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Technology can help people manage their diabetes case study shows it’s not being used – The Conversation Africa

August 17th, 2020 1:50 pm

Non-communicable diseases are the leading cause of death globally. Theres no cure for most of them, such as diabetes. Rather, theyre controlled through lifelong medical treatment as well as support from healthcare professionals and family members.

Suboptimal treatment of diabetes can lead to severe complications such as amputations, blindness and kidney disease. Thats why ongoing patient self-management education and support are critical to preventing acute complications and reducing the risk of death. This is increasingly important during the COVID-19 pandemic where the treatment and prevention of noncommunicable diseases has been negatively affected, especially in low-income countries. Patients with diabetes are also at higher risk for severe COVID-19 complications and death.

The World Health Assembly recognises the potential for information and communication technology (ICT) to support healthcare systems. ICT can support disease prevention and health promotion by improving affordability, access and quality of health services worldwide. ICT used in health is often referred to as electronic health (e-health). Mobile health (m-health) refers to e-health applications delivered on mobile technology.

Interventions using m-health show promise as it could improve care for patients with chronic conditions. A previous study in Senegal has shown that simple interventions delivered via mobile applications can help to decrease diabetes risk factors such as an unhealthy diet and physical inactivity.

But patients cant benefit from innovations such as apps on mobile phones unless they accept them and use them effectively.

We set out to measure the use of technology for patients with diabetes. Our research was based in low-resourced communities in South Africas Western Cape province.

We wanted to identify factors that influenced peoples choices when it came to using technology to manage their diabetes. A very high percentage of survey participants had high intentions of using technology to assist with diabetes self-care activities such as healthy eating, being active, monitoring, taking medication, problem-solving, healthy coping and reducing risks. But, when it came down to actual use there was very little uptake.

There has been a rapid rise in diabetes globally but the rate has been rising more rapidly in low- and middle-income countries than in high-income countries. South Africa is no exception. South Africas diabetes prevalence in adults is 12.8% compared to the neighbouring country, Zimbabwe at 1.2%.

Diabetes control is also lower among racial and ethnic minorities and especially those with low socioeconomic status. The demographics of the Western Cape reflect the socioeconomic plight of a substantive population. Additionally, segments of the Western Cape population experience technological forms of exclusion on top of educational and income inequalities.

We selected 497 respondents from low-resourced communities in the surrounds of Cape Town. They included Mitchells Plain, Belhar and Khayelitsha. Most were women over the age of 50 with type 2 diabetes. A third of the respondents had Grade 12 as their highest level of education. Just under a fifth had some high schooling. Most spoke English (43.4%) followed by Xhosa (27.7%) and Afrikaans (23.1%). These factors are important as South Africa has diverse populations with significant educational, technological and income inequalities that may impact ICT use for diabetes. South Africa also has 11 official languages which will affect the ability to use m-health applications that are predominantly in English.

We tested whether patients were likely to use ICT to help them manage their diabetes. The model we used looked at four factors:

whether a person believed using the system would be effective (in this case, whether the patient thinks it will improve their health)

whether a person finds it easy to use

whether a person feels that others think they should use it

whether a person thinks the system is supported by conditions such as internet access and a helpdesk to provide support with technical difficulties.

Achieving these four factors increases the possibility that individuals will perform the behaviour in question (behavioural intention). A positive behavioural intention may lead to patients using ICT for diabetes.

Respondents were asked about their use of ICT such as mobile applications, insulin pumps (devices that delivers insulin 24 hours a day to match your bodys needs) and continuous glucose monitoring through a device that provides patients with a glucose reading every few minutes.

Our findings were surprising. Most respondents ticked the four boxes. This would suggest a positive behavioural intention. Yet, their behavioural intention didnt translate into actual usage.

For example, respondents were asked whether they used the above technology to help them manage their diabetes and 68% said they didnt.

We identified a number of contributing factors to the low uptake.

One was limited internet access and difficulty using technology. Age and education also played a role.

Respondents were asked what would make them use ICT more often. Reduced cost, as well as making applications easier to use and understand, were identified as the most critical factors.

Mobile phone applications are effective in managing diabetes in other low- and middle-income countries. But South African data costs exceed other countries. Also, Senegals success can be attributed to the governments involvement in implementing the mobile application.

South Africa will require a similar intervention, such as MomConnect that is available in all 11 languages. The service, free to all users, is independent of mobile device type. Alternatively, the use of WhatsApp as is being used for COVID-19 could be considered to support the growing number of patients with diabetes.

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The relationship between diabetes and muscle mass – Open Access Government

August 17th, 2020 1:50 pm

Diabetes, well known as a lifestyle-related disease, represents one of the most common diseases of the modern age with an increasing number of patients every year.

According to a survey by the International Diabetes Federation (IDF), 1 in 11 adults (20-79 years) have diabetes (463 million people) (1). This steady increase in diabetes diagnoses is due, in part, to the obesity epidemic. 87.5% of adults with diabetes are overweight or obese according to their Body Mass Index (BMI). However, these findings make it seem like only those with high weight are at risk for diabetes, but that is not the case. In fact, so-called skinny fat (Sarcopenia), individuals with a normal or low BMI but a high percent body fat, are at an increased risk to develop diabetes or prediabetes. This is why it is important for those looking to reduce diabetes risk or manage their diabetes to understand their body composition.

The term body composition means exactly what it sounds like: the components that your body is made up of. Generally speaking, these components can be simply categorised as fat and fat-free mass. As you might expect, your fat-free mass (FFM) is everything in your body that is not fat. The body generally needs a balance of FFM and fat mass to function optimally and maintain positive health. However, this balance is disrupted in many overweight and obese individuals due to excess fat.

In other words, the goal for overweight individuals should not be to simply lose weight; instead, it should focus on improving body compositionby reducing fat mass while maintaining or increasing FFM.

Not only does a more balanced body composition make you look leaner, but it can also reduce your risk of diabetes and other obesity-related disorders.

Excessive fat mass does not alone increase the risk of diabetes.Various recent research has shown a link between diabetes risk and low muscle mass.The negative effects of Type 2 diabetes (T2D) on muscle can be divided into three categories: fatigue, muscle strength, and muscle mass.

Muscle fatigabilityrefers to the rate at which your muscles become weaker after exercise or movement, and the amount of time it takes for them to recover or return to their full power. Researchers have known for years thatmuscle fatigability increases with T2D (2). When people with T2D perform an exercise, their muscles lose power faster than those of a healthy person.

T2D reduces overallmuscle strengthas well. Even after adjusting for age, sex, education, alcohol consumption, lifetime smoking, obesity, and aerobic physical activity,people with T2D had less handgrip strengththan people without it.

Not only do T2D patients have both reduced muscle recovery and strength, they also start to lose muscle mass. In fact,the longer you have diabetes, the more muscle mass you tend to lose, especially in the legs (3).

InBody results for patients with T2D shows that lower body muscle mass is particularly low.

Heres the good news. If low muscle mass increases the risk of T2D, it is also possible to reduce the risk of Type 2 diabetes by increasing muscle mass and improving body composition. You cantake control of your diabetes riskby improving your body composition.

Research has shown thatincreasing your muscle mass reduces your risk of T2D. In a 2017 study, researchers in Korea and Japan followed over 200,000 otherwise healthy people who had no diabetes or prediabetes at the start of the experiment. After 2.9 years, theparticipants with more muscle mass were significantly less likely to have T2D (4). In fact, exercise is good for reducing diabetes risk as well as improving diabetic state all on its own. This is because exerciseincreases the delivery of glucose to our muscle cells. When you exercise, your muscles are exerting more than their normal energy demand, thus creating a higher need for energy/glucose to fuel them. In fact,resistance traininghas been shown to be particularly beneficial for T2D (5). Larger muscles require more energy, therefore, the leg muscles, being the largest muscles in the body, are especially important for glucose uptake and regulation. Therefore,targeting the legs with resistance exercisemay improve diabetes risk factors as well as promote physical function. As mentioned previously, those who are diagnosed with T2D often lose the most muscle mass in the legs, making leg day all the more important to maintain and build muscle mass to reduce the risk of diabetes.

Although Type 2 diabetics are insulin-resistant, this increased demand for glucose from exercise helps to increase the efficiency of insulin to get glucose into the muscle cells, improving their diabetic state overall!

The major takeaway here is that diabetes is not only a disease that has to do with weight but high body fat and low muscle massbothincrease diabetic risk.

The main goal to reduce this risk or improve diabetic state is to improve body composition. This can be done by reducing body fat for those who are overfat, as well as building muscle for those who have low skeletal muscle mass.

The best thing to do in order to have a better idea of your health risks and create attainable goals for yourself is to get your body composition tested. From there, you can make adjustments to your lifestyle to alter your body composition, if necessary, to reduce your risk for diabetes and other conditions. If you already have T2D or prediabetes,focus on losing fat while engaging the muscles with exercise.

See what youre made of and get started on the path to a healthier life today!

References

(1) IDF Diabetes Atlas 9th International Diabetes Federation.

(2) Mechanisms for the increased fatigability of the lower limb in people with type 2 diabetes, Senefeld J. et al., J Appl Physiol (1985). 2018 Aug 1;125(2):553-566.

(3) Reduction of Skeletal Muscle, Especially in Lower Limbs, in Japanese Type 2 Diabetic Patients With Insulin Resistance and Cardiovascular Risk Factors, Yuji Tajiri et al., Metab Syndr Relat Disord. 2010 Apr;8(2):137-42.

(4) Relative muscle mass and the risk of incident type 2 diabetes: A cohort study, Sungwoo Hong et al., PLoS One. 2017; 12(11): e0188650.

(5) A randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes, Castaneda C. et al., Diabetes Care. 2002 Dec;25(12):2335-41.

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Nemaura Medical banks $18M in cash to fund commercialization of its diabetes diagnostic devices and subscription services – Proactive Investors USA…

August 17th, 2020 1:50 pm

The UK-based company has developed its continuous glucose monitor sugarBEAT and health subscription service BEATdiabetes

() announced Monday that it has about $18 million in cash to help fund the development and commercialization of its diabetes diagnostic devices and subscription services.

The company said it ended its first quarter on June 30, 2020, with $5.9 million in cash but raised an additional $10.7 million a month later via a fundraising scheme.

Nemaura also noted that it further strengthened its financial position heading into its current second quarterby reducing research and development as well as general and administrative expenses in April, May and June.During itsfirst-quarter, it also narrowed its comprehensive loss to $1.095 million compared to a loss of $1.267 million in the year-ago quarter.

We continue to make significant strides towards our commercial goals of diabetes prevention and management, and this quarter we secured sufficient capital to support our planned product launch in the USA, UK and Germany, demonstrating investor confidence in the company, its management and its product pipeline, Nemaura CEO Faz Chodhury said in a statement.

Nemaura, based in Loughborough, is developing micro-systems-based wearable diagnostic devices and currently commercializing sugarBEAT, its non-invasive and flexible continuous glucose monitor.

The devices and sugarBEAT are offered in conjunction with BEATdiabetes, a planned health subscription service designed to help people with Type 2 diabetes and pre-diabetes through personalized lifestyle coaching.

Contact the author: [emailprotected]

Follow him on Twitter @PatrickMGraham

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Bayer and Hua Medicine announce commercialization agreement and strategic partnership for investigational first-in-class novel diabetes treatment…

August 17th, 2020 1:50 pm

Investigational first-in-class glucokinase activator, with a novel mode of action, focused on fixing the glucose sensor and restoring glucose homeostasis for Type 2 diabetes mellitus (T2DM) patients, with sustained efficacy in phase III clinical trial in Chinese T2DM patients. 116 million T2DM patients in China, with an unsatisfied treatment and control rate. Agreement further strengthens Bayers diabetes management leadership in China.

