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AlloVir Announces FDA Clearance of Investigational New Drug Application for ALVR106, an Allogeneic, Off-the-Shelf, Multi-Virus Specific T Cell Therapy…

Dec. 17, 2020 12:30 UTC

Proof-of-concept phase 1/2 trial to initiate in 2021 to treat severe respiratory viral infections in patients following hematopoietic stem cell transplantation

ALVR106 designed to target devastating diseases caused by four respiratory viruses: respiratory syncytial virus, influenza, parainfluenza virus, and human metapneumovirus

CAMBRIDGE, Mass.--(BUSINESS WIRE)-- AlloVir (Nasdaq: ALVR), a late clinical-stage cell therapy company, announced that the U.S. Food and Drug Administration (FDA) has cleared the Investigational New Drug (IND) application for ALVR106, an allogeneic, off-the-shelf virus-specific T cell therapy (VST) designed to target infections and diseases caused by respiratory syncytial virus (RSV), influenza, parainfluenza virus (PIV), and human metapneumovirus (hMPV). The IND enables AlloVir to initiate a Phase 1/2 proof-of-concept clinical study in allogeneic and autologous hematopoietic stem cell transplant (HSCT) patients with respiratory infections caused by RSV, influenza, PIV or hMPV.

Respiratory viruses are a leading cause of morbidity and mortality in HSCT patients, and based on evidence from our preclinical studies, we believe ALVR106 could transform the treatment and prevention of respiratory infections and substantially reduce the associated morbidity and mortality of these infections in the future, said Ercem Atillasoy, M.D., Chief Regulatory and Safety Officer of AlloVir. The clearance of the IND for ALVR106 advances our third program into clinical trials further exploring the power of our proprietary virus-specific T cell therapy platform.

Respiratory tract infections due to RSV, influenza, PIV, and hMPV are a major public health concern and are detected in up to 40 percent of allogeneic HSCT patients. These viral infections can progress from upper respiratory tract infections to more serious lower respiratory tract infections, which are associated with mortality rates of 20-45 percent in HSCT patients.

As previously disclosed, this proof-of-concept clinical trial will initiate in 2021 as the company is assessing the impact of the COVID-19 pandemic on the incidence, diagnosis, and treatment of the respiratory viral infections which ALVR106 targets.

About ALVR106

ALVR106 is an allogeneic, off-the-shelf, multi-virus specific VST investigational therapy designed to target infections and diseases caused by the respiratory syncytial virus (RSV), influenza, parainfluenza virus (PIV), and human metapneumovirus (hMPV). In vitro data demonstrate that ALVR106 has antiviral activity against each of the targeted viruses with minimal or no activity against non-virus-infected cells. This preclinical data supports the potential for antiviral benefit and safety of ALVR106 when administered to patients.

About AlloVir

AlloVir is a leading late clinical-stage cell therapy company with a focus on restoring natural immunity against life-threatening viral diseases in patients with weakened immune systems. The companys innovative and proprietary technology platforms leverage off-the-shelf, allogeneic, multi-virus specific T cells targeting devastating viruses for patients with T cell deficiencies who are at risk from the life-threatening consequences of viral diseases. AlloVirs technology and manufacturing process enables the potential for the treatment and prevention of a spectrum of devastating viruses with each single allogeneic cell therapy. The company is advancing multiple mid- and late-stage clinical trials across its product portfolio. For more information visit http://www.allovir.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, statements regarding AlloVirs development and regulatory status of our product candidates and its strategy, business plans and focus. The words may, will, could, would, should, expect, plan, anticipate, intend, believe, estimate, predict, project, potential, continue, target and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Any forward-looking statements in this press release are based on managements current expectations and beliefs and are subject to a number of risks, uncertainties and important factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this press release, including, without limitation, those related to AlloVirs financial results, the timing for completion of AlloVirs clinical trials of its product candidates, whether and when, if at all, AlloVirs product candidates will receive approval from the U.S. Food and Drug Administration, or FDA, or other foreign regulatory authorities, competition from other biopharmaceutical companies, and other risks identified in AlloVirs SEC filings. AlloVir cautions you not to place undue reliance on any forward-looking statements, which speak only as of the date they are made. AlloVir disclaims any obligation to publicly update or revise any such statements to reflect any change in expectations or in events, conditions or circumstances on which any such statements may be based, or that may affect the likelihood that actual results will differ from those set forth in the forward-looking statements. Any forward-looking statements contained in this press release represent AlloVirs views only as of the date hereof and should not be relied upon as representing its views as of any subsequent date.

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AlloVir Announces FDA Clearance of Investigational New Drug Application for ALVR106, an Allogeneic, Off-the-Shelf, Multi-Virus Specific T Cell Therapy...

ONK Therapeutics Announces Three Exclusive Option License Agreements, Which Extend and Strengthen its Dual-Targeted NK Cell Therapy Pipeline -…

Dec. 17, 2020 08:30 UTC

GALWAY, Ireland, & SAN DIEGO, Calif.--(BUSINESS WIRE)-- ONK Therapeutics Ltd, an innovative natural killer (NK) cell therapy company, today announced that it has secured three new exclusive option license agreements which strengthen its off-the-shelf, dual-targeted natural killer (NK) cell therapy platform and extend its pre-clinical pipeline to four programs across both hematological and solid tumors.

