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Bullboard - Stock Discussion Forum Oncolytics Biotech Inc T.ONC

Alternate Symbol(s):  ONCY

Oncolytics Biotech Inc. is a clinical-stage biotechnology company. The Company is focused on developing pelareorep, an intravenously delivered immunotherapeutic agent that activates the innate and adaptive immune systems and weakens tumor defense mechanisms. This compound induces anti-cancer immune responses and promotes an inflamed tumor phenotype turning cold tumors hot through innate and... see more

TSX:ONC - Post Discussion

Oncolytics Biotech Inc > How does Accelerated Approval work
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Post by Noteable on Jan 20, 2024 1:00pm

How does Accelerated Approval work

How does Accelerated Approval Work?

1. Application – standard 10-month review (unless expedited by a fast track/priority review designation) for efficacy, effectiveness, and safety.

2. Approval – FDA grants accelerated approval (prior to confirmatory trial) with specified timeline for required confirmatory trial(s) and post-market surveillance.

3. Post-accelerated approval – confirmatory studies conducted. From here, the FDA can convert the accelerated approval to a full, traditional approval if the drug confirms clinical benefit. If no clinical benefit is shown, the FDA has the regulatory authority to remove the drug from the market.

Comment by Noteable on Jan 20, 2024 1:04pm
Should read:  How does Accelerated Approval Work in Rare/Orphan diseases? " .... accelerated approval, which allows the use of surrogate endpoints that are not considered well established but that are determined to be “reasonably likely to predict clinical benefit.” FDA rules define surrogate endpoint as “a laboratory or physical sign that is used in therapeutic trials ...more  
Comment by Noteable on Jan 20, 2024 1:20pm
The FDA instituted its Accelerated Approval Program to allow for earlier approval of drugs that treat serious conditions, and fill an unmet medical need based on a surrogate endpoint.  A surrogate endpoint is a marker, such as a laboratory measurement, radiographic image, physical sign or other measure that is thought to predict clinical benefit but is not itself a measure of clinical benefit ...more  
Comment by Noteable on Jan 20, 2024 1:31pm
January 2024 -  FDA Unveils Groundbreaking Rare Disease Guidance Document For drugs eligible to follow the Accelerated Approval pathway, a determination of safety and effectiveness may be made based not on measures of direct clinical benefit, but rather on one of two alternative endpoints: (1) a surrogate endpoint that is reasonably likely to predict clinical benefit; or (2) an ...more  
Comment by Noteable on May 12, 2024 12:37pm
A surrogate endpoint used for accelerated approval is a marker - a laboratory measurement, radiographic image, physical sign or other measure that is thought to predict clinical benefit, but is not itself a measure of clinical benefit. Likewise, an intermediate clinical endpoint is a measure of a therapeutic effect that is considered reasonably likely to predict the clinical benefit of a drug ...more  
Comment by Noteable on May 12, 2024 1:37pm
May 07, 2024 - “The facts clearly show the accelerated approval pathway is providing new hope and meaningful new treatments for patients to fight their disease, and why we shouldn’t be misled by biased studies that distort reality,” concludes BIO. https://www.bio.org/gooddaybio-archive/setting-record-straight-accelerated-approval May 08, 2024 - "Using a biomarker to obtain accelerated ...more  
Comment by Noteable on May 12, 2024 1:40pm
May 08, 2024 - Accelerated approval—absolutely necessary for small, pre-revenue biotechs trying to find new treatments for small patient populations. That's according to the FDA’s Peter Marks, M.D., Ph.D., who was speaking at the American Society of Gene and Cell Therapy annual meeting.
Comment by Noteable on May 13, 2024 9:40am
"Genentech’s Tecentriq won accelerated approval in 2016 for urothelial carcinoma but failed its overall survival endpoint in a Phase III trial the following year for patients with locally advanced or metastatic urothelial cancer who had been treated with platinum chemotherapy. It was withdrawn from the market in 2021 for this indication, with additional indications being ...more  
Comment by Noteable on Aug 05, 2024 11:12am
By ONCY shifting gears into Cantor Fitzgerald, a US based global financial institution with  world-class specialized talent with a particular focus on healthcare, biopharmaceuticals, and technology, ONCY throws the doors open to opportunites that the Accelerated Approval pathway can bring for ONCY's pelareorep in combination with paclitaxel for the treatment of HR+/HER2- metastatic Breast ...more  
Comment by Noteable on Aug 06, 2024 8:45am
By ONCY shifting gears into Cantor Fitzgerald, a US based global financial institution with world-class specialized talent with a particular focus on healthcare, biopharmaceuticals, and technology, ONCY throws the doors open to opportunites that the Accelerated Approval pathway can bring for ONCY's pelareorep in combination with paclitaxel for the treatment of HR+/HER2- metastatic Breast ...more  
Comment by 13X2413 on Aug 06, 2024 9:49am
Combine the latest news with an upcoming fire side BS session and you get a $1.35 share price. 
Comment by Noteable on May 13, 2024 9:55am
According to the FDA’s Peter Marks, M.D., Ph.D. the FDA's Accelerated Approval pathaway gives small biotech's a revenue stream to support on-boing clinical development in "orphan" and "unmet treatment need" diseases like pancreatic, breast, anal and colorectal cancers, which ONCY is currently in late stage clinical development, +/- immune checkpoint inhibitors.
