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Monday, November 5, 2018

Meet OncoSec: A talk with CEO Daniel O’Connor, CFO Sara Bonstein


OncoSec Medical (ONCS) is a clinical-stage biotechnology company focused on developing cytokine-based intratumoral immunotherapies with new technologies to stimulate the body’s immune systems to target and attack cancer. In an exclusive interview with The Fly, CEO Daniel O’Connor and CFO Sara Bonstein talked about the company, its pipeline, recent investments in OncoSec, upcoming events, its collaboration with Merck (MRK) and much more. Here are some of the highlights:
KEYNOTE-695 STUDY, TAVO + KEYTRUDA COMBO: OncoSec has recently initiated a Phase II study of Tavo, or tavokinogene telseplasmid, plus Merk’s Keytruda in triple negative breast cancer patients who have received one prior chemo or immunotherapy, with preliminary data expected in 2019. CEO Daniel O’Connor highlighted the importance of taking patients who are “non-responders to prior checkpoint therapy” and “very carefully and definitively” define that checkpoint non-responder. “We are trying to articulate what Tavo’s contribution can be in the patient that failed PD-1 checkpoint therapy, then comes on to our study gets our drug and gets Keytruda again. Obviously, you have to make sure that the patient actually did not get a benefit and unequivocally failed the prior check point. […] The reason for doing so is that we hope to be able to go to the FDA with the data from this study and seek a conditional approval,” the executive explains.
‘VERY COMFORTABLE’ CASH POSITION: OncoSec has recently secured a $15M investment from Alpha Holdings, a Korean technology company, with the biotech closing the first $8M tranche of investment last month.  The additional $7M are expected by the end of the year. “We feel very comfortable with our cash position. As a biotech, you always want to continue to augment your balance sheet and have a strong balance sheet. Since Dan [O’Connor] joined the company, we’ve been able to do some great financing – Alpha is one of them,” CFO Sara Bonstein added.
FOCUS ON KEYNOTE-695, KEYNOTE-890: Looking out over the remainder of the year and into next year, O’Connor sees OncoSec focusing on two KEYNOTE studies, namely KEYNOTE-695 and KEYNOTE-890. Regarding KEYNOTE-695, the executive pointed out that the goal is “making sure that we stay very focused on enrolling that study fully, gathering the data and then analyzing the data, publishing it and going to the regulators looking for a conditional approval should the data support doing so.” “KEYNOTE-890 study is [OncoSec’s] second keynote study with Merck. It’s again taking Tavo/Keytruda combination in patients in late stage triple negative breast cancer. We just announced that we started that study with the first site opening. We’re now opening more sites, enrolling patients and looking to have data with respect to that study next year,” O’Connor noted.
DRUG PRICING: President Trump has been very vocal on drug pricing and the healthcare industry. The CEO acknowledged that the company is “following the dialogue,” but pointed out that its “focus is on our clinical trials and demonstrating the potential of our Tavo and our platform.”
‘EXTREMELY DIFFICULT’ PATIENT POPULATION: Discussing potential misconceptions and overlooked aspects of the company by the market, O’Connor pointed out that OncoSec is “targeting [an] extremely difficult patient population” that failed treatment available for them, such as anti-PD1 checkpoint therapy. “Given the way that we are defining that failure, very precisely, we will be able to go to the FDA and request conditional approval. That’s where the focus should be when people look at us, look at our technology,” he contended. Additionally, the executive noted the importance of its technology safety profile. “We see a very consistent safety profile with grade 1 transient discomfort or pain. Most technologies that are being pursued to date have a great percentage of serious adverse events, which obviously impacts patients experience.”

Momenta initiated at Piper Jaffray


Momenta initiated with an Overweight at Piper Jaffray. Piper Jaffray analyst Danielle Brill started Momenta Pharmaceuticals with an Overweight rating and $35 price target. The company offers a “rare” biotech investment opportunity as its stock is “super cheap” and its anti-FcRn therapies could be game changing for treating auto-immune diseases, Brill tells investors in a research note. Momenta’s proprietary pipeline has “major blockbuster potential and is underappreciated by investors,” says the analyst.

Fate Therapeutics initiated at Jefferies


Fate Therapeutics initiated at Jefferies  Fate Therapeutics initiated with a Buy at Jefferies. Jefferies analyst Amin started Fate Therapeutics with a Buy rating and $17 price target. Natural killer cells possess advantageous cytotoxic properties distinct from T cells, and have demonstrated clinical efficacy against select cancer types, Amin tells investors in a research note. The analyst says Fate “offers a unique and potentially disruptive approach.”

