Mar 17 2010
CytoDyn, Inc. (Pink Sheets:CYDY) has begun full humanization of
Cytolin®, the Company’s unique immune therapy for treating HIV/AIDS.
Although a murine (mouse) version of Cytolin® was used for previous
human experience that included some 200 patients successfully treated
for up to two years, as well as an encouraging Phase I(b)/II(a) study,
the Company believes that a fully-humanized version is necessary for the
clinical trial that is expected to follow the current one (described at http://clinicaltrials.gov)
for the reasons explained below.
Unlike the other monoclonal antibodies that have been approved for
treating diseases such as cancer and rheumatoid arthritis, Cytolin® is
not a “neutralizing” antibody, meaning it does not initiate
phagocytosis, the process that removes unwanted substances and cells
from the body. As a result, HAMA (Human Anti-Mouse Antibodies), which
are a natural response to murine antibodies, did not block the
therapeutic effect of Cytolin® during previous human experience, even
though HAMA are known to have this effect on neutralizing antibodies,
making some form of humanization mandatory for those other antibodies.
To the contrary, there is some evidence that HAMA may have increased the
length of time that Cytolin® remained bound to the targeted cytotoxic T
cells that would otherwise have destroyed healthy CD4+ T cells, thereby
increasing the duration of the therapeutic effect of Cytolin®. Since
therapeutic antibodies usually cost thousands of dollars per treatment,
a product that needs to be administered less often could provide a
meaningful reduction in costs.
Nonetheless, the current study of Cytolin® anticipates its use in early
HIV infection — before the antiviral drugs are used, in order to delay
disease progression with a drug that cannot cause the virus to become
resistant because it has no direct effect on the virus itself. When used
for this purpose, Cytolin® needs to be well tolerated. Patients are
often unwilling to endure any discomfort caused by a treatment when they
are not yet suffering from the symptoms of a disease and are not in any
immediate danger. As a well known example, the flu-like symptoms
associated with interferon-alpha too often result in non-compliance on
the part of patients with hepatitis.
According to prevailing theory, a fully-humanized version of Cytolin®
will be even less likely than the murine version to cause the side
effects sometimes seen when any protein is injected into the human blood
stream. These side effects include serum sickness (flu like symptoms),
protein sickness (brief lower back pain) and an allergic reaction which,
rarely, can be life-threatening if not promptly treated.
CytoDyn expects to have its proprietary, fully-humanized version of
Cytolin® ready for bulk manufacturing this Autumn in time for the
follow-up clinical trial. Based on the advice of its patent attorneys,
the Company believes its fully-humanized product will be eligible for a
new patent to complement and extend its existing portfolio of
intellectual property, which includes patents on the use of any such
antibodies to treat HIV/AIDS.