Entry into a Material Definitive Agreement

On October 8, 2021, Adhera Therapeutics, Inc. (the "Company") reported that entered into a Securities Purchase Agreement ("SPA") with an institutional investor (the "Buyer"), pursuant to which the Company issued the Buyer a 10% Convertible Redeemable Note in the principal amount of $131,250 (the "Note") and a three-year warrant to purchase 476,190 shares of common stock of the Company (the "Warrant") for which the Company received consideration of $110,000 (Filing, 8-K, Adhera Therapeutics, OCT 8, 2021, View Source [SID1234591173]).

Schedule your 30 min Free 1stOncology Demo!
Discover why more than 1,500 members use 1stOncology™ to excel in:

Early/Late Stage Pipeline Development - Target Scouting - Clinical Biomarkers - Indication Selection & Expansion - BD&L Contacts - Conference Reports - Combinatorial Drug Settings - Companion Diagnostics - Drug Repositioning - First-in-class Analysis - Competitive Analysis - Deals & Licensing

                  Schedule Your 30 min Free Demo!

The Note is due October 5, 2022. The Note provides for guaranteed interest at the rate of 10% per annum, payable at maturity. The Note is convertible into shares of common stock at any time following the date of cash payment at the Buyer’s option at a conversion price of $0.075 per share, subject to certain adjustments. Furthermore, the Buyer will not be allowed to effect a conversion if such conversion, along with all other shares of the Company’s common stock beneficially owned by the Buyer and its affiliates would exceed 4.99% of the outstanding shares of common stock of the Company, which may be increased up to 9.9% upon 60 days’ prior written notice by the Buyer.

The Warrants are exercisable for three-years from October 5, 2021 at an exercise price of $0.095 per share, subject to certain adjustments, which exercise price may be paid on a cashless basis. The aggregate exercise price is $45,238.05.

Pursuant to the SPA, the Company shall have filed a registration statement within 90 days providing for the registration of all shares issuable upon conversion of the Note and exercise of the Warrant.

For services rendered in connection with the SPA, the Company paid Carter, Terry & Company a fee of $10,000. In addition, the Company reimbursed the Buyer $5,000 for legal expenses incurred in connection with the transaction.

The foregoing description of the terms of the SPA, the Note, the Warrant and the transactions contemplated thereby does not purport to be complete and is qualified in its entirety by reference to the form of SPA, the form of Note, and the form of Warrant, a copy which is filed as Exhibits 10.1, 10.2, and 10.3, respectively, to this Current Report on Form 8-K and is incorporated herein by reference.

Choose mouse model for Tumor Immunotherapy Research

On October 8, 2021 Shanghai Medicilon reported that The direction of tumor immunity is undoubtedly one of the most popular directions in the field of cancer research ,but for researchers who are new to this field, the results of using only the mouse tumor model used in the previous tumor research will not be convincing (Press release, Shanghai Medicilon, OCT 8, 2021, View Source [SID1234591042]). For example, The most common human tumor cell line is the tumorigenesis model on immunodeficient mice. The deficiency of the immune system leads to partial or complete loss of the tumor immune microenvironment. It is used to evaluate PD-L1/PD-1 inhibition. The effect of the drug and CAR-T solid tumors is not rigorous enough.

Schedule your 30 min Free 1stOncology Demo!
Discover why more than 1,500 members use 1stOncology™ to excel in:

Early/Late Stage Pipeline Development - Target Scouting - Clinical Biomarkers - Indication Selection & Expansion - BD&L Contacts - Conference Reports - Combinatorial Drug Settings - Companion Diagnostics - Drug Repositioning - First-in-class Analysis - Competitive Analysis - Deals & Licensing

                  Schedule Your 30 min Free Demo!

Syngeneic Tumor Mouse Model
Syngeneic tumor model refers to a model that uses tumor cell lines of the same species to inoculate and form tumors on that species. Common mouse strains can be C57BL/6, BALB/c and FVB, etc. The inoculation method is usually subcutaneous tumor formation or Tail vein tumor formation and in situ tumor formation, this model is characterized by fast tumor formation time, usually only about 4 weeks (see the figure below).