Comment by Noteable on May 13, 2024 9:57am
Should read: " ....gives small biotechs a revenue stream to support on-going clinical development ..."
Comment by Noteable on Jul 01, 2024 8:17pm
According to the FDA’s Peter Marks, M.D., Ph.D. the FDA's Accelerated Approval pathaway gives small pre-revenue biotech's a revenue stream to support on-going confirmatory trial activities and further clinical development in "orphan" and "unmet treatment need" diseases like pancreatic, breast, anal and colorectal cancers, which ONCY is currently in late stage ...more  
Comment by Noteable on Jul 01, 2024 8:27pm
So ... the sooner that ONCY confirms the design of the Phase 3 confirmatory clinical study in breast cancer (with the OS data being announced this H2), the sooner patients can be enrolled, and the sooner patients are enrolled, the sooner an Accelerated Approval request can be made, the sooner a revenue stream can happen to support on-going confirmatory trial activities and /or the sooner an ...more  
Comment by Noteable on Jul 01, 2024 8:28pm
Apparently ONCY has sufficient cash on hand to make all of the previous post happen.
Comment by Noteable on Jul 02, 2024 2:45pm
Unlike beforehand, the FDA has oficcially provided its guiidance on ONCY's Phase 3 mBC study ... And the sooner that ONCY confirms the design of the Phase 3, the sooner that ONCY will be able to announce that the trial will be corresponding to confirmatory clinical study in breast cancer (with the OS data being announced this H2). And that will happen as soon patients can be enrolled, and the ...more  
Comment by Noteable on Jul 02, 2024 2:56pm
Should read ... FDA has now officially provided its guiidance on the primary and secondary endpoints that would be included in ONCY's Phase 3 mBC study design ...
Comment by Noteable on Jul 02, 2024 3:32pm
ONCY'S  Phase 3 primary endpoint is PFS which is a surrogate endpoint for the Accelerated Approval process/request, and which has been explained ad nauseum for some who keep missing this point.
Comment by Noteable on Jun 11, 2024 4:24pm
FDA's Expedited Approval Mechanisms for New Drug Products "In December 1992, FDA also created the Accelerated Approval mechanism for full NDA approval through regulations. This mechanism applied to the approval of new drug products for serious or life-threatening conditions that provide meaningful therapeutic benefit to patients over existing treatments.It permitted the sponsor to ...more  
Comment by Noteable on Sep 13, 2024 1:28pm
The FDA instituted its Accelerated Approval Program to allow for earlier approval of drugs that treat serious conditions, and fill an unmet medical need based on a surrogate endpoint.  And the FDA's Accelerated Approval is based on the above, and further objective criteria of therapeutic durability/clinical benefit, evidence of sufficient patient enrollment into an FDA ...more  
Comment by Noteable on Sep 17, 2024 5:03pm
The FDA instituted its Accelerated Approval Program to allow for earlier approval of drugs that treat serious conditions, and fill an unmet medical need based on a surrogate endpoint.  And the FDA's Accelerated Approval is based on the above, and further objective criteria of therapeutic durability/clinical benefit, evidence of sufficient patient enrollment into an FDA ...more  
Comment by Noteable on Sep 17, 2024 5:07pm
" Accelerated approval (AA) targets candidates that are similar to those awarded BTD in terms of qualifying characteristics, such as aiming to treat serious conditions and providing improvements over current therapy. Most importantly, however, AA allows drugs to be approved using surrogate endpoints that are reasonably expected to predict clinical benefits. For example, for some ...more  
Comment by Noteable on Sep 17, 2024 5:10pm
" Breakthrough therapy designation (BTD) is granted for drugs aimed at treating serious or life-threatening diseases for which there is promising preliminary clinical evidence that shows superiority over current therapies. BTD does not guarantee future positive results in trials or successful approval, given that this designation is based only on preliminary data. As additional data ...more  
Comment by Quentin30 on Sep 17, 2024 6:34pm
what does this have to dpo with ONCY...  we're beyond phase II meetings...  mBC we've now run IND213, and Bracelet-1. oh wait, yup, now we're planning a third Phase II... ALL this when the FDA 6 years ago granted ONCY a SPA for running a Phase III using Pela + Pax vs Pax alone. Go and check the company presentation slide deck from Feb 2018... Page 3 Positive feedback from ...more  
Comment by Noteable on Oct 18, 2024 12:20pm
October 18, 2024 -  Gilead's Trodelvy, a TROP2-directed antibody-drug conjugate (ADC ) earned its bladder cancer Accelerate Approval nod in 2021 based on single-arm, phase 2 data showing the drug triggered a tumor response in 27.7% of patients, including 5.4% who experienced a complete response. The median duration of response was 7.2 months. Today Gilead Sciences has decided to ...more  
Comment by Noteable on Sep 18, 2024 11:39am
This is for the benefit of Quentin30 - who doesn't own any ONCY stock BTW. " Accelerated approval (AA) targets candidates that are similar to those awarded BTD in terms of qualifying characteristics, such as aiming to treat serious conditions and providing improvements over current therapy. Most importantly, however, AA allows drugs to be approved using surrogate endpoints ...more  
Comment by Noteable on Sep 18, 2024 12:53pm
