Over the years, gene therapy has become pretty significant. Research has shown that genes we are born with can be somehow be flawed and there are potentially more than 7,000 genetic diseases in the world today. These genetic diseases are shown to result in the loss of critical enzymes and proteins in our bodies. Unfortunately, the loss of normal proteins and enzymes can lead to disease conditions that range from levels of mild to deadly.

Although these types of diseases are considered pretty rare, one-in-ten people may experience a rare disease. The total cost of treatment is between $2-$4 Trillion per year or as much as 40-50% of global healthcare spending. Gene therapy basically provides an alternative to lifetime palliative treatment of these rare diseases. It gives us the ability to replace or edit defective genes to relieve the underlying cause of these conditions.

Genprex Inc (Nasdaq: GNPX) is one of the few clinical stage companies offering exciting investment opportunities in a segment growing at a compound annual growth rate of 19.1%.

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It is one of the few plays trading at highly discounted levels while developing therapies and technologies for treating a range of disorders, such as inherited diseases and cancers. Rather than treating patients with drugs or surgeries, Genprex is working on therapies that insert genes into a cell to cure various diseases caused by genetic variants. Gene therapies stand out partly because they are one-time events, although there might be additional dosages. 

With the Gene therapy market expected to grow to $29.47 billion from $7.54 billion in 2022, there is every reason to be bullish about Genprex's growth metrics and long-term prospects. 

Here are a few reasons why Genprex should be on your watchlist. 

TOP GNPX HIGHLIGHTS

* GNPX stock is trading near a 52-week low with RSI near 46 - A strong bounce can happen at anytime.

* Dawson James has a Buy rating on the stock and an average price target of $5.61 - representing over 500% upside potential from current levels. 

* Genprex is home to some of the best technologies designed to administer disease-fighting genes most effectively. 

* Genprex has made impressive strides in developing REQORSA, its novel treatment for lung cancer. 

* With the Gene therapy market expected to grow to $29.47 billion from $7.54 billion in 2022, there is every reason to be bullish about Genprex's growth metrics and long-term prospects. 

Robust Gene Therapy Technologies

Genprex (GNPX) is home to some of the best technologies designed to administer disease-fighting genes most effectively. As a result, its technologies have the potential to provide new breakthrough therapies for large patient populations struggling with cancer and diabetes. 

Nanoparticle Delivery System is the first systemic gene therapy delivery platform that can be used to enclose plasmids that deliver tumor suppressor genes. It also administers encapsulated plasmids which are taken up by tumor cells and express any missing proteins in the tumor cells. 

In addition, the company has REQORSA, a leading immunogen therapy drug for non-small cell lung cancer. The therapy is administered through the company's systemic gene therapy platform for cancer. 

Finally, Genprex boasts of game-changing GPX-002, a diabetes gene therapy comprising a novel infusion process. It relies on an endoscope and adeno-associated virus vector to deliver Pdx1 and Mafia to the pancreas.

Lung Cancer Treatment

REQORSA is the company's lead candidate drug currently in clinical trials for the treatment of non-small cell lung cancer and small cell lung cancer. The novel treatment positions Genprex to be a key player in treating lung cancer, the leading cause of death worldwide. Lung cancer causes more deaths than colorectal, breast, liver and stomach cancer. With the limited benefit from current therapies, Genprex novel candidate drug has what it takes to address the unmet medical need, more so in lung cancer patients. 

After successful clinical trials, the candidate drug has already received fast-track designation from the Food and Drug Administration. In a recent Acclaim-1 phase, ½ clinical trial REQORSA, combined with tagrisso(R) (osimertinib) for treating small cell lung cancer, was well tolerated with no dose-limiting toxicities. The Safety Review Committee has already approved continuation into phase 2 expansion. A combination of REQORSA and Osimertinib has already received Fast Track designation from the FDA for use in the Acclaim-1 patient population. 

Genprex (GNPX) is already conducting preclinical research as it looks to explore REQORSA's potential use in other solid tumors. It is also exploring how other cancer-fighting genes can be used on its non-viral gene therapy platform. 

Multidisciplinary Management Team

Genprex's (GNPX) long-term prospects are further affirmed by its multidisciplinary team of executives and advisors. The broad business experience in biotech and pharmaceutical that the team brings should allow the company to accelerate the development of its novel treatment for lung cancer and address the significant unmet medical need. 

The management team boasts of highly experienced personnel as part of its scientific advisory board that reviews research and development activities and provides recommendations to accelerate the development of the moving treatment. There is also a clinical advisory board tasked with overseeing clinical trials to ensure they are up to board or approval by the FDA. 

While insiders own about 4.5% of GNPX, their interests are perfectly aligned with that of investors. Likewise, institutions owning about 7.8% of the stock underscore the strong belief in the company's gene therapy pipeline. 