Bayer and Hua Medicine, a leading innovative drug development company, today announced a commercialization agreement and strategic partnership for dorzagliatin, a novel diabetes treatment, in China. The agreement aims to provide Chinese diabetes patients with access to a new treatment option, building on Bayers existing strength and leadership in diabetes management in China and the innovation capabilities of Hua Medicine.

Bayer has been long committed to Chinese patients living with diabetes and diabetic macular edema (DME) by offering innovative treatment options including Glucobay and Eylea, said Wei Jiang, Executive Vice President and President of Bayer Pharmaceuticals Region China & APAC and President of Bayer Group Greater China. In the face of significantly increasing challenges caused by diabetes to public health in China, our collaboration with Hua Medicine will further address unmet medical needs of Chinese patients living with diabetes. By leveraging Bayers well-established products as well as the upcoming continuous glucose monitoring system under the partnership with WaveForm, we will be able to provide integrated solutions ranging from prevention, diagnosis, treatment and complication management.

Type 2 diabetes continues to be an important health challenge. According to the China Mainland National Cross Sectional Study in the British Medical Journal, the prevalence rate of T2DM for adults in China is 11.2%, but the proportion of patients who have their hemoglobin A1c (HbA1c) levels controlled is 49.4%(1). Among patients taking oral anti-diabetic drugs, fasting plasma glucose and 2-hour postprandial plasma glucose level lower than or equal to target were only achieved by 51.3% and 53.4%, respectively. These observations from real-world data highlights the unmet medical needs in diabetes, and are the reasons why biotech companies continue to explore novel therapies to improve diabetes management. With a novel mechanism of action, dorzagliatin is an investigational first-in-class glucokinase activator (GKA) targeting the restoration of glucose homeostasis in T2DM patients by addressing the defect of the glucose sensor function in the pancreas. A recently completed phase III clinical study of dorzagliatin monotherapy by Hua Medicine showed positive 52-week efficacy data. In addition, 24-week topline results were announced recently: The phase III metformin combination clinical trial met the primary efficacy endpoint.

We are very excited to have this great opportunity, joining forces with Bayer to bring a first-in-class diabetes medicine, dorzagliatin, to Chinese patients, said Dr. Li Chen, CEO of Hua Medicine. Bayer has been a leader in diabetes treatment for the past 10 years in China and will be a great partner for Hua Medicine to advance diabetes care. T2DM currently affects approximately 463 million patients worldwide, 116 million of which are in China(2). Over the last ten years, Hua Medicine has translated the novel concept of glucose homeostasis management into a breakthrough T2DM therapy that aspires to cure diabetes. For the first time, a drug has demonstrated, in clinical trials, the potential ability to improve glucose metabolism and Bata-cell function in T2DM patients. The partnership between Hua Medicine and Bayer will bring this medical innovation to a broader patient population in China even faster.

Under the terms of the agreement, Hua Medicine as the market authorization holder shall be responsible for clinical development, registration, product supply and distribution, whilst Bayer as the promotion service provider shall be responsible for marketing, promotion and medical education activities in China. Hua Medicine will receive an upfront payment of RMB 300 million and additional payments could reach up to RMB 4.18 billion if certain milestones are met. Bayer receives the exclusive rights to commercialize the product in China and will receive tiered service fee based on the net sales. Initially, both parties will share equally in sales derived from China net sales, with adjusting sales percentages based on agreed China net sales thresholds.

China is a key focus of Bayers partnering efforts and we are continuously looking for assets and health technologies to help address significant unmet medical needs of patients, said Marianne De Backer, PhD, Member of the Executive Committee and Head of Strategy and Business Development & Licensing, Pharmaceuticals Division of Bayer AG. Through this new partnership, we further expand treatment options for millions of Type 2 diabetes patients in China by leveraging our commercial expertise and diabetes leadership position in China and combining it with the external know-how of a strong partner.

The Pharmaceuticals Business Development & Licensing team of Bayer facilitated this collaboration.

(1). British Medical Journal. Prevalence of diabetes recorded in China using 2018 diagnostic criteria from the American Diabetes Association: national cross sectional study.https://www.bmj.com/content/369/bmj.m997(2). International Diabetes Federation. 9th Edition of IDF Diabetes Atlas.https://www.diabetesatlas.org/en/

About DorzagliatinDorzagliatin is an investigational first-in-class, dual-acting glucokinase activator, designed to control the progressive degenerative nature of diabetes by restoring glucose homeostasis in patients with T2DM. By addressing the defect of the glucose sensor function of glucokinase, dorzagliatin has the potential to restore the impaired glucose homeostasis state of patients with T2DM and serve as a standard-of-care therapy for the treatment of the disease, or as a combination therapy with currently approved anti-diabetes drugs. For more information, please go towww.huamedicine.com

About BayerBayer is a global enterprise with core competencies in the life science fields of health care and nutrition. Its products and services are designed to benefit people by supporting efforts to overcome the major challenges presented by a growing and aging global population. At the same time, the Group aims to increase its earning power and create value through innovation and growth. Bayer is committed to the principles of sustainable development, and the Bayer brand stands for trust, reliability and quality throughout the world. In fiscal 2019, the Group employed around 104,000 people and had sales of 43.5 billion euros. Capital expenditures amounted to 2.9 billion euros, R&D expenses to 5.3 billion euros. For more information, go towww.bayer.com.

About Hua MedicineHua Medicine is a leading, clinical-stage innovative drug development company in China focused on developing novel therapies for the treatment of diabetes to satisfy unmet medical needs. Founded by an experienced group of entrepreneurs and international investment firms, Hua Medicine advanced a first-in-class oral drug for the treatment of T2DM into NDA-enabling stage and is currently evaluating the therapy in adults with diabetes in two Phase III trials in China and various earlier stage clinical trials in China and the United States. Dorzagliatin has achieved its primary endpoint in both of its Phase III monotherapy and combination trials in China over the 24-week trial period, and completed its 52-week Phase III monotherapy trial. The Company has initiated product life-cycle management studies of this novel diabetes therapy and advanced its use in personalized diabetes care. Hua Medicine is working closely with disease experts and regulatory agencies in China and across the world to advance diabetes care solutions for patients worldwide.

Contact Bayer:Bayer China Communications PharmaceuticalsTel No.: (86)10-5921-8499Email:pharma.china.comm@bayer.com

Contact Hua MedicineInvestors:ir@huamedicine.comMedia:pr@huamedicine.com

Bayer Forward-Looking StatementsThis release may contain forward-looking statements based on current assumptions and forecasts made by Bayer management. Various known and unknown risks, uncertainties and other factors could lead to material differences between the actual future results, financial situation, development or performance of the company and the estimates given here. These factors include those discussed in Bayers public reports which are available on the Bayer website atwww.bayer.com. The company assumes no liability whatsoever to update these forward-looking statements or to conform them to future events or developments.

Hua Forward-Looking StatementsThis press release may contain statements that constitute forward-looking statements, including, but not limited to, statements relating to the implementation of strategic initiatives, and other statements relating to Hua Medicines future business development and economic performance. While these forward-looking statements represent Hua Medicines judgments and future expectations concerning the development of business, a number of risks, uncertainties and other statutory requirements may render actual developments and results to differ materially from our expectations. For more information, go towww.huamedicine.com.

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Nationwide Analysis Details Risk of COVID-19-Related Death in Type 1, Type 2 Diabetics – Endocrinology Network

August 17th, 2020 1:50 pm

An analysis of data from more than 61 million patients is shedding light on the associations of type 1 and type 2 diabetes, respectively, with coronavirus disease 2019 (COVID-19)-related mortality.

Led by investigators at the Imperial College of London, results of the nationwide analysis found both type 1 and type 2 diabetes were associated with a significant increase in odds of in-hospital mortality with COVID-19.

The findings of the study have important implications for people with diabetes, health-care professionals, and policy makers, wrote study investigators. We encourage the use of these findings, along with those from other studies investigating risk factors for COVID-19-related outcomes, to provide reassurance for young people who are at low absolute risk, despite having diabetes.

While the impact of diabetes status and hyperglycemia have been a major topic of interest for clinicians and researchers during the ongoing pandemic, relatively few studies have examined the risks for type 1 and type 2 diabetes, respectively. With this in mind, investigators designed their study to assess the effects of diabetes status and type on in-hospital death in patients with COVID-19 from March 1-May 11, 2020.

Using NHS data from those registered with a general practice in England and alive on February 16, 2020, investigators identified 61,414,470 individuals for inclusion in their analysis. Of these patients, 0.4% (n=263,830) had a diagnosis of type 11 diabetes, 4.7% (n=2,864,670) had a diagnosis of type 2 diabetes, and 0.1% (n=41,750) had other types of diabetes.

During the study period, 23,698 in-hospital COVID-19-related deaths were recorded. Of these deaths, 31.4% (n=7434) had type 2 diabetes, 1.5% (n=364) had type 1 diabetes, and 0.3% (n=69) had other forms of diabetes. Investigators pointed out the unadjusted mortality rates per 100,000 people over the 72-day study period was 27 (95% CI 2728) for those without diabetes, 138 (124153) for those with type 1 diabetes, and 260 (254265) for those with type 2 diabetes.

In analyses adjusting for age, sex, deprivation, ethnicity, and region, patients with type 1 diabetes were at more than a 3-fold increase of in-hospital COVID-19-related death compared tot hose without diabetes (OR, 3.51; 95% CI, 3.16-3.90). In these same analyses, type 2 diabetics were 2 times more likely to experience in-hospital COVID-19-related death (OR, 2.03; 95% CI, 1.97-2.09). Upon adjustment for previous hospital admissions with coronary heart disease, cerebrovascular disease, or heart failure, the odds for in-hospital COVID-19-related death for type 1 diabetics were 2.86-times greater and the odds for patients with type 2 diabetes were 1.80-times greater when comparing these groups to nondiabetic patients.

For older people who are at higher absolute risk, the results can inform public guidance, including recommendations for shielding, wrote investigators. Further elucidation of the modifiable risk factors for poorer COVID-19 outcomes in people with diabetes will be crucial in guiding management and providing targeted support.

This study, Associations of type 1 and type 2 diabetes with COVID-19- related mortality in England: a whole-population study, was published in The Lancet: Diabetes & Endocrinology.

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ASX Biotechs Surfing The Covid Story – FN Arena News

August 16th, 2020 1:01 am

Weekly Reports | Aug 10 2020

By Tim Boreham, Editor, The New Criterion

The ASX biotechs surfing the COVID-19 story

Normally investors shun speculative plays in times of market uncertainties, but thats not been the case with ASX-listed life sciences stocks across the drug, diagnostics and device sectors.

Naturally, the biotechs drawing a connection with fighting or detecting the virus spurious or otherwise have seen their valuations soar. Not that investor interest is limited to the Covid cluster, with capital raisings in the sector supported across the board.

A notable winner valuation-wise is Genetic Signatures ((GSS)), which markets molecular diagnostics tests for bacterial and viral conditions including superbugs, sexually transmitted diseases and norovirus (the number one plague of cruise ships before the coronavirus hopped on board).

Sold under the Easyscreen brand, the kits allow for rapid and accurate detection in large volumes. The tests take the genetic information of the targeted organism and change the genetic sequence to reduce the number of variables.

And, yes, the company is a COVID-19 story as well. Before the plague descended, the companys Easyscreen tests had not been able to distinguish Sars-cov-2 from say, Severe Acute Respiratory Syndrome (SARS), but the company has devised a variant to do just that.