“The accelerated approval program may lower the operational hurdles for launching the above-mentioned products by allowing studies with surrogate endpoints to be reviewed for early approval, in which the sample size is smaller and the results are available more expeditiously than studies with true endpoints,” wrote Satoshi Kato and Shunsuke Ono, of the laboratory of pharmaceutical regulatory ...more  
Comment by Noteable on Sep 18, 2024 1:01pm
September 17, 2024 -  21 USC 356: Expedited approval of drugs for serious or life-threatening diseases or conditionsText contains those laws in effect on September 17, 2024 From Title 21-FOOD AND DRUGSCHAPTER 9-FEDERAL FOOD, DRUG, AND COSMETIC ACTSUBCHAPTER V-DRUGS AND DEVICESPart A-Drugs and Devices  Accelerated approval of a drug for a serious or life-threatening disease or ...more  
Comment by Noteable on Sep 18, 2024 1:12pm
ONCY is set to run 2 trials in 1 in their planned adaptive designed180-200 Phase2b -> Confirmatory clinical trial -  (a pivotal accelerated approval trial powered to a surrogate endpoint and a confirmatory regular approval trial powered to a clinical endpoint) “Life Years Gained From the FDA Accelerated Approval Program in Oncology: A Portfolio Model,”  In the absence of accelerated ...more  
Comment by Noteable on Feb 23, 2024 12:24pm
February 23, 2023 - European Medicines Agency (EMA) Committee for Medicianl Products for Human Use (CHMP) grants Accelerated Approval for a vaccine candidate based upon CHMP's decision that the vaccine candidate is of major interest for public health and therapeutic innovation. Logic dictates that ONCY's pelareorep candidacy for use in combination with an immune checkpoint inhibitor, in ...more  
Comment by Quentin30 on Feb 23, 2024 1:17pm
would be of major interest... sure... but without validated biomarkers and statistically significant data relating said biomarker to OS, then NO Accelerated Approval will be forthcoming.. Not from EMA, SFDA, CFDA, FDA or Health Mongolia... ONCY have stated they will run a regular Phase III... what is your obsession with accelerated approval when ONCY management discount it themselves.. who are ...more  
Comment by Noteable on Feb 23, 2024 2:29pm
Simple .. AWARE-1  was a biomarker study. Biomarkers in mBC also translate to pancreatic cancer. How many more times need I point this out!
Comment by Noteable on Feb 23, 2024 2:31pm
https://www.prnewswire.com/news-releases/oncolytics-biotech-and-solti-achieve-primary-endpoint-in-aware-1-study-301266442.html
Comment by Noteable on Feb 23, 2024 2:33pm
https://www.prnewswire.com/news-releases/oncolytics-biotech-and-solti-present-further-positive-pelareorep-translational-data-at-sitc-301977019.html
Comment by inthno on Feb 23, 2024 2:48pm
Hello Noteable, you are posting a news release that is now almost 3 years old. The company should have been able to go ahead with the phase 3 as a result or made more progress by now as the aware 1 was specifically for the biomarkers in relation to the mbc trial. Oncolytics Biotech® and SOLTI Achieve Primary Endpoint in AWARE-1 Study News provided ...more  
Comment by Noteable on Feb 23, 2024 2:58pm
Blame Quentin30 who said that ONCY needed biomarkers to apply for an Accelerated Approval. So I provided the proof of ONCY's biomarker development. Don't you follow what is going on inthno OR don't you happen to understand again?
Comment by inthno on Feb 23, 2024 3:04pm
The only thing I do not understand is you thinking you are God and no everythng that is going on and that no one else may possibly be right or have an opinion. So tell me since you know it all, why do we not have AA as you seem to have been talking about it forever?
Comment by Noteable on Feb 23, 2024 3:21pm
As someone said recently.. "Don't compare me to God .. Compare me to the alternative! "
Comment by Normandt on Feb 23, 2024 3:31pm
You don't even understand the difference between a fact and an opinion. How can you pretend to understand Notable's explanations. Noteable responds to a false comment and responds by providing additional proofs.... and you respond that it's old news. Wake up superman! You seem more credible when you ask questions and reply to yourself in long false exchanges on yahoo or on ...more  
Comment by Noteable on Feb 23, 2024 2:36pm
https://www.prnewswire.com/news-releases/oncolytics-biotech-announces-clinical-and-biomarker-data-demonstrating-clinical-proof-of-concept-for-pelareorep-checkpoint-inhibitor-combination-in-pancreatic-cancer-301295729.html
Comment by Noteable on Feb 23, 2024 2:40pm
https://oncolyticsbiotech.com/press_releases/oncolytics-presents-positive-updated-pancreatic-cancer-data-from-goblet-phase-1-2-study-at-esmo/
Comment by 13X2413 on Feb 23, 2024 2:41pm
Thanks for the 2021 info. Add it to the pile of useless, outdated information. 
Comment by Azzak34 on Feb 23, 2024 2:56pm
Boooooooooo!! You stink. 
Comment by Noteable on Feb 25, 2024 11:11am
ONCY's pelareorep has been granted fast track and orphan drug (rare disease) status in both pancreatic cancer and advanced/metatstatic breast cancer. In the rare disease policy space, all roads invariably lead back to the Orphan Drug Act’s (ODA) enactment. In 1983, Congress passed the ODA to amend the Food, Drug, and Cosmetic Act — the U.S. law governing the approval of medicines — to include ...more  
Comment by Quentin30 on Feb 26, 2024 2:43pm
That's all very lovely Notable... But to get market exclusivity, you need an APPROVAL... and ONCY's key patents will start expiring in three years... is that enough time to get approval... Fast track assessment is 6 months in itself... so ONCY has 2 and a half years... and the clock is ticking... tick tock, tick tock...
