Frequency Therapeutics — Hearing Loss Regeneration

I don't think they would have brought him in to work on small molecules if frequency was a sinking ship and his research was a failure. If anything you would think they were successful, and want his knowledge base, and he has moved on for better pay. Just like all the offensive and defensive coordinators that move on to be coaches.....

but..... if he was a stockholder, why would he leave frequency when they are first in line with the most promising hearing loss drug and stand to make zillions....

You both bring up some good points.

https://www.decibeltx.com/pipeline/
It does look like they are trying to move forward with a few small molecule drugs so you almost have to go with the best case scenario and they want his knowledge base. They show 2 small molecule drugs heading into phase 1....

Still good news for everyone!!!
 
I don't want to be rude, but I think people have to realize that this is all a very very long shot, there would be WAY more $$ and a massive amount of attention chasing this down if this company were actually on the verge of some kind of world changing breakthrough.

There is a reason that in the big scheme of things this company doesn't get a lot of attention, maybe something to consider before going off the deep end hoping for some kind of miracle that no one else saw coming but the brilliant folks here at Tinnitus Talk.
 
I don't want to be rude, but I think people have to realize that this is all a very very long shot, there would be WAY more $$ and a massive amount of attention chasing this down if this company were actually on the verge of some kind of world changing breakthrough.

There is a reason that in the big scheme of things this company doesn't get a lot of attention, maybe something to consider before going off the deep end hoping for some kind of miracle that no one else saw coming but the brilliant folks here at Tinnitus Talk.
I do kind of agree with you as far as getting your hopes up over something where the outcomes aren't near certain is generally a bad idea and is bad for mental health in the case of tinnitus, but I like to think it's more a case of Frequency Therapeutics having to prove themselves in the phase two trials, if they can do that they will get far more attention. You do bring up a good point though.
 
I don't want to be rude, but I think people have to realize that this is all a very very long shot, there would be WAY more $$ and a massive amount of attention chasing this down if this company were actually on the verge of some kind of world changing breakthrough.

There is a reason that in the big scheme of things this company doesn't get a lot of attention, maybe something to consider before going off the deep end hoping for some kind of miracle that no one else saw coming but the brilliant folks here at Tinnitus Talk.
If you're looking for national headline news, you'll be lucky to get more than handful even if this a total success. Think about this... have you ever heard of Kytruda? Did you know that lung cancer kills more people than any other type? This treatment is a huge breakthrough, with the potential to prolong and possibly save the lives of millions. Anyone see this information blasted on Fox, CNN, or network news? And this drug EXISTS. In fact, it's currently keeping my father-in-law alive and in pretty good health, after being given 3 months to live a year and a 1/2 ago.

My point is, MAJOR breakthroughs happen more often than you'd think. I was completely unaware an HIV/AIDS preventative medication exists, until seeing an ad during the Super Bowl for it. I bet those who've had HIV touch there lives have known about it since the clinical trail days?

Don't downplay something just because the major news outlets aren't all over it.
 
I don't want to be rude, but I think people have to realize that this is all a very very long shot, there would be WAY more $$ and a massive amount of attention chasing this down if this company were actually on the verge of some kind of world changing breakthrough.
You're assuming people care about important things.

Dr. Rauschecker, a scientist focused on tinnitus itself, didn't even know about the supposed success with neuromodulation.

I spoke with a rep at the ATA and she didn't even know about FX-322.

When and if FX-322 is released, and people can actually go buy it and grandma tells the family how much better she can hear and soldiers start saying they had a treatment for the ringing in their ears, then the sheep will be slightly impressed for maybe 7 seconds.
 
I don't think they would have brought him in to work on small molecules if frequency was a sinking ship and his research was a failure. If anything you would think they were successful, and want his knowledge base, and he has moved on for better pay. Just like all the offensive and defensive coordinators that move on to be coaches.....

but..... if he was a stockholder, why would he leave frequency when they are first in line with the most promising hearing loss drug and stand to make zillions....

You both bring up some good points.

https://www.decibeltx.com/pipeline/
It does look like they are trying to move forward with a few small molecule drugs so you almost have to go with the best case scenario and they want his knowledge base. They show 2 small molecule drugs heading into phase 1....

Still good news for everyone!!!
Oooo they got a new logo.
 
If you're looking for national headline news, you'll be lucky to get more than handful even if this a total success. Think about this... have you ever heard of Kytruda? Did you know that lung cancer kills more people than any other type? This treatment is a huge breakthrough, with the potential to prolong and possibly save the lives of millions. Anyone see this information blasted on Fox, CNN, or network news? And this drug EXISTS. In fact, it's currently keeping my father-in-law alive and in pretty good health, after being given 3 months to live a year and a 1/2 ago.

