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Biotech / Medical : Ligand - LGND - thread for non-PhDs
LGND 195.83-0.7%Dec 26 9:30 AM EST

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To: John Grandy who wrote (45)1/31/1997 12:04:00 PM
From: Henry Niman   of 57
 
John, I'll try to give a bit more detail on the TZD/Retinoid arena.
I don't think that there is any compelling evidence that one side
or the other is better biologically. Insulin resistance can be
treated with either drug type as well as drugs that would affect
the molecular complex. I think that drug development will be somewhat
dependent on which drugs are where in the approval process. I
think that LGND will initially focus on Targretin because it has
already passed safety tests and is currently in 3 pivotal phase III
trials for CTCL. If the oral form is approved for CTCL, then it
will be available and any M.D. in the U.S. could write a prescription
for the drug (now its only available to clinical trial participants).
I believe LGND will soon announce the start of a phase II trial in
diabetics for Targretin. I expect LGND to quickly generate clinical
data and use that data to negotiate a mega deal for type II diabetes.
The deal will include large up front payments as well as a substantial
royalty rate. The large pharmaceutical will then be responsible for
phase III trials as well as marketing. I expect at least two related
programs. These may be folded into the above deal. One will be to
develop ALRT268 as a second generation compound. This drug is being
developed by ALRIZ and has not undergone safety studies in humans.
However, it is anticipated to do well because it is an analog of
Targretin that binds more tightly to the same receptors. In the same
two mouse models of type II diabetes, it does a better job of improving
clinical parameters on its own and it also produces additive results
with 2nd generation TZDs. LGND (ALRIZ) has yet another approach using
yet another retinoid, LG100754. This compound interfers with RXR/RXR
homodimer formation and pushes RXR/PPAR heterodimer formation which
is the agent the treats insulin resistance. Of course LGND also has
a TZD/PPAR program with GLX for atherosclerosis and an unrelated inflammation
program with Sankyo. Both GLX and Sankyo are interested in TZDs for
type II diabetes, so its hard to predict exactly how the various programs
will sort out. However, I think its safe to say that eventually,
type II diabetes will be treated with a combination of retinoids and TZD
and LGND will have a significant piece of the action.

Henry
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