Item 405 of
Regulation S-K is not contained herein, and will not be contained, to the best
of registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this Form 10-KSB or any amendment
to
this Form 10-KSB. £
Indicate
by check mark whether the registrant is an accelerated filer (as described
in
Rule 12b-2 of the Exchange Act). Yes £
No S
Indicate
by check mark whether the registrant is a shell company (as defined in Rule
12b-2 of the Exchange Act). Yes
£
No S
The
aggregate market value of the voting stock held on June 30, 2007 by
non-affiliates of the registrant was $44,751,729 based on the closing price
of
$.90 per share as reported on the OTC Bulletin Board on June 30, 2007, the
last
business day of the registrant's most recently completed fiscal year (calculated
by excluding all shares held by executive officers, directors and holders known
to the registrant of five percent or more of the voting power of the
registrant's common stock, without conceding that such persons are "affiliates"
of the registrant for purposes of the federal securities laws).
At
October 15,2007, 114,069,144 shares of the registrant Common Stock, $0.001
par
value were outstanding.
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PART
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PART
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SPECIAL
NOTE ON FORWARD-LOOKING STATEMENTS
The
information in this report contains forward-looking statements. All statements
other than statements of historical fact made in report are forward looking.
In
particular, the statements herein regarding industry prospects and future
results of operations or financial position are forward-looking statements.
These forward-looking statements can be identified by the use of words such
as
“believes,” “estimates,” “could,” “possibly,” “probably,” anticipates,”
“projects,” “expects,” “may,” “will,” or “should” or other variations or similar
words. No assurances can be given that the future results anticipated by the
forward-looking statements will be achieved. Forward-looking statements reflect
management’s current expectations and are inherently uncertain. Our actual
results may differ significantly from management’s expectations.
The
following discussion and analysis should be read in conjunction with our
financial statements, included herewith. This discussion should not be construed
to imply that the results discussed herein will necessarily continue into the
future, or that any conclusion reached herein will necessarily be indicative
of
actual operating results in the future. Such discussion represents only the
best
present assessment of our management.
PART
I
ITEM
I: DESCRIPTION OF BUSINESS
Corporate
History
NanoViricides,
Inc. was incorporated under the laws of the State of Colorado on July 25, 2000
as Edot-com.com, Inc. and was organized for the purpose of
conducting internet retail sales. On April 1, 2005, Edot-com.com,
Inc. was incorporated under the laws of the State of
Nevada for the purpose of re-domiciling the Company as a Nevada corporation,
Edot-com.com (Nevada). On April 15, 2005, Edot-com.com (Colorado) and
Edot-com.com (Nevada) were merged and Edot-com.com, Inc.,
(ECMM) a Nevada corporation, became the surviving entity.
On April 15, 2005, the authorized shares of common stock was increased to
300,000,000 shares at $.001 par value and the Company effected a 3.2 - 1 forward
stock split effective May 12, 2005.
On
June
1, 2005, Edot-com.com, Inc. acquired NanoViricide, Inc., a privately owned
Florida corporation (“NVI”), pursuant to an Agreement and Plan of Share Exchange
(the “Exchange”). NVI was incorporated under the laws of the State of Florida on
May 12, 2005 and its sole asset was comprised of a licensing agreement with
TheraCour Pharma, Inc. (an approximately 31% shareholder of NVI) for rights
to
develop and commercialize novel and specifically targeted drugs based on
TheraCour's targeting technologies, against a number of human viral diseases.
(For financial accounting purposes, the acquisition was a reverse acquisition
of
the Company by NVI, under the purchase method of accounting, and was treated
as
a recapitalization with NVI as the acquirer). Upon consummation of the Exchange,
ECMM adopted the business plan of NVI.
Pursuant
to the terms of the Exchange, ECMM acquired NVI in exchange for an aggregate
of
80,000,000 newly issued shares of ECMM common stock, resulting in an aggregate
of 100,000,000 shares of ECMM common stock issued and outstanding. As a result
of the Exchange, NVI became a wholly-owned subsidiary of ECMM. The ECMM shares
were issued to the NVI Shareholders on a pro rata basis, on the basis of 4,000
shares of the Company’s Common Stock for each share of NVI common stock held by
such NVI Shareholder at the time of the Exchange.
On
June
28, 2005, NVI was merged into its parent ECMM and the separate corporate
existence of NVI ceased. Effective on the same date, Edot-com.com, Inc., Inc.
changed its name to NanoViricides, Inc. and its stock symbol on the Pink Sheets
to “NNVC”, respectively. From June 29, 2007 the
Company’s Common Stock has been quoted on the Over The Counter Bulletin Board
under the symbol NNVC.OB. The Company is considered a development stage company
at this time.