Reporting a 278% revenue surge to $4.7m for the June quarter, management called out demand for the COVID-19 tests as a growth driver.

Broker Bell Potter notes the global molecular diagnostics market was worth more than $US6bn in 2018 and is expected to grow to $US10bn by 2026.

The sectors also been a hotbed of acquisitions, such as Thermo Fishers recently-lobbed $US11.5bn offer for Dutch diagnostic group Qiagen and Danaher Corps $US4bn acquisition of US counterpart Cepheid in 2018.

We expect merger and acquisition activity to continue in the space and Genetic Signatures is strategically well positioned to attract interest as it further expands into key US and European markets and grows is product suite, Bell Potter says.

While Genetic Signatures is a case of building incremental revenues, stem cell developer Mesoblast ((MSB)) is on the cusp of company-moving announcements pertaining to several late-stage clinical trials and expected US approval of its therapy for graft versus host disease (a common affliction for transplant patients).

Naturally, most investors are focused on the COVID-19 trial which involves treating critical-care patients with its off the shelf therapy remestemcel-L (branded Ryoncil).

Most coronavirus victims die from acute respiratory distress syndrome (ARDS), an inflammatory condition caused by the immune systems response to the virus.

Mesoblast aimed to enrol 300 patients across 30 US hospitals a moving target given the disease epicentre is moving from region to region.

Nonetheless, the first patients were dosed in May, with an interim analysis is due when at least 30% of the patients have been treated for 30 days.

In other words, investors should soon know whether the company is on the cusp of a major treatment breakthrough.

And if thats not enough excitement, Mesoblast expects to announce results from two phase III studies: a 566-patient effort for chronic heart failure and a 404-patient trial for chronic lower back pain caused by disc degeneration.

Also in the stem-cell space, Cynata Therapeutics ((CYP)) is planning to carry out its own COVID-19 clinical trials not just in relation to ARDS, but sepsis and cytokine release syndrome (all causes of COVID-19 deaths).

The company is encouraged by pre-clinical modelling and has regulatory approval to carry out a trial.

The company planned to enrol 24 intensive care patients in NSW but perhaps it should refocus efforts south of the Murray.

It was fairly clear that Australias prevention measures effectively flattened the curve and we quickly ran out of available patients, Cynata chief Ross Macdonald said before the Victorian resurgence.

Tackling the cause of COVID-19 mortalities is one thing, but what if the risk of contracting the diseases could be more accurately predicted beyond the clinical factors of age and co-morbidities such as heart disease and diabetes?

That way, the denizens of locked down geographies such as Victoria could discard their masks and emerge from isolation.

Meanwhile, shares in kidney disease house Dimerix ((DXB)) last week soared on positive clinical results pertaining to a rare condition called focal segmental glomerusclerosis (FSGS).

But the drug candidate in question, DMX-200 has also been selected for appraisal in a global trial to treat ARDS, the common element between ARDS and FSGS being fibrosis.

Known in shorthand as REMAP-CAP, the World Health Organisation endorsed trial aims to enrol 7000 patients across more than 200 sites. DMX-200 is one of many potential therapies being looked at, but the beauty for Dimerix is the trial costs are paid the governments that are funding REMAP-CAP.

Changing tack, molecular diagnostics house Genetic Technologies ((GTG)) has filed a provisional patent for a genetics-based assessment of the risk of developing COVID-19.

Based on third-party genomic data from 1500 COVID-19 patients, the company intends to develop a prototype model to identify patients most likely to require hospitalisation should they contract the disease.

If and when a vaccine materialises, the genetic profiling could help to prioritise who gets jabbed first.

Hitherto known for its predictive breast cancer kits, Genetic Technologies has never matched its performance to its promises.

But US investors have been willing to support the stock, with the company raising $US5.1m in a placement via its Nasdaq listing.

Disclaimer: Under no circumstances have there been any inducements or like made by the company mentioned to either IIR or the author. The views here are independent and have no nexus to IIRs core research offering. The views here are not recommendations and should not be considered as general advice in terms of stock recommendations in the ordinary sense.

Content included in this article is not by association the view of FNArena (see our disclaimer).

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Amid COVID-19, people with diabetes struggle to get insulin – Los Angeles Times

August 16th, 2020 1:00 am

For Adam Winney, a 26-year old with Type 1 diabetes, grocery shopping during the early days of a pandemic was an infuriating task. Everything was sold out, except for the one type of food he couldnt eat.

The only things left were carbs, carbs, carbs, the Van Nuys resident said. Ive never been more furious than back in March.

For the record:

1:54 PM, Aug. 11, 2020A previous version of this story said an insulin pump delivers insulin to the pancreas of a person with Type 1 diabetes. The pump actually infuses the insulin under the skin so it can be absorbed into the bloodstream.

Winneys disease has deprived his body of insulin, a hormone thats needed to turn the sugar in carbohydrates into energy. Without it, his blood sugar can spike to dangerous levels, eventually leading to serious health problems like cardiovascular disease, nerve damage and kidney failure.

But the insulin pens he relies on to keep his body in balance cost him upwards of $1,000 a month, since his health insurance doesnt cover the medication. After the coronavirus outbreak cost him his job as a receptionist at a hair salon, that expense was beyond his reach. He went six weeks without the long-acting insulin he usually takes every day.

I was fighting nausea every morning, he said, a sign that his body was susceptible to diabetic ketoacidosis, a state of dangerously high blood sugar levels that has landed him in the hospital before. Your body just falls apart.

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COVID-19 presents a unique set of challenges to the roughly 34 million Americans like Winney who are living with diabetes.

The Centers for Disease Control and Prevention says people with Type 1 diabetes are probably more susceptible to a severe case of COVID-19. Those with Type 2 diabetes the more common form that begins when people lose their sensitivity to insulin are definitely at increased risk of severe COVID-19, according to the CDC.

For instance, a study of more than 7,300 COVID-19 patients in China found that those with Type 2 diabetes needed more medical care and were nearly 50% more likely to die than patients without diabetes. The risk of death was especially high for people who had trouble controlling their blood sugar, researchers reported. Another study of more than 1,200 COVID-19 patients in the U.S. found that the mortality rate for those with diabetes or high blood sugar was 29%, compared with 6% for those without diabetes.

The extent to which you control your diabetes is a risk factor, said Dr. Daniel Drucker, a senior scientist at the Lunenfeld-Tanenbaum Research Institute at the University of Toronto. Theres a lot we can do about that, by making sure that your diabetes is optimally controlled.

Insulin is essential for keeping blood sugar in check, but the pricey medicine is harder to get if a job disappears, along with the health insurance that came with it.

The cost of insulin varies from patient to patient. It depends on the type of insulin they need some take effect within 15 minutes; others last more than a day as well as the dose. Some insurance plans pick up more of the tab than others.

The financial strain brought on by the pandemic has forced Royce Jonathan Miller of Yuba City to consider rationing the insulin he takes for Type 1 diabetes. He has kept his job as an optician at Walmart, but since his father-in-law lost his job at a maintenance company that closed operations due to the pandemic, Miller has become the sole provider for the four people in his household.

Brandi DaVeiga programs the insulin pump that helps her control her Type 1 diabetes.

(Christina House / Los Angeles Times)

Miller has an insulin pump, which uses a tube to infuse a small amount of insulin under the skin so it can be absorbed into the bloodstream. He is supposed to change out the pieces that connect to his body every three days. Lately, hes been wondering if thats absolutely necessary.

Im starting to think, I can stretch that up for two cycles, every six days, and hopefully it doesnt get infected, Miller said. But I do realize that if I am to make myself sick and wind up in the hospital, that will be a bigger burden.

A nationwide survey of 5,000 people with diabetes conducted for the American Diabetes Assn. found that one in four have rationed supplies to cut the cost of their diabetes care since the start of the pandemic.

Now is not the time to let up on helping these individuals manage their disease, because it may in fact be helpful in preventing them from getting severe COVID-19, Drucker said.

People with Type 2 diabetes may face even greater hardship in affording their insulin, said Dr. Francisco Prieto, a family health physician in Sacramento.

Not everyone who has Type 2 has to take insulin, Prieto said. Those who do are typically folks who either have the most severe cases of diabetes or have failed all the previous oral and injectable treatments. That means they may need to take even more insulin on a daily basis than Type 1 patients, he said.

Since 2019, 11 states have set limits on the amount insurance companies can set as co-payments for insulin. Each of those states has enacted price caps ranging from $25 to $100 per month since the coronavirus outbreak took off in March.

California may soon join the list. In February, Assemblyman Adrin Nazarian (D-North Hollywood) introduced a bill that would cap insulin co-pays at $50 for a 30-day supply, or $100 per month. It passed in June by a 64-4-11 vote, but the Senate Health Committee has not scheduled a hearing that would allow the bill to move forward.

Winney said a price cap would give him some peace of mind. These days he relies on free samples provided by one of his doctors, but that generosity may not last.

I see that as an incentive to finally change insurance, he said.

Brandi DaVeiga, who has Type 1 diabetes, at home in Lakewood.

(Christina House / Los Angeles Times)

Ensuring an affordable supply of insulin would help people with diabetes manage their disease better, said Brandi DaVeiga, a stay-at-home mom in Lakewood with Type 1 diabetes. She has good coverage now through her husbands health insurance plan, but when she was between plans three years ago, she began skipping insulin doses to make her supply last longer. On several occasions, her blood sugar levels rose dangerously high, and she ended up in the emergency room.

Its really stressful, she said of managing diabetes during a pandemic. And that doesnt help your blood sugar.

The fact that people with diabetes are rationing their insulin when they need it most points to larger problems with healthcare access in this country, Drucker said.

COVID-19 is reminding us of the importance of doing everything we can in our vulnerable, at-risk populations, he said. Lets do everything we can to optimize their health because that may, in turn, reduce their risk of having a bad outcome with this virus.

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Amid COVID-19, people with diabetes struggle to get insulin - Los Angeles Times

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Distinguishing between type 1 and type 2 diabetes – The BMJ

August 16th, 2020 1:00 am

In patients with new onset hyperglycaemia where the type of diabetes is ambiguous, diabetes specific autoantibodies are the diagnostic test of choice to distinguish between type 1 and type 2 diabetes

Patients with newly diagnosed diabetes who are over 40 and respond well to oral anti-hyperglycaemic therapy do not need to undergo testing to distinguish between type 1 and type 2 diabetes

Glycated haemoglobin (HbA1c) is not recommended as a diagnostic test for patients with possible or suspected type 1 diabetes because it may not reflect a recent rapid rise in blood glucose and results take longer than with serum glucose testing

A 33 year old man with no notable medical history attends his general practitioner reporting two months of fatigue, with no other symptoms. His mother has hypothyroidism. His body mass index is 25 kg/m2 and he has a pulse rate of 72 beats/min and blood pressure 135/88 mmHg with no postural drop. Examination is unremarkable. A random blood glucose test shows 14 mmol/L (250 mg/dL). Urinalysis is normal. The next day the patient returns, and a repeat fasting glucose test finds 14 mmol/L.

This article is intended to help primary care doctors to differentiate between type 1 and type 2 diabetes when first diagnosing diabetes in a patient where the distinction is unclear.