My point is, MAJOR breakthroughs happen more often than you'd think. I was completely unaware an HIV/AIDS preventative medication exists, until seeing an ad during the Super Bowl for it. I bet those who've had HIV touch there lives have known about it since the clinical trail days?

Don't downplay something just because the major news outlets aren't all over it.
Yep, nobody cares about any of this stuff until they get it. Novartis made the news when they were experimenting on their first person and then it just fizzled away. Even if/when FX-322 hits the market no one is going to care. It will be given to the ENTs to administer and then hopefully they can stop telling people hearing loss is irreversible.

ooooo. They do have a new logo. Good catch!!!

I guess we will see in the next phase. It will boil down to how much hearing can be gained. If it turns out to only be 10 dB then it would be a breakthrough, but people like me that are 90 to 110 dB down in the upper frequencies aren't really going to benefit much, unless it can be used 10 times... There are still a lot of questions. I've said it a few times, but we need to be cautiously optimistic.
 
No fear in this gang about anyone muscling in on their turf either. And I would've thought their industrial intelligence would be pretty good!

https://www.prnewswire.com/news-rel...aids-market-forecast-2019-2027-300733841.html

The other thing to remember is that Frequency Therapeutics isn't necessarily just about hearing loss regeneration.

That may be their specific focus at present, but the company is really about developing a process, progenitor cell activation, that can be used in other parts of the body rather than just the ear. It may, for instance, not end up working well in human ears, but could be very successful elsewhere on the body. Just a thought.
 
"This approach has been validated both in animal and human cell models as well as in a human clinical trial with the potential for broad application across many therapeutic areas."​

Are they referring to the latest trial?
"Validated" is a broad word and I opine that it may refer to validation of safety profile in the reference to human trials.
 
The Abstract Book is now available for ARO in Baltimore 9-13 February 2019. Here is the entry for the Frequency Therapeutics / Will McLean presentation:

PD 67

Lgr5+ Cochlear Progenitor Cell Proliferation is Driven by the Combined Activation of the Wnt, NonCanonical Notch, and PI3K Pathways

Megan Harrison; Sara Strecker; Melissa Hill-Drzewi; Will McLean

Frequency Therapeutics


Loss of cochlear hair cells, which do not spontaneously regenerate in mammals, is a leading cause of hearing ARO Abstracts 361 Volume 42, 2019 loss. Previous work by McLean et al. 2017 showed that 3D organoid culture of Lgr5+ hair cell progenitors is a useful tool to study how various small molecules affect the ability of Lgr5+ cells to proliferate. In addition, 3D organoid culture can be a useful in vitro system for investigating the underlying biological pathways involved in progenitor cell regulation and plasticity. Enrichment for Lgr5+ cells can be achieved by treatment with molecules including the GSK3 inhibitor CHIR99021 (CHIR) and valproic acid (VPA). While CHIR is considered to promote proliferation by driving the Wnt pathway, the molecular mechanism by which VPA enhances CHIRdriven proliferation of Lgr5+ progenitor cells is not fully understood.

Here, organoid cultures were treated with CHIR and VPA individually as well as in combination, and the effects on gene modulation, total protein, and phosphorylated protein were assessed to elucidate the mechanism of synergistic Lgr5+ cell expansion. It was originally hypothesized that VPA functions by upregulating the Notch pathway. However, we find that VPA does not appear to lead to global gene or protein changes within the canonical Notch pathway, such as increased Hes and Hey expression. Exceptionally, Jagged1, a shared Wnt and Notch ligand, is upregulated by treatment with CHIR alone and is further upregulated upon dual treatment with CHIR and VPA, which correlates with the synergistic effects of these molecules in eliciting Lgr5+ cell proliferation. Engagement of Notch receptors by the addition of a peptide corresponding to the Jagged1 extracellular domain recapitulates the activity of VPA in Lgr5+ cell proliferation. Interestingly, inhibition of y-secretase, the enzyme that cleaves Notch receptors, does not affect Jagged1 induction level, signifying that Jagged1 induction may be y-secretase independent.