NanoViricides,
Inc. (the “Company”), is an early developmental stage nano-biopharmaceutical
company engaged in the discovery, development and commercialization of
anti-viral therapeutics. The Company has no customers, products or revenues
to
date, and may never achieve revenues or profitable operations. Our drugs are
based on several patents, patent applications, provisional patent applications,
and other proprietary intellectual property held by TheraCour Pharma, Inc.,
one
of the Company’s principal shareholders, to which we have the licenses in
perpetuity for the treatment of the following human viral diseases: Human
Immunodeficiency Virus (HIV/AIDS), Hepatitis B Virus (HBV), Hepatitis C Virus
(HCV), Herpes Simplex Virus (HSV), Rabies, Influenza and Asian Bird Flu Virus.
We focus our laboratory research and pre-clinical programs on specific
anti-viral solutions. Additionally, TheraCour has permitted the Company to
use
its nanomaterials to develop a treatment for dengue fever until such time as
the
Company and TheraCour can negotiate an amendment to the Licensing Agreement
to
include dengue fever viruses, West Niles Virus and Japanese Encephalitis Virus
among the virus types we are permitted to manufacture, use and offer for sale.
We are seeking to add to our existing portfolio of products through our internal
discovery pre-clinical development programs and through an in-licensing
strategy.
The
Company has incurred significant operating losses since its inception resulting
in an accumulated deficit of $6,469,400 at June 30, 2007. For the year ended
June 30, 2007 the Company had a net loss of $ 3,118,963. Such losses are
expected to continue for the foreseeable future and until such time, if ever,
as
the Company is able to attain sales levels sufficient to support its
operations.
The
accompanying financial statements on pages of this Form 10-KSB have been
prepared assuming that the Company will continue as a going concern that
contemplates the realization of assets and the satisfaction of liabilities
in
the normal course of business. Accordingly, they do not include any adjustments
relating to the realization of the carrying value of assets or the amounts
and
classification of liabilities that might be necessary should the company be
unable to continue as a going concern. These factors raise substantial doubt
about the Company's ability to continue as a going concern.
Glossary
of Terms:
Nano-
When used as a prefix for something other than a unit of measure, as in
"nanoscience", nano means relating to nanotechnology, or on a scale of
nanometers (one billionth of a meter or greater)
Viricide-
is an agent which reliably deactivates or destroys a
virus.
Nanoviricide(tm)–
is an agent which is made by attaching ligands against a certain virus or family
of viruses to a nanomicelle based on the Company's patent-pending and
proprietary technologies.
Ligand-
is a short peptide or chemical molecule fragment that has been
designed to specifically recognize one particular type of virus.
Micelle-
One of the structural units said to make up organized bodies
Nanomicelle-
micelles on the scale of nanometers
Pendant
polymeric micelles- A polymeric micelle forms from a a polymer whose
chemical constitution is such that even a single chain of the polymer forms
a
micelle. A pendant polymer is a polymer that has certain units in its backbone
that extend short chains branched away from the backbone. Pendant Polymeric
Micelles therefore are polymeric micelle materials that are a class of pendant
polymers, and naturally form exceptionally well-defined, self-assembling,
globular micelles with a core-shell architecture.
Mutations
- The ability (of the virus) to change its genetic structure to avoid
the body’s natural defenses. Mutants are viruses created from a parent virus
strain through a process of natural selection under pressure as it replicates
in
a host.
P-Value:
In statistical hypothesis testing, the p-value is the
probability of obtaining a result at least as extreme as that obtained,
assuming that the null hypothesis is true; wherein the truth of the
null hypothesis states that the finding was the result of chance alone. The
fact
that p-values are based on this assumption is crucial to their correct
interpretation. The smaller the p-value, the greater is the probability that
the
observed study results and the comparison control are distinct, and therefore
that the study results are not a result of chance alone.
More
technically, the p-value of an observed value observed of some random
variable T used as a test statistic is the probability that, given that the
null
hypothesis true, T will assume a value as or more unfavorable to the null
hypothesis as the observed value observed. “More unfavorable to the
null hypothesis” can in some cases mean greater than, in some cases less than
and in some cases further away from a specified center value.
The
NanoViricide Concept
The
Company owns an exclusive worldwide license in perpetuity to technology that
enables the creation of nanoviricides (tm). A “nanoviricide” is a flexible
nano-scale material approximately a few billionths of a meter in size, which
is
chemically programmed by a “ligand” to specifically target and attack a
particular type of virus. A nanoviricide also is capable of simultaneously
delivering a devastating payload of active pharmaceutical ingredients (API)
into
the virus particle, to destroy its genome (RNA/DNA).
