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Re: hschlauch post# 36392

Sunday, 10/23/2016 2:18:06 PM

Sunday, October 23, 2016 2:18:06 PM

Post# of 48316
Greetings hschlaunch,

Here is something else I just noticed in the immune profiling for PPHM's preclinical data presented at this year's AACR (I think this is what sets EP IL-12 apart from Bavi and other IO agents):

First and most importantly, the mouse equivalent Bavi does not demonstrate an inflamed immune profile. You will note that macrophages, Th1 cells, total tcells, DC cells, PD-1 positive tcells, and interferon gamma do not change much if at all after administration with Bavi.

So what is Bavi's MOA in my opinion? It is capable of reducing immune suppressing cytokines. While this benefits responses, I don't think it is going to add much long term survival benefit over anti-pd-1 agents used alone or in combination with an anti-CTLA-4 agent.

In short, I don't think Bavi is actually improving immunity and driving more TIL, it is simply reducing the number of suppressor cells.



I've had the same argument over on the PPHM.

History has shown (mouse studies, preclinical, clinical) very little adverse immune reaction to Bavituximab, such has been seen with most Monotherapeutic MaBs (Provenge, Yervoy, Keytruda, etc)

The defense has been, Bavituximab eliciting an upstream response, and reduction in IL10 and an increase in IL12 within the tumor mircoenvironment, thus allowing immature dendritic cells to mature into tumor specific APC's..

This theory has holes, and I've had the argument many times over there.

I'm super interested in EP-IL12. It seems logical and scientifically plausible. Not to mention, some what easy to understand.

All the best,
John

Disclaimer: Every post, and all my views are only speculative. Do not invest money or any other resources based on these post or opinions. Best of luck and do your own due diligence!