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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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karmaswimswami
March 3, 2014 6:16 pm

I have come across a recent Dutch study that independently confirms Benitec is on the right track. It looks at HIV escape mutations, and concludes that when one simultaneously silences three RNA sequences, as is the Benitec method for viruses, you nix any ability virus has to mutate and escape. It can escape one shRNA, and to a much lesser degree can escape two shRNA’s, but three it cannot evade. That would require too many concurrent mutations, faster than happens in nature. The great bug-a-boo in treating any RNA virus is that it mutates, and this causes many HCV therapies to fail. But the archetype Benitec expression cassette is three shRNA strands going after three conserved coding sequences in viral genome. Anyway that is the theory, the method in the Benitec madness, and this study tends to confirm what Benitec has said all along.

http://www.nature.com/mt/journal/v22/n3/full/mt2013280a.html

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sivapann
Member
sivapann
March 3, 2014 11:25 pm
Reply to  karmaswimswami

Dr. KSS – You are the authority for us on Benitec and ddRNAi. Thanks for reassurance on this.

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Kris Prasad
Guest
Kris Prasad
March 3, 2014 11:27 pm
Reply to  karmaswimswami

Finally back on track. I have been lurking for oer a month and have 7000 Beni @ 0.75 based on Dr.KSS’s assessment and his ” carbuncle on my butt” (or some such” to truth -seeker”). comment .
Politics, has mercifully been not been a part so far , though I guess Dr.KSS is a liberrtarian from his equal opportunity bashing of Bush and Obama. But that is neither here nor there.
A lot of commentary has been incisive , by a slew of people, and I hope the commentary chain stays that way.
I am a Ph.D.in chemistry ( long forgotten) and currently in pediatric endocrine with steroid background at a NY hospital. Though, I am better known for my side career in wine and food, even with my colleagues at work.
I am almost commented earlier when Dr.KSS replied to Om about hair loss and made reference to “testosterone” receptor. Not nitpicking, but it is called the androgen receptor and is not exclusive to testo. Dihydrotestosterone ( cause of balding to put it in simplistic terms) binds more avidly to that receptor than does testo. Semantics, perhaps, but the point that Dr.KSS made was still accurate.
Now, I will go back to being the proverbial “fly on the wall” . Keep up the sleuthing, the skewering of inflated claims and, in general, the bonhomie that has existed till now on this thread.

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karmaswimswami
March 3, 2014 6:22 pm

Jo: That is a brilliant, killer anecdote. I will use that one with patients (without your name of course). Thanks!

$$ViaTheHelix
$$ViaTheHelix
March 3, 2014 6:56 pm
Reply to  karmaswimswami

That is fine Dr. KSS as I used one of yours anecdotes Friday night!

Stuffy Professor: “Any Stock tips Helix?”
Helix: ” Just one. No ITMN for your portfolio.”
Stuffy: “Oh, Where is it listed?”
Helix: “Actually 2 places. It’s listed on AMEX and also on the FDA Dookey List!”
Stuffy’s Smokin Hot Wife: “Helix You’re funny. Buy me a Bombay Sapphire will you!”
Helix: “Certainly- and we can discuss the merits of PTN whilst we stand in line!”

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karmaswimswami
March 3, 2014 6:39 pm

George, in a lot of the chronic diseases of cholestasis, like PSC, PBC, vanishing bile duct syndrome, on biopsies we find tons of copper on histology. Copper is excreted by the biliary system. But obviously going in and chelating all that copper would be of zero benefit, though it would make the histopath look better. It is manifestation, not cause.

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George
Member
George
March 3, 2014 6:46 pm
Reply to  karmaswimswami

exactly the point of my story (1106).. the dead fish are the manifestation of the toxic spill, and cleaning the fish wont change the water, but will make the lake look nicer until more fish die: making it pretty doesnt change the root cause. It may slow down some symptoms (smell of dead fish), but wont solve the problem. Even cleaning up the water (getting rid of a-beta and tau plaques) won’t stop the disease, but will slow it down (I bet moreso for tau). We need to be able to stop the toxic spill. For Alz, we dont know what is causing the spill despite all of the research and the different theories. Testing the theories in people (the only place it can be done) is heavily restricted and extremely expensive. Alz patients are the most expensive patients for clinical trial enrollment I have seen.

