UFC champion Aljamain Sterling opens up about his last-ditch therapy to save title bout – 7NEWS

UFC Bantamweight Champion Aljamain Sterling has turned to unconventional medicine to help ensure that he was defending his title against rival Henry Cejudo at UFC 288 on Sunday.

The New York native underwent stem cell therapy to help fix a torn bicep, which he had battled through two title bouts with.

WATCH THE EXCLUSIVE INTERVIEW: Sterling discusses his stem cell therapy.

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The Funkmaster says the move was crucial in allowing him to fight this weekend after already having to delay the fight which was earmarked for March.

It was very important helping me with my injury. It was either that or get surgery, he told 7NEWS.com.au.

I thought the bicep was going to heal up on its own, but it didnt.

We tried the PT (physical therapy) route, but we were trying PT for about a year, and it didnt heal up in time.

Staring down a potential surgery that could delay his timeline even further, Sterling scrambled to get a booking.

Stopping short of going under the knife, he decided that a stem cell therapy clinic in Colombia was his best bet.

With only a few months notice, the tight turnaround made it difficult for the American to get a booking.

The earliest they could have gotten me in was like late March, Aljamain Sterling said.

If that was the case, I thought I might as well get the surgery because it was going to too late (to fight in May).

Thankfully, we had some people from the UFCPI pull some strings.

Shout out to Heather, she was able to move some things around with the coordinators over there and get me in earlier.

There he underwent state-of-the-art stem cell procedures for his bicep, along with other niggling injuries.

I think it has helped a ton. Im feeling good. Im using it pretty well, he said.

Theres still some pain here and there, but its way better than before, and hopefully it is enough to get me through this fight and get my hand raised.

After his success with the stem cell therapy, the UFC champion believes that it should be more widely available throughout the US and other western countries.

In particular, Sterling lauded Bioxcellerator and clinics like it around the world.

Oh, 100 per cent, Sterling replied.

We have it here (in the US), but its nowhere near the same level as they have in Colombia.

The culturing, the way they do it. Its just the next level over there at Bioxcellerator, and they do a good job.

I think thats why theyre one of the best locations to go to.

When you go in the approach of the facility, the hospitality, the cleanliness of the place, its a really top-notch and I look forward to going back.

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UFC champion Aljamain Sterling opens up about his last-ditch therapy to save title bout - 7NEWS

On the horizon: Treatments for both forms of AMD – Ophthalmology Times Europe

More therapies are available for wet age-related macular degeneration, but research also is focused on the dry form of the disease.

Once there were none, but now there are many treatments for age-related macular degeneration (AMD). By far, more therapies are available for wet AMD, but research also is focused on dry AMD. The goal is to effectively reduce the treatment burden in addition to improving and preserving vision.

Dr Katherine Talcott highlighted the more recent therapeutic additions to the market. She is a staff surgeon at the Cleveland Clinic Cole Eye Institute and an assistant professor of ophthalmology at the Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, US.

Neovascular AMD therapies

Anti-vascular endothelial growth factor (VEGF) drugs are the first-line treatments for neovascular AMD, which have been effective in improving vision in randomised clinical trials.

However, Dr Talcott noted data from real-world studies illustrate that it is difficult to achieve good long-term outcomes. This can happen because of undertreatment resulting from the treatment burden on patients, caregivers and clinical practices.

The hope for the FDA-approved port delivery system (Susvimo implant, ranibizumab injection; Genentech), a permanent, refillable, surgically implanted device that continuously releases treatment, was to alleviate the treatment burden of patients with neovascular AMD. Susvimo is under a temporary recall because of dislodgement of the internal structures of the device.

Faricimab (Vabysmo; Genentech) is a bispecific antibody that is injected intravitreally and inhibits both VEGF-A and ANG2. In clinical trial results, the visual acuity gains with faricimab were equivalent to those achieved with aflibercept (Eylea; Regeneron Pharmaceuticals). One distinct advantage is that fewer injections are needed with faricimab compared with aflibercept, a finding that suggests the drug may be more durable.

The holy grail in the treatment of neovascular AMD is a one-and-done treatment for the disease and this is where gene therapy may play a role. RGX-314 (ReGenXBio) is a one-time surgically implanted subretinal gene therapy to encode for an anti-VEGF protein. The phase 1/2 trial results were promising, Dr Talcott reported, and the implant is being evaluated in two phase 3 trials, ATMOSPHERE (NCT04704921) and ASCENT (NCT05407636). This is a promising option, she said, and noted the importance of the availability of longer-acting options on the horizon.

Dry AMD therapies

Geographic atrophy (GA), the end stage of dry AMD, has become a major research target for which, until recently, no treatments were available. Most of the current therapies being evaluated are complement inhibitors of C3 and C5, which are important factors in development of inflammation in the eye and ultimately cell death.

Pegcetacoplan (Syfovre; Apellis), a complement C3 inhibitor, was approved in February 2023 by the US Food and Drug Administration to treat GA. A phase 2 study showed that the drug slowed progression of GA, which led to the DERBY (NCT03525600) and OAKS (NCT03525613)studies, the primary end point of which is the change in the total area of the GA lesions at 12 months. At the 18-month time point, data from both studies showed significant changes in the rate of growth of the GA in the patients receiving active treatment. There were no functional improvements in vision seen with the therapy.

Another drug under study is avacincaptad pegol (Zimura; Iveric Bio), a C5 inhibitor in the GATHER 1 and 2 studies. The end point of both studies was the rate of growth of GA, which was shown to slow with treatment.

With both investigational drugs, there is a higher rate of conversion to neovascular AMD compared with sham treatment.

Gene therapies also may have a role in controlling GA. Gyroscope Therapeutics is looking at a complement factor I, GT005, in the FOCUS study (NCT03846193), in which the gene therapy is delivered into a bleb created in the subretinal space.

Neovascular AMD and GA both result in irreversible vision loss that require effective treatments to reduce individual and societal treatment burdens. Many studies are ongoing and investigating a number of therapeutic options. There also may be a role in the future for potential surgical innovations that may help address the treatment burden, Dr Talcott concluded.

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On the horizon: Treatments for both forms of AMD - Ophthalmology Times Europe

The miracle and gift of organ donation – The Tryon Daily Bulletin – Tryon Daily Bulletin

Published 11:36 am Monday, May 1, 2023

Ive worked in healthcare my entire adult life and remain amazed by advances in medical technology, new medicines, and contemporary surgical procedures.

I served as a dialysis nurse at a hemodialysis clinic early in my nursing career. Caring for my patients three times a week for several hours of treatment, I often became close to them. One of the most exciting times during this position was when a patient on the transplant list had a beeper go off! It was a huge celebration and a rush to quickly remove them from dialysis and get them to the transplant center!

In April, we celebrated National Donate Life Month. Through this article, I hope to catch your attention on the life-saving possibilities of organ transplantation and the dire need for organ donors.

At any given time, more than 105,000 people in the U.S. are on a transplant list. The need is great, yet the pool of available healthy organs is small. Every nine minutes, another person is added to the list, while seventeen people die each day waiting for an organ match. For each organ/eye/tissue donor, we can heal or save more than seventy-five lives.

GAME-CHANGING ADVANCEMENTS

Post-Circulatory Death Donation:Historically, donated organs came from donors who died from brain death while the heart continued to beat. Medical advances now allow the transplantation of organs where the heart has stopped beating. As a result, up to thirty percent of all organ donations now come from such donors.

Organ Perfusion Systems:Mechanical devices called organ perfusion systems help organs remain viable at body temperature outside the body. For example, the heart in a box is a technology that resuscitates a stopped heart and can keep it beating for up to eight hours before its transplanted. There are similar devices that preserve lungs and livers outside the body. The new perfusion technology has doubled the transplant window.

Organs from Hepatitis C-positive Donors:Organs from hepatitis C-positive donors were not considered viable. But because of a new generation of antiviral medications, these organs are now safely transplanted into patients. After the organs are transplanted, patients begin antiviral therapy that typically eliminates the virus from the body within seven days.

Stem Cell Therapy:Since its inception in the 1980s, stem cell research has advanced significantly, and today we are on the cusp of miraculous developments. The patients stem cells divide into daughter cells, which can become new stem cells or evolve into any specialized cell in the body. Under the right conditions, stem cells can replace damaged cells. Researchers now believe stem cells can grow new organs.Think about the magnitude of this promise!

In theory, organs grown from the patients stem cells would be accepted by the body, eliminating the need for anti-rejection medication and reducing the overall risk of transplantation. Other applications of stem cell technology include treating disease and genetic conditions. For example, weve learned from one study that manipulated bone marrow cells transplanted into two young boys halted the growth of a fatal brain disease called adrenoleukodystrophy. Countless promising applications suggest stem cell therapy is the future of medicine.

HOW YOU CAN HELP

Locally, we work with LifeShare Carolinas. Their position statement is Honoring the wishes of organ, eye, and tissue donorsgiving hope, life, and healing. I share this information to ask that you consider becoming an organ donor and communicating those wishes to your family.

Your donation can help save lives. And your financial gifts help fund public education to inspire more people to give the gift of life and to support donor families through the Bridge to Healing program.

If you have a healthcare topic of interest or want to learn more about St. Lukes Hospital, send me a note at Michelle.Fortune@slhnc.org. Also, please follow us on Facebook, Twitter, and LinkedIn, or visit our website at StLukesNC.org.

