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Monday, June 13, 2022

Sanofi-GSK next-gen COVID-19 booster delivers strong immune response against variants of concern

 Sanofi-GSK next-generation COVID-19 booster delivers strong immune response against variants of concern, including Omicron

  • Next-generation booster vaccine candidate delivers immune boost in adults primed with mRNA vaccines; with a stronger immune response compared to Pfizer-BioNTech’s Comirnaty booster vaccine

  • Next-generation booster vaccine candidate demonstrates potential to protect against COVID-19 variants of concern, including Omicron BA.1 and BA.2, with a favorable safety and tolerability profile

Day One: Positive Initial Data from Pivotal Trial in Relapsed Pediatric Low-Grade Glioma

 Data show an overall response rate (ORR) of 64% and clinical benefit rate (CBR) of 91% in the first 22 evaluable patients treated with monotherapy tovorafenib

Topline results from the full FIREFLY-1 trial population expected in Q1 2023

Day One plans to initiate a pivotal Phase 3 clinical trial of tovorafenib in front-line pediatric low-grade glioma (pLGG), with first patient dosed expected in Q3 2022

Company to host conference call and webcast June 13, at 8:00 a.m. Eastern Time

Conference Call and Webcast Information
Day One will host a conference call and webcast, June 13, 2022, at 8:00 a.m. Eastern Time. To participate by telephone, please dial 844-713-6132 (Domestic) or 1-213-320-2543 (International). The conference ID number is 3568447. The webcast will be made available for replay on the Company's website beginning approximately two hours after the event and will be available for 30 days following the live presentation.

https://finance.yahoo.com/news/day-one-announces-positive-initial-210000609.html

Ekso: FDA Clears Robotic Exoskeleton for Use with MS

 Ekso Bionics Holdings, Inc. (Nasdaq: EKSO) (the “Company”), an industry leader in exoskeleton technology for medical and industrial use, today announced it has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) to market its EksoNR™ robotic exoskeleton for use with Multiple Sclerosis (MS) patients. EksoNR is the first exoskeleton device to receive FDA clearance for rehabilitation use in patients with MS, an indication which significantly expands the device’s use to a broader group of patients.

EksoNR is the latest-generation device of the most clinically used robotic exoskeleton on the market. It was previously cleared by the FDA for stroke and spinal cord injury rehabilitation in 2016 and acquired brain injury (ABI) in 2020. The device was the first of its kind to receive a stroke indication, is the only exoskeleton with an ABI indication, and now is the first to receive an indication for MS.

https://finance.yahoo.com/news/ekso-bionics-receives-fda-clearance-120000677.html

Homology Medicines: FDA Lifted Clinical Hold on Gene Therapy Trial for PKU

 Homology Medicines, Inc. (Nasdaq: FIXX), a genetic medicines company, announced today that the U.S. Food and Drug Administration (FDA) lifted the clinical hold previously placed on the pheNIX gene therapy clinical trial with investigational HMI-102 for adults with phenylketonuria (PKU). The FDA noted in its response that Homology satisfactorily addressed all clinical hold issues identified in its letter of March 17, 2022. Homology plans to share the changes to the protocol, which include a new steroid-sparing immunosuppression regimen that incorporates a T-cell inhibitor and a shorter course of steroids, with the clinical trial sites.

https://finance.yahoo.com/news/homology-medicines-announces-fda-lifted-120000048.html

Sunday, June 12, 2022

Pushing Beyond Gene Editing Limits with Programmable RNA Medicines

 An RNA-focused therapeutics company, Seattle-based Shape Therapeutics has developed a technology that is allowing it to evolve programmable RNA medicines that push the limits of current gene editing capabilities in a safer and more effective manner.  

Chief Scientific Officer David Huss outlined the company’s capabilities in an interview with BioSpace. He said that at its core, Shape has built a number of different platform technologies that span payloads, deliveries and manufacturing. Harnessing the capabilities of machine learning and artificial intelligence programs, Huss said the company strongly relies on information that comes from a patient’s specific mutation and broader, within a disease class. The company’s capabilities allow it to analyze hundreds of billions of therapeutic possibilities and advance breakthroughs in RNA editing, next-generation AAVs and disruptive gene therapy manufacturing.

