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2 Small-Cap Biotechs That Soared Last Week – Motley Fool

Posted: November 25, 2019 at 8:45 pm

The stocks of Magenta Therapeutics (NASDAQ:MGTA) and Molecular Templates (NASDAQ:MTEM) bolted skywards last week, to the tune of 39% and 28% respectively.

Cutting-edge gene-editing therapies, chimeric antigen receptor T-cell (CAR-T) treatments, and stem cell transplants all require priming or conditioning regimens. Doctors today utilize older chemotherapy drugs or radiation, which often lead to infection or hospitalization. Magenta Therapeutics and Molecular Templates are among the companies seeking to develop less toxic, non-chemotherapy options for patients.

Image source: Getty Images.

On Nov. 18, Molecular Templates and Vertex Pharmaceuticals (NASDAQ:VRTX) forged a discovery and development collaboration to create novel targeted conditioning regimens applicable to gene-editing, CAR-T, and stem cell transplants. Vertex shelled out $38 million of up-front cash and an equity investment in Molecular Templates. The stock barely flinched, losing $0.03 from the prior day's closing price.

The next day, Nov. 19, Vertex and its collaborator CRISPR Therapeutics announced positive safety and efficacy data for the gene-editing therapy CTX001 in its first two patients. One patient had severe sickle cell disease; the other had beta thalassemia. These interventions edit a patient's genome, potentially allowing for a one-time curative treatment. Both patients received the chemotherapy busulfan prior to CTX001.

Revisiting the prior day's collaboration announcement, biotech investors focused on comments made by Vertex about how Molecular Templates could benefit the CTX001 program.

Vertex's Chief Scientific Officer David Altshuler said,

"We believe that gene editing holds significant promise in the treatment of severe hemoglobinopathies such as sickle cell disease and beta thalassemia, and Molecular Templates' unique technology platform could play an important role in creating a targeted conditioning regimen that could replace chemotherapy currently required in conditioning regimens and thus enhance the overall future treatment experience for patients."

Investors jumped on the message from Vertex, one of the biotech industry's stalwarts: Non-chemotherapy conditioning approaches are the future for gene and cell therapies.

In response, the stocks of other companies focused on achieving that goal (like Magenta) shot up. In fact, Magenta's nearly 40% gain in share price came during a week when it didn't release any news.

Magenta plans to present data on Dec. 6 at the American Society of Hematology's Annual Meeting for its lead program CD117-ADC. Targeting a protein on hematopoietic stem cells called CD117, the treatment eliminated mutated cells without the need for chemotherapy or radiation. Magenta believes CD117-ADC can potentially be used for genetic diseases like sickle cell disease, prior to either gene therapy or hematopoietic stem cell transplantation (HSCT).

Magenta and Molecular Templates are not the only players in the field. Forty Seven and bluebird bio paired up earlier this month to develop antibody-based conditioning regimens for HSCT. According to the World Health Organization, 50,000 HSCT procedures are performed annually worldwide.

Furthermore, recently approved CAR-T for cancer, such as Kymriah from Novartis or Yescarta from Gilead Sciences, require three days of cyclophosphamide and fludarabine. Developers of these and next-generation CAR-T treatments also seek to eliminate chemotherapy or radiation.

Patients greatly need less toxic methods to prepare them for gene- and cell-based therapies, or stem cell and bone marrow transplants. Many patients, particularly the elderly, are deemed ineligible for these interventions because the toxicity could be too severe. Any success could have broad implications for the treatment of cancers and genetic diseases.

While a variety of successful approaches may ultimately emerge, Magenta has taken an early lead with CD117-ADC. Molecular Templates, with Vertex as a seasoned partner by its side, may soon leap onto the scene with a targeted approach derived from its "engineered toxin bodies" platform.

The investor takeaway is clear: New treatment modalities will be dependent on non-chemotherapy conditioning. Investors in biotech companies that can figure out that piece of the puzzle should be richly rewarded.

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2 Small-Cap Biotechs That Soared Last Week - Motley Fool

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Join the stem cell registry – Berea Mail

Posted: November 25, 2019 at 8:45 pm

Nicolene Moonsamy. Sheena Dhunlal and Stephanie Berry encourage people to attend the blood stem cell donor drive.

THE number of patients diagnosed with blood diseases is on the rise, with 75 per cent of those diagnosed under the age of 25 years.

For most of these patients, a blood stem cell transplant is their only hope of cure.

