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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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Rosenmeyer
Rosenmeyer
February 21, 2014 11:48 am

MDVN at a new high also

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jane
Guest
February 21, 2014 12:05 pm
Reply to  Rosenmeyer

home here is australia …. and omg this company is re rating like SIR…. exciting times happening

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ockrazor
ockrazor
February 21, 2014 12:22 pm

Excited indeed.

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KennyG
Guest
KennyG
February 21, 2014 12:52 pm

I have a question for our friends from down under here: I read that there are options for Benitec on the Australian exchange (BLTO) with an exercise price of $2.50 that expire on April 8th. If so, can this be what is driving this insane price action? And if so, it would seem a little suspect. Now – – to those of you that seem to post just to bash others and get your name out there- – I am not critical of this stock at all!! Being a long time investor, I always look to what drives a stock to move so quickly in either direction. Lets admit – – this is crazy. Good crazy at the moment. Just trying to wrap my head around this volatile price action. To be sure, I plan on being long BNIKF for the entire ride.

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jlw3262
Member
jlw3262
February 21, 2014 1:16 pm

Well, I just signed up as an irregular too, after spending some time as a freeloader reading this string. I echo the sentiments of others, this has been a fascinating and very valuable read. As a self styled (or self deluded) science guy, I hope to be able to contribute. I thank all of you who have. And of course special thanks to Dr. KSS and Travis.

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karmaswimswami
February 21, 2014 2:46 pm

All: I have had some extremely serious computer problems for the last 48 hours, though after much effort all seems fixed now. I am behind, very behind, on reading posts. The kind remarks have really bowled me over. I am extremely appreciative! We have a good thing going here….we have become our own gang and are further the cause of all of us making money in ways none of us could do individually. Newsletters are not organic. Here we discuss and haggle and arrive at synergistically-arrived higher truths. I am thrilled to have helped people and will continue to work to that end.

Here’s some free association, some brainstorming. What if, and it is a big if, Gilead turned out to be Benitec’s big cool friend? It is hardly unreasonable. I have depicted Benitec here as a threat to Gilead, and long term it is. In the near term, GILD’s ledipasvir/sofosbuvir wll be approved—without a hitch—-this fall. It will then control the HCV market and be in the money. A major caller of shots at Gilead is Australian: John McHutchinson. The main TT-034 trial site, Duke, is a place where McHutchinson spent a few years. The lead investigator for the TT-034 trial at Duke is Keyur Patel, British, by birth, but Australia-trained. These people all know each other.

Gilead has shown over, time, with 12 acquisitions since 1999, an extraordinary interest in become something like all pharma for all diseases….cancer, inflammation, vascular disease. It has gotten to be one of Cramer’s 4 Horsemen of biotech from virus drugs, but GILD is covetous, envious. Lack of a way into RNAi is a hole, a gap, in its developing pipeline. The last three months have shown clearly that serious action is going to keep taking place in the RNAi space.

Gilead paid $11 BILLION to buy Pharmasset only to get one drug, sofosbuvir. So, would a billion or three to pick up tiny Benitec, flush with an indomitable ddRNAi portfolio, would that be so farfetched? In some ways, the success of TT-034 may not be so much about its ability to eradicate HCV, and I feel it will succeed there, as it is about proof that ddRNAi works in people and can be used against any disease that can be fixed by silencing the expression of unwanted proteins.

I am long GILD. And very long Benitec. I felt I could not ignore GILD any longer because it was ahead of schedule for the combo NDA. It has shown that ledipasvir/sofosbuvir cures most patients in 8 weeks not 12. To me, this means that Janssen, Merck, AbbVie, Achillion, Boehringer, and even BMS (which hasn’t even gotten ledipasvir’s closest competitor daclatasvir through phase III in the US and meanwhile is chasing rainbows by seeking daclatasvir/asuneprevir approval in Japan)….these companies are all toast, road kill, in HCV. Not trying to be crude and blunt, but that is how things are now looking.

I have said elsewhere maybe Pfizer would be a fit for Benitec, and yet Pfizer did previously walk away. Pfizer is just not a fleet-of-foot company. GILD has colossal visions for itself. I am sure acquiring Benitec has crossed GILD’s mind. I would bet money on it.

