We are pleased to provide our quarterly management report for Q3 2023 ending September 30, 2023.
Vivos Inc. continues to develop a Yttrium-90-based Precision Radionuclide Therapy™ brachytherapy injectable device, for the treatment of tumors in animals (IsoPet®) and humans (RadioGel™).
Brachytherapy uses highly localized radiation to destroy cancerous tumors by placing a radioactive isotope directly inside the treatment area using the company’s proprietary hydrogel formulation. The injection delivers therapeutic radiation from within the tumor without the entrance skin dose and associated side effects of treatment that characterize external-beam radiation therapy. This feature allows the safe delivery of higher doses needed for treating both non-resectable and radiation-resistant cancers.
Vivos Inc. is also engaging the FDA for clearance to market RadioGel™ for the treatment of advanced thyroid tumors in humans.
Intellectual property remains a priority.
We have created a robust Quality Management System. This includes documents, GLP validations, and GLP test plans and reports. This is necessary to prepare for FDA audits that occur when we initiate human clinic studies.
IsoTherapeutics is our primary manufacturing contractor for our hydrogel and particle components, but from a risk mitigation perspective we are to establishing an additional supplier. For almost two years we have been working with Jay Simon, the GM for North America, for Eckert & Ziegler to be our alternate. They engaged in detailed discussions of our proprietary procedures and have visited our production site, and we are confident a supply agreement can be established.
We finalized and patented our support equipment from shipping to therapy. We are currently focusing on developing an inventory of each item.
We are continuously striving to reduce the production cost of IsoPet to enhance our potential profitability and to make it more affordable to the typical pet parent. This requires paying close attention to every production step and standardization, setting the stage for possible future automation.
Marketing to pet parents, clinic owners, veterinarians, and oncologists is complex. Aside from utilizing advertisements in key journals and the social media, the following activities are important:
1. Open new small animal and equine clinics that are reasonably close for pet parents to access.
a. This quarter we certified a new small animal clinic, Indian Creek Veterinary Hospital in Fort Wayne IN, and two new equine clinics, Myhre Equine Clinic in Rochester NH and Hopkinton Animal Hospital in Weare NH.
b. We are currently in contact with several other clinics.
2. Participate in conferences to interface with the animal therapy community.
a. Last Quarter
b. This Quarter
c. Next Quarter
d. Next Year
Dr. Darrell Fisher submitted an abstract: “Direct Interstitial Injection: An Approach to Optimizing Therapeutic Ratios for Safe and Effective
Delivery of High-dose Radionuclide Therapy in Treating Solid Tumors”
– Darrell R. Fisher, Versant Medical Physics and Radiation Safety; Michael K. Korenko, Vivos, Inc.
3. Perform animal studies that result in publications in key journals.
a. Next quarter we will complete the VX2 tumor injection at Johns Hopkins Veterinary Clinical Trial Network within the approved IUCUC protocol.
This will result in two publications.
b. Next year we intend to follow-up with a new small animal study at JHU and an equine study at a university located near “equine territory.”
c. Longer term we will conduct other studies using mice models to support future indications for use, such as lung cancer.
4. Next quarter Dr. Bill Bradly, owner of the New England Equine Practice, will conduct an experiment to determine if IsoPet is effective in treating caudal heel pain syndrome, sometimes called navicular syndrome. This is a complex syndrome, but if IsoPet is effective, this is a new and large market.
Our next IDE application will be an amendment to the previous submittal. We are systematically preparing the answers to the 60 previous FDA comments. And as we near completion we felt it was worth the investment to redo a few studies to ensure that the FDA comments are fully addressed. This includes the polymer and hydrogel shelf-lives, the effect of radiation on the hydrogel, and the effect of polymer freeze-thaw cycles on the hydrogel properties. These tests will be completed next quarter (Q4).
Important content is the VX2 Tumor Animal Study report and executing the Genotox protocol:
After receiving FDA approval to conduct clinical trials we need formal approval from the Mayo Clinic IRB. In anticipation of this step and to help expedite the proccess we have submitted the Clinical Trial Protocol to their “gatekeeper” for comments. We have also been conducting certification training for Dr. Paz Fumagalli. Next quarter we are planning to complete the final training certification step using high activity RadioGel™ in a full-dress rehearsal operating theater.
Mike Korenko, Sc. D
CEO & President Vivos Inc.
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Vivos Inc.
Michael K. Korenko, Sc.D.
CEO & President