Background:
The NanoViricides Technology and Approach
The
NanoViricides Technology and Approach
Nanoviricide
drugs, which are presently in a preclinical stage of development, are designed
to lead to reduction in viremia by a set of multiple concerted
mechanisms:
|
1.
|
Each
nanoviricide drug is designed as a specifically targeted antiviral
agent
for a particular type of virus or group of viruses. Often side effects
of
a drug may be correlated with non-specific interactions with the
host
cells, tissues, and organs. Most existing anti-viral agents are known
to
have non-specific effects against both host cells and viral machinery
at
the same time.
|
|
2.
|
A
nanoviricide is designed to seek and attach to a specific virus particle,
engulfing the virus particle in the process, thereby rendering it
incapable of infecting new cells, and disabling it completely. This
suggested mechanism of action comprises much more than what the current
entry and fusion inhibitors are expected to do. The fusion and entry
inhibitors do not completely cover the virus particle and likely
block
only a few sites on the virus particle, which means the virus particle
may
still be capable of infecting cells using its unblocked attachment
sites.
In contrast, a nanoviricide is expected to engulf the virus particle
completely, because of its larger size and flexible nature, thus
disabling
it completely. The action of a nanoviricide, if it works as designed,
in
this regard may be expected to be superior to antibody agents that
attack
viruses as well. Antibodies, being large, are expected to block relatively
greater portions of the virus particle surface compared to small
molecule
entry inhibitors. However, antibodies depend upon the human immune
system
responses for clearing up the virus particle. In contrast, nanoviricides
are thought to be capable of acting as completely programmed chemical
robots that finish their task of destroying the virus particle on
their
own.
|
|
3.
|
A
nanoviricide is designed to be capable of encapsulating an active
pharmaceutical ingredient (API) in its core, or “belly”. This is expected
to reduce toxic effects of the API. Such encapsulating methods are
currently being used in anti-cancer therapy and have shown reduced
toxicity as well as increased efficacy (see
http://nihroadmap.nih.gov/nanomedicine/) . Our goal, which can give
no assurance that we will achieve, is for NanoViricides, Inc. to
be the
premier company to develop nanomedicines for anti-viral
therapy.
|
|
4.
|
A
nanoviricide is designed to deliver any encapsulated API directly
into the
core of the virus particle. This is proposed to result in maximal
effect
against the anti-viral targets, such as the viral genomic materials.
Our
goal for this specifically targeted delivery of the API is to minimize
toxic effects and also improve efficacy of the API. (see
http://www.nci.nih.gov).
|
|
5.
|
With
this concerted targeted set of mechanisms, our objective is for the
nanoviricide to be programmed to (a) prevent the virus particle from
being
able to infect new cells, (b) dismantle the virus particle, and (c)
destroy the genetic material of the virus particle, thereby completely
destroying the target. Our complete systems engineered approach to
anti-viral therapy is in stark contrast with the current piece-meal
approaches. Current drug therapies often have extensive toxicities,
limited efficacies, and generation of mutants (mutated viruses) through
selective incomplete pressure applied by the therapeutic regime onto
the
virus.
|
We
designed the nanoviricides to act by completely novel and distinctly different
mechanisms compared to most existing anti-viral agents. The self-assembling
nanoviricide “trojan horses” would be expected to course through the blood
stream, seek their target, i.e. a specific virus particle, attach themselves
to
the virus particle target and fuse with the virus particle. This chain of
events, if it in fact occurs, is designed to destroy the virus particle's
ability to infect host cells. In addition, if the nanoviricide contains an
encapsulated API, such API may be deployed into the virus particle and might
lead to destruction of the virus genetic material (such as viral DNA, viral
RNA,
etc.), and/or key viral components that the virus carries inside its “belly”
(such as the reverse transcriptase, the protease, and the integrase carried
by
HIV particles), based on the capabilities of the API. This concept needs to
be
extensively tested in future experiments. The concept of targeted delivery
of an
API is well known in the cancer therapeutics arena as this quote from the
National Cancer Institute website above makes clear “Nanoscale devices have the
potential to radically change cancer therapy for the better and to dramatically
increase the number of highly effective therapeutic agents. Nanoscale constructs
can serve as customizable, targeted drug delivery vehicles capable of ferrying
large doses of chemotherapeutic agents or therapeutic genes into malignant
cells
while sparing healthy cells, greatly reducing or eliminating the often
unpalatable side effects that accompany many current cancer therapies.”
http://nano.cancer.gov/resource_center/nano_critical.asp -
cancer.
We
designed the nanoviricides to act by a novel set of multiple,
concerted, mechanisms. However, being so novel, our drugs are not
directly comparable to existing anti-viral therapies. Thus, the safety and
efficacy of the nanoviricides needs to be established by experimentation, and
cannot be anticipated on the basis of any similar information regarding existing
drugs. See Part I,
Preclinical
Safety And Efficacy
Studies.
It
is
important to realize that the flexible nanoviricides nanomedicines show
substantial advantages over hard sphere nanoparticles in this antiviral drug
application. Hard sphere nanomaterials such as dendritic materials, nanogold
shells, silica, gold or titanium nanospheres, polymeric particles, etc., were
never designed to be capable of completely enveloping and neutralizing the
virus
particle.
