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Tuesday, March 26, 2024 7:54:04 PM
Complexity
It is similar to early investors trying to figure out what Amazon was worth, and year after year “suddenly realizing” it was worth more.
- A new kind of book selling company,
- wait, it is e-commerce,
- wait, it is massive customer driven data personalization,
- wait, it is massive logistics and supply chain,
- wait, it is massive cloud computing with AWS,
- wait, it is massive AI and machine learning,
- wait, it is approaching $2T in market cap…
DCVax is a disruptive technology platform
It continually adapts by leveraging our immune system that is already forever adapting to new diseases. A possible scenario…
- A new drug for late-stage (GBM, malignant brain tumors)
- wait, it is for early-stage (non-toxic, ideal as prophylactic)
- wait, it is SOC for the entire cancer type
- wait, it is state-of-the-art, low-cost manufacturing of live cell therapies
- wait, it is a broad-spectrum cancer vaccine (for multiple cancers)
- wait, it is a modular therapy (to optimize and cure, DCVax base layer, add adjuvants from menu)
- wait, it is SOC for multiple cancers
- wait, it is anti-viral (vaccine for chronic viral conditions like long-covid, herpes, HIV)
- wait, it is approaching $2T in market cap…
Narrow example to illustrate relative size of realizable markets
Kite Pharma (Car-T) was sold to Gilead for $12B in 2017, had only a completed Phase 2 trial, only for relapsed or refractory large B-cell lymphoma (LBCL). Ignoring inflation, $12B today is roughly $10/sh for NWBO today.
Kite for NHL drill down
- Based on Phase 2 clinical trial
- “Relapsed or refractory” means only for a subset % of a % of a % of cancer population
- LBCL is a subset of non-Hodgkin lymphoma (which is a subset of lymphomas)
- Relapsed refers to recurrent LBCL only (not for newly diagnosed)
- Refractory refers to 2nd line of treatment (for patients that did not respond to initial treatment or SOC)
- Only approved in USA
- Car-T is known for high toxicity risks
- Newly diagnosed LBCL in USA – 18K per year
- 30-40% of LBCL will need a 2nd line of treatment – 5K to 7K per year
https://www.kitepharma.com/news/press-releases/2023/12/us-fda-approves-label-update-for-kites-yescarta-car-tcell-therapy-to-include-overall-survival-data
- Calculation (per Bard, Yescarta has maybe 50% of LBCL) - ~3K patients
DCVax-L for GBM drill down
- Based on Phase 3 clinical trial (landmark success)
- MAA submitted in UK is to treat GBM (upside, all malignant gliomas)
- Both newly diagnosed and recurrent (all GBM)
- As SOC therapy (as the 1st line of treatment)
- Global clinical trial, means global markets (UK, USA, Germany/EU, and Canada)
- Efficacy, non-toxic, and immune memory
- Upside, anticipate off-label use in benign brain tumors
USA Brain Tumor statistics 2023
https://braintumor.org/brain-tumors/about-brain-tumors/brain-tumor-facts/
- Newly Diagnosed is 94K per year (28% GBM/malignant, 72% benign)
- Living with brain tumor is 1,000,000
To roughly extrapolate for the aggregate UK, Canada, and Germany/EU/EMA addressable markets, I count the cancer incident rates by country is approx 1.9X of USA.
https://www.wcrf.org/cancer-trends/global-cancer-data-by-country/
Comparing the two
NWBO should be worth multiple times more than Kite.
All is IMHO.
![Bullish](/static/images/ih2-bull.png)
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