Lenmed Ethekwini Hospital and Heart Centre is partnering with The Sunflower Fund to host a blood stem cell donor drive on 27 November at 9.30am to recruit well informed and committed donors onto The Sunflower Fund Registry, The drive will take place in the auditorium on the fourth floor until 3pm.

Leukaemia, aplastic anaemia and immune deficiencies are among the few blood conditions that we treat in our practise and can be managed with a blood stem cell transplant. Stem cells make up the component that your immune system needs to function. During the transplant your body is rescued with an infusion of healthy blood stem cells, explained Dr Keshnie Moodley, treating specialist paediatrician and haematologist at KIDZCAN based at Lenmed Ethekwini Hospital and Heart Centre.

ALSO READ: Girls celebrate with The Sunflower Fund

The chances of finding this match is 1:100 000 and the best chance of a match is within your same ethnic background. There is only a 25 per cent chance that a sibling will be a match. The remaining 75 per cent chance depends on an unrelated matching donor being found. Patients of colour and mixed ethnicity around the world are at a disadvantage due to the under-representation of Black, Coloured, Indian and Asian donors in the global donor pool.

As such The Sunflower Fund proactively creates awareness and education about blood diseases as well as the process involved in becoming a blood stem cell donor. We remain a registry of donors that is representative of the people groups in our rainbow nation, who are willing to help anyone for whom they might be a match, said Stephanie Berry from The Sunflower Fund.

To attend the drive on 27 November, contact Xolani Hlongwane on 079 261 2664 or email: [emailprotected]

To become a blood stem cell donor, visit: http://www.sunflowerfund.org.

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Comparative Study of the Therapeutic Potential of Mesenchymal Stem Cells Derived from Adipose Tissue and Bone Marrow on Acute Myocardial Infarction…

Posted: November 25, 2019 at 8:45 pm

OBJECTIVES:

Stem cell therapy is a promising approach in the treatment of acutemyocardial infarction(AMI). Mesenchymal stem cells (MSC) from bone marrow (BM-MSC) and adipose tissue (AT-MSC) are attractive and feasible for preclinical and clinical trials. In this study, we compared the therapeutic potential of BM-MSC and AT-MSC in repairing the hearts of rats with isoproterenol (ISO)-induced AMI.

Forty-two female rats were assigned into two groups; the optimization and the experimental group. The optimization groups were further subdivided into control group and the AMI induced group (using ISO). The experimental group was subdivided into AMI+cell-free media injected in the tail vein, AMI+BM-MSC, and AMI+AT-MSC groups treated with the intravenous injection of their respective cell types. Twenty-eight days after induction, electrocardiogram (ECG) was performed, and heart tissue samples were collected for histological assessment and cells tracing.

MSC therapy repaired cardiac functions shown by the restoration of ST segment, QT and QRS intervals in the ECG when compared to the AMI group. Infarct area was significantly decreased, and cardiac tissue regeneration signs were shown on histopathological examination.

Both MSC sources proved to be equally efficient in the assessed parameters.

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Comparative Study of the Therapeutic Potential of Mesenchymal Stem Cells Derived from Adipose Tissue and Bone Marrow on Acute Myocardial Infarction...

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Cell Isolation Market To Reach USD 18.26 Billion By 2026 | Reports And Data – GlobeNewswire

Posted: November 25, 2019 at 8:45 pm

New York, Nov. 25, 2019 (GLOBE NEWSWIRE) -- In the recent years, interest of biotechnology companies and scientists in cancer and stem cell research has increased. Advanced cell isolation products deliver improved separation of biological molecules including proteins, nucleic acids, chromatin and protein complexes for further analysis. In addition to this, there has been an increase in demand for personalized medicine. This has further helped this market grow.

According to the current analysis of Reports and Data, The global cell isolation market was valued at USD 4.9 billion in 2018 and is expected to reach USD 18.28 billion by the year 2026, at a CAGR of 17.7%. Cell isolation is the process of extracting a specialized cell from a heterogeneous mixture and then process it to identify its properties and replicate it to develop new therapies. For the determination of appropriate separation technique, an exhaustive analysis of the cell size, cell behavior, density, antigen status, and hydrophobic surface properties are done.

Cell isolation plays a very vital role in the diagnostics and research of chronic diseases. It helps in drug discovery by studying the behaviour of the cells and their response to disease and drugs. This technique of drug discovery helps to generate medicines that can be used for the treatment of various diseases such as cancer, genetic disorders, and autoimmune diseases. With incidents of chronic diseases on the rise across the world, the research, drug development, and clinical trials on various cell-based therapies also need to be increased. Therefore, the demand for cell isolation market will also have a boost.