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analog68
analog68
March 3, 2014 6:59 pm

Who is the closest to having success in a pure ddRNAi trial ? All boats will rise…is it reported in the FDA calendar?

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analog68
analog68
March 3, 2014 7:23 pm

not just human

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Don Barrett
Irregular
Don Barrett
March 3, 2014 7:54 pm

Dr. Karmaswimswami,

I had my Green Light Laser on January 30, but am still taking Uribel for the burning. Will I have to take this for life; will it get better?
If there are things I should know, I am happy to reimburse you for a phone consult.
Sorry list for being way off topic, but I am troubled and am desperate for advice I can truly trust.

Don Barrett

arch1
March 4, 2014 1:32 am
Reply to  Don Barrett

Don I am not a doctor but many years ago someone gave me a short phrase that has helped me many times. “This Too Shall Pass”. Truly we humans can withstand nearly any oppression if we think it will end including from our own bodies or minds. Stay hopeful,Laugh when you can,Never give up. Others care for you.unknown.

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rogie
March 3, 2014 8:21 pm

Third Presidential Debate. October 22, 2012
POTUS: Governor Romney, I’m glad you recognize al queda as a threat because a few months ago when you were asked what the biggest geopolitical threat facing America, you said Russia {pause} not al queda {pause} you said Russia. And the 1980’s are now calling (unintelligible) for their policy back because the Cold War’s been over for 20 years now”.
….”So, what we need to do with respect to the Middle East is strong steady leadership, not wrong and reckless leadership, that is all over the map, and unfortunately that’s the kinds of opinions you’ve offered up throughout this campaign and it is not a recipe for American strength or keeping American safe over the long term.” It’s that strong steady leadership as evidenced in Libya, Egypt and especially Syria that galvanized Putin. How far does he wish to go? Who in the hell is going to stop him?

The Washington Post, March 2, 2014

“President Obama has led a foreign policy based more on how he thinks the world should operate than on reality…” …”As Mr. Putin ponders whether to advance further into eastern Ukraine, say – he will measure the seriousness of U.S. and allied actions, not their statements.

Since KSS offered up his opinions, I thought it would be only fair to counter with fact based statements. If you have the time to watch that third debate, then compare Obama’s words with his recent actions regarding foreign policy it is quite striking what the man said and what he is actually doing. Can you imagine the laughs coming out of the Kremlin when these people were blaming Benghazi on a YouTube video?!?!

Oh well, it’s almost NCAA Basketball playoff time, so we’ll all hold our collective breath and await to see who he picks for his brackets this year. God help us.

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Alan Harris
Guest
Alan Harris
March 3, 2014 8:35 pm
Reply to  rogie

See if you can see the pattern:
Iraq….chaos
Afghanistan….chaos.
Libya….chaos
Syria……..chaos
Egypt…..chaos
Pakistan….chaos
Russia/Ukraine…..chaos.
I probably missed a few. The policy is NOT to put boots on the ground….that obviously cost mega and didnt work. It’s to create chaos within to ensure these countries are nuetralised as a threat at no cost.

Jagadish
Irregular
Jagadish
March 4, 2014 12:50 am
Reply to  Alan Harris

Kenny,
If you want to stay away from politics, please stop making nasty comments about president or anyone for that matter. Please stick to investing.
Thanks,
Jagadish

Jagadish
Irregular
Jagadish
March 4, 2014 12:52 am
Reply to  Alan Harris

Alan,

Please stick to investing. If you want to comment on politics there are plenty of other sites to do this. Respect the intellect of this board.