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KennyG
Guest
KennyG
February 21, 2014 2:57 pm
Reply to  karmaswimswami

And all this time I assumed you were drunk and passed out somewhere from celebrating the success of BNIKF

Alan Harris
Guest
Alan Harris
February 21, 2014 2:59 pm
Reply to  karmaswimswami

Ok so lets sy that comes to pass………what price per share would they need to offer?

newby3867
newby3867
February 21, 2014 3:10 pm

Hey Doc Kss welcome back.Thanks so much for your thoughts on Benitec and everything else you are involved with on this thread.Really honered to cross your path.With the sudden surge in our stock price on Benitec would you think the company would be thinking about listing on Nasdaq for even more exposure or just would want to make it through the trial first?Thanks,Glenn

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sivapann
Member
sivapann
February 21, 2014 3:14 pm

European Medicines Agency advises on compassionate use of a new combination therapy for chronic hepatitis C

Combination of ledipasvir and sofosbuvir to be used in patients in urgent need of therapy to prevent progression of liver disease

The European Medicines Agency’s Committee for Medicinal Products for Human Use (CHMP) has given an opinion on the use of a fixed-dose combination of ledipasvir and sofosbuvir in the treatment of chronic (long-term) hepatitis C virus (HCV) infection in a compassionate-use programme.

Compassionate-use programmes are set up at the level of individual Member States. They are intended to give patients with a life-threatening, long-lasting or seriously disabling disease with no available treatment options access to treatments that are still under development and that have not yet received a marketing authorisation.

In this specific case, Sweden requested an opinion from the CHMP on the conditions under which early access through compassionate use could be given to a combination of ledipasvir and sofosbuvir, with or without ribavirin, for adult patients with genotype 1 HCV infection and advanced liver disease, who are at a high risk of their liver being no longer able to function normally (decompensation) or death within 12 months if left untreated.

In clinical trials, the combination of ledipasvir and sofosbuvir, with or without ribavirin, used for 12 or 24 weeks, has shown high efficacy in treating patients with genotype 1 virus, including patients with compensated cirrhosis (scarring of the liver but normal liver function) and patients who have previously failed treatment with the protease inhibitors telaprevir or boceprevir (other treatments for hepatitis C). Many of these patients have very advanced liver disease and are in urgent need of effective therapy in order to halt the progression of liver injury.

This is the third opinion provided by the CHMP since October 2013 on compassionate use of medicines in development for the treatment of hepatitis C.

The aim of the CHMP assessment and opinion on a compassionate-use programme for new medicinal products is to ensure a common approach, whenever possible, regarding the criteria and conditions of their use prior to their authorisation under Member States’ legislation. The opinion provides recommendations to the EU Member States that are considering setting up such a programme, and its implementation is not mandatory. In addition to describing which patients may benefit from the medicine, it explains how to use it and gives information on safety.

The assessment report and conditions of use of the combination of ledipasvir and sofosbuvir with or without ribavirin in this setting will be published shortly on the Agency’s website.

Notes

The fixed-dose combination of ledipasvir and sofosbuvir is being developed by Gilead Sciences.
Sofosbuvir, which is part of this compassionate-use opinion, was granted a marketing authorisation valid throughout the European Union on 16 January 2014. For more information, see Sovaldi.

http://www.ema.europa.eu/ema/index.jsp?curl=pages/news_and_events/news/2014/02/news_detail_002032.jsp&mid=WC0b01ac058004d5c1

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David B
Guest
February 21, 2014 3:22 pm

KaBoom goes BNIKF in the most positive way and this is just the beginning. Gumshoe Land will be celebrating this weekend and for quite a few more to come. KSS you are now officially crowned as the gumshoe guru of biotech. You have done a fantastic job in the past couple months helping many of us separate the wheat from the chaff regarding promising small biotech companies and making your points thorough yet understandable to those without a higher degree in science or medicine. You have even helped quite a few folks get good ideas regarding how to address some health concerns. While I’m sure you wont prove to be correct all the time, I’d put money on you against just about any other biotech “expert.” I’ll still politely disagree with you at times, I’m sure but always with the utmost of respect. There are also quite a few others on this thread who have been extremely helpful in the process of doing DD on various companies and conditions. This process has been most serendipitous and helpful albeit at times a bit chaotic (so is life!).
Congratulations to all who have made this thread chalk full of great ideas while remaining respectful when disagreements have arisen.
Let’s pop a cork this weekend to ourselves and our unofficial leader who has provided us with very good karma while swimming through a myriad of stock symbols.
A toast to you Gumshoe Guru of biotech Dr. KSS!!!!