In the near term, the investment community could elevate the value of GNPX closer to that of its peers. 

ANEW MEDICAL, INC. (OTC: LEAS) was established with the mission to create and deliver groundbreaking therapies that can effectively combat and potentially reverse the advancement of cancer and neurodegenerative conditions by utilizing cell and gene therapy. Their primary objective is to develop cutting-edge treatments for individuals diagnosed with cancer, Alzheimer's disease, Parkinson's disease, and amyotrophic lateral sclerosis (ALS) or commonly known as Lou Gehrig's Disease.

ANEW MEDICAL, INC. has been awaiting approval from FINRA for a broker name change and a reverse merger involving Strategic Asset Leasing (OTC PINK: LEAS) for the past year. ANEW MEDICAL, INC. has successfully obtained pharmaceutical and biotechnology assets within the medical oncology, biologics, and gene therapy fields of the pharmaceutical and biotechnology industry. The company is currently evaluating various financing options to support its operations.

On May 30, 2023, ANEW MEDICAL, INC. made an announcement regarding its definitive merger agreement with Redwoods Acquisition Corp. (NASDAQ: RWOD; "Redwoods"), a publicly traded special purpose acquisition company (SPAC). ANEW MEDICAL's common stock is currently listed on the OTC Markets under the symbol "LEAS".

The merger agreement values the combined company at an estimated pro forma enterprise value of approximately US$94.0 million (assuming no redemptions), and existing ANEW MEDICAL stockholders will retain 100% equity in the combined company. ANEW MEDICAL stockholders may also be eligible to receive additional shares through an earn-out arrangement based on the combined company's stock performance following the completion of the merger. The transaction is expected to generate around US$54 million in cash proceeds, assuming no redemptions from Redwoods stockholders. It's important to note that these values do not include up to five million additional earn-out shares, which would be issued to ANEW MEDICAL stockholders if certain stock performance requirements are met. Once the merger is finalized, the combined company will operate under the name ANEW MEDICAL and intends to remain listed on NASDAQ.

Voyager Therapeutics (Nasdaq: VYGR) is a biotechnology company dedicated to breaking through barriers in gene therapy and neurology. The potential of both disciplines has been constrained by delivery challenges; Voyager is leveraging cutting-edge expertise in capsid discovery and deep neuropharmacology capabilities to address these constraints. Voyager's TRACER AAV capsid discovery platform has generated novel capsids with high target delivery and blood-brain barrier penetration at low doses, potentially addressing the narrow therapeutic window associated with conventional gene therapy delivery vectors. This platform is fueling alliances with Pfizer Inc., Novartis and Neurocrine Biosciences as well as multiple programs in Voyager's own pipeline. Voyager's pipeline includes preclinical programs in Parkinson's disease, Alzheimer's disease, and amyotrophic lateral sclerosis (ALS), each with validated targets and biomarkers to enable a path to rapid potential proof-of-biology.

Voyager's TRACER(TM) platform, known as Tropism Redirection of AAV by Cell-type-specific Expression of RNA, offers a versatile method for discovering AAV capsids. This RNA-based screening platform allows for quick identification of AAV capsids that effectively penetrate the blood-brain barrier and exhibit enhanced tropism in the central nervous system (CNS) across various species, including non-human primates (NHPs). Capsids generated through TRACER have demonstrated exceptional gene expression throughout the CNS, surpassing the capabilities of conventional AAV capsids. They also exhibit specific transduction in cells and tissues, including previously inaccessible areas of the brain. Furthermore, studies have shown that certain capsids possess improved targeting of cardiac muscle and reduced targeting of the dorsal root ganglia. Voyager is actively expanding its collection of AAV capsids optimized for delivering diverse therapeutic payloads to treat a wide range of CNS and other diseases. Through collaborative partnerships, Voyager aims to provide its advanced TRACER capsids to support gene therapy programs targeting various diseases.

"The results presented confirm the efficacy of our TRACER capsid discovery platform in consistently generating capsids capable of crossing the blood-brain barrier," remarked Todd Carter, Voyager Therapeutics' Chief Scientific Officer. He added, "The observed tropism across different non-human primate species, as well as the identification of a receptor expressed in humans, enhances our confidence in the potential translation of these capsids into human clinical trials, paving the way for gene therapies targeting neurological diseases."

TRACER AAV Capsid Discovery Platform

Through a process of directed evolution using an AAV9 library, a variant capsid with improved brain tropism and reduced liver targeting in non-human primates and mice following systemic administration was identified (Oral Presentation).

