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Saturday, July 6, 2019

Glucose Biosensor Systems (Greater China) Holdings readies IPO

The New York City-based medical tech company plans to launch its Saliva Glucose Biosensor test in Mainland China, Hong Kong, Vietnam and Bangladesh, followed by tests for prostate specific antigen, peanut allergen and luteinizing hormone.
The Saliva Glucose Biosensor test, a non-invasive method of measuring glucose, is based on an electrochemical reaction that produces an electrical signal that is directly proportional to the amount of glucose in the saliva. A smart phone app converts the signal into a real-time glucose reading that can be stored in the company’s cloud-based digital information system.
Financials (nine-month period ending March 31, 2019): Sales: $114.0K; Net Loss: ($4.2M); Cash Consumption: ($3.1M).

Rapt Therapeutics files for IPO

Rapt Therapeutics (OTC:RAPT) has filed a preliminary prospectus for an $86M IPO.
The South San Francisco-based biopharma firm develops small molecule therapies for cancer and inflammatory disorders that it says modulate the critical immune responses underlying the diseases.
Lead oncology candidate is FLX475, a CCR4 antagonist that blocks the migration of immunosuppressive regulatory T cells into tumors. Proof-of-concept data should be available in H1 2020.
Lead inflammation candidate is RPT193, also a CCR4 antagonist, that blocks the recruitment of inflammatory immune cells called type 2 T helper cells that play a key role in allergic inflammatory diseases. A Phase 1 study in atopic dermatitis should launch in H2.
2019 Financials (Q1): Operating Expenses: $9.5M (+14.1%); Net Loss: ($9.2M) (-11.6%); Cash Burn: ($8.6M) (-13.4%).

Sangamo, Pfizer Update Phase 1/2 Results for Hemophilia A Gene Therapy

  • The first two patients treated at the 3e13 vg/kg dose level rapidly achieved normal, sustained Factor VIII (FVIII) levels with no reported bleeding events and no factor usage for as long as 24 weeks of follow-up
  • The two patients more recently treated at the 3e13 vg/kg dose level demonstrated FVIII activity kinetics that appear consistent with the first two patients in this dose cohort at similar early time points
  • SB-525 showed dose-dependent increases in FVIII activity levels across all dose cohorts evaluated
  • FDA recently granted regenerative medicine advanced therapy (RMAT) designation for SB-525 gene therapy to treat severe hemophilia A

uniQure Has Follow-Up Data from Phase 2b Hemophilia B Study

~ FIX Activity Up to 54% of Normal, with Mean of 45% of Normal, at 36 WeeksAfter Administration of AMT-061 in Phase IIb Study ~
~ Clinical Benefit and Tolerability of AMT-060 Maintained in All Patients Through up to 3.5 Years of Follow-up ~
uniQure N.V. (NASDAQ: QURE), a leading gene therapy company advancing transformative therapies for patients with severe medical needs, today announced updated clinical data on the three patients treated in the Company’s ongoing Phase IIb study of AMT-061, an investigational AAV5-based gene therapy containing a patent-protected FIX-Padua variant for the treatment of patients with severe and moderately severe hemophilia B. In addition, the Company presented up to 3.5 years of follow-up data on the 10 patients in the Phase I/II trial of AMT-060, its first-generation gene therapy for the treatment of hemophilia B. These clinical data were presented on Saturday, July 6 in oral presentations at the 27th Congress of the International Society on Thrombosis and Haemostasis (ISTH), taking place in Melbourne, Australia.
Featured in an oral presentation at ISTH, the 36 weeks of follow-up data show that all three patients have sustained increases in FIX levels after the one-time administration of AMT-061, with two of the three patients maintaining FIX activity in the normal range. Mean FIX activity for the three patients at 36 weeks after administration was 45% of normal, with the first patient achieving FIX activity of 54% of normal, the second patient achieving FIX activity of 30% of normal and the third patient achieving FIX activity of 51% of normal. The second and third patients had previously screen-failed and were excluded from another gene therapy study due to pre-existing neutralizing antibodies to a different AAV vector. Reported FIX activity was measured using an activated partial thromboplastin time (aPTT) assay performed at a central laboratory.
No patient in the study has experienced a material loss of FIX activity, reported any bleeding events or required any infusions of FIX replacement therapy for bleeds. One patient underwent hip surgery due to a pre-existing condition and was treated perioperatively with short-acting factor replacement. This was reported by the investigator as a serious adverse event unrelated to AMT-061.
“These updated data continue to show that a single administration of AMT-061 is well-tolerated and has the potential to increase FIX activity into the normal range for people living with hemophilia B,” stated Matt Kapusta, chief executive officer of uniQure. “We continue to be very pleased with these results, which as of this data report show durable increases in FIX activity with no bleeds and no requirement for infusions of FIX replacement therapy or immunosuppression. We believe AMT-061 has the potential to be a first- and best-in-class gene therapy for patients with hemophilia B, and we remain focused on our goal of completing enrollment in our ongoing HOPE-B pivotal trial by the end of this year.”