This will be a significant factor fuelling the growth of the cell isolation market. The cell separation techniques play a vital role in personalized medicines, which are used for early detection of disease, selection of appropriate treatment, and determining the prognosis of the therapy. All these factors have contributed towards a positive dynamic growth curve of this market, and it is expected to keep growing in the coming years.

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Further key findings from the report suggest:

To identify the key trends in the industry, click on the link below: https://www.reportsanddata.com/report-detail/cell-isolation-market

Segments covered in the report:

For the purpose of this study, Reports and Data have segmented the cell isolation market on the basis of product, cell type, technique, application, end use and region:

Product (Revenue in USD Billion, 2018 - 2026)

Consumables

Reagents, kits, media, and sera

Beads

Disposables

Instruments

Centrifuges

Flow cytometers

Filtration systems

Magnetic-activated cell separator systems

Delivery Mode Type (Revenue, USD Million; 20162026)

Human cells

Differentiated Cells

Stem Cells

Animal Cells

Technique (Revenue in USD Billion, 2018 - 2026)

Application (Revenue in USD Billion, 2018 - 2026)

End Use (Revenue in USD Billion, 2018 - 2026)

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Regional Outlook (Revenue in USD Million; 20162026)

North America

o U.S.

o Canada

Europe

o Germany

o France

o UK

o Spain

o Italy

o Rest of the Europe

Asia Pacific

o China

o India

o Japan

o Rest of Asia-Pacific

Middle East & Africa

o Latin America

Brazil

About Reports and Data

Reports and Data is a market research and consulting company that provides syndicated research reports, customized research reports, and consulting services. Our solutions purely focus on your purpose to locate, target and analyze consumer behavior shifts across demographics, across industries and help clients make a smarter business decision. We offer market intelligence studies ensuring relevant and fact-based research across a multiple industries including Healthcare, Technology, Chemicals, Power, and Energy. We consistently update our research offerings to ensure our clients are aware about the latest trends existent in the market. Reports and Data has a strong base of experienced analysts from varied areas of expertise.

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Liberty Science Center’s Inaugural Genius of New Jersey to Honor Innovators Who Make the State a World Leader in Cutting-Edge Applied Science -…

Posted: November 25, 2019 at 8:45 pm

JERSEY CITY, N.J.--(BUSINESS WIRE)--New Jersey is home to some of the worlds most accomplished innovators in applied science. Three of them who are pioneering research and solutions in antibacterial therapies, genetics, human life extension, and food production are being honored by Liberty Science Center at its inaugural The Genius of NJ celebration on Monday, December 2.

The celebration starts at 5:30 pm with cocktails and unique technology demonstrations: a full-body 3D scanner from Lenscloud that can scan a person in half a second with 120 cameras and create a realistic 3D avatar; bomb-disposing robots and an autonomous fighting robot from Picatinny Arsenal; and Flyer, a personal aerial vehicle from Kitty Hawk, headquartered in Mountain View, CA.

The New Jersey honorees are Bonnie Bassler, Chair of Molecular Biology at Princeton University, who is developing novel antimicrobial therapies to render pathogenic bacteria harmless; Dr. Robert J. Hariri, Chairman, Founder & CEO of Celularity, Inc. who is pioneering the use of stem cells to cure disease and slow aging; and David Rosenberg, CEO and Co-Founder of AeroFarms, the worlds leader in mass-scale vertical indoor farming.

Our inaugural Genius of NJ Award Winners represent the best this state and the world have to offer in harnessing science for the betterment of humanity, said Liberty Science Center President and CEO Paul Hoffman. Each is using his or her exceptional intellect and creative abilities to disrupt and innovate both in their respective fields and in their commitment to making the world healthier and safer.

Bonnie Bassler is the Squibb Professor of Molecular Biology and Chair of the Department of Molecular Biology at Princeton University, as well as a Howard Hughes Medical Institute Investigator. Professor Bassler deciphered the chemical language bacteria cells use to communicate by studying a harmless marine bacterium called Vibrio fischeri, known to bioluminesce, or make light, like fireflies do. She is a winner of the MacArthur Genius Grant and is now developing therapies that disrupt communication among harmful bacteria and strengthen communication among helpful bacteria. At a time when an increasing number of bacteria are resistant to traditional kinds of antibiotics, Dr. Bassler offers a promising new approach to antimicrobial therapy.