Comment by Noteable on Apr 15, 2024 2:38pm
In the case of Orphan / Rare diseases and in diseases with unmet treatement needs, the FDA appears to have a tendency to grant  drug Accelerated Approvals much quicker than otherwise, and they do so in an overall effort to drive patients suffering from these diseases into the registration studiies earlier than could happen normally. 
Comment by Noteable on Apr 15, 2024 2:43pm
In the case of ONCY's biomarker driven registration studies, the number of enrolled patients for a Phase3/4 post approval confirmatory trial should be nominal due to the nature of the number of available patients with these Orphan / Rare conditions, and the urgency that having a serious cancer with an unment treatment need creates, such as with both advanced/metastatic pancreatic (PDAC) and ...more  
Comment by Noteable on Jun 06, 2024 1:14pm
Endpoints reported today that OV company Replimmue "aims" for accelerated approval for their intratumorally delivered OV + nivolumab (Optivo) in the treatment of melanoma after reporting a 28.3% all subgroup overall response rates (ORR) in its RP1 IGNYTE Phase 1 clinical trial in PD-1 failed melanoma patients. https://endpts.com/replimune-aims-for-accelerated-approval-of-melanoma ...more  
Comment by Noteable on Jun 16, 2024 5:16pm
Which Types of Surrogate Endpoints Are Used for Accelerated Approval? The FDA accepts surrogate endpoints for clinical studies of pharmaceutical products in several instances. Approval decisions through the traditional review pathway can be based on a validated surrogate endpoint, if one is available. The FDA can deem a surrogate endpoint to be validated if it is “supported by a clear mechanistic ...more  
Comment by Noteable on Jun 17, 2024 4:51pm
The Accelerated Approval Process (AAP) does not use validated surrogate endpoints. It was designed to consider surrogate endpoints that meet a lower standard of being “reasonably likely to predict clinical benefit.” The below referenced link outlines ONCY's novel biomaker/surrogate endpoint clinical results that qualify pelareorep for the Accelerated Approval Process involving a new ...more  
Comment by Noteable on Jun 18, 2024 1:32pm
https://stockhouse.com/companies/bullboard/oncy/oncolytics-biotech-inc?postid=36092904
Comment by Noteable on Aug 29, 2024 8:43pm
Accelerated Approval -> $$$$$$$ 
Comment by Noteable on Aug 14, 2024 11:32am
By ONCY beginning the process of enrolling between 180-200 patients in a monotherapy pelareorep + paclitaxel clinical/registration study ONCY speeds up the Accelerated Approval process by demonstrating to the FDA that ONCY is well into the implementation of a well designed clinical study, with FDA agreed upon primary and secondary endpoints, that have resulted in previous Accelerated Approvals, as ...more  
Comment by Noteable on Aug 14, 2024 8:15pm
By ONCY beginning the process of enrolling between 180-200 patients in a monotherapy pelareorep + paclitaxel clinical/registration study ONCY speeds up the Accelerated Approval process by demonstrating to the FDA that ONCY is well into the implementation of a well designed clinical study, with FDA agreed upon primary and secondary endpoints, that have resulted in previous Accelerated Approvals, as ...more  
Comment by Noteable on Aug 16, 2024 9:30am
And I posted on the Accelerated Approval process for that long .... So by ONCY beginning the process of enrolling between 180-200 patients in a monotherapy pelareorep + paclitaxel clinical/registration study ONCY speeds up the Accelerated Approval process by demonstrating to the FDA that ONCY is well into the implementation of a well designed clinical study, with FDA agreed upon primary and ...more  
Comment by Noteable on Sep 10, 2024 1:30pm
A primary endpoint for ONCY'S  Phase 2 metastatic breast cancer (Bracelet-1)  of overall survival (OS) has been maturing and the 2 year data timeline was reached at the end of May- early June 2024.  The effect of having extended data on OS should make for even more ccompelling request for an FDA Accelerated Approval for pelareorep (monotherapy) + paclitaxel in mBC. By ONCY ...more  
Comment by Noteable on Sep 10, 2024 1:43pm
According to the FDA’s Peter Marks, M.D., Ph.D. the FDA's Accelerated Approval provides small biotech's with a revenue stream to support on-going clinical development in "orphan" and "unmet treatment need" for diseases like pancreatic, breast, anal and colorectal cancers, which ONCY is currently conducting and in late stage clinical development, +/- immune ...more  
Comment by Noteable on Sep 10, 2024 7:54pm
Regarding future funding .. according to the FDA’s Peter Marks, M.D., Ph.D. the FDA's Accelerated Approval provides small biotech's with a revenue stream to support on-going clinical development in "orphan" and "unmet treatment need" for diseases like pancreatic, breast, anal and colorectal cancers, which ONCY is currently conducting and in late stage clinical ...more  
Comment by CMHarring218431 on Sep 11, 2024 9:15am
Morning Noteable  I believe I have thanked you a few times for posting essential data relative to Oncy's success and the highlights of what is most poignant and your associated personal insight. But why the constant repetition? Have you been hired as the in house promoter? Although, you confess to claiming that Oncy is a no brainer....are you silently just worried about your investment ...more  
Comment by Noteable on Sep 11, 2024 9:59am
" But why the constant repetition?" Ask those who keep missing what I post the first time and then repeately thereafter.
