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Photocure smĂ„prat (PHO) 🔩 2

Med fare for at jeg roter helt vilt: dette stemmer ikke.

Nedklassifisering gjelder scope for urologi, dvs bÄde flex og rigide. Gjeldende regelverk stopper KS fra Ä utvikle nytt flex scope, og det forhindrer pho fra Ä inngÄ partnerskap/fÄ agentur pÄ flex scope fra en helt ny leverandÞr.

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Nja, du har jo rett i at nedklassifiseringen gjelder scope, bÄde rigide og fleksible, men grunnen til nedklassifiseringen er at Cysview er godkjent av FDA for bruk sammen med scope fra KS som en drug-device kombo.

Det er ikke noe regelverk som forhindrer KS Ä lage nytt fleksibelt scope, men uten nedklassifiseringen er prosessene KS mÄ gjennom for Ä fÄ godkjent sine nye scope mye tyngre og det er det som har forÄrsaket den lange utviklingstiden av HD scopene pÄ markedet i US.

Det er heller ikke noe regelverk som hindrer PHO Ä inngÄ partnerskap eller fÄ agentur pÄ scope fra andre leverandÞrer, men fÞr nedklassifiseringen er klar kan ikke PHOs kunder bruke Cysview sammen med scope som ikke kommer fra KS. Scope fra andre leverandÞrer mÄ ogsÄ godkjennes av FDA, men prosessene for Ä fÄ godkjent scope alene (device) er mye enklere enn for scope sammen med Cysview (drug-device kombo).

GjÞr en liten edit pÄ mitt forrige, sÄ det blir litt tydeligere


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Da er vi enige

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Global

Getting old

A historic shift continues to take place in China that is having impacts on both the domestic and global economy. According to the National Bureau of Statistics, the nation’s total population fell by over 2M in 2023 to 1.41B, marking the second straight year of contraction. The decline also more than doubled that seen in 2022, when the Chinese population shrank for the first time since the Great Famine of the Mao Zedong era. That’s despite the lifting of the government’s one-child policy in 2015, and incentives rolled out in 2021 to encourage people to have more babies. As deaths outstrip births, Beijing rolled out plans for a so-called “silver” economy, which is estimated to be worth 30T yuan ($4.2T) by 2035 and account for about 10% of GDP.

Bare sÄ det er nevnt, i 2013 valgte Photocure EUROGIN som sted for Ä presentere Cevira fase 2b

https://photocure.com/news/photocure-to-present-data-on-cevirar-at-the-eurogin-2013-congress-florence-italy-3079743

Og det var veldig gode resultater pĂ„ “clearance of HPV” for de kreftfremkallende virusene HPV16/18 i forhold til baseline, som er det at noen ganger, ca 1 av 3, forsvinner de onkogene virusene av seg selv.

Det er ogsĂ„ et poeng at Cevira er vevsbesparende og det reduserer risikoen for “for-tidlig-fĂždsler”, som var et hoved innsalgspunkt for Photocure i 2013:

Og selv om dette er gamle data, og fra Norge, sÄ tror jeg vi trygt kan si at vi har hatt flinke kirurger, og gynekologer som er stÞdige med skalpellen i all tid, sÄ det er god grunn til Ä tro at dataene er dÄrligere i land hvor man er mindre nÞye, eller kvaliteten pÄ kirurger er mer varierende nÄr man vet at:

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Mao Cevira i Kina er det perfekte produkt pÄ det perfekte tidspunkt, for lederne i Kina er synkende fÞdselstall hovedbekymring nr 1. For mindre enn en uke siden kom sjokktallene; fÞdselstallene synker som en stein, og er halvert siden 2017.

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Fra en annen trÄd:

Sannere ord har ikke vÊrt sagt. SÄ penger bÞr egentlig hentes med en gang et selskap har markedet pÄ sin side, uansett om det trengs penger eller ikke.

SÄnn sett var det utrolig deilig at Photocure flesket skikkelig til nÄr de hentet penger sist.

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FÄr da inderlig hÄpe det ikke skal hentes inn mer penger, og definitivt ikke hvis det ikke trengs.