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The miracle and gift of organ donation - The Tryon Daily Bulletin - Tryon Daily Bulletin

As Precision Medicine is critical, we cannot think about one size fits … – BSA bureau

South Korea-based GPCR Therapeutics is a venture-backed, clinical-stage international biopharmaceutical company with an innovative approach to developing therapeutics built on its proprietary G protein-coupled receptors (GPCRs) data. The companys proprietary data-driven approach has identified over 1,000 GPCR pairs upon which drug screening campaigns can be pursued. In an email interview with BioSpectrum Asia, Dr Pina Cardarelli, Chief Scientific Officer, GPCR Therapeutics explains more about their unique approach and how GPCR-targeted therapies may change the cancer treatment landscape.

Can you explain what GPCR heteromers are and why they are a promising target for cancer therapeutics?

Before I answer your question about heteromers, let me explain what GPCRs are first. GPCRs represent the largest protein family that consists of 7 transmembrane proteins located on the cell membrane. They transmit chemical signals from extracellular stimuli resulting in key physiological effects. Their endogenous ligands include hormones, neurotransmitters and chemokines.

GPCRs have been implicated in many diseases, such as type 2 diabetes mellitus (T2DM), Alzheimers disease, and cancer as well as many others. As of 2020, 142 compounds were in clinical trials targeting 83 different GPCRs (19 are novel GPCRs with no previous FDA-approved drugs).

Based on technology from Seoul National University that has been pursued at GPCR Therapeutics, Inc. we know distinct GPCRs can associate with other GPCRs forming heteromers. When both ligands are present, they amplify the signal induced by each ligand-receptor pair alone. Using a bimolecular fluorescence complementation (BiFC) technique, the team discovered over 1000 interactors of two distinct GPCRs coming together to form a heteromer.

The team then focused on one GPCR called CXCR4, which plays a critical role in cancer progression. CXCR4 drives cell migration, metastasis, angiogenesis, proliferation and survival. Multiple CXCR4 inhibitors have failed in the clinic; however, we believe a blockade of multiple pathways could be the key to getting a sustained therapeutic benefit.

Can you walk us through your drug discovery and development process, from identifying potential targets to clinical trials?

We identified over 40 GPCRs that associate with CXCR4. We then prioritised the list to GPCRs where the ligand was known. This allowed us to perform functional assays like calcium flux assay to determine if we see additive or synergistic effects. The top selected GPCR that was selected was the beta 2 adrenergic receptor (2AR).

So why 2AR? Many similar qualities are shared with CXCR4. Interestingly, this target also plays an important role in cancer. Firstly, the ligands for this target, Epinephrine (Epi) and Norepinephrine (NE) are induced under stress. Patients diagnosed with cancer experience significant stress, and this stress promotes tumorigenesis, proliferation, angiogenesis and immunosuppression. For their immunosuppressive role, Epi and NE induce suppressive immune cells, such as M2 or MDSCs in tumour microenvironments. In addition, a number of studies have shown that cancer patients on non-selective beta-blockers, such as propranolol, have improved PFS and OS.

While propranolol was commercially available, it was critical that we acquire a CXCR4 inhibitor and preferably one that had been tested clinically. We acquired Burixafor, now known as GPC-100, from a company called Taigen. A review of their clinical data showed exciting safety and efficacy in stem cell mobilisation. From our in vivo stem cell mobilisation studies, we found the addition of propranolol improved the mobilisation of cells driven by GPC-100. Concurrently, we embarked on the synthesis of a GMP-grade new drug product, identified a clinical CRO and initiated a clinical trial design.

What specific types of cancers are you currently targeting with your therapeutics, and what progress have you made in these areas?

Because the US clinical study previously conducted in stem cell mobilisation in a number of hematologic malignancies showed promising data, we decided to focus on Multiple Myeloma. Currently, the trial is a two-arm study with each arm having 20 patients. In the first arm, patients will be treated with a low dose of propranolol and GPC-100. The second arm is a triple combination which includes GPC-100, propranolol and G-CSF. We are excited to report that our first clinical site was activated on February 14, 2023. With respect to future trials, GPC-100 plus propranolol can be extended to stem cell mobilisation in NHL or used as a chemosensitiser in AML. Finally, if our arm that omits G-CSF is successful, this gives us an opportunity to work on diseases where G-CSF is contraindicated, like Sickle Cell Disease.

How does your company plan to address potential challenges or roadblocks in bringing GPCR heteromer-targeted therapeutics to market?

We have recently published a paper in scientific reports, meaning that our co-targeting drug development strategy has been peer-reviewed and validated in academia. We plan to continue our work and expand our pipeline by targeting the interaction of CXCR4 and other GPCRs as well.

If our Phase 2 study is successful, it will increase the likelihood of finding a partner to collaborate with us in further developing this programme and bringing our therapeutics to market.

With whom have you partnered to further your mission and research?

A recent partnership between AdAlta and GPCR Therapeutics was established to evaluate a new cancer treatment approach combining beta blockers plus AdAltas CXCR4-inhibiting i-bodies. AdAlta is a clinical-stage drug discovery company developing novel therapeutic products from its i-body platform and we will evaluate AdAltas CXCR4 inhibiting ibodies as cancer therapeutics, using GPCR Therapeutics proprietary combination inhibition approach.

Can you speak to any recent milestones or successes that your company has achieved in its mission to develop cancer therapeutics targeting GPCR heteromers?

In the past seven months, we have opened up our own independent US laboratory site in the San Francisco Bay area. As mentioned above, we have recently published one paper which supports our heteromer hypothesis with another GPCR known as histamine receptor H1 (HRH1). HRH1 is widely expressed in various cancers, and, like ADRB2, the level of co-expression of CXCR4 and HRH1 is related to poor prognosis, in this case, in breast cancer patients. The simultaneous expression of both receptors leads to the formation of the CXCR4-HRH1 heteromer, and this complex demonstrates enhanced signalling and migration capabilities. We have also submitted an additional manuscript that provides evidence for ADRB2 and heteromer formation in cancer cell lines endogenously expressing each receptor using a time-resolved fluorescence spectroscopy technique. Of course, our biggest milestone was conducting the numerous steps that are required to initiate a clinical trial. The tremendous work that ultimately led to proceeding into the clinic with our first site activation in February, was incredibly rewarding.

How do you envision the future of cancer treatment and the role that GPCR-targeted therapies may play in this landscape?

As we progress forward, we cannot think about one size fits all. Precision medicine is critical. With the developments in AI, I believe that we will be able to genetically determine the profile of the tumour, and integrate that information with multiple databases leading to more precisely treating the patients with the correct drugs. What is also critical is to determine what combinations are appropriate. Since I was intimately involved in the rise of checkpoint inhibitors, I see their success but also am clear that not all tumours respond so we need to determine what is the best approach for these patients. I also suspect that CAR-T will make great advances eventually leading to more cures. Currently, there is a long delay to produce the cells and the side effect profile is not ideal. Hopefully, we will see advancement in allogeneic CAR-T or CAR-NK.

Because I have spent most of my career working on biologics, one area that I am particularly interested in is leading the company into this space. We only have one approved antibody drug targeting GPCR for cancer treatment. I see significant opportunities for us to consider bispecific antibodies that target two GPCRs or one antibody that can block the formation of the two GPCRs and thereby block signal crosstalk. To demonstrate our commitment to this area, we have recently hired an expert antibody engineer to move us quickly into this space.

Ayesha Siddiqui

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As Precision Medicine is critical, we cannot think about one size fits ... - BSA bureau

Meet the School of Medicine’s 2023 Distinguished Professors – Duke University School of Medicine

This spring, 27 faculty members in the Duke University School of Medicine have been awarded distinguished professorships. The new distinguished professors were honored at the annual distinguished professorship event on May 4.

In total, Duke University awarded distinguished professorships to 44 faculty members from seven Duke colleges and schools this year.

Distinguished professorships are awarded to faculty who have demonstrated extraordinary scholarship in advancing science and improving human health.

The 2023 recipients from the School of Medicine are:

Peter Allen, MD

Peter Allen, MD, is a professor of surgery. An accomplished surgeon who specializes in treating disorders of the pancreas, liver, bile ducts, stomach, and adrenal glands, he serves as chief of the Division of Surgical Oncology. Allen is known for his multidisciplinary approach to research and patient care, particularly for those with complex issues involving cancer. In addition to his patient care and research accomplishments, he is a superb medical educator and mentor. His reputation as a leader in his field serving as an author, editorial board member and visiting lecturer has elevated the Duke surgical oncology program.

Michael Bagnat, PhD

Michael Bagnat, PhD, is a professor of cell biology. He is a highly productive scientist who creatively combines tools and approaches from the fields of cell biology, developmental biology, physiology, genetics, biophysics, and computational modeling. His research has provided insight into the molecular physiology of fundamental processes in the gut and other organ systems. His studies of intestinal development and physiology have laid the groundwork for identifying modifiers of intestinal inflammation, and potential drivers of human inflammatory bowel disease. He has an exceptional reputation as a mentor and teacher.

Richard Bedlack, MD, PhD

Richard Bedlack, MD, PhD, is a professor of neurology. A leader in clinical care and research in the field of amyotrophic lateral sclerosis (ALS), he founded and developed the ALS clinic at Duke, which has become one of the nations largest and most comprehensive multi-disciplinary ALS care centers. He has spent nearly two decades studying and collaborating on epidemiologic, genetic, and interventional ALS research trials. He built an international research program called ALSU Entangled that uses social networking and crowd sourcing to review alternative therapies for ALS. He has also been an important advocate for military personnel with an increased risk of ALS, and he created a VA Cooperative Studies Program to study feasibility of a brain computer interface for veterans with ALS.

