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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.

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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Jack
Jack
February 27, 2014 12:23 pm

CTIC: great news from England for NHL relapsers. (non-Hopkins Lymphoma.

ockrazor
ockrazor
February 27, 2014 12:23 pm

Siva thanks for the link. FMI still moving up.

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KennyG
Guest
KennyG
February 27, 2014 12:53 pm

For those of us lucky enough to have picked up some RNN based on input in this thread, here is an interesting article from Seeking Alpha.
http://seekingalpha.com/article/2054373-rexahn-pharmaceuticals-another-1_30-biotech-lottery-ticket?isDirectRoadblock=false&app=1&uprof=11

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Alan Harris
Guest
Alan Harris
February 27, 2014 1:56 pm

Was fed this today. Just tossing it out there. Any thoughts?
Compugen Ltd. (NASDAQ:CGEN) has nine discoveries that could cure cancer.
Market Cap: $523.78 Million
Target Gains: 66.7% in 4 weeks
Buy-in Price: Buy below $13.75 for maximum gains

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Alan Harris
Guest
Alan Harris
February 28, 2014 12:49 pm
Reply to  Alan Harris

24hrs later CGEN down 20%. Hope no one bought in.

Elliot Sedlecky
Guest
Elliot Sedlecky
February 27, 2014 2:05 pm

Seems like a weak reaction by BNIKF to the SA article so far. Does anyone know if this is typical? I think part of the reason is that no price target was given. SA articles that say “potential double” or something tend to shoot up more I think.

Subramania Kaushik
Subramania Kaushik
February 27, 2014 2:11 pm

Elliot, The reason we don’t see any speculative activity is that lot of them are not yet following the stock. It is slowly getting noticed but would take some time. We are stabilizing in the $1.75 level with a strong support in the $1.65 level after the huge rally. We have lot of reasons to be bullish about Benitec in the coming months!

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wally1234
wally1234
February 27, 2014 2:33 pm

you may have noticed also that Benitec management are pretty low key with their statements, They like to think that they are pushing to the market, but they can’t help the fact that they are really more interested in the science. Any other company in their position would be keeping everyone up to date with how recruiting is going …. lol …. you will get a low key item saying “oh yes, that’s right, we dosed the 1st patient last week”. I actually find this very re-assuring …. i am sick of companies continuously pumping themselves for share price

Rosenmeyer
Rosenmeyer
February 27, 2014 2:23 pm

thks coming months is the key-too much rush to get in after the poorly priced secondary as I have alluded to twice before-too much fixation on daily moves- if you are investors-give it time & wait for more actual developments-if you are trading it-that is different-if you want a decent add point or new entry I think around 1.65 area would be fine. I love Dr. Kss but do not see the need for semi-panic buys or sells. still have a fairly large position-could be a fine winner but like most is speculative-comments like going to the moon & other similar projections are not helpful imo

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ockrazor
ockrazor
February 27, 2014 2:52 pm
Reply to  Rosenmeyer

Once again Miller I agree with you . 1.65 and 1.47 are my two pullback level.

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gummydave
gummydave
February 27, 2014 3:00 pm
Reply to  ockrazor

Yes, this has been a great opportunity to load up and I’ll be happy to have some more if the price drops further. We don’t want to hear complaints from anyone who didn’t get a full serving.
Talking of servings, did Dr K just use the expression “turbo cabbage”? Interesting 🙂

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Alan Harris
Guest
Alan Harris
February 27, 2014 3:26 pm
Reply to  Rosenmeyer

I agree. I think its important that people understand their own motivations and goals. Nothing goes up forever. If you set out without any research to just beat the bank deposit interest ….take your 10% in a month and be v happy. If you can be bothered to do the DD, and you like what you see on the horizon….dont worry about the day to day fluctuations….hang in there and smile. Its a bit like creeping up on a cliff edge. One step too far and its AAAAARGH! But once you cash in for say 10%, dont envy those that make 500% any more than you are pity those that lost everything. Be happy. Theres always another stock to buy so long as you got out with a profit.

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Alan Harris
Guest
Alan Harris
February 27, 2014 4:01 pm

YAAAAAAAY! Fame at last.