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Photocure har vel nÊrmere 250 millioner pÄ bok og nedbetalt gjeld, sÄ det burde vÊre null behov for innhenting av kapital.

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Dette var poenget mitt: Det var deilig at Photocure hentet skikkelig med penger nÄr de gjorde det. Det hadde vÊrt et alvorlig anker om kursen om de kun hadde 40 millioner pÄ bok nÄ.

Forresten:

HPV → Cevira

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De hentet penger ifm tilbakekjĂžpet av Europarettighetene vel?

Har aldri vÊrt aktuelt Ä hente penger pga likviditetsbehov til drift. Det er sÄnn at PHO genererer en solid positiv cashflow pÄ driften - og sÄ disponerer man den likviditeten til operasjonelle ekspansjonsinvesteringer.

Det er full kontroll pÄ pengebingen.

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Jepp, de gjorde det ifm det, men de hentet inn veldig rikelig. Og godt var det, for det renner ut jevnt og trutt. Dette er jo et av de fremste ankepunktene mot selskapet som legger press pÄ aksjen, de er nÞdt til Ä komme til lÞnnsomhet pÄ sin egen sjappe, altsÄ Cashflow utenom Asieris:

Q2 2023:
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Q3 2023:
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Det blir veldig viktig at Q4 viser at de fremdeles ser ut til Ä fÄ kontroll pÄ opex.

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Jeg vil beskrive det pÄ en annen mÄte; de HAR lÞnnsomhet og positiv kontantstrÞm - men sÄ velger de Ä reinvestere i vekst og ekspansjon. SÄ den operasjonelle gearingen kan bli riktig hyggelig.

Samtidig er organisasjonen skalerbar.

Q1 og Q4 2022 var vel one-offs?

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Denne er relevant her ogsÄ mtp Cevira. Biotekaksjer - #6571 av Boms

Er det et hpv-vaksinasjonsprogram i Kina?

SĂ„ tilbud om Cevira vil nok vĂŠre ettertraktet i mange mange Ă„r.

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Er spent pÄ kliniske data og real-world data fra Hexvix pÄ ASCO kommende dager 25-27 januar i San Francisco

Photocure Partner Asieris to present unpublished clinical trial and real-world data on Hexvix in China at ASCO GU 2024

PUBLISHED: 15 DECEMBER 2023MEDICAL CONGRESSES & EVENTSPARTNERSHIP NEWS & EXPANSION

Photocure ASA, The Bladder Cancer Company, announces that its partner Asieris plans to present two studies in the field of bladder cancer at the 2024 American Society of Clinical Oncology Genitourinary Cancers Symposium (ASCO-GU), January 25-27 in San Francisco.

This includes a poster presentation of heretofore unpublished data from the Hexvix real-world evidence study in China (Abstract 593): “Blue Light Cystoscopy versus White Light Cystoscopy for the Detection of Bladder Cancer in China: An Analysis of Unpublished Clinical Trial and Real-World Data.”

See Asieris’ full release here: Two Asieris Studies in the Field of Bladder Cancer Selected for Oral and Poster Presentations at the 2024 American Society of Clinical Oncology Genitourinary Cancer Symposium, Potentially Offering New Disease Management Options for Patients - Asieris Pharmaceuticals

Blue light cystoscopy versus white light cystoscopy for the detection of bladder cancer in China: An analysis of unpublished clinical trial and real-world data.

Authors

Hanzhong Li

Peking Union Medical College Hospital, Beijing, China

Hanzhong Li, Hailong Hu, Lulin Ma, Jianming Guo, Xiuheng Liu, Jian Huang, Yonglian Guo, Jin Wen, Shudong Zhang, Hongxian Zhang, Shuai Jiang, Cheng Liu, Wang He, Xinli Kang, Fei Wang

Organizations

Peking Union Medical College Hospital, Beijing, China, Second Affiliated Hospital of Tianjin Medical University, Tianjin, China, Peking University Third Hospital, Beijing, China, Sun Yat-sen Hospital Fudan University, Shanghai, China, People’s Hospital of Wuhan University, Wuhan, China, Sun Yat-Sen Memorial Hospital Sun Yat-Sen University, Guangzhou, China, The Central Hospital of Wuhan, Wuhan, China, Sun Yat-Sen Memorial Hospital of Zhongshan University, Guangzhou, China, Hainan General Hospital, Haikou, Hainan, China

Abstract Disclosures

Research Funding

No funding sources reported

Background: Blue light cystoscopy (BLC) is superior to white light cystoscopy (WLC) in detection of bladder cancer, but no multi-center studies have been conducted in China with modern 4K LED equipment. The objective of this post hoc analysis of a randomized controlled trial (RCT) and a real-world study (RWS) was to compare BLC with WLC in the detection of bladder cancer and to determine the similarity between the RCT and RWS.