For people who fit the classic pattern of type 2 diabetes (table 1), and where two glucose test results are in the diabetic range (box 1), no further testing is required for diagnosis, and management should follow current guidelines.1 Follow-up testing of glycated haemoglobin (HbA1c) is useful to assess glycaemia over time and to tailor treatment.1

Clinical features at presentation that help to distinguish type 1 and type 2 diabetes

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Distinguishing between type 1 and type 2 diabetes - The BMJ

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The Best 7 Foods to Lower Blood Sugar Naturally and Help Burn Fat – The Beet

August 16th, 2020 1:00 am

If you want to shed fat faster, the trick is to keep your blood sugar low and turn up the engines by working out.The latesttrend is to "eat like a diabetic" for overall best body fueling, so your system runs on the calories you eat (and working-out puts you at a deficit) so you never have a chance to store extra calories as fat. Nowadays "the diabetic diet" is getting a lot of attention because even for non-diabetics,it's the best wayto eat to reduce or avoid diabetes, which is more critical than ever since diabetes is a known risk factor for serious COVID-19 symptoms. To stay well, slim down and shed unwanted fat layers right now, eating high fiber, plant-based foods that have the lowest glycemic indexis being touted as the best strategy. The added benefit: Along with losing weight these all have anti-viral, immunity-boostingbenefits.

Even if you are not diabetic, and you just want to lower blood sugar and turn up the burners to help your body burn fat, there are foods that can help your body use available energy and not store calories as fat -- naturally. If you choose the right foods, get active, and keep your calories in check, you'll be able to lower your blood sugar levels and help your body's natural ability to metabolize the carbs you eat, to use blood sugar as fuel, and not allow insulin to signal "too much sugar here.... put this extra stuff into storage!" The key to doing this is to eat the foods that best keep blood sugar levels steady, or better yet, nice and low, and not let your insulin levels surge, since it's that signal that starts your body crating off calories to fat.

These foods are known to damp down blood sugar and turn off the insulin sirens, to help you burn fat naturally. We found this list in TimesNowNews.comand added two of our favorites to bring you the 7 best plant-based foods to lower blood sugar and burn fat naturally.

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The Best 7 Foods to Lower Blood Sugar Naturally and Help Burn Fat - The Beet

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Is there any help for chemotherapy-induced neuropathy? – STLtoday.com

August 16th, 2020 12:59 am

I have often tried gabapentin (Neurontin) or a similar drug, pregabalin (Lyrica), but have not had much success. Duloxetine (Cymbalta) has evidence showing effectiveness at reducing pain and improving numbness, and those treated with duloxetine had a better quality of life than those on placebo. Finally, a preliminary trial showed a compounded cream containing baclofen, amitriptyline and ketamine showed some benefit.

Dear Dr. Roach An ear, nose and throat specialist told me not to use nasal sprays that contain oxymetazoline, such as Afrin, since over time they will damage and erode the tissues of the septum and inner nose. He said to use simple salt solution instead. Is this true? I used two shots of this nasal spray, and it cleared my sinuses and nose but was very uncomfortable. I have to be careful since I have had a constructive rhinoplasty and a septoplasty with reduced tissues. S.L.

Answer I agree wholeheartedly with your ENT doctor that long-term use of oxymetazoline nasal sprays, such as Afrin, can cause problems with the lining of your nasal passages. However, there are some times when Afrin or similar sprays are helpful. I have recommended it for people with colds or sinus infections before going on a plane, for example, since it is very effective in short-term use (no more than three days).

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Value of Diabetic Neuropathy Market Predicted to Surpass US$ by the of 2015 2021 – Scientect

August 16th, 2020 12:59 am

The Diabetic Neuropathy Market globally is a standout amongst the most emergent and astoundingly approved sectors. This worldwide market has been developing at a higher pace with the development of imaginative frameworks and a developing end-client tendency.

Given the debilitating impact of COVID-19 (Coronavirus) on the Diabetic Neuropathy market, companies are vying opportunities to stay afloat in the market landscape. Gain access to our latest research analysis on COVID-19 associated with the Diabetic Neuropathy market and understand how market players are adopting new strategies to mitigate the impact of the pandemic.

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The worldwide Diabetic Neuropathy market is an enlarging field for top market players,

the top players

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This Diabetic Neuropathy report begins with a basic overview of the market. The analysis highlights the opportunity and Diabetic Neuropathy industry trends that are impacted the market that is global. Players around various regions and analysis of each industry dimensions are covered under this report. The analysis also contains a crucial Diabetic Neuropathy insight regarding the things which are driving and affecting the earnings of the market. The Diabetic Neuropathy report comprises sections together side landscape which clarifies actions such as venture and acquisitions and mergers.

The Report offers SWOT examination and venture return investigation, and other aspects such as the principle locale, economic situations with benefit, generation, request, limit, supply, and market development rate and figure.

Quantifiable data:-

Geographically, this report studies the top producers and consumers, focuses on product capacity, production, value, consumption, market share and growth opportunity in these key regions, covering North America, Europe, China, Japan, Southeast Asia, India

For any queries get in touch with Industry Expert @ https://www.persistencemarketresearch.co/ask-an-expert/4795

Research objectives and Reason to procure this report:-

Finally, the global Diabetic Neuropathy market provides a total research decision and also sector feasibility of investment in new projects will be assessed. Diabetic Neuropathy industry is a source of means and guidance for organizations and individuals interested in their market earnings.

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Value of Diabetic Neuropathy Market Predicted to Surpass US$ by the of 2015 2021 - Scientect

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Increased Chemotherapy Leads to Lower Quality of Life in Newly Diagnosed Ovarian Cancer – Curetoday.com

August 16th, 2020 12:59 am

Patients with newly diagnosed ovarian cancer who received weekly chemotherapy reported a lower mean quality of life (QOL) compared to patients who received the standard treatment every three weeks, according to results of a recent study published in The Lancet Oncology.

The primary endpoint of the iCON8 study also found that patients who received weekly chemotherapy saw no increase in progression-free survival (PFS) compared to patients who received the standard treatment, making it a poor choice for the management of newly diagnosed ovarian cancer.

Prior to this study, the phase 3 JGOG-3016 trial in Japan found that weekly paclitaxel combined with three-weekly carboplatin improved PFS and overall survival (OS) when compared to standard treatment in Japanese patients with advanced disease. But given the increasing evidence of the difference in response to treatment between Asian and white populations, the creators of the ICON8 trial set out to build on these results and determine if the same survival advantage could be found in a mostly European population.

While PFS was the primary endpoint of the ICON8 trial, the secondary endpoints examining QOL in these patients are what the Lancet analysis focused on.

The open-label, randomized, controlled phase 3 study included patients from 117 hospital sites in the UK, Australia, New Zealand, Mexico, South Korea and the Republic of Ireland, between June 6, 2011 and November 28, 2014. All patients were then randomly assigned to one of three groups:

All patients had either epithelial ovarian, primary peritoneal or fallopian tube carcinoma (collectively termed ovarian cancer in the study) and had not received previous systemic therapy for their ovarian cancer.

Out of the 1,566 patients in the study, 1,540 completed the European Organisation for Research and Treatment of Cancer QLQ-C30 and QLQ-OV28 questionnaires. The QLQ-C30 includes questions that measure a global health status score, function scales to determine physical, role, emotional, cognitive, and social QOL, and symptom scales to measure fatigue, nausea or vomiting, pain, insomnia, appetite loss, constipation, diarrhea, and financial difficulties. The QLQ-OV28 measures experiences more specific to ovarian cancer, including abdominal or gastrointestinal symptoms, peripheral neuropathy, chemotherapy side effects, hormonal or menopausal symptoms, and other factors.

These questionnaires were completed by patients during outpatient attendances at day one of each chemotherapy cycle, and during follow-up visits every six weeks until nine months from randomization, then every three months for the next 2 years, and finally, every six months for up to five years from randomization. Researchers also had patients complete these surveys at six-month intervals after disease progression.

Baseline questionnaires were completed by 1,438 (92%) of patients, and of the 1,280 patients available for 9-month follow-up questionnaires 882 patients (69%) contributed data to that set. When accounting for patients who dropped out of the study due to disease progression, withdrawal or death, a total of 828 patients contributed QOL data both at 9 months and baseline.

Upon examination, the researchers found no significant difference in the global health score at 9 months between the study groups, but upon a longitudinal analysis, found lower global health scores for those receiving weekly paclitaxel compared to patients who received the standard chemotherapy every three weeks.

We found no evidence of a difference in global quality of life between treatment groups at 9 months; however, patients receiving weekly treatment reported lower mean quality of life across the 9-month period after randomization, the authors concluded.

Taken together with the lack of progression-free survival benefit, these findings do not support routine use of weekly paclitaxel-containing regimens in the management of newly diagnosed ovarian cancer.

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Increased Chemotherapy Leads to Lower Quality of Life in Newly Diagnosed Ovarian Cancer - Curetoday.com

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Helping Hands Free Medical Clinic continues to make impact in Marion County more than 20 years later – SCNow

August 16th, 2020 12:59 am

I find the level of attention to individual patient's needs excellent, including diligent work to remove many roadblocks to primary and advanced care, he said. This is one of the most important functions of a free clinic, requiring coordination with pharmacies, state benefit programs, hospital systems, transportation, and family caregivers. It's a blessing to be associated with them.

The Mullins clinic is open on Monday and Wednesday while the Marion clinic is open Tuesdays and Thursdays. Hours of operation are from 8 a.m. to 5 p.m.

To qualify, visitors must be a Marion County resident, 18 years of age or older, not receiving any health insurance and income 200 percent below federal poverty guidelines.

For more information call 843-464-8750 or 843-423-5212.

Helping Hands Free Medical Clinic Services:

Health Education, TB Skin Tests, Labs, EKG and Radiology, Urinalysis, A1Cs, Medications, Flu & HEP A Vaccines, STD Screenings, PAP Smear Exams & Mammograms, Family Planning, a Diabetes & Hypertension Program, Cancer Screenings, Retinopathy & Neuropathy Exams, Screenings for Hearing, Dental Service Assistance, Wound Care Clinic, Cardiology Clinic, COVID-19 tests and referrals.

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Helping Hands Free Medical Clinic continues to make impact in Marion County more than 20 years later - SCNow

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Sonnet BioTherapeutics Provides Fiscal Year Third Quarter Business and Earnings Update – Yahoo Finance

August 16th, 2020 12:59 am

Company successfully completes warrant repricing and exchange, with gross proceeds to total $10.5 million

Company Enters Negotiation for Potential Licensing of Neuropathies Asset

PRINCETON, NJ / ACCESSWIRE / August 14, 2020 / Sonnet BioTherapeutics Holdings, Inc. (NASDAQ:SONN) ("Sonnet" or the "Company"), a biopharmaceutical company developing innovative targeted biologic drugs, announced today its financial results for the three months ended June 30th, 2020 and provided a business update.

Pankaj Mohan, Ph.D., Founder and CEO commented, "During the quarter, we made exceptional progress advancing our pipeline of oncology candidates, as well as announced an exciting new program to explore opportunities in the antiviral arena. These accomplishments were complemented by our strategic licensing activities, that included a potential partnership for the development of our low-dose IL-6 asset (SON-081) in diabetic peripheral neuropathy, an indication with significant commercial potential."

First Quarter and Recent Corporate Updates

Sonnet is pleased to provide the following updates on its pipeline assets:

Initial preclinical proof-of-concept work has been completed with both GMcSF and IL-18 and with GMcSF and IL-12 in a xenograft mouse model of melanoma. This study was designed to evaluate preclinical activity of the concomitantly administered cytokines as FHAB-derived molecules, using Sonnet's Fully Human Albumin Binding (FHAB) technology, in several groups of tumor-bearing mice. Sonnet's FHAB-derived drug candidates all showed significant reduction in tumor growth compared to placebo and when compared to cytokines not derived from the Company's platform.

