Research

Peregrine (PPHM) Note 12-06-11

Bavituximab Encouraging ORR in Randomized 1st-Line Lung Cancer
Final Data Expected 2012 As Well As 2nd-Line Lung and Chronic HCV

Download Full 5-Page Note with Important Disclosures: Mid-Day Note 12-06-11 PPHM

Peregrine announced interim results of their randomized Phase II trial demonstrating a 50% improvement in objective response rate (ORR) in Stage IV chemotherapy-naïve, locally advanced or metastatic non-small cell lung cancer (NSCLC) patients. Specifically, patients treated with bavituximab plus carboplatin and paclitaxel currently demonstrate an ORR of 39%, versus 26% in patients treated in the control arm with carboplatin and paclitaxel alone. These results are roughly comparable with the previous single-arm Phase II bavituximab+paclitaxel+carboplatin study as well as the E4599 Phase III Avastin (bevacizumab)+ paclitaxel+carboplatin trial as shown below:

PHASE II INTERIM RESULTS

Stage IV NSCLC Chemo-Naïve
Locally Advanced or Metastatic

Bavituximab +
paclitaxel + carboplatin1

Historical
Bavituximab +
paclitaxel +
carboplatin2

Historical
Standard of Care
Avastin (bevacizumab) +
paclitaxel+carboplatin3

Number of Patients

n=86

n=49

n=434

Objective Response Rate

39%

43%

35%

ORR Control Arm: paclitaxel + carboplatin

26%

no control

15%

Progression-Free Survival

data in 2012

6.1 months

6.2 months

PFS Control Arm

data in 2012

no control

4.5 months

Overall Survival

data in 2012

12.4 months

12.3 months

Overall Survival Control Arm

data in 2012

no control

10.3 months

1 Peregrine Pharmaceuticals
2 Digumarti  R., et al., “Phase II study of bavituximab plus paclitaxel and carboplatin in untreated locally advanced or metastaticnon-small cell lung cancer (interim results)” ASCO 2010 and Peregrine Pharmaceuticals
3 Sandler A, Gray R, Perry MC, et al. N Engl J Med. 2006;355:2542-2550

Download Full 5-Page Note with Important Disclosures: Mid-Day Note 12-06-11 PPHM

Echo (ECTE) Note 12-06-11

Promising Results for Symphony® tCGM in Diabetics – Critical Care Next
Non-Invasive Symphony® tCGM Equivalent to Existing Invasive Wire Systems
Echo Raises Approximately $5.4M to Fund Symphony® tCGM Development

Download Full 6-Page Note with Important Disclosures: Morning Note 12-06-11 ECTE

Echo Therapeutics announced successful results from the clinical trial of their Symphony® tCGM System in both Type I and Type II diabetic patients (see Feasibility 2 below). Echo now plans to conduct a study in critical care patients.

Echo also announced a registered direct equity financing with current, institutional and strategic investors of approximately $5.4M by issuing 2.4M units at a price of $2.25 per unit. The unit consists of 1 share of common stock and a 3-year warrant to purchase 0.4 of a share of common stock at an exercise price of $3.00 (exercisable 6 months after issuance). The offering is expected to close on or about December 7, 2011.

Investors should note three key takeaways from the Feasibility 2 results:
1.) The Feasibility 2 data indicates that the new Symphony® tCGM System can monitor a broader range of blood glucose values found in diabetic patients (from 38 to 399 mg/dL) whereas the previous Feasibility 1 study in healthy patients had a narrower range from (64 to 212 mg/dL).

2.) The Feasibility 2 data agreed with the data seen in their Prototype Pilot 3 trial in diabetic patients using Prelude® microabrasion. The data also indicates that Echo’s non-invasive transdermal biosensor and skin microabrasion technology is equivalent to the competition’s invasive sensor wire systems.

3.) The Symphony® tCGM System appears safe as there were no adverse events reported.

