Aethlon Medical Releases Shareholder Letter to Discuss the Treatment of Hepatitis-C Virus (HCV)
June 10 2009 - 7:47AM
PR Newswire (US)
SAN DIEGO, June 10 /PRNewswire-FirstCall/ -- Aethlon Medical, Inc.,
(OTC Bulletin Board: AEMD) disclosed today that its Chairman and
CEO, James A. Joyce has issued the following letter to
shareholders. (Logo:
http://www.newscom.com/cgi-bin/prnh/20090325/LA88762LOGO-b) To our
Shareholders: On March 25th we announced a data driven strategy to
improve Hepatitis-C virus (HCV) cure rates by combining the benefit
of our Hemopurifier(R) with the interferon-ribavirin standard of
care (SOC) administered to HCV-infected patients. Since disclosing
our strategy, a candidate business partner has introduced us to
clinical data that validates the mechanical removal of HCV through
blood filtration in combination with SOC therapy can increase HCV
cure rates by greater than 50%. Amazingly, the data also indicates
that only small levels of viral filtration administered at the
outset of SOC therapy are required to outperform the leading
adjunct drug candidate, which represents a significant value
component of a publicly traded company whose market capitalization
exceeds $5 billion. If you are just learning about Aethlon Medical,
our Hemopurifier(R) is a first-in-class medical device that
selectively removes infectious viruses and immunosuppressive
proteins from the bloodstream. In HCV care, the Hemopurifier(R)
inhibits viral replication through selective adsorption of
circulating HCV and augments the immune response by removing toxic
proteins shed from HCV to kill-off immune cells. More than ever, I
believe the scientific principles underlying our Hemopurifier(R)
will inevitably change the landscape for treating infectious
disease and cancer. As we transition beyond the research and
development phase of operations, our initial commercialization
efforts related to therapeutic Hemopurifier(R) applications will
focus on delivering our technology into India and other
practitioner-driven medical device markets. Pending the outbreak of
a pandemic or bioterror threat, our primary focus in these markets
will be the treatment of HCV. Such focus is driven by previous
Hemopurifier(R) treatment outcomes, the validation that viral
filtration increases cure rates, and the magnitude of the HCV
treatment opportunity. Our goal in HCV care is to increase patient
cure rates up to 90%. We envision two pathways to reach this goal:
1. Our Hemopurifier(R) as an adjunct treatment to enhance the
benefit of SOC therapy; or 2. Our Hemopurifier(R) in combination
with a candidate therapy to replace SOC therapy. The achievement of
our goal would significantly impact the HCV treatment industry as
SOC therapy succeeds in providing sustained viral responses (SVR)
in only 30% to 50% of patients who initiate treatment. HCV
infection is considered cured when a SVR of undetectable viral load
is maintained more than six months after completing treatment.
Prior to discussing the clinical rationale supporting our treatment
goals, I want to clarify the magnitude of the HCV treatment
opportunity. It is estimated that nearly 180 million people
worldwide, or approximately 3% of the world's population, are
infected with HCV. To provide perspective, this represents a
patient population approximately 5-6 times larger than those
infected with HIV/AIDS and over 100 times larger than the
population of end stage renal disease (ESRD) patients who require
kidney dialysis. However, unlike kidney dialysis and HIV
therapeutics, we actually have the opportunity to participate in
curing HCV-infected individuals. The global market for therapies to
treat HCV is projected to reach $9.1 billion by 2015, and in the
United States, the annual cost of advanced liver disease resulting
from HCV infection is anticipated to jump to $85 billion in the
next two decades. As a result, Medicare costs are anticipated to
soar 500%, from $5 billion to $30 billion. As the stakes to treat
HCV are high, the competition for new drugs is intense with more
than sixty treatment candidates reported to be in development. As
we target the use of our Hemopurifier(R) as a drug enhancement
device in HCV care, we are positioned to improve treatment outcomes
as an adjunct to both SOC therapy and new drug candidates that
evolve to challenge SOC therapy in the marketplace. Significant
challenges exist for drugs seeking to supplant SOC therapy, as new
candidates must demonstrate substantially greater patient benefit
in order for the medical community to consider discontinuing
administration of the SOC treatment regimen. As an example,
Albuferon, an HCV treatment candidate from Human Genome Sciences
(HGSI), recently demonstrated phase III treatment outcomes
comparable to SOC therapy with half the number of required
injections. As a result, the value of HGSI shares was reduced by
57% the day the study data was released. I can't help but wonder
how Albuferon might have performed in combination with our
Hemopurifier(R)? Regardless, a drug candidate wishing to supplant
SOC therapy in the market will need to Bob Beamon (surpassed world
long jump record by almost two feet at the 1968 Olympics) beyond
the capabilities of SOC therapy. For this reason, the primary
strategy for most HCV drug candidates is to incrementally improve
treatment outcomes as an adjunct to SOC therapy. The challenge
facing these candidates is the effect of stacking new drug toxicity
on top of established SOC toxicity, which is known to trigger
