however, that Michael Graham, who started Benitec, is widely regarded as having been stood up for the Nobel. Nobels in science can go to up to three persons, and many feel he should have been the third alongside Fire and Mello for discovering RNAi, in his case, ddRNAi.

Today’s CELG pullback may be a good opportunity.

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ockrazor
ockrazor
January 30, 2014 3:36 pm
Reply to  karmaswimswami

Thanks again. It was me that asked about Fire and Mello as I saw their names in the Quantas article you posted. I am amazed with your knowledge base and frankly if you have this much faith in this company it is really hard not to own it based solely on your ability to evaluate the technology and your passion for the science. Correct I don’t know you but I want to root for this company based on what you have shared with us.

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karmaswimswami
January 30, 2014 3:20 pm

Siva: I have been meaning to get back to you about the two companies you are holding long. They are not bad picks, though I would like to elaborate when time allows. The transdermal blood glucose monitoring will be a hit, yes, but I do wonder why all the delay of getting this to market. This tech has been around for more than 20 years.

I also have been promising to post more about stem cell tech because there are several keen companies in play. Still reading, still trying to formulate a good informed opinion, This is inordinately complex science. Of the major firms, ISCO is the cheapest, speculative, but also may have the most potential for extraordinary appreciation.

sivapann
Member
sivapann
January 30, 2014 9:43 pm
Reply to  karmaswimswami

ECTE’s technology will be a hit. The management is very sloppy. The board kicked out Pat Mooney last year from his CEO chair and replaced Rob Doman as an interim CEO. The interim CEO has found the position so cozy that they have stopped searching a permanent CEO. Platinum Montaur, one of its big investor forced the company to get its act together. They were instrumental in getting the recent China partnership going. They also got a seat in the board as seen in 8-K but there seems to be some tussle between Platinum and the boardroom. The CE mark should be approved in about 70 days. They had a partnership with korea’s Handok in 2009 but is still mysterious in terms of the progress. It is a thinly traded company and can challenge the Dexcoms and medtronics if the product is approved for sale. The stock is still undervalued in my opinion.
Feltl in their analyst report for Dexcom stated the following in the risk analysis for Dexcom: ‘One company in particular, Echo Therapeutics (ECTE – SB), is developing a noninvasive CGM system, which could redefine the market to the detriment of the minimally invasive systems offered by DexCom and Medtronic’
http://www.feltl.com/articles/DXCM20110609initiation.pdf .
You can also see the competitive analysis of Echo with others. Echo scores way above its competitors on all counts:
http://www.investorvillage.com/groups.asp?mb=17850&mn=93&pt=msg&mid=13392869

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sivapann
Member
sivapann
January 30, 2014 10:10 pm
Reply to  karmaswimswami

The other company that I’m invested is Positron Corporation (POSC). It’s a nano cent stock and I have been following the progress of the company for almost 3 years. The company operates in the PET space and specializes in Cardiology. The company is 27 years old, has been a device company with negative revenue all these years. In 2009, they came out with an award(by Frost & sullivan ) winning product called Attrius, a PET (only, no CT) scanner. They hoped to sell plenty of them in 2010/2011 but Bracco messed it all up. Bracco owns the Rb generator(cardiogen) that is used with PET scanners. FDA recalled cardiogen after 2 patients set off the security alarams due to excess radiation. Cardiogen enjoys the monopoly in the generator market and Positron’s business plans went awry dues to this recall.
I met its CEO in one of the investor conference and he was talking about the company entering into radiopharmaceuticals. Since then they made great progress. They acquired manhattan isotope technology who owns the patent for recycling Sr/Rb generators. They have acquired the DMF required to process (raw)Sr to Sr API that go into generators. They are the ONLY private entity that can
process Sr other than DOE. DOE has expressed interests to move away from Sr manufacturing and processing. Positron announced plans for installing the first commercial 70MeV cyclotron, but it has been a drag for almost two years that two other entities(Zevacor and MURR) announced the plans for similar cyclotrons. Jubilant Draximage has announced plans for launching Rubyfill, a Rb-Generator and Positron has signed an MoU with them. The monopoly maintained by Bracco on Rb-gen will be broken when Rubyfill enters the US, Canada, India and European market. Positron has struck a multi year deal with iThemba labs for Sr supply. They have validated the Sr and are about to make it commercially available this February. Positron’s business plan seems to be sound – PET market is bound to grow according to many reports. PET has many many benefits over SPECT, with low radiation being the key. Sr supply is limited and is a constraint. Positron aims to increase the Sr supply by sourcing it from domestic and foreign suppliers, process them and fill in Rb-generators. They will also sell Attrius as the market expands. It acquired a license from INR to increase the productivity of radiostrontium. With Cardiogen back into the market and the advent of Rubfill, the PET market will expand, so too will Positron’s business. Positron also has a super Robot called PosiRx which is a radiopharmaceutical dispenser. LAst heard they are working with big names to automate their business. Their share structure and PPS is deplorable. They are planning to reverse split shortly.

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sivapann
Member
sivapann
January 30, 2014 10:12 pm
Reply to  sivapann

Dr KSS. The above are my observations of ECTE and POSC. I would love to hear your views on these two.

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karmaswimswami
January 30, 2014 4:41 pm

RNN shares up 18 per cent today in 60-80 per cent heavier volume than usual. Let me iterate I am long on this company. I am not sure what is causing the move. Will do some checking. I maintain that its two cancer therapies, which are original and without competition, look extremely appealing. Their agent Archexin is enrolling in phase II for metastatic renal cell. They have been doing phase I studies of Supinoxin, an agent that inactivates tumor p68 RNA helicase, in patients with solid tumors. I am guessing there may be some good news for it. Neither agent will work as a monotherapy against cancers, but will seemingly synergize very nicely with other agents. No one has ever gone after p68 before. This is new ground broken by Rexahn. Both agents are targeting molecules not expressed in benign tissue. The shares may just be shrugging off the selloff following RNN’s private placement announcement ($20 million) on 15 January.

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sivapann
Member
sivapann
January 31, 2014 10:57 am
Reply to  karmaswimswami

I have played RNN in 2010 when it ran from 50c to $3.4. They had Serdaxin then and a very interesting pipeline. I was really lured to the poignant (personal) story(of why RNN was born) of its former CEO Dr Ahn who has also worked in FDA. Its a good stock but it is already a 200m stock. I will put my money on BNIKF over RNN at this point.

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kimosabe
kimosabe
January 30, 2014 5:52 pm

Dr. KSS: Your knowledge of medical science is truly impressive, exceeded only by your generosity to share it with those who benefit directly (your patients) or indirectly (your fellow gumshoers). I’m sure you noticed the IPO today…DRNA. This company would seemingly be right in your wheelhouse. Thanks in advance for any thoughts you might share.

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geoko
geoko
January 30, 2014 6:09 pm

Dr.KSS, what’s your take on the discovery of a “new, simpler way to make stem cells,” at http://www.bostonglobe.com/news/science/2014/01/29/. Do you see any way to invest profitable in this concept?

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