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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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Subramania Kaushik
Subramania Kaushik
February 13, 2014 3:43 pm

Dr. KSS any thoughts on this new company engaging in gene therapy. Maybe good for Benitec?

http://www.businesswire.com/news/home/20140212005145/en/Rock-Ventures-Launches-Voyager-Therapeutics-45-Million#.Uv0uBUtX_Ww

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Subramania Kaushik
Subramania Kaushik
February 13, 2014 3:47 pm
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Subramania Kaushik
Subramania Kaushik
February 13, 2014 3:49 pm

they are focusing on AAV gene therapy and Mark Kay is one of the founders.

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newby3867
newby3867
February 13, 2014 3:59 pm

Hey Dr KSS do you remember when we were talking on thread about (SYN) and what Mr.Kirk knows about this company?Once again he appears to be behind another winner.SYN up almost 20% today.Funny how that happens with the companies he gets behind.Thanks,Glenn

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karmaswimswami
February 13, 2014 4:30 pm

Glenn: Oncogenix’s phase III trial looks at a locked antisense RNA nucleotide called custirsen that silences expression of clusterin, an anti-apoptotic protein that enables cancers to grow by evading normal self-destruct mechanisms. When a cell reads its own internal cues and recognizes that immortalizing forces are at work, it attempts suicide. Proteins like clusterin help blunt the suicide response so that tumors live. Custirsen aims to shut down clusterin production. A good read is hard. Oncogenix is certainly working the media, what with its press release two days ago, I think, about having gotten to a point in the trial where the data can be read. Certainly I don’t think they’d be doing that if things looked bad. I did find results for the phase II study that preceded this one in prostate cancer. It had no control arm. The main downside to it is that lots of patients dropped out of the study after beginning treatment with custirsen plus other agents, not from drug toxicity, but just from progressive disease. To me that tends to imply that if custirsen is doing anything, it may not be overwhelming.

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newby3867
newby3867
February 13, 2014 8:07 pm
Reply to  karmaswimswami

Thanks Doctor your input is much appreciated.Glenn

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Subramania Kaushik
Subramania Kaushik
February 13, 2014 5:36 pm

Dr. KSS any input on this write up by Dirk Haussecker?

Voyager Therapeutics Sets Out to Fulfill Promise of AAV-directed RNAi Therapeutics (and More)
http://rnaitherapeutics.blogspot.de/2014/02/voyager-therapeutics-sets-out-to.html

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jacklec
Member
jacklec
February 13, 2014 5:59 pm

I would like to attract Dr KSS’s attention again on Mauna Kea Tech, I finally got in at the beginning of the week and the stock is gaining some traction. I did a comparison with Given Imaging which doesn’t even have a really useful tech, saw it has 6 times a bigger market cap and managed to become profitable in the end. As a consequence MKEA, with its helpful technology could be a very lucrative bet.
The only reason why they’re staying so cheap is that they had a hard time making sale grow exponentialy. They claimed it was because they still were building sales force for the US market where they got reimbursment codes in 2012 (decision effective only in 2013), and also because strangely they still are waiting for the same reimbursment codes in France their homeland (but France is known for its slow administration). I think that if the product is really usefull the sales could really take off this year lifting share price with it. Dr KSS I would really need your help to evaluate the time money this equipment would save to the Doctors when using those instead of the good old biopsy+dye…

As for the delayed sales growth, could it be that it takes time for the doctors to change their old practices ? Are they generally reluctant to new practices such as this one ? Could the equipment be too expensive ?

As a reminder the price of equipment is 100000 Euros and a 10 to 20 times reusable consumable probe is 4 to 5000 Euros. Reimburment price almost 1000$…

The sales for 2013 were 9.977 Meuros up 11% from the year before. 80% of sales come from clinical activities (as opposed to research)

Cash burning rate was 10MEuros last year down from 15 the year before. They still have 28 Millions in hand to develop sales.

Reasons to believe growth will take off : last year they started to sell in the Asia-Pacific zone through distributors, these numbers are tiny but will grow. France will eventually give reimbursment codes allowing for a wider clinical use of its equipment (the President himself visited the firm lately ^^).

