Jennifer S. Buell
Thanks, Emily. So for the first, these are fully funded. Now MiNK does retain the ability with the partnership that we have with the university as well as the PIs to provide support if there are specific questions that we want to ask, biomarker questions, translational data, things that are not currently drafted into the program that are ancillary and may strengthen some of the scientific literature with this. So it's at our discretion. So the trials are going to be going without our capital infusion, but infusion at our discretion. So it gives us quite a bit of flexibility to interrogate more biomarkers and expand the trial or support acceleration of the program in some capacity. Respiratory distress, this is near and dear to us. We have some announcements that we are planning to come out relatively soon. Our observations, just as a quick reminder, is that we saw patients who were elderly intubated -- mechanically ventilated in some on VV- ECMO. And we not only saw substantial improvements over what's best available care for patients right now in the ICU with survival exceeding 80% in patients on VV-ECMO and 75% on those mechanically ventilated, which particularly at the time that we studied and this was when patients -- this was in the early time during the pandemic when patients were dying at very rapid rates. The comparable controls from a control group in the same centers that we were testing the cells, the survival was between 10% and 22%. So these data have excited us quite a bit. And importantly, we've also had the opportunity to interrogate some of the cytokines, the local immune modulation of these cells and we published the anti-inflammatory signal. Secondly, we also observed a reduction in secondary infections, including no bacteremia, fungemia, et cetera. We also had a couple of emergency use cases, some of which we just dosed the cells and others, we have the opportunity to dose the cells plus commercially available cytokines. And what we've observed is that these cells are the most critically important component of the regimen for these patients. You'll be seeing some data coming out relatively soon showing that upon administering these cells within 24 to 40 hours, we could see complete emanation of fungemia particularly cocci, which is a problem and it's causing atypical pneumonia, which is growing in prevalence in our country and worldwide. So that is really quite concerning. We believe that this trial will address a few things. One, that the FDA has clear guidance on the outcomes of respiratory distress despite the fact that there are currently no approved trials, no approved products to treat respiratory distress in patients right now. This therapy appears to be in the words of Dr. Terese Hammond, our lead investigator, the most broadly acting therapy that she has had her hands on in the ICU. We will look at 28-day mortality. That's the FDA's convention and what they've suggested to us. We will also look at prevention of secondary infections. We will look at ventilator-free days, so getting patients off of a ventilator to also help prevent some comorbidities associated with the ventilator use, and we will look at oxygenation as well as an important part of this. And in our clinical trial, we observed that we very quickly enhanced pulmonary function and also oxygenation in the lungs upon administration of the cells. So this trial will be designed to give us the full scope of what these cells can do with primary endpoints designed for FDA registration. And that is something that we will certainly do in partnership with the FDA.