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dangerM

01/14/19 5:57 PM

#223149 RE: DewDiligence #223147

>Anti-PD-1 for HBV?

I also had to google this, since it's not what I would think of first. According to http://regist2.virology-education.com/presentations/2018/HBVCure/13_Verdon.pdf a one single one time nivo dose appears to be good for many weeks (many weeks of receptor occupancy, slide 18), but has a rather weak effect (slide 20 "only one patient with > 1 log_10 reduction in HBsAg at either clinical timepoint").

The press statement does not mention any combo, so IMHO it's rather an expression of the too many PD-L1 in development and what companies try to do with them.

ghmm

01/14/19 6:26 PM

#223150 RE: DewDiligence #223147

I was surprised to hear NKTR evaluating one of their oncology drugs in virology with Gilead. I believe they said HIV but the slide seems to allude to other possibilities. It's not a partnership per se each provides drug and maintain ownership. Gilead has the right of first refusal (for Virology only) though if NKTR decides to partner.

Slides 28 & 29 from the webcast here is a link for anyone interested

https://www.nektar.com/application/files/2315/4696/3638/JPM_2019_Nektar_Therapeutics.pdf

jondoeuk

01/14/19 7:31 PM

#223153 RE: DewDiligence #223147

Chronic viral infections lead to exhausted virus-specific T-cells. Anti-PD(L)-1 drugs should help [1,2], but this won't be enough as the T-cells are prone to apoptosis (programmed cell death) [3], are metabolically dysfunctional [4] and much more [5,6].

Refs:
1 https://www.gastrojournal.org/article/S0016-5085(09)01747-8/fulltext
2 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0063818
3 https://www.jci.org/articles/view/33402
4 https://www.nature.com/articles/nm.4275
5 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0047648
6 https://aasldpubs.onlinelibrary.wiley.com/doi/full/10.1002/hep.24249