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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

Post by scarlet1967on Nov 14, 2023 6:38pm
233 Views
Post# 35735657

Taimed

Taimed It looks like they are in the middle of negotiations with "international cooperation" for their to be approved long acting drug targeting first line therapy for PLWH. Also it seems like they have already agreed to finance the trial by giving undisclosed sales loyalties if and when the drug is approved!

Company name:TaiMed Biologics Inc.

3.Relationship to the Company (please enter ”head office” or

  ”subsidiaries”):head office

4.Reciprocal shareholding ratios:N/A

5.Cause of occurrence:

(1)TaiMed submitted a revised clinical study protocol to the U.S. FDA in

   early October 2023 for the evaluation of the safety and efficacy of the

   TMB-365/380 combination in the core group of the Phase 2 clinical study.

   In the modified protocol, all HIV participants in the core group will be

   combined and executed injections every two months to obtain a sufficient

   sample size for the Phase 2 clinical study. The FDA did not raise any

   concern within the mandatory 30 calendar days review period, and TaiMed

   initiated the Phase 2 clinical study according to the revised study

   protocol.

(2)Summary of clinical Study design

 a.Title: A Phase 1b/2 Dose Escalation Study to Evaluate Safety,

   Pharmacokinetics, and Efficacy of TMB-365/TMB-380 Combination in

   Virologically Suppressed HIV-1 Infected Patients

 b.Participants and Investigator Sites: A total of 40 Core Group

   participants from approximately 6-8 sites in North America

 c.Primary Objectives:

 (a) Evaluate the safety and tolerability of TMB-365/TMB-380 combination

     given q8wks in virologically suppressed HIV-1 patients

 (b) Evaluate the antiviral activity of the TMB-365/TMB-380 combination

     as a complete regimen maintenance therapy in virologically suppressed

     HIV-1 patients.

 d.Study Phase: 2

 e.Protocol Number: TMB-a21

 f.Clinical Study Design:

   This is an adaptive dose-escalation study of the TMB-365/TMB-380

   combination administered intravenously to virologically suppressed HIV-1

   patients. The study design comprised three Sentinel Groups and a Core

   Group. The dose for the Core Group will be based on the results from the

   Sentinel Groups. The participants of the Core Group are virologically

   suppressed HIV-1 patients who will receive multiple IV doses

   of TMB-365/TMB-380 combination q8wks as a stand-alone maintenance

   regimen for 12 months.

6.Countermeasures:None

7.Any other matters that need to be specified(the information

 disclosure also meets the requirements of Article 7, subparagraph 9

 of the Securities and Exchange Act Enforcement Rules, which brings

 forth a significant impact on shareholders rights or the price of

 the securities on public companies.):

(1)New drug name or code: TMB-365 and TMB-380

(2)Indication: mainly used to provide long-acting monoclonal antibody drugs

   for AIDS patients

   websitehttps://classic.clinicaltrials.gov/ct2/show/NCT05275998

(3)Planned development stages:

   Phase 2 to phase 3 clinical studiesBiologics License Application(BLA)

(4)Current development stage:

 a.Application submission/approval/disapproval/each of clinical trials

  (include interim analysis): Approval

 b.Once disapproved by competent authority or each of clinical trials

   (include interim analysis) results less than statistically significant

   sense, the risks & the associated measures the Company may occur: None

 c.After obtaining official approval or the results of statistically

   significant sense, the future strategy:

   Clinical trials have confirmed TMB-365 as an ultra-long-acting new drug,

   and its target market of first-line maintenance therapy is completely

   different from and much greater than that of the company's

   first-generation product, Trogarzo, which is an orphan drug and targets

   multi-drug resistant patients. TMB-380(VRC07-523L), another long-acting

   monoclonal antibody, was licensed by the US National Institutes of Health

   (NIH). In a separate phase 1 clinical trial, the NIH has successfully

   demonstrated the efficacy of TMB-380 in HIV patients who received

   bi-monthly I.V. infusion. The target population for the TMB-365/TMB-380

   combination is the early-stage (first-line maintenance therapy)

   HIV-infected patients. This combination treatment with bi-monthly or

   quarterly dosing, if successfully developed, provides a full stand-alone

   regimen and offers patients greater convenience and better tolerability,

   as well as ensures adherence. At present, the only approved long-acting

   HIV maintenance therapy is GSK's Cabenuva (containing two small molecule

   drugs), which needs to be injected intramuscularly once monthly or

   bimonthly.

 d.Accumulated investment expenditure incurred:

   Because it involves future international cooperation negotiation

   information or product marketing strategies to protect the rights and

   interests of investors, it will not be disclosed for the time being.

