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| Revivicor
addresses large markets and solutions for diseases with large unmet clinical need: Regenerative medicine
offers the promise that failing organs or nonfunctional cells need no longer be tolerated;
instead, they can be rejuvenated or replaced with healthy cells, tissues or organs. Many
products can be envisioned in a regenerative medicine world that can overcome the
destruction of human degenerative disease, from transplanted islet cells that can cure
diabetes, to whole organ replacement. |
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Revivicors
vision is the commercialization of therapies that can treat and cure serious
human disease through regenerative medicine; namely, the replacement of cells, tissues,
and organs. Revivicor's focus is the commercialization of treatments for
diabetes and whole organ transplantation, developed from the significant advances made in
the fields of xenografts and tolerance technologies, which are core
competencies of Revivicor. In addition to the regenerative medicine
portfolio, Revivicor also has a rapidly progressing research program for the production of
polyclonal antibodies in livestock. Revivicor was formed as a spinout of PPL Therapeutics plc to address this emerging field of regenerative medicine, and includes 25
dedicated professionals from PPL's US division in Virginia as well as a Pennsylvania
subsidiary that will conduct pivotal animal and clinical studies involving pancreatic
islet cells and whole organs. PPL plc has spun out its US division in an effort to
focus its existing capital on late stage programs, while providing the regenerative
medicine unit the ability to devote its own focus to these emerging technologies in
development. Revivicor's investors are the University
of Pittsburgh Medical Center (UPMC) Health System, Highmark Health Ventures Investment
Fund, L.P., and Fujisawa
Investments for Entrepreneurship, LP Revivicor has established a
portfolio of platform technologies largely built around our world-leading research in
animal cloning and cellular reprogramming. The parent company, PPL Therapeutics Plc, from
which Revivicor was formed, is widely known for its groundbreaking efforts in cloning,
having produced "Dolly" the cloned sheep. Revivicor's lead program in
xenografts is focused on the production of whole organs and therapeutic cells, including
insulin-producing cells for diabetes, from genetically modified pigs. Revivicor's
scientific team leads the field in the production of cloned, transgenic pigs, having
produced the world's-first cloned pigs
(March 2000), as well as the first cloned
"knockout" pigs lacking both copies of the gene responsible for triggering
acute immune rejection in humans. This development now advances the long-held hope for
supplying unlimited quantities of tissues and organs available for transplant to humans.
Revivicor is collaborating with Dr. Thomas E. Starzl and other leading scientists at the
University of Pittsburgh on key pig-to-primate studies, looking at long term survival
and function of pig organs, as well as islet cell transplants for reversal of diabetes.
Dr. Starzl is a transplant pioneer and the developer of the immunosuppressive drug,
FK506. With the initiation of these studies, Revivicor is now approximately
two years away from human clinical trials. This is an unprecedented medical, societal, and
commercial opportunity in bringing a major advance to the entire field of transplantation. |
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Worldwide,
3 million patients suffer with Type 1 diabetes (these patients are unable to produce
sufficient levels of insulin due to a defective pancreas) and 50 million patients have
Type 2 diabetes (these patients are unable to effectively utilize insulin). The total
economic burden in the US has been estimated to be $98 billion. Today, transplantation of
donated islets has been shown to be technically feasible. The Edmonton protocol (Shapiro
et al.) demonstrated that patients with Type 1 diabetes and a history of severe
hypoglycemia can become insulin-free through islet cell transplantation. Islet cells
isolated from harvested cadaver pancreases are injected into the portal vein of the liver.
This procedure, which has been perfected at a number of clinical centers worldwide,
including at the University of Pittsburgh Medical Center, offers the opportunity to
forever change the field of diabetes treatment. However, it suffers from the same
problem affecting whole organ transplant: a limited supply of donor material. The protocol
requires 600,000 functional islets, the equivalent of two donor organs after islet
isolation. As human pancreases are in very short supply, there is clearly a huge unmet
clinical need in sourcing islets or insulin-producing cells. The field of diabetes
therapeutics is obviously quite competitive, primarily due to the large patient
population, unmet clinical need, and sizable market potential. Revivicors
porcine-derived genetically modified islet cells provide a number of advantages over
existing technologies and therapies. Unlike insulin therapy, which has a number of serious
side effects, and is difficult to regulate, whole islets or insulin-producing cells offer
natural, glucose-responsive, endogenous control of insulin levels. Because these cells
have been modified to inhibit rejection, they can be maintained in the body without
encapsulation, using protocols similar to those developed by the Edmonton group for human
islets. The pig source of islets is unlimited, fully scalable in specific-pathogen-free
(SPF) pig facilities, and thus would be amenable to large scale, FDA-regulated
manufacturing practices.
In the case of
donated organs or tissues from another individual, allotransplantation works reasonably
well (e.g. kidneys, hearts, bone marrow), however, there are two major disadvantages. One
is the very limited supply: The United
Network for Organ Sharing reports there are approximately 80,000 on the waiting list
in the US alone, and every day, 16 people die waiting for available organs. Another is the
high cost of human-to-human organ transplantation and the economic burden to keep patients
alive while they wait (the US spends almost $35 billion annually to care for patients with
end stage organ failure.). An unlimited supply of donor organs from genetically
modified pigs offers a unique solution to these problems. |
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The
core research and development arm of Revivicor is headquartered in Virginia, while the
clinical work is focused in Pennsylvania at UPMC. The scientific programs of
Revivicor have received funding from both internal PPL R&D expenditure of more than $8
million since 1996, as well as external funding from the Advanced Technology Program
("ATP"), part of the U.S. Department of Commerce. |
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Using
the Companys core competency in genetic modification of livestock for therapeutics,
Revivicor has also received a 3-year $3.1 million contract from the US Dept. of Defense (DARPA) to produce
human antibodies in pigs and cattle as biowarfare countermeasures against agents including
anthrax and other infectious agents. The DARPA funded program is focused on using gene
knockout and cloning technology to delete the pig and cow antibody producing genes and to
replace them with human equivalents such that these animals will produce fully human
polyclonal antibodies for infectious disease applications. Revivicor retains full
commercialization rights for all nonmilitary applications. Polyclonal antibodies for a
broad range of infectious disease targets including influenza, HIV, hepatitis, CMV,
antibiotic resistant pediatric infections, autoimmunity, and cancer, comprise a very large
market which is projected to be in excess of $5 billion by 2010. Revivicor has core
competencies in nuclear transfer (cloning), embryology, stem cell biology, molecular
biology, immunology, and transgenic animal technology, and has delivered world-leading
results in these fields. The application of this know-how has led to opportunities in the
emerging field of regenerative medicine, and offers unprecedented potential for the
treatment of human disease. |
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