Study

MARD

CG-EGA
A

CG-EGA
A+B

SkinPrep

Patients

# of
Glucose Readings

Feasibility 2

12.6%

94.4%

96.9%

Prelude®
Microabrasion

Diabetic
(Type I & II)

2,600

Feasibility 1

10.5%

98.3%

99.5%

Prelude®
Microabrasion

12 Healthy

1,600

Prototype Pilot 3

12.9%

n/r

97%

Prelude®
Microabrasion

Diabetic

900

Prototype Pilot 2

11.6%

86.4%

100%

Ultrasound

8 Critical Care

147

Prototype Pilot 1

12.5%

89.6%

98.7%

Ultrasound

10 Diabetic

220

Source: Echo Therapeutics

Competition / Product

MARD

CG-EGA
A+B

SkinPrep

Echo Symphony® tCGM

10.5%-12.6%

96.9%-99.5%

Prelude®
Microabrasion

Abbott Freestyle Navigator

9.3%-12.3%

98.0%

None

DexCom SEVEN PLUS

13.0% -15.9%

97.0%

None

Medtronic Guardian RT

15.6%-19.7%

98.9%

None

Source: Echo Therapeutics and LifeTech Capital

Definitions
MARD: Mean Absolute Relative Difference – Error calculated as the average relative difference between Symphony and the reference measurements

CG-EGA A: Continuous Glucose-Error Grid Analysis A – the clinically accurate A zone of the Clarke error grid

CG-EGA A+B: includes the clinically relevant B zone benign errors of the Clarke error grid

FEASIBILITY 2
Study Design:
20 adult subjects with Type 1 or Type 2 diabetes were evaluated. The skin of each subject was prepared using Prelude and a Symphony tCGM biosensor was applied to the skin site. Venous reference blood samples were taken from intravenous lines at 15-minute intervals for 24 hours and measured on a YSI 2300 STAT Plus Glucose Analyzer. The study data was blinded to study subjects and study personnel. At the conclusion of the 24-hour study period, the test skin sites were inspected for redness or other undesirable effects.

Study Results: Using over 2,600 Symphony tCGM glucose readings from the 20 study subjects paired with reference blood glucose measurements, CG-EGA showed that 94.4% of the readings were clinically accurate and 2.5% were benign errors with a combined A+B of 96.9%. The MARD for the study was 12.6%. Values for blood glucose measurements ranged from 38 to 399 mg/dL. There were no adverse events reported from the Prelude skin permeation or the Symphony tCGM biosensor.

FEASIBILITY 1
Study Design:
12 adult subjects without a history of diabetes were evaluated. The skin of each subject was prepared using Prelude and a Symphony tCGM biosensor was applied to the skin site. Venous reference blood samples were taken from intravenous lines at 15-minute intervals for 24 hours and measured on a YSI 2300 STAT Plus Glucose Analyzer and a commercially available, professional-use glucometer. The study data was blinded to study subjects and study personnel. At the conclusion of the 24-hour study period, the test skin sites were inspected for redness or other undesirable effects.

Study Results: Using over 1,600 Symphony tCGM glucose readings from the 12 study subjects paired with reference blood glucose measurements, CG-EGA showed that 98.3% of the readings were clinically accurate and 1.2% were benign errors with a combined A+B of 99.5%. The MARD for the study was 10.5%. Values for blood glucose measurements ranged from 64 to 212 mg/dL. There were no adverse events reported from the Prelude skin permeation or the Symphony tCGM biosensor.

Download Full 6-Page Note with Important Disclosures: Morning Note 12-06-11 ECTE

NeoStem (NBS) Update 11-30-11

AMR-001 Phase II Trial in AMI (Heart Attack) to Begin Q1
NeoStem Co-Hosts Stem Cell Conference at the Vatican
Continuing Transition to a Therapeutics-Focused Company

Download Full 31-Page Report with Important Disclosures: NBS Update 11-30-11

1.) AMR-001 to Begin Phase II Trial: Through the acquisition of Amorcyte (private), NeoStem gained all rights to the company’s lead development candidate AMR-001, an autologous, bone marrow derived, pharmaceutical grade cell-based product. AMR-001, is expected to initiate a Phase II trial in Acute Myocardial Infarction (AMI) by the end of Q1’12 as well as initiate a Phase I trial in congestive heart failure during 2012. The AMI Phase II trial is expected to complete enrollment within 12 months with top-line data 6 months after the last patient is treated or mid-2013.

