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“Who cares what you say”? You are an ignorant poster not providing links to your own assertions giving an alternative definition of established medicine in your last sentence.
George Bailey said:
”The definition of established medicine includes medicine in use for 10 years with safety and efficacy making it established. I conclude since DCVax was not previously approved then the National established medicines rules regime do not apply.” — GeorgeBaily
BETHESDA, MD, September 16, 2014 – Northwest Biotherapeutics (NASDAQ: NWBO) (“NW Bio”), a biotechnology company developing DCVax® personalized immune therapies for solid tumor cancers, announced today that its DCVax-L is the first product to receive formal designation as a “Promising Innovative Medicine” (PIM) under the new “Early Access to Medicines Scheme” (EAMS) launched in the UK in April 2014. A PIM is the first step in a 2-step process for early access approval under the EAMS.
The PIM designation for DCVax-L covers all malignant gliomas, which would include both Glioblastoma multiforme (the most severe grade) as well as less malignant grades, and would include both newly diagnosed and recurrent gliomas.
The EAMS is an important new initiative in the UK, launched by the Medicines and Healthcare Products Regulatory Agency (MHRA, the FDA of the UK), to lead the way in accelerating patients’ access to innovative new medicines for serious diseases. Information about the EAMS program can be found on the MHRA website at: http://www.mhra.gov.uk/Howweregulate/Innovation/EarlyaccesstomedicinesschemeEAMS/index.htm
The first step under the EAMS is MHRA’s scientific evaluation of whether a product candidate meets three criteria for a PIM designation: (i) the product is for a serious disease or condition with high unmet medical need; (ii) the product is likely to offer a major advantage over treatments available today; and (iii) the potential adverse effects of the product are outweighed by the potential benefits.
“Extremely rare” is my point.
Not my point.
Sounds like you have not read the latest on National established medicines. MHRA wants to get to determination after initial assessment. If your argument were true, they could not do that because initial assessment would not cover everything. Moreover, if there is a “complete” response to the rfi (if one is issued after initial assessment), it goes to determination, not further assessment.
I just sorta scanned the nt-10ks. This is the first one Les signed. I don’t recall him signing any other 10q or 10k either. I could be mistaken.
I could be wrong, but I think this was the first
Nt-10k Les signed instead of LP.
DD was speaking about the phase I study, I believe. You are discussing the phase II study.
“…. will be filed on or before the fifteenth calendar day following the prescribed due date;” — 10k
Hmm? Wasn’t thinking of you at all.
But if your quote today below is you “defending” NWBO, I’m glad they have Cofer and Posner as backups.
FEMike said:
NWBO is OTC is honestly doesn't care about regulatory requirements. They pretty much just do whatever they feel.
The material weakness is a nothing burger.
What’s funny is that they needed to go with the “Monte Carlo” valuation method.
Only on Wall Street.
So, correct me if I’m wrong, but it appears, and I don’t mean to speculate too much here, that the nt10k was filed on Friday, March 1, 2024.
This also means, and you can drop me in a vat of two buck chuck if I’m wrong, that NWBO filed as a large accelerated filer.
Oh, it also means they did care about following SEC rules.
It’s still Friday there as well.
It’s still Friday where I live.
Says the basher who thought nothing was going on between NICE and NWBO. SMH.
NWBO was a listed sponsor in the Phase I DCVax-l + poly-iclc study.
You overstated/mistated most of what I said.
Because linking the relevant entire tweet was considered off-topic by admin.
Recent movement. (Update)
1. Combination patent application in Europe to be granted, includes both DCVax-l (lysate pulsed) and/or DCVax-Direct (partial maturation) with checkpoint inhibitors.
2. 72 days since MAA was filed.
3. MHRA and FDA looking at further cooperation.
4. Nature Journal article on DC/poly-iclc combination study nearing publication. Primary completion date for study occurred nearly thirty days ago.
5. Active negotiations with other parties for combination trials going on for over a year, awaiting MAA to be “cemented.”
6. Large pharma struggling to adapt to upcoming patent cliffs.
7. Cohen/Milstein/Posner about to file second amended complaint, and with it, formulaic method to arrive at loss causation.
8. Flaskworks (aka: NWBO) continues IP momentum.
9. Advent hiring head of production to hire team to facilitate biotherapeutic production for clinical use. (Direct?)
10. FDA pursuing Promising Pathways.
11. Apparently NICE has been working with NWBO recently, and it anticipates an update on the topic website in the next week or so.