David Huss_Shape Tx“We have data in-house that will allow us to predict the sequence of an RNA therapeutic that will allow for an RNA edit for a specific target,” Huss said. “We are inventing new approaches for machine learning and high-throughput screening on a massive scale to engineer completely novel RNAs that correct mutations, fine-tune gene expression and modulate protein interactions.”

Shape Therapeutics has in-house data that will allow it to predict the sequence of an RNA therapeutic that will allow an RNA edit for a specific target. The company has three different technology platforms it uses to advance its RNA-based therapies: RNAfix, RNAskip and AAVid.

Huss explained that an RNA approach to gene editing is potentially more effective than conventional approaches such as CRISPR and also significantly safer. There have been serious concerns regarding off-target DNA damage and therapeutic-related malignancies from CRISPR-Cas9 technology as well as ethical concerns related to the highly-controversial CRISPR baby incident in China.

He noted that CRISPR is, essentially, a “large bacterial chain,” sequences that are derived from DNA fragments of bacteriophages that had previously infected the prokaryote. Inserting that into a person to make a permanent change to their DNA “sends up a red flag” Huss said.

“When you’re targeting the DNA level, there’s a permanent, inheritable change. It’s an all-or-nothing approach. At the RNA level, we can tailor the effect. It allows us to tune the approach," he explained. 

There are other RNA editing-focused companies, such as Adarx PharmaceuticalsWAVE life Sciences, which recently posted positive Phase I/II data for its amyotrophic lateral sclerosis (ALS) therapy, and Korro Bio, which raised $116 million in a Series B financing round earlier this year.

For its approach, Shape Therapeutics uses a fully human protein called ADAR (adenosine deaminase acting on RNA) that is present in every cell of the body and has a natural editing function, Huss said. The ADAR proteins he referred to bind to double-stranded RNA, changing the nucleotide content of RNA, which has a disruptive effect. Huss said there’s a beauty in RNA editing and harnessing the ADAR mechanism. He said the RNA-based therapeutic recruits the ADAR that’s already found within a cell “and puts it in a place it may not normally go.”

It’s believed that this approach will be far safer for patients. So far, the company is seeing proof of this in its research into Parkinson’s disease and the ocular disorder, Stargardt disease.

Shape’s approach is certainly drawing attention from the industry. Last year, Swiss pharma giant Roche ponied up a partnership with Shape valued at more than $3 billion. Under the terms of the deal, Roche will apply two of the company’s technologies, RNAfix and AAVid, to develop next-generation tissue-specific adeno-associated viruses for new gene therapies aimed at neurodegenerative diseases like Parkinson’s. Shape is conducting the preclinical work and will then pass along potential candidates for Roche to take into the clinic.

The kind of partnership Shape has with Roche is something the company hopes to expand to other large pharma organizations, Huss noted. He explained that Shape cannot go after all disease types on its own, so the company wants to forge partnerships that will let others take the lead.

“The promise and hope (of gene therapy) drive so many of us,” he said.

While there is significant promise in gene therapy, Huss pointed out that many of the clinical holds that have been issued by the U.S. Food and Drug Administration, such as that placed on Mustang Bio earlier this year, are related to manufacturing issues. Shape has recognized this issue and taken steps to build its own infrastructure and innovate for its own needs, he said.

Before joining Shape, Huss led a T cell engineering team at Juno Therapeutics, which is now part of Bristol Myers Squibb. Before that, he focused on translational and clinical development programs at Biogen for multiple sclerosis drugs Tecfidera and Zinbryta, the latter of which has been withdrawn from the U.S. Market due to safety concerns.

While at Juno, he worked with Francois Vigneault, the co-founder of Shape Therapeutics. At Juno, Vigneault was the vice president of research. Following the acquisition of Juno, Vigneault had the vision to build Shape around RNA-editing technology.

