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efta-efta01143480DOJ Data Set 9OtherDS9 Document EFTA01143480
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M
GROUP
EQUITY RESEARCH
INDUSTRY REPORT
July 8, 2013
Regenerative Cell Therapy: Autologous versus allogeneic is the wrong question?
It's pre-clinical, manufacturing,
and clinical data that drive safety.
Companies mentioned include:
Athersys, Inc. (ATH2O- $1.68 -Buy
Baxter (BAX)- $69.88 -NR
Capricor (private)
Cardio3 Blosciences (phm.)
Cytomedtr (CM27)- $0.42-NR
Cytori Therapeutics (CYTX) - $2.43 -Buy
Dendreon (DNDTO - $4.48 - Sell
IntellkellBioScience (S PVC)-$0.05 - Mt
Lorna (LONN.VX)- CHF72.30 -1411t
Mesoblast Ltd. (MBLTY)- $25.14 - Buy
NeoStem, Inc. (MS) — $0.57—M
Osiris (OSIR) - $10.40 -RR
Pfizer (PPE) - $27.97 -NR
Pluristan (PS77) — $2.98 — Hold
Ton Pharmaceuticals (TEVA) — $38.94 —Buy
°Closing prams (7/05/10)3)
Mon clinical Mob are taking place with allogenek
cells, which we Mier* is due to a good safely profile,
'off :the shelf' convenience, and lower COGS
Soiree. Cirmemmals.rov sod licam dose nessata
Jason Kolbert
:wee hup .thegreatharn houtinn com
"What the eyes see and the ears hear, the mind believes" -
Harry Houdini. In the wake of Pluristem's clinical hold, some
investors have been asking if there are implications for other
allogeneic companies. NeoStem closed its presentation at the
Alliance for Regenerative Medicine (ARM) conference in April
2013, with a slide that autologous cells are safe. Well, that
depends? Were the autologous cells manipulated, enriched,
exposed to media, or expanded? The NeoStem product is
"manipulated." In this report, we review the safety data for
allogeneic cells and claims from autologous companies like
NeoStem that allogeneic cells are less safe or not safe. In fact.
we believe this is misdirection on the part of autologous
companies.
it Manipulation? Generally speaking, both autologous and
allogeneic cells are manipulated. The definition of manipulation
varies from minimally manipulated to manipulated, but it is a
misnomer to claim that no manipulation occurs.
r The clinical hold on Pluristem has become fodder for some who
want to raise the a llo safety question. We spoke with Athersys
and Mesoblast (allogeneic cells), and both companies told us
that they have had zero immune-related AE's. All of these
companies (allogeneic and autologous) are using different cell
types, isolation procedures, product composition, and delivery.
Both types are manipulated. Athersys has safely delivered doses
of more than 1 billion cells systemically with no reported
immune reactions. Mesoblast has tested its products in hundreds
of patients with no alto-related AEs. The only company on the
landscape that we see that is truly minimally manipulated is
IntelliCell Bioscience (SVFC).
70. Our conclusion: We believe both allogeneic and autologous
with few exceptions qualify as manipulated products: therefore,
the safety of both products must be assessed in pre-clinical,
manufacturing, and clinical studies. We believe both allogeneic
and autologous products will be approved for various
indications. Most importantly, if the outcome is initially binary
(it works or it doesn't), then patient convenience and cost of
goods are likely to be major market factors. In this case,
allogeneic has multiple advantages over the autologous process,
which is more expensive and less patient friendly.
Maxim Group LLC 405 Lexington Avenue New York, NY 10174 - www.maximgrp.com
SEE PAGE 25 FOR IMPORTANT DISCLOSURES AND DISCLAIMERS
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