Sunday 10 November 2013

Biotech Buzz Post No. 25 - BOTA

Biota (Nasdaq: BOTA) has prospects in influenza not to be sneezed at. A large BARDA grant has helped propel a new drug into Phase II.                       

Biota (Nasdaq: BOTA) – The long road from Melbourne to Alpharetta
“An ignorant person is one who doesn't know what you have just found out” - Will Rogers (1879-1935), US humourist and showman.

Last year the board of one of Australia’s oldest drug development companies, Biota Holdings, got tired of what it perceived to be a lack of appreciation on the part of local investors and made the decision to delist the company from the Australian Stock Exchange (ASX). Biota now trades on Nasdaq using the ticker BOTA, having gotten there using the shell of a company called Nabi, whose nicotine addiction vaccine had failed in mid-2011. The day the Biota/Nabi merger was announced, 23 April 2012, Biota closed on ASX at A$0.86 per share, which translated to US$0.888. When the new Biota Pharmaceuticals started trading on Nasdaq on 9 November 2012 the stock ended the session at US$4.12, valuing the old Biota shares at US$0.515 (each old Biota share was worth 0.12485 of the new shares in the merger). Last Friday, just under a year after the transition, Biota closed at US$3.75, which would be US$0.4686 in the old money. So the old Biota shareholders from the company’s ASX days are now down 47% on where they started. By contrast the Nasdaq Biotechnology Index has increased 69% over the same period.

These facts prove just one thing: If you’re a non-US biotech company, simply moving your primary listing to the US doesn’t automatically reprice your stock, even if the transition takes place during a wonderful bull market for biotech stocks.

What the current share price of Biota doesn’t prove is whether or not Biota was overvalued or undervalued when it was on ASX, or whether it is overvalued or undervalued on Nasdaq now, at a market capitalisation of US$107m, of which US$61m is cash as at 30 September. The wise biotech investor judges these things, in the first instance, on what the company has got and who is running it, leaving where exactly you can buy or sell the stock as a secondary consideration. What you get with Biota at US$46m on Nasdaq today (ie US$107m minus US$61m) is two things I consider interesting. The first is a next-generation influenza drug called Laninamivir octanoate. The second is a key part of the leadership team which help build Inhibitex into a US$2.5bn company.

Historically people have known Biota as the Melbourne-based company that gave the world the influenza drug Relenza. Back in the 1980s three Australian scientists - Peter Colman, Mark von Itzstein and the late Graeme Laver (1929-2008) – collaborated on an influenza drug approach that involved small molecule inhibitors to influenza’s neuraminidase protein. Biota, which was formed around this project, went public on the ASX in late 1985 and by 1990 was able to license to Glaxo what ultimately became the neuraminidase inhibitor drug Relenza. GSK gained FDA approval for Relenza in 1999, making Biota the first publicly-traded Australian biotech company to go from start-up to major-league approved prescription drug. Biota has more or less basked in the glory of this achievement ever since. Relenza, however, proved to be a curse rather than a blessing for Biota shareholders. The drug struggled commercially against Roche’s Tamiflu because the latter was orally available and Relenza was inhaled, and after a while GSK stopped pushing it. Biota’s response, in 2004, was to sue GSK for breach of contract, claiming that the British company hadn’t used its best endeavours in the marketing effort. Alas, the lawsuit approach to shareholder value creation didn’t work out well for Biota. When the matter finally settled in mid-2008 through mediation, Biota only got A$20m from GSK and had to pay its own litigation costs. Media reports subsequently suggested that the litigation had cost Biota A$35-40m, and that Biota board had previously knocked back an offer of A$75m plus costs (click here). Biota stock was down to around A$0.75 by then, a far cry from the ~A$7.00 of mid-1999. GSK has sold a bit of Relenza here and there in recent years, whenever pandemics start to panic folks, but the sales figures have been nothing to write home about, and the drug starts to go off patent from next year.

Biota, however, has had another round of luck come its way since 2008 that points to a potential second coming for the stock. By 2008 the company had been working for several years on an inhaled long-acting neuraminidase inhibitor (LANI) for influenza infection that would cut dosing to once-weekly or less, versus the daily or more frequent dosing regimen required of Relenza. In 2003 Biota had reached agreement with Japan’s Daiichi Sankyo, now the world’s 18th largest pharma company, for the two companies to merge their respective LANI programmes, leaving most of the upside outside Japan to the Australian company. Shortly after the end of the GSK lawsuit Biota was able to announce the results of a Daiichi double-blinded Phase II of the LANI compound, then called CS-8958. The drug was so good that a single inhaled dose of CS-8958 was statistically indistinguishable from 75mg of Tamiflu twice daily for five days in terms of fever and symptom resolution. Phase III trials replicated this outcome in 2009 and CS-8958, now called Laninamivir, was able to gain Japanese approval in 2010 (click here for published data on clinical effectiveness). Biota gets a 4% royalty on sales of the drug in Japan. That, country however, isn’t where the big money is, which is the US, and here the news has been fantastic.  Uncle Sam, always on the lookout for new drugs to protect his citizens given that influenza can occasionally get very nasty, liked what he saw with Daiichi’s work, and in 2011 BARDA – America’s Biomedical Advanced Research and Development Authority –awarded Biota a US$231m contract to pay for Laninamivir’s US development. This funding enabled Biota to activate its US IND, and a 636-patient Phase II study of Laninamivir, called ‘IGLOO’, started in June 2013. This study will compare 40 and 80 mg of inhaled Laninamivir with placebo. As I understand it, the reason Biota had to go back to Phase II with Laninamivir is that the Japanese studies didn’t measure the 80 mg dose and didn’t adequately track placebo compared to what the FDA wants to see. That said, the study will only need one flu season to complete, with top-line data expected in mid-2014.

So what you get for US$46m, in buying Biota today, is Laninamivir at Phase II ahead of Phase III in 2014/2015, with Japanese data already showing the drug works, a reasonably short wait before confirmatory data comes through, and the potential for better patient outcomes than with previous trials thanks to the 80 mg dose cohort. Given that Roche enjoyed ~US$600 in global net sales from Tamiflu in 2012, it’s reasonable to say that an influenza drug as good as Laninamivir represents a potentially lucrative product. Remember, three to five million people get severe influenza every year and  250,000-500,000 people will die from their infections, and there’s been the growing problem in recent years of Tamiflu resistance. Throw in the scare factor of the influenza pandemics that come around every now and then, and Biota stock has potential to re-rate every time something goes wrong with the vaccine supply or when Google Flu Trends shows the flu season to be worse than usual. Probably the main downside here is that Laninamivir’s main competition, by the time it gets to the market around 2016, will be orally available generic Tamiflu for those whose infection isn’t resistant.