The Chairman, Founder and CEO of Celularity, Inc., in Warren, NJ, and Co-Founder and Vice Chairman of Human Longevity, Inc., Dr. Robert Hariri is the quintessential renaissance man. Hes a neurosurgeon, a medical researcher, and a serial entrepreneur in two technology sectors: aerospace and biomedicine. Dr. Hariri has advised the Vatican on genetics, and in 2018, Pope Francis bestowed on him the Pontifical Key Award for Innovation. Dr. Hariris path to discovering that the placenta, a temporary organ discarded after birth, was a potent source of stem cells began in the 80s when he viewed a first trimester ultrasound of his oldest daughter and wondered why the placenta was so large. Today Dr. Hariri is working to use placental stem cells to cure disease, slow aging, and augment healthy human lifespan.

Prominent entrepreneur David Rosenberg, CEO and Co-Founder of AeroFarms, set out to reinvent one of the most basic aspects of food production, farming. AeroFarms has grown 800 species of plants indoors and can grow them 365 days a year without sun or soil, achieving yields 130 times greater than conventional farming. His system uses 95 percent less water than field farming and no pesticides, herbicides, or fungicides. Rosenbergs adoption of cutting-edge technology has been a cornerstone of AeroFarms, which set up its first indoor vertical farms in abandoned warehouses in Newark. He employs plant biologists, microbiologists, geneticists, systems engineers, and data scientists. AeroFarms innovations in indoor vertical farming have improved not just plant yields but also taste, texture, nutritional density, and shelf life.

Additionally, LSC will honor non-New Jersian Sebastian Thrun, CEO of Kitty Hawk, a company spun off from a Google moonshot effort to free the world from traffic. Kitty Hawk is developing all-electric, vertical take-off flying machines for everyday use. Known as the godfather of self-driving cars, as a Stanford professor in 2005, Thrun led a team that won the $2-million Defense Department Grand Challenge to build an autonomous vehicle which drove itself unassisted on a 132-mile course across the Mojave Desert. His winning entry, Stanley, is now on display at the Smithsonian in Washington, DC. While at Stanford, in 2011 he and colleague Peter Norvig offered their Introduction to Artificial Intelligence course online to anyone, for free. Over 160,000 students in more than 190 countries enrolled! The MOOC (which stands for Massive Open Online Course) was born, and Thrun founded the online education company Udacity, with the goal of democratizing education. Thrun relinquished his tenured Stanford professorship to join Google and founded the companys semi-secret R&D division called Google X (now called simply X) to develop breakthrough technologies, such as self-driving cars, that make the world a radically better place.

Ticket prices for The Genius of NJ start at $750 per guest with options for table sponsorship from $12,500 to $50,000. For more details, please visit The Genius of NJ online. All proceeds from this event will support LSCs mission to inspire the next generation of scientists and engineers.

About Liberty Science Center

Liberty Science Center (LSC.org) is a 300,000-square-foot nonprofit learning center located in Liberty State Park on the Jersey City bank of the Hudson near the Statue of Liberty. Dedicated to inspiring the next generation of scientists and engineers and bringing the power, promise, and pure fun of science and technology to learners of all ages, Liberty Science Center houses the largest planetarium in the Western Hemisphere, 12 museum exhibition halls, a live animal collection with 110 species, giant aquariums, a 3D theater, live simulcast surgeries, a tornado-force wind simulator, K-12 classrooms and labs, and teacher-development programs. More than 250,000 students visit the Science Center each year, and tens of thousands more participate in the Centers off-site and online programs. Welcoming more than 750,000 visitors annually, LSC is the largest interactive science center in the NYC-NJ metropolitan area.

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Nanoparticle therapy shows promise for treatment of rare cancer – The Brown Daily Herald

Posted: November 25, 2019 at 8:44 pm

This month, a paper published by University researchers Richard Terek and Qian Chen highlighted a potential nanotechnology therapy that targets chondrosarcoma, a rare type of bone cancer. Using nanoparticles, the team effectively delivered therapies directly into tumor cells and observed decreases in tumor volume and prolonged survival in mouse models.

Chondrosarcoma currently has no FDA approved treatments. The complex makeup of these cancer cells makes them uniquely difficult to treat. Specifically, one challenge to (drug) delivery in chondrosarcoma is the negatively charged proteoglycan-rich extracellular matrix that needs to be penetrated to reach the tumor cells, according to the study.

