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Thursday, April 9, 2020

Biocept Shares Up on Planned Start of Covid-19 Testing

Shares of Biocept Inc., which provides liquid biopsy tests for cancer patients, rose 12% to 40 cents after hours as the company said it will conduct Covid-19 testing.
Biocept said it has verified a molecular diagnostic test, and plans to begin accepting physician-ordered testing requests for processing beginning April 15.
Biocept’s lab will use Thermo Fisher Scientific Inc.’s TaqPath platform and kit.

https://www.marketscreener.com/BIOCEPT-INC-44644720/news/Biocept-Shares-Up-on-Planned-Start-of-Covid-19-Testing-30394798/

BioCryst stock rallies on start of coronavirus drug study

BioCryst Pharmaceuticals Inc. BCRX, +3.50% shares rallied in the extended session Thursday after the drug maker said it was starting a clinical trial to test its COVID-19 treatment. BioCryst shares surged 35% after hours, following a 3.5% rise to close the regular session at $2.07. The company said it opened a randomized, double-blind, placebo-controlled clinical trial to test the drug galidesivir in treating patients with COVID-19. The study, which is being funded by the U.S. National Institutes of Health’s National Institute of Allergy and Infectious Diseases, will be conducted in Brazil, the company said. Many drug companies have recently started development of either COVID-19 treatments or vaccines.
https://www.marketwatch.com/story/biocryst-stock-rallies-on-start-of-coronavirus-drug-study-2020-04-09

NIH begins trial to test hydroxychloroquine for COVID-19

The National Institutes of Health (NIH) said on Thursday it was testing anti-malaria drug hydroxychloroquine for treating COVID-19, days after several U.S. doctors said they were using the drug on infected patients without evidence that it worked.
The use of the decades-old drug, which has been touted by President Donald Trump as a potential weapon against COVID-19, has soared as the United States has quickly become the epicenter of the pandemic.
The study will evaluate the safety and the effectiveness of hydroxychloroquine and be conducted by the National Heart, Lung, and Blood Institute (NHLBI), part of NIH.
“Hydroxychloroquine has showed promise in a lab setting against SARS-CoV-2, the virus that causes COVID-19, and preliminary reports suggest potential efficacy in small studies with patients,” said James P Kiley, director, Division of Lung Diseases, NHLBI.

The drug is used to treat malaria and rheumatoid conditions such as arthritis. Potential side effects of the drug include vision loss and heart problems.
The U.S. Food and Drug Administration has not approved hydroxychloroquine as a COVID-19 treatment, but it has provided an emergency use authorization for the anti-malaria drug.
Drugmakers across the world are racing to develop a treatment or a vaccine for the disease that has killed over 87,000 people.
https://www.reuters.com/article/us-health-coronavirus-hydroxychloroquine/nih-begins-trial-to-test-hydroxychloroquine-for-treating-covid-19-idUSKCN21R2OM

Taco Bell mandates employee temp checks, contactless payment in US outlets

Taco Bell said on Thursday it was implementing temperature checks and contactless payments among other measures across U.S. restaurants over the next month, as it looks to address safety concerns among workers laboring through the coronavirus crisis.
The company said it would require all employees in U.S. restaurants to wear gloves and masks or coverings mandated by local authorities.
The virus outbreak in the United States is decimating the restaurant industry as scared customers cook at home instead of eating out and governments force restaurants to shut dining rooms and switch to drive-thru, delivery and take-out only.

Restaurant Brands last month said it was deploying 15,000 infrared thermometers at Burger King, Tim Hortons and Popeye outlets, while Starbucks has said its delivery staff have their temperature taken daily. (reut.rs/2UYC8k5)
McDonald’s Corp has closed many of its dine-in sections and play areas and last week, rolled out daily wellness checks for employees and said it would to make thermometers available to all restaurants. (bit.ly/3b13ICI).
https://www.reuters.com/article/us-health-coronavirus-yum-brands/taco-bell-mandates-employee-temperature-checks-contactless-payments-at-u-s-outlets-idUSKCN21R3MP

Why Should You Care That Ferrets, Tigers And Cats Have Coronavirus?

