G-202 Phase I Human Trial Data Expected Q2 2012
G-202 Unaffected by Changing Competitive Landscape
Chemo-Naive Prostate Cancer Phase II Begins Q2’12
Download Full 26-Page Report with Important Disclosures: GNSZ Update 11-21-11
1.) G-202 Phase I Human Clinical Trial Data Expected Q2 2012: As of September 30, 2011, 22 patients had been treated with G-202 in the ongoing Phase I human clinical trial for solid tumors. The trial is anticipated to complete enrollment of up to 30 patients in Q1 2012 with top-line data expected in Q2 2012.
2.) G-202 Still Needed Despite Recent Advances in Prostate Cancer: Although several drugs have recently been approved in prostate cancer such as JEVTANA®, ZYTIGA™ and PROVENGE® they have different mechanisms-of-action to GenSpera’s G-202. Eventually, all patients will become refractory to these anti-androgen and chemotherapies while PROVENGE cellular therapy only extended survival by approximately 4.5 months. There are also several new drugs under development however they also use mechanisms of action that inhibit androgen production or androgen binding to receptors on the cancer cell surfaces. For example, on November 3, 2011, Medivation’s Phase III trial for MDV3100 (and androgen receptor signaling inhibitor) demonstrated a survival benefit of 4.8 months (18.4mo vs. 13.6mo placebo) without the use of steroid co-administration as seen with drugs like ZYTIGA™. While we view this as a positive development for the treatment of patients with advanced prostate cancer, Medivation’s MDV3100’s anti-cancer effect is still dependant on interrupting androgen signaling. Eventually patients will become resistant to the treatment and the disease will progress. In contrast, G-202 kills independently of androgen pathways and in theory could represent a curative option for advanced prostate cancer patients. (see Competition)
3.) Additional Prostate Cancer Clinical Trials to Begin: GenSpera is currently planning to enroll two separate prostate cancer clinical trials following the completion of the Phase I all solid tumor trial. Beginning in Q1 2012, up to 18 additional patients will be evaluated in a Phase Ib study in a broader patient population consisting primarily of prostate cancer patients who have previously failed treatment with chemotherapeutic agents. The patients in the Phase Ib trial will be treated at the Maximum Tolerated Dose (MTD) as determined by the Phase I study. Starting in Q2 2012, GenSpera is planning on commencing enrollment in a Phase II trial of G-202 for the treatment of castrate-resistant chemotherapy-naive prostate cancer patients in the US with additional sites in the UK.
4.) Unique Mechanism of Action (MOA): GenSpera’s drug candidates are based on chemical derivatives of a plant cytotoxin, called thapsigargin, which is a potent inhibitor of the intracellular sarcoplasmic/endoplasmic reticulum calcium ATPase (SERCA) pump. The inhibition of the transport protein causes intracellular Ca2+ (calcium) to rise significantly and trigger apoptosis (cell death). For example, G-202 is a prodrug where the active cytotoxin, 12ADT, is masked by a peptide complex until it binds to and is cleaved by the targeted Prostate-Specific Membrane Antigen (PSMA) thus triggering apoptosis. (see Thapsigargin and Prodrug Delivery of 12ADT). Investors should note a video of GenSpera’s platform technology can be seen at: http://www.genspera.com/investors_mainvideo.html
5.) G-202 Expected to Avoid Pricing Pressures for Prostate Cancer Therapies: The slow adoption of Dendreon’s PROVENGE® cellular therapy, which carries a $93,000 price tag for treatment, has brought attention to treatment costs in the prostate cancer space. Investors should note that our model uses a modest $40,000 treatment cost for G-202, which is lower than other advanced prostate cancer treatment options such as ZYTIGA™ costing about $50,000.
6.) Strong Preclinical Data and IP: We note that preclinical testing of three different human prostate cancer cell line xenographs in nude mice (inactive immune system) showed material degrees of tumor inhibition, regression and resolution. (see G-202 Preclinical Results) GenSpera also has a strong portfolio of patents and patent applications covering 12ADT and other derivates of thapsigargin, peptide “masking/targeting” sequences and their prodrug conjugates. The patents are owned by GenSpera with no royalties or milestone payments due to any third party. (see Intellectual Property)
7.) Attractive Space for M&A: We note that Cougar Biotechnology, a former bulletin board company formed by a reverse-merger in 2006 was acquired by Johnson & Johnson (NYSE:JNJ) in 2009 for $970M in cash for their prostate cancer drug (ZYTIGA™) which recently received FDA approval in April 2011. While partnerships and acquisitions are highly unpredictable, we believe GenSpera could eventually be an attractive candidate should they show strong clinical results.
8.) Maintaining Rating of Strong Speculative Buy and $4.00 Target: GenSpera has been successfully progressing “under the radar” for some time now and we believe the company will soon begin attracting wider investor attention. GenSpera’s G-202 with its unique mechanism of action in prostate cancer and other tumor types along with the strong preclinical data and intellectual property provides an intriguing opportunity for savvy investors wanting to get ahead of the curve. Our Strong Speculative Buy rating and 12-18 month Price Target of $4.00 is based on a 35x multiple on projected 2017 earnings and discounted 55% to adjust for risk.
Download Full 26-Page Report with Important Disclosures: GNSZ Update 11-21-11