Comment by Noteable on Sep 10, 2024 2:03pm
The FDA instituted its Accelerated Approval Program to allow for earlier approval of drugs that treat serious conditions, and fill an unmet medical need based on a surrogate endpoint.  A surrogate endpoint, like progression free survival (PFS), is a marker, such as a laboratory measurement, radiographic image, physical sign or other measure that is thought to predict clinical ...more  
Comment by Quentin30 on Sep 10, 2024 2:34pm
brilliant...  Accelerated Approval is possible with two randomised Phase IIs... but now we're going to run a third phase II.... That's interesting isn't it. ONCY will pay for it on their own... LOL... no they won't... shareholders will pay for it... they'll make the case after Bracelet-1 OS data is (finally revealed) that if they reverse split... then they can get the ...more  
Comment by Noteable on Sep 10, 2024 4:44pm
3 registration studies that are already in progress - 1 in mBC (Bracelet-1) and 2 in mPDAC (Goblet-1).
Comment by Noteable on Sep 10, 2024 4:48pm
All 3 registration studies are adaptive Phase 2 studies that can seamlessly morph into and through the Phase2b/ Phase 3 / confirmatory study continuum by the very nature of the adaptive clinical trial design. I suggest that you read my earlier posts before commenting any further, as all this has been already discussed. 
Comment by inthno on Sep 10, 2024 9:56pm
Hello Note and you wrote...; Comment by Noteableon Sep 10, 2024 4:44pm RE:RE:RE:RE:RE:RE:How does Accelerated Approval work 3 registration studies that are already in progress - 1 in mBC (Bracelet-1) and 2 in mPDAC (Goblet-1). I do not see anywhere that shows we have 3 registration studies underway. We do not have any trial protocols or any fda approvals yet. If you mean that the ...more  
Comment by Noteable on Sep 11, 2024 12:54pm
By ONCY beginning the process of enrolling between 180-200 patients in a monotherapy pelareorep + paclitaxel clinical/registration study ONCY speeds up the Accelerated Approval process by demonstrating to the FDA that ONCY is well into the implementation of a well designed clinical study, with FDA agreed upon primary and secondary endpoints, that have resulted in previous Accelerated Approvals, as ...more  
Comment by Noteable on Sep 11, 2024 1:01pm
And for those who don't read or understand what has already been posted  ...  this was posted on Apr 15, 2024 2:38pm In the case of Orphan / Rare diseases and in diseases with unmet treatment needs, the FDA appears to have a tendency to grant  drug Accelerated Approvals much quicker than otherwise, and they do so in an overall effort to drive patients suffering from these ...more  
Comment by Noteable on Sep 13, 2024 1:08pm
RE:RE:RE:RE:How does Accelerated Approval work And for those who don't read or understand what has already been posted  ...  this was posted on Apr 15, 2024 2:38pm In the case of Orphan / Rare diseases and in diseases with unmet treatment needs, the FDA appears to have a tendency to grant  drug Accelerated Approvals much quicker than ...more  
Comment by Noteable on Jun 24, 2024 4:26pm
June 24, 2024 - Bristrol Myers Squibb's KRAS inhibitor has been granted Accelerated Approval as part of a combination treatment for a subset of colorectal cancer (CRC) patients. The approval is based on results from cohorts of the Phase 1/2 KRYSTAL-1 open-label study which evaluated KRAZATI. The study met its primary endpoint, with a confirmed ORR of 34% (n=94, 95% CI: 25-45) for ...more  
Comment by Noteable on Jun 24, 2024 4:56pm
Twenty-five patients were enrolled in BMS's Phase 1/2 KRYSTAL-1 study of adagrasib in non-small-cell lung cancer, colorectal cancer, and other solid tumors harboring the KRASG12C mutation and received at least one dose of adagrasib.  16 patients had NSCLC and 4 patients had colorectal cancer (CRC). Adagrasib 600 mg twice a day was well tolerated and exhibited ...more  
Comment by Noteable on Jun 25, 2024 1:37pm
June 25, 2024 -  Inside the FDA's Accelerated Approval: How it’s extending lives and improving patient care https://www.outsourcing-pharma.com/Headlines/Markets-Regulations/How-does-the-FDA-s-Accelerated-Approval-Program-impact-patients
Comment by Noteable on Jun 26, 2024 12:16pm
June 20, 2024 - FDA CBER (biologics) Director speaks to another accelerated approval pathway for rare diseases under the Promising Pathway Act, which has been introduced in both chambers of Congress. [ Pancreatic cancer is considered a rare disease, accounting to 3% of all cancers in the United States ] https://www.elcaminohealth.org/stay-healthy/blog/pancreatic-cancer-rare-and-little-known ...more  
Comment by Noteable on Jun 29, 2024 2:02pm
According to FDA guidance entitled Clinical Trial Endpoints for the Approval of Cancer Drugs and Biologics" .... . .. "While durable ORR has been used as a traditional approval endpoint n some circumstances, ORR has also been the most commonly used surrogate endpoint in support of accelerated approval. Tumor response is widely accepted by oncologists in guiding cancer treatments ...more  
Comment by m00nsh0ts on Jun 29, 2024 3:50pm
Why don't we have accelerated approval right now?