Michael Bolognesi, MD

Michael Bolognesi, MD, is a professor of orthopaedic surgery. As chief of the adult reconstruction service, he has used his academic and organizational leadership to make a significant impact on the field of orthopaedics and joint reconstruction in adults. His research is focused on improving clinical outcomes, implant survivorship, the biology of hip and knee arthritis, and cost-effectiveness. He leads the adult reconstruction fellowship program, and in 2019, he served as the 29th president of the American Association of Hip and Knee Surgeons.

Louis DeFrate, ScD

Louis DeFrate, ScD, is a professor of orthopaedic surgery and biomedical engineering. He studies anterior cruciate ligament (ACL) mechanics and has used advanced radiographic and MR imaging to investigate soft tissue structure, composition, and function, and to improve outcomes in ACL repair. DeFrate is vice chair for biomechanics, movement, and imaging research and the director of the K-lab. He employs innovative methods using motion capture, MRI, and biplanar radiography to study the knee. The American Academy of Orthopaedic Surgeons awarded DeFrate its Kappa Delta Young Investigator Award.

Cagla Eroglu, PhD

Cagla Eroglu, PhD, is a professor of cell biology and neurobiology. She studies the development of synaptic connectivity in the mammalian brain. Her focus has been on how glial cells called astrocytes affect synaptogenesis. As a postdoctoral fellow, she discovered the receptor for astrocyte-derived Thrombospondin on neurons, published in a landmark 2009 paper. The mechanisms her lab has uncovered for how specific molecules function have set new paradigms in the field. She is considered a leader in this rapidly growing area and has published numerous significant and high-impact papers.

Daniel George, MD

Daniel George, MD, is a professor of medicine and a professor in surgery. Since 2003 he has led the genitourinary section of the Duke Division of Medical Oncology, and he leads Dukes participation in the Department of Defense Prostate Cancer Clinical Trials Consortium. His research leading and collaborating on clinical trials of tyrosine kinase inhibitors, anti-androgen therapy, chemotherapy, and immunotherapy has led to advances in the treatment of patients with kidney cancer and prostate cancer. He is vice dean of diversity and equity in the Division of Medical Oncology, and he conducts clinical trials aimed at understanding and addressing the disproportionately poor outcome of Black men with prostate cancer.

Christopher Granger, MD

Christopher Granger, MD, is a professor of medicine and a professor in the School of Nursing. He has conducted practice-changing clinical research for over 30 years in cardiovascular medicine, leading a number of large international clinical studies of heart attacks, unstable angina, heart failure, and atrial fibrillation. He has also led clinical studies of blood thinners and coronary intervention for heart attacks, stroke prevention in atrial fibrillation, and prevention of heart attack for patients with coronary artery disease. He serves as the chairman of the American Heart Association Mission: Lifeline program to improve heart attack care nationally as well as the American College of Cardiology/American Heart Association guideline committee for heart attack care.

Gerald Grant, MD

Gerald Grant, MD, is a professor and chair of the Department of Neurosurgery and a professor in neurobiology. He is an internationally recognized pediatric neurosurgeon and surgeon-scientist who focuses on two critical areas: the biological function of the blood-brain barrier (BBB) and mechanisms involved in recovery from brain injury. He studies the unique features of the BBB surrounding brain tumors at the molecular and functional level. His research focuses on innovative ways to open the BBB to improve the delivery of novel drugs and immunotherapy to target brain tumors.

Matthias Gromeier, MD

Matthias Gromeier, MD, is a professor of neurosurgery. He has dedicated his career to unraveling RNA virus/host relations and devising methods of exploiting them for cancer immunotherapy and vaccine design. He has applied his discoveries to design an attenuated poliovirus to activate the immune system to target glioblastoma and other cancers. In addition, his lab has conducted mechanistic studies showing how the attenuated poliovirus stimulates presentation of tumor antigens and antigen-presenting cells.

Rana Gupta, PhD

Rana Gupta, PhD, is a professor in medicine in the Division of Endocrinology, Metabolism, and Nutrition, and a professor in cell biology. He is internationally known for his expertise in metabolic regulation and adipose tissue biology. His discoveries of genetic factors and specialized subpopulations of adipose tissue precursor cells open the door to translational implications in metabolic diseases. He has received honors including the Searle Scholar Award, the Hartwell Foundation Individual Biomedical Research Award, and the Richard E. Weitzman Outstanding Early Career Investigator Award from the Endocrine Society.

Susan Halabi, PhD

Susan Halabi, PhD, is a professor of biostatistics and bioinformatics and co-chief of the Division of Biostatistics in the Department of Biostatistics & Bioinformatics. She has been at the forefront of designing and analyzing clinical trials in oncology for over 25 years. She is focused on developing innovative variable selection methods for biomarkers and high dimensional data. Among her key contributions are building and validating prognostic models of outcomes for prostate cancer and identifying surrogate endpoints for overall survival. A past-president of the Society for Clinical Trials and the 2022 recipient of the Janet L. Norward Award, Dr. Halabi is a Fellow of the Society for Clinical Trials, the American Statistical Association, and the American Society for Clinical Oncology.

John Jelovsek, MD

John Jelovsek, MD, is a clinical researcher and professor of obstetrics and gynecology. He also serves as the director of data science for womens health in the Department of Obstetrics & Gynecology. He is an expert in developing and validating individualized patient-centered prediction tools that improve patient and clinician decision-making with contracting and possibly preventing pelvic floor disorders after childbirth. One such tool, which predicts urinary incontinence after pelvic organ prolapse surgery, has been incorporated into the American Urogynecologic Societys mobile app for clinical use and is now used by surgeons across the world.

Eric Laber, PhD

Eric Laber, PhD, is a professor of statistical science, biostatistics and bioinformatics, and a research professor of global health. He is an expert in data-driven decision making at the intersection of biostatistics, statistics, and machine learning, with applications in clinical trials, precision medicine, and experimental design. This field focuses on improving algorithms for solving sequential decision problems, with the ultimate goal of improving outcomes across diverse fields. He has also made significant contributions in the field of personalized medicine, contributing fundamental statistical methodology that has helped facilitate rapid advances in the field. He is the recipient of numerous prestigious awards and honors.

Seok-Yong Lee, PhD

Seok-Yong Lee, PhD, is a professor in biochemistry and cell biology. As a membrane structural biologist, he has developed advanced tools in X-ray crystallography, electron microscopy, cryogenic electron microscopy (cryo-EM), and electrophysiology and has applied these tools to solve challenging questions about membrane and protein structural biology. He has become a world leader in this field and has made major advancements in three different classes of membrane protein: active transporters, ion channels, and enzymes. He has provided a better understanding of the cold and menthol sensor in mammals and a pain sensor for noxious chemicals. His work has also led to structural drug designs that can improve pharmacological properties.

Jennifer Lodge, PhD

Jennifer Lodge, PhD, is a professor of molecular genetics and microbiology and serves as Duke Universitys vice president for research and innovation. She leads oversight of Dukes annual research portfolio. Lodges research focuses on the human pathogenic fungus Cryptococcus neoformans, exploring the biochemical processes by which this fungus builds its cell walls. Her work has brought the field of molecular pathogenesis for cryptococcosis from its infancy to one of the true model fungal pathogens for worldwide study. Lodge is a fellow of the American Academy of Microbiology, the American Association for the Advancement of Science, and the National Academy of Inventors.

Edward Miao, MD, PhD

Edward Miao, MD, PhD, is a professor of immunology, molecular genetics and microbiology, cell biology, and pathology. He also serves as vice chair for equity, diversity, and inclusion in the Department of Integrative Immunobiology. He studies mechanisms of cell death that play critical roles in the immune response to bacterial infection. He is expanding the medical knowledge base of the fundamental interactions between the immune system and a range of invaders. His lab has pioneered the use of environmental bacteria with pathogenic potential that have not adapted to evade mammalian immunity and comparing these to bona fide human pathogens that are able to hide from mammalian immune defenses.

David Page, PhD

David Page, PhD, is professor and chair of the Department of Biostatistics and Bioinformatics and a professor of computer science. A highly respected computer scientist whose work is primarily focused on artificial intelligence and machine learning, Page is recognized for his pioneering efforts to use machine learning in biomedical applications, including the first application of dynamic Bayesian network learning to time-series gene expression as a means to better learn how genes cause other gene expressions to change. Over his career, Page has received numerous awards and is a member of several NIH review committees. He was inducted into the American College of Medical Informatics in 2021.

Steven Patierno, PhD

Steven Patierno, PhD, is a professor of medicine and pharmacology and cancer biology. He is also a professor in family medicine and community health and deputy director of Duke Cancer Institute. Patierno is a renowned cancer researcher with training in molecular oncology and pharmacology and expertise in lung, breast, and prostate cancer. His work to develop innovative interventions for mitigating health disparities in the cancer patient population is well-recognized locally and nationally. His funding track record includes multiple R01 grants as principal investigator and co-principal investigator. Patiernos numerous awards and honors include the AACR Distinguished Science of Cancer Disparities Research Award and the Duke University Health System Diversity and Inclusion Award.

John Rawls, PhD

John Rawls, PhD, is a professor of molecular genetics and microbiology and cell biology. He also is a professor in medicine. Rawls studies the influence of the gut microbiome on vertebrate host physiology and is a world leader in using the tractable zebrafish model for such studies. He has used both zebrafish and mouse systems to yield insights about host-microbe interactions relevant to development, homeostasis, metabolism, and disease. The work impacts many areas, including gut motility, fat absorption, effects of diet, visceral adipose tissue, obesity, gut immune responses, diabetes, and neural development.