2.) Vatican Conference: During November 9th through the 11th, NeoStem co-hosted the first International Vatican Adult Stem Cell Conference in Vatican City. The event is the result of collaboration between the Pontifical Council for Culture and NeoStem to research and promote the use of adult (non-embryonic) stem cells in medical treatments. (see NeoStem and Vatican Pontifical Council Initiative on Adult Stem Cells)

3.) Transition to Cellular Therapeutics Company: While R&D efforts are ongoing in the U.S., including VSEL™ technology (Very Small Embryonic Like), AMR-001 therapy for AMI and Athelos T-cell therapy, NeoStem already has commercialized adult stem cell therapies in China with indications such as orthopedics, wellness, cosmetic & anti-aging. NeoStem’s recent acquisition activity (PCT and Amorcyte) highlights management’s desire to transform NeoStem into a leading international provider of cell based therapies and a premier stem cell service provider through the Progenitor Cell Therapy division. The company is exploring different ways to achieve this transition including the possible sale of non-core assets such as their majority interest in Suzhou Erye Pharmaceutical Company.

4.) Suzhou Erye Revenues Down for Q3 2011: China pharmaceutical revenues for Q3 2011 were $15.5M as compared to $16.2M Q2 2011 and $16.4M in prior year Q3. The lower sales are reflective of a strategic decision by management to discontinue selling certain pharmaceutical intermediates, in order to create capacity within the existing production lines for higher margin products in the future. Management expects these decreases in sales to be temporary. It is important for investors to note that management is presently considering multiple strategies in respect to its majority interest in Suzhou Erye Pharmaceutical Co. including its possible divestiture (see Possible Sale of Eyre Pharmaceuticals)

5.) We are maintaining our Strong Buy rating and 12-18 month Price Target of $4.00 based on a 35x multiple on projected 2017 earnings and discounted 30% to adjust for risk: We have made changes to our financial model reflecting management’s new business development goals moving forward. We are now including AMR-001 for Acute Myocardial Infarction (AMI) in our model and accordingly we have raised our discount rate from 20% to 30% to account for the clinical development risk. We have extended stem cell-based revenues into 2017 where we expect to see growth driven by both Progenitor Cell Therapy services and approved stem cell therapies in China. Suzhou Erye Pharmaceutical Co. continues to be a significant revenue generator for NeoStem while management is currently exploring the monetization of the asset.

Download Full 31-Page Report with Important Disclosures: NBS Update 11-30-11

IsoRay (ISR) Update 11-23-11

GliaSite® / Iotrex™ Now Cleared to Commence Sales
Signs European Distributor for GliaSite® / Iotrex™
Disappointing Margins Due to Supplier Expected to Resolve

Download Full 25-Page Report with Important Disclosures: ISR Update 11-23-11

1.) GliaSite® Clears Last Regulatory Hurdle – Ready to Commence Sales: On November 22, 2011 IsoRay announced final approval from the State of Washington Department of Health to manufacture GliaSite®. This follows IsoRay’s recent FDA 510(k) clearance on September 12th. IsoRay is now ready to commence marketing their GliaSite radiation therapy system, a balloon catheter device used to deliver Iotrex™ (Iodine-125) to treat malignant brain cancer following resection surgery. The GliaSite system already has established reimbursement for both in-patient and out-patient settings. While the GliaSite device will currently be used to deliver Iotrex, investors should note that IsoRay is currently developing a liquid formulation of Cs-131 to be used in place of Iodine-125.

2.) IsoRay Signs European Distribution Partner for GliaSite®/Iotrex™: On November 3, 2011 IsoRay announced they entered into an international distribution agreement with Karlheinz Goehl-Medizintechnik Goehl for distribution in Germany, Austria, Switzerland, Italy and Luxembourg for the GliaSite radiation therapy system. Karlheinz Goehl-Medizintechnik Goehl, located in Germany, was previously the largest international distributor of the GliaSite radiation therapy system when the product was owned by Hologic.

