RE: Weekend reflections on a great week25 Sep 2023 11:10
Charles Archer in his article goes to great lengths to stress that AIM/Small Cap Pharma/Drug trials in general carry inherent risk. Historical precedents prove this to be true, however, whilst we have this lull into Thursday's update, what do we think are the greatest risks to AVCT's chances of success.? Even being deliberately pessimistic, I'm struggling to find any significant risks:
Safety & Tolerability, I think this is pretty much a given, no MTD going into cohort 7 with patients receiving levels of dox that would probably kill them if administered systemically. Even with zero efficacy this is more than enough for AVA6k to replace standard dox as the standard of care.
Efficacy, still very early but biopsy results, early cohort patients still receiving AVA6k, 'incredible' results from initial STS patient. I accept this is a clinical trial and the design has to be followed and completed, however, when you consider the results from pre-clinical/Mouse data, I simply can't see why AVA6k in humans would diverge from these results and significantly out perform standard dox. Furthermore, I have yet to read any sensible argument why it wouldn't.
Funding, again, I really can't see a risk here, particularly after last week's RNS/Interview. No short term requirements, P2 trial runway shortened, AS comments about commercial discussions taking place. IMO, we have adequate funds to get us to the Q4 cohort 7, P1a data, early efficacy update. I feel it is safe to assume that so close to this update (Q4 next week) that this data will continue to be outstanding, if so, funders will be falling over themselves to get involved, and as AS pointed out, this is likely to be non-dilutive, which suggests that it won't be distressed/death spiral funding.
I'd be very interested to hear thoughts on other potential risks and/or if my assumptions sound too optimistic ?
Fascinating time to be part of the very exclusive Avacta LTH's club !!!!