Additionally during the quarter, the Company executed a letter of intent to negotiate an agreement to license its SON-081 and SON-080 assets, both low-dose formulations of Interleukin 6 (IL-6), for diabetic peripheral neuropathy (DPN) and chemotherapy-induced peripheral neuropathy (CIPN) to New Life Therapeutics Pte. Ltd. of Singapore. The licensed territory would include the ASEAN countries of Singapore, Malaysia, Indonesia, Thailand, The Philippines, Cambodia, Brunei, Vietnam, Myanmar and Lao PDR. The transaction is subject to execution of a definitive agreement to be negotiated between Sonnet and New Life. Sonnet is scheduled to receive $500,000 upon final execution of the letter of intent from New Life and could receive an additional $3.5 million in license fees upon execution of the definitive agreement. The letter of intent also stipulates up to $36 million in milestone payments and a royalty of 30% on commercial sales, payable to Sonnet.

As previously announced, COVID-19 has impacted the speed at which the Company is completing some trials, but the Company remains on track to submit an IND for SON-080 in the first half of 2021 and SON-1010 in the second half of 2021. The Company also expects to accrue additional pre-clinical data for its various pipeline products over the coming months, some of which may be appropriate for presentation at upcoming medical conferences.

Fiscal 2020 Third Quarter Ended June 30, 2020 Financial Results

As previously reported, on April 1, 2020, the Company completed its merger transaction with Sonnet Sub, whereby Sonnet Sub became a wholly owned subsidiary of the Company, and the business of Sonnet Sub became that of the Company. On April 2, 2020, the Company's common stock began trading on The Nasdaq Capital Market under the symbol "SONN."

Jay Cross, CFO, elaborated on the Company's capital structure, saying, "With the warrant exchange transaction completed, we have good visibility into our pro forma fully diluted share count. At approximately 29.3 million shares, assuming the exercise of the remaining Series A warrants, the share count is significantly below the potential 39.7 million shares that could have existed under the original terms of the $19.0 million private placement transaction. Importantly, this new pro forma number includes 11.3 million Series C warrants that, if exercised, would bring in gross proceeds to the Company of $36.1 million."

About Sonnet BioTherapeutics Holdings, Inc.

Founded in 2011, Sonnet BioTherapeutics is an oncology-focused biotechnology company with a proprietary platform for innovating biologic drugs of single or bispecific action. Known as FHAB (Fully Human Albumin Binding), the technology utilizes a fully human single chain antibody fragment (scFv) that binds to and "hitch-hikes" on human serum albumin (HSA) for transport to target tissues. FHAB is the foundation of a modular, plug-and-play construct for potentiating a range of large molecule therapeutic classes, including cytokines, peptides, antibodies and vaccines.

Story continues

Forward-Looking Statements

This press release contains certain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934 and Private Securities Litigation Reform Act, as amended, including those relating to the Company's product development, clinical and regulatory timelines, market opportunity, competitive position, possible or assumed future results of operations, business strategies, potential growth opportunities and other statements that are predictive in nature. These forward-looking statements are based on current expectations, estimates, forecasts and projections about the industry and markets in which we operate and management's current beliefs and assumptions.

These statements may be identified by the use of forward-looking expressions, including, but not limited to, "expect," "anticipate," "intend," "plan," "believe," "estimate," "potential, "predict," "project," "should," "would" and similar expressions and the negatives of those terms. These statements relate to future events or our financial performance and involve known and unknown risks, uncertainties, and other factors which may cause actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. Such factors include those set forth in the Company's filings with the Securities and Exchange Commission. Prospective investors are cautioned not to place undue reliance on such forward-looking statements, which speak only as of the date of this press release. The Company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise.

Sonnet Biotherapeutics Investor Contact

Alan LadaSolebury Trout617-221-8006alada@soleburytrout.com

Sonnet BioTherapeutics Holdings, Inc.Balance Sheets(unaudited)

Assets

Current assets:

Cash

Prepaid expenses other current assets

Total current assets

Property and equipment

Operating lease right-of-use asset

Other assets

Total assets

Liabilities and stockholders' equity (deficit)

Current liabilities:

Related-party notes

Accounts payable

Accrued expenses

Operating lease liability

Total current liabilities

Note payable

Operating lease liability

Total liabilities

Commitments and contingencies (note 8)

Stockholders' equity (deficit):

Preferred stock; $0.0001 par value: 5,000,000 shares authorized. No shares issued or outstanding

Common stock; $0.0001 par value: 125,000,000 shares authorized; 9,200,176 and 5,547,643 issued and outstanding at June 30, 2020 and September 30, 2019, respectively

Additional paid-in capital

Accumulated deficit

Total stockholders' equity (deficit)

Total liabilities and stockholders' equity (deficit)

Sonnet BioTherapeutics Holdings, Inc.Statements of Operations(unaudited)

Operating expenses:

Research and development

Acquired in-process in-process research and development

General and administrative

Loss from operations

Interest income (expense)

Foreign exchange loss

Net loss

Per share information:

Net loss per share of common stock, basic and diluted

Weighted average shares outstanding, basic and diluted

SOURCE: Sonnet BioTherapeutics Holdings, Inc.

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Strategies and Suggestions for Patent Applications in the Hot Field of Biotechnology – Lexology

August 16th, 2020 12:58 am

Abstract: The field of biotechnology is growing rapidly and the number of patent applications is skyrocketing. CAR-T, gene editing, and coronavirus vaccines have become hotspots due to their extremely high clinical value or due to epidemic outbreaks. Because of complex ethical issues, the rapid development and the unpredictability of biotechnology, there is particularity existing in the field of biotechnology, which means the policy and criteria of examinations are frequently changing. It would be very helpful for the applicant (or the patentee) to understand the dynamic changes in the examination criteria in the field timely and accurately, so that they can obtain and maintain their patent rights and protect their legitimate rights and interests successfully. This article analyzes the dynamic changes of examination in this field from three angles sufficiency of disclosure, supportiveness of claims and inventive step, and further provides some strategies and suggestions based on these analyses.

Keywords: biotechnology, gene editing, CAR-T, coronavirus, vaccine, sufficiency of disclosure, supportiveness of claims, inventive step

Introduction

In recent years, there have been plenty of breakthroughs in medical applications of the biotechnology field. Cell therapies represented by CAR-T and monoclonal antibodies against PD-1 have been very successful and approved for clinical use. The discovery of some advanced gene editing tools also brought on the dawn of the area of gene therapy. These breakthroughs are the current hotspots in the field of biotechnology. The huge market share is attractive for investment in research and development to large domestic and international traditional medical companies as well as newly rising companies. The outbreak of epidemics seriously threatens human life and health. As the most effective way to defeat the malignant infectious diseases, the development of vaccines is urgently required. Although the primary purpose for developing vaccines is to protect human life and health, the potential for huge commercial profits cannot be ignored. Regardless of what the starting point is, vaccines, particularly vaccines to prevent coronavirus that can cause severe respiratory infections, have become another hotspot for research and development. Nowadays, the rapid development of biotechnology has profoundly affected and changed all aspects of human life. Biotechnology has become the focus of international technological and even economic competition.

A mature and comprehensive patent system should be used to fuel to the rapid and healthy development of the biotechnology field. The patent system repays the research and development investment of innovative entities with market share through the protection of research and development results, thereby further stimulating the enthusiasm of scientific research and encouraging innovation. Despite the rapid development of biotechnology, the continuous emergence of scientific discovery, the improvement of the Chinese patent system, and the increased protection of intellectual property rights, it is necessary to master the dynamic changes in patent examination in China and ensure that scientific achievements are protected appropriately by patents in order for inventors to take full advantage of this system.

Based on patent examination data and typical cases, we analyze the current situation on patent application and examination in the biotechnology field, especially in some hotspots areas, and provide strategies and suggestions on patent application and protection based on this.

Data-based analyses on current situation of Chinese patent applications and examination

In the past two decades, with the rapid development of biotechnology, the number of patent applications in this field in our country is rapidly increasing. In particular, when a technological breakthrough with significant medical or other applications is made, or when prevention/treatment or drugs are urgently needed, such as in the case of an epidemic, patent applications always surge.

1 The situation of patent application and examination in biotechnology in China.

Figure 1

Since 2001, the number of patent applications in biotechnology in China has shown a trend of linear increase. The number of published patent applications so far is about 270,000 (the decline in the number of applications in 2019 and 2020 is due to a large number of applications that have not yet been published and so no data is available). The estimated number of applications in 2019 should exceed 30,000, and it is estimated that the number of applications in 2020 may reach about 32,000 (see Figure 1).

Looking at the current situation of patent examinations in the field of biotechnology, we find that the status of a large number of patent applications since 2015 in the field of biotechnology have not yet been finalized (68.54%). Among the finalized patent applications, valid patents account for 59.7% and invalid patents accounted for 40.3%. Because of the low rate of abandonment within 5 years, the invalidity mainly resulted from rejection or withdrawal. Therefore, it is estimated that the grant rates of patent applications in the biotechnology field from 2015 to present is about 60%.

About 2.44% of all patent applications in the field of biotechnology have been rejected and entered the Review procedure. Among these, 48.69% are maintained to be rejected and 51.31% rejections are withdrawn; approximately 0.07% of the applications were challenged and found to be invalid after patent rights were granted. Among these, 42.83% are completely invalidated, 21.84% are partially invalidated, and 35.24% remained valid.

2 Current situation of CAR-T related patent applications and examinations

In 2007, immunologist Michel Sadelain first proposed Chimeric Antigen Receptor T-Cell Immunotherapy (CAR-T). In recent years, due to its remarkable effectiveness, it has been recognized by the industry and large pharmaceutical companies started the research and development of new cell therapy. On July 31, 2017, Novartiss gene therapy product-CAR-T cell drug Kymiriah (tisagenlecleucel, CTL019) was approved by the US FDA. The drug is used to treat relapsed or refractory B-cell acute lymphoblastic leukemia in children and adolescents. This has become another milestone in the field of cancer immunotherapy after Anti-PD-1 drugs. Later, on October 18, 2017, the US FDA approved Yescarta (axicabtagene ciloleucel, KTE-C10) of Kite Pharmaceuticals. This drug is used to treat adult patients with specific types of large B-cell lymphoma. The FDA successively approved two CAR-T therapies, making CAR-T a hotspot in biomedicine , which has attracted domestic and international companies to develop their patent portfolio in the CAR-T field.

Figure 2

Before 2010, there were no patent applications in the CAR-T field in China; they did not appear until 2011. After 2015, the number of applications showed a rapidly increasing trend demonstrating that CAR-T has become a hotspot for patent applications. So far, the published CAR-T related patent applications are 946. Due to the lag in the publication of patent applications, a large number of applications in 2019 and 2020 have not yet been published. According to the growth trend shown in Figure 2, the number of applications in 2019 is estimated to exceed 300 (see Figure 2). It is expected that the number of applications in this field will continue to rise in the future.

Figure 3

Since CAR-T therapy has only recently become a hotspot in medicine, no individual large medical company has developed a strong patent portfolio. Therefore, many start-up companies, especially domestic companies and scientific research institutes, have also stepped up their research and development and applied for patents. This can also be seen from the scattered distribution of patent applicants. Figure 3 lists the distribution of major applicants with more than 9 applications. Among them, Shenzhen Binde Biotechnology Co., Ltd. has the highest number of applications, reaching 60.

Since 2015, most of the patent applications in the CAR-T field have not yet been finalized, accounting for 87.30% of total applications. Among the finalized patent applications, valid patents account for 82%, and patent applications that were rejected or deemed withdrawn account for 18%. Because of the low rate of abandonment within 5 years, the invalidity mainly resulted from rejection or withdrawal. Therefore, it is estimated that the grant rate of CAR-T field patent applications from 2015 to the present is about 82%, which is significantly higher than the average 60% in the whole biotechnology field. This may be due to the lack of similar research in this field, and so most of the relevant innovations are novel and inventive, and therefore, more likely to be granted.

