To: Icebrg who wrote (10836 ) 3/5/2004 9:49:37 AM From: Icebrg Read Replies (5) | Respond to of 52153 Lehman Bros. [I have received the following notes from a cyberfriend and thought I should pass them along. I am sure my friend who isn't a member of the community but follows the thread would be happy to see any comments to his comments]. Erik, I also caught your comments on CTIC today... I confess that I really want to buy CTIC , but would just wish that the xyotax NSCLC results would be announced ASAP so that I can buy in afterwards. I just can't muster up any bravery to invest ahead of that event. I do agree with you that the ovarian cancer trial that they've managed to set up looks too good to be true. Speaking of ovarian cancer, I also listened to Telik's presentation at Lehman. I have to admit that the activity that they shown for Telcyta to date in ovarian cancer looks good. 15 and 19% response rate in two separate ~30 patient trials testing patients who are refractory or resistant to taxol / platinum regimens. They noted a 71 week overall survival for the first trial, and said that the second trial also had a similarly impressive overall survival (although they did not give a number, so there is the grain of salt). They are currently in p3 with telcyta against doxil or hycamtin. They also have a rather acceptable safety profile to date, with the most common toxicities being grade 2, with some grade 3 but no grade 4. Their second product, Telintra, isn't as exciting to me at this time. Dr. Wick was obviously enthusiastic about it, as he needs to be, but telintra preliminary results in myelodysplastic syndromes looked much less effective than revLimid. I also listened to the Tularik presentation . Again, this seems to be a really good research outfit, although I'm just not getting a large boost of confidence from their clinical acumen. They have a drug (T67) in phase III against hepatocellular carcinoma. It is to undergo a preliminary safety analysis by the DSMB soon, and if they get the go ahead, they plan to have 500 of their projected 600 or so patients enrolled by years end. Seems unrealistic to me given the length of time needed to get the first 100. Although hepatocellular carcinoma appears to be a wide open indication, they have been rather tight in releasing or referring to preliminary data. They have an additional drug, T607, which is a "backup" to T67 and has the same mechanism of action (irreversible binding to b-tubulin). It has shown a near complete response in an HCC patient in a phase I study. I get the feeling that if the interim analysis of T67 is not as rosy as they want, they may drop that trial and start over with T607. There are also drug candidates for diabetes, obesity and arthritis. They have repeatedly noted that the type 2 diabetes drug candidate is to be partnered by 1Q 2004. This expectation was reiterated... so for those who like to play these types of announcements, it may be a chance. Also listened to the Celgene and Millennium presentations. Millennium is being very tight lipped about their lung cancer "signals". I presume this is intended to allow the investigators to present something new at ASCO. They really didn't stress any part of their pipeline, but rather concentrated on expansion of Velcade and Integrilin use. They did note that angiomax is showing some competitive strength. However, our clinics are still not using angiomax, so i'm really curious as to the locations that are or have ramped up their angiomax use. Celgene had a generally boring presentation, in part because of what may be a trademarking fiasco with their 2nd generation drug Revimid, which is now Revlimid. Jackson repeatedly stuttered when trying to pronounce his own drug's name... not good. However, they do appear to be moving very aggressively on the clinical front in an attempt to get Revlimid approved with a broad set of data available to oncologists who may want to use it off-label. Celgene is the king of off-label sales. They also have a remarkable "volume" of preclinical leads that they follow. However, their m.o. of using multiple myeloma as the soft target to get onto the market may be getting saturated (thalomid, revlimid and now actimid as well)... I'll be eager to see how some of their other drug candidates (various ligase / jnk inhibitors) perform against solid tumours. I do own celg, mlnm, telk, tlrk, so please judge my comments accordingly. ps. I noticed that the SI valuation thread was inviting people to post notes from the Lehman conference. If you think these notes would be helpful, please feel free to pass them on.