Wish everyone a happy holiday and prosperous 2025. My speculative bets on small biotech for 2025 are $SGMO and $INMB. My long-term holds are $NTLA and $MRNA. My sure bet is on TIPS (Treasury Inflation-Protected Securities).
@BiotechAnalysst $SGMO The initial plan is to use ZFA (Zinc Finger Activator) to activate the good copy of the gene (on X chromosome). STAC-BBB delivers ZFA to all neurons.
During a gathering with friends past weekend, one asked the question of what was it like before the Big Bang? I answered him that there was no “before” the Big Bang. Time and space only started with the Big Bang!
Efficacy, ease of administration, and once-and-done will make $NTLA products the standards of care for HAE and ATTR. Annual sales will be more $10B by 2034. What should be the current valuation?
Overexpress proteins in CNS will always be challenging. Immune response in CNS is difficult to manage. Suppression of proteins should not have similar issues (Tau, SYN, PRP). Capsida, $VYGR, $SGMO. Look forward to clinical testing on PRP suppression.
$SGMO Early treatment with ST-920 is key to restore kidney function. Patients with mild kidney damage (eGFR>60) show the most improvement. This is further supported by results from female patients. Miracle drug for Fabry patients!
@Franca_ole $SGMO ST-920 exemplifies the critical importance of a safe AAV vector. ST-920 overexpresses alpha-GalA up to over 100x physiological concentrations, which enable the reversal of disease to certain extent. Strict correction of the mutation in the genome will not be able to.
$SGMO Fabry deal will be done within 4 weeks. The upfront money will be less than expected (SGMO demands for 2 years of funding of ~250 to 300M). Now upfront will be ~150M with approval of additional $80M. ~15% royalty.
@BiotechAnalysst@yusufhameed@ZinselmeyerB AAV vector type, production quality, targeting protein and its required expression level. Among them, dose (amount of AAV) is the most critical. Reasonable dose is pretty safe for most AAV vectors including AAV2/6. AAV5, AAV7, and AAV9.
@BiotechAnalysst@yusufhameed@ZinselmeyerB It is always a challenge to target muscle cells. The newer AAV vectors from $SGMO, especially tranferin receptor binding one, could be advantageous. On the other hand, there are many factors impacting immune response.
@davidrliu@CellCellPress Better brain targeting vectors such as STAC-BBB could make it more efficient and less side-effect, especially liver toxicity. Impressive! $SGMO $PRME
@drsprs@adamfeuerstein $NGNE 3x10^15 vg AAV9 is just too much. Why not use newer generations of AAV9 from $VYGR or $SGMO. Might be able to use 100x less vg to achieve comparable neuronal expression.
$INMB Can anyone analyze the psychology for Monday morning? If totally negative, Friday after hours would be perfect. If blown away positive, why wait for 3 days?
$SGMO As the median age of patients is in their 40s, most of them will gain back about ~5 years of kidney function in terms of eGFR after two years. The general population loses about 6 to 7 points between the age 40 and 50. It’s a miracle drug for Fabry patients.
$SGMO “Furthermore, a mean annualized eGFR slope of 1.747 mL/min/1.73m2/year (95% CI: -0.106, 3.601) was observed for the 19 patients who have achieved 104-weeks of follow-up”
Patients gained years of kidney function after two years on treatment.