The first option agreement, with Cellerant Therapeutics, gives exclusive rights to a humanized CLEC12A scFv binder. CLEC12A is strongly expressed by blasts in the majority of AML patients. The option to license has enabled ONK to expand its pre-clinical product portfolio, launching a fourth program (ONKT104). This dual-targeted approach combines the CLEC12A CAR with a TNF-related apoptosis-inducing ligand variant (TRAILv) targeting death receptor 4 (DR4).

While expressed on leukemic stem cells, CLEC12A is absent from normal hematopoietic stem cells and we thus expect that our dual-targeted NK cell therapy approach should enable safe targeting, with a reduced risk of prolonged aplasia in AML, said Prof Michael ODwyer MD, ONK Therapeutics co-founder, and CSO.

The second agreement in-licenses a humanized, tumor-specific antibody targeting an aberrantly glycosylated tumor-associated form of MUC1 (TA-MUC1) from Glycotope GmbH. Multiple solid tumor types express the mucin MUC1, including non-small cell lung cancer, breast cancer, and ovarian cancer. This antibody will be integrated into ONKs pre-clinical program ONKT103, for solid tumors.

Non-selective targeting of MUC1 could be problematic since the target is also expressed by healthy tissues, but ODwyer explains how ONKs dual-targeted approach can be used to address this. We have designed a CAR tailored to the glycosylation pattern distinct to tumor-associated MUC1 with specific recognition of the carbohydrate antigens Tn and T on MUC1, the expression of which is restricted to cancer cells. Glycotope has identified the glycosylation pattern as a way to unlock the potential of TA-MUC1 as a solid tumor target. ONK is thus set to bring the natural benefits of NK cells over T cells to bear on TA-MUC1, in a tumor-specific fashion, while also further boosting efficacy and countering resistance through the use of our TRAIL variant targeting DR5, he said.

ONKs unique platform approach combines the expression of a chimeric antigen receptor (CAR) and a high affinity, membrane-bound TRAILv. The incorporation of these two humanized scFvs has the potential to minimize the risk of immunogenicity in the allogeneic setting.

ONK is also exploring several innovative strategies to improve the homing of NK cells. This is an important consideration as ex-vivo expansion can lead to changes in chemokine receptor expression. Through this new license agreement with the NIH, ONK plans to enforce the expression of CCR7, which is downregulated on NK cell expansion. This may improve the homing of NK cells to lymph nodes and is expected to be particularly useful for ONKs off-the-shelf CD19 program targeting B cell lymphoma, ONKT101, which is partnered with Avectas.

ONK is making rapid progress since it announced its most recent financing in October. Chris Nowers, ex Kite Pharma Head of Europe, who joined at that time as Chief Executive Officer, said: The recent American Society of Hematology meeting highlighted the NK cell therapy area as offering great hope as the next generation of advanced cell therapies. We believe our best-in-class off-the-shelf, dual-targeted NK cell therapy platform has the potential to improve performance and overcome some of the shortcomings seen with earlier approaches. These new licensing activities strengthen and expand our programs and illustrate our ambition and strategy to become a leader in this exciting field.

The company recently expanded its operations into the USA, moving into JLABS @ San Diego, Johnson & Johnson Innovations flagship facility, at the heart of San Diegos precision medicine and cell therapy cluster. This represents a second facility that complements its main R&D team and operations in Galway, Ireland. The companys recruitment drive across both facilities has been rapid and the company continues to expand its capability in key areas, including NK cell biology, construct design, gene editing, and process development.

-Ends-

ONK Therapeutics http://www.onktherapeutics.com ONK Therapeutics Ltd is an innovative cell therapy company dedicated to developing the next generation of off-the-shelf, dual-targeted NK cell therapies targeting solid and hematological cancers.

The company was founded in 2015, by Prof. ODwyer MD, of NUI Galway, an expert in translational multiple myeloma research, the tumor microenvironment, and exploitation of NK cells as cellular immunotherapy. Its core proprietary platform is based on a dual-targeted NK cell expressing both a chimeric antigen receptor (CAR) targeting a known tumor antigen and a TNF-related apoptosis-inducing ligand variant (TRAILv) targeting the death receptor pathway (i.e. DR4 or DR5). This unique approach has the potential to enhance efficacy by addressing both intrinsic (e.g. CAR engagement of a tumor-specific antigen) and extrinsic (e.g. signaling through the death receptor pathway) apoptotic pathways and to reduce the susceptibility to possible target antigen escape through the engagement of tumor antigen-independent TRAILv.

Its pre-clinical pipeline comprises four programs;

In addition to the unique dual-targeted NK cell therapy platform, the company has a strong research focus on strategies to enhance homing and persistence, and overcome exhaustion, including the exploration of proprietary gene edits, such as the deletion of checkpoint inhibitory receptors in NK cells.