Jagadish

KennyG
Guest
KennyG
March 3, 2014 9:07 pm
Reply to  rogie

Rogie – well said. But what can you expect when we elect someone to this position whose previous credentials was as a community organizer of one of the more corrupt cities in America, and had a horrendous voting record while in the Senate.
With that said, I do agree with others here that we need to keep politics out of this fine thread.

gummydave
gummydave
March 3, 2014 9:26 pm
Reply to  KennyG

“We need to keep politics off here… Except I’m going to get my 2C in first?”
Oh dear. I hope we can get back to the biotech thread before this goes off the rails. I’d really prefer we stick to increasing our wealth than our blood pressures.

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arch1
March 3, 2014 10:36 pm
Reply to  gummydave

Gummy there was a time when you could go thru life in US without feeling the heavy hand of GUMMINT but the politicians wont leave us alone,they affect/infect the stock-market & nearly everything we do,its enough to make one paranoid; hmmm Gummy, you are not a govt. plant I hope. Seriously folks do you realize how rare it is to discuss the things we do without someone grabbing for the monkey-poo at 1st disagreemment?? No-one yet has called me a Socialist swine or a Capitalist pig………… so refreshing.

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ScorpioRising
ScorpioRising
March 4, 2014 12:05 pm
Reply to  rogie

I’m no Obama lover, but I’m not sure Romney would have been any better either. I dislike most (all?) US politicians. The way they get elected is wrong – our system is broken. They get elected and reelected by supporting those that got them into office – the lobbyists, PACs, whatever you want to call them. They twist words and preach what they think the people want to hear. I want a politician who isn’t afraid to speak the cold hard truth and tell his constituents that they can’t have more government support because WE DON’T HAVE THE MONEY. What’s happening in the Ukraine is bad, but in the big scheme of things it doesn’t matter. In 20 years do you think the worlds economy will be based on the US dollar or the chinese yuan? What happens to our debt? How much longer can we keep burning greenhouse gases? I can’t say for sure that CO2 emissions are causing global warming, but if they are, that could be a big problem. Why don’t we have more nucular (sic) reactors – because of people’s perception of them. If you say Thorium nuclear reactor, I don’t think public perception is any different.

We have bigger problems than the Ukraine, but we are reactionary, not proactive. The public, in large, doesn’t care about what happens 10, 20, or more years from now, but most of them (hopefully) are going to have to live it.

So, to relate this in some way to biotech investing 😉 I think/hope the ddRNAi approach looks promising. If it works for hepc, then we can look ahead and see many other applications. I think the next few weeks, before any word starts leaking out from the first trials, is a good opportunity to load up as the stock oscillates in the 1 to 2$ range. I see $1.65 as a good support level for the US BNIKF shares. I’ve got a limit buy in at $1.70, but may up that a tad, just to make sure I don’t get shut out before the next leg up.

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Alan Harris
Guest
Alan Harris
March 4, 2014 12:27 pm
Reply to  ScorpioRising

Warning: Benitec is a heaven or hell stock. Of course we all hope it will be heaven. But anyone living on a tight budget should beware of all the euphoria and enthusiasm on this thread. Beni is a high risk gamble (like all early stage bio). If it’s a success, you will still do nicely. But It is NOT a guaranteed retirement plan. Dont risk more than you can afford to 99% lose.

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ScorpioRising
ScorpioRising
March 4, 2014 1:21 pm
Reply to  Alan Harris

Good words of advice! Personally, I am not risking more than I can afford to lose. I’m going in thinking I could get a haircut of 50% or more, but I’ll probably sell before then.

newby3867
newby3867
March 3, 2014 8:55 pm

Dr Kss was looking at a company called Bind Therapeutics(BIND) that looks promising.Not sure if their science is a new technology or has been tried by someone else.They use Accurin’s using a Medicinal NanoEngineering Platform.They have 3 partnerships with big boys.Amgen.Pfizer. and AstraZeneca.Their Bind-014 is currently in phase 2 for non-small cell lung cancer and metastic castrate-resistant prostate cancer.It is a Accurin that targets PSMA and contains docetaxel.There were quite of few insider buys in September of last year at 15 dollars.It currently sales at a little over 13 a share.Thanks,Glenn

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Joseph C
Joseph C
March 3, 2014 10:16 pm

Hi Folks, two gaps and a pennant (bullish consolidation) on the BLT daily bar chart. No way would not find me being short on this pattern combo. When a regular flag or pennant forms traders gets excited, but if you throw in two gaps …….and it breaks topside and you are not long … adios amigos. How far it will go? Look for the flag pole it usually goes as far as that.