3.) Supplier Negatively Impacts Margins: IsoRay reported disappointing gross margins of only 5.4% for FY Q1 2012 due to increased isotope costs (cost of goods sold) as their primary supplier underwent scheduled maintenance. This caused IsoRay to rely more heavily on their second source which was $70K higher. In addition, they purchased excess isotope for R&D of liquid Cesium-131 to be developed for use with the GliaSite® radiation therapy system once approved. IsoRay expects to also use some of the excess isotope for sales in the current quarter and anticipates margin improvement.

4.) Treatment of New Cancer Types: While prostate cancer remains as the most common procedure using Cs-131 seeds, IsoRay is starting to see growth in non-prostate cancer indications. FYQ1 results demonstrated treatment growth of 20% in brain cancer, head and neck cancer, and lung cancer compared to the prior year period (and the company is seeing growth in the current quarter as well). For the month of October, IsoRay has seen sales revenue increasing 14% over October FY2010 with non-prostate revenue increasing approximately 132% and prostate revenues increasing approximately 7%. Cases increased in the month of October by 24% with non-prostate cases increasing approximately 175%, while prostate cases increased approximately 18% over the cases in October FY2010.

5.) Maintaining Strong Speculative Buy rating and 12-18 month price target of $3.00. We believe that IsoRay remains “under the radar” on Wall Street as management begins executing on multiple growth strategies. Our valuation is based on a 35x multiple on projected fiscal year 2015 EPS and discounted 25% for cumulative risk.

Download Full 25-Page Report with Important Disclosures: ISR Update 11-23-11

 

 

Peregrine (PPHM) Note 11-22-11

Bavituximab Encouraging 23.3 Month Survival in 1st-Line Breast Cancer
Data Expected in 1st & 2nd-Line Lung and Chronic HCV Q4’11 through Q2’12

Download Full 4-Page Note with Important Disclosures: Morning Note 11-22-11 PPHM

Peregrine Pharmaceuticals announced encouraging 23.2 month median overall survival (OS) from their single-arm Phase II trial evaluating bavituximab in combination with carboplatin and paclitaxel in patients with locally advanced or metastatic breast cancer. Although this was a single-arm trial, the median overall survival compares favorably to published historical data. The trial design is available at: http://clinicaltrials.gov/ct2/show/NCT00687817

PHASE II RESULTS

Locally Advanced or
Metastatic Breast Cancer

Bavituximab +
paclitaxel+carboplatin1

Historical Control
paclitaxel+carboplatin2

Number of Patients

n=46

n=95

Complete Response

24% (11)

8% (8)

Partial Response

50% (23)

54% (51)

Objective Response

74% (34)

62% (59)

Stable Disease

n/r

20% (19)

Progressive Disease

n/r

18% (17)

Progression-Free Survival

6.9 mo.

4.8 mo.

Overall Survival

23.2 mo.

16.0 mo.

n/r = Not Reported

1 Source: Jain M., et al., “Phase II study of bavituximab plus paclitaxel and carboplatin in locally advanced or metastatic breast cancer (interim results)” ASCO 201 and Peregrine Pharmaceuticals

2 Source: Loesch D., et al., “Phase II Multicenter Trial of a Weekly Paclitaxel and Carboplatin Regimen in Patients With Advanced Breast Cancer” Journal of Clinical Oncology, Vol 20, No 18 (September 15), 2002

Although Peregrine is not currently pursuing a breast cancer indication, an Investigator Sponsored Trial (IST) is currently being conducted by the University of Arizona and the National Cancer Institute. The Phase I single-arm, open-label trial, up to 14 patients with HER2-negative metastatic breast cancer are being treated with paclitaxel (80 mg/m(2)) weekly for three weeks out of each four-week cycle and bavituximab (3 mg/kg) weekly. Patients will be treated until disease progression or intolerable toxicity. The primary endpoint is to determine the safety, feasibility, and tolerability of combining paclitaxel with weekly bavituximab therapy. Secondary endpoints include pharmacodynamics and coagulation marker changes. Patients will also be assessed for ORR rate and median PFS according to RECIST criteria. The trial design is available at: http://www.clinicaltrials.gov/ct2/show/NCT01288261

Please see complete morning note for Peregrine Pharmaceuticals upcoming catalysts and events.

Download Full 4-Page Note with Important Disclosures: Morning Note 11-22-11 PPHM

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