Justirregular
February 27, 2014 4:20 pm
Reply to  Alan Harris

The 2k man! Wow! You are a winner! Enjoy your fame! Thanks for keeping it real in here!

karmaswimswami
February 27, 2014 2:31 pm

Arena (ARNA) reports after the bell today. This could be interesting, as the company may actually for the first time have positive earnings, on the basis of sales of its anorectic agent lorcaserin (Belviq). However, this is not the reason to own ARNA (I am long ARNA). The company is developing an agonist for the type 2 cannabinoid receptor, and though they are pursuing pain indications for it (ADP371) there is much biochemical and pharmacologic evidence that CB-2 receptors may help turn off autoimmune diseases. To the best of my knowledge this is the only pure CB-2 agonist in development, though there are other mixed agonists out there that also bind to other cannabis receptors. Skeptics may diss this and say that it calls for using turbo cabbage, but the agent ARNA has may be able to accomplish enormous pain relief and shutdown of autoimmune illnesses (like iBD) without such profound psychotropic and pro-hunger effects.

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Justirregular
February 27, 2014 2:32 pm

Siva, Do you know why there is so much action going on with RNN. It seems that the stock is really trading at 2:16!
Just want to know what you think of the stock. I am long on it @ $1.23!
Thanks
Just irregular

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wally1234
wally1234
February 27, 2014 2:41 pm

you may have noticed also that Benitec management are pretty low key with their statements, They like to think that they are pushing to the market, but they can’t help the fact that they are really more interested in the science. Any other company in their position would be keeping everyone up to date with how recruiting is going …. lol …. you will get a low key item saying “oh yes, that’s right, we dosed the 1st patient last week”. I actually find this very re-assuring …. i am sick of companies continuously pumping themselves for share price

Elliot Sedlecky
Guest
Elliot Sedlecky
February 27, 2014 2:59 pm

Taken from Benitec presentation: “ØHowever, once administered no ability to withdraw therapy”.

Isn’t this somewhat concerning, concidering that the shRNA will be continuously expressed? It seems once all the virus targets are destroyed, these shRNA will be “looking” for more targets … isn’t it possible that the target sequence would be found elsewhere in the body, and this could prevent important proteins from being made, thus causing the continuous expression to be dangerous? Help me out here, doctor …

Alan Harris
Guest
Alan Harris
February 27, 2014 3:12 pm

I think this was broached much earlier in the thread. Likely they are trialing people in the last chance saloon. If you had been given a month to live without that risk….wouldn’t you take that risk?

om
om
February 27, 2014 3:28 pm

Dr KSS,
First, you are amazing and I am your big fan, honestly.
Last time I had asked about Mankind stock and I like your reply. Thanks for that.
I have few questions.
First – Is there any company Stock who is making disruptive medication for “Hair loss” and making white hairs to black/natural color.
I am Indian and in India most of the people have “hair loss” problem and their hairs turned to white and gray. So I would like to know if there is something already exists which works. So far I know nothing works 100%. When I was 15 years old my half of the hairs become gray that looks very bad. I have to use color every week or 2. My wife’s hairs are falling, she has a hair loss problem.
Second – I own, RNN, BNIKF, CTIX and today DRTX at 14:40/ 50 not much. But Bnikf for 5K.
When do you think first RNAi medication will hit market from any, and which company will bring it.
Dr Craig Mello and fire are they working for any company which is bringing RNAi medication ?
Thank you so much.

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karmaswimswami
February 27, 2014 3:39 pm

To Elliot Sedlecky and others: I saw the SA article on Benitec. I didn’t want to mention it there, as after all he is calling attention to the stock in a favorable way, but in fact there are a few cardinal points he going wrong.

As regards the non-withdrawability, the fact that TT-034 is a committed step, that does not concern me at all. When strands of nucleic acid, be they RNA or DNA are out and about, they only, and I really mean needle-in-a-haystack only, bind with complimentary strands. The bits of shRNA encoded by TT-034 get chewed up by Dicer, and then afford short approx 25-base strands of RNA that bind only with HCV-encoded messenger RNA and nothing else. When these pieces anneal with HCV message, they trigger ripping up by the enzyme called RISC, which degrades the HCV mRNA. The possibility of off-target silencing has been deeply studied in pre-clinical studies, such as in cell culture systems, and it has been shown to be a non-issue. Keep in mind that start to finish, TT-034 was EIGHT years in development. It has been refined, fine-tuned, adjusted, buffed up and tweaked many times to make it perfect. Numerous small adjustments to the DNA strand have been made.