ONK Therapeutics is headquartered in the med-tech hub of Galway, Ireland, with a wholly-owned US subsidiary, ONK Therapeutics, Inc. based at JLabs @ San Diego. Shareholders include Acorn Bioventures, ALSHC (principally Seamus Mulligan), and Enterprise Ireland.

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About Avectas - http://www.avectas.com Avectas is a cell engineering technology business that has developed a unique delivery platform, Solupore to enable the ex vivo manufacture of cell therapy products, which have high in-vivo functionality.

Glycotope http://www.glycotope.com Glycotope is a biotechnology company utilizing a proprietary technology platform to develop highly tumor-specific monoclonal antibodies called GlycoBodies. GlycoBodies bind to targets (GlycoTargets) tumor-specific carbohydrate structure dependent, enabling the development of highly-specific immunotherapies across a broad range of cancer indications. Glycotope has to date discovered in excess of 150 GlycoTargets with GlycoBodies against eight of these targets currently under development.

Each GlycoBody can be developed in an array of modalities with different modes of action providing a unique offering in the (immuno) oncology space. Currently, six clinical and pre-clinical programs based on the GlycoBody technology are under development by Glycotope or its licensing partners.

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ONK Therapeutics Announces Three Exclusive Option License Agreements, Which Extend and Strengthen its Dual-Targeted NK Cell Therapy Pipeline -...

Mesoblast shares fall on trials mixed results with heart injection treatment – Stockhead

Mesoblast (ASX:MSB) shares have dropped more than 12 per cent to a nearly one-month low after a six-year trial investigating using its stem cell treatment to treat advanced chronic heart failure delivered confusing results.

The injection of stem cells into the heart appeared to prevent deaths in patients with mild symptoms but not hospitalisations. That was the primary goal of the study, which Mesoblast says is the largest and most rigorous cell therapy trial ever performed.

In the Phase III trial involving 537 patients with advanced chronic heart failure, the group treated with an injection of rexlemestrocel-L had 60 per cent fewer heart attacks and strokes than those treated with a sham treatment.

Also, in the 206 patients with mild heart failure symptoms, those who received rexlemestrocel-L suffered 60 per cent fewer deaths than those in the placebo group.

But the trial failed to meet its predefined primary endpoint in that the treatment failed to reduce hospitalisations during the follow-up period, which lasted an average of 30 months.

At 11.36am, MSB shares were down 12.3 per cent to $3.98, their lowest level since mid-November.

But Mesoblast said that overall the study was incredibly positive and that it would seek regulatory approval in the United States as well as a large commercial partner to meet what it sees as a huge market opportunity.

On a conference call with analysts this morning, Mesoblast chief executive Dr Silviu Itescu said that rexlemestrocel-L had delivered a dramatic reduction in mortality that may change the paradigm of how patients with advanced cancer may be treated.

He said Mesoblast planned to meet again shortly with the US Food and Drug Administration and ask for drug approval of rexlemestrocel-L, (REVASCOR), which consists of an injection of 150 million mesenchymal precursor cells directly into the heart.

This is a very surprising finding and quite dramatic, he said. And I think that any therapy that has this degree of reduction in mortality in a well-conducted randomized placebo-controlled study of this size has to be taken seriously in terms of its ability to completely change the natural course of the disease.

So, we will be having those discussions. I think there are clear pathways towards accelerated approval.

Dr Itescu said that the rexlemestrocel-L injection may not have reduced recurrent hospitalisations because advanced heart failure patients are brittle and may need hospital treatment to be stabilised.

It appears our therapy does not have an impact on those types of outcomes, he said.

Mesoblast believes that the stem cell injection works to reduce severe inflammation in the heart muscle.

Other drugs in this patient population have reduced mortality by less than 20 per cent, Dr Itescu said.

The drug would be aimed at patients with class 2 heart disease mild symptoms such as shortness of breath or angina, but who did not yet have problems walking short distances.

That would be our target market in the patient journey, in terms of that being a very large market opportunity, Dr Itescu said.

Clearly, we will be looking for a strategic commercial partner that has strength and commitment in the commercial channels that will be required to make this product available to these large numbers of patients. We have ongoing discussions with a number of large pharmaceutical companies in this space.

Dr Itescu said that a rexlemestrocel-L injection would not displace other therapies, but would be a single delivery of a therapeutic that gives three o=o four years at least, of mortality benefit and reduction in major vascular events like heart attacks and stroke.

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Mesoblast shares fall on trials mixed results with heart injection treatment - Stockhead

Mesoblast shares savaged on poor COVID trial results – Sydney Morning Herald

Stem cell biotech Mesoblast has had its share price smashed after the company emerged from a trading halt on Friday to reveal its COVID-19 treatment trial was unlikely to meet its primary goal.

Shares in the biotech plunged 41 per cent at the start of trading before recovering some lost ground during the day to close 36 per cent lower at $2.41, shaving its market value by $800 million to $1.4 billion.