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newby3867
newby3867
February 21, 2014 4:25 pm

Guys I have one that has not mentioned here that looks interesting.Neptune Technologies&Bioressources(NEPT).They have a Neptune Krill Oil product that reduces cholesterol and can reduce triglycerides and increase low density lipoprotein and increase high density protein.They have a patent on it also.Recently it competitors agreed to pay Neptune a royalty payment and upfront payment to use its patent on the krill oil.Neptune had built a factory to produce krill oil and factory was burned down in a fire about a year ago and stock price sold off to the 1.60 range.It is currently over 3.00 dollars and a new factory coming on line to produce krill oil in the first quarter of 2014.This product can be bought in local drug stores.This company should be very profitable going foward and I believe is flying undiscoverd with alot of room to run.Doc KSS,Siva,Sub,any thoughts on this one?Thanks,Glenn

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karmaswimswami
February 21, 2014 5:26 pm

Subramania: with all the shares of BNIKF you bought, you da man! After these last two days, you da man! Drinks are on you! I am thrilled too. Knew this day would come.

Don Barrett
Irregular
Don Barrett
February 21, 2014 7:41 pm
Reply to  karmaswimswami

Not to make anyone jealous, but I have all my biotech, including 50k of BNIKF, in my Roth IRA. That way, when one goes to the moon, I can just blow kisses at the IRS.

I would like to ask some of the seasoned investors here how they think about exit strategies, which are in a way more important than anything else. Some stocks are good to sell at $5, others at $50, and others go to $300 or more and can then be let go.
Does anyone have a good method for thinking about how long to hold any given equity especiallyt in this field. Stocks like BNIKF are way to small to use 25% trailing stops, so any ideas are welcome.

Thanks much.

Don Barrett

jim t
jim t
February 21, 2014 5:56 pm

I don’t know how many of us were fortunate enough to take this tip to heart, but 115.7% in 30 days is enough for all of us to be buying. It was a bit worrisome to slide down from the intraday of $2.05, but the last tick was up at the end. A bit of understandable (and potentially foolish) profit taking. If GILD wants to buy at $3B, that is 40x the current market cap … with 46+ million shares out that would work out to approx. $60 per share. I can’t even imagine it going that high but plan to hang on for the ride nonetheless. Happy weekend to all.

Subramania Kaushik
Subramania Kaushik
February 21, 2014 6:16 pm

Dr. KSS thanks! I am long long long Benitec. Holding all my 60k shares for the long haul. Excellent tip Dr. This year couple of big rides already with first one RNN from 44 cents and second one was Benitec. I just hold 10k shares of RNN now.

Well all of them TKMR, ARWR, ISIS, MRNA, RGLS are flying today. But for all these stocks there are strong backing and SA pump articles, etc. For Benitec it is all you SIR 🙂

This weekend i am going to celebrate. Long live Dr. KSS! 🙂

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Steve
Steve
February 21, 2014 6:47 pm

Mega-Kudos to Dr. KSS for BNIKF:
Curious as to approximately how many BNIKF shares this board owns, which could effect the share price. Subramania has 60K and I have 100K. Can everyone else please chime in? Don’t be shy.

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analog68
analog68
February 21, 2014 6:49 pm

In for over 51K BNIKF

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sivapann
Member
sivapann
February 21, 2014 6:55 pm

Groundbreaking method to test cure for hepatitis C
http://www.universityworldnews.com/article.php?story=20140218094107801

A good coverage about Benitec

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ROBIN STEEL
February 21, 2014 6:57 pm

Please be mindful of the effect of enthusiastic buying on a small cap stock…Posting #2 re: PVCT, should be a warning, if you look at the chart since January….
I have been an unsuccessful investor in several stocks that have similar traces, and they usually involve a “pump and dump” campaign designed to enrich the “insiders” and their “analysts”…
I do believe that we have found a very smart guru in DR. KSS, and I hope that Benetech will prosper, but if we are all buying in at the same time, it will be interesting to see what happens over the next few months, if no suitor arrives, and the trials are extended…so I’m not ready to pop the corks just yet.

