RE: Two Key Ingredients Needed for a Share Price Rerate23 Feb 2023 09:07
Sorcerer, I would add an important third, how much dox released in the TME relative to amount in the dose of ava6k administered.
Yes, the 17th Jan RNS told us it worked, fantastic. How well? "typical drug-related cardiotoxicity of dox not observed" - big tick. "therapeutic levels which are much higher than. . .bloodstream" - tick, but with a question?
So number one, yes, positive, and we saw a good rise in SP. Number two? well Avacta is not a secret that only PIs like us on this board know about. The IIs and people in the field will be well aware, and have positions, or waiting for further details and or progress. Yes Joe Public down the pub probably won't have heard of Avacta, so we could get more SP rise the more PIs get to hear of Avacta.
I think number three is as, if not more important than number 1. I am over exposed, and was going to be one of those idiots taking some profit today if no material news, i.e. details were to be released. Being an PI, the price moved before I could get in though.
So, my thoughts on what detail I was hoping for, and might still get (we will find out tomorrow) In laymans terms, at a normal 60-75mg/m2 of dox in a shot of 6k, what percent was cleaved at the tumor site. We know it is low in the blood, so that box can be considered ticked, only how well it cleaves is the remaining question.
There was a link on this bb to Avactas study in mice or rats, can't remember, but the dox percent seemed about 30% in the best cases, and much lower in others. They were able to get similar levels in artificially fap enhanced environments similar to straight dox, but that's not real world.
So, a measure of how much in the TME is the key, "therapeutic" or "much higher than blood" are very encouraging, (hence "it works"tm) but a tease.
A thought experiment, down side, assume say one percent of given dox total found in blood, much higher in TME, 3%?, 10%?, 30%? Is 3% therapeutic, or "significant"? I guess so, better than 1%, but would need 33 treatments to equal one dox only treatment, and a whopping 300 plus to get to or exceed the MTD of straight dox! Hence DE.
Thought experiment part 2. DE is at 2x normal dose, further DE finds can get to 3, 4 or 5 times without cardio side effects. Treatment can be quicker intervals too, say 3 to 4 times normal dose, every week instead of 3 weekly, now we are talking. Does anyone know how often the P1a trials were administering?
So, best case scenario, much more 6k into patient, minimal to no side effects, would need roughly 10% of the dox released at straight 60-75mg for same amount to the TME, same time frame, but triple doses. Of course the maximum lifetime could be exceeded, but how many treatments are practical?
For me, getting an answer of 10% or more, winner winner chicken dinner, low single percent? hmm, maybe more work needed. just my laymans view
P.S. While I have been composing my thoughts, the SP has come back, but I have half talked myself out of par