Mesoblast chief executive Silviu Itescu. The company was hoping to show its flagship product, remestemcel-L, would help patients with moderate to severe respiratory distress because of coronavirus.Credit:Credit: Arsineh Houspian

In a single-page ASX release, Mesoblast told investors that an independent data safety monitoring board had reviewed interim results from its coronavirus trial. The company was hoping to show its flagship product, remestemcel-L, could help patients with moderate to severe respiratory distress because of coronavirus.

On the same morning that Sydneysiders were thrown into major uncertainty due to a new outbreak of the virus on the northern beaches, Mesoblast noted the trial is not likely to meet the 30-day mortality reduction endpoint for the study.

The company will still complete the study, which had been aiming to recruit 300 patients, using the 223 patients already enrolled.

Chief executive Silviu Itescu insisted the news, while disappointing, was not the end of the road for the project.

He claimed that recruiting patients for the trial, which was run with the US National Institutes of Health, had been tough and that the most recent patients recruited to the trial were older than the earlier recruits.

He argued that as the pandemic wore on, many critically ill patients had also already received a number of experimental treatments and this could have impacted the results.

We have no ability to prevent other experimental drugs to be given to these patients, he said.

Its the second piece of tough news for Mesoblast, which is backed by high-profile investors including billionaire Alex Waislitz, to be released this week, after phase 3 trial results of its heart failure drug caused the stock to plunge at the start of the week. The company released data on Tuesday showing its other key product, Revascor, showed reduction in mortality of up to 60 per cent in heart failure patients.

However, the study missed its primary goal, which was to show that the drug reduced the incidence of trips to hospital for non-fatal heart failure events.

Mesoblast is also continuing to negotiate with the US Food and Drug Administration over approvals for its remestemcel-L product for the treatment of graft-versus-host disease. The product was blocked at the final hurdle this year when US regulators requested more data on the treatments effectiveness prior to giving the green light.

Shares in the company are still above where they started 2020, at $2.05 on January 2. The share price has swung wildly throughout the year, gaining or losing more than 30 per cent of its share price in a number of individual sessions as investors reacted quickly to corporate updates, particularly around COVID-19.

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Shares hit a high of $5.50 at the end of September on optimism for the COVID trial and its research pipeline.

Mesoblast raised $138 million from investors earlier this year in anticipation of scaling up manufacturing capabilities for the COVID-19 project.

It also entered into a partnership with pharmaceuticals giant Novartis for the development of its products for treating COVID-19 and other respiratory diseases, which included a $US50 million ($65.6 million) upfront payment, including $US25 million in equity in the business. Mesoblast reported a $US24.5 million loss for the September quarter.

Mr Itescu said nobody likes to not achieve an endpoint in a research project, but he expected the company to keep working with Novartis to comb through the research data and collaborate on future work on the treatment.

Novartis has partnered with us for many indications [uses of remestemcel-L], he said.

Analysts were reviewing their models for the stock on Friday morning, with Bell Potters team, which had a speculative buy recommendation on the stock, labelling the news very disappointing.

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Emma reports on healthcare companies for The Age and Sydney Morning Herald. She is based in Melbourne.

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Mesoblast shares savaged on poor COVID trial results - Sydney Morning Herald

Glioblastoma Multiforme Pipeline Expected to Offer Myriad of Novel Therapies in the Next Decade – GlobeNewswire

December 17, 2020 11:00 ET | Source: DelveInsight Business Research LLP

Los Angeles, USA, Dec. 17, 2020 (GLOBE NEWSWIRE) -- Glioblastoma Multiforme Pipeline Expected to Offer Myriad of Novel Therapies in the Next Decade

Glioblastoma Multiforme Clinical Trial Analysis and Pipeline Assessment report offers an analysis of 120+ companies working for the development of therapies for Glioblastoma Multiforme

DelveInsights Glioblastoma Multiforme (GBM) Pipeline Insight, 2020 report proffers a comprehensive coverage of all the companies under pipeline and growth prospects across Glioblastoma Multiforme pipeline, collaborations and agreements taking place, in-depth commercial assessment, and competitive analysis.

Some of the key highlights of Glioblastoma Multiforme Pipeline Report

Glioblastoma Multiforme pipeline is robust and possesses multiple potential drugs in late and mid-stage developments, which are yet to be launched. 120+ companies are dedicatedly working in advancing the GBM pipeline in the foreseeable future.

Some of the Glioblastoma Multiforme Pipeline Therapies

Regorafenib: Bayer Healthcare

Regorafenib is an orally-administered inhibitor of multiple kinases. Sold under the brand name, Stivarga, Regorafenib is approved for use in patients with hepatocellular carcinoma. The drug is currently under investigation for the treatment of Glioblastoma Multiforme which is mentioned. The molecule is in the phase III stage of clinical development.

CYNK 001: Celularity

CYNK-001 is the only cryopreserved allogeneic, off-the-shelf NK cell therapy being developed from placental hematopoietic stem cells as a potential treatment option for various hematologic cancers and solid tumors. The U.S. Food and Drug Administration (FDA) recently cleared Celularitys Investigational New Drug (IND) Application for CYNK-001 in patients with glioblastoma multiforme (GBM).