(5)Upcoming development plan:

 a.Estimated date of completion:

   It is expected to be completed in about one year for the clinical study

   of the core group.

 b.Estimated responsibilities:

   TMB-365 and TMB-380 will incur development milestone payments to

   Rockefeller University and NIH, respectively. A certain percentage of

   sales royalties will be paid according to the sales amount of the new

   drug in the future. No royalty details can be disclosed due to the

   confidentiality terms in the contract.

(6)Market situation:

   The global anti-HIV drug market is dominated by Europe and the United

   States with most of the markets controlled by the top five companies.

   Among them, the leading company Gilead's product line is first-line

   (initial) treatment drugs, including two-in-one and three-in-one

   first-line drugs, with a market share of more than half. However, after

   years of using the anti-HIV drug, AIDS patients gradually develops

   resistance to the drugs and has to start receiving the second-line

   treatment drugs. Under the very different competitive market, the market

   share is carved up by manufacturers such as Merck, Bristol, ViiV, Johnson

   & Johnson, etc. It is estimated that, driven by new drugs, the global

   sales of anti-HIV drugs will grow to more than US$30 billion in 2022.

   In order to overcome the problem of virus resistance, in 1996, Dr. David

   Ho developed a three-drug combination therapy (HAART), commonly known as

   cocktail therapy. The basic principle is to use multiple drugs at the same

   time. When the virus mutation becomes resistant to one of the drugs, the

   other drugs can also suppress the virus replication and mutation, making

   the mutation unsuccessful. Due to the emergence of cocktail therapy, the

   mortality rate of HIV/AIDS virus infections and the morbidity rate of

   various opportunistic infections have dropped significantly, making AIDS

   a chronic disease that requires long-term medication to suppress the

   virus but cannot be cured.

   The HIV/AIDS market can be roughly divided into four lines based on

   treatment methods. When the patients have no response to the initial

   therapy and begin to develop drug resistance, they should enter the

   second-line therapy and use a new HIV drug combination. When the patients

   develop resistance to second-line therapy, the third-line therapy should

   be applied. If the treatment fails, the final salvage therapy (i.e.,

   fourth-line therapy) will be performed. At present, the target range of

   the future application of TMB-365 and 380 combination of the Company is

   not the first-line patients who received the initial drug, but the

   first-line patients who have already controlled their viral load, and

   intend to use long-acting drugs to maintain the disease, no longer daily

   take medicine stably. The first-line maintenance therapy estimated to

   have a market size of US$10 billion.

   The TMB-365 is an ibalizumab (TMB-355) based, IgG1-scaffold, anti-CD4

   recombinant humanized monoclonal antibody used against HIV infections.

   The major medication or medicament of TMB-365 is mainly focused upon

   treatment and prevention against HIV infections (including

   opportunistic infections), said therapeutic and prophylactic usages or

   medical application.  The TMB-365-relevant technology platforms of

   TMB-365 are licensed from Arron Diamond AIDS Research Center (ADARC).

   The paper on the development of TMB-365 technology was published in the

   world-renowned journal Nature Biotechnology. Clinical trials have shown

   that TMB-365 has a significant improvement in drug resistance, efficacy,

   and pharmacokinetic profile compared to TMB-355.

   TMB-380 (VRC07-523LS) is the new generation of highly potent and broadly

   neutralizing HIV-1 antibody. The potent neutralizing activity, breadth,

   and extended half-life of TMB-380 make this antibody a leading candidate

   for inclusion in HIV-1 prevention and therapeutic strategies. TaiMed has

   a non-exclusive licensing agreement of TMB-380 from the National

   Institute Allergy and Infectious Diseases (NIAID) to develop a

   combination of TMB-380 and TaiMed’s own monoclonal HIV antibodies for

   treatment use.

(7)New drug development requires long process, vast investments, and with

   no guarantee in success which may pose investment risks. The investors

   are advised to exercise caution and conduct a thorough evaluation

 

 

 

 


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