From the perspective of the degree of simulation of the immune microenvironment, the final tumor microenvironment is still different from the native tumor microenvironment, and will be affected by the number of inoculations, the method of inoculation, the site of inoculation, and even the inflammation caused by the injection itself. It will also affect the formation of TME. Relatively speaking, tumor formation in situ usually better mimics the tumor microenvironment, but it also requires more difficulty in operation. One problem with the mouse model of homologous tumors is that the formed tumors are not heterogeneous enough, because they are all derived from the same cell line, the level of tumor heterogeneity will also have an impact on the effect of tumor immunotherapy.

Genetically Engineered Mouse Models
Gene-edited tumor mouse models are usually spontaneous tumor models. Through systemic or tissue-specific overexpression of oncogenes, or knockout of tumor suppressor genes, tumors are formed in mice, such as KRAS, MYC overexpressing breast cancer Mouse models, P53 or PTEN knockout mouse models of prostate cancer, tamoxifen-induced Cre-loxP specific knockout tumor mouse models. The advantage of these models is that the growth process of tumors undergoes immune tolerance, immune editing, and immunity In the process of suppression, the final TME will be closer to the native state. However, due to the long time of tumor formation, differences in heterogeneity will lead to large differences in experimental results between mice, and the repetition rate is lower than that of homologous tumor models.

Carcinogen-Induced Tumor Models
Common carcinogen-induced tumor mouse models include DEN-induced liver cancer, MCA-induced fibrosarcoma, ultravolet B-induced skin cancer, NHK-induced lung cancer models, etc. These tumor models have obvious genomic instability and tumor formation time It is also about half a year to 1 year. Compared with the gene-edited tumor mouse model, it has a richer gene mutation spectrum. These mutations are involved in immune remodeling in the neoantigen process for a long time in the tumorigenesis process, and can more naturally simulate tumor immune microbes. The formation of the environment, and therefore, the tumor heterogeneity between mice is greater, and the results will be quite different.

PDX model (Patient-Derived Xenograft Models)
The PDX model refers to the direct inoculation of patient-derived tumor mass into mice subcutaneously or orthotopic transplantation. The advantage of this model is that it can retain the cellular composition of the patient’s tumor, the tumor immune microenvironment, and the genetic heterogeneity. Compared with the previous tumor formation methods, the results of immunotherapy are closer to the actual clinical treatment situation.

Before tumorigenesis, mice will undergo humanized remodeling of the immune system, usually in two ways:

One is to transplant the patient’s CD34+ HSC cells 10-14 weeks before vaccination. Hematopoietic stem cells will differentiate into the human immune cell lineage during this time. The advantage of this method is that there is no GVHR, but the waiting cycle after transplantation will be biased. Long, the evaluation of the effects of vaccination and subsequent immunotherapy cannot be carried out immediately, but the results will be more realistic.

Another way is to transplant the patient’s PBMC for immune remodeling, but because the T cells in PBMC are already mature T cells, there will be a certain degree of GVHR response after transplantation into mice, which will have a certain impact on the treatment results, but The advantage is that mice can be inoculated immediately after transplantation and the experiment can be started.

Summary
The above are several tumor mouse models commonly used in evaluating tumor immunotherapy. These models have their own advantages and disadvantages. If there are clinical sample resources, the PDX model is recommended first. This model can simulate the real immune microenvironment to the greatest extent; if the sample resources are not easy to obtain, from the experimental cycle and experimental risk From a perspective, we can give priority to a mouse model of a homologous tumor or a mouse model of a heterogeneous tumor. The preliminary results are obtained first, and the results are good, and there is ample time. If you need to get data closer to the clinical results, you can do gene-edited tumor mice. Model or carcinogen-induced tumor mouse model verification, or find clinical resources to make PDX models.

Advocacy in Action: Updates on the Childhood Cancer STAR Act and Childhood Cancer Data Initiative

On October 8, 2021 The Childhood Cancer STAR Act and Childhood Cancer Data Initiative (CCDI) reported that are major federal government-led initiatives that exist in part because of years of advocacy work by members of the brain tumor and childhood cancer communities (Press release, National Brain Tumor Society, OCT 8, 2021, View Source [SID1234591041]). As we reflect back on Childhood Cancer Awareness Month (CCAM) this past September, we want to share updates on these initiatives as a reminder of the ongoing impact that advocacy makes possible.