The
Company does not claim to be creating a cure for viral diseases. The Company's
objectives are to create the best possible anti-viral nanoviricides and then
subject these compounds to rigorous laboratory and animal testing. Our long-term
research efforts are aimed at augmenting the nanoviricides that we currently
have in development with additional therapeutic agents.
The
Company plans to develop several drugs through the preclinical studies and
clinical trial phases with the goal of eventually obtaining approval from the
United States Food and Drug Administration (“FDA”) and International regulatory
agencies for these drugs. The Company plans, when appropriate, to seek
regulatory approvals in several international markets, including developed
markets such as Europe, Japan, Australia, and underdeveloped regions such as
Southeast Asia, India, China, and the African subcontinent. The seeking of
these
regulatory approvals would only come when and if one or more of our drugs,
now
in early stage of pre-clinical development, has significantly advanced through
the US FDA regulatory process. If and as these advances occur, the Company
may
attempt to partner with more established pharmaceutical companies to advance
the
various drugs through the approval process.
There
can
be no assurance that the Company will be able to develop effective
nanoviricides, or if developed, that we will have sufficient resources to be
able to successfully manufacture and market these products to commence
revenue-generating operations.
The
Company's headquarters are currently in West Haven, Connecticut.
Our
Product Focus and Technologies
The
Company plans to develop several different nanoviricide drugs against a number
of human viral diseases. The Company has a license in perpetuity to develop
drugs based on technologies originally created by TheraCour Pharma, Inc.,
against the following human viral diseases: H5N1 (Avian Flu), Human Influenza,
Human Immunodeficiency Virus (HIV/AIDS), Hepatitis B Virus (HBV), Hepatitis
C
Virus (HCV), Herpes Simplex Virus (HSV), Dengue and Rabies, including all known
strains of these viruses.
We
currently have, in early, active development, products against H5N1 (Avian
Flu),
common Human Influenza (both highly pathogenic and non pathogenic), Rabies,
Dengue, and Hepatitis C. We plan on undertaking the development of drugs against
other viruses when adequate financing becomes available. The Company's ability
to achieve progress in the drugs in development is dependent upon available
financing and upon the Company's ability to raise capital.
Background:
Preclinical Safety And Efficacy Studies
The
discussions in this section and throughout this Form 10-KSB annual report
describe the tests that have been conducted which have yielded these results.
These results do not provide sufficient evidence regarding efficacy or safety
to
support an Investigational New Drug (IND) application with the FDA.
Additional tests will need to be conducted. It must be noted that subsequent
results often do not corroborate earlier results.
Preliminary
Safety Studies In Vitro
We
have
conducted limited initial animal safety studies on one of the core TheraCour™
nanomaterials (patent pending). TheraCour technology covers a large range of
nanomaterials in a class known as pendant polymeric micelles. These materials
are self-assembling, flexible, non-particulate, and stable at room
temperature.
We
rely
upon TheraCour nanomaterial to form the backbone of our nanoviricide antiviral
drugs. One of the TheraCour polymers was tested at a 100mg/kgBW (body-weight)
dose level in mice in a preliminary experiment. In studies involving gross
tissue examination, microscopic histology studies, and blood pathology, no
ill-effects or toxic effects were found. These studies showed that the tested
core nanomaterial did not cause any organic damage in mice at the amounts
tested. All results were within safe limits.
Several
additional animal studies have been conducted in which the effect of a
nanoviricide in the context of a disease was evaluated using histopathological
techniques. Mice infected with influenza virus (H1N1) in a lethality type of
study were treated with nanoviricides. The histological effects observed to
date
have been mild and explained by the disease state and there do not appear to
be
any deleterious effects of any significance that related to the nanoviricides
drugs. Systematic studies for evaluating the safety or toxicity
threshold will be performed in the future.
Higher
dosage levels and studies on additional materials are planned in order to
determine the safety thresholds in laboratory animals. The only purpose of
these
studies was to give our scientists direction in designing the next set of
studies. These have no impact on the regulatory (FDA) process.
Proof-of
Principle
We
have
conducted studies which demonstrated that when a small chemical molecule
(ligand) is attached to our nanomicelles covalently, the resulting nanoviricide
has such a high activity that as little as 1/50th of the
attached molecule is needed for comparable activity [i.e. A 20mg/kgBW injection
of free molecule and a 0.04 mg/kgBW injection of the molecule attached to the
polymer showed equivalent efficacy.]. These results suggest to us that the
observed antiviral activity of the nanoviricide is due to the proposed mechanism
of action of the nanoviricide and not to either component of the drug, the
ligand or the nanomicelle. This is considered "proof of principle" in that
our
original theoretical assumptions about the functionality of the nanoviricide
have scientifically been validated.