Danny Schust, MD

Danny Schust, MD, is a professor and vice chair for research in the Department of Obstetrics and Gynecology. He is a national and international leader and physician scientist in obstetrics and gynecology and is renowned in his field of reproductive endocrinology and infertility. He is widely recognized for his work in areas of early pregnancy, recurrent pregnancy loss, early placental development, reproductive infectious diseases, and the immunology of the human maternal-fetal interface. His research interests center on understanding human placental development, both normal and dysfunctional. His lab uses 2D and 3D stem cell-derived models to study human implantation and placentation.

Svati Shah, MD, MHS

Svati Shah, MD, MHS, is a professor of medicine and of biostatistics and bioinformatics. She is the associate dean of genomics and director of the Duke Precision Collaboratory, as well as vice chief of translational research and director of the Adult Cardiovascular Genetics Clinic in the Division of Cardiology. She brings expertise in biostatistics, bioinformatics, genetics, translational biology, and molecular discovery tools to her research into genetic and metabolic pathways in cardiovascular diseases. She has advanced both the understanding of underlying genetic risk for atherosclerotic disease and the biologic metabolic underpinnings of obesity and heart failure. Currently, her lab studies metabolic and genetic pathways of cardiometabolic diseases, integrating diverse genomic, metabolomic and proteomic techniques for identification of novel mechanisms of disease and biomarkers.

Beth Sullivan, PhD

Beth Sullivan, PhD, is a professor of molecular genetics and microbiology, professor of cell biology, and associate dean of research training. She studies epigenetic and genetic mechanisms of centromeres, specialized chromosomal sites involved in chromosome architecture and movement, kinetochore function, heterochromatin assembly, and sister chromatid cohesion. Dysregulation of chromosomal segregation underlies many human genetic disorders. Among Sullivans major accomplishments have been to define the functions and roles of telomeres. She has made important discoveries regarding the functions of centromeres, mechanisms of chromosomal segregation, and has contributed to the final full sequence of the human genome.

Shyni Varghese, PhD

Shyni Varghese, PhD, is a professor of orthopaedic surgery and a professor in the Departments of Biomedical Engineering and Mechanical Engineering and Materials Science. She is a biomedical engineer whose research addresses musculoskeletal tissue repair, disease biophysics, and organ-on-a-chip technologies. Her lab seeks to understand theeffect of physicochemical cues of the microenvironment on cellular behaviors leading to stem cell commitment, tissue repair and homeostasis, or disease progression. Her research has provided deep insights into how extracellular matrix interactions govern tissue regeneration in musculoskeletal systems and disease progression in the context of fibrosis.

Anthony Viera, MD

Anthony Viera, MD, is professor and chair of the Department of Family Medicine and Community Health and a professor in population health sciences. His focus is in the areas of cardiovascular disease prevention research, in particular improving detection and control of hypertension, ambulatory blood pressure monitoring, and obesity prevention. His most influential work on masked hypertension and blood pressure monitoring addresses a huge public health problem and has the potential to prevent cardiovascular disease in those that are not currently diagnosed by traditional methods. Much of his scholarly work has focused on using rigorous scientific methods to address fundamental questions in primary care practice as well as educating and mentoring students and trainees to bring data science and clinical investigation to primary care.

Kevin Weinfurt, PhD

Kevin Weinfurt, PhD, is professor and vice chair of research in the Department of Population Health Sciences and a faculty member of the Duke Clinical Research Institute. He is also a professor of psychology and neuroscience, psychiatry and behavioral health, and biostatistics and informatics. He is co-director of the Center for Health Measurement and of the Clinical Research Training Program. He conducts research on measuring patient-reported outcomes, medical decision-making, and bioethics.

Christopher Woods, MD

Christopher Woods, MD, is a professor of medicine, pathology, and global health. He is the executive director of the Hubert/Yeargan Center for Global Health and associate director of the Duke Center for Applied Genomics and Precision Medicine. His research crosses multiple disciplines, including innovative diagnostic platforms, clinical trials, and clinical testing in infectious disease diagnosis. He has used genomic approaches of the host response for diagnosis of infectious disease, which has established him as a leader in diagnostic innovation. His research impact spans the globe and has facilitated projects in 33 countries and studentled projects in 17 countries.

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Meet the School of Medicine's 2023 Distinguished Professors - Duke University School of Medicine

The first fecal transplant pill is heading to pharmacies – Freethink

This article is an installment of Future Explored, a weekly guide to world-changing technology. You can get stories like this one straight to your inbox every Thursday morning bysubscribing here.

The FDA has approved a first-of-its-kind pill, made from human fecal matter, to treat bacterial infections in the gut potentially kicking off an era in which we target the microbiome to treat many other diseases.

This approval is the tipping point for the field, Eric Shaff, president and CEO of Seres Therapeutics, the company that created the pill, told TIME Magazine.

The gut ecosystem: Your digestive tract contains trillions of microbes, known collectively as your gut microbiome. While that might sound creepy, the tiny hitchhikers are mostly harmless and often helpful they help digest food, produce vitamins, aid the immune system, and more.

The composition of the gut microbiome has been linked to everything from depression to cancer.

Your diet, ancestry, medications, and even your social network help determine the composition of your gut microbiome, and if this ecosystem becomes unbalanced theres not enough diversity, or too much/too little of some kind of microbe you can experience health problems.

These problems probably arent just limited to the GI tract, either the gut microbiome has been linked to everything from depression to cancer.

The challenge: Repeated infections with the bacteria C. difficile (C. diff) are one of the most well-known examples of how an imbalanced gut microbiome can affect health.

C. diff infections typically occur in patients whove recently been prescribed antibiotics, because antibiotics can kill off too many bacteria that compete with C. diff for resources. This allows the microbe to overpopulate the gut, causing diarrhea, fever, and nausea.

In severe cases, a C. diff infection can be fatal an estimated 15,000 people die from them in the US every year.

In 2019, a patient died because his fecal transplant contained E. coli.

While another round of different antibiotics may clear up a C. diff infection, the bacteria is very persistent about one in six people diagnosed with an infection will get another one within 2 to 8 weeks.

To help restore balance in the gut, people with severe or recurrent C. diff can undergo a therapy called a fecal transplant, which is exactly what it sounds like: fecal matter donated by someone with a healthy gut is transplanted (usually rectally) into the patient. The idea is that the microbes from the healthy donor can repopulate and restore balance to the patients microbiome, preventing C. diff from growing out of control.

While the fecal matter used for these transplants is typically screened for harmful bacteria and viruses prior to use, some have slipped through the cracks in the past people have gotten sick from fecal transplants, and in 2019, a patient died because his donor stool contained E. coli.

The availability of a fecal microbiota product that can be taken orally is a significant step forward.

In November 2022, the FDA approved the first fecal transplant therapy for C. diff infections that therapy, Rebyota, is sourced from qualified donors and carefully screened, giving patients a safer way to treat their infections.

What Rebyota couldnt give them was an easier way they would still need to receive the fecal transplant rectally in a doctors office.

Whats new? Now, the FDA has approved VOWST, a fecal transplant pill to treat recurrent C. diff infections.

Seres Therapeutics manufactures the pill using screened fecal matter, and the treatment is four capsules once a day for three days in adults who have already received antibiotics for recurrent C. diff infections.

Credit: Seres Therapeutics

In a phase 3 study, 88% of patients given the fecal transplant pill went 8 weeks without a recurrent C. diff infection compared to 60% of those who received a placebo. Six months after the therapy, 79% of the treatment group was still infection-free compared to just 53% of the placebo group.

The availability of a fecal microbiota product that can be taken orally is a significant step forward in advancing patient care and accessibility for individuals who have experienced this disease that can be potentially life-threatening, said Peter Marks, director of the FDAs Center for Biologics Evaluation and Research.

Looking ahead: Seres is already in the middle of a phase 1b study for its next microbiome-targeting pill, SER-155, which is being developed for people whove had organ or stem cell transplants.

It contains a mix of lab-grown bacteria designed to inhibit the proliferation of pathogens, reduce gut inflammation, and modulate the immune system. The hope is that it will prevent antibiotic-resistant infections and graft-versus-host disease (GvHD), a potentially fatal complication in which donated cells attack a recipients body.

If we see traction [with transplant patients], then we think there are opportunities in treating cirrhosis, cancer neutropenia, and other conditions where antimicrobial resistance is a problem, Shaff told TIME.

Well be able to look at a persons microbiome and tell a patient their risk of developing a disease.

Meanwhile, other research groups are developing microbiome-targeting therapies to treat cancer, multiple sclerosis, and even aging itself, while still others are trying to identify biomarkers in the microbiome that could help with disease diagnosis and prevention.

In the future, well be able to look at a persons microbiome and tell a patient their risk of developing a disease, much like we do now with commercially available human gene panels, predicts Purna Kashyap, co-associate director of the Microbiome Program in the Mayo Clinic Center for Individualized Medicine.

This holds promise as a preventive strategy because, unlike our genes, the microbiome can be changed, he continued.

The bottom line: Even before fecal transplants became the standard of care for recurrent C. diff, people were trying to improve the health of their microbiomes with probiotics, gut healthy diets, and more but the efficacy of those approaches has always been questionable.

Only thanks to a recent wave of scientific interest are we now seeing just how important the gut microbiome is to our health and how we can precisely manipulate it to achieve real results the kind good enough to secure FDA approval.

Wed love to hear from you! If you have a comment about this article or if you have a tip for a future Freethink story, please email us attips@freethink.com.

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The first fecal transplant pill is heading to pharmacies - Freethink

A Lifetime of Achievement for an Oncology Nurse – Curetoday.com

Mary Colasuonno, B.S.N., RN, BMTCN, started her career at the City of Hope National Medical Center (COHNMC) more than 30 years ago. COHNMC is a National Cancer Institute-designated health care facility providing care for patients with cancer in Duarte, California. Mary has worked on a bone marrow transplant inpatient unit for all of her nursing career.