After Laninamivir Biota’s pipeline gets a bit thin. Boehringer Ingelheim once had an option over an earlier version of Biota’s RSV drug programme, and Cubist’s purchase of Trius in August for US$818m in August 2013 points to the upside in an anti-bacterials programme, but both programmes are pre-clinical. The only Biota compound with a clinical record other than Laninamivir is Vapendavir, a drug that treats human rhinovirus infection and has successfully completed Phase IIb. A lot of folks have been deprecatory about Vapendavir over the years, citing that old Maxwell Smart joke about there being no cure for the common cold. Those folks miss the point.  There are a number of clinical instances in which getting a cold is a really bad thing and Biota tried out Vapendavir in asthma patients where a cold can cause dangerous asthma exacerbations. In the 300-patient Phase IIb, which finished in March last year, Vapendavir cut cold symptoms in mild-to-moderate asthmatics with statistical significance. Given the prevalence of asthma these days (7-10% of all US adults)  and the fact that the exacerbation event count is still in the millions in America, Vapendavir could prove a useful new tool that AstraZeneca and GSK would value as they struggle to maintain respiratory franchises afflicted by patent expiries. That said, Biota doesn’t intend to spend any more money on Vapendavir, and is looking for other licensing or collaboration parties.

So one doesn’t buy Biota for the pipeline. US$46m does, however, get you what I call the Inhibitex halo effect even if you don’t rate Laninamivir. Inhibitex, you’ll recall, was the company from Alpharetta, Ga., in the suburbs of Atlanta, which was a big success story from the Hepatitis C boom last year. The company had developed IDX-189, an NS5B polymerase inhibitor of Hepatitis C. When it became apparent in 2011 that a new generation of effective and orally available Hep C drugs had arrived, Gilead bought Pharmasset for an enormous US$11bn and Bristol-Myers Squibb, deciding it needed to be in the game as well, bought Inhibitex for US$2.5bn. In the end the deal wasn’t so good for BMS, which had to shut down development of IDX-189 in August 2012 due to a patient in the Phase IIb trial dying of heart failure and several others being hospitalised due to cardiac and renal issues. The deal was good, however, for the shareholders of Inhibitex, whose leadership had correctly read the future demand for new Hep C drugs before the boom and positioned their company accordingly. Before 2008, Inhibitex’s lead compound was a shingles drug called FV-100 and you could buy the stock for under a dollar US per share. BMS paid US$26 per share because the data on IDX-189 was genuinely impressive – as with most good drugs that go bad, the earlier clinical work had given no hint of the toxicity to come.

The reason the Inhibitex story is relevant to Biota is that the transition to Nasdaq for the Australian company came with new leadership in the form of three Inhibitex veterans who have moved Biota’s headquarters to Alpharetta, leaving only a small team behind in Melbourne. Biota’s new CEO, Russ Plumb, had been with Inhibitex as CFO from 2000 and as CEO from 2006. Joining him in the new shop are Joseph Patti, EVP for Corporate Development & Strategy, and Peter Azzarello, VP, Finance. If you believe that Biota stock is undervalued because investors in Australia hated the old Australian management, the new good 'ol boys from Georgia who have taken the helm at Biota and who probably know a thing or two about drug development may be just the trick. Indeed, they could make this one worth doing one’s homework on.





Stuart Roberts, Australian biotechnology analyst, with global focus
+61 (0)447 247 909
Twitter @Biotech_buzz

About Stuart Roberts. I started as an equities analyst at the Sydney-based Southern Cross Equities in April 2001, focused on the Life Sciences sector from February 2002. Southern Cross Equities was acquired by Bell Financial Group (ASX: BFG) in 2008 and I continued at Bell Potter Securities until June 2013. I joined Baillieu Holst in October 2013. Over the last twelve years I have built a reputation as one of Australia's leading biotech analysts. Before joining Southern Cross Equities I wrote for The Intelligent Investor, probably the most readable investment publication in Australia. I have a Masters Degree in Finance from Finsia. My hobbies are jazz, cinema, US politics and reading patent applications filed by biotechnology and medical device companies.

Previous Australian Biotechnology Buzz posts:
Acorda Therapeutics (Nasdaq: ACOR), 10 October 2013.
Advanced Cell Technology (OTCBB: ACTC), 4 September 2013
Alcobra Pharma (Nasdaq: ADHD), 17 September 2013
Amicus Therapeutics (Nasdaq: FOLD), 22 September 2013
Aradigm (OTCBB: ARDM), 8 September 2013
BioSpecifics Technologies (Nasdaq: BSTC), 26 September 2013
Biota (Nasdaq: BOTA), 10 November 2013
Celldex Therapeutics (Nasdaq: CLDX), 9 November 2013
Cellular Dyamics (Nasdaq: ICEL), 3 September 2013
Exelixis (Nasdaq: EXEL), 17 October 2013
ImmunoCellular Therapeutics (NYSE MKT: IMUC), 27 August 2013
Immunomedics (Nasdaq: IMMU), 21 August 2013
Inovio Pharmaceuticals (NYSE MKT: INO), 24 August 2013
International Stem Cells (OTCQB: ISCO), 3 November 2013
Intrexon (Nasdaq: XON), 24 August 2013
Merrimack Pharmcaceuticals (Nasdaq: MACK), 26 August 2013
Novavax (Nasdaq: NVAX), 3 October 2013
Oncolytics Biotech (Nasdaq: ONCY),  22 August 2013
Pharmacyclics (Nasdaq: PCYC), 2 September 2013
Regulus Therapeutics (Nasdaq: RGLS), 23 August 2013
SIGA Technologies (Nasdaq: SIGA) - 30 September 2013
Sunshine Heart (Nasdaq: SSH), 28 August 2013
Synta Pharmaceuticals (Nasdaq: SNTA), 1 September 2013
TrovaGene (Nasdaq: TROV), 15 September 2013
Verastem (Nasdaq: VSTM), 5 September 2013

Disclaimer. This is commentary, not investment research. If you buy the stock of any biotech company in Australia, the US or wherever you need to do your own homework, and I mean, do your own homework. I'm not responsible if you lose money.

Sunday 3 November 2013

Biotech Buzz Post No. 24 - ISCO

International Stem Cell (ISCO.OB) has devised another method for harnessing the power of stem cells without the ethical issues.            

International Stem Cell (ISCO.OB) – Something for the movers and shakers

'When a man says “I cannot”, he has made a suggestion to himself. He has weakened his power of accomplishing that which otherwise could have been accomplished'Muhammad Ali (1942 -    ), US boxer and famous Parkinson’s patient.


One of the things I love about biotechnology investing is that companies you’ve never heard of trading at next-to-nothing can get a few things go right in terms of their technological and clinical development, and suddenly get a massive re-rating. Down here in Australia it happened not long ago to a Central Nervous System (CNS) drug developer called Neuren Pharmaceuticals (ASX: NEU). Last year at Bioshares, the premier meeting for biotech investing in our region, I sat on an analyst panel where I named Neuren as my top pick for the next twelve months. The stock was 2.2 cents at the time, capitalising the company at A$26m. A year later, at Bioshares 2013, the stock had made it to 7.6 cents. It’s since been as high as 13.5 and now it’s 11 cents. If you want to know what’s gone right for Neuren, check out what I consider to be an important paper on that company’s web site. If you want to learn about a US company that’s about as cheap today as Neuren was 15 months ago and also has CNS potential, read on.