The true long-term fate of TT-034 in vivo is not known. It may be something that coasts to a stop after 6-12 months. Or it may be permanent, possibly even incorporated into chromosomal DNA. This trial will help answer that and thus help guide devising of other ddRNAi therapies. Personally I would love to see it long lived. While I do not condone the druggy behavior that gets one HCV-infected (though there are many other ways to get infected), the fact is that eradication affords no protection against re-infection at all. TT-034, however, may. The fact is that there are a lot of addicts who, in the process of being on the wagon, fall off it and slip up….shoot up again, do lines of coke again. As a doctor I would strongly like to see them not get reinfected, for their own sake and for the sake of the company they keep and share paraphernalia with.

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Alan Harris
Guest
Alan Harris
February 27, 2014 4:05 pm
Reply to  karmaswimswami

OMG…are you seriously suggesting that they may not just be cured, but become immune to further infection ?

jomcintyre
jomcintyre
February 27, 2014 6:35 pm
Reply to  Alan Harris

Alan – you may be reading too fast. The good Dr. KSS said “…eradication affords NO
protection against re-infection at all.”

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Alan Harris
Guest
Alan Harris
February 27, 2014 6:50 pm
Reply to  jomcintyre

”TT-034, however, may.”
Im not reading too fast, but I may be misinterpreting what I read.

karmaswimswami
February 27, 2014 7:30 pm
Reply to  Alan Harris

Sorry, I may have made it confusing. If you are cured of HCV the oldfashioned way with IFN and ribavirin, or the newfangled way with sofosbuvir/ledipasvir, you can walk right out and get reinfected. But based on what we know now about TT-034, it is conceivable that this would confer on you a state of resistance to reinfection.

One of the minor axes I had to grind with Benitec is that they are doing the TT-034 trial in genotype 1 patients. That was a mistake. I “called” them on that , and they then agreed that wasn’t perfect logic on their part. I have concern that HCV genotype 1 lurks deeply, sanctuarily, in macrophages and that genotypes 2-14 do not. I thus would have preferred that they start out in non-1 patients. I am concerned that they are also only going to give it to people who have failed prior therapy, which may mean they have mutated virus. This is one of several things the SA author got wrong: the protocol the FDA and gene therapy adv com approved says that they can give it to people who are not candidates for interferon (which can be interpreted broadly, ie., “I don’t want interferon.”) I intend to do a piece for SA on Benitec that really tells the story that Chrisomalis missed, but had held off because I heard his was coming. There is just so much more to it than he said. “All three genotypes,” he wrote. DUDE, listen! The sequences it hits are genotype independent, and clinically we are wrangling with WAY more than three genotypes! Genotype 4 is hell to cure! And genotype 5 ain’t easy. And frankly 3 is harder than everyone thinks. What Beni should have done is do this study in all genotype 2’s who can’t do interferon. Show it works in these chipshot patients, drive share price through the roof, and cash in enough to fund a study in gt 1.

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Leo S
Leo S
February 27, 2014 4:04 pm

Siva: The major thing I am worried about is ‘operator error’ in using the Prelude device for Symphony. The technology is great, but whenever a human is involved in the operation of removing minute material from anything the possibility of operator error rears its ugly head. I did some more research on the Prelude device and found out that they do have a feedback system to allegedly stop dead skin removal at the proper time. The feedback system uses a conductivity of the prepared site to do this. That still leaves open to question how the operator is involved in this stop. Does it turn the machine off or give an alarm? Also does the technology prevent the operator from applying too much pressure or tilting the device at the wrong angle? I am making the assumption that skin is removed abrasively. This may be incorrect and they have other technology to do it. If it is the latter then the conductivity testing during operation makes more sense.

It appears that they remove skin to a plasma layer but not blood, so they are able to administer drugs thru this device also.