BioMarin to host research and development day


Research and Development Day to be held in New York on November 7 at 8:30 am
Webcast: https://onlinexperiences.com/scripts/Server.nxp?LASCmd=L:0&AI=1&ShowKey=57669&LoginType=0&InitialDisplay=1&ClientBrowser=0&DisplayItem=NULL&LangLocaleID=0&SSO=1&RFR=NULL
https://thefly.com/landingPageNews.php?id=2817123

BioMarin to host research and development day


Research and Development Day to be held in New York on November 7 at 8:30 am
Webcast: https://onlinexperiences.com/scripts/Server.nxp?LASCmd=L:0&AI=1&ShowKey=57669&LoginType=0&InitialDisplay=1&ClientBrowser=0&DisplayItem=NULL&LangLocaleID=0&SSO=1&RFR=NULL
https://thefly.com/landingPageNews.php?id=2817123

Lilly’s Trulicity meets primary efficacy objective in REWIND trial


Trulicity significantly reduced major adverse cardiovascular events, or MACE, a composite endpoint of cardiovascular, or CV, death, non-fatal myocardial infarction or non-fatal stroke, meeting the primary efficacy objective in the REWIND trial. Eli Lilly’s once-weekly Trulicity is the first type 2 diabetes medicine to demonstrate superiority in the reduction of MACE events in a clinical trial that included a majority of participants who did not have established CV disease. The study included a majority of patients without established CV disease at baseline, a first for the GLP-1 receptor agonist class. REWIND assessed the risk of MACE in adults with type 2 diabetes with a wide range of CV risk. The study compared the effect of once-weekly Trulicity 1.5 mg to placebo when added to standard of care. REWIND is distinct compared to other CV outcome trials due to the limited number of people with established CV disease who participated in the trial, allowing Trulicity’s CV effect to be measured in a broad population of people with type 2 diabetes. Importantly, REWIND had a median follow-up period of more than 5 years, the longest for a CV outcome trial in the GLP-1 receptor agonist class. In comparison, other CV outcome trials had more people with a higher baseline A1C and a greater percentage of patients who had established CV disease. Of the 9,901 REWIND participants, the mean baseline A1C was relatively lower at 7.3%, and only 31% had established CV disease. The safety profile of Trulicity in REWIND was generally consistent with the GLP-1 receptor agonist class. Lilly plans to submit these data to regulatory authorities next year and to share detailed results at the American Diabetes Association Scientific Sessions in 2019.

Bristol-Myers, Infinity Pharmaceuticals announce Opdivo, IPI-549 collaboration


Bristol-Myers Squibb Company (BMY) and Infinity Pharmaceuticals, Inc. (INFI) announced a clinical trial collaboration to evaluate Bristol-Myers Squibb’s Opdivo in combination with Infinity’s IPI-549 in patients with advanced urothelial cancer. IPI-549 is an oral immuno-oncology development candidate that is designed to selectively inhibit phosphoinositide-3-kinase-gamma and is the only investigational PI3K-gamma inhibitor in clinical development. Infinity will operationalize MARIO-275: MAcrophage Reprogramming in Immuno-Oncology, a global, randomized Phase 2 study to evaluate the effect of adding IPI-549 to Opdivo in checkpoint-naive advanced urothelial cancer patients who have progressed or recurred following treatment with platinum-based chemotherapy. Approximately 150 patients will be randomized between combination therapy and Opdivo monotherapy. The primary endpoint of the trial will be overall response rate, which will be assessed in the overall population as well as in subsets of patients with different baseline levels of myeloid derived suppressor cells. Opdivo is approved for use by the FDA as a single agent in patients with locally advanced or metastatic urothelial cancer who have progressed or recurred following treatment with platinum-based chemotherapy or who have disease progression within 12 months of neoadjuvant or adjuvant treatment with platinum-containing chemotherapy. In exploratory analyses of the CheckMate-275 data, high levels of MDSCs were associated with shorter overall survival in patients treated with Opdivo. In Infinity’s MARIO-1 trial, MDSCs were reduced in the majority of patients treated with IPI-549 monotherapy. IPI-549 in combination with Opdivo has been administered to over 80 patients and demonstrated early evidence of clinical activity with translational studies demonstrating evidence of on-mechanism IPI-549-mediated effects. Infinity is continuing to evaluate IPI-549 in combination with Opdivo in MARIO-1, a Phase 1/1b study in patients with advanced solid tumors. Opdivo was the first PD-1 immune checkpoint inhibitor to receive regulatory approval anywhere in the world in July 2014, and currently has regulatory approval in 54 countries including the United States, Japan, and in the European Union.