Array Interim Results of Colorectal Cancer Trial at ESMO Meet

BRAFTOVI combinations showed statistically significant improvement in OS and ORR versus control – – Data supports potential to be the first chemotherapy-free, targeted regimen for BRAF-mutant mCRC patients – – Results were presented in an oral presentation today, July 6, 2019

Array BioPharma Inc. (Nasdaq: ARRY) today announced the presentation of results from the Phase 3 BEACON CRC trial evaluating the combination of BRAFTOVI® (encorafenib), a BRAF inhibitor, MEKTOVI® (binimetinib), a MEK inhibitor, and ERBITUX® (cetuximab), an anti-EGFR antibody (BRAFTOVI Triplet), in patients with advanced BRAFV600E-mutant metastatic colorectal cancer (mCRC), following one or two lines of therapy. Data presented included primary and secondary endpoints, waterfall plots describing tumor reduction, subgroup analyses, and exploratory analyses comparing overall survival (OS) of the BRAFTOVI Triplet and BRAFTOVI Doublet (BRAFTOVI and cetuximab) in a subset of patients with mature follow-up, including the first 331 randomized patients, as well as safety and tolerability.
Results showed that BRAF-mutant mCRC patients treated with the BRAFTOVI Triplet combination demonstrated a statistically significant improvement in OS (9.0 months vs. 5.4 months, [HR 0.52, (95% CI 0.39-0.70), p<0.0001]) and objective response rate (ORR) (26.1% vs. 1.9%, p<0.0001, as assessed by Blinded Independent Central Review (BICR)) compared to cetuximab plus irinotecan-containing regimens (Control). Median progression-free survival (mPFS) for patients treated with the BRAFTOVI Triplet was 4.3 months [HR 0.38, (95% CI 0.29, 0.49), p<0.0001] compared to 1.5 months observed with the Control arm.
These data were presented in an oral presentation on Saturday, July 6, at the ESMO 21st World Congress on Gastrointestinal Cancer in Barcelona, Spain.

Friday, July 5, 2019

Study finds nursing homes rarely have enough RNs on staff

RN staffing levels fall much lower than CMS standards in most nursing homes, according to a study published July 1 in Health Affairs.
“Seventy-five percent of nursing homes were almost never in compliance with what CMS expected their RN staffing level to be,” the study’s authors wrote. They also found half of skilled nursing facilities only met standard staffing benchmarks on 19 days or fewer between April 2017 and March 2018.
The study supports previous analyses that also revealed staffing problems in nursing homes, according to Skilled Nursing News. The problems came to light when CMS stopped using self-reported data in favor of the payroll-based journal system in April 2018. CMS gave almost 1,400 nursing homes one-star ratings after The New York Times and Kaiser Health News analyzed the PBJ data and found a large gap between self-reported and payroll-based staffing records.
Going forward, the study’s authors advise improved measures of staffing levels based on day-to-day variation rather than averages, among other measures.