The first thing to like about International Stem Cell Corporation is the name.  This obscure biotech company from the affluent San Diego locality of Carlsbad isn’t just any stem cell company, it’s an international stem cell company. Clearly whoever picked that out-sized name has ambition and a bit of chutzpah given that the stock trades over-the-counter and is only capitalised at US$20m. However rebranding tricks like this have actually worked in the past, such as when a fellow named Watson changed the name of his company from Computing Tabulating Recording Company to one you’ve probably heard of - International Business Machines. That said, in order to keep a straight face I will now refrain from the use of the word international and just call the subject of today’s Blog post ‘ISCO’. In case you're wondering, Carlsbad, Ca. got its name in the 19th Century when the water was found to be equivalent to that available at its namesake Bohemian spa town, now called Karlovy Vary. 

But I digress. The second thing to like about ISCO is what the company is working on - a proprietary type of pluripotent stem cell called a ‘parthenogenetic’ stem cell. Pluripotent stem cells are the kind that can give rise to all tissue types rather than just a few, which is what multipotent stem cells can do. Traditionally scientists looked to human embryos in order to get stem cells with pluripotentcy, something social conservatives like me aren’t crazy about. The story of the last decade or so in the stem cell world has been the search for pluripotent stem cells that don’t involve embryo destruction. I looked in this Blog at one such successful approach from a company called Advanced Cell (ACTC.OB) on 4 September. ISCO has another non-embryo approach, and the ‘partheno’ part of the name gives it away. Parthenos is the Greek word for virgin (eg the Parthenon in Athens is so-called because it was sacred to the virgin goddess Athena) and parthenogenetic stem cells are egg cells that have been activated to be pluripotent without their having been fertilised. Literally, they have a virgin birth.

ISCO unveiled its human parthenogenetic stem cells (hpSCs) in 2007 and 2008 in two papers in the journal Cloning & Stem Cells (click here and here), now called Cellular Reprogramming. In a sense, the activation part of the ISCO technology was nothing new. We’ve known since the 1930s that at the moment of conception when spermatozoon fertilises oocyte (ie sperm penetrates egg) the result is oscillations in the intracellular concentration of calcium to be found in the oocyte. These oscillations help activate the oocyte so that it is capable of the multiple cell divisions required to create an embryo. In the mid-1970s scientists figured out that oocyte activation could be induced using calcium ‘ionophores’ designed to carry calcium ions across the cell membrane (click here), and this approach is sometimes used in IVF treatment today. What ISCO founder Dr Elena Revazova and her colleagues (mostly of Russian origins), were able to do several years ago was perfect a proprietary oocyte activation process (click here) that would allow blastocysts from the resulting ‘parthenotes’ to be harvested and embryonic stem cell lines derived therefrom. You could say they were embryonic stem cells even if they didn’t come from embryos because they had the typical morphology and pluripotency markers of such cells.

The really important thing to take notice of regarding ISCO’s method of creating parthenogenetic stem cell lines is that you can get lines that are ‘homozygous’. For transplant purposes people can be considered a genetic match if they have the same suite of Human Leukocyte Antigens on Chromosome 6. We all carry around two sets of HLA ‘haplotypes’, and each of our offspring gets one haplotype from us and one from the other parent. If you receive the same haplotype from each parent you’re considered to be ‘HLA homozygous’ while people with different haplotypes from each parent are ‘HLA heterozygous’. HLA homozygous individuals make the best tissue donors because you only have to match one haplotype between donor and recipient to get a match. Since parthenogenetic stem cells are fatherless, they are HLA homozygous.  As of earlier this year ISCO had a collection of fifteen human parthenogenetic stem cell lines, three of which were created under cGMP conditions. Between these lines there were enough haplotypes to implant the majority of the US population and not get serious immune reactions. This means that ISCO has, theoretically, the makings of a serious stem cell therapy – cells that are pluripotent, inexpensive to make, ethically uncompromised and easy to administer once some basic tissue typing has been done.

ISCO is looking at the use of its hpSCs in liver and eye disease, but the most advanced work involves hpSC-derived neuronal cells for the treatment of Parkinson’s Disease, where ISCO hopes to file an IND and start clinical work next year. Parkinson’s is a lucrative market for anyone that can get anything to work. There’s over a million Parkinson’s patients in the US alone. There’s no cure, and symptomatic treatments like levodopa and the dopamine agonists stop working after a while, leaving only expensive Deep Brain Stimulation for the worst affected patients. Stem cells seem an obvious solution because it’s the dying out of the dopamine-producing neurons in the part of the brain called the substantia nigra that cause the disease in the first place. ISCO has shown, in a January 2012 paper in the journal Regenerative Medicine, that its parthenogenetic stem cells can differentiate into functional neurons (click here). The company believes that its cells can treat Parkinson’s, not just by differentiating into dopamine-producing neurons, but also by pumping out neurotrophic factors like GDNF and BDNF. So far the in vivo evidence is encouraging. In February 2012 ISCO announced that its cells had performed well in the standard 6-OHDA model of Parkinson’s and in March the company presented data at American Academy of Neurology Annual Meeting in San Diego on the beneficial effect of their cells in monkeys in terms of dopamine levels in the brain. At the American Neurological Association's 2013 Annual Meeting in New Orleans last month ISCO presented further monkey data showing that its cells could migrate to the substantia nigra from a substantial distance, and that they were differentiating there into the required neurons. Encouragingly, the immune response to the cells seemed to be low in the monkeys compared to other cell types.

Which begs the question as to why ISCO is only a US$20m company today. I would attribute this to the fact that the CNS has historically been a difficult field in which to do drug development, and clinical data is still a while away for ISCO. Also, the critics will point to the fact that if you put parthenogenetic stem cells into immune deficient mice you get tumour formation, which is what regular embryonic stem cells will do as well (click here). The cancer issue doesn't bother me too much because you wouldn't put a cellular therapy like this into immune-deficient people. I suspect, however, that the FDA is going to want to explore the issue at length in various in vivo models before any IND is cleared.

Another historical issue I see with ISCO is the lack of coherence in the story. I first looked at it this company in 2009 when I was researching Mesoblast comparables. I thought the ISCO web site in those days looked like it came straight out of 1995, and I had found, in working through the site, that pages about parthenogenetic stem cells tended to be overshadowed by pages about skin care (the company has a small business in this field called Lifeline). All this made it hard to say exactly what the company stood for.  When I met Dr Simon Craw, ISCO’s EVP of Business Development, at the Rodman conference in New York back in September, I tried to explain this to him. Craw disagreed that the story had been incoherent and I told him I would listen carefully to his presentation at the meeting. I’m happy to say that ISCO improved on closer inspection in terms of Craw having a straightforward story to tell.