But of course this struggle to make sales really explode is a bit frightening to investors. Any thoughts Dr Karma Swim Swami ?

Here is a link with sales numbers for 2013, sorry it’s in french, the official accounting document for profts etc will not be out before april, only this one will be translated i’m affraid. If you have questions I can make some translations for you ! http://www.bfmtv.com/economie/mauna-kea-technologies-annonce-chiffre-daffaires-2013-682354.html

Thanks anyway for sharing your knowledge on so many topics and stocks

PS: concerning the MKEAF stock on OTC, who knows if it might not start trading again if someone offers a bid price a little above the price the stock is trading in Paris?

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karmaswimswami
February 13, 2014 6:02 pm

Subramania; Over time it is obvious that Haussecker cannot contain his contempt for Benitec. I think that is plain. Voyager has a very long way to go, and as of yet, I am not sure what their clinical ideas really are. Kay’s lab’s study that AAV8’s do not transfect human hepatocytes in a mouse with a chimeric/human liver just do not mean much to me at all, for reasons I have gone into here before. Haussecker is very much a one-trick pony. He worked in one of these labs, heard Graham get badmouthed and now plays that song over and over. Science PhDs are so much this way, vilifying others. When he gets a new tune, I will listen. This song I know. Again, I have talked with the Benitec people myself. I think that betting against them at this point would be foolish. Voyager has one massive task in front of it if it hopes to find a magic bullet AAV for liver transfection. They may burn through capital quickly. Haussecker disses Benitec’s IP portfolio. Voyager has no portfolio to diss.

Subramania Kaushik
Subramania Kaushik
February 13, 2014 6:13 pm
Reply to  karmaswimswami

Thanks Dr. KSS for you valuable inputs. I really hated how he put down Benitec and its IP portfolio and deeming it as 1st generation, etc. As a matter of fact i am long 60k shares and i am holding it for the long haul.

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karmaswimswami
February 13, 2014 6:52 pm

Subramania: I will not let Haussecker besmirch my darling Benitec on his blog. If it is war he wants, I will be happy to provide one. I am getting tired of his potshots. If he has a financial stake in this, he needs to declare it. Benitec is too important and good to let this huckster beat down its share price. I have posted at his blog. If he takes the bait and wants to argue, I have a spate of articles and arguments to bury him. He is not a physician and knows nothing about liver biology.

Subramania Kaushik
Subramania Kaushik
February 13, 2014 7:04 pm
Reply to  karmaswimswami

Agreed Dr. KSS. He took a shot at Benitec in his twitter post and that is how i noticed it. And yes i just saw your response in his blog! 🙂

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jj
Guest
jj
February 13, 2014 7:05 pm
Reply to  karmaswimswami

Back in the early RNAi days, there really were only two players; Alnylam and Benitec. Dirk wasn’t always anti-Benitec. In fact, he was pro-ddRNAi, especially when he was hopeful of setting up a lab for them. Unfortunately, money doesn’t fall from the sky in Australia, rather it gets dug out of the ground and put back into digging more holes rather than advancing biotechnology, and Dirk had to go and work in some lab in Korea. Dirk did his Phd under Mark Kay. It is quite obvious that he wants a job where he can return to California. I’m sure he is updating his CV as we speak. Still, the ease with which money flows into US biotech startups is something we here in Australia are very envious of.

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gummydave
gummydave
February 13, 2014 7:19 pm
Reply to  karmaswimswami

That’s all well and good Dr K, but could you give this Haussecker guy a couple of days to beat down the price of Benitec so the rest of us can buy some more on sale? 🙂

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Subramania Kaushik
Subramania Kaushik
February 13, 2014 8:18 pm

NASDAQ: QURE
Another company in Gene Therapy which came public at $17 a share last week!