A lot of my questions won’t be answered until this device is tested in the field with non-experts, so based on the video it has to be a great investment at least until then. Thank you again for all your contributions.

walter
walter
February 27, 2014 5:40 pm

Miller…….post 1006. I agree 100% with your comments. We’ll go nuts pouring over day to day price moves. Unless you are watching for a pull back entry price to be hit, enjoy the ride and spend time looking for other candidates to ride. As for entry on BNIKF, I am still holding GTC orders at 1.66 and again at 1.32 or the rising 20 day EMA, whichever comes first. I would not be shocked to see price move down to close the gap and support of the close of Feb 2nd before the next major move up. Five red candle days on high volume is showing more sellers taking profits than buyers right now. If price closes below the close of the last gap up @ 1.65 then more selling may take place from the technical traders who read charts, and we’ll get a pretty good entry for the later lift off.

analog68
analog68
February 27, 2014 7:01 pm
Reply to  walter

Walter…appreciate both you and Miller’s posts very much. I just don’t think I could be as calm as you and wait for it to pull back, the word is getting out. However, you may be dead right and I really do appreciate both of
your ananlysis.

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JackLec
Member
JackLec
February 27, 2014 8:30 pm
Reply to  walter

Let me join Nick Semuta and thank you guys for your laidback technical analysis. You got me really curious about this complicated art, I’m gonna dig the internet about it!

karmaswimswami
February 27, 2014 6:19 pm

People asked about CTIC, the Seattle oncotherapeutics company. It is worth a look. It has far to go to get pixantrone approved in the US for non-Hodgkin lymphoma. The uptick today was on the basis of broader EU acceptance of pixantrone as salvage/maintenance therapy for NHL patients who have failed induction or who are relapsing and are not repeat induction candidates. Agents for this situation are lacking, and induction regimens usually are not given on the basis of many of them containing mitoxantrone, pixantrone’s very cardiotoxic sibling.

Having said that, the company is sinking a lot of money into developing tosedostat, an N-terminal exopeptidase for cancer. This one is in phase II and I predict failure. Its agent pacritinib is a tyrosine kinase inhibitor for liquid tumors such as AML, but this space is getting crowded. Its brostalicin trials….I have no sense about whether that agent will work.

The transformative event for this company seems that it would be getting pixantrone to market, getting it approved. If someone can find some data about how far along that trial is, what enrollment is like, how the comparator groups were designed, I would like to see that. I think that it will take a long time to complete this trial however and there may be no urgency about getting into this stock yet.

Let’s gather data about the pixantrone studies, Where they are being done? Do they have rights outside the US and EU to pixantrone? NHL is a big problem everywhere these days.

If they can get pixantrone going for them, this company could be a baby Celgene.

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joetheoxx
Member
joetheoxx
February 27, 2014 7:55 pm
Reply to  karmaswimswami

thanks, doc.
very helpful for me.
searching for more informations about the trial

life_of_pie
life_of_pie
March 3, 2014 5:50 pm
Reply to  karmaswimswami

Hi Dr. KSS, many thanks for your insights, which I have been following on a daily basis for a few weeks. Re pixantrone, I thought it was dead in the water. It was rejected by the FDA on a 9-0 vote in 2010, and this sentence sort of jumped out: “Twelve patients in the pixantrone arm (17.6%) died due to adverse events compared with five patients (7.5%) in the control arm.”
Link: http://www.healio.com/hematology-oncology/hematologic-malignancies/news/online/%7B79bfac4c-121d-4bf2-987f-c81e073edd71%7D/odac-denies-accelerated-approval-for-pixantrone-to-treat-nhl
Adam F of thestreet weighed in on pixantrone’s resubmission in May 2011: “But FDA raised serious questions about pixantrone’s safety, noting that deaths and serious adverse events were more common on the pixantrone arm than in control patients. Moreover, three pixatrone paients died to due to heart failure compared to a single patient in the study’s comparator arm, according to the FDA’s analysis.”
Not sure how they got the EU to approve it, I’d stopped following it.
Some of my history with CTIC….I bought 10K shares in 1999, watched it soar to $77 in Oct. 2000, and fall back to under $2, where they did a reverse split. Aren’t reverse splits fun? They’ve done 4. Gradually it dawned on me that the Bianco Bros. were using CTIC as their personal enrichment scheme. I remember when CEO Jim got his board to give him a million dollars one year for personal security. Back in the day, there were maybe 2 biotechs with company jets: Amgen & CTIC. Bianco has multiple nominations for Adam F’s Worst Biotech CEO of the Year: http://www.thestreet.com/story/11786505/1/the-worst-biotech-ceo-of-2012-is.html
A writer on SA concurs: http://seekingalpha.com/article/1070571-ctic-strong-sell-therapeutics
And thanks for testing xyotax (now Opaxio) in Russia, guys. You did it before it was fashionable.
I wouldn’t trust Jim Bianco with my pocket change. This company is a crapshoot (shoot optional).