Back in the day, like, December 2010, ISCO made it to US$2.29 per share in a post Global Financial Crisis bull run. Now the stock is 15 cents, having trended steadily back ever since.  If ISCO manages to recover the old ground with the help of good clinical data, I’m happy for Australia to take some credit. Craw, an Englishman, did postdoctoral work at the University of Sydney after obtaining his PhD in Chemistry at Manchester. The best of Australian luck to you, Simon. Like any CNS drug developer today, you’re going to need it.






Stuart Roberts, Australian biotechnology analyst, with global focus
+61 (0)447 247 909
Twitter @Biotech_buzz

About Stuart Roberts. I started as an equities analyst at the Sydney-based Southern Cross Equities in April 2001, focused on the Life Sciences sector from February 2002. Southern Cross Equities was acquired by Bell Financial Group (ASX: BFG) in 2008 and I continued at Bell Potter Securities until June 2013. I joined Baillieu Holst in October 2013. Over the last twelve years I have built a reputation as one of Australia's leading biotech analysts. Before joining Southern Cross Equities I wrote for The Intelligent Investor, probably the most readable investment publication in Australia. I have a Masters Degree in Finance from Finsia. My hobbies are jazz, cinema, US politics and reading patent applications filed by biotechnology and medical device companies.

Previous Australian Biotechnology Buzz posts:
Acorda Therapeutics (Nasdaq: ACOR), 10 October 2013.
Advanced Cell Technology (OTCBB: ACTC), 4 September 2013
Alcobra Pharma (Nasdaq: ADHD), 17 September 2013
Amicus Therapeutics (Nasdaq: FOLD), 22 September 2013
Aradigm (OTCBB: ARDM), 8 September 2013
BioSpecifics Technologies (Nasdaq: BSTC), 26 September 2013
Celldex Therapeutics (Nasdaq: CLDX), 9 November 2013
Cellular Dyamics (Nasdaq: ICEL), 3 September 2013
Exelixis (Nasdaq: EXEL), 17 October 2013
ImmunoCellular Therapeutics (NYSE MKT: IMUC), 27 August 2013
Immunomedics (Nasdaq: IMMU), 21 August 2013
Inovio Pharmaceuticals (NYSE MKT: INO), 24 August 2013
International Stem Cells (OTCQB: ISCO), 3 November 2013
Intrexon (Nasdaq: XON), 24 August 2013
Merrimack Pharmcaceuticals (Nasdaq: MACK), 26 August 2013
Novavax (Nasdaq: NVAX), 3 October 2013
Oncolytics Biotech (Nasdaq: ONCY),  22 August 2013
Pharmacyclics (Nasdaq: PCYC), 2 September 2013
Regulus Therapeutics (Nasdaq: RGLS), 23 August 2013
SIGA Technologies (Nasdaq: SIGA) - 30 September 2013
Sunshine Heart (Nasdaq: SSH), 28 August 2013
Synta Pharmaceuticals (Nasdaq: SNTA), 1 September 2013
TrovaGene (Nasdaq: TROV), 15 September 2013
Verastem (Nasdaq: VSTM), 5 September 2013

Disclaimer. This is commentary, not investment research. If you buy the stock of any biotech company in Australia, the US or wherever you need to do your own homework, and I mean, do your own homework. I'm not responsible if you lose money.


Thursday 24 October 2013

Biotech Buzz Post No. 23 - XON

Intrexon (Nasdaq: XON) is taking the new field of synthetic biology into the commercial stage. Wow, it’s already a US$2bn company!          

Intrexon (Nasdaq: XON) – Betting on the future of synthetic biology

What I cannot build, I cannot understand Richard Feynman, American physicist and Nobel laureate (1918-1988).



When we look back in time we may regard Thursday 20 May 2010 as a major landmark in the evolution of the global economy. That was the day when the J. Craig Venter Institute (JCVI), of San Diego and Rockville, Md, announced that it had created the world’s first self-replicating synthetic bacterial cell. The same Craig Venter who had won the race to sequence the human genome in 2000, and subsequently sailed his yacht around the world discovering thousands of new species of ocean-dwelling microbes, was now publishing his greatest-ever biological feat. Venter’s team at the JCVI, which included the Nobel laureate Ham Smith, had used powerful computers to design a bacterial cell, assembled the components of that cell in a petrie dish, and got the cell to replicate as though it was E. Coli (click here for the Science paper).  If you’re reading this in the year 2050, ask yourself from the perspective of forty years ago how amazing this development was. Up until 2010 the only thing us biotech folks had really been able to do was take an existing bacterium and tinker with it using the tools of genetic engineering to make a few therapeutically useful proteins.  The JCVI team had now made the big leap forward and built an entire bacterium from scratch, having shown two years previous to this that you could create an entire synthetic bacterial genome (click here). Self-replicating synthetic bacterial cells are a big deal because when you can design entire organisms, you can theoretically design them to make all sorts of things we need in daily life, like fuel, food and clean water. In short, the arrival of synthetic biology wasn’t just a medical breakthrough, it was an economic breakthrough.

As with any scientific field that has this kind of potential, Venter and friends haven’t been the only ones doing synthetic biology. Another serious player has been Intrexon (Nasdaq: XON), a biotech company from Germantown, Md which did its IPO this year, raising US$184m. Clearly between 2010 and 2013 the word had gotten around regarding Venter’s giant leap because when Intrexon, which went out at US$16 per share, started listed life on 8 August the stock finished the day at US$24.73. At the current US$21.51 Intrexon is capitalised at just over US$2bn. That may be considered a little high for a company that can’t really say what its first product is going to be, but it does point to rising awareness of the ‘bioindustrial revolution’ coming over the horizon. It also reflects the halo effect of previous biomedical success. Intrexon’s major shareholder and CEO is Randal Kirk, the world’s 613th richest person according to this year’s Forbes billionaire’s list. His previous companies have been New River Pharmaceutical (developer of the ADHD drug Vyvanse, sold to Shire for $2.6 billion in 2007) and Clinical Data (developer the antidepressant Viibryd, sold to Forest Laboratories for $1.2 billion in 2011). Kirk was worth US$2.4bn when Forbes published its latest list. Intrexon made him, on paper, another US$1.5bn richer two months ago.

What Randal Kirk has put together in Intrexon is a suite of technologies to do synthetic biology at commercial scale. With Intrexon’s UltraVector platform, you can use sophisticated bioinformatics-based tools to design multiple synthetic genomes and put them inside cells. You can then pick out the cells you particularly like for further development using Intrexon’s LEAP (Laser-Enabled Analysis and Processing) technology. Probably the most interesting piece of Intrexon know-how is a transcriptional regulation system called the RheoSwitch, so called because, like a rheostat, the elements of this system allow the genome designer to not only induce protein expression, but also to control the level and timing of expression. It’s this sort of control that can make the difference between success or failure in terms of the useful products a cell can be engineered to produce.

