Humanigen Expands Partnership with Catalent Biologics to Manufacture Investigational COVID-19 Therapeutic Candidate Lenzilumab – Business Wire

SOMERSET, N.J. & BURLINGAME, Calif.--(BUSINESS WIRE)--Catalent and Humanigen, Inc. (HGEN) (Humanigen) today announced the expansion of their relationship, under which Catalent will provide development, manufacturing and commercialization services for lenzilumab, Humanigens proprietary Humaneered anti-human granulocyte macrophage-colony stimulating factor (GM-CSF) monoclonal antibody.

Catalent is the leading global provider of advanced delivery technologies, development, manufacturing and clinical supply solutions for drugs, biologics, cell and gene therapies and consumer health products. Humanigen is a clinical stage biopharmaceutical company focused on preventing and treating cytokine storm with lenzilumab, the companys lead therapeutic candidate.

Mayo Clinic recently announced data on the first clinical use of lenzilumab in 12 patients with severe and critical COVID-19 pneumonia, the majority of whom showed rapid recovery and hospital discharge. A Phase 3 study is currently underway evaluating hospitalized COVID-19 patients.

Based on lenzilumabs promising clinical data, we are pleased to expand our relationship with Catalent to solidify our ability to manufacture and supply lenzilumab, commented Cameron Durrant, MD, MBA, Chief Executive Officer of Humanigen. If we are able to secure FDA approvals or Emergency Use Authorization, Catalent Biologics deep expertise and integrated OneBio solution will accelerate our ability to get this therapy to patients that need it most.

Catalent has partnered closely with Humanigen to develop and supply lenzilumab for clinical trials, commented Karen Flynn, President of Catalent Biologics and Chief Commercial Officer. The experience we already have with lenzilumab, and our OneBio integrated offering from development to supply, make Catalent uniquely suited to support Humanigen in the journey to make this promising therapy available to COVID-19 patients as soon as possible following receipt of regulatory approvals.

To date, Catalent Biologics has provided early-stage development and clinical cGMP drug substance manufacturing for lenzilumab at its facility in Madison, Wisconsin to support Humanigens ongoing clinical trials across various disease categories. Under the expanded partnership, Catalent is also providing clinical supply support for Humanigens Phase 3 potential registration study in COVID-19 from its Philadelphia facility.

Lenzilumab was originally manufactured in Catalents Madison facility using Catalent Biologics proprietary GPEx cell line development technology. As part of the expanded partnership, Catalent intends to provide additional drug substance clinical supply for Humanigens clinical trials, Expanded Access Program (EAP), as well as additional late-stage development and clinical and potential commercial drug substance manufacturing and vial filling at its Madison and Bloomington, Indiana, sites.

Catalent Biologics Madison facility provides development and drug substance manufacturing, including GPEx cell line development, process development, process validation, formulation development, and clinical and commercial cGMP manufacturing. Its Bloomington facility has deep expertise in sterile formulation, with drug substance development and manufacturing and drug product fill/finish capacity across liquid and lyophilized vials, prefilled syringes, and cartridges as well as primary and secondary packaging.

Catalents OneBio Suite is an integrated solution for the development, manufacturing, and supply of biologic drugs. Launched in May 2019, the suite of offerings is designed to integrate activities and accelerate timelines, reduce risk and simplify development with a single contract, program manager, and development timeline from cell line development to supply, with harmonized quality systems.

About Humanigen, Inc.

Humanigen, Inc. is developing its portfolio of clinical and pre-clinical therapies for the treatment of cancers and infectious diseases via its novel, cutting-edge GM-CSF neutralization and gene-knockout platforms. We believe that our GM-CSF neutralization and gene-editing platform technologies have the potential to reduce the inflammatory cascade associated with coronavirus infection. The companys immediate focus is to prevent or minimize the cytokine release syndrome that precedes severe lung dysfunction and ARDS in serious cases of SARS-CoV-2 infection. The company is also focused on creating next-generation combinatory gene-edited CAR-T therapies using strategies to improve efficacy while employing GM-CSF gene knockout technologies to control toxicity. In addition, the company is developing its own portfolio of proprietary first-in-class EphA3-CAR-T for various solid cancers and EMR1-CAR-T for various eosinophilic disorders. The company is also exploring the effectiveness of its GM-CSF neutralization technologies (either through the use of lenzilumab as a neutralizing antibody or through GM-CSF gene knockout) in combination with other CAR-T, bispecific or natural killer (NK) T cell engaging immunotherapy treatments to break the efficacy/toxicity linkage, including to prevent and/or treat graft-versus-host disease (GvHD) in patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). Additionally, Humanigen and Kite, a Gilead Company, are evaluating lenzilumab in combination with Yescarta (axicabtagene ciloleucel) in patients with relapsed or refractory large B-cell lymphoma in a clinical collaboration. For more information, visit http://www.humanigen.com.

About Catalent Biologics

Catalent Biologics is a global leader in development, manufacturing and analytical services for new biological entities, cell and gene therapies, biosimilars, sterile injectables, and antibody-drug conjugates. With over 20 years of proven expertise, Catalent Biologics has worked with 600+ mAbs and 80+ proteins, produced 13 biopharmaceutical drugs using GPEx cell line development technology, and manufactured 35+ commercially approved products. Catalent Cell & Gene Therapy, a unit of Catalent Biologics, is a full-service partner for adeno-associated virus (AAV) vectors and CAR-T immunotherapies, with deep experience in viral vector scale-up and production. Catalent recently acquired MaSTherCell, adding expertise in autologous and allogeneic cell therapy development and manufacturing. Catalent Cell & Gene Therapy has produced 100+ cGMP batches across 70+ clinical and commercial programs. For more information, visit biologics.catalent.com.

About Catalent

Catalent is the leading global provider of advanced delivery technologies, development, manufacturing, and clinical supply solutions for drugs, biologics, cell and gene therapies, and consumer health products. With over 85 years serving the industry, Catalent has proven expertise in bringing more customer products to market faster, enhancing product performance and ensuring reliable global clinical and commercial product supply. Catalent employs over 13,500 people, including over 2,400 scientists and technicians, at more than 40 facilities, and in fiscal year 2019 generated over $2.5 billion in annual revenue. Catalent is headquartered in Somerset, New Jersey. For more information, visit http://www.catalent.com.