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Joseph C
Joseph C
March 3, 2014 10:31 pm
Reply to  Joseph C

should read as “No way would you find me being short………….”

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David B
Guest
March 4, 2014 2:15 pm
Reply to  Joseph C

If I interpret you correctly Joe–you are very bullish on what you see in the charts–correct?

Joseph C
Joseph C
March 4, 2014 5:44 pm
Reply to  David B

Hi David, yes, it show looks bullish on the chart.

Joseph C
Joseph C
March 5, 2014 3:07 am
Reply to  Joseph C

I am not myself today…. It sure looks bullish

analog68
analog68
March 3, 2014 10:36 pm

2014 Chrysler Super Bowl Ad featuring Bob Dylan.
2017 Benitec Super Bowl Ad featuring Keith Richards.

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David B
Guest
March 4, 2014 2:18 pm
Reply to  analog68

Good one Nick–you may be getting just “a tad” ahead of yourself, but I love the sentiment. Keith Richards and Mick Jagger look like they need a one shot cure for something at this point as neither has aged well.

Alan Harris
Guest
Alan Harris
March 4, 2014 2:29 pm
Reply to  David B

Ah, but they are still pulling the twenty something beauties…. Eat your heart out and weep when you look in the mirror. 🙂

Justirregular
March 5, 2014 8:39 am
Reply to  David B

David…I grew up watching them play and to be very honest, I am very surprised that they have mad it this far. So, that they are aging at all, is a surprise to me!

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Subramania Kaushik
Subramania Kaushik
March 4, 2014 12:12 am

David Suhy tweeted about his interview. Here is the whole article!
Benitec May Change HCV Paradigm Again With Single-Dose, DNA-Directed RNAi
Executive Summary
The Australian biotech got FDA authorization in January to move its first (dd)RNA candidate, TT-034, into clinical development for hepatitis C. Dosing in a 14-patient, five-cohort, Phase I/IIa study will begin in mid-March and produce final data in about 18 months.

Both hepatitis C treatment and RNA-interference therapeutic development have claimed a lot of headlines in recent months, but in neither case has the story been completed. Australia’s Benitec Biopharma Ltd. believes it will have much to say in both of those areas as it moves its DNA-directed RNAi technology into its first clinical trial for HCV this month at Duke University and University of California, San Diego.

Although (dd)RNAi is different from the modalities being pursued by RNAi companies such as Alnylam Pharmaceuticals Inc. and Arrowhead Research Corp., the approach is not especially new, dating back to research findings presented in 1997, explained Benitec Senior VP of Research and Development David Suhy in an interview.

It uses DNA plasmids to deliver long-lasting therapies inside a patient’s cells. In fact, what Suhy calls Benitec’s short hairpin RNA or shRNA therapeutics may offer a single-dose cure for hepatitis C. Benitec’s technology links those DNA plasmids with viral vectors, or other types of vectors, delivering a gene-therapy molecule to the patient’s cells that creates long-lasting production within those cells of a therapeutic.

“Once we get inside cells and the plasmid is there, typically with many vectors, especially the viral vectors, [our candidates] effectively can yield months if not years of production of shRNA,” Suhy said. “One typical example is TT-034, our lead compound which will be going into clinical development. We know from preclinical studies that a one-time injection in [test] animals resulted in at least six months of therapeutic expression of shRNA molecules, which essentially was the length of the experiment.”