Know more about GBM pipeline therapies and product profiles, request @ https://www.delveinsight.com/sample-request/glioblastoma-multiforme-gbm-pipeline-insight

Upcoming Glioblastoma Multiforme Therapies

Scope of Glioblastoma Multiforme Pipeline Therapeutics report

Key Questions regarding Current Glioblastoma Multiforme Treatment Landscape and Emerging Therapies Answered in the report

Table of Contents

Browse Detailed TOC, Emerging Drugs and Key Companies @ Glioblastoma Multiforme Drug Pipeline Landscape

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Glioblastoma Multiforme Pipeline Expected to Offer Myriad of Novel Therapies in the Next Decade - GlobeNewswire

Global Platelet Rich Plasma Market Recent Trends and Developments, Challenges and Opportunities, key drivers and Restraints over the Forecast Period…

Global Platelet Rich Plasma MarketIndustry Trends and Forecast to 2027 New Research Report Added to Databridgemarketresearch.com database. The report width Of pages : 350 Figures: 60 And Tables: 220 in it. The report makes available an overview of the industry which is gaining momentum in the last few years. The market report uses a range of steps for collecting, recording, analysing and interpreting market data to make this report all-inclusive. It also offers an outline of the industry that might promote interest among prospective investors, large corporations and everyday users who could participate in the next big opportunity or make their lives just a little easier. The Global Platelet Rich Plasma Market report comprises of the list of leading competitors, strategic industry analysis and the insights of key factors influencing the industry.

Global Platelet Rich Plasma Market is expected to rise from its initial estimated value of USD 182.10 million in 2018 to an estimated value of USD 519.83 million by 2026, registering a CAGR of 14.01% in the forecast period of 2019-2026. This rise in market value can be attributed to the increasing usage of platelet rich plasma therapy in therapeutic areas.

Get Sample Report + All Related Graphs & Charts @ https://www.databridgemarketresearch.com/request-a-sample/?dbmr=global-platelet-rich-plasma-market

Global Platelet Rich Plasma Market by Type (Pure p Platelet-Rich Plasma, leukocyte-rich platelet-rich plasma, pure platelet-rich fibrin, leukocyte-rich platelet-rich fibrin), Origin (Allogeneic prp, Autologous prp, Homologous prp), Application (Orthopedics, Dermatology, Dental, Cardiac muscle injury, Nerve injury, others), End-user (Hospitals & Clinics, Research Institutions), Geography (North America, South America, Europe, Asia-Pacific, Middle East and Africa) Industry Trends & Forecast to 2026

Competitive Analysis:

Global platelet rich plasma market is highly fragmented and the major players have used various strategies such as new product launches, expansions, agreements, joint ventures, partnerships, acquisitions, and others to increase their footprints in this market. The report includes market shares of platelet rich plasma market for global, Europe, North America, Asia-Pacific, South America and Middle East & Africa.

Key Market Competitors: Global Platelet Rich Plasma Market

Few of the major competitors currently working in the Platelet Rich Plasma market are T-Biotechnology (Turkey), Arthrex, Inc (U.S.)., Terumo BCT, Inc. (U.S.) , EmCyte Corporation (U.S.), DePuySynthes (U.S.), Zimmer Biomet Holdings, Inc (U.S.), Stryker (U.S.) , Glofinn OY (Finland), Dr. PRP America (U.S.), AdiStem, Ltd. (Australia), Arteriocyte Medical Systems, Inc. (U.S.), CellMedix Holdings, LLC (U.S.), Exatech, Inc (U.S.) . Cesca Therapeutics, Inc. (US), Nuo Therapeutics, Inc.(US), Regen Lab SA (Switzerland),. Cytomedix Inc. (US), China Biologic Products Inc. (CHINA), CSL Ltd.(Australia) , Biotest AG(Germany) , Among Others.

Market Definition: Global Platelet Rich Plasma Market

Platelet rich plasma is used in surgical procedures to repair augment tissue and enhance repairing of soft tissue. Platelet rich plasma therapy relieves pain by promoting long lasting healing of musculoskeletal conditions and it is used for treatment of arthritis, tendonitis, ligament sprain and tear.

Market Drivers

Market Restraints

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Segmentation: Global Platelet Rich Plasma Market

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Note: If you have any special requirements, please let us know and we will offer you the report as you want.

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Data Bridge Market Researchset forth itself as an unconventional and neoteric Market research and consulting firm with unparalleled level of resilience and integrated approaches. We are determined to unearth the best market opportunities and foster efficient information for your business to thrive in the market. Data Bridge endeavors to provide appropriate solutions to the complex business challenges and initiates an effortless decision-making process.

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Global Platelet Rich Plasma Market Recent Trends and Developments, Challenges and Opportunities, key drivers and Restraints over the Forecast Period...

Insiders Advice: Prevent Shoulder Surgery With These 5 Options (12/17/20) – Southeast Missourian

Thursday, December 17, 2020

The shoulder joint is the most mobile and least stable joint in your body. The more mobile a joint is, the less stable it is; and the more stable a joint, is the less mobile it is. If a joint is functioning properly, it will not degenerate or cause pain.