More products. Better treatments. Reliably supplied.

Humanigens Forward-Looking Statements

This release contains forward-looking statements. Forward-looking statements reflect management's current knowledge, assumptions, judgment and expectations regarding future performance or events. Although management believes that the expectations reflected in such statements are reasonable, they give no assurance that such expectations will prove to be correct and you should be aware that actual events or results may differ materially from those contained in the forward-looking statements. Words such as "will," "expect," "intend," "plan," "potential," "possible," "goals," "accelerate," "continue," and similar expressions identify forward-looking statements, including, without limitation, statements regarding our expectations for the Phase III study and the potential future development of lenzilumab to minimize or reduce the severity of lung dysfunction associated with severe and critical COVID-19 infections or to be approved by FDA for such use or to help CAR-T reach its full potential or to deliver benefit in preventing GvHD. Forward-looking statements are subject to a number of risks and uncertainties including, but not limited to, the risks inherent in our lack of profitability and need for additional capital to conduct the Phase III study and grow our business; our dependence on partners to further the development of our product candidates; the uncertainties inherent in the development and launch of any new pharmaceutical product; the outcome of pending or future litigation; and the various risks and uncertainties described in the "Risk Factors" sections and elsewhere in the Company's periodic and other filings with the Securities and Exchange Commission.

All forward-looking statements are expressly qualified in their entirety by this cautionary notice. You should not place undue reliance on any forward-looking statements, which speak only as of the date of this release. We undertake no obligation to revise or update any forward-looking statements made in this press release to reflect events or circumstances after the date hereof or to reflect new information or the occurrence of unanticipated events, except as required by law.

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Humanigen Expands Partnership with Catalent Biologics to Manufacture Investigational COVID-19 Therapeutic Candidate Lenzilumab - Business Wire

NCRM NICHE International Stem Cell meet is going virtual in 2020 – THE WEEK

(Eds: Disclaimer: The following press release comes to you under an arrangement with MediaWire. PTI takes no editorial responsibility for the same.) Active Knowledge Gaining event Fujio Cup Quiz (FCQ) in Japan, open to global talents

Tokyo, 15, July, 2020: The XV edition of NCRM NICHE (www.ncrmniche.org), on Stem Cells and Regenerative Medicine, incorporating the exclusive, active knowledge gaining event, The Fujio Cup Quiz, conducted regularly since 2006 every October, will be conducted this year as a virtual event, opening doors for scholars from all over the world to participate, according to the organizers, M/s GN Corporation (GNC) & JBM Inc., Japan.

Two levels of prelims between 2nd ~ 20th August and the final rounds of the Fujio Cup Quiz (FCQ) between 1st to 30th September, will be conducted through a virtual platform. The winners will share their winning story along with a presentation on stem cell research on the 18th & 19th October 2020, during the NCRM NICHE event, the inaugural anniversary commemorative event of Nichi-In Centre for Regenerative Medicine (NCRM), a Japan centred research institute working on cell-based therapies and novel biomaterial technologies. The Organizers are planning to invite the winners of the Fujio Cup 2020 to Japan depending on the ease down of COVID-19 related restrictions, tentatively in 2021, when they will be visiting top institutes working on cutting edge technologies in regenerative medicine in Tokyo, including the Edogawa Evolutionary Lab of Science (EELS, http://www.eels.tokyo).

The rapidly evolving specialty of regenerative medicine has phenomenal potentials to yield novel solutions to unmet medical needs; is an inter-disciplinary field in which chemists making scaffolds, physicists working on physical forces and biologists working on cell culture and tissue engineering have to collaborate amongst themselves and with physicians of various clinical specialities to develop innovative treatment options. Such path-breaking solutions need to be developed over a period of time, through ceaseless interactions among scientists of various domains & NCRM NICHE has been serving continuously as a platform for such inter-disciplinary interaction among budding scientists and clinicians over the past 15 years. Osteoarthritis affected knee joint of elderly, yielding cartilage tissue expressing pluripotency biomarkers when grown in the lab (https://doi.org/10.1016/j.reth.2020.03.006), is an out of the box solution with numerous potentials to revolutionize cell therapy options for cartilage damage caused by sports injury as well that develops with age related wear and tear; an outcome of NCRM NICHE & Fujio Cup Quiz, according to Dr. Shojiro Katoh, Chief Orthopaedic Surgeon & President, Edogawa Hospitals and head of EELS.

Yesteryear participants of Fujio Cup Quiz have become scholars of prestigious institutes of global eminence including Massachusetts General Hospital and Harvard Medical School, University of Toronto, MD Anderson Cancer Center, Berlin-Brandenburg School for Regenerative Therapies & Tokyo University. Fujio Cup Quiz alumni also have a priority channel for nomination of the Edogawa NICHE prize (www.edogawanicheprize.org), award, established in 2018, which honours individuals who are physicians and/or scientists from around the world chosen by the Jinseisha-NCRM committee, based on their contribution to development of a novel solution that enables prevention or diagnosis or treatment of any disease, through an inter-disciplinary interaction among different fields of science. The 2018 Edogawa NICHE Prize was awarded to Prof. James Edgar Till for his discovery of stem cells & the 2019 Edogawa NICHE Prize was awarded to Dr. Steven A. Rosenberg, for his pioneering work in developing effective adoptive immunotherapies to tackle cancer. The recipient of 2020 Edogawa NICHE Prize will be announced on the 15th of August and the commemorative lecture of the awardee is also planned together with the visit of FCQ winners to Japan in 2021.

