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Theratechnologies Inc T.TH

Alternate Symbol(s):  THTX

Theratechnologies Inc. is a Canada-based clinical-stage biopharmaceutical company. The Company is focused on the development and commercialization of therapies addressing unmet medical needs. It markets prescription products for people with human immunodeficiency viruses (HIV) in the United States. The Company's research pipeline focuses on specialized therapies addressing unmet medical needs in HIV, nonalcoholic steatohepatitis (NASH) and oncology. Its medicines include Trogarzo and EGRIFTA SV (tesamorelin for injection). Trogarzo (ibalizumab-uiyk) injection is a long-acting monoclonal antibody which binds to domain 2 of the CD4 T cell receptors. It blocks viral entry into host cells while preserving normal immunologic function. The Company is also investigating an intramuscular method of administration of Trogarzo. EGRIFTA SV (tesamorelin for injection) is approved in the United States for the reduction of excess abdominal fat in people with HIV who have lipodystrophy.


TSX:TH - Post by User

Comment by SPCEO1on Aug 05, 2022 10:35am
125 Views
Post# 34874002

RE:RE:RE:The real quick story of Thera

RE:RE:RE:The real quick story of TheraI should have also added that if TH-1902 works, I would be quick to change the name of the company to Sortilin Therapeutics as that may help rebrand TH and put its past behind it more permanently. Plus, it just makes sense for the name of the company to better reflect what it is known for.

But first TH-1902 needs to work. 

SPCEO1 wrote: As another old investment industry guy, I would add that Wino's addendum is focused appropriately on the future, not the past. The past has been wonderful at times too (1,000% runs higher in the stock price on hopes for both Egrifta and Trogarzo which were sadly later dashed against the rocks of reality). TH gave us two chances to be heroes and congrats to those who took at least one of them. If anyone aniled it twice, they get an immediate admission tot he Hall of Fame of investing.

But the past might somewhat inform the future of TH, but probably not much. TH-1902 and the whole Sortilin platform is totally distinct from the company's past situations with Egrifta and Trogarzo (and NASH for that matter). It will either win or lose on its own attributes and, other than Christian, there is not likely too much that senior management can do to change its trajectory for better or worse. Moreover, if it turns out for better, 1,000% gain is likely a minimal expectation.

So, the past had its good moments but ultimately things ended up in a less than ideal place for the stock. But don't dwell on that or let it cloud your thinking now as it coudl easily cause you to miss out on something very big.

We are at a critical time for TH-1902. If it can show good enough results in phase 1b to progress to phase II, things will start getting pretty exciting again. But if not, the main objective will bepaying off that loan to Marathon, which will not be exciting at all.

 

Wino115 wrote:

Helpful historical summary. As an old inv industry vet, I would say my experience is that most analysts probably won't go back much further than 5 or so years to get an idea of corporate history and strategy.  They would just look at what the current management's background and track record shows, what the commercial aspects of the 2 commercial drugs are now (the fact they own one 100% makes that easy and Trogarzo is what it is) and what the pipeline is and chances of seeing success there, while understanding the science.  I think you are right for long time Canadian investors who have heard the name and been pitched it many times over.  They will be jaded by this history.  Another reason to get new analysts with new audiences if and when new milestones are hit.

One chapter I would write as an addendum to this is that we mustn't forget this new PDC drug is attempting to treat a disease that is essentially untreatable for the patients they are dosing, but doing it with a highly used existing chemo. This is important for two reasons.  One, there is NO standard of care for these patients in the hospital at this point. They are out of options and nothing worked. Two, any efficacy will be highly likely due to the PDC since that same chemo given at that level and for many cycles would most likely cause massive SAEs and it would likely have been shown not to be effective for that patient from past therapies; hence, why they are taking TH1902.  Three, because of this the ability to just hit response rates in the 30 percent range and additional months of survival in the 4 to 6 month range is the bar to hit and anything over that would be considered astounding for these type of patients.

