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hCG (Human Chorionic Gonadotropin) for Weight Loss …

Posted: June 23, 2021 at 2:08 am

In this Article In this Article In this Article The Promise

Take a "natural" hormone the body makes during pregnancy -- and lose a lot of weight? That's the promise that's turned the hCG Diet -- named after that hormone -- into a craze that just won't quit. If you also go on an ultra-low-calorie diet, backers claim, hCG can reset your metabolism so you lose as much as a pound a day without feeling hungry or weak.

Here's what the science says: Any super-low-cal diet will result in weight loss. Most studies have found that hCG (stands for human chorionic gonadotropin) has nothing to do with it.

The hCG diet limits you to 500 calories a day for 8 weeks while taking hCG, either by getting a shot or by taking a homeopathic product, such as oral drops, pellets, or sprays, which you can buy at the store.

None of this is approved by the FDA for weight loss. The shots themselves are legal, as long as a health care provider gives them to you. (They're approved to treat fertility issues.) But over-the-counter hCG products are not. The FDA has sent warning letters to several companies that market homeopathic hCG products.

You won't be eating much. The diet lets you have two meals a day, lunch and dinner. Each meal has to include one protein, one vegetable, one bread, and one fruit.

You can broil or grill veal, beef, chicken breast, fresh white fish, lobster, crab, or shrimp as long you dont eat any visible fat. No salmon, eel, tuna, herring, or dried or pickled fish are allowed.

Vegetable choices include spinach, chard, chicory, beet greens, green salad, tomatoes, celery, fennel, onions, red radishes, cucumbers, asparagus, and cabbage.

Bread can be one breadstick or one piece of melba toast.

For fruit, you can choose an orange, an apple, a handful of strawberries, or half a grapefruit. The diet allows as much water, coffee, and tea as you want. You can also have up to 1 tablespoon of milk per day.

You can use sugar substitutes but not sugar to sweeten drinks. Butter and oils aren't allowed.

It's very hard to stick with the strict calorie limit. Not only is it uncomfortable to live on just 500 calories a day, it can be dangerous. Its impossible to meet all your nutritional needs on so few calories. You may not get enough protein, either. If you're getting less than 1,200 calories a day, it's going to be challenging to get enough vitamins and minerals without supplements.

Doctors sometimes recommend a very-low-calorie diet (under 1,000 calories per day) if someone is obese and has a medical condition such as high blood pressure, but these diets must becarefully supervised by a doctor.

Vegetarians and vegans: Its fans say anyone can follow the hCG diet. But that doesnt mean its safe, especially for vegetarians. The diet's creators say that vegetarians would have to drink extra skim milk to make up for not getting protein from meat and other sources. Because it includes dairy, it's not a vegan diet.

Gluten-free: This isn't a gluten-free diet.

SOURCES:

American Society of Bariatric Physicians: Use of HCG in the Treatment of Obesity.

Bosch, B. South African Medical Journal, Feb. 18, 1990.

HCG Diet Council: The Original HCG Simeons Diet, Pounds & Inches: A New Approach to Obesity.

Birmingham, C. Canadian Medical Association Journal, May 15, 1983.

Heather Mangieri, RDN, Academy of Nutrition and Dietetics.

U.S. Food and Drug Administration: For Consumers: HCG Diet Products Are Illegal, Questions and Answers on HCG Products for Weight Loss.

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THE Hcg Diet Food List | Approved Hcg Foods [2021 …

Posted: June 23, 2021 at 2:08 am

The original protocol specifies a very specific list of Hcg Diet foods, including lean proteins, vegetables, fruit and carefully selected grain options. This page includes the correct list of approved foods for the original protocol as specified by Dr. Simeons.

1. BEVERAGES/DRINKS*

2. SWEETENERS*

3. PROTEINS*

4. VEGETABLES*

5. FRUITS*

6. BREADS/GRAINS*

This list is intended to be eaten according to the original protocols 500 calorie menu:

Check out our 500 Calorie Menu-Survival Guide, here.

It is important to note that there are many modern variations of the phase 2 food list and there is no wrong protocol. The best approach, is what you and your doctor decide is right for you, based on your own needs and goals.

*Beverage Guidelines:These beverages are permitted in any amount. Diet Sodas are not recommended, particularly those with aspartame. The allotted milk may be cow, almond, or coconut. Soy is not recommended since many people have a food sensitivity to soy.

*Sweeteners Guidelines: No other sweeteners are permitted on the original protocol.

*Protein Guidelines:100 grams of the above listed proteins only, at both lunch and dinner.The 100 gram portions should be carefully weighed prior to cooking, and with all visible fat must be trimmed. Dr. Simeons also states the proteins should be boiled or grilled, however modern diet experts agree all forms of preparation are acceptable (saut, stewed, etc.) as long as additional fats are not used.

*Fruit Guidelines: No additional fruits are allowed. 1 Medium apple is the appropriate size. Read more here: Complete guide to eating fruit on the Hcg Diet.

*Vegetable guidelines: The original protocol does not permit mixing vegetables, and only 1 serving is allowed at a time. Some people choose to mix vegetables, while remaining within the daily calorie allowance. Complete guide to eating vegetables on the Hcg Diet.