Undergraduate, Postgraduate and Doctoral (PhD) students of Life Sciences, Biotechnology, Veterinary Science, Dentistry and Medicine between the ages of 20 and 32 years, registered in an accredited academic institute from any country that is a member state of the United Nations (UN) are eligible to participate in the Fujio Cup Quiz (FCQ). NCRM NICHE has an Oral Presentation session, in which all original works on Basic Sciences, Translational Studies and Clinical studies in the field of Stem Cells and Regenerative Medicine including the allied fields of Cell Biology, Cancer Biology, Immunotherapy and Cell based therapies are eligible for submission as abstracts. Selected abstracts will have an opportunity for virtual presentation on 18th & 19th of October, 2020.

30th of July, 2020 is the deadline for submission of abstracts & FCQ registration. Further details at https://www.ncrmniche.org/ncrmniche2020/registration.html

Prof. Masaharu Seno from Okayama University, Japan working on Development of Cancer stem cells from induced pluripotent stem cells (iPSCs) prepared from fibroblasts and Dr. Maria Cristina Nostro from University of Toronto working on generating functional cells from human pluripotent stem cells will be delivering virtual lectures in the plenary session of the event scheduled on 18th of October, 2020.

Institutes who wish to send their students and scholars for participation in the event and also those who wish to have a live broadcast of this event in their institute or to their students through their virtual platforms may contact us at webmaster@ncrmniche.org

The XIII edition of Fujio Cup Quizs Winners, Ms. Grace Aprilia Helena & Mr. Tommy Octavianus from Bandung Institute of Technology, Indonesia, receiving the ever-rotating cup from Dr Masahiro Katoh Chairman, Edogawa Hospital & Jinseisha Social Welfare Trust in Tokyo, Japan PWR PWR

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NCRM NICHE International Stem Cell meet is going virtual in 2020 - THE WEEK

Animal Stem Cell Therapy Market size and Key Trends in terms of volume and value 2019-2025 – 3rd Watch News

Animal Stem Cell Therapy Market 2018: Global Industry Insights by Global Players, Regional Segmentation, Growth, Applications, Major Drivers, Value and Foreseen till 2024

The recent published research report sheds light on critical aspects of the global Animal Stem Cell Therapy market such as vendor landscape, competitive strategies, market drivers and challenges along with the regional analysis. The report helps the readers to draw a suitable conclusion and clearly understand the current and future scenario and trends of global Animal Stem Cell Therapy market. The research study comes out as a compilation of useful guidelines for players to understand and define their strategies more efficiently in order to keep themselves ahead of their competitors. The report profiles leading companies of the global Animal Stem Cell Therapy market along with the emerging new ventures who are creating an impact on the global market with their latest innovations and technologies.

Get PDF Sample Copy of this Report to understand the structure of the complete report: (Including Full TOC, List of Tables & Figures, Chart) @ https://www.marketresearchhub.com/enquiry.php?type=S&repid=2726754&source=atm

The recent published study includes information on key segmentation of the global Animal Stem Cell Therapy market on the basis of type/product, application and geography (country/region). Each of the segments included in the report is studies in relations to different factors such as market size, market share, value, growth rate and other quantitate information.

The competitive analysis included in the global Animal Stem Cell Therapy market study allows their readers to understand the difference between players and how they are operating amounts themselves on global scale. The research study gives a deep insight on the current and future trends of the market along with the opportunities for the new players who are in process of entering global Animal Stem Cell Therapy market. Market dynamic analysis such as market drivers, market restraints are explained thoroughly in the most detailed and easiest possible manner. The companies can also find several recommendations improve their business on the global scale.

The readers of the Animal Stem Cell Therapy Market report can also extract several key insights such as market size of varies products and application along with their market share and growth rate. The report also includes information for next five years as forested data and past five years as historical data and the market share of the several key information.

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Segment by Type, the Animal Stem Cell Therapy market is segmented into Dogs Horses Others

Segment by Application, the Animal Stem Cell Therapy market is segmented into Veterinary Hospitals Research Organizations

Regional and Country-level Analysis: North America United States Canada Asia-Pacific China Japan South Korea India Southeast Asia Australia Rest of Asia-Pacific Europe Germany France U.K. Italy Russia Nordic Countries Rest of Europe Latin America Mexico Brazil Rest of Latin America Middle East & Africa Turkey Saudi Arabia UAE Rest of MEA

Competitive Landscape and Animal Stem Cell Therapy Market Share Analysis Animal Stem Cell Therapy market competitive landscape provides details and data information by companies. The report offers comprehensive analysis and accurate statistics on revenue by the player for the period 2015-2020. It also offers detailed analysis supported by reliable statistics on sale and revenue by players for the period 2015-2020. Details included are company description, major business, Animal Stem Cell Therapy product introduction, recent developments, Animal Stem Cell Therapy sales by region, type, application and by sales channel.

The major companies include: Medivet Biologics LLC VETSTEM BIOPHARMA J-ARM U.S. Stem Cell, Inc VetCell Therapeutics Celavet Inc. Magellan Stem Cells Kintaro Cells Power Animal Stem Care Animal Cell Therapies Cell Therapy Sciences Animacel

You can Buy This Report from Here @ https://www.marketresearchhub.com/checkout?rep_id=2726754&licType=S&source=atm

Some of the Major Highlights of TOC covers in Animal Stem Cell Therapy Market Report:

Chapter 1: Methodology & Scope of Animal Stem Cell Therapy Market

Chapter 2: Executive Summary of Animal Stem Cell Therapy Market

Chapter 3: Animal Stem Cell Therapy Industry Insights

Chapter 4: Animal Stem Cell Therapy Market, By Region

Chapter 5: Company Profile

And Continue

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Animal Stem Cell Therapy Market size and Key Trends in terms of volume and value 2019-2025 - 3rd Watch News

Duchenne Muscular Dystrophy Treatment Market Research Report 2020-2024 | Analysis by Key Regions, Manufacturing Technology and Development Forecast …

Sarepta Therapeutics

Scope of the Report:

As per the , Duchenne muscular dystrophy (DMD) is a genetic disorder characterized by progressive muscle degeneration and weakness. It is a rare muscle disease, which majorly affects males. There are novel drugs and therapies, disease-modifying, and mutation-specific therapies that are some of the emerging major breakthroughs in the DMD treatment market.