So, even though Benitec is just entering the clinic with ‘034 while the next wave of HCV therapies offering better cure rates and safety profiles and reduced durations of therapy has arrived or will reach market shortly, Benitec still thinks plenty of opportunity exists for its candidate. The issue of patient compliance ensures that clinical trial response rates usually don’t get reproduced in real-world use, Suhy explained, meaning a single-administration cure could be of great interest not only to patients and clinicians, but to payers as well.

Benitec also hopes to bring (dd)RNA candidates for hepatitis B and drug-resistant lung cancer into the clinic in short order, and the study of ‘034 will provide a lot of useful guidance for advancing those two programs, Suhy said.

Niche Anticipated For Single-Dose HCV Therapy

“The hepatitis B compound that we’re working on is essentially an identical delivery mechanism and vector [compared with ‘034],” he noted. “The only thing we’re switching out is the shRNA sequences.”

Regarding the HCV program, Suhy added, “from a patient perspective and a payer perspective, $84,000 [the 12-week cost for Gilead Sciences Inc.’s recently approved Sovaldi] is a significant chunk of change. At the end of the day, it still will be an interferon-containing regimen for those who cannot afford it or whose insurance will not cover that benefit.”

While the previous game-changers in HCV, Vertex Pharmaceuticals Inc.’s Incivek (telaprevir) and Merck & Co. Inc.’s Victrelis (boceprevir), produced cure rates of roughly 75% in clinical trials, he added, a recent presentation at the 2013 American Association for the Study of Liver Disease meeting showed that the drugs produced cure rates closer to 60% in real-world practice.

“Those therapies are still dependent on patient compliance. Even with the treatment duration as short as eight or 12 weeks, you’ll still have patients who go on a drug holiday because they don’t feel well or go on vacation,” Suhy asserted. “We believe that by taking patient compliance out of the picture altogether, that’s a significant step forward, in addition to giving patients a more friendly therapeutic regimen of a one-shot infusion.”

While Benitec pioneered (dd)RNA, it actually in-licensed ‘034 from Tacere Therapeutics Inc. after that company’s previous partnership with Pfizer Inc. crumbled after the 2009 Pfizer/Wyeth merger [See Deal].

Pfizer had partnered with Tacere in 2008 and brought ‘034 into its portfolio in 2009, but after the Wyeth merger, a portfolio review reduced the pharma’s focus on infectious disease [See Deal]. The review also resulted in the shuttering of an R&D facility that housed about 90% of Tacere’s personnel, Suhy said. “The program wasn’t returned to us for a lack of scientific merit, it just didn’t fit their portfolio at that point,” he said.

But because ‘034 started out at Pfizer, it benefits now from a wealth of preclinical development, done on big pharma scale, Suhy noted, rather than small biotech scale. The IND package submitted to FDA last December was approved in roughly one month, and the approval is for a Phase I/IIa protocol under which ‘034 will be investigated for both safety and efficacy.

Benitec has begun patient screening for a trial that will test ‘034 in 14 genotype 1, treatment-failure HCV patients, with six-month follow-up after dosing. As a biologic, there’s little point dosing ‘034 in healthy volunteers, which is why FDA approved a Phase I/IIa structure for the study. Suhy said the first two cohorts will produce safety data, after which the remaining cohorts will be studied for efficacy as well as safety.

“By cohort three, we anticipate that we should be in the sweet spot of therapeutic efficacy for this compound, so cohorts three, four and five are really aimed at looking not only at the safety of the concentrations of TT-034 administered but also of potential efficacy,” he explained. “So we will looking at things like viral load. We will be taking a liver biopsy at day 21 to assess how well the drug has gotten into the liver hepatocytes as well as how shRNA is being expressed.”

Benitec used the FDA approval of its IND as a financing hook, announcing on Feb. 24 a $31.5 million private placement involving U.S. institutional investors RA Capital Management, Perceptive Advisors, Special Situations Funds and Sabby Management. The offering placed 29.4 million ordinary shares at AUD $1.07 per share. Benitec trades publicly on the Australian stock exchange but operates offices both at home and in the U.S.,

“Up until recently we’ve been owned by retail and high-net-worth individuals in Australia,” Suhy said. “But the reason for the listing, in addition to raising capital to support the programs, was to get the U.S. institutional investors on board, which we feel is major validation not only for the technology but the company as a whole in terms of how we’ve been performing.”