From their SEC filings!
“AAV-based vector delivery system. We deliver the gene cassette to the target tissue using an engineered, non-replicating viral vector delivery system based on AAV, a common virus that affects humans but does not cause disease. We believe that AAV is the vector of choice for most in vivo gene therapy applications, such as ours, in which the functional gene is introduced directly into the patient’s body. We use different variants, or serotypes, of AAV, including AAV1, AAV2 and AAV5, each of which selectively targets particular tissues. In the case of diseases for which relatively modest levels of gene expression may result in therapeutic benefit, we expect that we will be able to achieve adequate levels of expression using existing, naturally derived AAV serotypes. In the case of diseases for which higher levels of gene expression may be required for therapeutic benefit, however, we believe we may need access to more potent vectors than are currently available. To complement our internal development efforts in this regard, in January 2014 we entered into a collaboration and license agreement with 4D Molecular Therapeutics, or 4D, a recently formed, private biotechnology company with a team that we believe is a leader in AAV vector discovery and optimization. 4D uses directed evolution techniques, which involve an iterative selection process in which researchers screen libraries of mutant AAV variants to identify those that are expected to have optimal properties for achieving higher levels of gene expression. ”
http://www.uniqure.com/pipeline/clinical-programs/

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Subramania Kaushik
Subramania Kaushik
February 13, 2014 8:28 pm

Wow just found that uniQure has licensed from Benitec ddRNAi technology.

http://www.benitec.com/documents/12%2012%2004%20Cross%20licenses%20with%20uniQure.pdf

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geoko
geoko
February 13, 2014 9:31 pm

Just finished reading a post by Casey Research on epigenetics. No specific stock comments, but a fascinating insight that is new to me. The link is http://www.caseyresearch.com/cdd/forget-the-genome-the-epigenome-is-where-its-at

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KindergardenInvestor
February 13, 2014 11:37 pm
Reply to  geoko

re post 549: Thank you, George, for posting that link. You are right, that is a fascinating and educational article. I love this thread and everyone in it!

biocqr
biocqr
February 13, 2014 9:50 pm

Barron’s article on attempted stock manipulation by anonymous Seeking Alpha authors pumping GALE…
http://online.barrons.com/article/SB50001424053111903506304579380892137234558.html

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Subramania Kaushik
Subramania Kaushik
February 14, 2014 11:09 am
Reply to  biocqr

GALE is being ripped apart! another short thesis on SA. It is at 3.55 now

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tanglewood
February 14, 2014 3:19 pm

Re GALE, Dr KSS predicted this in msg #70 on Jan 18th

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newby3867
newby3867
February 13, 2014 11:03 pm

Doctor KSS, AcelRX Pharmacueticals(ACRX) seems to have a game changer in their drug ZALVISIO for acute and breakthrough pain.I believe this drug will be in hospitals all over the world taking huge market share from morphine.Drug has proved out to be much safer and just as efficient as morphine.I think it will be a no brainer for FDA to pass because of the saftey issues with morphine.They are also in collaboration with Grunenthal in Europe for EU commercialization of ZALVISIO.Looking to also get in ASIA with drug also which I think is a matter of time.I believe .They also have ARX-04 in their treasure chest with top line results from phase 2 trials.This trial was funded from US Army Medical Research and Material Command.This drug will be used for our service people for moderate to severe acute pain.Their management team is excellent and have done everything top notch all the way to this point. ACRX will either be bought out before approval of ZALVISIO for a nice premium or which I hope do it on their own and watch this company’s stock price go up significantly in the next 2 to 3 years.Thanks,Glenn

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KindergardenInvestor
February 14, 2014 2:00 am

Anyone have an opinion on Alkermes (ALKS)? I know we talk mostly about microcaps here and they are far from that, but they have quite a few things in their pipeline. They were granted Fast Track Designation for ALKS 5461 for Major Depressive Disorder in Oct 2013. Stock has risen from around $30 to $52+ in the last 4 months.

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Glenn
Guest
Glenn
February 14, 2014 11:23 am

My goodness SYN at it again todayUp 20% yesterday and already up 16% today.No news but alot of buying going on.

bludolphint
February 14, 2014 4:13 pm

DR KSS, I value your opinion and your ethics that you have shown throughout this thread. I am quite happy to sit back and listen to others who have greater knowledge and wisdom than I. You mentioned Campral earlier, and I was wondering if it is effective for getting off Fentanyl patches? I would appreciate your response & thank you for your kind help in understanding these biotech companies.