*Breads/Grains Guidelines: 1 of each are allowed at lunch and dinner. Be sure to read labels when purchasing, since some brands now add excessive ingredients with high calorie results.

Additional Guidelines: The official list of approved foods for Phase 2 of the Hcg Diet, particularly meats and vegetables, does not include any sauces, salad dressing or butter. You are encouraged not to use sauces such as barbecue sauce, A-1 Steak Sauce, etc., on meats nor salad dressings on salad greens, nor butter on vegetables. The only exception to this would be homemade sauce recipes that include only Simeons-approved foods and ingredients.

Is there are modern expanded food list of Hcg foods that will allow me to have more options? Yes, here is a widely accepted expanded list of acceptable Hcg foods with weights, portions and calories included.

The above food list is from the original HCG Diet 500 calorie diet, as published by Dr. Simeons manuscript, in Pounds and Inches.

What kinds of foods are allowed on most Hcg lists (original and modern variations)?

The 500 calorie menu was designed for Phase 2 of the Hcg Diet plan; the weight loss phase. It includes a list of foods that are known as whole foods. These are unprocessed and in their natural state, largely focus on healthy proteins from lean meats, balanced with carbohydrates from vegetables and carefully selected fruit.

Is the Hcg Diet a low-carb or ketosis diet?

Only 2 options are available for grains, however most protocol variations are not to be confused with low carbohydrate, ketosis diets as they include a significant amount of carbohydrates from vegetables. It is not necessary to have your body in a state of ketosis, although some choose to combine an Hcg-Keto approach during Phase 2. Should you and your doctor decide on a keto version of the Hcg Diet Plan, this can easily be achieved by removing the orange and grain options.

Which kinds of hcg-foods will allow me to lose the most weight?

Eating clean has been found to have excellent results. Organic foods are highly recommended, and no processed or prepared foods are allowed. There are additional eating tips and extensive clarification of the original protocols eating rules here:

References:

This list of Hcg foods & its guidelines are fact-checked and updated annually for accuracy.

Have questions about foods on the diet? Leave a comment below, or join our forums for free coaching and support!

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J&J cell therapy partner Legend carves out production foothold in Belgium as myeloma drug nears finish line – FiercePharma

Posted: June 23, 2021 at 2:06 am

As Legend Biotech andJohnson & Johnson's multiple myeloma cell therapy prospect nears the FDA finish line, the companies are moving to carve out a manufacturing foothold in Europe.

Through a joint investment with J&Js Janssen unit, Legend has drawn up plans for a new cell therapy facility in Belgium, which the partners will use to boost global production capacity for their multiple myeloma drugcilta-cel, plus other cell therapies, Legend said in a release.

The move comes just a few months after Legend and J&J completed their rolling FDA submission for the CAR-T therapy, which is up for a decision on November 29 after scoring a priority review tag in May.

If cleared, cilta-cel would be forced to play catch up with Bristol Myers Squibb and bluebird biosmultiple myeloma cell therapy ide-cel, now dubbed Abecma, which became the first CAR-T approved for the disease in late March.

RELATED:10 biotechs to know in China-Legend Biotech

The new Belgian plant, expected to come online by 2023, marks Legends first manufacturing foray into Europe. The company also operates a pair of clinical and commercial-scale factories in New Jersey, plus a plant in China. It alsoboasts R&D operations in China, Ireland and the United States, its website says.

Legend didnt name the size of its investment and offered little in the way offactory specs. The company didnt immediately respond to Fierce Pharmas request for comment.

For its part, Janssen is headquartered in Beerse, Belgium, and runs R&D, manufacturing, distribution and clinical pharmacology sites in the country, where it says it employs more than 5,000. By setting up shop there, Legend hopes to tap into the areas vast talent pool and make use of the countrys strong life sciences ecosystem, Liz Gosen, senior vice president of global technical operations at Legend, said in a statement.

Despite trailing BMS and bluebird to the market, cilta-cel is poised to put up a fight, analysts noted earlier this year. We think around 8-9 months difference in the timing of market arrival does not offer much first mover advantage for [BMS/bluebird bios] ide-cel given its inferior clinical profile to cilta-cel, analysts at Jefferies wrote to clients in April.

RELATED:Bristol Myers Squibb, bluebird bio finally take their multiple myeloma CAR-T across the FDA finish line

At theannual meeting of the American Society of Hematology in December, investigators presented data showing that Legend and J&J's CAR-T drug banishedmultiple myeloma in two-thirds of patients and shrank tumors in 97%. And in a data update at the American Society of Clinical Oncology earlier this year,cilta-cel postedan overall response rate of 98% and yielded a stringent complete response in 80% of patients after a median follow-up period of 18 months. The drug achieved an 18-month progression-free survival rate of 66%.

Legend, which spun out of Genscript Biotech, made a splash last year with a massive $424 million initial public offering, landing the no. 2 spot on Fierce Biotechs list of 2020s top biotech IPOs.