Terek, the chief of musculoskeletal oncology at Rhode Island Hospital, an orthopedic oncology surgeon with the Lifespan Cancer Institute and a professor of orthopedic surgery at Warren Alpert, studies chondrosarcoma and collaborated with Chen, a molecular and nano-medicine researcher, director of the NIH-funded Center of Biomedical Research Excellence in Skeletal Health and Repair at Rhode Island Hospital and a professor of orthopedic research and medical science, on this study. The pair aimed to develop a nanopiece delivery platform capable of penetrating the convoluted chondrosarcoma matrix.

We develop nanomaterial (that) we call nanopieces and we found that it can deliver nucleic acid therapeutics to tissues that normally are very difficult to be penetrated, Chen said.

In addition to getting drugs to the tumor tissue, the researchers also studied the biology of how chondrosarcoma spreads. The other thing is we dont totally understand what drives cancer cells to metastasize. That part of the work involves trying to disentangle which types of pathways have gone awry, Terek said.

The underlying principle of the therapy is that miRNA, short 21-nucleotide sequences, are overexpressed in chondrosarcoma tumor cells. These miRNA end up functioning in a way similar to oncogenes, genes which drive cancer formation, by indirectly affecting other genes in the cancer pathway.

Tereks work over the past decade has culminated in the identification of the cancer-causing, or oncogenic, miRNA involved in chondrosarcoma formation. That process involved microarray analysis of primary human tumor tissues. We used a variety of screening techniques to identify which miRNA were overexpressed in tumors, Terek said.

These detrimental effects of the oncogenic miRNA can be prevented by synthesizing a molecule of the opposite sequence of nucleotides. Once delivered into the cell with the nanoparticles it will counteract and annihilate the overexpressed miRNA Terek said.

Once the target miRNA was identified, the small, opposing sequence of RNA needed to be delivered, a process that is normally very difficult because of the charge and structure of the matrix formed by the tumor. What we do in the lab is formulate this nanomaterial specifically for penetrating into the matrix, Chen said.

The laws kind of break down when you get to these nano levels. At the nano level, these particles somehow get through the cell wall and into the cell, even though the cell wall is classically thought of as this impenetrable structure around the cell, Terek said.

The nanomaterial delivery vehicle is composed of a small molecule, weighing about 400 daltons, which assembles into a nanotube structure that contains RNA. The molecule itself is biomimetic. Its half composed of nucleic bases and half of the molecule is amino acids, so its fused together. Because of that it also has a very low level of cell toxicity, Chen said. The nanoparticle is designed to be comparable to a natural biological structure, enabling the particle to be generally accepted by cells, so it can enter and affect them.

In previous studies, Chens lab has shown successful use of nanoparticle therapy in the treatment of multiple other diseases, including rheumatoid arthritis. Recently, they also received a grant from the National Institutes of Health funding research on the treatment of Alzheimers disease using a similar nanopiece delivery system that can traverse the blood brain barrier.

In further developing this drug therapy, Terek said one possibility is to combine multiple miRNA sequences with these nanoparticles to impact more pathways and get maximal inhibition of tumor spread. This involves both counteracting overexpressed miRNA, and restoring beneficial cancer suppressor miRNAs to combine multiple therapeutics with one dose of the nanoparticles.

Another potential approach is to pair the miRNA therapy with other cancer drug therapies. Since some miRNAs prevent the effective use of typical cancer treatment drugs, this approach can be used to reverse drug resistance, allowing for the use of conventional therapies, like chemotherapy.

In order for nanoparticle therapy development to succeed, investors, pharmaceutical companies, biotech companies and other collaborators need to give time and money to projects like this, Chen said. As far as moving it into the clinic, thats always a big hurdle, Terek said. One intermediate step the team might take is to collaborate with veterinarians allowing them to incorporate their treatment method beyond mouse models.

Brown and Lifespan have helped establish a startup called NanoDe so that we can continue the process, Chen said. Moving forward, the team will continue to work on collaborating with other researchers and developers to advance this drug therapy for chondrosarcoma.

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Nanoparticle therapy shows promise for treatment of rare cancer - The Brown Daily Herald

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NanoRobotics Market Overview on Future Threats by 2026 – Crypto News Byte

Posted: November 25, 2019 at 8:44 pm

According to Stratistics MRC, the Global Nanorobotics Market is accounted for $4.10 Billion in 2017 and is expected to reach $11.88 Billion by 2026 growing at a CAGR of 12.5% during the forecast period. Growing application of nanotechnology and regenerative medicine, rising acceptance and preferment of entrepreneurship and increasing investments by government and universities are the key factors fuelling the market growth. However, high manufacturing cost may hinder the growth of the market.