12. The End Brain Cancer Initiative (EBCI) Advocates for DCVax®-L to Gain FDA Approval
13. 10 Minute Rule Bill passed in UK for the 3,200 people who are diagnosed with a glioblastoma brain tumour every single year
The NHS ring-fences funding for certain classes of medicine that receive a particular type of recommendation from NICE.
The Cancer Drugs Fund (“CDF”) is in place to enable faster access to promising new cancer treatments. Following its relaunch in 2016, the CDF aims for all new systemic cancer drugs to receive a fast-tracked NICE appraisal. So far, 102 new oncology drugs treating 242 different indications have been through CDF review. NICE will recommend a product to receive funding from the CDF, at a negotiated price, if it has the potential to satisfy the criteria for routine commissioning but there is clinical uncertainty that needs further investigation (i.e., through data collection in the NHS or clinical studies). The drug will remain available within the CDF while more evidence becomes available, at which point NICE will subject it to one of its standard technology appraisal processes. The CDF has provided a route to NHS funding for a number of highly innovative, high-cost oncology technologies, including CAR-T and certain immuno-oncology therapies. The NHS has guaranteed £340 million per year for the CDF.
Introduced in 2022, the Innovative Medicines Fund (“IMF”) is an analogue to the CDF for non-oncology medicines that show significant clinical promise but for which the evidence base may be immature or uncertain. The primary function of the IMF is to provide managed, interim access to a promising medicine to patients while further evidence is generated to support a full NICE assessment. As with the CDF, the NHS has guaranteed £340 million per year for the IMF.
I’ll have to write them as well since you are not going to answer what your precise question was.
I did not say a partnership deal was already done, but I did state that NWBO intends to proceed with financially beneficial trial combos with several parties once the maa is “cemented.” According to LP at December 2022 ASM. Read the transcript.
I’ve already responded to your misworded second question multiple times.
I was incorrect on your third question. One does not always need to file an MAA before a commercial MIA is granted. However, I was right that Advent utilized the DCVax-l manufacturing process to prove their facility was entitled to an mia.
What was your precise question?
Correct, there may or may not be an RFI issued. The company stated just after submitting the maa that they anticipate an RFI will be issued, probably because that is most common.
What was your precise question?
They don’t have to PR if there is an RFI, as far as I understand. If there is one, it could be easy, moderately hard or difficult to respond to. Meaning, they might need a few days, a few weeks or the entire 60 days to respond. If an RFI is issued.
I think we (longs) are all hoping there was good coordination with regulators through our consultants prior to submission. This coordination is suppose to be easier because this is an orphan indication.
Because you need a response to start phase ii, so they can conduct their assessment of your response. However, if no issues, no RFI and therefore if no response, you can’t start phase II assessment, because the assessment is complete. Therefore, determination. IMO. See my prior points from today for more.
No. I’ll stand on my points from today.
“Assessment phase I will be completed 80 days after the clock starts. Issues arising or requiring clarification from the initial assessment will be raised with the applicant as a letter requesting further information (RFI) and should be addressed within the clock off period of 60 days.”
And RFI’s are not always “necessary.”
Poor thing. Always evading reason.
Newsflash, everyone except apparently you has known about the possibility of 60 days clock off for quite some time. But it’s amusing to see you think otherwise.
No, I’ve explained it to you. You simply don’t understand logic.
If an RFI response assessed in Phase II meets all issues raised in phase I it leaves assessment, because it is “complete,”and goes to determination. (According to the recent MHRA newsletter and link on established medicines)
If an RFI was never issued because no issues were raised by MHRA in phase I, then it is “complete” and needs no further assessment. Meaning it would go to determination.
Imo.
You are just repeating yourself. Go back and read my arguments. Read them all. Don’t pick and choose.
Long story short. You and ex think this has to add up to 150 days of assessment. It does not. It can be less. In some cases far less. In some cases no further assessment is done after phase I, just determination.
It’s sorta like:
Prior to JAMA, shorts thought they were playing chicken against a ford fiesta.
After JAMA, shorts thought they were playing chicken against a Camry
After submission, shorts think they are playing chicken against a Ford f-150
After March 21, shorts will think they are playing chicken against an 18 wheeler.
You simply can’t respond to reasoned argument with facts. So you just say stop making stuff up.
Here is your game. You want a vulnerable window where shorts can attack without fear in hopes that you can buy cheaper.
There is no vulnerable window. Time has matured such that many things can occur, and in a couple weeks, the possibility of early approval will be included in that window.