The Report Covers:

For More Information or Query or Customization Before Buying, Visit at https://www.industryresearch.co/enquiry/pre-order-enquiry/13999594

Key Market Trends:

Nonsteroidal Anti-inflammatory Drugs (NSAIDs) Segment is Expected to Grow Fastest During the Forecast Period

Corticosteroids are the only known pharmacological treatment for DMD and help to suppress muscle inflammation. This treatment is being limited by its inadequate therapeutic efficacy, and considerable side effects, and hence, non-steroidal anti-inflammatory drugs (NSAIDs) can be used to reduce the inflammation of muscles. The nonsteroidal anti-inflammatory drugs are expected to witness a CAGR of 49.2% over the forecast period.

However, other therapies and treatments include stem cell therapy, repurposing drugs, anti-fibrotics, myostatin inhibition, gene editing (CRISPR/Cas9), etc. Currently, prednisone/prednisolone and deflazacort have been used for the treatment of Duchenne muscular dystrophy, which is expected to drive the growth of the market, over the forecast period.

North American Region holds the Largest Market Share of the Market Currently and is Believed to Follow the Same Trend Over the Forecast Period

North America dominates the global Duchenne muscular dystrophy market, due to new product innovations, high healthcare expenditure, and government awareness programs. The United States has dominated the regional market and is projected to maintain its lead, owing to the rising disease incidence and anticipated launch of promising pipeline candidates. In addition, the market is expected to grow with the increasing clinical trials around the world, especially in the United States and Europe.

Key Questions Answered in This Report:

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Detailed TOC of Duchenne Muscular Dystrophy Treatment Market 2019-2024:

1 INTRODUCTION 1.1 Study Deliverables 1.2 Study Assumptions 1.3 Scope of the Study

2 RESEARCH METHODOLOGY

3 EXECUTIVE SUMMARY

4 MARKET DYNAMICS 4.1 Market Overview 4.2 Market Drivers 4.2.1 Rising Disease Burden of Duchenne Muscular Dystrophy (DMD) 4.2.2 Increasing Investments in Biopharmaceutical R&D to Release Novel Disease Therapies 4.2.3 Increasing Awareness Campaigns for DMD 4.3 Market Restraints 4.3.1 Lack of Standardization to Measure Clinical Efficacy Across All Stages of DMD 4.3.2 Stringent Regulatory Framework with High Product Cost Burden 4.4 Porters Five Forces Analysis 4.4.1 Threat of New Entrants 4.4.2 Bargaining Power of Buyers/Consumers 4.4.3 Bargaining Power of Suppliers 4.4.4 Threat of Substitute Products 4.4.5 Intensity of Competitive Rivalry

5 MARKET SEGMENTATION 5.1 By Therapeutic Approach and Treatment Type 5.1.1 Molecular-based Therapies 5.1.1.1 Mutation Suppression 5.1.1.2 Exon Skipping 5.1.2 Steroid Therapy 5.1.2.1 Corticosteroids 5.1.3 Nonsteroidal Anti-inflammatory Drugs (NSAIDs) 5.1.4 Other Therapeutic Approaches and Treatment Types 5.2 By End User 5.2.1 Hospitals/Clinics 5.2.2 Ambulatory Centers 5.2.3 Other End Users 5.3 Geography 5.3.1 North America 5.3.1.1 United States 5.3.1.2 Canada 5.3.1.3 Mexico 5.3.2 Europe 5.3.2.1 Germany 5.3.2.2 United Kingdom 5.3.2.3 France 5.3.2.4 Italy 5.3.2.5 Spain 5.3.2.6 Rest of Europe 5.3.3 Asia-Pacific 5.3.3.1 China 5.3.3.2 Japan 5.3.3.3 India 5.3.3.4 Australia 5.3.3.5 South Korea 5.3.3.6 Rest of Asia-Pacific 5.3.4 Middle East & Africa 5.3.4.1 GCC 5.3.4.2 South Africa 5.3.4.3 Rest of Middle East & Africa 5.3.5 South America 5.3.5.1 Brazil 5.3.5.2 Argentina 5.3.5.3 Rest of South America

6 COMPETITIVE LANDSCAPE 6.1 Company Profiles 6.1.1 BioMarin 6.1.2 Bristol-Myers Squibb Company 6.1.3 Fibrogen Inc. 6.1.4 Eli Lilly and Company 6.1.5 Nobelpharma Co. Ltd 6.1.6 NS Pharma Inc. 6.1.7 Pfizer Inc. 6.1.8 PTC Therapeutics 6.1.9 Santhera Pharmaceuticals 6.1.10 Sarepta Therapeutics

7 MARKET OPPORTUNITIES AND FUTURE TRENDS

Contact Us:

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Phone: US +14242530807/ UK +44 20 3239 8187

Email: [emailprotected]

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Duchenne Muscular Dystrophy Treatment Market Research Report 2020-2024 | Analysis by Key Regions, Manufacturing Technology and Development Forecast ...

Down syndrome organoids give insights into Alzheimer’s disease – BioWorld Online

LONDON New human brain organoids that precisely model the three hallmarks of Alzheimers disease amyloid plaque-like lesions, progressive neuronal death and abnormal accumulations of tau are now ready to be developed for use in high-throughput drug screening.

At the same time, the organoids have led to the discovery that the BACE2 (beta amyloid precursor protein cleaving enzyme) gene can act as a natural suppressor of Alzheimers pathology. The finding points to a possible reason why BACE1 inhibitors have failed to show protective effects in clinical trials, since those drugs also block the effects of BACE2.

The Alzheimers-like pathology is seen in cerebral organoids derived from hair donated by people with Down syndrome, or trisomy 21, who, because they carry an extra copy of the beta-amyloid precursor protein (APP) gene, have a very high risk of developing Alzheimers disease.

In the study, published in the July 10, 2020, online issue of Molecular Psychiatry, group leader Dean Nizetic, professor of cellular and molecular biology at Queen Mary University of London, and national and international collaborators, reprogrammed hair cells to induced pluripotent stem cells (iPSCs) and then prompted them to become brain organoids.