We
have
also performed studies in vitro in which a murine cytomegalovirus (CMV)
preparation was subjected to dilute solutions of two different nanoviricides
and
the resulting solutions were studied by electron micrography to evaluate
morphological changes in the virus. The nanoviricide treatments led to complete
loss of the virus's lipid coat, resulting in the virion capsids spilling out.
The virion capsids of CMV lack the coat proteins required for attachment to
cells and are non-infectious. Electron micrographs depicting this can
be found on our web site at
http://www.nanoviricides.com/action_small.html.
Preliminary
Efficacy Study
The
preclinical animal testing, done to study the efficacy (effectiveness) of the
test nanoviricide (anti-human influenza, H1N1) compound, revealed potential
for
development for the reasons delineated below. Three separate and distinct
sets of experiments were performed to address different questions regarding
efficacy.
Certain
sets of experiments were conducted to determine the destruction/protection
of
the animal organs. There were ten animals per group and positive and negative
controls were employed. Lethal infectious challenges of H1N1 influenza virus
were administered, followed by treatment with nanoviricides after a significant
delay. The active substances appeared to have protected the organs so that
there were no histological (microscopic tissue) changes to the internal organs
of the treated animals. Highly significant tissue damage was found in the
internal organs of the unprotected (no nanoviricide treatment)
groups.
Another
set of experiments was performed, again on five separate groups each containing
ten animals where the viral load was determined in the animals. The findings
revealed that the viral load (number of viral particles per cubic millimeter)
in
the treated animals was significantly lower than that found in the control
animals.
In
statistics, a result is called significant if it is unlikely to have occurred
by
chance. "A statistically significant difference" simply means there is
statistical evidence that there is a difference; it does not mean the difference
is necessarily large, important or significant in the usual sense of the
word.
In
traditional frequentist statistical hypothesis testing, the significance level
of a test is the maximum probability, assuming the null hypothesis, that the
statistic would be observed. Hence, the significance level is the probability
that the null hypothesis will be rejected in error when it is true (a decision
known as a Type I error. The significance of a result is also called its
p-value; the smaller the p-value, the more significant the result is said to
be.
Significance
is represented by the Greek symbol, α (alpha). Popular levels of significance
are 5%, 1% and 0.1%. If a test of significance gives a p-value lower than the
α-level, the null hypothesis is rejected. Such results are informally referred
to as 'statistically significant'. For example, if someone argues that
"there's only one chance in a thousand this could have happened by coincidence,"
they are implying a 0.1% level of statistical significance. The lower the
significance level, the stronger the evidence for the presence of a true
therapeutic effect.
A
very
small α-level (say 1%) is less likely to be more extreme than the critical value
and so is more significant than high α-level values (say 5%). However, smaller
α-levels run greater risks of failing to reject a false null hypothesis (a Type
II error), and so have less statistical power. The selection of an α-level
inevitably involves a compromise between significance and power, and
consequently between the Type I error and the Type II error.
Our
experiments consistently have resulted in a p value less than 0.003,
which makes the tests very accurate, that there is no errors statistically
for
such an experiment, and all the values obtained from these experiments are
of
significance.
These
initial animal findings suggested that the test nanoviricide compound was an
effective treatment for human influenza in mice and that the concept of using
a
nanoviricide as a treatment for certain viral illnesses was a valid one and
was
deserving of further study. In more scientific terms, the statistical test
was
met for validity of the findings and these findings could be considered
statistically significant. Thus, in statistical terms, one could say that the
null hypothesis, that is the statistical likelihood that the observed results
was due to chance and not the effect of the drug, was rejected.
Preliminary
Cell Culture Studies Against H5N1 Avian Influenza
In
vitro
(laboratory) evaluation of 14 substances, including controls, was performed
to
evaluate protection of mammalian cells against infection by the H5N1 subtype.
These assays were conducted in Vietnam under the auspices of the National
Institute of Hygiene and Epidemiology, Hanoi (NIHE) under the Vietnam Ministry
of Health. We identified four different nanoviricides as being highly effective
against H5N1 using two different assays, both involving cell culture, one using
the plaque reduction method and the other involving microscopic examination,
to
determine the extent of cytopathic events (CPE) reduction. All of these
nanoviricides were effective at extremely low concentrations and many of them
are considered by us to be drug candidates.
Four
different nanoviricides were selected on the basis of the statistical test
called the p-value, (explained below). The p-values for these four compounds
were p<.003 which meant that there was a high statistical probability that
these results were due to the effect of the test nanoviricides and not to
chance. Thus the "null hypothesis" is rejected and the results can be considered
statistically significant.
The
most
successful of these was a nanoviricide based on an antibody fragment as the
targeting ligand, which led to substantial suppression of CPE at an
extraordinarily low concentration level. This is being developed as
AviFluCide-I™, a drug highly specific to H5N1 that is being developed against
the Vietnam strain. We currently believe that it is very likely to work against
the Indonesian strain although further studies will be required to determine
its
efficacy against various highly pathogenic stains of influenza. If it fails
to
work against the Indonesian 2006 strain, further development may become
necessary.