First unveiled at the ASGCT 2022 conference, the novel capsid, VCAP-102, derived from TRACER, has displayed tropism for the central nervous system in both mice and non-human primates (NHPs). A recent study conducted on marmosets demonstrated that intravenous administration of VCAP-102 resulted in 450-fold higher transgene expression compared to a conventional AAV9 benchmark capsid, achieving over 50% cell transduction in multiple brain regions at a dose of 2E12 vg/kg. Further evaluation involving intravenous administration of VCAP-102 in African green monkeys revealed transduction in various regions of the brain, including the frontal, motor, temporal, and cerebellar cortexes, putamen, caudate, and hippocampus. Compared to a conventional AAV9 benchmark capsid, these brain regions experienced 38-fold to 186-fold increases in transduction. Additionally, VCAP-102 demonstrated reduced targeting of the dorsal root ganglia (DRG) and liver. The capsid showed similar levels of transduction in both neurons and astrocytes. Iterative evolution of the VCAP-102 capsid led to the development of a second generation of capsids with further improvements in blood-brain barrier penetration and reduced liver targeting relative to VCAP-102, as observed in cynomolgus macaques.

Avrobio (Nasdaq: AVRO) A clinical-stage gene therapy company striving to halt or reverse

disease with a single dose. They target the root cause of genetic disease by introducing a functional copy of the affected gene into patients' own hematopoietic stem cells (HSCs), with the goal of durably expressing the therapeutic protein throughout the body, including the central nervous system. Their first-in-class pipeline includes clinical programs for Gaucher disease and cystinosis, as well as preclinical programs for Hunter syndrome and Pompe disease.

On May 22, 2023, AVROBIO, Inc. (Nasdaq: AVRO), made an announcement regarding the sale of its ongoing cystinosis hematopoietic stem cell (HSC) gene therapy program to Novartis for a cash sum of $87.5 million. AVROBIO will retain complete ownership of its collection of pioneering HSC gene therapies for Gaucher disease type 1 and type 3, Hunter syndrome, and Pompe disease. The funds generated from this transaction are projected to provide financial support for AVROBIO until the fourth quarter of 2024. Erik Ostrowski, AVROBIO's interim CEO and current CFO, stated, "This agreement reinforces AVROBIO's financial position, refines our pipeline strategy, and serves as a strong validation of our HSC gene therapy approach and plato® gene therapy platform."

Cystinosis is a rare and progressive disease that imposes a heavy treatment burden and lacks effective treatment options. The Phase 1/2 clinical trial, which is fully enrolled, is monitoring the long-term safety and efficacy of a gene therapy approach in six adult patients with the most severe form of cystinosis. These patients had previously received the standard treatment, cysteamine. In the trial, the patients' own hematopoietic stem cells (HSCs) were genetically modified to produce a functional version of the cystinosin protein, which is deficient in individuals with cystinosis. Promising preliminary data indicate that after gene therapy, functional cystinosin is being produced throughout the body, as demonstrated by clinical assessments in various tissues such as the eyes, skin, gastrointestinal mucosa, and through neurocognitive tests indicating activity in the central nervous system. Importantly, no adverse events related to the treatment have been reported so far.

AVROBIO's Chief Medical Officer, Dr. Essra Ridha, expressed optimism about the potential of genetically modifying patients' own HSCs to restore functional cystinosin, leading to systemic reduction of cystine accumulation. This progress sets the stage for a clinical trial that could potentially pave the way for regulatory approval.

In addition to the presented data, AVROBIO announced positive and constructive interactions with regulatory authorities, including the U.K. Medicines and Healthcare products Regulatory Agency (MHRA) and the U.S. Food and Drug Administration (FDA), aimed at aligning on regulatory paths and obtaining valuable feedback on the program.

Further data demonstrate that investigational HSC gene therapy has lasting systemic effects on neurocognitive measures, reducing cystine levels in the blood, as well as crystal accumulation in the skin and gastrointestinal mucosa.

Follow-up data indicate that patients who underwent HSC gene therapy can produce functional cystinosin protein throughout their bodies. As a result, cystine levels in the blood have decreased below baseline in all six patients and have remained stable for up to 36 months post-treatment. Skin and gastrointestinal mucosa biopsies of the first four patients, observed for at least 12 months with two patients monitored for up to 24 months, reveal a decrease in tissue cystine crystals below baseline.

Individuals with cystinosis typically experience a decline in visual spatial and visual motor function over time, as measured by standardized tests assessing the brain's ability to interpret and translate visual information into precise motor responses. However, the first four patients treated with gene therapy have shown either improvement or stabilization of scores on the Beery-Buktenica Developmental Test of visual motor integration, even up to 36 months post-treatment, indicating a potential impact on the disease's neuropathology.

This data confirms and extends previous findings, demonstrating the durability of the treatment effect for up to 36 months.

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