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karmaswimswami
February 14, 2014 4:38 pm

We have discussed prostate cancer on this thread. I just got word about a new study out of Iceland looking at prostate cancer incidence in relationship to melatonin metabolites in urine. It fascinates me because it has preventive implications. Icelandic men with high urinary output of melatonin metabolites are less likely to get prostate cancer.

I was once invited by the Russian government to be a visiting medicine faculty member to its school in Saratov, considered a great crown jewel among schools outside Moscow. A host led me to an oncology unit where people were inpatients for chemotherapy; mostly they were women with breast cancer. “Notice anything unusual about this ward?” he asked me. Yes, I said. The light level is low and there are no windows. “Correct,” my host said. “Know why?” At the time, I didn’t. He also told me that in Russia, cancer patients are given chemotherapy only at night. I am not suggesting the Russian system is better than ours, by for some topics the Russians actually have some ideas that may be brilliant.

The Russians believe in a huge relationship between melatonin and cancer. Melatonin is elaborated by the pineal gland in response to darkness and causes somnolence. The Russians argue that cancer is extremely rare in blind people. Blind people do not have visual systems detecting light, and so are in a high melatonergic state always. There is data that the immune system is way more active at night and in the dark. They thus dose chemo then, as it is viewed as more effective.

The practical implications of the Icelandic study are unknown. It cannot be construed as a basis for saying people should take melatonin, as most preparations of it are made from cow pineal glands. Eating something derived from cow brain is unwise. A drug called ramalteon (Rozerem) is a prescription sleep agent that is non-controlled and works on the melatonin receptor. It is not a great drug for causing sleep but is brilliant for preventing jet lag (I use it when go to Asia). But as we get more into melatonin biology and melatonin receptor agonists, the cancer prevention question is bound to resurface.

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arch1
February 14, 2014 5:57 pm
Reply to  karmaswimswami

Dr. Thank you so much for sharing your knowledge experiences & research with us.I am learning a lot from you & you make me ponder many things unsaid. I think the Russians are on to something; much to be learned about effects of light , color, and sleep cycle in response of human organism & I have always believed that prevention of harm is better than remedy.

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karmaswimswami
February 14, 2014 5:04 pm

About SYN: I conjecture that all the buying is because there has been some sort of leak about content of the abstract to be presented in April about the company’s phase II trial for women with multiple sclerosis. They were comparing women treated with glatiramer plus SYN’s estriol drug candidate versus glatiramer alone. I think it is reasonable to assert that the data are good/positive. Cognitive function tends to improve in women with estrogen supplementation. The abstract may not be “out” yet, but abstracts are not exactly secret or hush hush. I think we need to gauge what it will mean for SYN if they get estriol approved for MS. I predict the data support that. It is not a highly original or fresh idea, but they have gone to the trouble to study it formally and may well get the indication. Certainly for other repurposed “old” drugs, this does pump up share price. A phase III trial will be needed, but invoking estrogen is unofficially already done with MS female sufferers. I seem to recall reading that the company asserts that there may be something exceptional about estriol as opposed to other estrogens.

newby3867
newby3867
February 14, 2014 7:23 pm
Reply to  karmaswimswami

Doctor thank you for commenting on SYN.I bought in last week.I guess this leak must have got to Mr.Kirk earlier with his huge buy in.One would think if SYN would get estriol approved for MS it would be huge for them and the share price follow.Doctor yesterday i posted a opinion on ACRX and their drug Zalvisio for pain.Do you have any thoughts on this drug and ACRX.Thanks again Doctor for your time,you have been amazing and a great help for everyone here.Glenn

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karmaswimswami
February 14, 2014 6:48 pm

Frank: the melatonin angle is an interesting one because many sleep biologists believe that over the course of human history on this planet, that humans were primarily daytime sleepers. This conferred a survival advantage because it immobilized us and made us quiet while dinosaurs, which were poikolothermic, were out. Linguists have always noted that there is one syllable common to all human cultures, Ssshh, meaning to be quiet and still, and it is the same sound reptiles make. But melatonin is elaborated in response to darkness,, and that mechanism and its genes are quite ancient, not recent developments. When people are deprived of sensory stimuli pertaining to time of day, they tend to stretch out their circadian rhythm from 24 hours to about 30. Sleep of course owes to more than just melatonin. And it serves a vital function of some kind. You might have heard about recent data pertaining to glymph and its uptick in circulation at night.