“RNAi has come back into favor,” he added. “We saw Alnylam release clinical data recently and go from under $1 billion in market cap to over $5.2 billion (“Alnylam Validates Subcutaneous Delivery Technology With Strong Phase I Results” — “The Pink Sheet” DAILY, Jul. 11, 2013). You see the IPO for Dicerna Pharmaceuticals Inc., you see Arrowhead now valued at $893 million and it’s all on the back of the clinical data. I think that the key driver for this stock and the key interest in the money raising … has really been the green light by FDA.

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Subramania Kaushik
Subramania Kaushik
March 4, 2014 12:15 am

And here is the link if you want to check it out. You have register for free trial otherwise you pay $50 for viewing the article!

http://www.pharmamedtechbi.com/publications/the-pink-sheet-daily/2014/3/3/benitec-may-change-hcv-paradigm-again-with-singledose-dnadirected-rnai

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newby3867
newby3867
March 4, 2014 12:20 am

Nice find Subramania on our little Beni.Good stuff!

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analog68
analog68
March 4, 2014 12:22 am

Nice Subra, as usual.

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Subramania Kaushik
Subramania Kaushik
March 4, 2014 9:28 am
Reply to  analog68

Here is my tweet conversation with David!
David Suhy ‏@davidsuhy 9h
An interview I did last week with the Pink Sheet Daily. $50 access waived if you get a free trial subscription. 🙂
http://www.pharmamedtechbi.com/publications/the-pink-sheet-daily/2014/3/3/benitec-may-change-hcv-paradigm-again-with-singledose-dnadirected-rnai

Subramania Kaushik ‏ 9h
@davidsuhy Good one David! We are looking forward to this trial!

David Suhy ‏@davidsuhy 7h
thanks Subramania, after 10+ years of work, it will be gratifying to see the first dose administered.

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newby3867
newby3867
March 4, 2014 12:12 am

Doc KSS earlier in the thread on post 349 we discussed (SYN) and what Randal Kirk would now about this company to make a insider buy this large.Since the the stock has went up significantly.Well there is another company Ziopharm Oncology(ZIOP) that is being promoted by some investor pay subscription letters .They are predicting that stock could possibly go up 400 to 700% in 2014.And guess who made a mega insider buy in the company in October of last year of the tune of 10,000,000 dollars was Mr Randal Kirk.He bought in at 3.50 a share and stock is currently sitting at 4.21a share.He was also behind Intrexon(XON) big time before it took off big time.Ziopharm is partnered with Intrexon also.Doc is the company legit with what they bring to the plate and Mr.Kirk involved again?Thanks,Glenn

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greenfire67
Irregular
March 4, 2014 4:06 pm
Reply to  newby3867

Glen,
You should be aware that ZIOP is targeted by shorts; http://moxreports.com/category/ziop/
Check the list of potential short stocks. The author is also big in Seeking Alpha and has big pocketed friends. I have not done any DD on this stock due to it being on the list.
I have owned a few, which after big losses, led me to the mox reports.
Goodluck

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Glenn
Guest
Glenn
March 4, 2014 9:47 pm
Reply to  greenfire67

Thanks Greenfire I did notice that.You are right it could be a big loser if news and data is bad but if news and data is good it could go up like it was shot out of a slingshot.I think why there is so many shorts right now in is because it is early in the ball game for them.That is why when Doctor KSS gets time I would be interested in what he had to say about ZIOP.Cheers,Glenn

arch1
March 4, 2014 2:14 am

Karma I would appreciate any thoughts you may have on ADHD, Alderol as treatment,Dopamine,Amphetamine & etc. I just noticed short thread on GS site & wondered If you might have something to say. I know you are very busy & this is an imposition but it is hard to get straight answers on this subject & the huge use of Ritalin in U.S. Thanks

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arch1
March 4, 2014 2:33 am
Reply to  arch1

If I may add to this in previous discussion of ECTE & CGM you mentioned a fine probe’ I think perhaps that would be Dexcom G4 Platinum? Did you have a thought on relative merit & possible investment?