When a joint stops functioning correctly, it breaks down and becomes painful, causing us to not move it as much. This results in it becoming dehydrated and reduces joint space, causing damage, degeneration, and pain.

The most common shoulder issues are degeneration and rotator cuff injuries.

Traditional medical treatments include steroid injections, medications, and surgery, which focus on reducing the pain, symptoms, and have inherent risks and downtime. They also dont focus on restoring the function of the joint to stop the damaging process.

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Here are some of the functional medical treatments available at PC Medical Centers:

1. PRP (Platelet Rich Plasma) injections Plasma is injected into the shoulder joint, improving the healing response and function of the joint as well as increasing the joint space.

2. Regenerative Medicine injections High in Mesenchymal Stem Cells, this injection helps tissues regrow and heal.

3. Lidocaine and Sterile Solution injections Adds fluid to the joint and increases the joint space, improving the ability to move the joint.

4. Physical Therapy PT helps improve joint stability by improving the muscle tone around the joint.

5. Chiropractic Care Helps improve joint mobility by adjusting the joint, which improves the function.

Other options include Laser Therapy, Acupuncture, Myofascial Release (muscle work), and nutrition. Our goal is to get the patient back to doing what they would like, with little to no downtime. We assess the patient, identify the functional limitations, and create a personalized plan to restore the function to the joint.

Call 573-335-9188 by the end of December to schedule your free consultation with PC Medical Centers.

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Insiders Advice: Prevent Shoulder Surgery With These 5 Options (12/17/20) - Southeast Missourian

Walking The Tight Rope With Dinelson Lamet | RotoGraphs Fantasy Baseball – fangraphs.com

Stability is important in fantasy baseball, especially when it involves early-round picks. When we talk stability it can mean two things. It can mean stability of health or stability of skill set. With your early-round picks you of course want players with very few holes in their skills and players who stay on the field. I now present you with someone who teeters on a tight rope with both health and skill set: Dinelson Lamet.

Feeding off his late surge in 2019 Lamet came into 2020 like a tiger eyeing down its prey. He pounced on the competition lighting a fire from within and produced a phenomenal 2.09 ERA, .086 WHIP, and 27 K-BB%. A fantastic season for sure. He was able to have an elite season by changing his pitch mix and throwing his slider over 50% of the time. A true Patrick Corbin blueprint.

Lamets slider could arguably be called the best pitch in baseball. Last season it produced a .197 wOBAcon, 23 SwStr%, and 19.7 pVAL. It induced weak contact, created whiffs, and was utilized to perfection. It was utilized so well that his 19.7 pVAL was the highest of any pitch in baseball. The next closest was Marco Gonzales fastball which had a 14.3 pVAL (love me some Marco). Overall a great pitch. One small flaw to point out about Lamets slider is his command.

All over the place. It looks like he wants to push it low and away but he was only able to achieve that 40% of the time, a percentage that ranks second-worst in the league. Whats crazy is that even when he leaves it in the heart of the plate it still produces great results. Opposing hitters only had a .068 ISO and .103 wOBA against it. Compare that to Kenta Maedas slider which had a .524 ISO and .456 wOBA when left in the same location. That is clearly a testament as to how good his slider is that even when he misses, it doesnt matter. Im curious as to if that can continue.

Next up is his four-seam fastball, a pitch he threw 37% of the time. Meaning his slider and fastball make up for 91% of his pitches, making him a two-pitch pitcher (problem number one). The fastball took some big strides this year compared to last season.

Dinelson Lamets Fastball

This shows you the chain reaction of Lamets four-seam development. The velocity rose over one mile per hour causing an uptick in vertical movement. Because of the increased movement hitters werent able to jump on it like the season before. Although the overall 2020 numbers arent exactly great compared to the league average, they were good enough to elevate his game.

If you stopped right there everything seems great for Lamet besides the obvious caveat of only having two pitches. Here is the problem with Lamets new increased velocity. In the month of August, his fastball averaged 97.2 MPH. In all five of his starts it sat over the 97.0 mark. Come September his fastball average 96.9 MPH. Only two of his five starts did he eclipse 97.0 MPH. The way I interpret this is Lamet knew it was a short season, he knew he could push his velocity and it eventually started to normalize on him.

On the chart you can see the massive decline as the season went on. But you see where it climbs back up towards the end of the season? For two starts in September he pushed it back up to 97 MPH and what do you think happens when you push your arm too hard? In his last start of the year Lamet was pulled with bicep tightness.

The bicep issue turned into an elbow issue, symptoms of biceps and elbow injuries can show up in similar ways. Since there is no ligament damage the Padres decided to go the PRP (platelet-rich plasma therapy) route. This is a big issue because not only has Lamet needed Tommy John surgery in the past but pitchers who have had PRP injections have ended up needing the surgery anyway. Look no further than his former teammate Garrett Richards.