fatigue, bone marrow suppression, anemia and neuropsychiatric
effects. Many patients fail SOC therapy because they are unable to
endure the toxicity of the 24-48 week regimen on its own. Based on
clinical data, Telaprevir, a 3x-day oral drug from Vertex
Pharmaceuticals is considered the leading adjunct candidate based
on outcomes of a recent phase II study, which documented that 51%
of patients that previously failed SOC had a sustained virologic
response (SVR) when retreated with SOC and Teleprevir in
combination. When considering that only 14% of patients in the
study control arm responded to SOC alone, there is certainly valid
justification for Telaprevir to be considered the lead adjunct drug
candidate by the medical and the financial community. This is
reinforced by the reality that Telaprevir represents a significant
value component of Vertex (VRTX), which as I write this letter is
valued at more $5 billion in the public markets. In regards to deal
values in the HCV space, VRTX paid almost $400 million in March to
acquire ViroChem, a drug developer with two experimental stage HCV
drugs. TheStreet.com, who provides excellent HCV market coverage,
reports the following on the Telaprevir clinical outcome; "The data
keeps Telarevir ahead of its hepatitis C rivals because no other
drug has yet shown the ability to improve the cure rates for both
patients new to therapy as well as those who have failed prior
therapy." The key phrase in that statement is "no other drug". I
suspect most individuals following the HCV treatment industry are
not yet aware of a medical device study that demonstrated the
mechanical removal of HCV through blood filtration outperforms
Telaprevir as an adjunct to SOC therapy. The insight provided by
this clinical validation should significantly benefit our
endeavors. In a 63 patient study conducted in Japan, Asahi Kasei
Kuraray Medical (Asahi) demonstrated that double filtration
plasmapheresis (DFPP) when administered at the outset of SOC
therapy provided a 77.8% SVR in HCV-infected patients. In patients
who previously failed SOC, DFPP treatment provided an average SVR
of 71.4% versus the 51% previously referenced in Telaprevir
clinical studies. On average, each patient in the Asahi study
received three DFPP treatments each lasting 3.14 hours. In the
study, DFPP was administered once daily for three consecutive days
at the outset of SOC therapy and provided an average viral load
reduction of 26.1% during each treatment period. Amazingly, the
71.4% and 77.8% cures rates were achieved without any additional
DFPP during the remaining SOC treatment regimen. As a result of
DFPP treatment outcomes, Asahi has advanced DFPP beyond treatment
candidate status to actively marketing the treatment in Japan as
the V-RAD system, which Asahi derives from the phrase "Virus
Removal and Eradication by DFPP". Additional information can be
accessed online at: http://www.v-rad.jp/en/index.html. I shall keep
my comments directed towards the science underlying the V-RAD
system and not the animation you will encounter at this website.
Regardless, the website is quite informative. However, there are
significant limitations for DFPP as compared to our Hemopurifer(R).
Like other approaches to therapeutic filtration, DFPP relies on
multiple pumps and filters to indiscriminately remove particles by
molecule size. For this reason, DFPP also extracts particles beyond
HCV that are required for patient health. The safety profile of
DFPP can be further diminished by the need for replacement fluids.
In combination, these factors limit the time an HCV-infected
patient can be exposed to DFPP treatment. The advantages of our
Hemopurifier(R) as compared to DFPP include the following: 1. The
Hemopurifier(R) provides a greater reduction of HCV from
circulation during treatment. Our data resulting from over 20 HCV
treatments indicates an average viral load reduction of 41% during
four-hour treatment applications of the Hemopurifier(R). 2. The
Hemopurifier(R) augments the immune response by removing toxic
proteins shed from HCV to kill-off immune cells. These proteins are
too small to be captured by DFPP. 3. The Hemopurifier(R) is
designed to selectively capture HCV and immunosuppressive proteins
versus the indiscriminate removal of particles by DFPP. 4. The
Hemopurifier(R) is one single-use disposable cartridge versus the
requirement for two cartridges and multiple pumps with DFPP. 5. The
selective ability of the Hemopurifier(R) to capture targeted
viruses and immunosuppressive proteins (versus the removal of
needed blood components) allows for a continuous Hemopurifier(R)
treatment strategy to rapidly reduce viral load to low to
undetectable levels. Thus, increasing the likelihood that HCV
infected individual can be cured by SOC therapy. While we believe
our Hemopurifier(R) has obvious advantages over the DFPP system, I
wish to expand on point #5 as it provides a foundation to support
our treatment goal of increasing HCV cure rates up to 90%. Based on
published treatment literature, it is well established that
patients who initiate SOC and achieve a rapid viral response (RVR)
have significantly higher cure rates. RVR is defined as
undetectable viral load at day 30 of SOC treatment. In fact,
published literature indicates the small percentage of patients who
do achieve a RVR have cure rates that range from 86-92%. Based on
our Hemopurifier(R) data, we believe it is possible to achieve
undetectable levels of HCV in week one of SOC therapy, not day 30.