Intrexon is commercialising its various technologies through ‘exclusive channel collaborations’, or ECCs, with companies looking to use synthetic biology in new product development. There are a lot of these collaborations in place and more are being added all the time. Elanco, the animal health division of Eli Lilly, is a collaborator, as is Rentokil, the pest control business owned by the major British business services company Rentokil Initial.  However most of Intrexon’s collaborations are with companies considerably lower in profile. The Boston-based Ziopharm Oncology (Nasdaq: ZIOP), which is using Intrexon technology in cancer drug candidates, may be capped at US$302m. However Fibrocell Science (NYSE MKT: FCSC) of Exton, Pa., which wants to use Intrexon’s technology to treat a rare blistering disorder called ‘recessive dystrophic epidermolysis bullosa’, is only worth US$106m. Oragenics (NYSE MKT: OGEN), working on new antibiotics in Tampa, Fl, sits at US$72m. And AquaBounty Technologies (AIM: ABTX), creator of a new strain of salmon that grows twice as fast as conventional salmon, can only manage £32m (ie US$52m – the company is from Maynard, Ma. but the stock only trades in London).  Moreover none of the products being worked on is anywhere near the market.

Don’t get me wrong. Intrexon’s technology still has the potential for positive outcomes. Ziopharm is using it to deliver interleukin-12 (IL-12) directly to tumours. We’ve known for years that this cytokine is deadly to cancer, but is too toxic to be delivered systemically at therapeutic doses (click here). Ziopharm sidesteps this problem by putting the gene for IL-12 inside an adenovirus and placing the gene under the control of an Intrexon-sourced Rheoswitch. After the adenoviral vector has been delivered, the patient takes a pill which turns the Rheoswitch on, causing a whole bunch of IL-12 to suddenly express inside cancer cells. Pre-clinical data and Phase I clinical data on this cancer immunotherapy have been encouraging and the product, called Ad-RTS-IL-12, is now in Phase II in melanoma and breast cancer. Interestingly, Australia’s Mesoblast (ASX: MSB) is now working with Ziopharm on a similar approach under a collaboration announced yesterday. The thinking is that Mesoblast’s mesenchymal cells could also be used to dump Rheoswitch-controlled payloads at the site of tumours. Apparently the pre-clinical work here has gone well - in which case, chalk up yet another capability for Mesoblast’s increasingly versatile suite of mesenchymal-lineage cells.

But to return to Intrexon. Favourable early data for collaborators is one thing. A US$2bn market capitalisation for a concept play is another. I would argue that investors are currently pricing Intrexon’s technologies at ~US$2bn in part because of the perception that they are helping to solve pressing major global problems like peak oil rather than just inventing a new drug or two. Here’s how Intrexon puts it in its S-1 filing with the SEC from earlier this year:  ‘At present rates of global industrialization and population growth, food and energy supplies and environmental and healthcare resources are becoming more scarce and/or costly. We believe it is not a viable option for mankind to continue on this path — new solutions will be necessary to preserve and globally expand a high quality of life. We believe that synthetic biology is a solution.’ In my opinion, when you talk big like that and are valued accordingly you need to be in a truly high profile collaborations such as the one between Exxon and the Venter-funded Synthetic Genomics. For a couple of years after 2009 those two companies worked together on using synthetic biology to make algae fuel at commercial scale. It didn’t work out, but it sure sounded exciting at the time given what oil prices had done up until 2008. I expect that if Intrexon came up with a similar collaboration in the energy area the market reaction would be highly favourable.

That’s the trouble with breakthroughs like those Craig Venter achieved in 2010.  It’s a reasonable bet that synthetic biology can transform our lives and work, and that Intrexon can play a part in this bioindustrial revolution over time. However like all great breakthroughs, the transformation will probably take decades rather than months or years. Will investors buying the first notable synthetic biology play on Nasdaq be able to wait that long?






Stuart Roberts, Australian biotechnology analyst, with global focus
+61 (0)447 247 909
Twitter @Biotech_buzz

About Stuart Roberts. I started as an equities analyst at the Sydney-based Southern Cross Equities in April 2001, focused on the Life Sciences sector from February 2002. Southern Cross Equities was acquired by Bell Financial Group (ASX: BFG) in 2008 and I continued at Bell Potter Securities until June 2013. I joined Baillieu Holst in October 2013. Over the last twelve years I have built a reputation as one of Australia's leading biotech analysts. Before joining Southern Cross Equities I wrote for The Intelligent Investor, probably the most readable investment publication in Australia. I have a Masters Degree in Finance from Finsia. My hobbies are jazz, cinema, US politics and reading patent applications filed by biotechnology and medical device companies.

Previous Australian Biotechnology Buzz posts:
Acorda Therapeutics (Nasdaq: ACOR), 10 October 2013.
Advanced Cell Technology (OTCBB: ACTC), 4 September 2013
Alcobra Pharma (Nasdaq: ADHD), 17 September 2013
Amicus Therapeutics (Nasdaq: FOLD), 22 September 2013
Aradigm (OTCBB: ARDM), 8 September 2013
BioSpecifics Technologies (Nasdaq: BSTC), 26 September 2013
Celldex Therapeutics (Nasdaq: CLDX), 9 November 2013
Cellular Dyamics (Nasdaq: ICEL), 3 September 2013
Exelixis (Nasdaq: EXEL), 17 October 2013
ImmunoCellular Therapeutics (NYSE MKT: IMUC), 27 August 2013
Immunomedics (Nasdaq: IMMU), 21 August 2013
Inovio Pharmaceuticals (NYSE MKT: INO), 24 August 2013
Intrexon (Nasdaq: XON), 24 August 2013
Merrimack Pharmcaceuticals (Nasdaq: MACK), 26 August 2013
Novavax (Nasdaq: NVAX), 3 October 2013
Oncolytics Biotech (Nasdaq: ONCY),  22 August 2013
Pharmacyclics (Nasdaq: PCYC), 2 September 2013
Regulus Therapeutics (Nasdaq: RGLS), 23 August 2013
SIGA Technologies (Nasdaq: SIGA) - 30 September 2013
Sunshine Heart (Nasdaq: SSH), 28 August 2013
Synta Pharmaceuticals (Nasdaq: SNTA), 1 September 2013
TrovaGene (Nasdaq: TROV), 15 September 2013
Verastem (Nasdaq: VSTM), 5 September 2013

Disclaimer. This is commentary, not investment research. If you buy the stock of any biotech company in Australia, the US or wherever you need to do your own homework, and I mean, do your own homework. I'm not responsible if you lose money.


Thursday 17 October 2013

Biotech Buzz Post No. 22 - EXEL

Exelixis (Nasdaq: EXEL) gained FDA approval in November 2012 for its first drug, a receptor tyrosine kinase inhibitor called Cometriq.      

Exelixis (Nasdaq: EXEL) – A report from the frontline

Diseases desperate grown by desperate appliance are relieved, or not at all.” -  Hamlet, Act IV, Scene 3.