Recently she was asked to step in as an interim nurse manager for another hematology inpatient unit. She wholeheartedly accepted and developed close relationships with the nursing staff there over the span of three months.

In her career as a nurse, she has always made a conscious effort to make every interaction count. Mary is always determined to provide positivity to others. In her own words, positivity fosters healing. She is a firm believer that whatever light you can provide to a patient will be what is needed in that moment.

Mary has positively affected patients in so many ways. She has inspired her patients to want to do better not only for themselves but for her as well. Mary recalled a patient she took care of 30 years ago. This patient returns to COHNMC each year for the Bone Marrow Transplant Reunion. At this event, patients celebrate their survivor- ship after having a stem cell transplant at COHNMC. Every year, this patient seeks Mary out to cherish Marys impact on her healing and conquering of cancer.

Marys patients have described her as an angel who was especially appointed to care for them. One patient even recognized her voice in a dark room during a nurse shift handoff. This patient was overwhelmed with sadness when she learned that her cancer was no longer treatable. Mary helped this patient cope with the emotional toll that cancer takes on its victims. Even though Mary had been her nurse years prior, she recognized her voice immediately. Mary has a genuine and authentic approach with patients that makes her unforgettable. She prayed with the patient who was faced with the life-wrenching reality of a terminal diagnosis.

Mary goes out of her way to care for patients, even when they arent assigned to her or even on her unit. Her sister-in-laws husband received a diagnosis of diffuse large B-cell lymphoma. She took it upon herself to discuss the treatment course with her sister-in-law and her husband.

Mary believes strongly in the value of education and knowledge. She feels compelled to teach each patient about the treatment process and side effects so that patients are not surprised by what occurs. According to Mary, knowledge provides power for patients. In her perspective, nurses can become accustomed to the treatments they provide and they often forget that the experience is extremely new to patients. She goes out of her way to make sure all treatments and interventions are explained to and understood by patients.

Along with patient care, Mary has been a lifetime volunteer. Even during her break from nursing to raise her children, Mary volunteered with the international evangelical Christian nonprofit Awana and her local church. She raised wonderful children who are now her legacy and continue her spirit of volunteerism. Mary is filled with pride when she describes how her son raised more than $100,000 to build a medical clinic in Zimbabwe.

Her influence has a profound effect on all of those around her. In the past year, she became the propelling force behind a blood pressure clinic at the Duarte Senior Center. She gets to know the senior citizens who come to the clinic and really listens to them. One lady purchased the same blood pressure cuff that Mary uses and came back to show Mary how she was following Marys advice and tracking her vital signs.

In her interim position as nurse manager over an 18-bed inpatient hematology oncology unit, Mary has led the team to outstanding patient outcomes. Central line bloodstream infections are an ongoing concern at COHNMC. Mary collaborated with infection prevention to ensure that current policies were upheld. She reviewed the policy and expectations for appropriate central line care with every nurse in the unit. Since she started the reinforce- ment of the policies, their unit has not had one line infection.

Not only is Mary a phenomenal healer for her patients, but she also leads her team to seek out excellence in patient outcomes. In everything Mary does, she does so with empathy and an innate understanding of how others feel. It is my honor to nominate Mary Colasuonno for the Extraordinary Healer Award for Oncology Nursing. In any and all definitions of a healer, Mary exceeds. Thank you for considering Mary for this distinct honor.

For more news on cancer updates, research and education, dont forget tosubscribe to CUREs newsletters here.

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A Lifetime of Achievement for an Oncology Nurse - Curetoday.com

FATE THERAPEUTICS INC Management’s Discussion and Analysis of Financial Condition and Results of Operations (form 10-Q) – Marketscreener.com

The following discussion and analysis should be read in conjunction with ourfinancial statements and accompanying notes included in this Quarterly Report onForm 10-Q and the financial statements and accompanying notes thereto for thefiscal year ended December 31, 2022 and the related Management's Discussion andAnalysis of Financial Condition and Results of Operations, which are containedin our Annual Report on Form 10-K filed with the Securities and ExchangeCommission on February 28, 2023.

This Quarterly Report on Form 10-Q contains "forward-looking statements" withinthe meaning of Section 27A of the Securities Act and Section 21E of theSecurities Exchange Act of 1934, as amended (the Exchange Act). Suchforward-looking statements, which represent our intent, belief, or currentexpectations, involve risks and uncertainties and other factors that could causeactual results and the timing of certain events to differ materially from futureresults expressed or implied by such forward-looking statements. In some casesyou can identify forward-looking statements by terms such as "may," "will,""expect," "anticipate," "estimate," "intend," "plan," "predict," "potential,""believe," "should" and similar expressions. Factors that could cause orcontribute to differences in results include, but are not limited to, those setforth under "Risk Factors" under Item 1A of Part II below. Except as required bylaw, we undertake no obligation to update these forward-looking statements toreflect events or circumstances after the date of this report or to reflectactual outcomes.

Overview

We are a clinical-stage biopharmaceutical company dedicated to bringing afirst-in-class pipeline of programmed cellular immunotherapies to patients withcancer and autoimmune disorders. Our development of first-in-class cell therapyproduct candidates is based on a simple notion: we believe that better celltherapies start with better cells.

To create better cell therapies, we have pioneered a therapeutic approach thatwe generally refer to as cell programming: we create and engineer human inducedpluripotent stem cells (iPSCs) to incorporate novel synthetic controls of cellfunction; we generate a clonal master iPSC line for use as a renewable source ofcell manufacture; and we direct the fate of the clonal master iPSC line toproduce our first-in-class cell therapy product candidate. Analogous to mastercell lines used to manufacture biopharmaceutical drug products such asmonoclonal antibodies, we believe clonal master iPSC lines can be used to massproduce multiplexed-engineered cellular immunotherapies which are well-definedand uniform in composition, can be stored in inventory for off-the-shelfavailability, can be combined and administered with other therapies, and canhave broader patient reach.

Utilizing this therapeutic approach, we are advancing a cell therapy pipelinecomprised of off-the-shelf, multiplexed-engineered, iPSC-derived natural killer(NK) and T-cell product candidates that are selectively designed, incorporatenovel synthetic controls of cell function, and are intended to deliver multiplemechanisms of therapeutic importance to patients for the treatment of cancer andautoimmune diseases.

We have entered into a research collaboration and license agreement with theRegents of the University of Minnesota to develop off-the-shelf, engineeredNK-cell cancer immunotherapies derived from clonal master iPSC lines.Additionally, we have entered into a research collaboration and licenseagreement with Memorial Sloan Kettering Cancer Center (MSK) to developoff-the-shelf, engineered T-cell cancer immunotherapies derived from clonalmaster iPSC lines.

In September 2018, we entered into a collaboration and option agreement (OnoAgreement) with Ono Pharmaceutical Co. Ltd. (Ono) for the joint development andcommercialization of off-the-shelf, iPSC-derived CAR T-cell product candidatesfor the treatment of cancer. In June 2022, we entered into an amendment (OnoAmendment) to the Ono Agreement to expand the collaboration to include theresearch and development of off-the-shelf, iPSC-derived CAR NK-cell productcandidates, and pursuant to the Ono Agreement, Ono agreed to provide novelbinding domains targeting a second solid tumor antigen under the collaboration.

In April 2020, we entered into a collaboration and option agreement with JanssenBiotech, Inc. (Janssen), part of the Janssen Pharmaceutical Companies of Johnson& Johnson (Janssen Agreement), for the development and commercialization ofoff-the-shelf, iPSC-derived CAR NK and CAR T-cell product candidates for thetreatment of cancer. Through the period ending December 31, 2022, Janssen hadexercised a commercial option for two collaboration candidates: an iPSC-derived,CAR-targeted NK cell product candidate for the treatment of B-cell lymphoma, forwhich the U.S. Food and Drug Administration (FDA) allowed an Investigational NewDrug (IND) application in December 2022; and an iPSC-derived, CAR-targeted NKcell product candidate for the treatment of multiple myeloma, for which thecompanies were preparing to submit an IND application to the FDA in early 2023.On January 3, 2023, we received notice of termination from Janssen of theJanssen Agreement. The termination of the Janssen Agreement took effect on April3, 2023, and during the three months ended March 31, 2023, we performed winddown activities, including discontinuing development of all collaborationproduct candidates, including two product candidates that were expected to enterthe clinic in 2023.

In January 2023, we announced the discontinuation of our FT516, FT596, FT538,and FT536 NK cell programs to focus our resources on advancing our mostinnovative and differentiated programs.

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We were incorporated in Delaware in 2007, and are headquartered in San Diego,CA. Since our inception in 2007, we have devoted substantially all of ourresources to our cell programming approach and the research and development ofour product candidates, the creation, licensing and protection of relatedintellectual property, and the provision of general and administrative supportfor these activities. To date, we have funded our operations primarily throughthe public and private sale of common stock, the private placement of preferredstock and convertible notes, commercial bank debt and revenues fromcollaboration activities and grants.

