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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 PWIB123on Dec 07, 2022 1:43pm
131 Views
Post# 35156880

RE:RE:RE:RE:RE:RE:RE:Open Label?

RE:RE:RE:RE:RE:RE:RE:Open Label?I'm not in a position to argue the science, and you're correct they must have had enough data to make a decision.  But, they must have also had enough signs of efficacy or have had enough discussions leading up to the voluntary pause decision to be able to suggest that they would continue the trial after recalibrating.  I'm not sure enrollment was ok for all of the cancer types they were seeking.  That Youtube video Scarlett found just a few days before the announcement seemed to suggest they were still pushing hard to find patients.  Also, that was a newly released video just days before the voluntary pause.  Everything just seems disconnected.  

qwerty22 wrote:

I tend to think enrolment was probably OK. After all they needed some data to make this decision. From what we know the problem wasn't lack of data it was the lack of POSITIVE data.

The "key" statement looks dodgy with hindsight. Two months ago they had the "key", now paused. There could have been an acceleration in data over that period as more and more enrolled patients accumulated more scan data but the scenarios is really only going from weak efficacy with few data points to weak efficacy with more data points, not an environment where you are talking about having the "key". The only saving scenario is they had some early signs that gave hope but these never led to anything more.

I'm super negative about the oncology future. Unconvincing efficacy is such a huge brick wall to get over. We are talking walls in Trumps fervoured imagination rather than in the real world. They are in a hole right now, they have to get out of that before they can even start talking about making progress. The rest of the business is still there.

 

PWIB123 wrote: Agreed.  I cannot come up with any other rational explanation of the activity we saw leading up to the announcement of the clinical trial pause other than they were planning on some significant news unrelated to uncology.  It had to be unrelated to uncology, because the clinical trial pause couldn't have come out of the nowhere, which would mean that they had not yet seen what they needed to see.  I mean, I guess they could've misinterpretted the results of the trial, but it's been clear that the trials have been slow to progress, so I have to believe they weren't leaning into oncology.  Even the Cantor report left out oncology.  If it was a surprise event, it's still clear they weren't getting the results from the way the trial was designed.  So, all the other bullish actions had to be related to something else.  What was it?  What is it?  Has the clinical trial pause compromised what that was in any way?  

Selling now feels foolish, because we should expect some update about how they intend to proceed with oncology and what that means.  Plus, the value of the underlying commercialized drugs is still there.  And we may just yet get a surprise positive announcement from whatever it was that supported the recent bullish activities. 
 

 

palinc2000 wrote:

Nice to read a rational post! This MB is being flooded by panicky ignorant amateurish unsophisticated shareholders.Panick attacks serve no purpose and only compound the problem
We are all very disappointed with the SP but the real question is "Does the current SP reflect the fair value  of the company "

The pool of sellers should be drying up soon .... Cool heads should prevail with an upward correction to the SP ...This is my take but I know that others may have a different opinion ..... so be it!!
 

 

qwerty22 wrote:

 

I think you might be over-optimistic that science will come up with the answer here. Palinc is right they might not move forward but if they do they might still be mostly doing it thru guesswork. Mostly looking at what worked with others. That might be fine purely on the basis that the reward for reactivating the program is so high but it would likely have a high risk of failure. My instinct is that if they are going to solve this with science then that's more likely a months/years project rather than weeks. But who knows maybe the answer is close at hand.

I've been trying to put myself in their shoes. I mostly expect there is a huge sense of disbelief. The preclinical was solid. They went through multiple steps to show the basic MOA was at play here. They did enough expts to show Sortilin was being engaged and the PDC being internalized even in resistant scenarios. As JayJay pointed out earlier the toxicity is another clue that in the patients the PDC is doing it's thing just unfortunately in healthy tissue. The absence of neutropenia (assuming it isn't showing up) would be telling. This is a really fat signal in docetaxel treatment, you'd expect it to show up in even a small number of patients if this was purely docetaxel-like toxicity. If it is absent there is some suggestion the PDC is discriminating between certain tissues. That in my book is a further clue the PDC can work. The scenario being it's finding the Sortilin in eyes and nerves, not hitting white blood cells because they don't have Sortilin. But why not hitting tumours?


