RE: Featured in podcast24 Nov 2020 14:21
Hi Grace,
thank you for the kind feedback (two times now) and Balanced, thank you for helping with a great answer - I am working funny hours at the moment and I am struggling to get time.
Grace, my post of 50% approval was very general and not directed at DNL as such. It illustrates there is a risk (that's all). I do think this risk is very much mitigated with DNL but I don't fully understand how the process arrived at this point (DNL in particular).
Like you say, there is poor performance on Orphan applications, but this is a re-formulation (modified release), so the drug is safe , proven - we just need effective...
One of the benefits of having this discussion - you reminded me that DNL presented some findings at ENDO Online earlier this year (March I believe), I registered at the time and there were some great outcomes, including;
"Additional benefits of modified-release hydrocortisone included restoration of menstruation in 4 patients compared with 1 patient on standard glucocorticoid regimen, and 2 partner pregnancies compared with none for patients on standard glucocorticoid regimen."
A summary (including the above) is here https://www.endocrinologyadvisor.com/home/conference-highlights/endo-2020/benefits-of-modified-release-hydrocortisone-for-classical-cah/
You have also reminded me of the very first time I met Martin Whitaker at one of his presentations, I asked just one question on the justification (to medical authorities) on the additional cost of Chronocort over the current medicine - included in his answer was the fact that it could change patient outlook, some could return to work and as you pointed out "fewer sick days" - the ENDO presentation supported his answer with real life results.
On the portfolio, DNL has become too big a holding and therefore has become a bigger risk. I hope to address this at some point.
I said a few weeks ago that there is a good market opportunity, we have now several vaccines, the US election is (kind of) over we are in the BREXIT end-game and the market likes to generate a nice "Santa Rally" in December.
During the last year, people have held cash, some held gold, many held growth (including Tech), it seems now that people are returning and /or switching to value for the recovery and hopefully a rally at Christmas - which also sees BREXIT.
I don't think DNL will benefit from this rally (my gut feel and very low trading volumes), there are some AIM posters elsewhere predicting a break-out on DNL but his post is not supported with much - I hope he is right.
I commented before that I was not a buyer (at any price), that is because I am buying the recovery and DNL is too large a holding for me now - along with existing holdings, this diversification is working for me. I am angry at my self for a lack of discipline on this - with the wrong share, it could have caused a lot of damage to my portfolio.
I am also not a seller (thanks to some of the contributors here puttin