We have never been profitable and have incurred net losses in each year sinceinception. Substantially all of our net losses resulted from costs incurred inconnection with our research and development programs and from general andadministrative costs associated with our operations. We expect to continue toincur operating losses for at least the foreseeable future. Our net losses mayfluctuate significantly from quarter to quarter and year to year. We expect ourexpenses will increase substantially in connection with our ongoing and plannedactivities as we:

conduct our ongoing and planned clinical trials of our product candidates, whichmay include higher clinical trial expenses associated with arrangements we mayenter into with clinical research organizations (CROs) for the execution andmanagement of certain clinical trials, including trials outside of the UnitedStates;

conduct Good Manufacturing Practice (GMP) production, including through the useof contract manufacturing organizations (CMOs) for the conduct of some or all ofthe activities required for manufacturing our iPSC-derived cell productcandidates, process and scale-up development and technology transfer activitiesfor the manufacture of our product candidates, including those undergoingclinical investigation and IND-enabling preclinical development;

procure laboratory equipment, materials and supplies for the manufacture of ourproduct candidates and the conduct of our research activities;

conduct preclinical and clinical research to investigate the therapeuticactivity of our product candidates;

continue our research, development and manufacturing activities, including underour sponsored research and collaboration agreement with Ono;

maintain, prosecute, protect, expand and enforce our intellectual propertyportfolio;

engage with regulatory authorities for the development of, and seek regulatoryapprovals for, our product candidates;

build out business operations at our corporate headquarters, including internalGMP production capabilities;

continue to implement the corporate restructuring and reduction in force that weannounced in January 2023; and

continue operating as a public company and support our operations and developcommercial infrastructure for potential commercialization of our productcandidates.

We do not expect to generate any meaningful revenues from product sales,royalties, or sales milestones unless and until we successfully completedevelopment and obtain regulatory approval for one or more of our productcandidates, which we expect will take a number of years. If we obtain regulatoryapproval for any of our product candidates, we expect to incur significantcommercialization expenses related to product sales, marketing, manufacturingand distribution. Accordingly, we will seek to fund our operations throughpublic or private equity or debt financings, collaboration arrangements, orother sources. However, we may be unable to raise additional funds or enter intosuch other arrangements when needed on favorable terms or at all. Our failure toraise capital or enter into such other arrangements when needed would have anegative effect on our financial condition and ability to develop our productcandidates.

Financial Operations Overview

We conduct substantially all of our activities through Fate Therapeutics, Inc.,a Delaware corporation, at our facilities headquartered in San Diego,California. The results of operations include the operations of the Company andits subsidiaries. To date, the aggregate operations of our subsidiaries have notbeen significant and all intercompany transactions and balances have beeneliminated in consolidation.

Collaboration Revenue

To date, we have not generated any revenues from therapeutic product sales orroyalties. Our revenues have been derived from collaboration agreements andgovernment grants.

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Agreement with Janssen Biotech, Inc.

On April 2, 2020 (the Janssen Agreement Effective Date), we entered into aCollaboration and Option Agreement (the Janssen Agreement) with Janssen Biotech,Inc. (Janssen), part of the Janssen Pharmaceutical Companies of Johnson &Johnson. Additionally, on the Janssen Agreement Effective Date, we entered intoa Stock Purchase Agreement (the Stock Purchase Agreement) with Johnson & JohnsonInnovation - JJDC, Inc. (JJDC). Under the terms of the Janssen Agreement and theStock Purchase Agreement taken together, we received $100.0 million, of which$50.0 million was an upfront cash payment and $50.0 million was in the form ofan equity investment by JJDC. Additionally, we are entitled to receive fees forthe conduct of all research, preclinical development and IND-enabling activitiesperformed by us under the Janssen Agreement.

We determined the common stock purchase by JJDC represented a premium of $9.93per share, or $16.0 million in aggregate (the Equity Premium), and the remaining$34.0 million was recorded as issuance of common stock in shareholders' equity.

On January 3, 2023, we received notice of termination from Janssen of theJanssen Agreement. The termination will take effect on April 3, 2023, and duringthe three months ending March 31, 2023, we performed wind down activities,including discontinuing development of all collaboration product candidatesunder the Janssen Agreement. We expect to be reimbursed for all wind downactivities associated with the termination of the Janssen Agreement in thesecond quarter of this year. Under the terms of the Janssen Agreement, inconnection with the termination, (i) all licenses and other rights granted toeither party pursuant to the Janssen Agreement have terminated, subject tolimited exceptions set forth in the Janssen Agreement; (ii) both parties havewound down all development, commercialization and manufacturing activities underthe Janssen Agreement; (iii) neither party has any right to continue to develop,manufacture or commercialize any collaboration candidate or collaborationproduct or use the other party's materials; and (iv) neither party is restrictedfrom independently developing, manufacturing, or commercializing any product,including any products directed to the same antigens as those of anycollaboration candidate or collaboration product.

During the three months ended March 31, 2023, we recognized $52.3 million ofcollaboration revenue under the Janssen Agreement, of which $41.2 million waspreviously deferred. During the three months ended March 31, 2022, we recognized$15.9 million of collaboration revenue under the Janssen Agreement.

Agreement with Ono Pharmaceutical Co., Ltd.

On September 14, 2018, we entered into a Collaboration and Option Agreement (theOno Agreement) with Ono for the joint development and commercialization of twooff-the-shelf iPSC-derived CAR T-cell product candidates (Candidate 1 andCandidate 2). Pursuant to the terms of the Ono Agreement, we received anupfront, non-refundable and non-creditable payment of $10.0 million.Additionally, we are entitled to receive fees for the conduct of research anddevelopment under a joint development plan, which fees were estimated to be$20.0 million in aggregate.

We concluded that certain units of account within the Ono Agreement representeda customer relationship and in accordance with ASC 606, we determined that theinitial transaction price under the Ono Agreement equals $30.0 million,consisting of the upfront, non-refundable and non-creditable payment of $10.0million and the aggregate estimated research and development fees of $20.0million. In addition, we identified our performance obligations under the OnoAgreement, including our grant to Ono of a license to certain of ourintellectual property subject to certain conditions, our conduct of researchservices, and our participation in a joint steering committee. We determinedthat all performance obligations should be accounted for as one combinedperformance obligation since no individual performance obligation is distinct,and that the combined performance obligation is transferred over the expectedterm of the conduct of the research services, which is estimated to be fouryears.

In December 2020, we entered into a letter agreement with Ono pursuant to whichOno delivered proprietary antigen binding domains targeting an antigen expressedon certain solid tumors for incorporation into Candidate 2 and paid the Companya milestone fee of $10.0 million for further research and development ofCandidate 2. In addition, Ono terminated all further research and developmentwith respect to Candidate 1, and we retained all rights to research, develop andcommercialize Candidate 1 throughout the world without any obligation to Ono.

In June 2022, we entered into an amendment with Ono to the Ono Agreement (theOno Amendment). Pursuant to the Ono Amendment, the companies agreed to designatean additional antigen expressed on certain solid tumors for research andpreclinical development, and Ono agreed to contribute proprietary antigenbinding domains targeting such additional solid tumor antigen (Candidate 3). Inaddition, for both Candidate 2 and Candidate 3, the companies expanded the scopeof the collaboration to include the research and development of iPSC-derived CARNK cell product candidates (in addition to iPSC-derived CAR T-cell productcandidates) targeting the designated solid tumor antigens. Similar to Candidate2, we granted to Ono, during a specified period of time, a preclinical option toobtain an exclusive license under certain intellectual property rights, subjectto payment of an option exercise fee to us by Ono, to develop and commercializeCandidate 3 in all territories of the world, where we retain rights toco-develop and co-commercialize Candidate 3 in the United States and Europeunder a joint arrangement with Ono under which we are eligible to share at least50% of the profits and losses. We maintained worldwide rights of manufacture forCandidate 3. The preclinical option expires upon the earlier of: (a) September30, 2024, or (b) the achievement of the pre-defined preclinical milestone underthe joint development plan for Candidate 3. Subject to payment of an extensionfee by Ono, Ono may choose to defer its

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decision to exercise the preclinical option until no later than June 2026. Underthe Ono Amendment, aggregate estimated research and development fees have beenincreased by approximately $9.3 million, for a total estimated $29.3 million inaggregate research and development fees over the course of the joint developmentplan.

In November 2022, Ono exercised its preclinical option to Candidate 2, and weexercised our preclinical option to co-develop and co-commercialize (CDCCOption) in the United States and Europe under a joint arrangement with Ono. As aresult, we received an option exercise fee of $12.5 million from Ono.

During the three months ended March 31, 2023, we recognized $6.7 million ofcollaboration revenue and $1.0 million of contra-research and developmentexpense under the Ono Agreement. During the three months ended March 31, 2022,we recognized $2.5 million of collaboration revenue under the Ono Agreement.

Research and Development Expenses

Research and development expenses consist of costs associated with the research,preclinical development, process and scale-up development, manufacture andclinical development of our product candidates, the research and development ofour cell programming technology including our iPSC product platform, and theperformance of research and development activities under our collaborationagreements. These costs are expensed as incurred and include:

salaries and employee-related costs, including stock-based compensation;

costs incurred under clinical trial agreements with investigative sites;

costs to acquire, develop and manufacture preclinical study and clinical trialmaterials, including our product candidates;

costs associated with conducting our preclinical, process and scale-updevelopment, manufacturing, clinical and regulatory activities, including feespaid to third-party professional consultants, service providers and suppliers;

costs incurred for our research, development and manufacturing activities,including under our collaboration agreements;

costs for laboratory equipment, materials and supplies for the manufacture ofour product candidates and the conduct of our research activities;

costs incurred to license and maintain intellectual property; and

facilities, depreciation and other expenses including allocated expenses forrent and maintenance of facilities.