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karmaswimswami
February 27, 2014 6:21 pm

BLT to open at A$2, up from A$1.81.

Alan Harris
Guest
Alan Harris
February 27, 2014 7:01 pm
Reply to  karmaswimswami

How do you call this stuff !!!!! Im not gonna argue for 2 cents

Joseph C
Joseph C
February 27, 2014 7:18 pm
Reply to  karmaswimswami

Morning folks, Looks like $1.70 was the 2nd bottom from yesterday’s action and today’s opening. Not surprising, as the bar chart showed a reversal day yesterday when it push down to a lower low but closed the day with almost a higher high compared to the previous day closed. The gap this morning in Australia was a bit of a surprise. Just a bit of technical commentary to keep this thread interesting.

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Alan Harris
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Alan Harris
February 27, 2014 7:31 pm
Reply to  Joseph C

I like a bit of technical….why not start a discussion team at the top of this thread. Every angle helps, and if thats your ‘thing’ (and prob many others’ thing), everyone can benefit from your summary. Go4it

Les Baker
Member
Les Baker
February 27, 2014 6:55 pm

BLT now 1.99 on the ASX

Alan Harris
Guest
Alan Harris
February 27, 2014 7:02 pm
Reply to  Les Baker

Make that 1 cent

karmaswimswami
February 27, 2014 7:10 pm

OM: Thanks for posting.

As regards hair graying, the tendency to that is loosely associated with degree of pigmentation. The paler one’s skin, the greater the proclivity for early graying. Graying appears to be caused by small concentrations of hydrogen peroxide in hair follicles. As we age, we produce less of an enzyme called catalase, which degrades hydrogen peroxide to water and oxygen. I am reasonably sure some company intends to devise a topical catalase solution to help control graying.

As regards hair loss, the three main drugs for preventing it and reversing it are one, minoxidil. Taken orally this drug is a strong antihypertensive and works topically as a vasodilator. Dutasteride is a 5-alpha reductase inhibitor that is taken orally (by prescription) and can be effective but also incurs a risk of erectile dysfunction. It is fair to say it has not exactly caught on. I would personally suggest using 2 per cent minoxidil twice daily topically and also shampooing daily with 1 or 2 per cent ketoconazole because this drug has anti-androgenic effects.

The prostaglandin agent bimatoprost (Latisse, by Allergan) has potent growth effects on lashes, and Allergan is said to be intending to study it for male hair loss. I am long Allergan, and it continues to outperform.

Keep in mind that RXII is basically the company that Mello started. I have not been so interested in it as an RNAi play because they are only going after connective tissue overgrowth in cosmetic settings, but I would admit it is a very cheap company as compared with its RNAi peers, and because it is pursuing the indications it is, conceivably topical RNAi, it may well sneak up and get early approval (though they are not near being ready to submit).

The first RNAi therapeutic to get to market will likely be Alnylam’s agent to silence transthyretin for a form of amyloidosis. That is a disease with exuberant inappropriate protein deposition that can cause severe neuropathy, and in other cases liver, cardiac and renal failure. There are many kinds of amyloidosis and theirs targets one kind. It is quite rare, and they went after this to get orphan drug designation. It is rare enough that studying it has been hard for them, but I feel the FDA is likely to go easy on them for approval. I would voice again, however, the concern I have that these companies aiming to silence by giving RNAi from outside, rather than via the DNA-mediated route as Benitec is doing, may get burned long term by the fact that giving RNAi by hit Toll-like receptors and cause weird autoimmune problems.

I do believe that the hair loss problem will be amenable definitively to some solution. I would love to see someone devise, for example, a topical rub-on RNAi therapeutic that silences expression of the testosterone receptor in these follicles. In fact, hey! That could be a project for our company, Upstart Biotech! When all of us become Benitec millionaires, we are all going to start a company to capitalize on the ideas we are getting from brainstorming here. The more I thought about it last night, electroporation via endoscopy as tumor therapy would be brilliant.