“He saw the power of what RNA editing with a protein that’s present in your body can do, that it can really move past the major limitations of the CRISPR technology,” Huss said.

Seeing the potential of the technology, Huss joined the company, first as head of research before being promoted to CSO last year.

As Shape moves forward with its programs, Huss pointed to significant progress the company has made with its AAVid platform to generate different variants targeting the central nervous system, as well as other muscle and tissue types.

“We’re really excited about how this is progressing,” he said. “We’re a data-first company and our data is validating what we’re doing.”

https://www.biospace.com/article/shape-therapeutics-pushes-beyond-limits-with-rna-editing-platform-/

Cruise Lines Call for CDC to Change Covid Testing Policy

 With the United States government dropping mandatory covid tests for international travelers, the cruise industry remains the only travel business that still requires testing.

The decision by the Centers for Disease Control, which takes effect June 12 allows people to fly to the U.S. without taking any sort of covid test, which should lead to an increase in travel.

That's good news for cruise lines as "in 2019, more than 1 million guests from Canada sailed from a U.S. homeport, 570,000 guests from Brazil sailed from a U.S. homeport, and 280,000 from Mexico, the Caribbean, and Central America," Cruisehive reported.

More passengers from around the world will be able to get to the U.S., but actually getting on a cruise ship will still require taking a covid test no more than two days before the day they sail. That rule remains in place and the Cruise Line Industry Association (CLIA) -- a trade group which represents the interests of Royal Caribbean International (RCL) - Get Royal Caribbean Group Report, Carnival Cruise Line (CCL) - Get Carnival Corporation Report, Norwegian Cruise Line (NCLH) - Get Norwegian Cruise Line Holdings Ltd. Report, and most major cruise lines around the world -- has called for the CDC to review the rules under which cruise ships are now voluntarily operating under in partnership with the federal agency.

CLIA Wants Cruise Lines Treated Like Other Travel

The covid testing changes for international travel were not made because covid has stopped being a threat. People still get sick, but the current levels of serious illness make it so that plenty of hospital beds remain should anyone need them. It's fair to call the CDC decision an economic one based on the needs of the travel industry.

Hotels, theme parks, and airlines want international travelers and they have much more leverage over the CDC than cruise lines given that they are U.S.-based businesses while cruise ships are not. That's why the cruise lines remained fully closed from U.S. ports while people packed Disney World, concerts, and hotel conference centers.

Cruise lines, however, do have a large economic impact on the U.S. economy, however, and the CLIA wants the cruise industry -- which has not suggested it plans to drop vaccine requirements -- to be treated like other travel businesses.

“As the CDC monitors the improving health landscape and works with airlines to support a smooth transition with the lifting of the pre-arrival testing requirement, we believe a review of pre-embarkation testing requirements for cruise travelers is also in order,” Cruisehive reported.

Royal Caribbean, Carnival, Norwegian, and even Disney (DIS) - Get The Walt Disney Company Report require that all passengers ages 12 and over must prove vaccination before boarding.

Cruise Lines Face a Higher Standard

If you get covid at Disney World, a concert, or your local grocery store, it's very hard for anyone to know exactly how they got infected. When people spend a few days or longer on a cruise ship, that gives covid time to incubate, spread, and produce visible illness.

That creates an optics problem for Royal Caribbean, Carnival, Norwegian, and other cruise lines. News footage of ships with high numbers of people infected with any virus -- be it flu, covid, or something else -- make for stories that make it seem that cruises are more dangerous than other forms of travel.

It's possible that was true in the days before the covid pandemic, but now cruise lines require proof of vaccination which few other venues or travel destinations do. Cruise lines also have enacted even more strict cleaning policies and hand washing has always been something Royal Caribbean, Carnival, and Norwegian push (usually with singing in front of the buffet).

Having to test before boarding a cruise ship for asymptomatic people adds a layer of complexity to people taking a cruise -- especially those who choose to fly in a day or two before. Removing the requirement would likely lead to more people cruising. That's good for the economy and makes as much sense with covid still being an issue as dropping the testing requirements for international travelers.