Schedule your 30 min Free 1stOncology Demo!
Discover why more than 1,500 members use 1stOncology™ to excel in:

Early/Late Stage Pipeline Development - Target Scouting - Clinical Biomarkers - Indication Selection & Expansion - BD&L Contacts - Conference Reports - Combinatorial Drug Settings - Companion Diagnostics - Drug Repositioning - First-in-class Analysis - Competitive Analysis - Deals & Licensing

                  Schedule Your 30 min Free Demo!

"The progress of the STAR Act and CCDI illustrate the commitment and increase in focus on research in childhood cancer," says Danielle Leach, chief of government and community relations at NBTS. "Cancer is the number one cause of death by disease among children, and pediatric brain tumors are the leading cause of cancer-related death in this population. Therefore, seeing this increased collaboration and commitment is promising. Now is the time for advocates to continue to work together to support increases in federal research funding so this critical work can create the change we so desperately need to find cures and quality of life."

Childhood Cancer Data Initiative

In late 2020, following extensive input from NBTS and advocates, Congress approved funding for CCDI at $50 million per year for 10 years. Once that funding was secured, the CCDI steering committee, which includes NBTS CEO David Arons, delivered a report to the National Cancer Institute on the goals of the initiative:

Gather data from every child, adolescent, and young adult diagnosed with pediatric cancer, regardless of where they receive their care.
Create a national strategy of appropriate clinical and molecular characterization to speed diagnosis and inform treatment for all types of pediatric cancers.
Develop a platform and tools to bring together clinical care and research data that will improve preventive measures, treatment, quality of life, and survivorship for pediatric cancers.
Based on these goals, the National Cancer Institute (NCI) is currently building the National Childhood Cancer Registry, which will centralize all existing data on cancer patients from birth to 39 years old and include information on their treatments, tumor types, outcomes, and post-care experiences. This registry will make it easier for researchers to collaborate and build on each others’ work, and hopefully, increase the pace of progress.

Danielle Leach

Also leveraging funding from the STAR Act, the NCI is working with Children’s Oncology Group (COG) to build a "biobank" of tumor tissue samples— a national "Molecular Characterization Protocol"— that will make it easier for researchers leading studies to acquire samples of tissue for their work. According to the NCI, this biobank will focus on cancers for which existing treatments are limited or ineffective and tissue for research is lacking and therefore will help fill a gap in the current research landscape.

As NCI Director Dr. Ned Sharpless wrote in a recent blog, these initiatives will "provide unprecedented insights into the drivers of childhood cancers and how they become resistant to treatment, as well as factors that influence the risk of treatment-related side effects…Collecting comprehensive data from as many children as possible will give researchers a more thorough understanding of how well treatments work…[and] make it easier for researchers to monitor the health of survivors of childhood cancer throughout their lives, providing further insights into the impact of cancer and its treatments."

STAR ACT

The STAR Act is the most comprehensive childhood cancer bill in history. It expands opportunities for childhood cancer research, improves efforts to identify and track childhood cancer incidences, and enhances the quality of life for childhood cancer survivors.

Since the bill was signed into law in 2018, NBTS advocates have played an active role in ensuring that the STAR Act has been fully funded at $30 million every year by asking for funding through activities like Head to the Hill and our online action alerts. Additionally, Danielle Leach sits on the Centers for Disease Control and Prevention Childhood Cancer STAR Act advisory group.

To date, funding from the STAR Act has led to:

Seven new research grants for "Improving Outcomes for Pediatric, Adolescent, and Young Adult Cancer Survivors."
Ten new research grants for "Research to Reduce Morbidity and Improve Care for Pediatric, and Adolescent and Young Adult (AYA) Cancer Survivors."
Additional funding for the CDC to expand the capacity of state cancer registries and their abilities to collect data on childhood cancer cases and trends.
More details related to these and other updates were included in a comprehensive overview put together by the Alliance for Childhood Cancer, for which NBTS serves as the co-chair of the policy committee.

Precision BioSciences Statement on Safety of its Allogeneic CAR T Cells

On October 8, 2021 Precision BioSciences, Inc. (Nasdaq: DTIL), a clinical stage biotechnology company using its ARCUS genome editing platform to develop allogeneic CAR T and in vivo gene editing therapies, reported that issued the following statement about the safety of its allogeneic CAR T cell therapies (Press release, Precision Biosciences, OCT 8, 2021, View Source [SID1234591036]).