This makes Lamet a major injury risk, but lets say he takes the shots and it works. How will he be able to push his fastball velocity for an entire season? We have to expect regression on his fastball and when that happens you get the 2019 version of Dinelson Lamet. That leaves you with a 4.07 ERA, 1.26 WHIP, and 24 K-BB% from your likely SP2.

Does taking a player in the first four rounds who is walking on a tight rope sound like someone youd like to roster? With a current overall ADP of 65 and as the 24th pitcher off the board Dinelson Lamet becomes a spine-chilling acquisition. Reaching the other side is unlikely and falling one way or the other seems evident.

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Walking The Tight Rope With Dinelson Lamet | RotoGraphs Fantasy Baseball - fangraphs.com

Facts you should know about Osteoarthritis – The New Indian Express

Express News Service

KOCHI: Osteoarthritis, commonly known as OA, is a joint disease caused by the disintegration of cartilage in a joint in the body. It is primarily found in weight-bearing joints such as the ankle and knee but also arises in joints of the hand as a result of daily activity. Knee joint OA is a progressive disorder. The degeneration of the articular cartilage (white tissue that protects bones from rubbing against each other) causes knee pain, stiffness and a weakened joint structure.

While cartilage serves as a natural cushion between the bones, synovial fluid lubricates and supplies adequate oxygen to the joint, facilitating smooth joint motion in a healthy individual. Over time, the cartilage weakens and becomes thinner, resulting in roughness around the joint. As this develops, pain and swelling of the knee come into play, making everyday movements such as walking or sitting laborious. Stage one OA is minor and is usually accompanied by minimal pain or discomfort. The joint looks normal on x-ray.

In stage two, bone deposits called Osteophytes grow in number around the joint as the cartilage weakens further. Stiffness aggravates, especially after the person stays in a sitting position for long periods of time.Moderate OA or stage three is when day-to-day activities such as walking, running, bending and kneeling cause distress owing to loss of cartilage and inflammation. As OA advances into the severe stage four, symptoms are very prominent. Cartilage breaks down, joint fluid reduces, diagnosis shows bone against bone contact and even walking becomes painful.

To boost overall joint health, an anti-inflammatory diet may be followed. This includes antioxidant-rich foods like fruits and vegetables, extra virgin olive oil and low-fat dairy products like cheese, milk and yogurt which are high in vitamin D and calcium. Excess body weight can increase pressure around the knee joint and, in turn, cause inflammation.

Immediate pain relief for OA is possible with standard medications such as Paracetamol, non-steroidal anti-inflammatory drugs (NSAIDs), opioids, superficial creams, etc. To reduce unbearable pain, direct steroid injections have also been employed in the past. PRP or Platelet Rich Plasma is a newly-found regenerative therapy that is extremely effective for knee OA. When PRP is injected into the joint, its dose is certified according to need.

The technique has been proven to greatly reduce knee pain and stiffness, gradually bringing back ease of movement to the patient. This process, combined with other medicines and physiotherapy, triggers the natural healing tendencies of the patients blood.Severe cases of OA are treated with surgeries such as total knee replacement (TKR) or high tibial osteotomy (HTO).The author is a consultant orthopaedic surgeon at Regencare, Kochi.

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Facts you should know about Osteoarthritis - The New Indian Express

Garrett Richards is the epitome of a risk-reward free agent – Bless You Boys

Free agent righthander Garrett Richards is one of the most successful what could have been stories of the past decade. Eye-popping stuff sabotaged by a lengthy injury history have made him a staple on lists of buy low candidates in fantasy baseball over the past few seasons. Yet despite it all, hes still put together a nice career thus far in the majors. The Detroit Tigers are in a situation where they can afford to place a small bet here, and Richards may offer more bang for your buck than any free agent out there.

Of course, theres a good reason why hes potentially available to a non-contender like the Tigers at this point in his career. While hed be a fascinating project to gift to new pitching coach Chris Fetter, Richards is something of a wild card at this point due to a mishandled elbow injury. Hes as likely to miss half the season as to give you 25 starts. Of course, you can pick up seemingly durable pitchers and get the same result, as the Al Avila led Tigers have proven repeatedly.

The odyssey of Garrett Richards elbow began in 2016. After three full seasons in the majors for the Los Angeles Angels, he was coming off a 2015 season in which he spun 207 13 quality innings and appeared to be coming into his own as a durable young starting pitcher who might be a tweak or two from stardom. Unfortunately, he suffered a partial tear to his UCL early in 2016 and missed most of the season. The solution would normally be Tommy John surgery, but Richards and the Angels, desperate to get back to the playoffs, elected instead to try platelet rich plasma injections. The hope was to use that treatment in combination with rehabilitation and get him back on the mound in 2017 rather than losing the whole season to surgery. This, like many decisions about pitchers the Angels have made in recent years, turned out terribly.

Richards ultimately made just six starts in 2017. He suffered a nerve issue in his biceps the first week of the season, and while imaging seemed to indicate that his UCL was undamaged, a string of related issues kept him off the field most of the season. Things seemed more promising in 2018. Richards came into the season apparently healthy, upped his breaking ball usage, and was posting the best strikeout rates of his career. It all came undone during a July 10th start against the Seattle Mariners. His UCL finally blew out and there was no other recourse than to finally undergo Tommy John surgery well over two years after the initial injury occurred.