Protein-linked sugars crucial for uptake of proteins linked to Parkinson’s

Parkinson’s disease, a neurodegenerative disorder that affects more than 6 million people worldwide, is caused by the buildup of alpha-synuclein proteins in the brain. The biological function of alpha-synuclein is still not well understood, but because of its role in neurodegenerative diseases, researchers are actively studying this protein to understand the mechanisms of the disease and to look for new treatment strategies.
A new study from Elizabeth Rhoades and postdoc Melissa Birol found that when alpha-synuclein binds to extracellular glycoproteins, proteins with added sugar molecules, it can be taken up by neurons more easily. The paper also identified a specific presynaptic protein, neurexin 1?, as a key regulator in this process and a potential therapeutic target. Their findings were published in the journal PLOS Biology.
In one possible model for the pathology of Parkinson’s disease, bundles of alpha-synuclein proteins, known as aggregates, form inside a neuron. This then leads to cell death and the release of alpha-synuclein protein clusters that are taken up by other neurons. Since neurodegenerative diseases have typical progression patterns, knowing how alpha-synuclein moves between neurons in the brain helps researchers understand disease propagation.
Previous work from the Rhoades lab implicated the presence of a glycan binding site on alpha-synuclein. This finding, combined with Birol’s experience in analyzing protein-membrane interactions, led to this study of how alpha-synuclein interacts with cell membranes.
Birol was able to enzymatically remove specific glycans from the cell surface to see how their presence or absence would change how alpha-synuclein was taken up by neurons. The study found that when glycans were removed, the amount of alpha-synuclein clusters taken up by cells was greatly reduced.
And by analyzing giant plasma membrane vesicles, synthetic membranes derived from components of real cells that have the same protein and lipid composition, Birol was also able to see the detailed physical interactions between alpha-synuclein and glycans. “There’s a structural basis for the alpha-synuclein binding to the glycan, and when the glycans are removed, it changes the nature of the interaction of alpha-synuclein with the cell membrane,” explains Rhoades.
This research focused on the acetylated form of alpha-synuclein proteins, which is present in both healthy and diseased neurons and is less frequently studied. They found that the acetylated form was more effective at forming clusters of proteins inside neurons and was required for interactions with glycans. “No one’s really stressed the importance of these acetylated versions,” Birol says. “Generally, we need take a step back in trying to understand how this protein may be propagating between cells, and I think glycans could be an aspect.”
Rhoades and Birol say that the most unexpected finding was the discovery of neurexin 1? as a potential partner in how alpha-synuclein is taken up by neurons. They hope that future research on this presynaptic protein could provide insights into new treatment strategies for Parkinson’s and other neurodegenerative diseases.
In the near term, Rhoades and her group hope to obtain higher-resolution structural information of alpha-synuclein proteins bound to glycans. They also hope that this study will inspire future research on alpha-synuclein acetylation and the role of glycans in the progression of the disease and will provide an impetus to look at previously unstudied protein modifications that might be connected to Parkinson’s disease.
“Some cells spontaneously internalize these [alpha-synuclein] proteins and some do not. It has generally been assumed that there are alpha-synuclein specific receptors on the cells that do internalize aggregates. That may or may not be true, but [our study] suggests that it’s not just the protein receptors but the glycans that are also important,” says Rhoades.
This research was supported by the Michael J. Fox Foundation for Parkinson’s Research.
Story Source:
Materials provided by University of PennsylvaniaNote: Content may be edited for style and length.

Journal Reference:
  1. Melissa Birol, Slawomir P. Wojcik, Andrew D. Miranker, Elizabeth Rhoades. Identification of N-linked glycans as specific mediators of neuronal uptake of acetylated α-SynucleinPLOS Biology, 2019; 17 (6): e3000318 DOI: 10.1371/journal.pbio.3000318