The chase for an #HIV cure has been elusive for decades with as many failures as seen with CNS diseases. $SGMO has been dedicated to this effort tho are now supporting sponsors given the cost of the effort. This stream will provide an recap. #Autologous #CellTherapy
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$SGMO began this clinical effort in 2009. They have worked with UPenn, City of Hope, Case Western University. NAID and CIRM have helped with funding among others. We should see some critical updates this year.
#HIV
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The first trial (sponsored by UPenn) SB-728 began in 2009 focused on HAART treated patients and was focused on safety and comparison/persistence of CD4/CD8 T cells after ZFN modifed autologous T cells were infused.
#HIV #CellTherapy
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$SGMO ran SB-728-0902 to find out whether #ZFN modified CD4+ T cells are safe and how these cells affect #HIV. #Autologous #CellTherapy
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$SGMO ran a second trial SB-728-1002 beginning in 2010 which continued the effort of determining the effect of escalating #ZFN modified T cells post HAART interruption.
#HIV #Autologous #CellTherapy
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$SGMO continued to invest in this effort with the next trial SB-728-1101 in C11 which upped the dosage to 5-to-30b #ZFN modified T cells. This trial was to determine the impact of escalating doses of cyclophosphamide as a pretreatment regimen.
#HIV #Autologous #Celltherapy
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SB-728-mR-1401 was initiated by $SGMO in C14 to better understand treatment impact of 2 vs 3 doses of #ZFN modified T cells increasing the dosage up to 40b cells supported by safety data from earlier trials.
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It is pretty remarkable how much $$$ $SGMO invested in this effort even tho they knew how many years the process would take given the step function of the trials to date. In 2015 UPenn with funding from NIAID sponsored the first trial focused on SB-728mR. Note conclusion
8/ Image
The City of Hope with Paula Cannon and CIRM funding sponsored SB-728mR-HSPC. This trial had an estimated primary completion of last month. It includes the impact of busulfan levels with the #ZFN edited T cells. Safety and dosing have led to treatment w/preconditioning.
#HIV
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Case (Sekaly, Rodriguez) began their next trial in Jun 2019 focusing on replication-competent HIV reservoir. This trial is still recruiting. 2 yrs of data are required before primary completion date of Jan 2024. #ZFN $SGMO
#HIV #Trailblazer #Reservoir
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Pablo Tegas is the investigator in the next UPenn sponsored trial that was initiated in Jul 2019. This trial compares treatment interruption after $SGMO #ZFN infusion. The primary completion data is at the end of this year.
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$SGMO is also running a LT followup study for patients treated with SB-728-T or SB-728mR cells. I found the Oct 2020 Cowen report interesting as they have concluded that the cum data provides POC for the #CellTherapy platform technology.
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More from @mchilberg

16 Mar
$BEAM 4Q20 results out. Valuation is crazy but they are the best of #Crispr breed in my opinion given execution to date.
#GeneTherapy
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$BEAM focus on platform, delivery and manufacturing is enabled by share price and ability to source funds without huge dilution
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$BEAM focus on based editing of transition mutations.
3/
#dreaminase ImageImageImage
Read 6 tweets
15 Mar
$SNY looks like they are ready for a Genomic Medicine Unity #GMU coming out year in C21. Many hires. Many open reqs. Building on Ablynx, Bioverativ and Kiadis M&A
#GeneTherapy
1/
$SNY #GMU head of Rare and Neurologic Disease Research is Christian Mueller. Video into is pretty good
Addl heads include Bruno Figueroa (CMC) and Cate O'Riordan (translational unit)

2/
$SNY #GMU Principal Scientist Robert Jackson profile says he is working on: Huntingtin's, MLD, PKU, Neurophathies, T1Diabetes Hypertension, Nephrophaty, vascular disease, Rheumatoid Arthritis and sensorineural hearing loss
3/
Read 14 tweets
25 Feb
Part II of the $CRSP $SGMO comparison will hopefully be a bit less dry now that Part I updates are in place. This thread will focus more on valuation, outlook and why the valuation cycle should matter to investors.
1/
Let's start with the concept of #Disruptive technologies. The originator of disruptive innovation theory, Clayton Christensen worked with HBR in 2015 to revisit the past 20 years.
2/
hbr.org/2015/12/what-i…
#GenomicMedicine is disrupting Big Pharma who has begun to respond by spinning off old product lines and jumping into #GeneTherapy.
3/
Read 24 tweets
25 Feb
This is the third edition of my tweetstorms on #GeneTherapy #CellTherapy #GeneEditing. This one compares $SGMO to $CRSP and attempts to look at #GenomeMedicine from the perspectives laid out by C.Woods at ARK This is part one of the series. Pt 2 tomorrow AM 1/20
The charts of both are attached and useful context. $CRSP went public in 2016. The weekly chart is attached and notes the pct ownership of $ARKG $ARKK since CY18. Prior the stock was stagnant below the support/resistance levels show. 2/20
I'm including two charts for $SGMO. Wkly and Mthly. The weekly shows they were pulled along with the #geneediting group The monthly shows this rally/bust cycle is not unique. Compare the SGMO 2017-2018 to CRSP. Pretty similar. More later. 3/20
Read 21 tweets
20 Feb
Appears Cowen published a useful courtesy $SGMO rept for investors prior to their annual HC conference. Most of the verbiage is an accumulation of prior reports. They have higher model royalties for $PFE and $SNY royalties than mine. Not a SOTP or full blown model Image
Cowen states that though the prelim data on $SNY collab was unimpressive, they are cautiously optimistic. My fcst was pushed out several years consistent with $BLUE issues and probability that more issues will crop up for $CRSP and $SGMO programs.
Attached screenshot of Cowen P&L is consistent with reported $SGMO revenue in C19 including:
- Research reimbursement $16m (mostly Gilead/Sanofi)
- Upfront amort $46m
- Milestones $39m Image
Read 4 tweets
26 Dec 20
$ARKG Tweet series
This series of tweets is my opinion only. Cathie Wood has created a group of ETFs that target the disruptive innovation that is both happening and accelerating. These funds have had stellar performance based upon innovation trends and economic theory.
1/ Image
The $ARKG fund description is a good place to start. This has changed recently to a #CRISPR theme but started more with the sequencing cost declines which would drive diagnostics adoption and precision medicine
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The economic driver of the Genomic Revolution is a multiplier. Not only sequencing cost declines but the impact of moving from #ZFN to #TALENs to #CRISPR is key. As the editing cost has dropped CRISPR is seeing a dominant increase in publications.
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Read 23 tweets

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