Nanorobotics is an evolving technology arena that creates robots or machines which have machinery near to the scale of a nanometre (109 meters). It denotes the nanotechnology engineering regulation of planning, designing, and building nanorobots, primarily from molecular components. Nanorobotics is an attractive new field, especially in medicine, which focus on directed drug delivery using nanoscale molecular machines.

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By Type, Nanomanipulator is expected to hold considerable market growth during the forecast period. Nanomanipulator is a specialized nanorobot and microscopic viewing system for working with objects on an extremely small scale. Nanomanipulators are mainly used to influence the atoms and molecules and were among the first nanorobotic systems to be commercially accessible. By geography, Europe dominated the highest market share due to rising aging population and rising governmental healthcare expenditure.

Some of the key players in Nanorobotics include Bruker, JEOL, Thermo Fisher Scientific, Ginkgo Bioworks, Oxford Instruments, EV Group, Imina Technologies, Toronto Nano Instrumentation, Klocke Nanotechnik, Kleindiek Nanotechnik, Xidex, Synthace, Park Systems, Smaract and Nanonics Imaging

Types Covered: Nanomanipulator Magnetically Guided Bacteria-Based Bio-Nanorobotics

Applications Covered: Biomedical Nanomedicine Mechanical Other Applications

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Regions Covered: North Americao USo Canadao Mexico Europeo Germanyo UKo Italyo Franceo Spaino Rest of Europe Asia Pacifico Japano Chinao Indiao Australiao New Zealando South Koreao Rest of Asia Pacific South Americao Argentinao Brazilo Chileo Rest of South America Middle East & Africao Saudi Arabiao UAEo Qataro South Africao Rest of Middle East & Africa

What our report offers: Market share assessments for the regional and country level segments Market share analysis of the top industry players Strategic recommendations for the new entrants Market forecasts for a minimum of 9 years of all the mentioned segments, sub segments and the regional markets Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations) Strategic recommendations in key business segments based on the market estimations Competitive landscaping mapping the key common trends Company profiling with detailed strategies, financials, and recent developments Supply chain trends mapping the latest technological advancements

Free Customization Offerings:All the customers of this report will be entitled to receive one of the following free customization options: Company Profilingo Comprehensive profiling of additional market players (up to 3)o SWOT Analysis of key players (up to 3) Regional Segmentationo Market estimations, Forecasts and CAGR of any prominent country as per the clients interest (Note: Depends of feasibility check) Competitive Benchmarkingo Benchmarking of key players based on product portfolio, geographical presence, and strategic alliances

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Treatment Options for Diabetes Continue to Grow and Expand – BioSpace

Posted: November 25, 2019 at 8:42 pm

Over 30.3 million people in the United States have diabetes, and that number increases by 1.5 million adults per year. This figure counts for nearly 10% of the U.S. population, and an additional 33.9% have prediabetes. In 2017 alone, 88,563 people died from diabetes, making the disease the seventh highest cause of death in the country. An estimated 640 million adults across the planet will have diabetes by the year 2040.

With such widely-encompassing statistics, effective treatments for diabetes are becoming more and necessary. The past few years have demonstrated productive strides in drug therapies, such as following medications.

Farxiga

(Dapagliflozin), AstraZeneca

Farxiga is a type 2 diabetes treatment that works with the kidneys to lower blood sugar. Not only does the drug help control diabetes, but as of last month, the FDA granted Farxiga an additional use in reducing hospitalization due to heart failure in adults suffering from the disease. "This is promising news for the 30 million people living with type 2 diabetes in the U.S., as heart failure is one of the earliest cardiovascular complications for them, before heart attack or stroke, quoted Rudd Dobber, Ph.D, Executive Vice President and President of the BioPharmaceuticals Business Unit at AstraZeneca.

In a study known as the DECLARE-TIMI 58 CV Outcomes trial, 17,160 type 2 diabetes patients were studied over a median of 4.2 years, with some being given the medication and others receiving a placebo. The study found that the patients on the medication were 27% less likely to be hospitalized due to heart failure.

"The whole issue of secondary benefit from this class of drugs evolved [over time, with more research]. There is another drug out there that consumers should be aware of if they have cardiovascular problems and heart failure that appears to have benefit in reducing heart failure, and to the point it reduces the number of people going into the hospital. But, discuss it with your doctor," offered Gerald Bernstein, MD and coordinator of the Friedman Diabetes Institute of Lenox Hill Hospital in New York.