Another
nanoviricide which is based on a ligand that we designed in-house to be specific
to the group of all or a majority of highly pathogenic avian influenza (HPAI)
viruses, also showed a very high efficacy. This is being developed as
“FluCide-HP™”, a drug designed to be group-specific against emergent and
existing highly pathogenic influenza viruses (including H5N1, H7N3 and others).
Non-H5N1 HPAI (non-pathogenic avian influenza) strains could also become a
pandemic threat as can all influenza A viruses since they all have the ability
to mutate. It is well known that influenza strains drift constantly due to
mutation, ressortment or recombination events leading to failure of
vaccines.
A
third
nanoviricide is based on a ligand that we designed for attacking all influenza
A
viruses (type-level specificity) has shown strong efficacy against H5N1 as
well.
This is being developed as “FluCide-I™”, a drug designed primarily for use
against serious cases of human influenza.
All
of
the above studies have been repeated with the same as well as additional test
methodologies (for example, evaluation of CPE quantitatively by a cell viability
soluble dye assay) producing confirmatory results against this rgH5N1 Vietnam
strain (based on the Vietnam 2004/2005 H5N1 strain).
Additional
cell culture studies against the wild-type clade 2 H5N1 strain isolated in
Vietnam in 2006 showed that FluCide-HP caused a 90% reduction in CPE as measured
by the dye assay, whereas FluCide-I gave a 70% reduction in CPE, indicating
that
both of these broad-spectrum drugs are highly effective even against different
strains and different clades of H5N1.
The
Indonesia 2006 H5N1 strain also belongs to the clade 2 subgroup within H5N1
subtype.
Preliminary
Efficacy Studies In Vivo - Influenza
100%
of Mice Survived Long After Al Mice Treated With Oseltamivir Had
Died.
All
but
the antibody-based anti-influenza nanoviricides have been tested in
mice in an aggressive study involving extremely high levels of infection with
a
common influenza strain called H1N1. This study was conducted by Dr. Krishna
Menon, the Company’s Chief Regulatory Officer. While a final comprehensive
report on this study has not yet been issued, the results indicate that most
of
the nanoviricide nanotechnology-based drug candidates were substantially more
efficacious than oseltamivir (Tamiflu(R)). Initial unpublished data suggest
that
FluCide-I may be as much as 8 to 10 times (800% to 1,000%) superior to Tamiflu
in common influenza.
Additional
studies have been performed in the same highly lethal mouse model with H1N1
infection wherein all the mice treated with oseltamivir died within 151.4±1.0
hours, at which point 100% of the mice treated with a nanoviricide using an
improved sialic-acid-based ligand (improved FluCide(tm)-I) as well as 100%
of
the mice treated with a nanoviricide made using a ligand designed against the
high path site of highly poathogenic influenzas including H5N1 (FluCide-HP(tm))
were still surviving. The mice treated with FluCide-HP survived until 186.0±1.4
hours, whereas those treated with FluCide-I survived until
190.0±3.7 hours in this test. (The control, untreated mice
died within 119.0±0.6 hrs. Oseltamivir is the active ingredient of Tamflu(R)).
It is estimated that the Tamiflu dose would need to be increased by much more
than ten times (i.e. 1,000%) to match the efficacy of the improved FluCide-I.
These estimates are very preliminary in nature.
Considering
that the preclinical data for oseltamivir and for peramivir are similar in
terms
of effect on survival or time course, it is clear that our nanoviricides may
be
expected to be far superior to permaivir as well.
From
this
unpublished data, we have concluded that the results are statistically
significant with a p<0.003.
Virus
Load in lungs of lethally infected animals was reduced
significantly.
In
the
above study, the virus load in lungs of infected animals was reduced to
92±21 pfu/ml by FluCide-HP, and
119±18 pfu/ml by the improved FluCide-I in this study.
These are very low levels of virus load. The control untreated mice had a viral
load of 946± 115 pfu/ml at this sampling point.
Preliminary
Efficacy Studies In Vivo – Rabies
As
part
of our agreement with Vietnam that enabled us to perform studies on various
H5N1
strains and gave us access to anti-H5N1 antibodies from multiple host species,
we have undertaken the development of anti-rabies drug candidates.
We
performed two separate animal studies using a lethal mouse model in which mice
were infected intracerebrally with 1,000LD50 of rabies challenge standard virus
strain. Each group had 10 animals and there were 36 groups all
together. In both studies, three different nanoviricides led to
significant indefinite survival of mice. In the intracerebral
virus-neutralization mechanism study, two of the tested nanoviricides led to
30%
of the mice surviving indefinitely, and one led to 20% of the mice surviving
indefinitely. In the intraperitoneal nanoviricide administration route study,
two of these nanoviricides led to 20% of the mice surviving indefinitely. A
20%
or greater population survival is considered statistically significant in this
study. BayRab(R), a commercial antibody used for post-exposure prophylaxis
of
rabies, gave 0% population survival rate in both studies. A nanoviricide made
using antibody-based ligand followed the same course as the antibody itself,
and
gave a 0% population survival rate.