Richards became a free agent after the 2018 season, and the San Diego Padres offered a two-year speculative deal hoping hed be fully healthy in time for them to cash in with him in 2020. Richards got back on the mound for a few innings late in the 2019 season, and miraculously his stuff was intact. He wasnt great for the Padres in 2020, but its par for the course to have some struggles returning from Tommy John surgery. What was encouraging was the fact that he was able to make 10 starts, stay healthy, and look pretty good at times. The Padres decided to put him in the bullpen in September in preparation for a super-reliever role in the postseason, but a 4.03 ERA, 4.28 FIP performance returning from Tommy John surgery is still fairly strong.

One of the wilder parts of this whole saga is that Richards has basically looked unchanged throughout. His fastball velocity has held up consistently despite the injury issues. His calling card, and the reason hes consistently of interest to pitching honks, is the elite spin rates he produces on his fastball, slider, and curveball, and those metrics have also remained elite throughout the injuries as well. His physical ability remains relatively undiminished.

Apart from the injury history, the one relative weakness for Richards has been the underwhelming movement on his fourseam fastball. In 2020, he averaged 95.1 mph, with a spin rate of 2626 rpms. Only 11 starters with 300 fastballs registered in Statcast this season threw harder. Only Trevor Bauer posted a higher average spin ratewhich is a story in itselfthan Richards did. Yet hes never managed anything like the kind of whiff rates produced by the Justin Verlanders and Max Scherzers of the power stuff set. Richards fastball spin is actually quite inefficient, as he checks in with well below average vertical and horizontal movement.

In an era when strikeouts rule, a fastball that doesnt generate many whiffs just isnt going to be highly valued, but in Richards case that can also be a little deceiving. His fastball does produce plenty of weak contact. Even in seasons when the average exit velocity of fastballs put into play spiked for him, he still gives up little power because his heavy, weird fourseamer is hard to lift with authority. Over the last four seasons combined, hitters have posted an ISO of just .155 and six total home runs against it. In some ways, Richards fastball is actually reminiscent of Spencer Turnbulls heater, another fourseamer with above average spin rate, but which somehow moves more like a power sinker.

Richards backs the fastball with a nasty pair of breaking balls. The slider is his main out pitch, checking in at 88.5 mph with a spin rate of 2893 rpms, premium spin rate for that class of pitch. Over the years hes really leaned into the slider and at this point he throws fastballs or sliders over 90 percent of the time. He does have a fairly monstrous curveball in his back pocket as well. He spins the curve in with an average of 3299 rpms, which is best in its class level spin rate as well. Each has well above average depth and Richards gets a lot of whiffs with each of them.

In recent years he hasnt commanded either pitch quite as well, leading to the occasional meatball, but overall his control has never been a problem. He doesnt issue that many free passes, but he hasnt always had consistent command and bite on his stuff either. The hope would be that with Richards now finally beyond his elbow issues, his old home run suppressing ways may return with sharper command.

This is actually a pretty good time for the Tigers to take a risk on an oft-injured but talented pitcher. His case is a bit of an extreme, but betting on pitchers returning to form in their second season following a return from Tommy John is a smart move, assuming said team isnt pinning their whole playoff hopes on it. Richards will still draw offers from contending teams, so it isnt a particularly likely fit, but if Al Avila could manage to add him to the rotation for 2021, suddenly the pitching staff has a chance to be pretty interesting. If things went well, theyd also have a pretty good trade chip.

Of course, the issue we havent addressed is fitting Richards into the rotation. MLB Trade Rumors projects a contract of two years, $16 million. That should easily be within range of the Tigers budget even assuming theyd like to add a veteran to both the outfield, the infield, and to address the catcher position. On a yearly AAV basis, Richards would cost roughly as much as Matt Boyd and Michael Fulmer would make in arbitration combined over the next two seasons. Of course he has more upside than either, and is less risky in terms of injuries than Fulmer.

On paper, the Tigers 2021 rotation is Spencer Turnbull, Matt Boyd, Michael Fulmer, Casey Mize, and Tarik Skubal, but apart from Turnbull there are questions marks with the whole group. And as we laid out a few weeks ago, even if all five current starters are healthy and perform relatively well, theyre still not going to provide the Tigers nearly enough innings to get through the season. Figuring out how to manage workloads is obviously now A.J. Hinch and Chris Fetters job, and theyre well aware the Tigers are going to need more pitching to avoid pushing their young prospects unwisely.

Theres been a lot of discussion among Tigers fans this offseason about what constitutes aggressive moves to get better versus simply spending on the top free agents. Sure, it could go wrong, but a minor two year investment doesnt constitute any real financial risk either. Richards is a pretty good example of a player who isnt particularly risky and has good upside. The Tigers will probably have to beat some other offers to land him, and they should.

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Garrett Richards is the epitome of a risk-reward free agent - Bless You Boys