3 Current situation of gene-editing related patent applications and examinations

The gene editing technology represented by CRISPR was discovered in the early 1990s. Given it has more advantages over other gene editing tools, it has quickly become the most popular gene editing method in the fields of human biology, agriculture, and microbiology. However, looking into the number of patent applications in China, we find there are about 3,600 patent applications since 2001, which is not a lot, and the number has only started to increase rapidly after 2011. The possible reason is that although gene editing technology has potentially significant medical value, the off-target problem has not been solved very effectively and there are obviously serious ethical and technical risks that people are most concerned about in clinical applications. Thus, there are still uncertainties for the foreseeable future. In 2018, hot social events related to gene editing technology drew a lot of public attention.

Figure 4

Perhaps because of the ethical and technical limitations of gene editing technology represented by CRISPR in clinical applications, companies, in particular, large multinational medical companies have not developed a patent portfolio. Applicants of patents related to this technology also show a scattered distribution. The majority of the applicants are domestic universities and research institutes. Also, the use of gene editing in the applications basically do not involve human clinical applications.

Figure 5

A large number of gene editing patent applications from 2015 to the present have not yet been finalized (83.73%). Among the finalized patent applications, the grant rate is about 69.8%, and 30.2% are rejected or deemed withdrawn. The grant rate is also higher than the overall authorization rate in the entire biotechnology field, which is about 60%.

4 Current situation of coronavirus vaccines patent applications and examinations

The overall number of patent applications in the field of coronavirus vaccines is not large (no more than 600), and the average annual number of applications basically remains in double digits, but the application number is significantly related to the outbreak and the continuation of the coronavirus epidemic. For example, the SARS epidemic in 2003 led to a significant increase in the number of patent applications from 2003 to 2004, and then with the SARS virus under control, the number of applications returned to a low level. The MERS virus outbreak in 2012 led to another period of growth in patent applications in the following years. The outbreak of the new coronavirus in 2019 has caused a significant increase in vaccine patent applications in 2020. Even though the vast majority of applications have not been published, the number of applications in 2020 has doubled compared with the number of applications in 2019. Therefore, it can be expected that the number of patent applications related to the prevention or treatment of coronavirus infection will show a significant increase in 2020 and is expected to continue to be high in the following years.

Figure 6

The distribution of applicants of coronavirus vaccines patents are also relatively scattered. Domestic applicants include scientific research institutes such as China Centers for Disease Control and Prevention, Fudan University, Second Military Medical University, and some biotechnology companies. Foreign applicants include several multinational pharmaceutical companies including Wyeth.

Figure 7

A large number of patent applications for coronavirus vaccines from 2015 to the present have not yet been finalized (87.42%). Among the finalized patent applications, the grant rate accounts for 75%, and the rejection or deemed withdrawal accounted for 25%. The grant rate is significantly higher than the overall grant rate of about 60% in the entire biological field.

Typical cases

As a typical experimental science, the predictability in the field of biotechnology is quite low. In patent examination, there are often some disputes over the predictability of technical effects. For example, the examiner may hold that the technical effects of the invention are unpredictable and the claims cannot be supported by the specification. Or, on the contrary, when there are only theoretical teachings or only general technical demand without specific technical questions, the examiner may believe that the prior art provides a motivation and the technical effect can be reasonably expected. However, this relatively subjective opinion cannot be successfully rebutted without solid evidence. The following are just a few examples to illustrate the above situation.

1 The expectations of the technical effects of biological sequences are not supported by the specification

In one case, the claim is directed to a variant of parent Bacillus alpha-amylase, wherein the parent alpha-amylase is shown to have immunological cross-reactivity with the antibody produced by -amylase having one of a sequence from SEQ ID NO.1, SEQ ID NO.2, SEQ ID NO.3, or SEQ ID NO.7, wherein the variant of alpha-amylase comprising sequences with R181+G182 deleted corresponding to SEQ ID NO:1, and compared to the parent -amylase, the said variant -amylase has increased thermal stability. The examiner held that the scope defined by the claims could comprise any additional mutations in addition to the double deletion of R181+G182 corresponding to SEQ ID NO:1. The biological activity of the protein depends on the spatial structure based on the amino acid sequence. Mutations of amino acid in certain sites may affect the biological activity of the protein. Therefore, if the variant contains other mutations other than RG double deletion, it may affect the thermal stability and even the biological activity of -amylase. Therefore, it is impossible for those skilled in the art to determine in advance whether those -amylase variants comprising additional mutations other than the double deletion of RG have improved thermal stability. Therefore, the examiner held that the claims could not be supported by the specification. However, the same family application of this patent was not rejected or invalidated because the open-ended claims cover sequences that are not in the examples.

2 Does general technical demand provide motivation for improvement?

A reexamined case involved a method of introduction of double-strand breaks in the target nucleic acid sequence of human cells. The examiner pointed out in the rejection that the principle of the Streptococcus pyogenes CRISPR-Cas9 system to target DNA double-strand breaks was disclosed in the prior art, and the function of Cas9 nuclease is clear. Also, gene-editing technology can allow humans to edit target genes to achieve the purpose of modifying specific DNA fragments. It is generally pursued by those skilled in the art to apply gene editing technology from in vitro, prokaryotic cells to eukaryotic cells so that this technology can be more widely used. Those skilled in the art have the motivation to use this system to introduce site-specific double-strand breaks to the target nucleic acid sequence of eukaryotic cells for a wider range of applications. Also, nuclear DNA exists in the cell nucleus and the nuclear localization sequence allows Cas9 protein to enter the nucleus to cut nuclear DNA. Therefore, it is a common technique in the field to design nuclear localization sequences to localize the target protein in nucleus. Although the prokaryotic cells and eukaryotic cells are different, those skilled in the art still have motivations to apply CRISPR-Cas9 system in eukaryotic cells and have reasonable expectation of success. The technical effect is not unexpected. On the basis that the mechanism of use of CRISPR-Cas9 system to introduce double-strand break is already known, that it is generally pursued by those skilled in the art to apply gene editing technology from in vitro, prokaryotic cells to eukaryotic cells and that this process only requires conventional techniques, the examiner held that those skilled in the art have the motivation to apply the claimed gene-editing system from prokaryotic cells to eukaryotic cells, and have a reasonable expectation of success. Although the rejection of this application was withdrawn by the PRB, the reexamination panel did not overrule the comments stated above. In the reviewing process of another patent application also directed to the CRISPR-Cas9 system, the examiner determined that one of the distinguishing features between the invention and the closest prior art is that the prokaryotic CRISPR/Cas9 system is used in eukaryotic cells. The examiner held it is not inventive on the basis that the technical effects of using CRISPR-Cas9 in Eukaryotic cells are expected based on the prokaryotic CRISPR/Cas9 system in the prior art.

These examination comments represent a trend in patent examination in the field of biotechnology, i.e., a reasonable expectation of success exists when the prior art merely offers a possibility. Thus, this underestimates the technical contribution of an invention and in a way raises the criteria of inventive step in examination.

Patent application and protection strategies and suggestions based on examination and trial practice

As mentioned above, thanks to the rapid development of biotechnology, new technologies continue to emerge, and the grant rate in the field of biotechnology, especially in emerging hotspots, is generally higher than that in other fields. However, as a typical experimental subject, patents in the field of biotechnology are faced with a situation of underestimating the innovation level of the invention during the examination process, due to the poor predictability and the strong subjectivity of the examination. Meanwhile, some factors that affect patent examination in the field of biotechnology, such as social ethics, change rapidly with the rapid development of technology and the improvement of human cognition. Such rapid change also changes the patent examination policies and standards correspondingly and frequently. For example, in order to meet the needs of technological innovation and social development, in the latest version of the Guidelines for Patent Examination, the examination criteria for embryonic stem cells based on Article 5 of the Chinese Patent Law are changed. It is important to understand and grasp such dynamic changes of the examination, which would help the applicant (or patentee) to obtain and maintain the patent rights, and protect legitimate rights and interests. Due to space limitations, the examination and trial dynamics in this technical field would be analyzed from the three articles and perspectives of experimental data and sufficient disclosure of the description, support of biological sequences, and technical suggestion in inventiveness evaluation. Corresponding strategies and suggestions are provided on such bases.

1 Experimental data and sufficient disclosure of the description

Due to the extreme complexity of life activities, it is less predictable whether or not the inventions in the field of biotechnology can be carried out successfully. They need to be confirmed by experimental data. Meanwhile, the design of an experimental scheme for obtaining the experimental data in the field of biotechnology is more complicated. It is more difficult to evaluate the experimental results (such as authenticity) only from the literal disclosures of the description. In examination practice, considering the administrative cost and operability, the examiner usually recognizes the authenticity and probative power of the experimental data based on the principle of trusting the applicant, unless the experimental data is found to have deficiencies in terms of the experiment design and/or results which are obvious enough to question the authenticity and the applicant cannot provide any reasonable explanations and clarifications. Even in patent invalidation proceedings, in order to protect the reliance interests, the burden of proof is allocated more to the invalidation petitioner who claims that the experimental data is defective. If the invalidation petitioner cannot provide sufficient evidence to deny the technical effect of the invention, and the reasons provided are not sufficient to make the collegiate panel have reasonable doubts, the collegiate panel still tends to believe in the probative power of the experimental data in the description, and to uphold the validity of the patent right. Even if there are some deficiencies in the experimental data disclosed in the description, the collegial panel would usually understand and explain in good faith, unless the deficiencies are already obvious to the extent that they cannot support each other.

However, after the former Patent Reexamination Board lost the trial of the Guipazide case, such situation is undergoing subtle changes. In this case, the court of first instance held that the experimental results on mortality and food intake provided in the description were unreasonable. Sihuans interpretations of the mortality and food intake were contrary to common sense under the premise that the original experimental report could not be provided. Accordingly, the authenticity and probative power of the experimental data disclosed in the description were not admitted, and the description was determined to be insufficiently disclosed. The original Invalidation Decision issued by the former Patent Reexamination Board was revoked. The court of second instance insisted on the Judgment of the first instance. The judgments of this case will prompt various departments of the Patent Office, including the Patent Reexamination and Invalidation Department, to further the comprehensive examination of the experimental data in the description from the formal and substantive aspects, in the subsequent substantive examination of invention patents and subsequent reexamination invalidation cases. During examination, interested parties including the invalidation petitioner will also pay attention to the experimental data disclosed in the patent documents with a critical eye, which makes it difficult for the patent applicant to sit back and relax even if it is granted. Therefore, for patent applications that have not yet been submitted, the correspondence between the items to be proved by the experimental data and the purpose of invention or the technical effect to be achieved by the invention, the logical rationality of the experimental design, and the rationality and credibility of the experimental results should be examined. Although it is not required that the description discloses the experimental examples comprehensively, the contents directly related to the inventive aspect or the technical contribution made by the invention should still be disclosed as clearly and completely as possible. Other contents not disclosed should belong to the common technical knowledge of those skilled in the art, or be facts that can be confirmed by solid evidence when being challenged. As for a patent application already submitted or granted, if it is challenged based on the experimental design being unreasonable or the experiment result unreliable, it is only possible to explain the non-necessity of the undisclosed content and the rationality of the experimental design and the results in the description by providing evidence or sufficient reasoning. If possible, the original experimental record should be submitted for consideration and support.