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J&J cell therapy partner Legend carves out production foothold in Belgium as myeloma drug nears finish line - FiercePharma

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Lineage’s OPC1 Cell Therapy for the Treatment of Spinal Cord Injury to Return to Clinical Testing – BioSpace

Posted: June 23, 2021 at 2:06 am

CARLSBAD, Calif.--(BUSINESS WIRE)-- Lineage Cell Therapeutics, Inc. (NYSE American and TASE: LCTX), a clinical-stage biotechnology company developing allogeneic cell therapies for unmet medical needs, today provided an update on the clinical advancement of OPC1, its investigational allogeneic oligodendrocyte progenitor cell (OPC) transplant therapy for the treatment of spinal cord injury (SCI). Following feedback received from an interaction held with the U.S. Food and Drug Administration (FDA) last week under the FDAs Regenerative Medicine Advanced Therapy (RMAT) program, Lineage intends to submit an amendment to its Investigational New Drug application (IND) for OPC1 to support a Phase 1 clinical study to evaluate the safety and performance of Neurgain Technologies Inc.s Parenchymal Spinal Delivery System (Neurgain PSD system) to deliver OPC1 cells to the spinal cord. In February, the Company entered into an exclusive option and license agreement with Neurgain to evaluate its novel PSD system in both preclinical and clinical settings. The IND amendment is expected to be submitted to the FDA in the fourth quarter of 2021. The data from the Phase 1 clinical study is intended to validate the Neurgain PSD system for use in a late-stage clinical study, expected to begin in 2022 following the completion of the Phase 1 study.

It is a privilege to report that our novel OPC1 program will be returning to clinical testing earlier than anticipated. There currently are few opportunities for SCI patients to participate in clinical trials, so we are excited to re-engage with these patients and their advocacy community as part of our efforts to improve outcomes for individuals with this debilitating condition, for which there are no FDA-approved treatments, stated Brian M. Culley, Lineages CEO. In the past 18 months, we have significantly increased the purity and production scale of the OPC1 cells utilized in a prior clinical study. This improved production process has been transferred to our in-house Current Good Manufacturing Practice (cGMP) suite and will support production of clinical study material for later-stage clinical work. In parallel, we are finalizing plans to test the safety of the Neurgain PSD system to deliver OPC1 in SCI patients. We believe this device can improve the ease and precision of delivering our cells to the spinal parenchyma. As an added benefit, based on feedback from the FDA, in addition to patients with subacute SCI, we anticipate that patients with chronic SCI also will be eligible for enrollment in this study. Gaining additional OPC1 safety and device performance data across a broader range of patients and injury types will be more informative to the program and support further product and device development. Our recent accomplishments in areas of production and delivery contributed real-world feasibility to the promising clinical results previously reported with this program, in which OPC1 demonstrated improvements to quality of life and motor function for certain SCI patients. Importantly, we are working to be in a position to initiate a late-stage clinical study in SCI next year.

The Neurgain PSD system has been designed to allow for the administration of cells to the spinal cord without stopping the patients ventilator during the procedure. Elimination of the need to stop respiration during surgery is expected to reduce the complexity, risk, and variability of administering cells to the area of injury. The Neurgain PSD system has been designed to provide delivery of cells with accurate anatomical positioning and dosing, is more compact than existing devices and is attached directly to the patient during the procedure. This innovative delivery system is expected to provide a significant improvement in usability and provide more flexibility to the surgeon when compared to the methods and tools utilized to deliver OPC1 cells in the completed Phase 1/2a SCiStar study of OPC1 for the treatment of cervical SCI. Neurgain Technologies, Inc. is a medical device company that is developing technologies developed by neurosurgeons at the University of California San Diego.

Lineage plans to evaluate the safety and performance of the Neurgain PSD system to deliver OPC1 to the spinal cord in both the preclinical and clinical setting. If results of these studies are positive, Lineage may exercise its option to enter into a pre-negotiated license and commercialization agreement with Neurgain. Pursuant to that agreement, Lineage may integrate the Neurgain PSD system into a late-stage clinical trial and, if approved, commercial use of OPC1 for the treatment of patients with spinal cord injury. There currently are no FDA approved treatments for spinal cord injury.

About Spinal Cord Injuries A spinal cord injury occurs when the spinal cord is subjected to a severe crush or contusion and frequently results in severe functional impairment, including limb paralysis, aberrant pain signaling, and loss of bladder control and other body functions. There are approximately 18,000 new spinal cord injuries annually in the U.S. The cost of a lifetime of care for a severe spinal cord injury can be as high as $5 million.

About OPC1 OPC1 is an oligodendrocyte progenitor cell (OPC) transplant therapy designed to provide clinically meaningful improvements in motor recovery in individuals with subacute spinal cord injuries. OPCs are naturally occurring precursors to the cells which provide electrical insulation for nerve axons in the form of a myelin sheath. While variability exists for the precise duration of each phase, subacute SCI generally refers to the phase that is three to six weeks post-injury and chronic SCI refers to the phase beginning after the subacute phase. The OPC1 program has been partially funded by a $14.3 million grant from the California Institute for Regenerative Medicine (CIRM). OPC1 has received Regenerative Medicine Advanced Therapy (RMAT) designation for its use in subacute cervical SCI and Orphan Drug designation from the FDA.