A short chapter to the history to give a positive view that what this drug has to prove may be hard, but if there's even a modicum of success it is literally a breakthrough for these patients and these tumors.  From there, you can play with it on earlier lines given the safety, but it would be a real leap for the clinic to have a tool like this.  And the bar is very low to show that.

 

jfm1330 wrote: Theratechnologies, founded in 1993.

For many years they had no labs, they were buying patents from academic inventions, the patent to N-Hexenoyl; GRF (1-44), later called tesamorelin, and commercial name Egrifta was one of those patents. In the begining they were all over the place, they worked on a cancer treatment against leukemia that ended up in nothing, they started a medical device division, I remember they had an electronic stethoscope and other stuff. In the biotech boom in the 80s they were able to raise money. They started pushing tesamorelin as their lead drug, they also worked on a GLP-1 analog but were late in the game behind big competition so they dropped it after phase I. They bought a peptide desing company called Pharma-G, and hired the founder of this company as CSO. Nothing never came out of that acquisition.

Then, around 2010 they got tesamorelin approved by the FDA for a small indication, HIV lipodystrophy, and the company was forced into a partnership with EMD Serono over a patent that Serono had. So instead of a legal fight over that Serono patent, they concluded a partnership. Sales of Egrifta by EMD Serono were small, Thera was losing money in that bad deal because they still had to pay to run phase IV post-approval clinical trials and manufacturing. They also had manufacturing problems around 2012. They hired a new CEO, John Huss, a former big pharma executive. A financing in the US failed at that time when the company was on NASDAQ. It was the last window for the company to get a good amount of money without too much dilution. After that everything went south. They were low on money because of the failed financing, so they had to lay off about 80% of their employees. Went close to bankruptcy. Were savec by some tax credits reimbusment for the governments. The new CEO, long time CFO, Luc Tanguay managed to save the company in a deal to buy back from Serono the full rights to Egrifta. Then he managed to get the right to Taimed's Ibalizumab (Trogarzo) which, at the time, was about to enter phase III trial.

Trogarzo was finally approved by FDA in March 2018. The stock price went to 14$ (CAN) in May and June on high volume. Then it started to go down, and down, and down, and the sales of Trogarzo were minimal in the US. In other words a commercial failure. Thera also bought the rights for Europe, another failure. During all that time they managed to have Egrifta minimally profitable, and in Ferbruary 2019, Thera bought Katana Bioscience, a university startup with an oncology platform based on the peptide-drug conjugate aiming at a receptor called sortilin. The technology was still at the preclinical stage. Thera bought it for a few million dollars with the intent of investing in its clinical development.

Now we are in August 2022, Trogarzo is still a commercial failure, Egrifta is marginally profitable, the first PDC out of the SORT1 platform is in phase Ib with some efficacy signs out of a very long phase Ia. The phase Ib for this targeted therapy is done right now without screening patients for target receptor overexpression, which is the basic concept of the whole thing. So they run their trial based on probability of receptor overexpression. Not great.

So. If you are an investor new to Thera, and you do your due diligence on the history of this company, with what is publicly known right now, would want to buy the stock? At this time, with the long history of of failures and underachievments of this company, and what is publicly known at this time, do you think there is a reasonable way to honestly present things to make an appealing investment opportunity? Turn it the way you want, all lies on convincing oncology results, and at this point, there is so much noise in the phase Ia results, and there will be so much noise in the phase Ib results, that you really need to have a scientific background to understand what is known of the situation, and on top of that, you need faith. You need to believe that the little efficacy signal in all the noise is a real signal. You need to believe that they have something, and that once they will be able to reduce the noise significantly, the efficacy signal will be clear as day, and that it will be clear to everybody that they have a future FDA approved drug in their hands and maybe more than one drug because of the platform. But at this point, this positive scenario is not obvious at all. 

So that's Thera yesterday and today. Sorry, but they need a dramaticly positive news in oncology to change the story and make it attractive.

 

 





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