I keep coming back in my mind to the tumour micro-environment (TME). We know this is a barrier for many drugs. We know the conditions in the tumour are different to the rest of the body. There's a lot of thought that a mouse Xenograft isn't a great analog to real world human tumours. From the things we know publicly there aren't a lot of clues about how the PDC would handle the TME. The problem could lie there. I identified pH as a possibility largely because I think that is testable in the lab but if they didn't get any quick answers from something like that then I think the complexity of the TME would suggest a long slog to find an answer. I'm speculating here, I'm looking for where there might be holes in the preclinical. There are probably many more, it's was never easy for them  to cover every possibility.

I'm still curious what unconvincing efficacy might mean. Almost no efficacy? If it's something more than that what does the pattern of efficacy signals look like? Could it be that the drug works on the smallest tumours (one's most like mouse tumours, my guess) but fails on the bigger tumours picked to be the RECIST tumours? Maybe they have clues like that.

All guessing in the dark here.

 

Wino115 wrote: I am not at all making excuses here because I, too, would have liked to see at least a little bit more color and thought-logic to the extent there was some. But there is an inherant problem in a drug trial with a go/no-go point  if you think about it.

You dose, watch, test, see how data is accumulating, assess if time to make a decision. Nowhere in the day to day process are you actually going back to check the theoretical science, you're just looking at post-dose results on those tumors to see if it basically aligns with science. They just hit a decision point in which they could see it would be hard with 40 patients to conclude enough and the observations were not lining up with the expected science.

When they reached the pause, they didn't really have anything other than what they told us -- we are not seeing the consistent potency in activity that we would expect and it's not worth patients dealing with the SAEs unless there's some activity. Let's try a better way to get more toxin in consistently and lower SAEs and see if that improves it enough to hit the hurdles.  We'll be back shortly with that plan after talking with team and FDA.  Stay tuned.

The time they could talk about it is only after they actually have those plans worked out and when they have corporate strategy worked out (cost containment/revenue estimates) to reestablish the underlying growing business. We've seen some of the notes from their analyst calls and they haven't added a whole lot more so the silence is because both the corporate strategy and the next steps in Sort1 are pretty complex and need a lot of examination around them before you can definitively say anything. From those reports, they aren't hiding, they are starting the process now. 

To your all's point though, I don't see anyway in which they won't be able to share a lot more at some later date. That silence would be the travesty, not this one. Because by then, they should have done all the iterative science around the issues and at least have some logical basis for what they plan to do. They certainly should be able to address some of those issues Qwerty and the Leeds guy brought up as they will be asked.  Don't foget, it's not Christians call either --it will be the investigators, FDA, probably some Rothenberg okay, and then them. There will be a whole lot of eyes going in to the next plan and the team will have to be fully listened to. 
 

 

realitycheck4u wrote: I can honestly say I've never heard silence like this before from a company (in this sector) when a trial halt to a botential blockbuster occurs. This trial had the potential to transform the company. Any company. This is not a multi-billion dollar company where one would typically say little, and move on to other trials. Thera did not just have an on-going Ph1, but a trial that could have transformed the company and revolutionized standard care if the platform was indeed a platform that worked. Is the platform concept in trouble? We are in the dark.

If this hlat request came from left field, then say it. If it was a calculated response to some data or something they have learned over the past year, then say it. If they think reducing the dose will aliviate some of the noted concerns, then say it.

Being silient this long is truly mind boggling and hardly appropriate. Yes, they halted it. Yes, they said they will resubmit. But why does halting it and resubmitting provide any different outcomes from the existing trial. Are they planning on targeting a different population? Do they have information to share, or at least say for compeitive reasons they do not want to share this info. 



Kd5513 wrote:
Wasnt this an open trial?

They can share anything?

Irritating that they have chosen to be silent, leads me to think efficacay was non-existence the longer they say nothing. This will unfortunately continue to bleed for weeks if they continue this stupidity.

share the details!!!!!

 

 

 

 

 




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