Those organoids, containing markers of all six layers of the human cortex, rapidly developed Alzheimers-like pathology.

While there are other cell model systems of Alzheimers brain pathology, they are based on promoting overexpression of introduced genes. This work represents a remarkable achievement, as this is the first cell-based system that has the full trio of Alzheimers pathologies, without any artificial gene overexpression, Nizetic said. This system opens up the prospect for screening for new drugs aimed at delaying or even preventing Alzheimers before neuronal death starts.

It was very surprising to find all three hallmarks of Alzheimers disease in the organoids, Nizetic said. It has been shown that brain organoids are relevant to the study of neurodevelopmental disorders, but it was thought they were not suitable for neurodegeneration studies, he told BioWorld.

Getting to the BACE of things

Despite having three copies of the APP gene, around 30% of people with Down syndrome do not develop Alzheimers disease by the age of 60, suggesting that some of the other 400 or so genes on chromosome 21 have a protective effect.

One of the genes on chromosome 21 is BACE2, the homologue of BACE1. As the main beta secretase gene cleaving APP in the brain, BACE1 is a major drug target in Alzheimers disease. BACE2 is found in the brain, but its function is less clear, with evidence of both pro- and anti-amyloidogenic activity.

Profiling non-amyloidogenic peptides that had the signature of BACE2 cleavage in Down syndrome organoids, compared to organoids derived from normal, disomy 21 donors, showed average levels of those peptides were doubled in trisomy 21.

That result was reproduced in three separate experiments, starting from undifferentiated induced pluripotent stem cells (iPSCs) from different individuals.

However, looking at an organoid from a sporadic case of Alzheimers disease caused by an extra copy of the APP gene, in an individual who was otherwise disomic, the researchers found the non-amyloidogenic peptide profile was similar to normal controls.

The researchers concluded that a third copy of a gene other than APP was behind those peptide profiles, and they said, BACE2 is the gene in question.

To assess if that might have any relevance in vivo, they compared the peptide profile from the trisomy organoids with those found in cerebrospinal fluid of people with Down syndrome, and to controls. They found similar increases in BACE2 cleaved peptides in the fluid samples, validating the observations made in the organoids.

The researchers next designed an assay to see if BACE1 inhibitors that have been tested in clinical trials in Alzheimers block the beta-amyloid degrading activity of BACE2. They found two BACE1 inhibitors had that effect.

Its not the only reason, but BACE2 inhibition could have been confounding clinical trials [of BACE1] inhibitors, Nizetic said. That should be taken into consideration when designing new BACE1 inhibitors, he said.

As Nizetic acknowledged, the findings rest on a very small number of Down syndrome organoids from seven donors. Interestingly, two of those did not show any changes in BACE2 cleaved peptides. One was from a 37-year-old man with Down syndrome, who unlike the rest of the cohort did not have a clinical diagnosis of Alzheimers disease. The other was from an anonymous donor whose medical history is not known.

Using CRISPR/Cas9, the researchers edited out a single copy of the BACE2 gene in iPSCs from the unaffected donor, maintaining the trisomy of the rest of chromosome 21. The resulting organoids showed a 27% to 34 % reduction in BACE2 activity compared to an unedited trisomy 21 control, and no significant differences in activity compared to a normal control.

Notably, eliminating the third copy of the BACE2 gene caused the brain organoids derived from the unaffected Down syndrome donor to develop extremely early Alzheimers plaque-like deposits. Those progressed at pace, becoming much denser by day 96, with associated massive cell death.

This pinpoints triplication of BACE2 as a likely cause of specific anti-amyloidogenic trisomy 21 effects, the researchers said. It appears that reducing BACE2 by a third tips the balance against anti-amyloidogenic activity and provokes Alzheimers-like pathology.

The drug screening application opens up immediately, once we scale-up, speed-up and do some refinements, Nizetic said. Discussions with potential commercialization partners are underway.

In addition, the brain organoids could form the basis of biomarkers for detecting people at risk of developing Alzheimers disease, well before there are any symptoms.

The organoids also provide the means to discover other natural suppressor genes of neurodegenerative diseases.

Taken overall, the researchers said the data prove the physiological role of BACE2 as a dose-sensitive Alzheimers disease suppressor gene. That potentially explains the delay in developing Alzheimers disease in 30% of people with Down syndrome.

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Down syndrome organoids give insights into Alzheimer's disease - BioWorld Online

Lingering Questions Limit Impact of MRD in the Clinic Despite Its Growing Prominence – AJMC.com Managed Markets Network

While minimal residual disease has become an important way to track how patients respond to therapies for multiple myeloma, the treatment implications of the metric are not yet clear, according to a review article.

Investigators, including corresponding author Roberto Mina, MD, of the University of Torino, in Italy, analyzed the latest research on MRD as a clinical tool in a review article published in the Journal of Clinical Medicine.1

Mina and colleagues began by pointing out that new therapeutic options for patients with MM have significantly increased rates of complete remission (CR) among patients with MM, which in turn has led to longer rates of progression-free survival (PFS) and overall survival (OS).

It is now clear that the real prognostic value of CR relies on the absence of minimal residual disease (MRD), the authors said. After the International Myeloma Working Group (IMWG) updated the response criteria in 2016 to incorporate assessments of MRD inside and outside of the bone marrow, interest in MRD as a surrogate endpoint for survival outcomes has increased, Mina and colleagues wrote.

After outlining methods of assessing MRD, the investigators explained its limits in the clinic, arguing that theres no current evidence supporting the idea that MRD can be used to drive decision-making in a clinical setting.

One question still unanswered is whether, in an era of highly effective induction regimens, MRD status might be used as a way to choose between transplant- and non-transplant-based treatment. Studies have shown high MRD-negativity rates both in patients who underwent high-dose melphalan2 with autologous stem-cell transplantation (HDM-ASCT) and those who did not.3

Altogether, these data suggest the hypothesis that patients who are able to achieve MRD negativity with the induction therapy may not need HDM-ASCT, thus supporting the development of controlled trials randomizing patients to ASCT vs. non-transplant-based strategies, they wrote.