Jim t.
Jim t.
February 15, 2014 5:25 am
Reply to  karmaswimswami

Re#557: I really don’t want to pick nits, but dinosaurs and people? Together? There is at least a 60 million year gap between the end of the dinosaurs in the Cretaceous and the rise of the humanoids. We were never ever around at the same point in time. But substitute another daytime predator and it’s cool.

karmaswimswami
February 14, 2014 8:37 pm

Glenn: I think you asked a while back about AcelRx. I dug around about it and then got waylaid and didn’t post about it. Sorry. For all, the company is ACRX, about $500 million market cap and 87 per cent owned by funds and firms. It has completed phase III for its lead candidate, which is sublingual sufentanil for post-operative pain. PDUFA is July 2014.

What is new here is both the drug and the route of dosing. Sufentanil is in use, but usually not systemically. It is very potent indeed….500 times stronger mg per mg than morphine. These days everything gets a nano moniker to sexify it. Its Nanotab system is a handheld device programmed to allow you to plonk one 15 mcg tablet under your tongue for pain as often as is written for. One NanoTab would be roughly the same as 7.5 mg morphine sulfate.

The company makes a lot of heavy weather about this system being better than iv patient controlled analgesia. Trust me, no one will be given sufentanil NanoTabs without an Iv in place for emergency Narcan. But, at the same time, as any physician who has written PCA orders will tell you, nurses have a really bad way of calling at zero dark thirty about orders for PCA you wrote hours ago to clarify that, doctor, you wrote for the patient to have morphine up to 4 mg every 10 minutes….does that mean you want an hourly limit of 24 mg? Why nurses refuse to do arithmetic I do not know. They are intrinsically uncomfortable with it, and always will be.

AcelRx has one other product in development, a sufentanil/triazolam combo. I have doubts about that one. Opioid/benzo blends tend to wreak problems.

I might tend to invest in this one as a trade. I reviewed the data from the phase III trials, which is online at sites other than the company’s website. About a third of patients getting sufentanil dropped out for lack of effect, but the study limited them to 15 mcg q20 minutes. In the real world, that can be amended to every 15 min, for example. The data look good. The trial was well-run. In the real world, post-op pain meds are usually written by anesthesiologists, and they tend to be the fastest adapters of all specialties to new drugs that come along. Payer reimbursement, a hospital’s need to acquire NanoTab dosers, that will take some time. I might get in and then sell when the drug is approved and I predict it will be. An acute doubling from its current $11 PPS is reasonable.

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newby3867
newby3867
February 14, 2014 9:01 pm

Thank you very much for the response Doctor.Bought into ACRX around 7 dollar range and was planning on holding until drug approval.I think there might be a chance they may get bought out before approval also.Thanks again,Glenn

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newby3867
newby3867
February 15, 2014 1:45 am

Doctor KSS have one for you to look at that just IPOed a few weeks ago.The company looks very interesting.It is GlycoMimetics(GLYC).It is a late stage biotech developing treatments for sickle cell episodes and AML.They entered a collaboration with Pfizer in 2011 which is responsible for the clinical development,regulatory approval,and potential commercialization of GMI-1070.Pfizer has the commercial rights worlwide of GMI-1070 and GLYC has already received a upfront payment of 22.5 million from Pfizer for collaboration.Also eligible to pick up 115 million in development milestone payments and up to 70 million in regulatory milestone payments.Also could get 135 million in commercial milestone payments and tierd royalties eligible also.I would say Pfizer is very interested! Institutional ownership is at 46%.On top of that there was huge insider buying with affiliates of collaboration partner Pfizer purchasing 2 million of the seven million shares offered.Stock is trading at 10.39.If the good Doctor would be kind enough to break down the science behind GMI-1070 and deem worthy we might be on to something here with Pfizer being heavily involved and heavy insider ownership.Thanks,Glenn

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