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SMALL BUSINESS
CytoDyn Transfers Research on Novel AIDS Drug to Massachusetts General Hospital
Business Wire
In response to new economic and regulatory realities, CytoDyn, Inc.
(Pink Sheets:CYDY) has made a sea change in its strategy for developing
Cytolin®, the Company’s unique immune therapy for treating HIV/AIDS.
Studies of the drug will be designed and conducted by Massachusetts
General Hospital, one of the premier teaching hospitals in Boston,
Massachusetts, as part of its mission to advance medical knowledge and
treatments through research, education and patient care.
The Current Standard for Treating HIV/AIDS
During the past decade, significant improvements in the antiviral
“cocktails” used to treat HIV/AIDS have transformed this once fatal
disease into a chronic, manageable condition. Many such antiviral drugs
are available, including Atripla®, which combines drugs from
Bristol-Myers Squibb (NYSE:BMY) and Gilead Sciences (NasdaqGS:GILD);
Viracept® from Pfizer (NYSE:PFE); and Norvir® from Abbott Laboratories
(NYSE:ABT), to name but a few. These drugs are the ingredients of Highly
Active Antiretroviral Therapy (HAART), which has saved countless lives
and is well tolerated by most patients, although all drugs have side
effects.
The current standard of treatment recommends withholding antiviral drugs
until the disease has progressed to the point where the drugs are
required to maintain a patient’s health, typically a period of about
five years from initial infection. A chief reason for withholding
treatment during the early years of HIV infection is that antiviral
drugs attack the virus directly. As a result, natural selection promotes
the evolution of HIV into species that are resistant to those drugs. If
antiviral drugs were prescribed too early, then the virus might become
resistant to those drugs, rendering them ineffective, by the time they
were necessary to maintain a patient’s health.
About Cytolin®
Cytolin® is a monoclonal antibody administered by intravenous infusion
and might expand the standard of treatment. In preliminary clinical
trials, and in compassionate use involving hundreds of patients treated
for about two years, Cytolin® produced encouraging results in delaying
or reversing disease progression while acquiring a good safety record.
Significantly, Cytolin® is not an antiviral drug although it has a
significant, albeit indirect, antiviral effect (log reduction in viral
burden). A first-in-class drug, Cytolin® is designed to prevent the
wholesale destruction of helpful CD4 T cells by a person’s own killer T
cells. The killer T cells are made by the human body in response to HIV
infection as part of the natural defense against the virus. As first
shown by Zarling,
et al in 1990 (
Journal of Immunology,
vol.
144, page 2992), the ability of these killer T cells to
indiscriminately destroy CD4 T cells is a trait unique to humans,
explaining why HIV infection does not cause disease in the other species
the virus can infect. It has been known since the beginning of the AIDS
pandemic that a wholesale loss of CD4 T cells is the reason why
individuals infected with HIV become susceptible to the opportunistic
infections and cancers that characterize AIDS. Up until the 1990s when
three independent studies identified the killer T cells as the cause of
the problem, the reason for the wholesale loss of CD4 cells remained a
mystery because the virus infects relatively few CD4 T cells.
The fact that Cytolin® has no direct effect on the life-cycle of the
virus precludes the emergence of Cytolin®-resistant virus due to the
long-term use of Cytolin®. This is in contrast to the antiviral drugs
whose use promotes the evolution of drug-resistant virus. Consequently,
a potential indication for Cytolin® would be to administer it early in
the infection in order to delay the natural progression of the disease
and, therefore, the time when antiviral drugs become necessary. If so,
healthcare providers could treat individuals infected with HIV more
quickly, rather than spending years just watching and waiting.
Cytolin® is the brainchild of scientist Allen D. Allen, the CEO of
CytoDyn, which has been developing Cytolin® as its lead product since
the Company’s inception in 2003. Notwithstanding CytoDyn’s previous
public discussions and efforts centered on other potential indications,
the Company is now committed to developing Cytolin® for the above
indication; that is, as a monotherapy for treating early HIV infection
before the antiviral drugs are indicated. The Company believes this best
serves the needs of those infected with HIV and the physicians who treat
them.
About The Study
CytoDyn has agreed to provide a research grant and cGMP product to
Massachusetts General Hospital for the purpose of conducting an
ex-vivo
study of Cytolin®. The study will enroll 10 adults with early HIV
infection and 10 healthy controls, each of whom will be required to
participate for six months. This study is intended as a prelude to an
in
vivo study and will take advantage of the facilities available at
Massachusetts General Hospital to confirm, and perhaps sharpen, the role
of killer T cells in causing the wholesale loss of CD4 T cells, as well
as the mechanisms of action responsible for the clinical benefits
observed in patients treated with Cytolin®, including the roles played
by various cytokines and cluster determinants (the “CD” used to
categorize lymphocytes, such as “CD4 T cells”).
The Company is pleased to report that the Principal Investigator is Eric
S. Rosenberg, MD, an Associate Professor of Medicine in the Infectious
Diseases Division of Massachusetts General Hospital and a prominent
researcher specializing in HIV/AIDS. More than the Principal
Investigator, Dr. Rosenberg designed the protocol for the study after an
extensive review of the relevant literature and human experience related
to Cytolin®. His review was aided by a comprehensive due diligence
report kindly prepared by David Scondras, a Boston-based AIDS activist.
Risks of Academic Research
Massachusetts General Hospital is a nonprofit, tax-exempt facility with
the mission of improving the public health by engaging in research for
the purpose of discovering and making available to the public new and
improved medical treatments and information. As a consequence,
Massachusetts General Hospital does not conduct studies unless its
researchers are free to publish the study results as, how, and when they
see fit, provided only that the trade secrets of CytoDyn may not be
disclosed.
When researchers have such unrestricted freedom to publish, it can pose
a risk to the company developing a drug. This is because the outcome of
clinical research is uncertain and the results may differ significantly
from the expectations of the company and the researchers. However,
CytoDyn’s management believes this risk is minimal inasmuch as Cytolin®
has already been used to treat hundreds of patients over extended
periods of time. Consequently, the study is unlikely to produce
unexpected or surprising results that would call the safety and efficacy
of Cytolin® into question. Nonetheless, the study may fail to meet its
objectives for any number of reasons. These include but are not limited
to the failure of
in vivo events to manifest
in vitro,
enrollment of patients whose HIV infection is still too early, and the
failure of a sufficient number of human subjects to complete the study.
Other Uncertainties
This announcement contains statements that are not historic facts but
anticipate future events and circumstances. All such forward-looking
statements made by the Company are necessarily estimates based upon
current information and projections and involve a number of risks and
uncertainties, including but not limited to, the failure of preliminary
results from clinical studies to reflect the results from more
comprehensive studies, and an inability to enroll a sufficient number of
patients or to otherwise complete a study. There can be no assurance
that such risks and uncertainties, or other factors, will not affect the
accuracy of such forward-looking statements. It is impossible to
identify all the factors that could cause actual results to differ
materially from those estimated by CytoDyn. They include, but are not
limited to, government regulation, managing and maintaining growth,
victimization by white-collar offenders, and the effects of adverse
publicity, litigation, competition, and other factors that may be
identified from time to time in the Company’s announcements.
Copyright Business Wire 2009
2009-10-08 09:00:00
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