About Lineage Cell Therapeutics, Inc. Lineage Cell Therapeutics is a clinical-stage biotechnology company developing novel cell therapies for unmet medical needs. Lineages programs are based on its robust proprietary cell-based therapy platform and associated in-house development and manufacturing capabilities. With this platform Lineage develops and manufactures specialized, terminally differentiated human cells from its pluripotent and progenitor cell starting materials. These differentiated cells are developed to either replace or support cells that are dysfunctional or absent due to degenerative disease or traumatic injury or administered as a means of helping the body mount an effective immune response to cancer. Lineages clinical programs are in markets with billion dollar opportunities and include three allogeneic (off-the-shelf) product candidates: (i) OpRegen, a retinal pigment epithelium transplant therapy in Phase 1/2a development for the treatment of dry age-related macular degeneration, a leading cause of blindness in the developed world; (ii) OPC1, an oligodendrocyte progenitor cell therapy in Phase 1/2a development for the treatment of subacute spinal cord injuries; and (iii) VAC2, an allogeneic dendritic cell therapy produced from Lineages VAC technology platform for immuno-oncology and infectious disease, currently in Phase 1 clinical development for the treatment of non-small cell lung cancer. For more information, please visit http://www.lineagecell.com or follow the Company on Twitter @LineageCell.

Forward-Looking Statements Lineage cautions you that all statements, other than statements of historical facts, contained in this press release, are forward-looking statements. Forward-looking statements, in some cases, can be identified by terms such as believe, may, will, estimate, continue, anticipate, design, intend, expect, could, can, plan, potential, predict, seek, should, would, contemplate, project, target, tend to, or the negative version of these words and similar expressions. Such statements include, but are not limited to, statements relating to advancement of the clinical development of OPC1 to treat SCI, OPC1s potential to improve quality of life and/or motor function for patients with SCI, the potential benefits of using the Neurgain PSD system to deliver OPC1 for the treatment of SCI, OPC1s regulatory approval pathway, and Lineages potential exclusive license and commercialization agreement with Neurgain. Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause Lineages actual results, performance or achievements to be materially different from future results, performance or achievements expressed or implied by the forward-looking statements in this press release, including risks and uncertainties inherent in Lineages business and other risks in Lineages filings with the Securities and Exchange Commission (SEC). Lineages forward-looking statements are based upon its current expectations and involve assumptions that may never materialize or may prove to be incorrect. All forward-looking statements are expressly qualified in their entirety by these cautionary statements. Further information regarding these and other risks is included under the heading Risk Factors in Lineages periodic reports with the SEC, including Lineages most recent Annual Report on Form 10-K and Quarterly Report on Form 10-Q filed with the SEC and its other reports, which are available from the SECs website. You are cautioned not to place undue reliance on forward-looking statements, which speak only as of the date on which they were made. Lineage undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made, except as required by law.

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Cell Therapy Workflows Using Corning HYPERStack: MSC Production – BioProcess Insider

Posted: June 23, 2021 at 2:06 am

Corning HYPERStack 36-layer and 12-layer cell culture vessels

Mesenchymal stem cells (MSCs) are used frequently for cell therapy applications. As multipotent cells, they can differentiate into other lineages such as adipocytes, osteocytes, and chondrocytes. Additionally, they are known to secrete trophic factors that can play important roles in immunoregulation. Although MSCs can be isolated from several different tissue sources, those derived from bone marrow commonly are studied because they are easy to access in quantities large enough for therapeutic dosing (2 106 cells/kg of body weight). Still, that equates to 140 million cells for a 150-pound individual. And the process of expanding MSCs to achieve such quantities can introduce risks for heterogeneity-induced quality failures. Chances of clinical success can improve with a manufacturing process that maintains a homogeneous MSC population after expansion to meet required critical quality attributes (CQAs).

Once cells are scaled up, they need to be cryopreserved for stability and transport. Cryoprotectants such as dimethyl sulfoxide (DMSO) often are added to freezing media to reduce ice formation and increase cell survival after thawing. However, because DMSO can be cytotoxic, its final concentration in a drug product must be minimized. Tools from Corning Life Sciences can help scientists and drug developers meet growing demand for bone-marrowderived MSC therapies.

Figure 1:Expansion of human mesenchymal stem cells (MSCs) in a Corning HYPERStack-36 vessel; MSC densities ranging from 4.4 104 to 5.2 104 cells/cm2 were achieved after five days of culture. Across three studies, total MSC yield averaged 8.7 108 cells per HYPERStack-36 vessel, with >90% average MSC viability.

Mesenchymal Cell Scale-UpMSCs are adherent cells that are sensitive to manufacturing process changes. That sensitivity can complicate scale-up to large quantities. When cultured under suboptimal conditions, MSCs can lose their multipotency. Corning HYPERStack 36-layer cell culture vessels offer a solution. A HYPERStack unit uses proprietary technology to provide a large surface area in a compact footprint. That technology relies on an ultrathin, gas-permeable film to facilitate gas exchange in each layer of the vessel. Each HYPERStack module comprises 12 individual chambers featuring Corning CellBIND surface treatment for optimal cell attachment. One module provides 6,000 cm2 of surface area; three modules can connect to form a HYPERStack 36-layer vessel, totaling 18,000 cm2 of growth surface area.

When human bone-marrowderived MSCs are cultured in a HYPERStack 36-layer vessel, yields of >800 million viable cells can be achieved (Figure 1). Harvested cells show high viability and expression of markers demonstrating MSC multipotency (Figure 2). Such results show that large-scale expansion of MSCs in a HYPERStack vessel generates a homogeneous population of cells that maintain necessary CQAs.