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karmaswimswami
March 4, 2014 7:45 am

To Don Barrett: Yes, I definitely do think you will be able to come off that drug following PVP. It sounds as if you are having an exceptionally bad time owing to your prostate and I am truly sorry to hear it. My hope is that the first good thing that will happen to you post PVP is that you will be able to sleep nearly all night long again, as I doubt you can now.

Prostate hypertrophy gives men with it a functional constant bladder outlet obstruction. This resets everything urodynamically. As a result of it, each time you void, you may be emptying your bladder only to a degree that it is two thirds empty. That two thirds becomes your functional bladder capacity, and so you must go more often, and this commonly comes with incredible urgency because when you have to void, the bladder is overfilled.

As a theme, any time some body compartment cannot drain appropriately, it gets infected. Block an airway with a tumor, the mucus cannot drain, and pneumonia sets in. Get a cold virus in your nose that causes nasal swelling that prevents normal dribbling of mucus out of a sinus, and you get bacterial sinusitis. Because your bladder is never fully emptying, it stays infected, in addition to the pain you must experience from it overfilling. That medicine you are on is an interesting combo of non-antibiotic bacteria killing agents and bladder soothers. But I predict you will be able to come off it and that life will be much better post-PVP.

This bladder emptying stuff is serious business. It is the reason men are more bladder cancer prone than women are. Urine contains toxins. At voiding, women generally empty completely, but men do not because of the prostate. The first time I placed a Foley catheter, it was in an older man at a VA. He functionally had a high grade obstruction, was infected, and was being made crazy by the insomnia. I got the catheter in and urine began pouring out like crazy and in fact brisk diuresis upon relieving such obstructions is common. I took my gloves off and went to wash my hands. I came back to check on the guy, and he was in absolutely profound deep sleep, middle of the day, from the relief of having the catheter in.

PVP was devised to resounding enthusiasm, then disappeared for a while because CMS would not cover it, but now it is back. I personally view it as a better method than that of Medifocus. With the latter, the gland gets so hot that men must have a rectal thermometer in place during the procedure to be sure things do not overheat. PVP is a great method and I think things are looking up for you. Hope you are having it soon.

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Alan Harris
Guest
Alan Harris
March 4, 2014 8:02 am

KSS, your compassion and encouragement makes me feel all fuzzy inside. You are truly a great human.

Don Barrett
Irregular
Don Barrett
March 4, 2014 8:22 am

Thanks so much Doc; your message is both enlightening and encouraging. However, as I stated in the prior message, I had the green light laser (PVP) on January 30.
I have been taking Uribel since then on and off and am still experiencing burning. Is it normal for these symptoms to last this long post PVP?
I truly am greatful for your kind advice here.
Many thanks.

Don

karmaswimswami
March 4, 2014 9:03 am

Sorry, Don. Your message was the last thing I read before falling asleep last night, and I woke up intending to answer it but did not re-read it. Uribel is one of those decoctions that compounding pharmacies love to devise: it is acidifier/analgesic/antibacterial/anticholinergic/antiseptic all rolled into one, and was in use long before it was FDA approved. The “party line” is that symptoms such as you are having typically persist for 1-2 weeks post-procedure, but I know of patients how have had them go on for up to 6 weeks. My two concerns would be, one, it is not inconceivable that your bladder has gotten fungus-colonized. Also, it is not inconceivable that you are beginning to react allergically to the phenylsalicylate in the Uribel. I would consider asking the urologist or a primary care doctor to do a current urinalysis and urine culture to see if there is evidence those two things are going on (WBCS in urine, eosinophils in urine). Are you known to be salicylate allergic? I wonder if another agent might be advisable, since, having had the PVP, you could be having discomfort from the fact that the Uribel acidifies things. The acidification is anti-microbial, but can also be irritative. Certainly by now symptoms should be waning, which makes me wonder if the drug has led to something untoward.