Comment by Noteable on Jun 29, 2024 4:22pm
The FDA request for an Accelerated Approval is usually made with the filing of the Phase 3 design (which is then considered as the confirmatory study design) and the enrollment of the first number of trial patients. I would think that ONCY's partner or acquirer would want to be responsible for administering these final registration steps to ensure pelareorep's approval,  and to ensure ...more  
Comment by Noteable on Jun 29, 2024 4:32pm
.... pelareorep's proposed combination with multiple other I/O agents, like immune checkpoint inhibitors, bispecifics, CAR-T, ADCs, and small molecule drugs, such as CDK4/6 and PARP inhibitors.
Comment by Quentin30 on Jul 02, 2024 2:27pm
In a presentation late last year, a fireside chat I think, Matt stated that the Phase III for mBC would be a standard double blind study. Dr Heineken stated that the bracelet-1 trial was not designed for statisical significance..? kinda begs the question why run the effing thing then, but hey ho... There will be NO Accelerated Approval... if it were a possibility, ONCY management would have ...more  
Comment by Noteable on Jul 02, 2024 2:48pm
And who is Dr. Heineken? Is he the beer baron of bratwurst?
Comment by Noteable on Jul 02, 2024 2:53pm
Furthermore, the Inflation Reduction Act provides 13 years of market exclusivity fto a novel biologic, which occurs from the time that the biologic is approved by the FDA. ONCY's pelareorep is a novel biologic that is eligible for this 13 years of market exclusivity, notwithstanding that ONCY's patent portfolio is vaild unti at least 2031.
Comment by inthno on Jul 02, 2024 3:40pm
I do have a question which no one seems to be able to answer in regards to the patents. This is from the Jan. 2023 investor presentation. 31 Robust Intellectual Property Portfolio As of January 18, 2023 240 patents issued worldwide, including 21 US and 11 Canadian 17 pending applications worldwide Reovirus issued patent claims cover: Compositions of matter comprising reovirus Through 2028 and ...more  
Comment by Noteable on Jul 02, 2024 4:14pm
Well I suppose that can be left up to any Big Pharma acquirer of ONCY, even as the 13 years of market exclusivity provided by the IRA that was passed in 2022, has made the importance of patents for biologics rather obsolete, given the nature of biologics.
Comment by inthno on Jul 02, 2024 4:25pm
Yes note that is true but we still need someone to step up and time is running short.and.so we hope and wait.
Comment by Noteable on Jul 18, 2024 10:50am
Which Types of Surrogate Endpoints Are Used for Accelerated Approval? The FDA accepts surrogate endpoints for clinical studies of pharmaceutical products in several instances. Approval decisions through the traditional review pathway can be based on a validated surrogate endpoint, if one is available. The FDA can deem a surrogate endpoint to be validated if it is “supported by a clear mechanistic ...more  
Comment by Noteable on Jul 18, 2024 1:34pm
The FDA recognizes biomarker development as a high priority area for future research and accelerated drug approvals. June 30, 2024 - Key Guidelines for Accelerated Approval Surrogate Endpoints: Drugs that receive accelerated approval are approved under the program based on surrogate endpoints that are reasonably likely to predict clinical benefit. Such endpoints indicate the ...more  
Comment by Noteable on Jul 18, 2024 2:00pm
What does Accelerated Approval mean? Accelerated approval refers to a regulatory pathway of the FDA that allows drugs for serious conditions, which are intended to fill an unmet medical need, to be approved based on a surrogate endpoint. This pathway is typically faster in obtaining the necessary data from clinical trials than the traditional approval pathway based on clinical endpoints (how a ...more  
Comment by Noteable on Jul 20, 2024 1:37pm
List of : CDER Drug and Biologic Accelerated Approvals Based on a Surrogate Endpoint - As of March 31, 2024 -  Total Approvals 310 https://www.fda.gov/media/151146/download?attachment 75% increase in FDA Accelerated Approvals based on a Surrogate Endpoint since December 03, 2022  https://www.fda.gov/drugs/nda-and-bla-approvals/accelerated-approvals
Comment by Noteable on Oct 28, 2024 5:16pm
ONCY is seeking accelerated approval for its lead cancer therapy, pelareorep, with plans to start a registrational Phase II breast cancer trial. https://www.clinicaltrialsarena.com/news/oncolytics-targets-accelerated-approval-for-oncolytic-virus-therapy-2/
Comment by Noteable on Oct 28, 2024 5:18pm
https://finance.yahoo.com/news/oncolytics-targets-accelerated-approval-oncolytic-143358596.html
Comment by Noteable on Nov 16, 2024 11:25am
Accelerated Approval provides for a drug to receive a conditional FDA marketing approval based on surrogate endpoints that have demonstrated a clinical benefit, An Accelerated Approval is granted well before a Registrational BLA is filed, and an AA requires the sponsor to run a confirmatory clinical trial on which the FDA decides to grant full marketing approval. The FDA ...more  
Comment by venture009 on Nov 16, 2024 11:57am
Until the market thinks they're on the cusp of something imminent and start believing by buying nothing else counts. Currently the market is ignoring this possibility.  In the meantime expenses keep piling up so we all know revenue is needed soon. If a partner/buyout doesn't occur by the end of 2024 they will be forced to raise money. 