Schedule your 30 min Free 1stOncology Demo!
Discover why more than 1,500 members use 1stOncology™ to excel in:

Early/Late Stage Pipeline Development - Target Scouting - Clinical Biomarkers - Indication Selection & Expansion - BD&L Contacts - Conference Reports - Combinatorial Drug Settings - Companion Diagnostics - Drug Repositioning - First-in-class Analysis - Competitive Analysis - Deals & Licensing

                  Schedule Your 30 min Free Demo!

1) Precision BioSciences’ allogeneic CAR T cells are made using its proprietary ARCUS genome editing platform designed for precision, specificity, and safety.

2) Precision BioSciences’ CAR T cells are the only allogeneic CAR T cells in human clinical trials made with a single gene editing step to specifically avoid the potentially deleterious effects of making multiple edits to T cells.

It is known in the field that making multiple edits in T cells can result in chromosomal abnormalities. Specifically, it has been shown to be an issue in TCR/CD52 edited cells. As published in Cancer Research[1], "Translocation frequencies ranged from 10-4 to 2×10-2 with translocations resulting in acentromeric or dicentromeric chromosomes occurring the least frequently."
Precision’s lymphodepletion strategy does not include an anti-CD52 monoclonal antibody, and therefore does not require editing CD52 in the CAR T cells.
3) In addition, Precision BioSciences believes the oligo-capture method is the most sensitive method available for off-target detection allowing for superior product characterization with respect to gene editing safety. Importantly, this method is used to engineer out off-target editing of the ARCUS nucleases during the research phase of product development.

4) As part of product release testing, Precision BioSciences evaluates chromosomal abnormalities and confirms that the CAR T cells are not transformed.

5) Across four clinical programs in more than 100 patients treated with PBCAR T cells, Precision BioSciences has seen no evidence of chromosomal abnormalities.

Precision BioSciences is actively recruiting patients in ongoing clinical studies of PBCAR0191 (NCT03666000) for patients with relapsed or refractory (R/R) non-Hodgkin lymphoma (NHL) and R/R B-cell acute lymphoblastic leukemia, PBCAR19B (NCT04649112) for patients with R/R NHL, and PBCAR269 (NCT04171843) for patients with R/R multiple myeloma.

Black Diamond Therapeutics Presents Preclinical Data on BDTX-1535, BRAF, and FGFR Programs at the 33rd AACR-NCI-EORTC International Conference on Molecular Targets and Cancer Therapeutics

On October 8, 2021 Black Diamond Therapeutics, Inc. (Nasdaq: BDTX), a precision oncology medicine company pioneering the discovery and development of MasterKey therapies, reported the presentation of preclinical data for three early-stage pipeline programs in oral and poster sessions at the AACR (Free AACR Whitepaper)-NCI-EORTC Virtual AACR-NCI-EORTC (Free AACR-NCI-EORTC Whitepaper) International Conference on Molecular Targets and Cancer Therapeutics (EORTC-NCI-AACR) (Free ASGCT Whitepaper) (Free EORTC-NCI-AACR Whitepaper) (Press release, Black Diamond Therapeutics, OCT 8, 2021, View Source [SID1234591032]).

Schedule your 30 min Free 1stOncology Demo!
Discover why more than 1,500 members use 1stOncology™ to excel in:

Early/Late Stage Pipeline Development - Target Scouting - Clinical Biomarkers - Indication Selection & Expansion - BD&L Contacts - Conference Reports - Combinatorial Drug Settings - Companion Diagnostics - Drug Repositioning - First-in-class Analysis - Competitive Analysis - Deals & Licensing

                  Schedule Your 30 min Free Demo!

"Despite clinical advances in precision medicines for patients with non-small cell lung cancer (NSCLC) harboring an epidermal growth factor receptor (EGFR) mutation, multiple areas of unmet need persist, which include patients whose tumors have developed resistance to current-generation therapies, express non-canonical (or uncommon) mutations, and have metastasized to the brain," said Elizabeth Buck, Ph.D., Chief Scientific Officer of Black Diamond Therapeutics. "BDTX-1535 has demonstrated a breadth of coverage of oncogenic EGFR mutations expressed in NSCLC, which coupled with a brain-penetrant pharmacokinetic (PK) profile, supports the potential of BDTX-1535 as an optimal therapeutic candidate for these NSCLC patient populations."