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ROBIN STEEL
February 21, 2014 7:17 pm

If the ultimate cure for HIV and most other chronic diseases, is Stem cell replacement, as posited here, I would like to know how the recent announcement of a simple way to make fetal stem cells with an “acid bath” might impact all of the companies that are doing it with more complicated methods…BioTime (BTX) springs to mind…I will try to find out more, but since many of you are so knowledgeable, perhaps we can start figuring it out together.

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karmaswimswami
February 21, 2014 7:39 pm

Some contextual thoughts on Benitec. I offer these not in a superstitious whistling past the graveyard frame of mind thinking of its climb this week. I regard its climb as something long overdue. These are the RNAi considerations people lose track of.

The idea of RNAi has been around since well before Craig and Mello’s Nobel Prize in 2006. RNAi was mulled in the 90’s but all had the same concern: how would we EVER succeed in delivering RNA to cells? RNA is not unstable, but it is vulnerable to RNase activity. RNases are everywhere, in everything, and very hard to inactivate. The feeling was that you could pump all the RNA in the world to cells, and nary a strand of it would reach a destination because of RNases.

With tweaking we know that is not quite true. Alnylam, Tekmira and Arrowhead have made great strides in devising ways to get naked exogenous RNA into cells. (I have, yes, been back over to Haussecker’s blog again this evening just to give him some more grief….when he is not bashing Benitec, he is still totally lost on whatever he expostulates on…,,). It SEEMS to be working BUT all of these approached will call for every 2 weeks subcutaneous administration of the agent. I am here to tell you that long term, we have NO idea what giving a person exogenous nucleic acids all the time will do to them. This is my Toll-like receptor concern. The TLR’s sit on the surface of cells constantly looking for DNA and RNA that have escaped normal surveillance, so that they can stoke a vigorous if nonspecific immune response. Who knows? We may be finding in a few years time that with the Alnylam and Arrowhead approaches, that patients are all coming down with drug-induced lupus, and getting other autoimmune phenomenon (renal impairment? Sjogren’s? I can think of 20 other autoimmune problems too). Think it can’t happen? Don’t hold your breath! We are no where near establishing long term safety for these regimens, and this one fact is why I do not have a penny in an exogenous RNAi play. No one in the RNAi space is talking about this at all! When you give RNA or DNA in an unprotected form, you are chronically stimulating Toll-like receptors and that may be a strategy killer. All of these people who have plonked millions into Alnylam and driven it into the stratosphere have not thought for a moment about this issue. No Alnylam program is clinically far enough along to exclude long-term treatment-induced autoimmune disease.

Some companies have clever solutions to the naked RNAi dilemma. We discussed BioPath….liposomal RNAi. I am watching that company, don’t see a reason to buy yet. There is the Marina Bio approach…..encode the RNAi by a bacterial genome and make those bacteria capable of invading cells in human hosts. I personally see this approach going up in flames. You will never persuade me that blithely having bacteria that can host invade at whim will ever be safe.

And then we have Benitec. DNA-directed RNAi. Put DNA safely into cells. Let that DNA make the RNAi just where it is needed. To me this has more aesthetic and rational appeal than any other approach I have heard of. Still being developed, We don’t know how long it lasts. Will the DNA integrate into the genome? Will it tucker out after a few months? These issues will need tuning. But I would far rather be in DNA-directed RNAi than any other place. Beni is the only player.

yoyo
yoyo
February 21, 2014 7:45 pm

Again let me add my voice and many thanks to Dr. K and Travis. After years of paying for bad advise from multiple services, this has proved to be one of the most informative, civil, and now profitable sites. I as many others look forward to reading it every morning and evening.
Dr K as a physician myself you continue to impress me with your insight and knowledge of your field. This has been a great day for other biotech stocks including IDRA and INO as well as ISIS. any thought on these?

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yoyo
yoyo
February 21, 2014 7:55 pm

Oh am long 35,000 shares Benitec plus my nurse bought 1500 shares and thinks I am a hero.

👍 28

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