I would reiterate that RNN and CTIX, in addition to DRTX, are great places to be.

The mention of MannKind calls to mind that its AdCom date for Afreeza is coming. I do not have a sense that the FDA will approve it this time, but if it does, I am not sure that it makes a huge difference. MNKD will become a company with a product, but not a product that will get wide use. It is only a short acting insulin, and will not allow people who need insulin to go totally without needles, as they also need longer-acting forms. Doctors are still reeling from being burned by Exubera, Nektar’s failed product, and I think they will be slow to use Afreeza if they rx it at all. For the bigger type 2 DM market, Afreeza will just have no place at all, and it is poppycock for MNKD to claim it will.

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analog68
analog68
February 27, 2014 8:05 pm
Reply to  karmaswimswami

Upstart Biotech…with subsidiary office in Sydney where annual meetings occur, guess we’ll have to make a holiday of it complete with golf outings, snorkeling and surfing school for me.

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Alan Harris
Guest
Alan Harris
February 27, 2014 8:10 pm
Reply to  karmaswimswami

Hmmm?…. I see a lot of dark skinned Caribbeans with grey hair, and a lot of Scandinavian blonds. I think its Gods way of signalling to females that this guy is getting beyond fathering age. And Im not entirely joking.

arch1
February 28, 2014 2:37 am
Reply to  Alan Harris

AS to keeping hair from graying or falling out the only sure remedy I know is at about age 25 cut it all off & store in air-tight box. I hear latest fad in NYC is beard transplants for the ‘Avant Garde’ who want make a statement of their difference by all looking alike.

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om
om
February 27, 2014 9:02 pm
Reply to  karmaswimswami

Thanks you so much Dr KSS for a lot of and very detailed info about RNAi. I took 5800 Stock ks of BNIKF from my margin account 🙂

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om
om
February 27, 2014 9:41 pm
Reply to  karmaswimswami

Dr Kss,
Any thoughts about this http://silence-therapeutics.com/ SLNCF .
I know you wrote little about this company, (#46) do you suggest to buy now ?
Thanks

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newby3867
newby3867
February 28, 2014 9:53 am
Reply to  karmaswimswami

Doc I noticed in your post last night that you thinking about electroporation via endoscopy as tumor therapy and thought it would be brilliant.Would that put ONCS and INO as possible good investments on this?Thanks Glenn

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Opposeablethumb
Irregular
February 27, 2014 7:12 pm

Thank you Dr. KSS. I too appreciate the education I am receiving. Not just the picks but the information about Statins and vitamins has caused me to make some changes. With biotech I have been hit and miss. Poorly timed RGEN in at 4.00 in 2004 out at 7.00 in 2013 (now 16.0). Have held Momenta (MNTA) for a few years and learned to play it between 11 and 14. Momenta had the largest generic sales ever (Lovenox) before Amphistar used Momenta’s patent to prove there products equivalence to the FDA. On May 24th TEVA’s patent expires on Copaxone and in my mind it is nearly a lock that Momenta gets approval for that generic also. FDA has pointed to them as the template as to how biologics will be done (they resolved the Heparin contamination issues a while back) They have other things in the works with Baxter and their own approach to cancer. Was concerned when the genius behind it all went back to teaching, perhaps that is his love or he was done here and looking to figure other things out. Mylan is also likely to get approval for Copaxone. There are now other drugs in competition with Copaxone. Someone mentioned Dew Dilligence on the Ihub board previously, he received so much grief about Momenta on the Yahoo boards on this one that he just disappeared. I love the civility at GS! MNTA has been a rule breaker at Motley Fool. But they never seem to fly for very long. Would you care to render an opinion?

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sivapann
Member
sivapann
February 27, 2014 7:57 pm

Leo S:
You are right that Prelude makes a beep when it abrasively removes the dead skin upon which one can take the device off.

“Also does the technology prevent the operator from applying too much pressure or tilting the device at the wrong angle? ”
I do not have an answer for that. Will write to the company to ask.

“It appears that they remove skin to a plasma layer but not blood, so they are able to administer drugs thru this device also.”
That is correct. They have a partnership with the UK company Ferndale to develop, market and sell Prelude for application of topical 4% lidocaine cream for local dermal anesthesia. Not much has happened with Ferndale

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