Trulicity

(Dulaglutide), Eli Lilly

Trulicity is a non-insulin, once per week subcutaneous injection that helps the body to naturally release its own insulin. The packaging hides the needle from patients who may be more sensitive to it, requiring only a click of a button to deliver the dosage. In June of this year, the drug's REWIND trial, which spanned for a median follow-up of 5.4 years, results showed a 12% decrease in cardiovascular events for patients aged 50 and above with type 2 diabetes who were taking the medication versus those taking the placebo.

Dawn Brooks, Ph.D., and Global Development Leader of Trulicity, Lilly, noted that, "millions of people with diabetes are at a higher risk for developing cardiovascular disease. The REWIND trial found that Trulicity significantly reduced major cardiovascular events and had a consistent effect in people with and without established cardiovascular disease. We are pleased with this opinion recognizing the importance of these data, which demonstrate the benefits of Trulicity in a broad range of people with type 2 diabetes."

Victoza

(Liraglutide), Novo Nordisk

Victoza is another non-insulin treatment, taken once daily. The drug lowers A1C, helps to lower blood sugar levels, and may even reduce the risk of major cardiovascular events, including stroke, heart attack, or death.

The drug works in three primary ways. First, "Victoza slows food leaving your stomach. GLP-1 is normally released from your small intestine when you eat. This slows down the process of food leaving your stomach, which helps control your blood sugar after meals." Secondly, "Victoza helps prevent your liver from making too much sugar," and finally, "Victoza helps the pancreas produce more insulin when your blood sugar levels are high. Victoza does this by helping important cells work the way they should. These cells are called beta cells and they help control blood sugar by making and releasing insulin."

In June of this year, the drug was approved by the FDA for diabetes treatment in 10-17 year olds. Mads Krogsgaard Thomsen, Executive Vice President and Chief Science Officer of Novo Nordisk reports that "we are delighted with the label expansion for Victoza, which now includes an indication for use in children and adolescents with type 2 diabetes in the U.S. - this is a landmark approval as the first-ever GLP-1 receptor agonist approved for this population. The prevalence of type 2 diabetes in the U.S. is ever increasing and we are seeing a higher number of diagnoses in children and adolescents, for whom there are limited treatment choices. Victoza will provide a new option for clinicians treating this challenging disease, helping to address the growing need for this population."

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Treatment Options for Diabetes Continue to Grow and Expand - BioSpace

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The impact of diabetes on vision – Midland Daily News

Posted: November 25, 2019 at 8:42 pm

Omar P. Haqqani, for the Daily News

The impact of diabetes on vision

The negative impact diabetes has on areas of the body and organs, including kidneys, heart and nerves have been well documented. However, there is a new emphasis on the relationship between diabetes and the eyes. The number of people with diabetes-related vision problems globally is estimated to increase to 180.6 million in 2030. The figure reported in 2014 was 146 million. According to the Centers for Disease Control and Prevention, diabetes is the leading cause of new cases of blindness in adults in the United States. 30.3 million Americans, or 9.4 percent of the population, have diabetes.

How does diabetes affect vision?

Diabetes occurs when blood glucose, also called blood sugar, is too high. Blood glucose is the main source of energy and comes from food. With diabetes, the body does not produce enough insulin, the hormone that processes glucose. It can be absent or its production can be impaired (TYPE 1) or there can be "insulin resistance" of tissues to insulin (TYPE 2).

Diabetic retinopathy (DR) occurs when the blood vessels of the retina are damaged. Increased sugar levels in the blood resulting from diabetes causes this damage. The macula, an oval-shaped pigmented area in the central retina responsible for high-resolution and the color vision, can develop edema; the entire retina is at risk of rogue blood vessels hemorrhaging into the retina or detaching it.

The American Society of Retina Specialists (ASRS) states that diabetic retinopathy is the leading cause of blindness in Americans of working age. People with Type 1 diabetes are as likely to develop diabetic retinopathy as those with Type 2 diabetes.

In addition to diabetic retinopathy, the risk of glaucoma and cataracts is greater for those with diabetes.

Symptoms of diabetic retinopathy

Most patients with DR have no symptoms until its latest stages, making screening a priority in preventing it. In Type 1 diabetes, DR begins within 5 years of their diabetes diagnosis; in Type 2, DR onset can take as long as 20 years.

When symptoms do occur, evidence of diabetic retinopathy may surface in one or both eyes. Blurred vision, eye pain, new difficulty in color perception or a shadow in the field of vision are among the most common symptoms. Having trouble reading or the presence of spots, called "floaters," in the vision are other symptoms.