Comment by Noteable on Nov 16, 2024 1:18pm
Thomas Heinemen described the imminent in ONCY's recent Q3 2024 conference call. Furthermore there is imminent Goblet Cohort 5 and Irene reporting. and the business development activities that follows.
Comment by Buckhenry on Nov 18, 2024 11:51am
Wainwright issues pessimistic outlook for oncy. Oh well. Maybe unnoteables worthless posts will help. 
Comment by CaseyL on Nov 18, 2024 12:47pm
Click bait title - nowhere in the actual article is the word pessimistic even found. And it's regarding earnings. We have no earnings. We have no revenue stream. Gotta love these low ball idiots HC Wainwright Issues Pessimistic Estimate for ONCY Earnings
Comment by Peladawn on Nov 18, 2024 2:19pm
Hey Bucky.....you forgot to mention this optimistic outlook by Raymond James....re-iterated $5.00  https://www.americanbankingnews.com/2024/11/16/fy2024-earnings-estimate-for-oncy-issued-by-raymond-james.html
Comment by Buckhenry on Nov 18, 2024 2:42pm
Leede Financial lowered Oncolytics Biotech from a "strong-buy" rating to a "moderate buy" rating in a research report on Wednesday, November 13th
Comment by settoretire on Nov 18, 2024 2:51pm
Lower price predictions are due to who will be in charge of the FDA in the USA. If you, or anyone thing RFK is good for health, then let me sell you a bridge. More bad news coming. Wish it weren't so, but times are a changing and with a whole bunch of Putin loyalists in charge, well all I will say is, Buckle Up. GLTA
Comment by Peladawn on Nov 18, 2024 4:57pm
Settortire.....Weren't you one of the many on here predicting KH would win in a landslide?.....so I think I'll go with the more rational predictions of the other 75 million besides you, that voted Red.
Comment by Peladawn on Nov 18, 2024 5:13pm
Setortired said....."If you, or anyone thing RFK is good for health, then let me sell you a bridge. That's hilarious, because if he was running as a Dem for president, you and every mainstream media out there would be praising him as an absolute phenomenon and an even greater candidate since King and Queen Obama.....and you know it.
Comment by settoretire on Nov 20, 2024 7:42pm
No, you're mistaken. What I mean is, one set of governance is for the people, by the people. The other is, do as I say, not as I do. There is a definite distinction between the two.
Comment by Buckhenry on Nov 18, 2024 2:43pm
I believe these analyst almost as much as I believe the pumpers on here. Trash. 
Comment by Buckhenry on Nov 18, 2024 3:30pm
The analyst were not accurate a few years ago when they had an $8 target price. ... their credibility is as good as the pumpers here. Garbage!!
Comment by Buckhenry on Nov 18, 2024 3:37pm
This pretty much sums it up.. Oncolytics Biotech Inc. (ONCY) stock is falling due to a number of factors, including: Financial challenges The company reported a net loss of $9.5 million for the third quarter of 2024.   ...more  
Comment by Noteable on Nov 18, 2024 7:03pm
This post appears to be missing : inthno/Da-man - you need to listen to the Q3 CC more carefully, since below is what Thomas Heineman  exactly stated - confirming that mBC will seek Accelerated Approval. " After discussions with key opinion leaders, our biopharma collaborators and the FDA, we have identified an approach that can generate primary endpoint results within two years of the ...more  
Comment by CMHarring218431 on Nov 19, 2024 10:42am
It hurts me to say this to you but I appreciate and thank you for the summation in the last few posts. A lot of irons in the fire. So many indications, I would think, opens up the chances for a bidding war.As you say....it is too much to ignore going forward 
Comment by itntdf on Nov 19, 2024 10:55am
note, i see his comment about accelerated approval, but given it takes pela around 4-6 months to actually demonstrate its benefit, that would seem to suggest it wouldn't be sooner that 2h 2025. while it will take awhile to get the full 180+ patient enrollment, if pela can demonstrate outstanding results with some early readouts, suppose approval could be conditionally granted based on full ...more  
Comment by Quentin30 on Nov 19, 2024 2:50pm
accelerated approval IS conditional itntdf...!! It grants marketing authorisation for 1 year... whilst a an ongoing study is conducted. The 180 patient data will still be needed to support accelerated approval... so 2 years starting from H1 2025. which is still better than 4 years waiting to obtain OS data. IF AA were to be possible in just a few months, the pps would be going vertical by now... ...more  
Comment by Noteable on Nov 19, 2024 2:52pm
Total nonsense Quentin30 ,,, but that is not uncommon coming from you.
Comment by Buckhenry on Nov 19, 2024 3:18pm
Ole unnoteable et al  has been spewing their garbage for years and i don't think it has changed what the company is doing one bit. Just like the liberals with their woke ideas. Put down anyone that does not agree with their woke narrative. 
Comment by Buckhenry on Nov 19, 2024 8:30pm
We are so happy for your thoughts canuckcluck  but we really don't care what you think. But you do have your nose so far up unnoteable's ace it's funny. The dissertation looked nice and long but I don't think it will make any difference as none of the others have ... but keep up the good work. 