Dr. Buck continued: "Additionally, B-Raf (BRAF) and fibroblast growth factor receptor (FGFR) are validated therapeutic targets, yet current standards of care are associated with meaningful limitations, yielding persistent unmet needs for these cancer patients. Our BRAF program compounds are designed to selectively target a full spectrum of Class II/III BRAF oncogenic mutations without inducing paradoxical activation, which can lead to secondary malignancies. Our FGFR compounds are designed to target a full spectrum of oncogenic FGFR2 and FGFR3 mutations, including known resistance mutations, while sparing FGFR1, the inhibition of which is associated with toxicities, including hyperphosphatemia."

The presentations describe the following data:

BDTX-1535 Program:
The presentation describes preclinical data for BDTX-1535, which is designed as a potent, selective, and brain-penetrant inhibitor of a spectrum of EGFR mutations expressed in glioblastoma multiforme (GBM) and NSCLC.

In cell-based assays, BDTX-1535 achieved potent and selective inhibition of EGFR mutations expressed in NSCLC, including the EGFR- C797S mutation that can arise following treatment with osimertinib.
BDTX-1535 demonstrated a favorable brain-penetrant PK profile in mouse, rat, and dog models.
In an EGFR Exon19+C797S mouse allograft efficacy model, BDTX-1535 showed dose-dependent tumor growth inhibition and achieved complete regression without notable impact on body weight.
Black Diamond expects to file an Investigational New Drug (IND) application for BDTX-1535 in the first half of 2022.
BRAF Program:
The presentation describes preclinical data for a lead compound from Black Diamond’s BRAF program, which is designed for potency and selectivity against a spectrum of non-canonical Class II/III (non-V600) mutations, as well as to avoid induction of paradoxical activation.

In cell-based assays, the lead compound demonstrated potent inhibition of a spectrum of Class II/III BRAF mutations.
In contrast to current-generation BRAF inhibitors, such as encorafenib and vemurafenib, treatment of cells harboring wild type BRAF (WT-BRAF) with the Black Diamond compound was not observed to lead to an increase in protein kinase RNA-like endoplasmic reticulum kinase (pERK), a signal of paradoxical activation.
In a BRAF-KIAA1549 fusion allograft tumor model, the lead compound exhibited dose-dependent inhibition of pERK and anti-tumor efficacy.
Black Diamond anticipates an IND filing in 2022.
FGFR Program:
The presentation illustrates the Black Diamond approach, which centers on a four-pronged optimization strategy designed to deliver an inhibitor with broad coverage of FGFR2 and FGFR3 oncogenes, while sparing inhibition of FGFR1 and retaining activity against resistance mutations.

In cell-based assays, FGFR program compounds demonstrated potent and selective inhibition of a spectrum of FGFR2/3 oncogenic mutations, while sparing FGFR1.
Additionally, in cell-based assays, FGFR program compounds demonstrated improved potency against resistance mutations.
In an in vivo study conducted in a UM-UC-14 (FGFR3-S249C) mouse model, FGFR program compounds demonstrated anti-tumor activity. Additionally, in mouse and rat models, FGFR program compounds did not promote hyperphosphatemia.
Black Diamond anticipates an IND filing in 2022.
"Our BDTX-1535, BRAF, and FGFR programs exemplify Black Diamond’s MasterKey approach to drug discovery in which we are able to harness the power of our proprietary MAP drug discovery engine to design spectrum-selective candidates engineered to overcome the limitations of current therapies in each target area," said David M. Epstein, Ph.D., President and Chief Executive Officer of Black Diamond Therapeutics. "These programs underscore the productivity of our MAP engine, and we look forward to providing updates across our pipeline as we advance toward our goal of delivering product candidates that can expand the reach of precision medicine and, in turn, address areas of true unmet need."

The presentations from the AACR (Free AACR Whitepaper)-NCI-EORTC meeting are available on the "Scientific Presentations and Publications" section of the Black Diamond Therapeutics website.