Figure 2: Mesenchymal stem cells (MSCs) recovered from a Corning HYPERStack 36-layer cell culture vessels show >99% expression of CD90, CD105, and CD73 markers while expressing <0.5% of differentiation markers (CD45, CD34, CD11b, CD19, and HLA-DR).

Corning cryopreservation bags remain flexible at ultralow temperatures(e.g., 196 C).

Large-Scale CryopreservationCryopreservation of large quantities of cells has become an important strategy for simplifying cell therapy workflows because it increases product shelf life, allows time for quality testing, and lengthens the period of potential administration. Cryopreservation bags are designed for single-use storage, preservation, and transfer of large volumes of cells. Cornings cryopreservation bags are novel bag-film containers that can remain flexible at ultralow temperatures (196 C) because they are made from a proprietary polyolefinethyl vinyl acetate blend. Corning produces the bags in four sizes covering fill volumes between 20 mL and 190 mL, with demonstrated performance for storage of bone-marrowderived MSCs.

The Corning X-WASH system performs DMSO removal in a closed, sterile format.

DMSO RemovalDMSO can serve as a cryoprotectant for a wide range of cell types. It often accounts for 510% of a freezing solution to reduce ice formation and maintain cell viability. But because of its cytotoxic effects, DMSO must be removed as much as possible from a final cell therapy product. That can be accomplished by centrifugation and buffer exchange.

The Corning X-WASH system can perform those steps in sterile, closed conditions (Figure 3). The X-WASH system also uses highly sensitive infrared sensors and software to transfer process data from the X-WASH control module to a database. That feature supports good manufacturing practice (GMP) data processing, monitoring, and reporting. Ultimately, the X-WASH system is designed to wash, resuspend, and condense cell suspensions without compromising product quality.

Corning has used the X-WASH system to reduce the DMSO concentration from a bone-marrowderived MSC product. About 70 million human MSCs were processed into Corning cryopreservation bags containing 10 mL of a 90% fetal bovine serum (FBS) and 10% DMSO solution. MSCs were thawed into 200 mL of phosphate-buffered saline containing 2% human serum albumin and 5% glucose. Cells were added to X-WASH cartridges for processing, then analyzed for recovery (Figure 4), viability (Figure 5), and multipotency (Figure 6). Ultraperformance liquid chromatography (UPLC) was used to quantify DMSO reduction. UPLC analysis showed that 200-mL dilution followed by a 200-mL wash in an X-WASH system reduced the final DMSO concentration by at least40 fold.

Figure 3:Corning X-WASH system workflow to remove dimethyl sulfoxide (DMSO)

Figure 4:Recovery of human mesenchymal stem cells (MSCs) after washing with a Corning X-WASH system; the bars below represent MSC density, and cell viability levels are represented as dots.

Considerations for Closed Systems and Custom MediaClosed-system cell-culture products help reduce contamination risks during drug development and manufacturing. Thus, they should be considered when planning for cell-culture operations. Ordering multiple components and assembling tubing sets in house can add complexity and time to cell therapy processes. To aid in the development of such processes, Corning offers preassembled closed systems and aseptic-transfer caps that are compatible with many Corning cell culture vessels.

Figure 5:Human MSC multipotency as represented by average marker expression after processing with a Corning X-WASH system (with standard deviation, n = 3)

Corning closed-system solutions arrive at your facility sterile and ready to use. They mitigate contamination risks, reduce the time and expense of sourcing and assembly, and improve overall productivity. Moreover, Cornings extensive library of fully validated filters, connectors, tubing, and clamps enables customized design of a closed-system solution for a specific application.

In cell-based therapies, cultured cells are the final product, requiring different manufacturing processes from those used for conventional biologics production. Major considerations in cell therapy scale-up include culture vessels and media as well as cells themselves. Inadequate attention to culture equipment and raw materials not only can diminish a therapys efficacy, but also can result in regulatory challenges that might delay a candidates progress through development. Because culture media are linked to cell growth and productivity, they rank among the most critical aspects of process development during scale-up.

Figure 6:Dimethyl sulfoxide (DMSO) concentration in final product after 200-mL dilution followed by 200-mL wash in a Corning X-WASH system (data from three independent runs)

Although off-the-shelf media can provide fast and efficient solutions during early stages, they can have trouble meeting specific scale-up conditions later on. Moving from small-scale, small-volume, static cultures into large-scale, large-volume vessels can trigger a host of additional requirements that cannot be addressed easily using an off-the-shelf solution. Customization by a media manufacturer is an attractive solution to concerns associated with large production scales, including media stability, packaging, handling, and storage. Custom media solutions also help to derisk processing. Cornings high-quality custom development and manufacturing services can produce tailored media and reagents to meet cell therapy production needs.

Simplifying Cell Therapy WorkflowsAddressing the growing demand for cell-based therapies requires optimization of scale-up, cryopreservation, and DMSO removal. With some human MSC therapies requiring as many as one billion cells per dose, cell therapy companies need efficient ways to scale up production of homogeneous MSCs that meet CQAs. Additionally, large quantities of MSCs will need to be cryopreserved to simplify cell therapy workflows. Before product administration, DMSO and other reagents used during the manufacturing process will need to be reduced. Corning offers solutions to simplify the complete range of cell therapy workflows.