Another question is how long, if at all, maintenance therapy is needed in MRD-negative patients following induction therapy and HDM-ASCT. Mina and colleagues said theres insufficient data to justify removal of maintenance therapy.

On the basis of the data generated so far, it is not yet possible to advise against maintenance therapy for patients who are MRD negative after ASCT or to encourage treatment discontinuation for those patients who become MRD negative during maintenance, they said.

Mina and colleagues also discussed the frequency of MRD testing. They said it makes sense to monitor MRD status over time, since an MRD-positive patient can become MRD-negative during treatment, but the opposite can also happen. Such negative-to-positive reversals can be a sign of pending relapse.

From a clinical perspective, these data could help clinicians restart treatment before the occurrence of clinical relapse, thus preventing the morbidity associated to MM proliferation, they wrote.

One final question, the authors said is whether patients who are MRD-positive after HDM-ASCT or consolidation might benefit from switching to non-cross-resistant drugs or from treatment intensification, in order to maximize the odds of achieving MRD negativity, particularly in light of the promising results obtained with immunotherapeutic strategies tested in the relapse setting. That question, too, remains unanswered.

In conclusion, the investigators said that while there are a number of intriguing possibilities as a result of MRD assessment, there also remain a number of key questions that must be resolved before MRD reaches its full clinical potential.

MRD-based clinical trials and their results are eagerly needed to fully understand the value of MRD testing in MM and to demonstrate the validity of using MRD as the main driver of clinical decisions, both in the upfront and relapsed settings, they said.

References:

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Lingering Questions Limit Impact of MRD in the Clinic Despite Its Growing Prominence - AJMC.com Managed Markets Network

Restorative therapies for erectile dysfunction: Where are we at in 2020? – Urology Times

Restorative therapies are an exciting area of potential treatments for patients with erectile dysfunction (ED); however, there is a paucity of clinical data regarding their efficacy and safety, according to Trinity Bivalacqua, MD, PhD.1

The goal of restorative therapies in ED is to reestablish whole-organ function and reverse penile dysfunction using regenerative medicine technology, Bivalacqua explained in a presentation during the 2020 AUA Virtual Experience. The restorative therapies for ED include platelet rich plasma (PRP), stromal vascular fraction (SVF), amniotic fluid (AF), and stem cells (mesenchymal cells, adipose derived stem cells, amniotic stem cells, and cord blood stem cells).

Restorative therapies are particularly relevant for patients who have had radical prostatectomies and have post-prostectomy ED, as well as for patients with severe ED as it relates to peripheral vascular disease and diabetes, said Bivalacqua, director of Urologic Oncology at Johns Hopkins Univsersity.

Although the potential of restorative therapy to treat ED itself, and not just its symptoms, has created a lot of buzz in the urology community, Bivalacqua said the lack of data in the literature backing the efficacy and safety of the technology means it should currently be reserved for clinical trials. Accordingly, this is the current position of the Sexual Medicine Society of North America (SMSNA), which sponsored Bivalacquas discussion:

Given the lack of regulatory agency approval for any restorative (regenerative) therapies for the treatment of ED and until such time as approval is granted, SMSNA believes that the use of shock waves or stem cells or platelet rich plasma is experimental and should be conducted under research protocols (clinical trials) in compliance with Institutional Review Board approval.

In his discussion during the AUA online platform, Bivalacqua discussed the limited available evidence in the literature for each ED-focused restorative therapy and the next steps for this technology.

PRP is the most common restorative therapy used for ED. This treatment can be applied through intracavernous injection. Although he did not make a recommendation for its use outside of clinical trials, Bivalacqua said PRP Falls under the HCT/P 361 exemption proposed by the FDA. This means in clinical practice you can usePRPwithout gaining FDA approval. As long as the tissue/biospecimen is not manipulated once its removed from the patient, it is then exempt from FDA approval and clinical trials.

With PRP, a clinician can use a normal centrifuge to isolate the PRP, which can then be injected. It does not have a specific CPT billing code, but can be categorized under a nonspecific code for blood transfusion and reinfection. For the most part, it is not covered by insurance or Medicare, with the post common payment form being cash, said Bivalacqua. Regarding clinical evidence, there have been no randomized clinical trials of PRP.

Bivalacqua said there is 1 peer-reviewed trial2 of PRP in the literature, but it only had safety results. The study assessed PRP in 17 patients with various urological diseases, including 4 patients with ED. The results showed that PRP injections were safe overall, with some mild bruising, but no serious adverse events.

Autologous SVF involves the removal of adipose tissues, often through liposuction. The removed tissues are then separated into individual components, with the key components, such as adipose-derived stemcells(ADSCs)and endothelial precursorcells(EPCs), being reinjected into the patient. ADSCs and EPCs release beneficial cytokines and growth hormones, which promote tissue survival, angiogenesis, and further stem cell recruitment, said Bivalacqua.

Since SVF involves the patient specimens being manipulated, unlike with PRP, this procedure does not fall under the FDA HCT/P 361 exemption and no SVF devices are currently FDA approved. There is also no clinical trial data in the literature supporting the efficacy of SVF.

Some trials have been published showing promise for low-intensity shockwave therapy as a treatment for patients with ED. One study3 looked at the long-term efficacy of low-intensity shockwave therapy using an electrohydraulic device in 156 patients who initially had a successful outcome according to the minimal clinically important difference on the International Index of Erectile Function-Erectile Function (IIEF-EF). Patients were assessed per the IIEF-EF at 6, 12, 18, and 24 months.

Although the treatment was successful in 63.5% (n = 99) of patients at 1 month after treatment, efficacy gradually decreased over time. Among the 99 patients who initially responded, only 53 (53.5%) were still experiencing a beneficial treatment effect at 2 years follow-up.

They found that there was very little durability of the shock-wave therapy in patients with severe ED. Whatever effect was seen was then mitigated at 24 months, said Bivalacqua. Those patients with non-severe EDthose who would typically respond to PDE-5 inhibitorshad a more efficacious response.