This week has been a great week to be me. On Monday, I joined my new firm of Baillieu Holst, ending the enforced ‘gardening leave’ that was imposed on me by Bell Potter Securities when I left them in June (which, by the way, was unpaid for three months – go figure). Then on Thursday I met a patient with an interesting story to tell about a newly approved drug from an emerging US company. Let me tell you about my new job doing equities research at Baillieu Holst and then I’ll tell you about the patient who’s doing well with the new drug.

Baillieu Holst is an Australian stockbroking firm with a long history and a great reputation down here. The firm is now seriously building its institutional business and I believe that under the current leadership we can grow to be the No 1 majority Australian-owned firm in our capital market. I’ve joined Baillieu Holst with a mandate to build its Life Sciences coverage, and I confidently predict that in the not-too-distant future we will become the No 1 house for healthcare and biotechnology transactions in Australia, given the high level of expertise that’s already here, combined with my own knowledge base from covering the sector for the last twelve years.

One of the things I find gratifying about going to work for Baillieu Holst is the fact that there’s a lot of heritage in this firm. Edward Lloyd Baillieu (1867-1939), known as 'Prince', and his brother Richard Percy Clive Baillieu (1874-1941), known as Joe, started E.L. & C Baillieu in 1889, so we’ve seen a fair few market cycles over the last 124 years. It’s fair to say that the Baillieu family, led by Prince and Joe’s elder brother William Lawrence Baillieu (1859-1936), were the leading players in the building of the Australian economy from the 1890s through to the 1930s. Their legacy, through the Collins House group of companies they were associated with, lives on today in names like the ANZ Bank, Rio Tinto, Amcor and Pacific Brands. I’ll tell you more about the Baillieus and how they helped make Australia rich in a future Blog entry. I like to think that if Willie, Prince and Joe were around today they’d be founding and investing in Australian biotech and medical device companies, because that’s where a fair bit of new wealth is going to be created here in Australia as the 21st Century progresses.

Now let me tell you about the patient that I met on Thursday.  Meeting a patient is a big deal for us biotech analysts because we spend so much time looking at abstract stuff like p values, response rates and composite endpoints, but rarely get to meet the real people who sit behind that data – real people who can experience anxiety about their illness, face bewildering treatment choices, and have a whole bunch of other muck to deal with, but still bravely show up at the infusion room to be the human guinea pigs we need to move this whole biotech thing forward. My new friend told me in our first conversation that he had prostate cancer. Before I could tell him that treatment outcomes for that cancer were fairly good these days – the 15 year survival rate is 93% - he added that it was metastatic. That’s not so good. If longevity is your game don’t get diagnosed with metastatic Castration-Resistant Prostate Cancer (CRPC). The castration-resistant part means you’ve already cut off the supply of testosterone feeding the tumour (chemically with LHRH agonists or surgically) and the tumour is still growing.  The metastatic part means the tumour has spread to other organs, most notably the bones. That generally means you’ve got a little over a year left (click here), with perhaps another drug like taxotere buying you some time. This didn’t seem to bother my friend, who had failed on taxotere but seemed to have calmly accepted the whole prostate cancer curveball. Maybe it was because he was a stockbroker by profession and still working – in this industry natural-born optimists are more likely to succeed. However my friend had another thing going his way. Have you heard, he said, of cabozantinib? He was in a clinical trial. No, I hadn’t, I replied. We googled it. It was from Exelixis (Nasdaq: EXEL), the drug developer from South San Francisco, Ca.  Wow, I said, this company is capitalised on Nasdaq at US$999m. I might buy some, said my friend, who also told me during this conversation that there’d been a reduction in his tumour size at about the third months after he’d enrolled, and he hadn’t experienced any adverse events other than perhaps some mild neuropathy, which is something you already get with taxotere.  I told him I’d take a look ahead of this Blog post.

Now I think I know why my new friend seems to be doing well, other things being equal. Cabozantinib is Cometriq, a small molecule which gained FDA approval in November 2012 for the treatment of metastatic medullary thyroid cancer. It was Exelixis’s first drug after 13 years as a public company. As with all these cancer drugs the first indication is just the beginning. ‘Medullary’ thyroid cancer is a subtype of thyroid cancer that got its name because, when pathologists first saw this kind of tumour, they were reminded of the grey-coloured soft tissue in the medulla, or brainstem.  It's a rare condition. Medullary thyroid cancer only goes metastatic in around 500-700 patients a year in America. For these patients at Phase III Cometriq improved Progression-Free Survival (PFS) to 11 months versus only 4 for placebo. However the big money for Exelixis will come from where the drug goes next. Cometriq is now in two Phase IIIs in metastatic CRPC, one of which has my friend as a trial subject. The drug started Phase III in metastatic Renal Cell Carcinoma in May 2013, and a Phase III trial in advanced Hepatocellular Carcinoma started in September.

The big news for Exelixis in 2014 will be top-line results from the metastatic CRPC trials, called COMET-1 and COMET-2. The Phase II data, from 171 men, suggests that this drug seems to work. You know it’s good when the trial report, as published in the Journal of Clinical Oncology, tells us that randomisation of patients to either treatment or control ‘was halted early based on the observed activity of cabozantinib’. Where men did get placebo, before this decision was taken, the median PFS was just under six weeks. For the men who got Cometriq, median PFS was 23.9 weeks (p<0.001). The investigators also found a reduction of soft tissue and bone lesions, and, importantly, lower levels of pain. When cancer metastasises to the bones it really, really hurts, to the point where you need narcotics like oxycodone to kill the pain. At Phase II Cometriq was able to cut narcotic use in half, which is great news given how controversial opioid use in medicine has become over the last decade or so. Exelixis was so excited about the effect of its drug on bone pain that it wrote a pain palliation endpoint into the COMET-2 trial.

Cometriq is able to work its anti-tumour magic because it’s an inhibitor of multiple receptor tyrosine kinases. I’ve written in the past about a particularly successful tyrosine kinase inhibitor called Gleevec, the Novartis drug for the treatment of Chronic Myeloid Leukaemia (click here for that post) which did US$4.7bn in sales last year. Since Gleevec was FDA approved in 2001, various other tyrosine kinase inhibitors have come on the market such as Sutent and Inlyta from Pfizer, Tarceva from Roche, and Tykerb from GSK. The attraction of tyrosine kinases is that they are commonly found in those cellular signalling pathways that go wrong in cancer. Kinases are simply enzymes that attach a phosphate group to a particular target molecule, the target for tyrosine kinases being the amino acid tyrosine (others act on serine and threonine). When this attachment takes place it changes the target molecule, which induces that target to act on other downstream molecules until the phosphate-based signal has made its way to the nucleus of the cell. Receptor tyrosine kinases sit on the cell surface where signals come in from the outside. If something goes wrong in one of those signalling gateways, cells can end up processing a continual and uncontrolled stream of messages to grow and divide, resulting in cancer. Block that gateway with a tyrosine kinase inhibitor and you shut off the faulty signals. There’s dozens of  known tyrosine kinasess, and Cometriq seems to work well as a cancer drug because it can block more than one, with activity against RET, MET and VEGFR2.