A new study from the Harbin Veterinary Research Institute looked at COVID-19 in a wider range of animals than had been previously reported and is even more reassuring about the transmission of the SARS-CoV-2 coronavirus between people and other animals.
The good news? Livestock, including pigs, chickens and ducks, are not susceptible to the virus. If they were, we would have expected to see a large number of animal infections and deaths by now.
The study found that ferrets were readily infected by virus given to them intranasally (in their noses). They are similarly easily infected by influenza and other respiratory viruses.
Cats were also infected by inoculating virus into their nose. Virus was later detected in their respiratory tract and stool. What was most interesting—and disturbing—is that uninfected cats who were placed in adjacent cages also became infected. This was presumably by small droplets, as happens in people.
Younger cats appeared more susceptible than older ones.
Three beagles were inoculated with the virus. They developed antibodies, indicating that they had become infected, but did not transmit the virus to two other beagles kept adjacent to them.
A small number of pigs, chickens and ducks were inoculated, but didn’t become infected. A German study came to similar conclusions, noting that farm animals do not pose a risk to people. Dr. Meghan Davis, of Johns Hopkins, added that “Ferrets in particular are a useful model for influenza studies and their susceptibility may mean that researchers can use them as an animal model for the COVID-19 virus.”
Why does this matter?
We currently believe that the SARS-CoV-2 virus originated in bats, but we don’t know what “intermediate hosts,” ones that may serve as a bridge between bats and people, are. Those could become important reservoirs of infection.
We now are aware of the rare case of a woman in Belgium with COVID-19 infecting her cat. Last week, we learned of tigers and lions at the Bronx Zoo becoming infected by their caretakers.
Dr. John Howe, President of the American Veterinary Medical Association, told me that thousands of dogs have been tested by IDEXX and no infection was found. To date, IDEXX has tested samples from sick dogs and cats in seventeen countries and found no infections.
Dr. Howe assured that he has “no concern over domestic animals and livestock” (except possibly ferrets) transmitting infections to people; we would have seen outbreaks by now if that were a significant risk. “Human-to-human transmission remains the main driver.” He does not believe cats are an intermediate host, since we are not seeing more infection either between cats or to people. There have only been two cat and two dogs shown definitively to have been infected in China.
It’s important to know how the virus affects different animals so that we can better develop models for vaccine and antiviral drug therapies.
“Why are animals being tested for coronavirus when I can’t be?” is the question I received most after my post on Nadia, the Bronx Zoo tiger that was infected. There are two reasons animals are tested. One, as noted above, is that we need to learn what animals might be reservoirs and risk transmitting infections to people. The other is that the animals are being tested by other methods in veterinary labs and “should not reduce the availability of COVID-19 tests for people.”
What is the risk of a person becoming infected from contact with a pet?
I asked this question of Dr. Howe, as people bond and socialize with their pets, as dogs also do at parks. He replied, “Coronavirus will sit on smooth surface, but pet hair and fur are very porous, and it tends to trap the virus. It would be very difficult to pick virus up from the hair coat.” He agreed that “people shouldn’t go to dog parks or places where there are a lot of dogs” who are there with “their humans.”
We worry a bit about delivery people (about the only people we see any more since we have been abiding by “StayAtHome” directives) patting our dogs and transmitting infection to us that way. Dr. Howe reassured us that is not likely, and suggested that if there is concern about someone having coughed or sneezed on the dog, that it could be bathed with a medicated shampoo like chlorhexidine.
For now, though, resist the urge to seek comfort by petting every furry critter you see. If you can’t, just wash your hands. You should be far safer with animals now than people.
https://www.forbes.com/sites/judystone/2020/04/09/why-care-that-ferrets-tigers-and-cats-have-coronavirus/#7861662a6ee0

