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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. 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. Its portfolio includes Phase I clinical trial of sudocetaxel zendusortide (TH1902), a novel peptide-drug conjugate (PDC), in patients with advanced ovarian cancer.


TSX:TH - Post by User

Comment by jfm1330on Jan 21, 2022 11:42am
127 Views
Post# 34342783

RE:RE:RE:RE:RE:Friday or 4pm NR is better

RE:RE:RE:RE:RE:Friday or 4pm NR is betterThey misled us by not correcting their previous statements. Marsolais clearly said that a cycle was one month, three weeks of treatment plus time to make sure everything is fine. They are way behind their own timeline. Back in June theyr were expecting results somewhere in Q4. Then it was, maybe begining of February, and now we have no clues, Also, back on November 11, Levesque said this:

But the strange thing in the Credit Suisse presentation, is that Levesque says that they had "many patients", or "at least several patients" that have been dosed over 300 mg/m2 (300 mg/m2 is step 5 of the escalation process). So over 300 mg/m2 is 420 mg/m2. So back in November he said that they had "many, or at least several patients" that have been dosed above 300 mg/m2, so at 420 mg/m2. So probably, back then, the three added patients at step 6, which, again, is 420 mg/m2, were already injected. This presentation was held on November 11. So by now, the 420 mg/m2 should have been completed and cleared. Without any news at this point, it is likely that they are now at step 7, which is 560 mg/m2 or 2.43 times the MTD of docetaxel alone.

Now, a full two months later, they put in the corporate presentation that they are testing at 420 mg/m2, So two months ago they had "many patients' or "at least several patients"  dosed above 300 mg/m2, so at 420 mg/m2. And two months later they are at the same point. What does that mean? To me either what Levesque said on November 11 was false, or they are awfully slow, or they tested a higher dose and are now back to 420 mg/m2 to confirm it as the MTD.

But again, this "all comers" thing is problematic to determine the MTD. The MTD will not be the same on patients without tumors overexpressing sortilin or with a very small tumor, and a patient with a large tumor burden overexpressing sortilin. So maybe it led to problems in the trial that they had to fix with the FDA.


jfm1330 wrote: Open label refers only to the fact that both patient and doctor knows that the drug is given. This has no impact on confidentiality related issues. Those with access to results data knowing to what drug it relates are under confidentiality agreements. For all we can be frustrated about with Thera, they are not a leaky company. The slide in the SP is not related to selling by people aware of the results. It's related to the speculative nature of the stock and to the long waiting time. Last year they published Q4 results on February 11. So in theory we are three weeks away from some update.


SPCEO1 wrote: I remember some time back, probably two years or so, Dubuc telling me that cancer trials were open label and therefore they would be able to share results as they see them. 

The question for us now is what did they see in October that made them switch to a "no more info on the trial until MTD is reached".

If you are an optimist, you convince yourself they saw some tumor regression and decided to husband the good info for release at a time TH considers optimal (likely just before a fundraising).

If you are a pessimist, you conclude TH already knows TH-1902 has issues and is not sharing anything about it now hoping they can come up with some offsetting good info in the meantime.

Then you need to take into account other info. Dr. Rothenberg joining up. Options granted early and heavily. SN-38 being looked into. I don't think Rothenberg joins up unless they had seen something positive. The options situation still hints at something going on. SN-38 might mean there is an issue with TH-1902 and they believe SN-38 will solve it or that TH-1902 is going great with a safer option for a phase 1 and things could go even betterr with a drug like SN-38.



Wino115 wrote: Question for the board on what the term "open label" means for this Phase 1. If I recall, this has been described as open label. I'm very unclear about what that means.  Google just says it means the patient and doctor know what they are getting, so seems more apt for a placebo controlled study. 

The reason I bring this up is that if open label means all the data is collected and viewable by other clinicians, CMO, CEO, etc...  they would then run the risk of someone "inside" seeing things like scans or responses and trading on that info. Someone on the other board mentioned this situation and felt the declining stock price suggested no efficacy or response seen yet.

Anyone understand the actual intracacies of what open lable means for this trial?  If it's as he suggests, then a company absolutely should inform the market of anything material. 


SPCEO1 wrote: The first meeting is a breakfast on Monday. So, if TH wants to talk about somethnig other than is in the presentation, they would need to do a press release today or Monday morning before the open. I would be shocked if either happened, so for the moment at least, what is in the presentation is all that we are going to get from the company after a long period of silence. The people meeting with the executive team (CMO, CFO and CEO will be in attendance) will be able to read body language, ,attitudes, etc. and come away with a perception of where things are at but they will not have any hard facts to chew on. The main reason for that is the phase 1a trial is not completed and, for reasons that have yet to be explained, TH has chosen to not share trial info until the MTD is found. 

Since I do not think the CMO, CFO and CMO have been on vacation the last few months, we can be sure a lot has happened behind the scenes. The average TH investor, an incredibly patient person, is more than ready to hear what is really going on and it seems like we will have to wait even longer to get the info that is needed to accurately determine the propsects for this investment. The weight of evidence we have at the moment suggests something good is the  most likely outcome but we don't know how good and we don't have a firm grasp of the odds of some degree of success. Hopefully, it will not take too much longer for TH to de-risk this situation.   

realitycheck4u wrote: As I had stated before. If some news is coming out then it shoulod be released at 4pm as this gives time for news to circulate in advance of a call for the next morning.  It ensures good news is digested.

 

 

 




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