Another study4 of low-intensity shockwave therapy used an electromagnetic device to treat patients with ED. There were 87 evaluable patients who were randomized to receive 1 of 2 shockwave regimens: Group A (n= 45) received 3600 shocks (720/day) over 5 days and Group B (n = 42) received 3600 shocks over 2 weeks (600 over 3 days each week). The was a statistically significant improvement in IIEF-EF score for both groups, with a mean increase of 2.7 in both group A and group B (P <.05). There was also a statistically significant improvement in Erectile Hardness Scale score in both arms at 0.6 points in group A and 0.5 points in group B.

Although the improvements were statistically significant, the benefits were minor, leaving Bivalacqua to ask, The question is, Is this clinically significant? My perspective on this is that this did not include a sham group and the improvement was in patients who were typically PDE-5inhibitorresponders. But I do think we have to acknowledge that using the electromagnetic probe, which causes a lower peak energy, may be safer for patients.

While it is an exciting field, Bivalacqua noted that there is an ugly side to restorative therapies for ED

The global use of PRP, especially in North America, is very high, despite the lack of any clinical evidence that it is effective or safe, said Bivalacqua, adding, Some practitioners are cashing in on the hype of shockwave therapy even though the treatments are not FDA approved.

To combat these issues, Bivalacqua said several questions need to be answered in the literature. The next steps with restorative therapies are determining optimal dosing regimens; assessing the total power and number of shocks with shockwave devices; determining the optimal device choiceelectromagnetic versus electrohydraulic; and evaluating the duration of studies and role of maintenance therapy. But more importantly, we need to have a sham in randomized controlled trials.

Bivalacqua also provided several suggestions on how the efficacy of the available restorative therapies could be improved.

The future is combination therapy, where we include low-intensity shockwave therapy with the injection of either SVF or stem cells. And we have to include a maintenance phase. Other protein- and gene-based therapies, such as SDF-1, which hone stem cells, are obviously an important next step. And neurotrophic factors placed at the time of radical prostatectomy are the only way that we are going to be able to regenerate nerves post prostatectomy.

References

1. Bivalacqua T. State-of-the-Art Lecture: Update on Clinical Trials on Restorative Therapies for Erectile Dysfunction. Presented during 2020 AUA Virtual Experience. June 27-28, 2020.

2. Matz EL, Pearlman AM, Terlecki RP, et al. Safety and feasibility of platelet rich fibrin matrix injections for treatment of common urologic conditions. Investig Clin Urol. 2018;59(1):61-65. doi: 10.4111/icu.2018.59.1.61

3. Kitrey ND, Vardi Y, Appel B, et al. Low intensity shock wave treatment for erectile dysfunction-how long does the effect last? J Urol 2018;200(1):167-170.doi: 10.1016/j.juro.2018.02.070

4. Patel P, Katz J, Lokeshwar SD, et al. Phase II randomized, clinical trial evaluating 2 schedules of low-intensity shockwave therapy for the treatment of erectile dysfunction. Sex Med. 2020 Jun; 8(2): 214222. doi: 10.1016/j.esxm.2020.01.010

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Restorative therapies for erectile dysfunction: Where are we at in 2020? - Urology Times

Local scientists create ‘mini livers’ to trial therapies for liver diseases – The Straits Times

Local scientists here have successfully created human liver organoids, or "mini livers", to help them develop and trial therapies for various liver diseases.

This is part of a research collaboration between the Agency for Science, Technology and Research's Genome Institute of Singapore (GIS) and the National University of Singapore (NUS). The liver organoids, each with a diameter of around 0.5mm, are able to capture the functional and structural features of the human liver.

Cultivated in vitro in a petri dish, the organoids are grown outside the body from stem cells, which are initially reprogrammed from human skin cells over a three-month period.

To better understand the effects of non-alcoholic fatty liver disease (NAFLD) on the organ, the liver organoid cells are supplemented with a fatty acid-rich nutrient, to replicate the effect of high carbohydrate and fatty food intake, which is said to be the primary cause of the disease.

Characterised by the building up of fat in the livers of people who consume little to no alcohol, the disease is often associated with obesity and Type 2 diabetes, affecting up to a third of the local adult population.

When fatty food is consumed, hepatocytes, which make up around 80 per cent of the cells within the liver, help to store and process excess fats.

Cholesterol from these fats are then secreted into liver canals known as the bile canaliculi, before reaching the gastrointestinal system where it is absorbed into the blood.

However, too much fat being accumulated in the liver may result in disruptions to the structure and function of the hepatocyte cells, while the bile canaliculi may end up being shortened or diminished.

When combined, this could lead to liver injury, eventually hampering the organ's function over time.

In more severe cases, the disease could lead to liver cancer and liver cirrhosis, where the liver no longer functions properly, owing to long-term damage.

Liver organoids developing in a dish (far left) and a visualisation of different cell types and liver structures in the organoids, including hepatocyte cells and bile canaliculi (both in green). PHOTO: GENOME INSTITUTE OF SINGAPORE

Associate Professor Dan Yock Young of NUS' Yong Loo Lin School of Medicine said: "Patients with early stage NAFLD remain largely asymptomatic, and the disease progresses silently over the years.

"What drives the disease progression and liver injury remains largely unknown. The development of advanced human liver models of the disease will provide a critical tool for researchers to identify molecular drivers of the disease."

Through the liver organoid model, scientists can observe and capture molecular and structural changes of the liver as the disease progresses - all within the course of a week.

In addition, the organoid model could also serve as a useful tool for drug testing and screening, given that there are currently no approved therapies for NAFLD.

As the disease is closely associated with obesity, the treatment recommendations for patients with liver disease are often dietary and lifestyle changes.

Professor Ng Huck Hui, senior group leader at GIS, said: "The increase in prevalence of liver disease and the lack of therapeutics place a huge burden on healthcare systems worldwide.

"There is a dire need to better understand liver biology in order to develop advanced cellular models of disease, and novel therapies."