2 Support for biological sequence inventions

The research and development in the biotechnology field requires a large investment, has great challenges, risks, and a long return cycle. After obtaining patent rights, there are still problems like difficulties with enforcement and easy circumvention. For example, if a patent claim only protects the nucleotides, proteins, antibodies, etc. of specific sequences, it is easy to circumvent it by restructuring, selecting highly homologous sequences, etc. However, due to the large number of variable sites in biological sequences and the difficulty in predicting the effects after site modifications, a set of strict criteria on the protection scope have long been adopted for patent examination in China. This elicits frequent criticisms from the innovative entities and the patent agency industry.

Against such background, the personnel from relevant departments of the former Patent Reexamination Board conducted in-depth research on this issue. Starting from the legislative purpose, different situations were distinguished and combined with some typical cases, and more operable examination suggestions were provided on the biological sequence inventions under Article 26.4 of the Chinese Patent Law from principles and practical aspects. That is, specific examination ideas and judgment rules are provided for several common drafting manners of claims involving the biological sequences. In addition, in order to unify the examination standards, the China National Intellectual Property Administration (CNIPA) has also issued some examination standards for specific technical fields such as inventions involving antibody sequences. In recent years, judicial trials have also provided guidance on how to determine the appropriate scope of protection for biological sequence inventions in the manner of leading cases.

The above-mentioned examination ideas and rules and judicial practice guidelines for biological sequence inventions from the perspective of patent examination undoubtedly provide a good perspective and means for the application and protection of such invention patents. For example, for structural genes or their encoded protein sequences, if you want to extend the scope of protection beyond the empirical scope, you should use theoretical explanations and/or pertinent examples in the description to clarify the relationship between sequence structure and efficacy, convincing the judges that the scope of the claim can be selected or verified by those skilled in the art through experiments according to the instructions in the description or the teachings based on the common technical knowledge in the art. If you want to limit the scope of protection of the claim by homology/identity, function, and source features, it is required that the description or the prior art has clearly disclosed the corresponding relationship between the structure and function of the sequence.

3 Technical suggestion in inventiveness evaluation

At present, the CNIPA implements a comprehensive examination policy with three properties (Novelty, inventiveness, and industrial applicability) evaluation as the main line of reasoning, with the purpose of making timely and substantive responses as to whether a patent application should be granted and the scope of the right that should be granted. Under the guidance of this examination policy, inventiveness has become the most commonly used article in patent examinations. In evaluating the inventiveness, each step is carefully examined and discussed as if under a magnifying glass. For example, the relationship between the sufficient disclosure of the description and the inventiveness article, the selection of the closest prior art and its eligibility, the influence of changing the closest prior art on the inventiveness evaluation conclusion without changing the evidence combination, and the determination of the technical effect of the invention, the handling of the technical problem that the invention actually solves when it is not recognized or wrongly recognized, etc., have been studied and discussed on various occasions.

In response to a series of issues in the evaluation of inventiveness from procedure to substance, from fact finding to law application, there is a big difference in the focus and handling methods between reexamination procedure and litigation procedure. Therefore, different methods and ideas should be adopted according to the characteristics of different procedures. For example, as a relief measure after a patent application is rejected, the reexamination procedure is also a continuation of the patent administrative examination and approval procedure. Therefore, more attention is paid to the final substantive settlement of inventiveness disputes in the rejection decision. For some minor procedures or substantive deficiencies in the rejection decision, if they are not serious enough to incur an incorrect examination conclusion, the rejection decision will generally not be revoked just because of these minor procedural or physical deficiencies. Instead, the rejection decision will be upheld based on the compensation and improvement.

The litigation procedure is different. While paying attention to the substantive conclusion, the litigation procedure also pays attention to the procedural errors in the process of making the reexamination decision, and may revoke the reexamination decision on this ground. For example, many previous judgments revoked reexamination or invalidation decisions only on the grounds that the contents disclosed in the prior art, distinguishing features, and technical problems actually solved were wrongly determined, even though the final conclusion on inventiveness might be correct. Therefore, only for the consideration of the litigation strategies, it may be necessary to pay attention to the procedural or physical deficiencies in the examination process. However, it is worth noting that the Supreme Peoples Court states in its recent judgment that: when it is difficult to extract and generalize a single technical problem that is actually solved, it is necessary to return to the function and effect the technical feature play in the technical solution of the claim, and technical effect per se, instead of deliberately and subjectively extracting and generalizing a technical problem actually solved. This means that judicial practice will also pay more attention to substantive results, rather than being too entangled in the process to avoid procedural shocks. Since the Supreme Court has given such guidelines in its judgment, and the generalization of the technical problems actually solved would be subjective. Disputes often arise due to different wordings. In the subsequent examination, the Patent Reexamination and Invalidation Department would pay more attention to the technical suggestion that directly affects the inventiveness conclusion, and further downplay the identification of the technical problem that is actually solved.

Furthermore, as mentioned above, judging from the current examination practice, the examination on the relevant technical suggestion in a small number of cases has a certain bias, i.e., the abstract technical requirements are considered as the technical teaching with specific directions, thereby underestimating the technical contribution of the invention. In the field of biotechnology, after finding some important biological mechanisms, researchers usually predict their possible applications and prospects in medical or other scenarios, and immediately publicize and report them. However, the life activities are extremely complicated and unpredictable. There is still a lot of work to be done in the actual clinical application of this finding. For example, if only the concepts and principles of gene editing and cell therapy are considered, such technology would appear in the 1980s and 1990s. However, the CAR-T cell therapy technology has only recently been approved for clinical application. The gene editing has not yet been applied to the clinic. At present and in the foreseeable future, for the technologies including CAR-T technology and gene editing, we will still be committed to overcoming the deficiencies or shortcomings of its clinical application, such as finding a variety of more effective gene editing tools, overcoming off-target effects, and solving the continuous proliferation or side effects of CART cells in the body. All these efforts are inventive work that pushes a concept or idea to practical application, and their technical contributions should be recognized. Judicial practice also maintains that when confronted with the objective technical problems to be solved, the suggestion that those skilled in the art learn from the prior art should in principle be a concrete and clear technical means, rather than the abstract ideas or general research directions. Therefore, for the tendency to underestimate the technological contribution of inventions in the hearing of cases, we should try to make the judges understand and appreciate the particularity of the field through active evidence production and sufficient reasoning, and truly take in the stance of those skilled in the art. We are pleased to see that more and more patent applications directed to CAR-T and gene-editing technology getting granted. The grant rate in these emerging hotspot fields are higher than the overall grant rate in the whole field of biotechnology. This means, even though there are general demands of a certain technical solution or even the principle of how this solution will be realized has been explained, the patent application involving the technical solution is still likely to be granted as long as there are evidences showing no reasonable expectation of success exists prior to the application date.

Summary

The field of biotechnology is a rapidly developing technical field. Generally speaking, the number of patent applications in this technical field have experienced rapid and continuous growth in the past two decades. Some specific technical fields, such as CAR-T technology and CRISPR-based gene editing technology, were developed in recent years and have become a technological and social hotspot. Accordingly, the number of patent applications has increased significantly in recent years, and the number of applications in some subdivisions increases and decreases following social emergencies such as epidemics. Due to the rapid development of technology in the biological field, there are relatively few existing technologies that can affect its novelty or inventiveness. This is reflected in the higher granting rate of the patent applications than in other technical fields. Further, patent applications involving technological breakthroughs such as the CAR-T technology and CRISPR-based gene editing technology involved in this article have significantly higher granting rate than that in the biological field.

Due to complex considerations such as social ethics, as well as faster technological development and lower predictability, the field of biotechnology is more special than the field of traditional chemistry. This specialty in patent examination is mainly reflected in the more frequent changes in examination policies and examination standards. Therefore, it is necessary to have a timely and accurate understanding and grasp of the examination dynamics in this technical field. This article introduces and analyzes the current patent examination and trial dynamics from three articles or perspectives: experimental data and the sufficient disclosures of the description, support of the biological sequences by the description, and technical suggestion in inventiveness evaluation. It also provides corresponding strategies and suggestions of handling. That is, with regard to experimental data, it is recommended that for patent applications that have not yet been submitted, the drafting of the application documents should be improved from the aspects of the completeness and rationality of the experimental design and experimental results. For patents that have been submitted or granted, when they are challenged by the examiner or the public, the non-necessity of the undisclosed content and the rationality of the experimental design and results should be elaborated by evidence and sufficient reasoning. If possible, the original experimental record should be submitted for compensation and support. As to the patent protection scope involving the biological sequences, the CNIPAs current examination thinking and rules and the guidance of judicial practice should be accurately understood and grasped. As to inventiveness, appropriate differentiated response ideas and strategies should be adopted. In addition, for cases that appear in the trial in which there is a tendency to underestimate the technological contribution of inventions, we should try to make the judges understand and appreciate the specialty of the field through active evidence production and sufficient reasoning, and truly take in the stance of those skilled in the art.

Reference Documents

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Strategies and Suggestions for Patent Applications in the Hot Field of Biotechnology - Lexology

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Food Biotechnology Market Report 2020: Acute Analysis of Global Demand and Supply 2025 with Major Key Player: ABS Global, Arcadia Biosciences,…

August 16th, 2020 12:58 am

Note: Due to the pandemic, we have included a special section on the Impact of COVID 19 on the Food BiotechnologyMarket which would mention How the Covid-19 is Affecting the Industry, Market Trends and Potential Opportunities in the COVID-19 Landscape, Key Regions and Proposal for Food Biotechnology Market Players to battle Covid-19 Impact.

The Food BiotechnologyMarket report is compilation of intelligent, broad research studies that will help players and stakeholders to make informed business decisions in future. It offers detailed research and analysis of key aspects of the Food Biotechnology market. Readers will be able to gain deeper understanding of the competitive landscape and its future scenarios, crucial dynamics, and leading segments of the global Food Biotechnology market. Buyers of the report will have access to accurate PESTLE, SWOT and other types of analysis on the global Food Biotechnology market. Moreover, it offers highly accurate estimations on the CAGR, market share, and market size of key regions and countries. Players can use this study to explore untapped Food Biotechnology markets to extend their reach and create sales opportunities.

The study encompasses profiles of major Companies/Manufacturers operating in the global Food Biotechnology Market.Key players profiled in the report include:ABS Global, Arcadia Biosciences, AquaBounty Technologies, BASF Plant Science, Bayer CropScience AG, Camson Bio Technologies Ltd, Dow AgroSciences LLC, DuPont Pioneer, Evogene Ltd, Hy-Line International, KWS Group, Monsanto, Origin Agritech Limited, Syngenta AG and More

Get PDF Sample Copy of the Report to understand the structure of the complete report (Including Full TOC, List of Tables & Figures, Chart):https://www.marketinforeports.com/Market-Reports/Request-Sample/145182

Segmental Analysis:The report has classified the global Food Biotechnology market into segments including product type and application. Every segment is evaluated based on share and growth rate. Besides, the analysts have studied the potential regions that may prove rewarding for the Food Biotechnology manufcaturers in the coming years. The regional analysis includes reliable predictions on value and volume, there by helping market players to gain deep insights into the overall Food Biotechnology industry.

Key Types:Transgenic CropsSynthetic Biology Derived Products

Key End-Use:AnimalsPlantsOthers

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The authors of the report have analyzed both developing and developed regions considered for the research and analysis of the global Food Biotechnology market. The regional analysis section of the report provides an extensive research study on different regional and country-wise Food Biotechnology industry to help players plan effective expansion strategies.