Comment by Noteable on Nov 19, 2024 12:16pm
As previously posted :  Accelerated Approval provides for a drug to receive a conditional FDA marketing approval based on surrogate endpoints that have demonstrated a clinical benefit, An Accelerated Approval is granted well before a Registrational BLA is filed, and an AA requires the sponsor to run a confirmatory clinical trial on which the FDA decides to grant ...more  
Comment by Noteable on Nov 19, 2024 12:33pm
ONCY has reported positive final results on the chosen surrogate endpoint of PFS and mOS, and therefore there are no apparent FDA restrictions on ONCY's ability to apply for an Accelerated Approval at anytime. With an Accelerated Approval the FDA grants a conditional marketing approval and the 'condition' that a post marketing approval confirmatory trial be conducted to confirm the ...more  
Comment by Noteable on Nov 19, 2024 12:37pm
Should read: ONCY has reported positive Phase 2 mBC final results on the chosen surrogate endpoint of PFS and mOS, and therefore there are no apparent FDA restrictions on ONCY's ability to apply for an Accelerated Approval at anytime from here.
Comment by CMHarring218431 on Nov 19, 2024 12:44pm
YES! That says a ton in regard to whether or not Oncy is currently in negotiations with BP. You decide all.
Comment by Noteable on Nov 19, 2024 12:50pm
On October 2023 ONCY reported on multiple surrogate endpoints (highlighted in red below) of the Goblet-1 Phase 2 pancreatic trial (PDAC) involving pelareorep in combination with the ICI atezolizumab. Summary of Data and Findings from the PDAC Arm of the Phase 1/2 GOBLET Study: Tumor Responses: Consistent with the abstract, data from the study outlined patient responses, including ...more  
Comment by Azzak34 on Nov 19, 2024 2:43pm
Looks like Merck are trying to buy Incyte! Might answer some questions we've had. 
Comment by Noteable on Nov 19, 2024 2:51pm
First Merck acquires Incyte .. then comes ONCY. https://x.com/MarkKleinmanSky/status/1858942117827018868
Comment by Quentin30 on Nov 19, 2024 2:45pm
Not even the restrictions outlined by Professor Heineken..? Like the FACT they need 18 months to recruit and treat 180 patients, and 6 months of follow up to gather statisically relevant data for application for accelerated approval.  If ONCY were able to apply for AA at any time... then they would be doing exactly that, RIGHT NOW.  Y Not even your lies can correct the trajectory ...more  
Comment by Noteable on Nov 19, 2024 3:27pm
ONCY has reported positive final results on the chosen surrogate endpoint of PFS and mOS, and therefore there are no apparent FDA restrictions on ONCY's ability to apply for an Accelerated Approval at anytime.   With an Accelerated Approval the FDA grants a conditional marketing approval and the 'condition' that a post marketing approval confirmatory trial be conducted to ...more  
Comment by Noteable on Nov 19, 2024 3:30pm
To clarify even further,  a confirmatory trial is run AFTER the FDA grants an ACCELERATED APPROVAL,  which happens on the surrogate endpoints achieved in a Phase 2 clinical trial.
Comment by Noteable on Nov 20, 2024 3:22pm
To further clarify, the FDA provides a novel biologic drug 13 years of market exclusivity from the date of approval, independent of patent status, AND a confirmatory trial is run AFTER the FDA grants an ACCELERATED APPROVAL, which happens on the surrogate endpoints achieved in a Phase 2 clinical trial. Also, ONCY's original composition of matter patent on pelareorep can be extended until ...more  
Comment by Noteable on Nov 20, 2024 3:49pm
Should read: ONCY's original composition of matter patent on pelareorep can be extended until 2031, while ONCY's modified non-reovirus (pelareorep) virus comprising a reovirus sigma-1 protein patent is effective until 2033 - and can be extended until 2036.
Comment by inthno on Nov 20, 2024 8:25pm
Hello and curious as to why the patents have not been extended rather than repeating that  they can be extended. Would it not be easier to just extend them now and remove all doubt such as maybe forgetting to do that as they forgot to renew the reolysin trademark. Would be nice if they would just get it done.
Comment by Noteable on Nov 20, 2024 9:09pm
The expired patents have established prior art and there was no good reason to have extended them. Meanwhile the composition of matter is extendable to 2031 and the new patents will further protect pelareorep going forward, when new delivery formulations are added to the mix.
Comment by Noteable on Nov 20, 2024 9:13pm
Whoever acquires pelareorep will brand the drug with a new trade name for commercialization, and the brand name Reolysin is no longer relevant.
Comment by Noteable on Nov 21, 2024 11:00am
November 21, 2024 - Vancouver BC. -  FDA grants Zymeworks Inc its.Phase 2 HER2+ bispecifc antibody zanidatamab (Ziihera) Accelerated Approval for the treatment of unresectable or metastatic HER2-positive (IHC 3+) biliary tract cancer (BTC). FDA Accelerated Approval was approved under accelerated approval based on a 52% objective response rate (ORR) and a median duration ...more  
Comment by Noteable on Nov 21, 2024 11:03am
Phase 2 Ziihera is approved under the FDA’s accelerated pathway. To keep it on the market, Jazz and Zymeworks are running the Phase III HERIZON-BTC-302 confirmatory trial, which is assessing Ziihera in the first-line setting, in combination with chemotherapy with or without a PD-(L)1 blocker.
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