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Local scientists create 'mini livers' to trial therapies for liver diseases - The Straits Times

Out-of-Pocket Costs Often Higher Than Expected for Patients with Cancer Participating on Clinical Trials – Curetoday.com

According to the lead study investigator, work needs to be done to ensure financial toxicity is not a deterrent to clinical trial enrollment and that trial sponsors and payers should consider trial expense reimbursement.

Clinical trials have additional visits and costs compared to the standard of care, Dr. Ryan W. Huey, an assistant professor in the department of gastrointestinal medical oncology at The University of Texas MD Anderson Cancer Center in Houston, said during a pre-recorded presentation of the data. And while financial toxicity has been well described for patients with cancer, it is less well established for patients who enroll in clinical trials.

To evaluate financial toxicity, which is the direct and indirect impact of health care costs that lead to significant financial burden, and out of-of-pocket costs for patients with cancer enrolled in early phase clinical trials, Huey and colleagues surveyed patients who were on a trial for more than a month. The goal, Huey said during the presentation, was to talk to patients who accurately understood what their monthly expenses were while on their respective trial.

The researchers collected data regarding patient demographics, including, but not limited to, patient and disease characteristics, as well as insurance status.

Using the 12-question COmprehensive Score for Financial Toxicity (COST)Functional Assessment of Chronic Illness Therapy (FACIT) survey, the researchers assessed the financial toxicity that 213 patients (with a median age of 59 years) in early-phase clinical trials experienced. More than half of the trial participants surveyed were female (59%) and more than three-fourths (79%) were non-Hispanic white. Other characteristics patients were grouped by included yearly household income, type of insurance, employment status and length of time spent on current trial.

More than half of the participants (55%) had employer-provided insurance, 38% had Medicare, 11% had personally purchased insurance and the remaining participants had either Medicaid (2%), VA-provided insurance (4%), personally purchased supplemental insurance (9%) or other (1%).

Forty percent of the patients were employed either full- or part-time, while 37% were retired and 15% were unemployed.

Half of the participants traveled more than 300 miles to receive their cancer care. The other half either traveled less than 100 miles (23%) for their cancer care or traveled 101 to 300 miles (27%).

Thirty percent of the participants were either fully (6%) or partially (24%) reimbursed for their travel.

Out-of-pocket, patients spent a median of $1,075 a month on non-medical expenses. Expenses attributed to medical costs accounted for $475 out-of-pocket per month. The survey demonstrated that more than half (55%) of patients felt that their expenses attributed to medical costs were higher than expected. Sixty-four percent of patients also reported that they felt their non-medical expenses were higher than expected.

Factors associated with a worse financial burden included an annual household income of less than $60,000, participating on at least one previous phase 1 clinical trial and living more than 100 miles away from the clinical trial site.

Huey concluded his presentation noting that the economic burden patients participating on clinical trials experience is high, and that most of the costs are related to nonmedical expenses.

Financial toxicity disproportionately affects patients with lower income and those who travel far to receive their care, he said. And costs are often higher than expected. Work needs to be done to ensure this financial toxicity is not a deterrent to enrollment. And sponsors and payers should consider the role of trial expense reimbursement.

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Out-of-Pocket Costs Often Higher Than Expected for Patients with Cancer Participating on Clinical Trials - Curetoday.com

Cancer Stem Cells (Cscs) Market Breaking new Grounds and touch new Level in Upcoming Year by Janssen, Qiagen, Advanced Cell Diagnostics, ApoCell,…

Cancer Stem Cells Marketresearch is an intelligence report with meticulous efforts undertaken to study the right and valuable information. The data which has been looked upon is done considering both, the existing top players and the upcoming competitors. Business strategies of the key players and the new entering market industries are studied in detail. Well explained SWOT analysis, revenue share and contact information are shared in this report analysis.

Cancer Stem Cells Market is growing at a High CAGR during the forecast period 2020-2026. The increasing interest of the individuals in this industry is that the major reason for the expansion of this market.

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Top Key Players Profiled in This Report:

Janssen, Qiagen, Advanced Cell Diagnostics, ApoCell, Biofluidica, Clearbridge Biomedics, CytoTrack, Celsee, Fluxion, Gilupi, Cynvenio, On-chip, YZY Bio, BioView, Creatv MicroTech, Fluidigm, Ikonisys, AdnaGen, IVDiagnostics, Miltenyi Biotec, Aviva Biosciences Corporation, ScreenCell, Silicon Biosystems.

The key questions answered in this report:

Various factors are responsible for the markets growth trajectory, which are studied at length in the report. In addition, the report lists down the restraints that are posing threat to the global Cancer Stem Cells market. It also gauges the bargaining power of suppliers and buyers, threat from new entrants and product substitute, and the degree of competition prevailing in the market. The influence of the latest government guidelines is also analyzed in detail in the report. It studies the Cancer Stem Cells markets trajectory between forecast periods.

Global Cancer Stem Cells Market Segmentation:

Market Segmentation: By Type

CellSearch Others

Market Segmentation: By Application

Breast Cancer Diagnosis and Treatment Prostate Cancer Diagnosis and Treatment Colorectal Cancer Diagnosis and Treatment Lung Cancer Diagnosis and Treatment Other Cancers Diagnosis and Treatment

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Table of Contents

Global Cancer Stem Cells Market Research Report 2020 2026

Chapter 1 Cancer Stem Cells Market Overview

Chapter 2 Global Economic Impact on Industry

Chapter 3 Global Market Competition by Manufacturers

Chapter 4 Global Production, Revenue (Value) by Region

Chapter 5 Global Supply (Production), Consumption, Export, Import by Regions

Chapter 6 Global Production, Revenue (Value), Price Trend by Type

Chapter 7 Global Market Analysis by Application

Chapter 8 Manufacturing Cost Analysis

Chapter 9 Industrial Chain, Sourcing Strategy and Downstream Buyers

Chapter 10 Marketing Strategy Analysis, Distributors/Traders

Chapter 11 Market Effect Factors Analysis

Chapter 12 Global Cancer Stem Cells Market Forecast

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Cancer Stem Cells (Cscs) Market Breaking new Grounds and touch new Level in Upcoming Year by Janssen, Qiagen, Advanced Cell Diagnostics, ApoCell,...