Regions Covered in the Global Food Biotechnology Market: The Middle East and Africa (GCC Countries and Egypt) North America (the United States, Mexico, and Canada) South America (Brazil etc.) Europe (Turkey, Germany, Russia UK, Italy, France, etc.) Asia-Pacific (Vietnam, China, Malaysia, Japan, Philippines, Korea, Thailand, India, Indonesia, and Australia)

Years Considered to Estimate the Market Size:History Year: 2015-2019Base Year: 2019Estimated Year: 2020Forecast Year: 2020-2025

For More Information:https://www.marketinforeports.com/Market-Reports/145182/Food-Biotechnology-market

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Food Biotechnology Market Report 2020: Acute Analysis of Global Demand and Supply 2025 with Major Key Player: ABS Global, Arcadia Biosciences,...

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Is Acer Therapeutics Inc (ACER) a Winner in the Biotechnology Industry? – InvestorsObserver

August 16th, 2020 12:58 am

Acer Therapeutics Inc (ACER) is around the top of the Biotechnology industry according to InvestorsObserver. ACER received an overall rating of 92, which means that it scores higher than 92 percent of all stocks. Acer Therapeutics Inc also achieved a score of 99 in the Biotechnology industry, putting it above 99 percent of Biotechnology stocks. Biotechnology is ranked 15 out of the 148 industries.

Finding the best stocks can be tricky. It isnt easy to compare companies across industries. Even companies that have relatively similar businesses can be tricky to compare sometimes. InvestorsObservers tools allow a top-down approach that lets you pick a metric, find the top sector and industry and then find the top stocks in that sector.

These scores are not only easy to understand, but it is easy to compare stocks to each other. You can find the best stock in an industry, or look for the sector that has the highest average score. The overall score is a combination of technical and fundamental factors that serves as a good starting point when analyzing a stock. Traders and investors with different goals may have different goals and will want to consider other factors than just the headline number before making any investment decisions.

Acer Therapeutics Inc (ACER) stock has fallen -19.62% while the S&P 500 is higher by 0.08% as of 2:04 PM on Friday, Aug 14. ACER has fallen -$1.03 from the previous closing price of $5.25 on volume of 1,538,243 shares. Over the past year the S&P 500 has risen 18.56% while ACER is higher by 116.41%. ACER lost -$2.62 per share the over the last 12 months.

To see the top 5 stocks in Biotechnology click here.

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Is Acer Therapeutics Inc (ACER) a Winner in the Biotechnology Industry? - InvestorsObserver

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Is BioCardia Inc (BCDA) a Winner in the Biotechnology Industry? – InvestorsObserver

August 16th, 2020 12:58 am

A rating of 18 puts BioCardia Inc (BCDA) near the bottom of the Biotechnology industry according to InvestorsObserver. BioCardia Inc's score of 18 means it scores higher than 18% of stocks in the industry. BioCardia Inc also received an overall rating of 33, putting it above 33% of all stocks. Biotechnology is ranked 15 out of the 148 industries.

Analyzing stocks can be hard. There are tons of numbers and ratios, and it can be hard to remember what they all mean and what counts as good for a given value. InvestorsObserver ranks stocks on eight different metrics. We percentile rank most of our scores to make it easy for investors to understand. A score of 33 means the stock is more attractive than 33 percent of stocks.

This ranking system incorporates numerous factors used by analysts to compare stocks in greater detail. This allows you to find the best stocks available in any industry with relative ease. These percentile-ranked scores using both fundamental and technical analysis give investors an easy way to view the attractiveness of specific stocks. Stocks with the highest scores have the best evaluations by analysts working on Wall Street.

BioCardia Inc (BCDA) stock is lower by -0.41% while the S&P 500 is higher by 0.08% as of 2:24 PM on Friday, Aug 14. BCDA has fallen -$0.01 from the previous closing price of $2.41 on volume of 71,467 shares. Over the past year the S&P 500 is up 18.56% while BCDA has fallen -49.47%. BCDA lost -$2.59 per share the over the last 12 months.

To see InvestorsObserver's Sentiment Score for BioCardia Inc click here.

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Agricultural Biotechnology Market Size by Top Companies, Regions, Types and Application, End Users and Forecast to 2027 – Bulletin Line

August 16th, 2020 12:58 am

New Jersey, United States,- Verified Market Researchhas recently published an extensive report on the Agricultural Biotechnology Market to its ever-expanding research database. The report provides an in-depth analysis of the market size, growth, and share of the Agricultural Biotechnology Market and the leading companies associated with it. The report also discusses technologies, product developments, key trends, market drivers and restraints, challenges, and opportunities. It provides an accurate forecast until 2027. The research report is examined and validated by industry professionals and experts.

The report also explores the impact of the COVID-19 pandemic on the segments of the Agricultural Biotechnology market and its global scenario. The report analyzes the changing dynamics of the market owing to the pandemic and subsequent regulatory policies and social restrictions. The report also analyses the present and future impact of the pandemic and provides an insight into the post-COVID-19 scenario of the market.

Agricultural Biotechnology Market was valued at USD 35.6 Billion in 2018 and is projected to reach USD 74.92 Billion by 2026, growing at a CAGR of 9.70% from 2019 to 2026.

The report further studies potential alliances such as mergers, acquisitions, joint ventures, product launches, collaborations, and partnerships of the key players and new entrants. The report also studies any development in products, R&D advancements, manufacturing updates, and product research undertaken by the companies.

Leading Key players of Agricultural Biotechnology Market are:

Competitive Landscape of the Agricultural Biotechnology Market:

The market for the Agricultural Biotechnology industry is extremely competitive, with several major players and small scale industries. Adoption of advanced technology and development in production are expected to play a vital role in the growth of the industry. The report also covers their mergers and acquisitions, collaborations, joint ventures, partnerships, product launches, and agreements undertaken in order to gain a substantial market size and a global position.

Agricultural Biotechnology Market, By Organism Type

Plants Animal Microbes

Agricultural Biotechnology Market, By Application

Vaccine Development Transgenic Crops & Animals Antibiotic Development Nutritional Supplements Flower Culturing Biofuels

Regional Analysis of Agricultural Biotechnology Market:

A brief overview of the regional landscape:

From a geographical perspective, the Agricultural Biotechnology Market is partitioned into

North Americao U.S.o Canadao MexicoEuropeo Germanyo UKo Franceo Rest of EuropeAsia Pacifico Chinao Japano Indiao Rest of Asia PacificRest of the World

Key coverage of the report:

Other important inclusions in Agricultural Biotechnology Market:

About us:

Verified Market Research is a leading Global Research and Consulting firm servicing over 5000+ customers. Verified Market Research provides advanced analytical research solutions while offering information enriched research studies. We offer insight into strategic and growth analyses, Data necessary to achieve corporate goals, and critical revenue decisions.

Our 250 Analysts and SMEs offer a high level of expertise in data collection and governance use industrial techniques to collect and analyze data on more than 15,000 high impact and niche markets. Our analysts are trained to combine modern data collection techniques, superior research methodology, expertise, and years of collective experience to produce informative and accurate research.

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Agricultural Biotechnology Market Size by Top Companies, Regions, Types and Application, End Users and Forecast to 2027 - Bulletin Line

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Global Biotechnology/Pharmaceutical Services Outsourcing Market Projected to Reach USD XX.XX billion by 2025- Quantic Group, QuintilesIMS, Parexel…

August 16th, 2020 12:58 am

Global Biotechnology/Pharmaceutical Services Outsourcing Market research report presentation demonstrates and presents an easily understandable market depiction, lending crucial insights on market size, market share as well as latest market developments and notable trends that collectively harness growth in the global Biotechnology/Pharmaceutical Services Outsourcing market.This detailed and meticulously composed market research report on the Biotechnology/Pharmaceutical Services Outsourcing market discussed the various market growth tactics and techniques that are leveraged by industry players to make maximum profits in the Biotechnology/Pharmaceutical Services Outsourcing market even amidst pandemic situation such as COVID-19.

The various components and growth propellants such as dominant trends, existing challenges and restrictions as well as opportunities have also been discussed at length. The report is designed to guide the business decisions of various companies and research experts who look forward to maket profitable decisions in the Biotechnology/Pharmaceutical Services Outsourcing market.

Global Biotechnology/Pharmaceutical Services Outsourcing Market 2020-26: Competitive Landscape Analytical Review

This report also includes substantial inputs regarding the current competition spectrum and discusses pertinent details such as new product-based developments that various market players are targeting. Further, relevant inputs on M&A developments, business partnership, collaborations and commercial agreements have also been touched upon in this report on Biotechnology/Pharmaceutical Services Outsourcing market.

Access Complete Report @ https://www.orbismarketreports.com/global-biotechnology-pharmaceutical-services-outsourcing-market-growth-analysis-by-trends-and-forecast-2019-2025?utm_source=Puja

By the product type, the market is primarily split into

By the end-users/application, this report covers the following segments

What to expect from the report A complete analysis of the Biotechnology/Pharmaceutical Services Outsourcing market Concrete and tangible alterations in market dynamics A thorough study of dynamic segmentation of the Biotechnology/Pharmaceutical Services Outsourcing market A complete review of historical, current as well as potential foreseeable growth projections concerning volume and value A holistic review of the vital market alterations and developments Notable growth friendly activities of leading players

Regional Analysis of the Biotechnology/Pharmaceutical Services Outsourcing Market: The report further proceeds with unravelling the geographical scope of the Biotechnology/Pharmaceutical Services Outsourcing market. Additionally, a country-wise discussion with specific growth pockets have also been touched upon in the succeeding sections of this detailed report on the Biotechnology/Pharmaceutical Services Outsourcing market.

North America (U.S., Canada, Mexico) Europe (U.K., France, Germany, Spain, Italy, Central & Eastern Europe, CIS) Asia Pacific (China, Japan, South Korea, ASEAN, India, Rest of Asia Pacific) Latin America (Brazil, Rest of L.A.) Middle East and Africa (Turkey, GCC, Rest of Middle East)

Scope of the ReportThe discussed Biotechnology/Pharmaceutical Services Outsourcing market has been valued at xx million US dollars in 2019 and is further projected to grow at xx million US dollars through the forecast span till 2026, growing at a CAGR of xx% through the forecast period.

For the convenience of complete analytical review of the Biotechnology/Pharmaceutical Services Outsourcing market, 2019 has been identified as the base year and 2020-24 comprises the forecast period to make accurate estimation about the future growth prospects in the Biotechnology/Pharmaceutical Services Outsourcing market.

Some Major TOC Points: Chapter 1. Report Overview Chapter 2. Global Growth Trends Chapter 3. Market Share by Key Players Chapter 4. Breakdown Data by Type and Application Chapter 5. Market by End Users/Application Chapter 6. COVID-19 Outbreak: Biotechnology/Pharmaceutical Services Outsourcing Industry Impact Chapter 7. Opportunity Analysis in Covid-19 Crisis Chapter 9. Market Driving ForceAnd Many More

Further in the subsequent sections of the report, readers can get an overview and complete picture of all major company players, covering also upstream and downstream market developments such as raw material supply and equipment profiles as well as downstream demand prospects. This Biotechnology/Pharmaceutical Services Outsourcing market report offers report readers with vital details on opportunities, primary stakeholders as well as high potential segments that trigger growth in the Biotechnology/Pharmaceutical Services Outsourcing market.

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Target Audience:* Biotechnology/Pharmaceutical Services Outsourcing Manufactures* Traders, Importers, and Exporters* Raw Material Suppliers and Distributors* Research and Consulting Firms* Government and Research Organizations* Associations and Industry Bodies

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Global Biotechnology/Pharmaceutical Services Outsourcing Market Projected to Reach USD XX.XX billion by 2025- Quantic Group, QuintilesIMS, Parexel...

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