Cometriq isn’t the only arrow in Exelexis’s quiver – it has spent the last 13 years building up a strong pipeline of small molecules, most of which hit rogue elements in the bad signalling pathways. XL518, partnered with Roche’s Genentech division, targets a serine/threonine kinase called MEK, part of the RAS/RAF/MEK/ERK pathway.  That drug just generated some great objective responses in a Phase Ib trial in metastatic melanoma where there’s a particular kind of mutation called BRAFV600. Meanwhile GSK is in Phase II with Foretinib, an Exelixis-sourced VEGFR2 and MET inhibitor and Sanofi has gone to Phase II with a couple of drugs that act on the PI3K pathway.  However all eyes with be on Cometriq ahead of the COMET data given the widespread prevalence of prostate cancer – about 240,000 cases a year in the US, with one in six of us guys in line to get it one day – and the potential to be one of the first cancer drugs that can cut the level of pain associated with the disease. Hopefully my friend is in one of the COMET treatment groups and it gives him a chance to see that top-line data come out – and maybe to see Baillieu Holst turn in to the new biotech powerhouse in Australia.








Stuart Roberts, Australian biotechnology analyst, with global focus
+61 (0)447 247 909
Twitter @Biotech_buzz

About Stuart Roberts. I started as an equities analyst at the Sydney-based Southern Cross Equities in April 2001, focused on the Life Sciences sector from February 2002. Southern Cross Equities was acquired by Bell Financial Group (ASX: BFG) in 2008 and I continued at Bell Potter Securities until June 2013. I joined Baillieu Holst in October 2013. Over the last twelve years I have built a reputation as one of Australia's leading biotech analysts. Before joining Southern Cross Equities I wrote for The Intelligent Investor, probably the most readable investment publication in Australia. I have a Masters Degree in Finance from Finsia. My hobbies are jazz, cinema, US politics and reading patent applications filed by biotechnology and medical device companies.

Previous Australian Biotechnology Buzz posts:
Acorda Therapeutics (Nasdaq: ACOR), 10 October 2013.
Advanced Cell Technology (OTCBB: ACTC), 4 September 2013
Alcobra Pharma (Nasdaq: ADHD), 17 September 2013
Amicus Therapeutics (Nasdaq: FOLD), 22 September 2013
Aradigm (OTCBB: ARDM), 8 September 2013
BioSpecifics Technologies (Nasdaq: BSTC), 26 September 2013
Celldex Therapeutics (Nasdaq: CLDX), 9 November 2013
Cellular Dyamics (Nasdaq: ICEL), 3 September 2013
Exelixis (Nasdaq: EXEL), 17 October 2013
ImmunoCellular Therapeutics (NYSE MKT: IMUC), 27 August 2013
Immunomedics (Nasdaq: IMMU), 21 August 2013
Inovio Pharmaceuticals (NYSE MKT: INO), 24 August 2013
Merrimack Pharmcaceuticals (Nasdaq: MACK), 26 August 2013
Novavax (Nasdaq: NVAX), 3 October 2013
Oncolytics Biotech (Nasdaq: ONCY),  22 August 2013
Pharmacyclics (Nasdaq: PCYC), 2 September 2013
Regulus Therapeutics (Nasdaq: RGLS), 23 August 2013
SIGA Technologies (Nasdaq: SIGA) - 30 September 2013
Sunshine Heart (Nasdaq: SSH), 28 August 2013
Synta Pharmaceuticals (Nasdaq: SNTA), 1 September 2013
TrovaGene (Nasdaq: TROV), 15 September 2013
Verastem (Nasdaq: VSTM), 5 September 2013

Disclaimer. This is commentary, not investment research. If you buy the stock of any biotech company in Australia, the US or wherever you need to do your own homework, and I mean, do your own homework. I'm not responsible if you lose money.

Thursday 10 October 2013

Biotech Buzz Post No. 21 - ACOR

Acorda Therapeutics (Nasdaq: ACOR) got US$266m in net revenue from the MS drug Ampyra in 2012. Its pipeline continues to be adventurous.       


Acorda Therapeutics (Nasdaq: ACOR) – Giant steps for a new CNS company

“No man is worth his salt who is not ready at all times to risk his well-being, to risk his body, to risk his life, in a great cause.” - Theodore Roosevelt (1858-1919), 26th US President and, in my opinion, one of the great ones.


One of the thinkers that has greatly impressed me over the years is Jim Collins, author of the classic management texts Built to Last and Good to Great. Collins has spent over two decades studying the reasons why some companies become truly great while others remain just average. One quality Collins identifies in companies making the journey from Good to Great is that they have ‘Big Hairy Audacious Goals’ towards which they are striving. For example, Sam Walton (1918-1992) opened his first ever dime store in Newport, Ar. with a goal of making the store ‘the best, most profitable in Arkansas within five years’. It was that kind of attitude which set Wal-Mart on the path to greatness it subsequently pursued, and made Sam a truly rich man. With this Blog post I would like to nominate Acorda Therapeutics (Nasdaq: ACOR), from the Westchester County suburb of Ardsley, NY, as a candidate for ‘Good to Great’ status because the Big Hairy Audacious Goal of this US$1.4bn company is to become a ‘a leading neurology company with a portfolio of innovative products’. The reason that this worthy aim is so big, hairy and audacious is that in recent years Big Pharma has been seen to be exiting out of neuroscience research. For example, GSK was in the news in early 2010 cutting back on its neuroscience effort (click here), while Novartis (click here) and AstraZeneca (click here) had similar stories told about them in late 2011 and early 2012. Why? Because coming up with new drugs for things like stroke recovery, spinal cord injury and cerebral palsy was considered just too hard. Acorda, by contrast, hasn’t been concerned about how tough the CNS field has traditionally been. What it sees is the enormous upside in terms of patient benefits and, ultimately, financial benefits for shareholders.

Acorda can have this confidence in part because it has already brought its first successful neurology product to market. In January 2010 it gained FDA approval for Ampyra, a drug that improves walking in patients with Multiple Sclerosis (MS). Ampyra is a voltage-dependent potassium channel blocker (click here for the paper which evaluates the mechanism of action). In Multiple Sclerosis the patient’s immune system starts attacking the myelin sheath that surrounds nerve fibres in the brain and spinal cord. This makes it difficult for nerve impulses to be transmitted and results in a wide range of neurological impairments. Part of the problem is that the voltage-gated potassium channels on nerve cells are exposed when the myelin is stripped away. Too much charged potassium flows into the cells, so they can’t properly conduct nerve impulses through their axons and into the next nerve cell. Blocking the potassium channels with Ampyra significantly improves conduction, allowing more nervous impulses to travel down to the legs so patients can walk better. Ampyra was great news for the MS community because it worked in all four types of MS, including the ‘secondary progressives’ for whom treatment options are limited. In the registration trials patients walking speed went up by an average 25%. Around half of all MS patients will have difficulty walking within 15 years of diagnosis, and perhaps 20-30% will start having difficulty within the first two years. If, like me, you’re a fan of the television series The West Wing you’ll recall that Martin Sheen plays a US President who has relapsing/remitting MS from the time he takes office. By the later seasons of the show the writers had the President getting around with a cane. If you want to see what Ampyra can partly rectify, check out Episode 133 from the final season, where there’s a ‘flash forward’ showing a visibly frail ex-President visiting his new library (click here).