These
studies appears to be the first ever in which a non-vaccine agent led to a
significant population survival extent in rabies-infected mice in any high
lethality infection protocol. Two of the three nanoviricides that led
to high population survival rates in these studies are being further developed
under RabiCide-I(tm).
Further
studies are planned.
A
Note on Our Studies to Date
Current
pharmaceutical industry work in antiviral therapy generally results in small
efficacy improvements. Thus, in the case of influenza, peramivir™, (BioCryst)
was reported as having approximately equal efficacy to oseltamivir (Tamiflu,
Roche). However, it was suggested that peramivir™ may have a superior safety
profile and thus may enable use of large doses. Peramivir recently failed its
Phase II clinical trials, and BioCryst stated that this may have been due to
the
use needles of insufficient length in the Phase II study.
These
levels of efficacy differences between other product candidates against
influenzas and bird flu can be easily seen to be insignificantly small compared
to the ones established in our preliminary studies for the nanoviricides
tested.
However,
it should be noted that all of our studies to date were preliminary. Thus,
the
evidence we have developed is indicative, but not considered confirmative,
of
the capabilities of the nanoviricides technology's potential. These results
merely lead us to the next step in the research process. They have no relevance
when it comes to the FDA regulatory process. Despite such excellent early
results, there is a risk that the nanoviricides may not result in drugs suitable
for commercial production.
It
must
be stressed that the results discussed above were very preliminary and similar
results may not be found on retesting. For a detailed discussion of the
significance of the p value, please see
http://en.wikipedia.org/wiki/P-value. However, further repeat studies
will be necessary to substantiate and validate these results.
In
statistics, a result is called significant if it is unlikely to have occurred
by
chance. "A statistically significant difference" simply means there is
statistical evidence that there is a difference; it does not mean the difference
is necessarily large, important or significant in the usual sense of the
word.
In
traditional frequentist statistical hypothesis testing, the significance level
of a test is the maximum probability, assuming the null hypothesis, that the
statistic would be observed. Hence, the significance level is the probability
that the null hypothesis will be rejected in error when it is true (a decision
known as a Type I error. The significance of a result is also called its
p-value; the smaller the p-value, the more significant the result is said to
be.
Significance
is represented by the Greek symbol,
α
(alpha).
Popular levels of significance are 5%, 1% and 0.1%. If a test of significance
gives a p-value lower than the α-level, the null hypothesis is rejected. Such
results are informally referred to as 'statistically significant'. For example,
if someone argues that "there's only one chance in a thousand this could
have happened by coincidence," they are implying a 0.1% level of statistical
significance. The lower the significance level, the stronger the
evidence.
A
very
small α-level (say 1%) is less likely to be more extreme than the critical value
and so is more significant than high α-level values (say 5%). However, smaller
α-levels run greater risks of failing to reject a false null hypothesis (a Type
II error), and so have less statistical power. The selection of an α-level
inevitably involves a compromise between significance and power, and
consequently between the Type I error and the Type II error.
Our
experiments have constantly resulted in the p value less than 0.003, which
makes
the tests very accurate, that there are no errors statistically for such an
experiment, and all the values obtained from these experiments are of
significance.
(See
Part I, Government
Regulation)
Background:
Collaborations and Subcontract Arrangements
Arrangement
with KARD Scientific, Inc.
Owned
and
operated by Dr. Krishna Menon, KARD Scientific Inc. of Wilmington,
Massachusetts, is currently our primary vendor for animal model study design
and
performance. KARD operates its own facilities in Wilmington, Massachusetts.
KARD
uses the Beth Israel Deaconess Hospital of the Harvard University Medical School
to conduct these studies on our behalf. NanoViricides, Inc. does not have any
direct collaborative relationships with Beth Israel Deaconess or Harvard
University.
NanoViricides
has a fee for service arrangement with KARD. We do not have an exclusive
arrangement with KARD; we do not have a contract with KARD; all work performed
by KARD must have prior approval by the executive officers of NanoViricides;
and
we retain all intellectual property resulting from the services by
KARD.
Dr.
Krishna Menon is the Company’s Chief Regulatory Officer, a non-executive officer
position.
Collaboration
with the Health Ministry of the Government of Vietnam
On
December 23, 2005, the Company signed a Memorandum of Understanding with the
National Institute of Hygiene and Epidemiology in Hanoi (NIHE), a unit of the
Vietnamese Government’s Ministry of Health. This Memorandum of Understanding
calls for cooperation in the development and testing of certain nanoviricides.