We plan to increase our current level of research and development expenses forthe foreseeable future as we continue the clinical and preclinical developmentand manufacture of our product candidates, research and develop our iPSC productplatform, and perform our obligations under collaboration agreements includingunder our agreements with Ono, University of Minnesota and MSK. Our currentplanned research and development activities over the next twelve months consistprimarily of the following:

conducting clinical trials of our product candidates, including through theengagement of CROs to manage various aspects of our clinical trials;

conducting GMP production, including through the use of CMOs for the conduct ofsome or all of the activities required for manufacturing our iPSC-derived cellproduct candidates, process and scale-up development and technology transferactivities for the manufacture of our product candidates, including thoseundergoing clinical investigation and IND-enabling preclinical development;

procuring laboratory equipment, materials and supplies for the manufacture ofour product candidates and the conduct of our research activities;

conducting preclinical and clinical research to investigate the therapeuticactivity of our product candidates; and

conducting research, development and manufacturing activities, including underour sponsored research and collaboration agreement with Ono.

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Due to the inherently unpredictable nature of preclinical and clinicaldevelopment and manufacture, and given our novel therapeutic approach and thecurrent stage of development of our product candidates, we cannot determine andare unable to estimate with certainty the timelines we will require and thecosts we will incur for the development and manufacture of our productcandidates. Clinical and preclinical development and manufacturing timelines andcosts, and the potential of development and manufacturing success, can differmaterially from expectations. In addition, we cannot forecast which productcandidates may be subject to future collaborations, when such arrangements willbe secured, if at all, and to what degree such arrangements would affect ourdevelopment and manufacturing plans and capital requirements. We cannot predictthe effects of the impact of global economic and market conditions, the COVID-19pandemic and the ongoing conflict in Ukraine on our business and operations, andour expenditures may be increased by delays or disruptions due to these or otherfactors, including as a result of actions we take in the near term to ensurebusiness continuity and protect against possible supply chain shortages.

General and Administrative Expenses

General and administrative expenses consist primarily of salaries andemployee-related costs, including stock-based compensation, for our employees inexecutive, operational, finance and human resource functions; professional feesfor accounting, legal and tax services; costs for obtaining, prosecuting,maintaining, and enforcing our intellectual property; and other costs and fees,including director and officer insurance premiums, to support our operations asa public company. We anticipate that our general and administrative expenseswill increase in the future as we increase our research and developmentactivities, maintain compliance with exchange listing and SEC requirements,protect and enforce our intellectual property, and continue to operate as apublic company.

Other Income (Expense)

Other income (expense) consists of changes in the fair value of stock priceappreciation milestones associated with the Amended and Restated ExclusiveLicense Agreement dated May 15, 2018 (Amended MSK License) with Memorial SloanKettering Cancer Center (MSK), interest income earned on cash and cashequivalents and interest income from investments (including the amortization ofdiscounts and premiums).

California Institute for Regenerative Medicine Award

On April 5, 2018, we executed an award agreement with the California Institutefor Regenerative Medicine (CIRM) pursuant to which CIRM awarded us $4.0 millionto advance our FT516 product candidate into a first-in-human clinical trial (theAward). In November 2019, we submitted an IND application for FT516 in advancedsolid tumors. As of March 31, 2023, we have received aggregate disbursementsunder the Award in the amount of $4.0 million.

Pursuant to the terms of the Award, we, in our sole discretion, have the optionto treat the Award either as a loan or as a grant. In connection with ourdecision to discontinue our FT516 program during the first quarter of 2023, wereversed the liability associated with the Award, and recorded such amount inother income during the three months ended March 31, 2023.

Critical Accounting Policies and Significant Judgments and Estimates

Our management's discussion and analysis of our financial condition and resultsof operations are based on our unaudited condensed consolidated financialstatements, which have been prepared in accordance with United States generallyaccepted accounting principles. The preparation of these unaudited condensedconsolidated financial statements requires us to make estimates and judgmentsthat affect the reported amounts of assets, liabilities, revenues, and expensesand the disclosure of contingent assets and liabilities in our financialstatements. On an ongoing basis, we evaluate our estimates and judgments,including those related to the fair value of the stock price appreciationmilestones for the Amended MSK License, contracts containing leases, accruedexpenses, stock-based compensation, and the estimated total costs expected to beincurred under our collaboration agreements. We base our estimates on historicalexperience, known trends and events, financial models, and various other factorsthat are believed to be reasonable under the circumstances, the results of whichform the basis for making judgments about the carrying values of assets andliabilities that are not readily apparent from other sources. Actual results maydiffer from these estimates under different assumptions or conditions.

The estimates and judgments involved in our accounting policies as described inItem 7 of our Annual Report on Form 10-K for the year ended December 31, 2022,continue to be our critical accounting policies and there have been no othermaterial changes to our critical accounting policies during the three monthsended March 31, 2023.

See Note 1 to the unaudited condensed consolidated financial statements for asummary of critical accounting policies and information related to recentaccounting pronouncements.

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Results of Operations

Comparison of the Three Months Ended March 31, 2023 and 2022

The following table summarizes the results of our operations for the threemonths ended March 31, 2023 and 2022 (in thousands):

Collaboration Revenue. During the three months ended March 31, 2023 and 2022, werecognized revenue of $59.0 million and $18.4 million, respectively, under ourcollaboration agreements with Janssen and Ono. The increase in collaborationrevenue was attributable to recognition of deferred revenue balances associatedto the Janssen contract termination.

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FATE THERAPEUTICS INC Management's Discussion and Analysis of Financial Condition and Results of Operations (form 10-Q) - Marketscreener.com

Ocean Biomedical (NASDAQ: OCEA) Announces 70% Increase in … – InvestorsObserver

Ocean Biomedical (NASDAQ: OCEA) Announces 70% Increase in Price Target by EF Hutton from $10 to $17 on New Glioblastoma Results Validating Profound Tumor Suppression with Anti-Chi3L1 Antibody

Providence, RI, May 01, 2023 (GLOBE NEWSWIRE) -- Ocean Biomedical, Inc. ( NASDAQ: OCEA ), a biopharma company working to accelerate the development and commercialization of scientifically compelling assets from research universities and medical centers, announced today that an equity analyst coverage report issued by EF Hutton has increased that firms price target by 70%, now targeting $17 per share, up from their initial target of $10 per share. This increase was attributed in part to the publication in Cancer Research of findings suggesting compelling activity of Chi3L1 in animal models of glioblastoma.

The animal models cited in the studies used mice implanted with human glioblastoma to test the efficacy of Ocean Biomedicals anti-Chi3L1 therapeutic candidate, and showed tumor reduction of greater than 60% in 2 different study approaches. The groundbreaking research uncovers in detail how the suppression of Chi3L1 works to keep glioma stem cells from differentiating into the most aggressive forms of glioblastoma. This data provides further evidence of the therapeutic potential of Oceans anti-Chi3L1 for solid tumors.

From the EF Hutton The publication elucidates the mechanism by which Chi3L1 licenses the proliferation of GBM in animal models, and the role by which antibodies against Chi3L1 play in limiting their growth, the EF Hutton report notes, Further, the publication speaks to the effect of OCEA's antibodies on the GBM stem cell niche. Dr. Elias' previous work has demonstrated the multifaceted role that Chi3L1 plays in other solid tumor types such as melanoma and lung cancer.

Dr. Elias work is the foundation of both the oncology and fibrosis programs at Ocean, the report additionally notes, adding that, the key takeaway message from Dr. Tapinos work is that if the reversion of GBM cells to a less mature state (also known as a mesenchymal phenotype) is prevented, one may be able to provide meaningful benefit to patients with this challenging condition, which is uniformly fatal.

From Ocean Biomedical We are honored to see independent institutional research analyst coverage recognizing our core programs in oncology, fibrosis, and infectious diseases that we believe have the potential to save thousands of lives, commented Dr. Chirinjeev Kathuria co-founder and Chairman of OCEA.

We appreciate EF Huttons close attention to our research news and long-term analytics, said Gurinder Kalra, Oceans Chief Financial Officer,

Our team of experienced biopharma executives and top-tier scientists are working to move our research programs forward step by step towards IND filings on each of them as efficiently as possible, said Elizabeth Ng, CEO of Ocean Biomedical.

Oceans core assets in oncology, fibrosis, and infectious diseases, all based on new target discoveries enabling first-in-class drug and vaccine candidates, were developed through past and ongoing grants totaling $123.9 million.

A copy of EF Huttons full analyst report can be obtained directly from EFHutton.

All reports on OCEA prepared by analysts represent the views of such analysts and are not necessarily those of OCEA. OCEA is not responsible for the content, accuracy, or timelines provided by analysts. OCEA does not expressly or by implication warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, assumption, data, forecast, price target, estimate, or projection contained in the reports or industry notes provided by analysts, and the dissemination of such reports or industry notes does not necessarily constitute or imply OCEAs endorsement or recommendation.

About Ocean Biomedical

Ocean Biomedical, Inc. (Ocean Biomedical or the Company) is a Providence, Rhode Island-based biopharma company with an innovative business model that accelerates the development and commercialization of scientifically compelling assets from research universities and medical centers. Ocean Biomedical deploys the funding and expertise to move new therapeutic candidates efficiently from the laboratory to the clinic, to the world. Ocean Biomedical is currently developing five promising discoveries that have the potential to achieve life-changing outcomes in lung cancer, brain cancer, pulmonary fibrosis, and the prevention and treatment of malaria. The Ocean Biomedical team is working on solving some of the worlds toughest problems, for the people who need it most.

To learn more, visit http://www.oceanbiomedical.com .

Forward-Looking Statements

The information included herein and in any oral statements made in connection herewith include forward-looking statements within the meaning of the safe harbor provisions of the United States Private Securities Litigation Reform Act of 1995. Forward-looking statements may be identified by the use of words such as estimate, plan, project, forecast, intend, will, expect, anticipate, believe, seek, target or other similar expressions that predict or indicate future events or trends or that are not statements of historical matters, although not all forward-looking statements contain such identifying words. These forward-looking statements include, but are not limited to, statements regarding estimates and forecasts of financial and performance metrics and expectations. These statements are based on various assumptions, whether or not identified herein, and on the current expectations of the Companys management and are not predictions of actual performance. These forward-looking statements are provided for illustrative purposes only and are not intended to serve as, and must not be relied on by any investor as, a guarantee, an assurance, a prediction or a definitive statement of fact or probability. Actual events and circumstances are difficult or impossible to predict and will differ from assumptions.