Hilary Sherman is senior scientist, and Chris Suarez is field applications manager at Corning Life Sciences, 836 North Street, Tewksbury, MA 01876; ScientificSupport@Corning.com; 1-800-492-1110.

CellBIND, HYPERStack, and X-WASH all are registered trademarks of Corning Incorporated.

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Cancer Research UK spin-out to trial T-cell therapy for blood cancer – EPM Magazine

Posted: June 23, 2021 at 2:06 am

A biotech spin-out from Cancer Research UK has been given FDA approval to trial its T-cell therapy in humans.

GammaDelta Therapeutics will test its T-cell therapy in a clinical trial expected to begin later this year. The trial will assess the safety of GammaDeltas treatment and look for early indications of efficacy in people with a type of blood cancer called acute myeloid leukaemia (AML).

GammaDelta currently has four treatments in its pipeline, two of which are focused on treating haematological malignancies such as blood cancer. The company is looking at the clinical applications of allogeneic therapies based on gamma delta T lymphocytes. Gamma delta T cells make up only a small number of all the T cells in the body. Whilst they are less abundant, GammaDelta says they have distinct properties that give them promise as a potential cancer therapy.

Unlike the more abundant alpha beta T cells, which rely on a specific molecule to help them recognise red flags on cells, gamma delta T cells scan the surface of cells directly to spot potential threats. Because of this, GammaDeltas T cell therapy could help treat patients whose cancer cells have tried to evade the immune system by removing certain molecules from their surface, making them invisible to alpha beta T cells.

From our very first studies into T cells in the 1980s, through to demonstrating their unique activity in the presence of cancer, its been clear that these immune cells have enormous potential for the development of new immunotherapy treatments, said Adrian Hayday, scientific founder of GammaDelta.

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Cell therapies without cells? – Lexology

Posted: June 23, 2021 at 2:06 am

As a regulatory lawyer long-steeped in the world of stem cells and regenerative medicine, Im bound to latch onto the title of a recent Nature piece with particular interest. Cells or drugs? Its a great question from a regulatory point of view.

You cant place any medicine on the market, whether its a small molecule, a gene, or the fanciest of engineered cells, without a marketing authorisation. However, getting an MA can be pretty demanding, and especially when it comes to an advanced therapy product (ATMP) such as a population of cells. Avoiding cells has some obvious attractions.

The article reminds us that cell therapy is less about cells than their fate. Of course, manufacturers of such cells are obsessively concerned about their fate from a product point of view.

However, the bigger question is about what happens to the cells once theyre implanted. At least as important, what happens to the cells that were already at the implant site? The more we learn about how damaged tissues behave and what implanted cells do in their new home, the more it comes down to an understanding of the conversation between cells that determines their phenotype. If we assume that the conversation is mediated by molecules, then we only need cells because we dont yet know what those molecules are or because cells happen to be the best delivery device for them. If the cellular conversation is about growing new cells to replace those lost to ischaemia, for example, the proliferation of any cardiomyocytes surviving implantation may be of less importance than getting the wound site to grow new cardiomyocytes.

An alternative approach would be to mimic that molecular environment to administer well-characterised molecules at known doses. They wouldnt be ATMPs at all, so the extra ATMP burdens that fall on such products under regulations such as the ATMP Regulation would not apply; just those for a conventional biological medicinal products.

Regulatory reflection

Anyone familiar with the manufacturing requirements for somatic cell or tissue engineered products will know that the logistical and quality burdens on those seeking an MA for an ATMP far surpass even those for non-biological medicinal products. It is perfectly true that, under the EUs 2007 Advanced Therapy Medicinal Products (ATMP) Regulation there are only three varieties of ATMP: medicinal products comprising somatic cells or genes, and cells which have been substantially manipulated or used to fulfil a different function in the recipient than in the donor.

But why shouldnt an advanced therapy be delivered the old-fashioned way, as a drug?

The European Commission is reviewing EU blood, cell and tissue (BCT) quality and safety regulation (more on this soon), but has excluded the ATMP Regulation from its review. The Nature article does not touch upon regulation, but to me it suggests another reason for revisiting the ATMP Regulation in the light of changes in scientific understanding. The problem is that, although the ATMP Regulation shoe-horned cell and gene medicinal products into the well-worn boot of European medicines regulation, the foot doesnt entirely fit.

If you recall the heady days of the early 2000s in which the Regulation was developed, the future was one in which bags of embryonically-derived cells for fixing hearts and spines were distributed around the world like blister packs of ibuprofen. The future unfolded rather differently. Within months of the Regulation coming into effect, an invention for inducing pluripotent stem cell induction was published, reducing the necessity for embryonic cells (with the development of stem-cell based embryo models making even embryos unnecessary). More fundamentally, the future turned out to be dominated, not by packages of cells derived from other peoples or embryos, but by the use of the patients own cells; autologous cells.

However, the word autologous doesnt appear in the ATMP Regulation at all. One perfectly logical reason for their non-appearance is that its questionable as to whether a product intended solely for one person can be truly said to be placed on a market at all. If so, its at least odd to talk about authorising such a product to be placed on one. Sure, we legal our way around this so that autologous products do come bearing MAs, but this regulatory chafing of the cellular heel implies that the paradigm is wonky. The EUs BCT regulations already address quality and safety framework for cells, so perhaps the autologous cell therapy market is better regulated as a service than on the basis of a marketable product?

