RazorSharpDNA 馃К (@RazorSharpDNA) header
RazorSharpDNA 馃К (@RazorSharpDNA) profile picture

SMID Biotech & Gene Editing 馃К Hype welcome, receipts mandatory. Primary sources. Long some of what I post. Opinions, not 馃挼 advice.

Joined November 2011
One drug: 0 of 14 major responses. Add a second: 4 of 14 colon tumors had no viable cancer at surgery. $AGEN's botensilimab plus balstilimab, given before surgery in MSS colon cancer. No combo patient relapsed at 19.2 months median. 14 per arm, not randomized. Will it hold?
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$182M in one quarter, a year into launch. $PTCT's oral PKU drug Sephience grew 20% vs Q2, with 2,000+ patients on it. Product sales guidance is now $960M to $990M. Next: a Q4 BLA for ST-920, a one dose Fabry gene therapy. Ex-US was only $37M. How much room is left abroad?
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Same pill, twice the survival in one subgroup. $ZNTL's WEE1 pill azenosertib, platinum-resistant ovarian cancer (ESMO): median OS 15.9 mo if Cyclin E1-positive vs 7.5 mo if negative. ORR 37.2%. Single arm; 43% needed dose cuts. Is Cyclin E1 predictive, or just prognostic?
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Add bevacizumab and response rose from 37% to 59%, if a cross-trial read holds. $CORT's relacorilant + nab-paclitaxel + bev in platinum-resistant ovarian (BELLA, n=95): median PFS 7.2 mo vs 5.4 in ROSELLA without bev. Bev-naive ORR 66%. Single-arm Part A, no control.
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Two years on first-line therapy, kidney function barely moved. $TVTX's FILSPARI in newly found IgA nephropathy (SPARTAN, ASN): 75% hit complete proteinuria remission at some point; eGFR down 1.75 by wk 110. Only 12 patients, open-label, no control arm: a signal, not proof.
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FDA questioned the pathway the day it took the file. $INO's INO-3107 for HPV airway growths (RRP), PDUFA by Oct 30: single arm, 32 adults, 28% surgery-free in year 1. Filed only for accelerated approval, with Papzimeos already approved. What counts as "meaningful benefit" now?
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Stopped early, unblinded anyway. $AARD's Phase 3 HERO in Prader-Willi hunger ended at 67 of 90 patients; all efficacy is exploratory. ARD-101 cut HQ-CT "modestly" vs placebo by week 2, then scores slid back off drug. FDA lifted the hold. Can a lower dose keep the signal?
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38% in immunologic remission by week 12. $CLYM's CD19 antibody budoprutug in membranous nephropathy (ASN Kidney Week): 5 of 13 at 200 mg; anti-PLA2R antibodies down 70% on average. No related serious AEs. Proteinuria lags antibodies. Do higher doses move it?
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