Any discoveries announced by the Company are based solely on laboratory and animal studies. Ocean Biomedical has not conducted any studies that show similar efficacy or safety in humans. There can be no assurances that this treatment will prove safe or effective in humans, and any clinical benefits of this treatment is subject to clinical trials and ultimate approval of its use in patients by the FDA. Such approval, if granted, could be years away.

Forward-looking statements are predictions, projections and other statements about future events that are based on current expectations and assumptions and, as a result, are subject to risks and uncertainties. These forward-looking statements are not guarantees of future performance, conditions or results, and involve a number of known and unknown risks, uncertainties, assumptions and other important factors, many of which are outside the control of the Company that could cause actual results or outcomes to differ materially from those discussed in the forward-looking statements. Important factors, among others, that may affect actual results or outcomes include but are not limited to: (i) the outcome of any legal proceedings that may be instituted against the Company; (ii) changes in the markets in which the Company competes, including with respect to its competitive landscape, technology evolution, or regulatory changes; (iii) changes in domestic and global general economic conditions; (iv) the risk that the Company may not be able to execute its growth strategies; (v) risks related to the ongoing COVID-19 pandemic and response, including supply chain disruptions; (vi) the risk that the Company may not be able to develop and maintain effective internal controls; (vii) the risk that the Company may fail to keep pace with rapid technological developments to provide new and innovative products and services or make substantial investments in unsuccessful new products and services; (viii) the ability to develop, license or acquire new therapeutics; (ix) the risk that the Company will need to raise additional capital to execute its business plan, which may not be available on acceptable terms or at all; (x) the risk that the Company experiences difficulties in managing its growth and expanding operations; (xi) the risk of product liability or regulatory lawsuits or proceedings relating to the Companys business; (xii) the risk of cyber security or foreign exchange losses; or (xiii) the risk that the Company is unable to secure or protect its intellectual property.

The foregoing list of factors is not exhaustive. You should carefully consider the foregoing factors and the other risks and uncertainties that are described in the Companys Annual Report on Form 10-K for the year ended December 31, 2021 and its Quarterly Report on Form 10-Q for the quarter ended September 30, 2022, and which are described in the Risk Factors section of the Companys definitive proxy statement filed by the Company on January 12, 2023, and other documents to be filed by the Company from time to time with the SEC and which are and will be available at http://www.sec.gov . These filings identify and address other important risks and uncertainties that could cause actual events and results to differ materially from those contained in the forward-looking statements. Forward-looking statements speak only as of the date they are made. Readers are cautioned not to put undue reliance on forward-looking statements. These forward-looking statements should not be relied upon as representing the Companys assessments as of any date subsequent to the date of this filing. Accordingly, undue reliance should not be placed upon the forward-looking statements.

Ocean Biomedical Investor Relations OCEANIR@westwicke.com

Ocean Biomedical Media Relations OCEANPR@westwicke.com

Kevin Kertscher Communications Director

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VERTEX PHARMACEUTICALS INC / MA Management’s Discussion and Analysis of Financial Condition and Results of Operations (form 10-Q) – Marketscreener.com

OVERVIEW

Financial Highlights

Revenues In the first quarter of 2023, our net product revenues increased to $2.4 billion

primarily due to the

internationally and

Expenses Our total research and development ("R&D"), acquired in-process research and

administrative ("SG&A") expenses

compared to $818.3

primarily due to increased

in mid- to late-stage

net product revenues in

increased to $11.5

as of December 31, 2022

cash flows partially

Inc. ("Entrada") and

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TRIKAFTA/KAFTRIO is approved and reimbursed or accessible in more than 30countries outside the U.S.

Potential Near-Term Launch Opportunities

We are preparing for the following near-term launches of potential new products:

Exa-cel in SCD and TDT

We recently completed rolling submissions of our biologics licensingapplications ("BLAs") for exa-cel in the U.S. Exa-cel has been granted FastTrack, Regenerative Medicine Advanced Therapy, Orphan Drug and Rare PediatricDisease designations in the U.S.

Vanzacaftor/tezacaftor/deutivacaftor in CF

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Pipeline

Cystic Fibrosis

Beta Thalassemia and Sickle Cell Disease

We are evaluating the use of exa-cel, a non-viral ex vivo CRISPR gene-editingtherapy, for the treatment of SCD and TDT.

Dosing in the Phase 3 CLIMB-111 and CLIMB 121 clinical trials evaluatingexa-cel continues, as does the CLIMB 131 long-term follow-up clinical trial inpatients 12 years of age and older.

Two additional Phase 3 clinical trials evaluating exa-cel in children with SCDor TDT 5 to 11 years of age are ongoing.

Neuropathic Pain

APOL1-Mediated Kidney Disease

The FDA granted inaxaplin Breakthrough Therapy designation for APOL1-mediatedFSGS and the EMA granted inaxaplin Orphan Drug and PRIME designations for AMKD.

Type 1 Diabetes

Our hypoimmune cell research program continues to progress.

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Alpha-1 Antitrypsin Deficiency

Additional Earlier Stage R&D Programs

Investments in External Innovation

Recent investments in external innovation are included below:

We announced a new licensing agreement for the use of CRISPR's gene-editingtechnology, known as CRISPR/Cas9, to accelerate the development of ourhypoimmune cell therapies for T1D.

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Sales of our products depend, to a large degree, on the extent to which ourproducts are reimbursed by third-party payors, such as government healthprograms, commercial insurance and managed health care organizations.Reimbursement for our products, including our potential pipeline therapies,cannot be assured and may take significant periods of time to obtain. Wededicate substantial management and other resources to obtain and maintainappropriate levels of reimbursement for our products from third-party payors,including governmental organizations in the U.S. and ex-U.S. markets.

We expect to continue to identify and evaluate potential acquisitions and mayinclude larger transactions or later-stage assets.

Collaboration and In-Licensing Arrangements

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In February 2023, we closed our strategic collaboration and licensing agreementwith Entrada. Upon closing, we made an upfront payment of $225.1 million toEntrada, and purchased $24.9 million of Entrada's common stock.

Acquired In-Process Research and Development Expenses

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millions, except percentages and per share amounts)Product revenues, net

millions, except percentages)

millions, except percentages)

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Research and Development Expenses

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Our research expenses have been increasing over the last several years as wehave invested in our pipeline and expanded our cell and genetic therapycapabilities, resulting in increased headcount, outside services and otherdirect expenses and infrastructure costs associated with our researchfacilities. We expect to continue to invest in our research programs with afocus on creating transformative medicines for serious diseases.

Our development expenses increased by $118.5 million, or 26%, in the firstquarter of 2023 as compared to the first quarter of 2022, primarily due toincreased costs to support clinical trials associated with our advancingpipeline programs, including pain, our CF triple combination ofvanzacaftor/tezacaftor/deutivacaftor, exa-cel and T1D. We are significantlyinvesting in internal headcount, leveraging outsourced services, and investingin infrastructure to support these programs.

Acquired In-process Research and Development Expenses

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to another due to upfront, contingent milestone, and other payments pursuant toour existing and future business development transactions, includingcollaborations, licenses of third-party technologies, and asset acquisitions.

Selling, General and Administrative Expenses

Selling, general and administrative expenses increased by 12% in the firstquarter of 2023 as compared to the first quarter of 2022, primarily due to thecontinued investment to support the commercialization of our medicines andincreased support for our pipeline product candidates.

Contingent Consideration

The fair value of our contingent consideration decreased by $1.9 million and$7.5 million in the first quarter of 2023 and 2022, respectively.

Other Non-Operating Income (Expense), Net

Interest Income

Interest Expense

Interest expense was $11.4 million and $14.9 million in the first quarter of2023 and 2022, respectively. The majority of our interest expense in theseperiods was related to imputed interest expense associated with our leasedcorporate headquarters in Boston.

Other Income (Expense), Net

Income Taxes

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LIQUIDITY AND CAPITAL RESOURCES

The following table summarizes the components of our financial condition as ofMarch 31, 2023 and December 31, 2022:

Net cash provided by (used in):

Investing Activities

Financing Activities

Sources and Uses of Liquidity

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Credit Facilities & Financing Strategy

Future Capital Requirements

We have significant future capital requirements, including:

Facility and finance lease obligations.

Royalties we pay to the Cystic Fibrosis Foundation on sales of our CF products.

Cash paid for income taxes.

In addition, we have significant potential future capital requirementsincluding:

To the extent we borrow amounts under our existing credit agreement, we wouldbe required to repay any outstanding principal amounts in 2027.

As of March 31, 2023, we had $2.9 billion remaining authorization availableunder our Share Repurchase Program.

There have not been any material changes to our future capital requirementsdisclosed in our Annual Report on Form 10-K for the year ended December 31,2022, which was filed with the Securities and Exchange Commission, or SEC, onFebruary 10, 2023.

CRITICAL ACCOUNTING POLICIES AND ESTIMATES

Our discussion and analysis of our financial condition and results of operationsare based upon our condensed consolidated financial statements prepared inaccordance with generally accepted accounting principles in the U.S. The

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RECENT ACCOUNTING PRONOUNCEMENTS

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VERTEX PHARMACEUTICALS INC / MA Management's Discussion and Analysis of Financial Condition and Results of Operations (form 10-Q) - Marketscreener.com