You get another idea about how awkwardly cell products fit into the regime for marketing medicines when you ask questions such as, what is the mechanism of action? and what is the dose? Again, we can get around irritating questions of this sort, but we should certainly pause for thought, and the Nature piece rather sharpens our appreciation.

Javaria Tehzeeb, author of a 2019 literature review on stem cell heart treatments thats cited in the Nature piece, wonders how things are likely to pan out. Perhaps stem-cell therapies will be approved first, but then be overtaken by drugs once the science has caught up? When we get to the end of the line with molecules, then maybe we can say stem cells are a thing of the past, says Tehzeeb. The manufacturing logistics and regulatory path to market would certainly be more straightforward, and there would be real control over the nature and amount of substances applied, in contrast to the informed-wing-and-prayer approach of cell injection. But were not in that future yet. As Tehzeeb says, until then, we should continue to pursue their potential.

As in life science, so in life science regulation its a work in progress

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Cell therapies without cells? - Lexology

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Immuno-Cell Therapy Market Exhibits a Stunning Growth by 2027 with Covid-19 Impact The Courier – The Courier

Posted: June 23, 2021 at 2:06 am

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Immuno-Cell Therapy Market Exhibits a Stunning Growth by 2027 with Covid-19 Impact The Courier - The Courier

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CAR T-Cell Therapy Prophylaxis With Anakinra May Reduce CRS and Toxicities in Multiple Myeloma – Targeted Oncology

Posted: June 23, 2021 at 2:06 am

The frequency of moderate to severe cytokine release syndrome was reduced in patients with relapsed or refractory multiple myeloma who received anakinra prophylaxis with orvacabtagene autoleucel, a BCMA-targeted CAR T-cell therapy, according to findings presented at the European Hematology Association 2021 Virtual Congress.

The frequency of moderate to severe cytokine release syndrome (CRS) was reduced in patients with relapsed or refractory multiple myeloma (R/R MM) who received anakinra (Kineret) prophylaxis with orvacabtagene autoleucel (orva-cel), a B-cell maturation antigen (BCMA)-targeted chimeric antigen receptor (CAR) T-cell therapy, according to findings presented at the European Hematology Association (EHA) 2021 Virtual Congress.

The findings showed that the use of anakinra prophylaxis had no adverse effect on the incidence of neurological events (NEs), infection, macrophage activation syndrome/hemophagocytic lymphohistiocytosis (MAS/HLH), orva-cel expansion or disease response.

Thirty-three patients with R/R MM who had previously received at least 3 prior lines of therapy were sequentially enrolled onto the phase 1/2 EVOLVE study (NCT03430011). Anakinra 100 mg was administered subcutaneously the night prior to orva-cel infusion, 3 hours before the infusion on day 1 and every 24 hours on days 2 through 5. If patients developed CRS, the dosing was increased to every 12 hours.

The median follow-up was 3 months for the anakinra prophylaxis arm (n = 14) and 8.8 months in the non-anakinra prophylaxis arm (n = 19). In the anakinra prophylaxis and non-anakinra prophylaxis arms, the median number of prior regimens was 6 and 5; bridging therapy was used in 57% and 68% of patients, respectively. The total frequency of CRS was similar in the two groups, however there were less grade 2 events in patients receiving anakinra prophylaxis (HR, 0.54; 95% CI, 0.21-1.38). Tocilizumab (Actemra) and corticosteroid use was numerically lower in patients treated with anakinra prophylaxis.

Most baseline demographics and disease characteristics were similar between groups, said Luciano J. Costa, MD, PhD, associate director for clinical research, ONeal Comprehensive Cancer Center at University of Alabama at Birmingham School of Medicine, during a presentation of the findings. But potentially important differences were noted in measurable serum M-protein, serum free light chain only, extramedullary plasmacytoma and lactate dehydrogenase above the upper limit of normal.

After a 2-month efficacy assessment, the objective response rate (ORR) was 100% in the anakinra prophylaxis arm and 95% in the non-anakinra prophylaxis arm.

At month six after orva-cel treatment, 87.5% of anakinra prophylaxis patients and 62% of non-anakinra prophylaxis patients retained detectable CAR transgene copy, Costa concluded.

The authors noted that these results warrant further study of anakinra prophylaxis in combination with CAR T-cell therapy in these patients.

Reference

Costa L, Mailankody S, Shaughnessy P, et al. Anakinra prophylaxis in patients with relapsed/refractory multiple myeloma receiving orvacabtagene autoleucel. Presented at: 2021 European Hematology Association Congress; June 9-17, 2021; Virtual. Abstract EP747.

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CAR T-Cell Therapy Prophylaxis With Anakinra May Reduce CRS and Toxicities in Multiple Myeloma - Targeted Oncology

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Is the Tooth Fairy Real? the Origin Story to the Tooth Fairy, and Why It Is a Story Commonly Told Today – Digital Journal

Posted: June 23, 2021 at 2:01 am

When a kids ask is the tooth fairy real or what does the tooth fairy look like, one might be tempted to give a simple yes or no answer and then makeup something that sounds like what one was told when they were a kid. Nevertheless, there actually is an origin story to the myth, and its a convoluted one that reaches further back in time than one might think.