The obvious patient benefits of Ampyra in a not-insubstantial market – there are 400,000 MS patients in the US alone – has made the drug a success for Acorda. Net Ampyra revenue in calendar 2012 for Acorda was US$266.1m, and in the June 2013 quarter it was US$77.8m, up 17% on the previous corresponding period. Biogen Idec has ex-US rights under a 2009 partnering deal and markets the product as Fampyra. Both companies have a lot of growth left in the MS market – only ~70,000 US patients had taken the drug by the end of 2012 – and after that the vast market for stroke recovery awaits, with clinical evidence now at hand that Ampyra can improve walking in people with post-stroke deficits. Ampyra is distributed in the US via a 90-person sales force calling on around 7,000 doctors, meaning that Acorda has the makings of a potential new specialty pharma company. What I like about this company is that it’s not playing it safe in terms of the next major drug it will put in the briefcases of those sales people. It’s swinging for the bleachers again.

Take, for a good example, the neuregulin GGF2. The neuregulins are class of growth factors similar to epidermal growth factor that promote recovery after neurological injury (GGF stands for glial growth factor). They’re also known to improve heart function, where is where Acorda is trying it out GGF2 first. Preclinically there’s evidence that GGF2 is involved in repairing cardiac muscle, and in a Phase I trial in heart failure patients GGF2 was able to raise Ejection Fraction (the percentage of the heart’s volume that moves with each pump) from ~29% to 40% in the 28 days mark. Acorda has just initiated a second Phase I for GGF2. This is the kind of drug that Big Pharma doesn’t tend to look at today, even though 2% of the US population has heart failure. It’s not that they don’t see the market opportunity. It’s just that their cardiology franchises ran out of steam in the 1990s and left all the action to the device guys with their pacemakers, defibrillators and LVADs. Acorda has no such hangup.

AC105 for spinal cord injury represents another adventurous project from Acorda. Spinal cord injury is something that happens 12,000 times year in America, but at the moment there’s nothing much the doctors can do for you. AC105, a new magnesium formulation, could change all that. We’ve known for a while now that magnesium gets depleted from the site of nerve damage, contributing to tissue injury and lesion development. AC105 would put the magnesium back in a way that regular magnesium salts can’t. Preclinically AC105 has been shown to be neuroprotective and improve locomotor function in animal models, so long as the animals got the drug within a few hours of injury. Uncle Sam has liked what he has seen so far - Acorda took this drug into Phase II in September 2013 with the help of a US$2.67m grant from the US Department of Defense. The DoD wants this drug, or anything like it, because 1% of its combat casualties in Iraq and Afghanistan have involved spinal cord injuries (click here).

Probably the most exciting thing Acorda has in the pipeline right now is rHIgM22, a remyelinating antibody. That’s right – there’s a monoclonal antibody in clinical development that, by targeting myelin and oligodendrocytes (the myelin producing cells), seems to promote new myelin growth and effectively reverse some of the damage in MS and related disorders (click here). This antibody, discovered at the Mayo Clinic, entered Phase I under Acorda’s aegis in April 2013. If this thing works it’ll be the biggest breakthrough in MS since Teva’s Copaxone gave the world the first non-immunosuppressive mechanism of action for an MS drug.

So how come Acorda has been allowed to get away with all this risk taking? That’s what you can do if you don’t have a Big Pharma background. Acorda’s CEO, Dr Ron Cohen, ran a tissue engineering start-up before founding Acorda. Ron and his colleagues now face a challenge. I reckon the market is looking at Acorda the way people would have looked at Amgen back in the early 1990s. The argument would be ‘okay, they got lucky with their first drug, but can they do it again?’ GGF2, AC105 and rHIgM22 are at too early a stage to give a definitive ‘yes’ answer to that question. But you can’t fault Acorda for being adventurous, and it is adventurousness that ultimately yields the big bucks in this game. Worthy of some homework.






Stuart Roberts, Australian Life Sciences consultant, with global focus
+61 (0)447 247 909
Twitter @Biotech_buzz

About Stuart Roberts. I started as an equities analyst at the Sydney-based Southern Cross Equities in April 2001, focused on the Life Sciences sector from February 2002. Southern Cross Equities was acquired by Bell Financial Group (ASX: BFG) in 2008 and I continued at Bell Potter Securities until June 2013. Over the twelve years to 2013 I built a reputation as one of Australia's leading biotech analysts. I am currently consulting to the Australian biotech industry. Before joining Southern Cross Equities I wrote for The Intelligent Investor, probably the most readable investment publication in Australia. I have a Masters Degree in Finance from Finsia. My hobbies are jazz, cinema, US politics and reading patent applications filed by biotechnology and medical device companies.

Previous Australian Biotechnology Buzz posts:
Acorda Therapeutics (Nasdaq: ACOR), 10 October 2013.
Advanced Cell Technology (OTCBB: ACTC), 4 September 2013
Alcobra Pharma (Nasdaq: ADHD), 17 September 2013
Amicus Therapeutics (Nasdaq: FOLD), 22 September 2013
Aradigm (OTCBB: ARDM), 8 September 2013
BioSpecifics Technologies (Nasdaq: BSTC), 26 September 2013
Celldex Therapeutics (Nasdaq: CLDX), 9 November 2013
Cellular Dyamics (Nasdaq: ICEL), 3 September 2013
ImmunoCellular Therapeutics (NYSE MKT: IMUC), 27 August 2013
Immunomedics (Nasdaq: IMMU), 21 August 2013
Inovio Pharmaceuticals (NYSE MKT: INO), 24 August 2013
Merrimack Pharmcaceuticals (Nasdaq: MACK), 26 August 2013
Novavax (Nasdaq: NVAX), 3 October 2013
Oncolytics Biotech (Nasdaq: ONCY),  22 August 2013
Pharmacyclics (Nasdaq: PCYC), 2 September 2013
Regulus Therapeutics (Nasdaq: RGLS), 23 August 2013
SIGA Technologies (Nasdaq: SIGA) - 30 September 2013
Sunshine Heart (Nasdaq: SSH), 28 August 2013
Synta Pharmaceuticals (Nasdaq: SNTA), 1 September 2013
TrovaGene (Nasdaq: TROV), 15 September 2013
Verastem (Nasdaq: VSTM), 5 September 2013

Disclaimer. This is commentary, not investment research. If you buy the stock of any biotech company in Australia, the US or wherever you need to do your own homework, and I mean, do your own homework. I'm not responsible if you lose money.