Methods: In RCT (NCT05600322), patients with known or suspected bladder cancer were enrolled at seven hospitals in China from November 2022 to June 2023. In the prospective RWS, patients with known or suspected bladder cancer were enrolled at Hainan General Hospital from December 2022 to July 2023. Patients received intravesical HAL (Hexvix, Photocure ASA) and underwent WLC before BLC (System blue, Richard Wolf GmbH). Some patients were randomized to WLC to avoid observational bias. The primary endpoint was the proportion of patients with histologically confirmed tumors (Ta, T1, or CIS) who have at least one such lesion found by BLC but not by WLC. Secondary endpoints included, detection of CIS, lesion specific detection rate, false positive rates, and adverse events (AE).

Results: 158 patients were enrolled in RCT, in which 37 patients were training patients, six patients were randomized to not undergo BLC, one patient withdrew. 114 patients remained in the full analysis set. 19 patients were enrolled in RWS. In patients confirmed with Ta, T1, or CIS, 42/97 patients (43.3%) in RCT and 4/12 patients (33.3%) in RWS had at least one confirmed lesion found by BLC but not by WLC (all p<0.0001). 11/114 patients (9.6%) with CIS in RCT and 1/14 patients (7.1%) with CIS in RWS showed at least 1 additional confirmed CIS lesion found by BLC but not by WLC. In RCT, detection rates for PUNLMP, CIS, Ta, T1 and T2-T4 tumors were NA, 94.7%, 100%, 98.2% and 100% for BLC and NA, 42.1%, 76.1%, 91.2% and 100% for WLC, respectively. In RWS, detection rates for PUNLMP, CIS, Ta, T1 and T2-T4 tumors were NA, 100%, 100%, 100% and 100% for BLC and NA, 50%, 81%, 100% and 100% for WLC, respectively. The false-positive rate was 23.2% and 16.0% for BLC and WLC in RCT and was 25.0% and 15.4% in RWS, respectively. In RCT, 200 AEs were observed in 95 patients, all mild to moderate, of which 191 were classified as unrelated to HAL. In RWS, 16 AEs were observed in 15 patients, all mild and were all unrelated to HAL.

Conclusions: Both RCT and RWS confirm the superiority of BLC based on innovative LED technology with HAL over WLC in detection of bladder cancer in Chinese populations, especially CIS, and HAL is well tolerated. Clinical trial information: NCT05600322.

Program Guide – ASCO Meeting Program Guide

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Regner med presentasjon blir lagt ut av partneren Asieris eller Photocure nÄr den er gjennomfÞrt?

Hva synes du om beskrivelsen over @Snoeffelen ?

Er det noen som tror at PHO ikke vil skuffe markedet den 21. feb?
Kursutviklingen tyder ikke pÄ de store forventninger.

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Tror ikke kursen én mÄned fÞr kvartalsfremleggelse gir en veldig god pekepinn pÄ forventninger eller mangel derav.

Med det sagt, hvilke forventninger bĂžr en ha, om noen?

  • Oppdaring rundt potensiell “giga-ordre”
  • Oppdatering rundt nedklassifisering (tvilsomt)
  • Resultatet? Noen gunn til Ă„ forvente positive eller negative overraskelser?
    • Potensielt en milestone payment innbetalt
  • Potensiell informasjon rundt NDA for Cevira, slik som for Hexvix forrige Q.
  • 
 ?
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Dessverre sÄ kommer antakelig kursen fremover mer og mer til Ä handle om de lave forventningene til Q ja
Kanskje holdes greit oppe pga Kina hÄp