This press release was orginally distributed by ReleaseWire

Bountiful, UT (ReleaseWire) 06/22/2021 If one has kids near the ages of four to six years old then the topic of the tooth fairy has probably come up a time or two (or on a daily basis if they're excited about a loose tooth).

When a kids ask "is the tooth fairy real" or "what does the tooth fairy look like", one might be tempted to give a simple yes or no answer and then makeup something that sounds like what one was told when they were a kid. Nevertheless, there actually is an origin story to the myth, and it's a convoluted one that reaches further back in time than one might think: nearly a millennium. Moreover, research is showing that saving those baby teeth could have health benefits later on in life. First, we'll go back in time, and then we'll talk about the future.

Baby Teeth and MythologyYes, baby teeth were a talisman of sorts in the old Norse and Northern European cultures as far back as the tenth century. In the earliest writings of these cultures, the Eddas, references to a tradition of exchanging money for a baby tooth can be found. Baby teeth were believed to bring luck to a warrior in battle, and some cultures even made necklaces of them. This superstitious tradition was known as the "tand-fe" which translates to tooth fee. Interestingly and perhaps completely benign, the German word for fairy is "Fee". Moreover, one Norse myth involves the god Frey who received an entire fairy kingdom as a "tooth gift".

In the Middle Ages in England, children were instructed to burn their baby teeth to save themselves hardship in the afterlife. Children who refused to do so were warned they would search for their baby teeth forever in the afterlife. Other cultures have children bury their teeth, or throw them into the air. Nevertheless, these baby teeth mythologies and superstitions didn't actually involve a tooth fairy until much more recent times: 1908 to be exact.

Where did the Tooth Fairy Come From?In 1908, the Chicago Daily Tribune Household Hints section featured a helpful tip from reader Lillian Brown and the tooth fairy was born. In response to the concern that children didn't want to have their loose teeth pulled, Ms. Brown wrote,

"Tooth Fairy.Many a refractory child will allow a loose tooth to be removed if he knows about the Tooth Fairy. If he takes his little tooth and puts it under the pillow when he goes to bed the Tooth Fairy will come in the night and take it away, and in its place will leave some little gift. It is a nice plan for mothers to visit the 5-cent counter and lay in a supply of articles to be used on such occasions."

Of course, it's entirely possible that this was a long-standing tradition in Ms. Brown's family going back generations, or maybe her family ran the 5-cent counter and she was cleverly thinking to drum up more business. Regardless, that is the first written mention of the tooth fairy as we know it.

Should One Pull a Loose Tooth?Just because it seems parents were looking for ways to pull loose teeth in 1908 does not mean one should be doing that in 2021. We should take special note that we do not believe in pulling a loose tooth unless absolutely necessary. We prefer to allow a loose tooth to fall out, on its own time and without force. A child's body, including the workings of their mouth, is a powerful and intentional force and we should trust that the tooth will fall out when it's good and ready.

If the gum around the loose tooth is inflamed, give us a call. There are certain circumstances in which we may decide pulling a tooth is best.

What Does the Tooth Fairy Do with Teeth?This one can be a stumper for parents. Because really, their little but very rational and inquisitive minds are investigating and asking questions about everything as they learn about the world around them. Why would anyone want to collect a bunch of fallen-out teeth since our warriors don't wear teeth necklaces anymore?

Save Those Baby Teeth for the FutureWell, there's some really interesting research out that shows one should collect and store a kids' baby teeth for later on in life. The advancements being made today in both medicine and science are astonishing and baby teeth may be an integral part of the future.

Baby teeth, and wisdom teeth, have adult stem cells that are referred to as "mesenchymal stem cells". These stem cells are important because they can be applied to bone and tissue regeneration treatments. As of today, more than 2,000 clinical trials have been completed or are in the process to study how these mesenchymal stem cells can help with treatments for a wide range of diseases including (but not limited to) the following:

Type 1 diabetes Stroke Parkinson's Alzheimer's Muscular dystrophy Bone loss Multiple sclerosis Cardiovascular disease Neural injuries Cancers (Leukemia, Lymphoma)

In order for a child's baby teeth to be viable in the future, they require proper storage. There are a few services already established for exactly this purpose such as Store-A-Tooth, orThe Tooth Bank. If one is interested in this idea for the future, do a little research about the companies to decide which one feels right.

About Utah Pediatric DentistsOur offices are open and we want to see happy healthy smiles in the community. Contact us today at 801-948-8880 to schedule an appointment at one of our four convenient locations.

Our mission is to provide comprehensive dental services to children of all ages from infant to adolescence, of all needs including special needs, in a compassionate and caring manner. Our pediatric dental professionals are educated, experienced, and specially trained to provide dental hygiene education and dental services in a fun and inviting environment that will ensure a child has a positive experience in our offices.

For more information on this press release visit: http://www.releasewire.com/press-releases/is-the-tooth-fairy-real-the-origin-story-to-the-tooth-fairy-and-why-it-is-a-story-commonly-told-today-1342142.htm

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Is the Tooth Fairy Real? the Origin Story to the Tooth Fairy, and Why It Is a Story Commonly Told Today - Digital Journal

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