Diagnosis and treatment

The best diagnostic approach for DR is screening. Early detection of changes that are unnoticed by the patient can allow early treatment to be more beneficial.

Screening is performed by an ophthalmologist or an appropriately trained specialist, and serial retinal photographs can be used to follow the progress of eye conditions. Ophthalmoscopy with the help of pupil dilation is used in conjunction with retinal photography.

Chronic hyperglycemia is the cause of the diabetic retinopathy. The diseased tissue of the retina provokes the growth of new vessels from adjacent ones in an attempt to revascularlize it. Neovascularization engenders the risk of hemorrhage and tractional retinal detachment.

The importance of early diagnosis of DR makes more likely any benefits from its management and treatment. Treatment is based on whether the retinopathy is nonproliferative (NPDR) or proliferative (PDR). The goal of NPDR treatment is preservation of remaining vision while reducing progression. PDR is a more progressive condition that mandates more aggressive treatment. Panretinal photocoagulation is the primary treatment for severe PDR and has been shown to reduce visual loss significantly.

If retinal detachment occurs, removal of the vitreous ("vitrectomy") helps reach the goals of therapy by stabilizing the intraocular environment.

Effective prevention methods include good management diabetes and hypertension management. Lipid-lowering therapy can also help.

To learn more about diabetic retinopathy, its symptoms and treatment, log on to vascularhealthclinics.org and visit the Diabetes and Metabolism Institute.

Ask Dr. Haqqani

If you have questions about your cardiovascular health, including heart, blood pressure, stroke lifestyle and other issues, we want to answer them. Please submit your questions to Dr. Haqqani by e-mail at questions@vascularhealthclinics.org.

Dr. Omar P. Haqqani is the chief of Vascular and Endovascular Surgery at Vascular Health Clinics in Midland: http://www.vascularhealthclinics.org

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The impact of diabetes on vision - Midland Daily News

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3 keys to motivating consumers to manage their diabetes – MedCity News

Posted: November 25, 2019 at 8:42 pm

More than 30 million Americans have been diagnosed with diabetes, making it one of the most prevalent conditions in the U.S. Its also one of the most costly: As of 2017, the total estimated cost of diagnosed diabetes was $327 billion annually, including $237 billion in direct medical costs.

Not surprisingly, diabetes is common across Medicare Advantage (MA) plans, whose members are 65 and older one in five Americans in this age group has been diagnosed with diabetes. Most MA plans have initiatives in place to address the three Part C diabetes measures that help ensure members get the care they need (eye exam, kidney disease monitoring and blood sugar monitoring). And while most plans perform well in at least one measure, few plans perform well in all three. No matter how a plan stacks up on these measures, there is always room for improvement.

Data seems to suggest that there arethree best practices health plans can use to motivate members to complete the diabetic activities that are critical to their health.

Lesson No. 1: Prioritize the Activities for MembersThroughout the course of a given year, plans ask members to complete several healthcare activities. And while every activity is important, the ones that health plans prioritize first when communicating with members are the ones most likely for members to complete.

Given how much is spent annually on treating diabetes, its particularly important that plans prioritize these activities with members. Once these activities are prioritized moremembers complete their diabetic eye exam, kidney disease monitoring and blood sugar monitoring.

Lesson No. 2: Optimize Member CommunicationsImproving communication to members with diabetes is another area where health plans can focus:

Lesson No. 3: Fine-tune Rewards to Deliver ResultsMost health plans offer their members incentives to complete various health activities, but what many fail to realize is different reward amounts are effective for different activities. NovuHealth regularly recommends optimized reward amounts for different activities to its health plan clients based on its experience working with millions of members over the past decade.

Some plans offer a $25 reward for every single healthcare activity, regardless of the barriers to completion and the value to the plan. But depending on these factors, some activities may require more than $25, and some may require less.

Its intuitive that a larger reward leads to a higher percentage of members completing an activity, but this is where optimization is key. Plans that go too high with their rewards and incentives can see limited or even negative return on their investment, and end up spending more than they need to.

Health plans know that diabetes is a costly condition. And while most understand that engaging members and offering them rewards and incentives motivates more members to get care, it takes more than simply throwing money and member mailings at the issue. Plans that prioritize healthcare activities in this case, those related to diabetes and develop sound engagement and rewards strategies, stand the best chance of maximizing their ROI while helping get members the vital care they need.

Photo: filipefrazao, Getty Images

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3 keys to motivating consumers to manage their diabetes - MedCity News

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