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Don Barrett
Irregular
Don Barrett
March 4, 2014 9:20 am
Reply to  karmaswimswami

Excellent;now I have direction. Thanks so much.

Don

KennyG
Guest
KennyG
March 4, 2014 10:37 am

Dr. KSS/ Siva: I came across this info in a newsletter that I subscribe to and wonder how it would inpact or compete with ECTE:

“In the last month, Microsoft and Google have announced that they are on the verge of success (with) technologies that would allow constant blood sugar monitoring for diabetics without stabbing themselves every day and lugging a meter and test strips around with them. Coming at it from somewhat different technologies, both companies are developing a contact lens that measures the amount of sugar, or glucose, prevalent in tears, which can be correlated to blood sugar levels. Both the Microsoft-backed
device and the Google device have tiny radios and antennas built into the lenses that transmit the data wirelessly to an app on a smartphone. The devices also could display the glucose levels directly on the lens so that they would be seen by the wearer.
Ultimately, the lenses could be used to send glucose information directly to an insulin pump. Diabetics now have the option of wearing a device about the size of a
cellphone that can inject insulin directly into the body at varying rates. The flaw in these pumps is that they must still be controlled by the wearer based on painful blood
sugar metering and guesses about how much insulin is needed. If the lenses could send a sophisticated signal to the pump, diabetics could gain autonomous control over
their blood sugar levels not unlike that of nondiabetics.”

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bclose
bclose
March 4, 2014 11:22 am

To Nick Semuta: Loaded question Nick!

Who is the closest to having success in a pure ddRNAi trial ? All boats will rise…is it reported in the FDA calendar?

If I understand the good Doctor KSS, there is no company other than Benitec which is a pure ddRNAi play. That’s why Benitec has a disruptive technology! After reviewing the thread for a list of companies that are dabbling with the technology, the companies are:

ANLY, MRNA, DRNA, BMRN, TKMR, ARWR, and INO. (probably not complete)

There are two companies licensing Benitec’s tech, and they are Calimmune and Uniqure.

There are two companies infringing on Benitec’s patents, RXII and Gradalis? i have no ticker. if anyone can help me with that, it would be appreciated.

Searching the FDA Trial tracker for these companies, only two reveal any info.

They are ARWR and INO.

Apparently ARWR completed Ph1 trial this passed January, and is completing Ph2 trial 2014-12-01. INO is completing Ph2 trial 2014-04-01. i have an email in to FDA Tracker to ask why I can’t find information on these other companies. I really don’t believe it’s because they have no upcoming trials. I will update when i find out.

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Alan Harris
Guest
Alan Harris
March 4, 2014 12:04 pm
Reply to  bclose

Excellent research/analysis Brian. Thanks for keeping us posted.

kiddydoc
kiddydoc
March 4, 2014 3:06 pm
Reply to  bclose

hi. i believe it was noted that gradalis is a private company thus no ticker! = heartless if they are stealing from benni!

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analog68
analog68
March 4, 2014 5:33 pm
Reply to  kiddydoc

Brian, thanks a bunch for the timeline. Great job.

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tanglewood
March 4, 2014 9:47 pm
Reply to  bclose

Hi Brian; There are 22 references to Gradalis on this thread. Do ctrl f to find them starting at reply by jj at #17. The company website;
http://gradalisinc.com/

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Ogle
Ogle
March 4, 2014 12:02 pm

Dr. KSS….Would you be inclined to speak to a group of about 100 in Stuart, Fl. on the new potential breakthrough treatments underway in FDA trials? The group is a Life Long Learning chapter, age 40-91, to which I am on the steering committee. An honorarium is available with travel expenses. I would be indeed honored to have you.
Thanks for your consideration.

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