If money can be the reason why testing and vaccination requirements don't exist in hotels, airplanes, theme parks, concerts, and sporting events, then money should be a viable reason to consider dropping the testing requirement before taking a cruise.

https://www.thestreet.com/investing/cruise-lines-call-for-cdc-to-change-covid-testing-policy

NIAID Mouse Study Shows Benefits of COVID-19 Nasal Vaccine vs. Intramuscular

 When the first COVID-19 vaccines became widely available in the United States in early 2021, using new messenger RNA (mRNA) technology to combat disease-causing SARS-CoV-2, scientists continued their work to further improve and diversify vaccine options. Experimental nasal vaccines – think FluMist – are the latest COVID-19 candidates to receive attention through published preclinical studies highlighting their advantages. Currently, all COVID-19 vaccines available in the U.S. must be delivered into a muscle, typically in the shoulder.

A new comparison study in PNAS from NIAID intramural scientists clearly shows that for SARS-CoV-2, nasal vaccination – particularly in two doses – has clear advantages over muscular delivery in laboratory mice. The vaccine tested uses an old immune-activation concept: modified vaccinia virus Ankara (MVA), which is a licensed smallpox and monkeypox vaccine, and is being actively pursued as a vector, or carrier, to deliver a viral protein for other infectious diseases. For this vaccine candidate, the MVA vector delivers the spike protein of SARS-CoV-2, which sits on the surface of the virus, to spur an immune response.

Advantages of the nasal MVA-based vaccine include:

  • Virus targeting: SARS-CoV-2 initially establishes infection in the nose and throat before spreading to the lungs. Within six hours of delivery, scientists observed the nasal vaccine working in all the key areas, remaining active for three days. The vaccine delivered to the muscle remained in place, generating a slow immune response only to the lung region and blood.
  • Broad protection: The nasal vaccine quickly generated a variety of protective immune responses, including antibodies A and G. The muscular vaccine only generated type G antibodies, and mainly in the lungs. Type A antibodies are important protectors against SARS-CoV-2 because they are found in the mouth and in saliva – places where the virus wants to establish. Both vaccines also generated white blood cells (T cells), but in significantly higher levels via the nasal vaccine.
  • Rapid protection: Nasal vaccination either prevented or accelerated SARS-CoV-2 elimination in nasal passages and lungs as early as two days after exposure to the virus. This likely was because of the type A antibodies at work, the scientists say. Muscular vaccination was less effective, preventing death and clearing virus from the respiratory tract, but over several days and not protecting nasal passages.

Both the nasal and muscular vaccines were durable, maintaining neutralizing levels of antibodies against SARS-CoV-2 for more than six months; the antibodies neutralized the initial virus strain and the Beta and Omicron variants, although to a lesser extent. Potency waned at a rate of about 20 percent per month, consistent with what researchers have observed with mRNA COVID-19 vaccines. Although the study did not explore the vaccine’s ability to halt virus transmission, scientists theorize that a vaccine that can prevent or quickly eliminate virus in nasal passages would likely reduce the likelihood of person-to-person transmission.

Laboratory work is continuing on the effectiveness of this approach for highly transmissible SARS-CoV-2 variants, including Omicron. These studies support clinical testing of upper respiratory delivery of COVID-19 vaccines.

References: 

J Americo et al. Intranasal inoculation of an MVA-based vaccine induces IgA and protects the respiratory tract of hACE2 mice from SARS-CoV-2 infection. PNAS. DOI: 10.1073/pnas.2202069119 (2022).

R Liu et al. One or two injections of MVA-vectored vaccine shields hACE2 transgenic mice from SARS-CoV-2 upper and lower respiratory tract infection. PNAS. (2021).

B Bosnjak, et al. Intranasal Delivery of MVA Vector Vaccine Induces Effective Pulmonary Immunity Against SARS-CoV-2 in Rodents. Frontiers in Immunology. (2021)

A Hassan, et al. An intranasal vaccine durably protects against SARS-CoV-2 variants in mice. Cell Reports. (2021).

https://www.niaid.nih.gov/news-events/mva-nasal-study