The parties agreed that the initial target would be the development of drugs
against H5N1 (avian influenza). NIHE thereafter requested that we develop a
drug
for rabies, a request to which we agreed. The initial phase of this agreement
called first for laboratory testing, followed by animal testing of several
drug
candidates developed by the Company. Preliminary laboratory testing of
FluCide™-I, AviFluCide-I™ and FluCide-HP™ were successfully performed at the
laboratories of the National Institute of Hygiene and Epidemiology in Hanoi
(NIHE). The second phase of the project, animal testing of the Influenza and
H5N1 candidates has been delayed until the BSL3+ animal facility in Hanoi is
ready. The H5N1 testing will utilize the NIHE’s BSL3 (biological safety
laboratory level 3) laboratory at the NIHE. Rabies testing can safely be done
at
their BSL2 facility.
Other
Collaborations
The
Nanoviricides approach depends upon significant scientific input as well as
scientific experimentation during various stages of developments. The Company
currently does not have the facilities to conduct most of the anti-viral
studies. The Company will need to develop additional collaborations in order
to
minimize capital outlays.
We
have
made significant efforts in the past year and continue to do so to obtain
collaborations with various agencies, institutions, and commercial
enterprises.
The
Company has signed a Cooperative Research and Development Agreement with the
Walter Reed Army Institute for Research for a cooperative research project
to
test the effectiveness of the Company’s products against the Dengue Fever
Virus.
These
meetings have led to the Company having received several cooperative research
and development agreements (CRADA's) from different government
agencies, civilian as well as military. These CRADA's are
currently in review by the Company counsel. We have also received requests
for
material for testing under Material Testing Agreements (MTAs) from certain
agencies. However, there can be no assurance that a final agreement may be
forthcoming.
In
addition, the Company has had preliminary negotiations and discussions with
other pharma and non-pharma commercial enterprises regarding commercial projects
based on the Company’s products. The Company has received a proposed
agreement from one of the non-pharma commercial companies. However, there
is no signed agreement between the Company and this or any other commercial
entity and no assurance can be given that an agreement will ever be reached
with
this or any other entity.
Mechanism
of Nanoviricides Action
It
should
be noted that while the nanomaterials and nanomedicines we are developing are
designed with the set of ground rules stated earlier as our design
goals, it is generally not possible to establish whether each of these
mechanisms is actually active or whether it is truly responsible for the
efficacy observed.
We
believe that mechanisms are guidelines rather than endpoints. Our study
endpoints and development programs are defined for establishing efficacy,
safety, and chemical manufacturing controls, rather than establishing mechanisms
of action.
Escape
Mutants
Escape
mutants are a known risk and challenge to any given anti-viral drug. Our plan
is
to develop new drugs with modified ligands that attack the new attachment sites
of the escape mutants. The rationale for this is based on the concept that
a
nanoviricide drug is constructed from several building blocks. One of these
building blocks is the ligand that attaches specifically to the virus.
Identifying or creating a new ligand that binds to an escape mutant enables
creating a new drug, simply by replacing the ligand part of a drug already
known
to be reasonably safe and efficacious. The Company's scientists have developed
strategies for identifying and designing such ligands.
Ligand
Tuning(tm)
A
very
broad-spectrum nanoviricide can be made by using a ligand that binds to a very
large number of types and strains of a given virus. Usually, but not always,
it
is possible to identify a ligand that will provide such a broad specificity
against a particular virus.
Usually,
the broader the spectrum of a ligand, the lower is its efficacy level by itself.
Thus, it is always beneficial to develop highly efficacious narrow spectrum
drugs against potentially deadly diseases. Both high efficacy and low efficacy
ligands can be combined on the same nanomicelle for “tuning” the spectrum of
activity of the nanoviricide drug.
Background:
Bio-Defense - Emergency Preparedness
NanoViricides
Technology May be Well Suited for Bio-Terrorism and Emerging Disease Threat
Response
In
our
early stages of development, we have designed a building-block based approach
of
nanoviricides drug development which may have potential use against
bio-terrorism, accidental release of infectious agents, or natural outbreaks.
This building block approach might have the potential to allow us to
expeditiously develop a new drug to fight new and emerging threats. The Company
has shown this in multiple presentations to various agencies within the U.
S.
Department of Defense.
Background:
Bio-Defense “Rapid threat Response”
One
of
the long-term goals of the Company is to develop the ability to assist in the
response of governments to viral bio-threats, whether due to bio-terrorism
or
natural events. Such a response scenario may in fact be possible because of
the
building-block nature of the nanoviricides platform technology. In this
scenario, a base nanoviricide would be stockpiled under strategic national
and
international stockpiling programs, and a new drug could be developed against
a
threat even prior to identifying the actual pathogen that is the cause of the
public health crisis event. This capability is seen as extre