Based on data analyzed from four-hour Hemopurifier(R) treatments,
we project that a patient with a high viral load of 7 million iu/ml
might be reduced to undetectable HCV levels after approximately
three days of continuous Hemopurifier(R) treatment. This
corresponds to a 4.06 log reduction or a 11,000-fold decrease in
viral load. An HCV patient with a moderate viral load of 2 million
iu/ml would be projected to reach undetectable levels in
approximately 2.5 days of continuous treatment. Such outcomes would
position us to achieve our 90% cure rate goal and may allow for
decreased dosages and duration of SOC therapy. To leverage our
opportunity in HCV care, we are pursuing strategic relationships
that will broaden our ability to commercialize in practitioner
driven markets, or accelerate our clinical opportunities in the
U.S. and European Union. Additionally, we have responded to a grant
opportunity to advance a diagnostic based Hemopurifier(R) and have
been working on a candidate clinical protocol for a grant proposal
related to the use of our Hemopurifier(R) as an adjunct cancer
treatment to remove tumor secreted exosomes known to suppress the
immune system of cancer patients. The data from these cumulative
activities, including recent HIV and HCV treatment outcomes, will
cause us to update the investigational device exemption (IDE) we
have previously filed with the FDA related to use of our
Hemopurifier(R) as a treatment countermeasure against bioterror and
pandemic threats. In this regard, we were recently advised that we
were a candidate being considered for a contract award from the
Biomedical Advanced Research and Development Authority (BARDA).
This was related to a multi-agency contract solicitation known as
DMID-NIAID-NIHAI20080022BARDA. We have since been advised by BARDA
that they will not be granting awards under this solicitation.
BARDA has encouraged to update our data collected since our
original submission and resubmit a new proposal to a BARDA specific
contract solicitation known as BAA-BARDA-09-34. As we believe our
Hemopurifier(R) represents the most advanced broad-spectrum
treatment strategy to protect our military and civilian populations
from viruses considered bioterror and pandemic threats, we plan to
provide BARDA our new submission no later than July 31st.
Regardless of these opportunities, our primary focus moving forward
will be the treatment of Hepatitis-C. On behalf of our dedicated
team at Aethlon Medical, I thank you for your continued support.
Very truly yours, James A. Joyce Chairman, CEO Certain of the
statements within this shareholder letter may be forward-looking
and involve risks and uncertainties. Such forward-looking
statements involve assumptions, known and unknown risks,
uncertainties and other factors which may cause the actual results,
performance or achievements of Aethlon Medical, Inc to be
materially different from any future results, performance, or
achievements expressed or implied by the forward-looking
statements. Such potential risks and uncertainties include, without
limitation, the Company's ability to raise capital when needed, the
Company's ability to complete the development of its planned
products, the ability of the Company to obtain FDA and other
regulatory approvals permitting the sale of its products, the
Company's ability to manufacture its products and provide its
services, the impact of government regulations, patent protection
on the Company's proprietary technology, product liability
exposure, uncertainty of market acceptance, competition,
technological change, the capability of the Company's product
compared to other medical devices and drugs and other risk factors.
In such instances, actual results could differ materially as a
result of a variety of factors, including the risks associated with
the effect of changing economic conditions and other risk factors
detailed in the Company's Securities and Exchange Commission
filings. Contacts: Dave Gentry or Jon Cunningham RedChip Companies
Inc. (407) 644-4256 (407) 491-4498 -cell or Jim Joyce Chairman, CEO
858.459.7800 x301 Jim Frakes Senior VP Finance 858.459.7800 x300
http://www.newscom.com/cgi-bin/prnh/20090325/LA88762LOGO-b
http://photoarchive.ap.org/ DATASOURCE: Aethlon Medical, Inc.
CONTACT: Dave Gentry, , or Jon Cunningham, , both of RedChip
Companies Inc., +1-407-644-4256, cell, +1-407-491-4498; or Jim
Joyce, Chairman, CEO, +1-858-459-7800, ext. 301, , or Jim Frakes,
Senior VP Finance, +1-858-459-7800, ext. 300, , both of Aethlon
Medical, Inc. Web Site: http://www.aethlonmedical.com/
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