CMS sends $51B in advance payments to hospitals in past week

CMS announced April 9 that it has delivered more than $51 billion in payments to hospitals and other healthcare providers in the past week through the Accelerated and Advance Payment Program.
CMS expanded the payment program to a broader group of healthcare providers in late March to help offset the financial impact of COVID-19. On April 7, the agency said it had distributed $34 billion in funds to healthcare providers and suppliers through the program in the past week. Two days later, CMS said the amount had grown to $51 billion.
CMS has received roughly 32,000 requests from healthcare providers and suppliers for advance payments in the past week, and 21,000 of those requests have been approved. That’s compared to the 100 total requests CMS approved in the past five years.
To help hospitals under financial strain due to COVID-19, CMS has reduced the processing time for advance payment requests to less than one week, compared to the previous time frame of three to four weeks. Acute care hospitals, children’s hospitals, critical access hospitals and some cancer hospitals can request up to six months of advance Medicare payments through the program.
The payments are not part of the $100 billion emergency fund authorized in the Coronavirus Aid, Relief, and Economic Security Act to reimburse healthcare providers for expenses or lost revenue related to the COVID-19 pandemic. The advance payments are a loan that healthcare providers must pay back, while funding provided under the CARES Act does not need to be repaid.
https://www.beckershospitalreview.com/finance/cms-sends-51b-in-advance-payments-to-hospitals.html

Covid-19 stalls biotech IPOs

Several young drug developers managed to float in the first quarter, but new issues dried up in March when coronavirus infected the markets. Is the game back on?

The beginning of this year witnessed a steady flow of well-received biotech IPOs, with nine young drug developers managing to get away before Covid-19 infected the market. By the end of March the stream had dried up.
The hiatus was brief, and encouragingly two companies – Keros Therapeutics and Zentalis Pharmaceuticals – managed to float in early April, so it seems that the window has not entirely shut for these high-risk investments. One of the worst stock market crashes in history is sure to have left its mark, however, and those still harbouring hopes for a public life will have to proceed cautiously.
According to data collected by EvaluatePharma, the nine drug developers that floated in the first quarter raised $1.5bn in total, a respectable haul when looking back over the past few years. The tally would presumably have been much higher had the pandemic not called a halt to proceedings, however.
This analysis includes only drug developers, so represents the very highest-risk propositions that are attempting to go public. Medtech, diagnostic or digital health companies are excluded, and flotations on Western exchanges only are captured.

There is certainly evidence to suggest that the pandemic curtailed what was shaping up to a strong run for new issues. Renaissance Capital estimates that 20 companies halted IPO plans in March, across all sectors; as healthcare is currently supplying a big proportion of new issues it seems likely that drug developers make up a fair proportion of that number.
Investors in most cases accepted the valuations placed in front of them in the early part of the year, another indication of the strength of the market.

The first-quarter cohort was pretty small, and the average was boosted by three companies that priced above the range and/or upsized their deals: Revolution Medicines, Black Diamond and Schrödinger. All are focused on targeted cancer therapies, an incredibly competitive space showing no sign of cooling off.
And, while Imara did not raise a huge haul ($75m), the rare disease specialist is worth mentioning as it managed to float on March 12th, when the markets were in freefall. True, the deal priced at the bottom of range, but the company had previously upsized the offer; perhaps most impressively, the stock has held water since floating.
Investors must consider Keros and Zentalis pandemic proof to have got away so successfully this month, as market volatility is far from past. Both upsized their IPOs, and are trading substantially higher than their offer prices. The former is developing drugs against TGF-beta, a target attracting much attention, while Zentalis is another targeted cancer drug play.
Those still hoping to float still have a chance, it seems, although whether the worst is over is anyone’s guess.
Biggest biotech IPOs on Western exchanges in Q1 2020 (all Nasdaq)
Company Primary focus Amount raised ($m) Premium/(discount); float price to initial offer Share price change since float to end Q1
Revolution Medicines Ras and mTor signalling pathway therpaies 273.7 13% 29%
Black Diamond Therapeutics Small-molecule, tumour-agnostic therapies 231.3 12% 31%
Passage Bio Gene therapies for rare CNS diseases 216.0 6% -13%
Beam Therapeutics Crispr therapies 207.0 6% 6%
Schrödinger Drug discovery/ small-molecule oncology 202.0 13% 154%
https://www.evaluate.com/vantage/articles/data-insights/ipo/covid-19-stalls-biotech-flotations