Together, these findings indicate that VPA may activate a non-canonical, y-secretase independent Notch pathway mechanism. One route of y-secretase-independent Notch signaling entails activation of the PI3K pathway. Indeed, we find that VPA activates the PI3K pathway in cultured Lgr5+ organoids as judged by increased levels of phosphorylated Akt. Further, a PTEN inhibitor, which activates the PI3K pathway, can substitute for VPA to enhance Lgr5+ cell proliferation and Jagged1 induction without inhibiting HDAC. Taken together, these findings indicate that combined activation of the Wnt, noncanonical Notch, and PI3K pathways elicits synergistic proliferation of Lgr5+ cochlear progenitor cells in culture.

https://cdn.ymaws.com/www.aro.org/resource/resmgr/mwm2019/2019_aro_mwm_abstracts_final.pdf
 
"This approach has been validated both in animal and human cell models as well as in a human clinical trial with the potential for broad application across many therapeutic areas."

They're most definitely NOT talking about safety. Key words are obviously "validated" and "human clinical trial". I think this is a big deal!

Of course, one could argue without the facts being released, that it allowed the ear to generate new hair cells, but perhaps it didn't serve to improve hearing? I personally think efficacy for the intended purpose would be needed to qualify for "validated", but perhaps not?
 
"This approach has been validated both in animal and human cell models as well as in a human clinical trial with the potential for broad application across many therapeutic areas."

They're most definitely NOT talking about safety. Key words are obviously "validated" and "human clinical trial". I think this is a big deal!

Of course, one could argue without the facts being released, that it allowed the ear to generate new hair cells, but perhaps it didn't serve to improve hearing? I personally think efficacy for the intended purpose would be needed to qualify for "validated", but perhaps not?
I've been researching the science behind this very carefully and I think it will definitely work. How well it works, is what I am desirous to know. I've almost always thought this is going to work just fine.
 
https://www.fiercebiotech.com/biotech/decibel-hires-new-cmo-ahead-proof-concept-hearing-loss-studies

Best case scenario, Frequency Therapeutics has got everything figured out and no longer is in need of this man's skills and abilities, and he has decided to go to Decibel Therapeutics to help them develop their product.

Worst case scenario, Frequency Therapeutics is a complete failure and sinking ship and this dude wanted to get out.

Interpret this how you want
I was worried for a while, a CMO leaving at this stage... But I don't think this Weber guy has worked for Frequency Therapeutics recently, as they announced their current CMO in April 2018.

http://www.frequencytx.com/news-events/news-events-press-release-04-13-2018.php
 
Would it kill them to tell us something in PLAIN ENGLISH??? About efficacy.
It could have loads of implications that we haven't considered. I'm sure the researchers and doctors have very little say in this as well. Lawyers, investors and advisors are probably calling the shots outside of the lab.
 
It could have loads of implications that we haven't considered. I'm sure the researchers and doctors have very little say in this as well. Lawyers, investors and advisors are probably calling the shots outside of the lab.
In the age of social media and YouTube etc they are putting out too much info prematurely. We think that they are speaking to we sufferers in these presentations when they are really trying to appeal to investors, me thinks.
 
I guess no one heard anything from them with regards to the conference? Or any news at all since info was supposed to be out months ago.
I must say, it is a little disappointing. A presentation in SF last month and one in Baltimore earlier this week and neither have been uploaded anywhere online?

Phase 1.5 is for the most part completed, I really wish some new information was released.
 
Didn't Frequency Therapeutics finish recruitment for Phase II. Audion Therapeutics started recruiting for Phase II in January.

Phase II with audio threshold measurement will be very important. I pray for some enhancements.
 
By the way I sent Trump an email today mentioning these companies, lack of funding, lack of media attention, VA stuff etc. Why not shoot for the stars right? Maybe we should barrage his inbox.

servlet.gif

February 14, 2019

Thank you for contacting the White House. We are carefully reviewing your message.

President Donald J. Trump believes the strength of our country lies in the spirit of the American people and their willingness to stay informed and get involved. President Trump appreciates you taking the time to reach out.

Sincerely,

The Office of Presidential Correspondence
 
If they have any difficulties in getting more of the drug particles that are needed into the cochlea via injection, they could also try using Otomagnetics method: http://otomagnetics.net/

I'm surprised they haven't mentioned anything regarding any potential partnership, as it looks like Otomagnetics' delivery system would be more effective than using a needle to penetrate the round window. Magnetic-driven particles could even reach as far as the cochlear nerve and treat SSHL.
 
a needle to penetrate the round window.
That's not how it works.
The drug is injected via the eardrum into the middle ear and then diffuses through the round window membrane.
Go look at a 3D anatomical model of the ear, you will see that getting a needle into the eardrum and then the round window membrane would be extremely difficult.
 

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