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Houston biotech startup raises millions to battle pediatric cancer

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Allterum Therapeutics Inc. has built a healthy launchpad for clinical trials of an immunotherapy being developed to fight a rare form of pediatric cancer.

The Houston startup recently collected $1.8 million in seed funding through an investor group associated with Houston-based Fannin Innovation Studio, which focuses on commercializing biotech and medtech discoveries. Allterum has also brought aboard pediatric oncologist Dr. Philip Breitfeld as its chief medical officer. And the startup, a Fannin spinout, has received a $2.9 million grant from the Cancer Prevention Research Institute of Texas.

The funding and Breitfeld's expertise will help Allterum prepare for clinical trials of 4A10, a monoclonal antibody therapy for treatment of cancers that "express" the interleukin-7 receptor (IL7R) gene. These cancers include pediatric acute lymphoblastic leukemia (ALL) and some solid-tumor diseases. The U.S. Food and Drug Administration (FDA) has granted "orphan drug" and "rare pediatric disease" designations to Allterum's monoclonal antibody therapy.

If the phrase "monoclonal antibody therapy" sounds familiar, that's because the FDA has authorized emergency use of this therapy for treatment of COVID-19. In early January, the National Institute of Allergy and Infectious Diseases announced the start of a large-scale clinical trial to evaluate monoclonal antibody therapy for treatment of mild and moderate cases of COVID-19.

Fannin Innovation Studio holds exclusive licensing for Allterum's antibody therapy, developed at the National Cancer Institute. Aside from the cancer institute, Allterum's partners in advancing this technology include the Therapeutic Alliance for Children's Leukemia, Baylor College of Medicine, Texas Children's Hospital, Children's Oncology Group, and Leukemia & Lymphoma Society.

Although many pediatric patients with ALL respond well to standard chemotherapy, some patients continue to grapple with the disease. In particular, patients whose T-cell ALL has returned don't have effective standard therapies available to them. Similarly, patients with one type of B-cell ALL may not benefit from current therapies. Allterum's antibody therapy is designed to effectively treat those patients.

Later this year, Allterum plans to seek FDA approval to proceed with concurrent first- and second-phase clinical trials for its immunotherapy, says Dr. Atul Varadhachary, managing partner of Fannin Innovation Studio, and president and CEO of Allterum. The cash Allterum has on hand now will go toward pretrial work. That will include the manufacturing of the antibody therapy by Japan's Fujifilm Diosynth Biotechnologies, which operates a facility in College Station.

"The process of making a monoclonal antibody ready to give to patients is actually quite expensive," says Varadhachary, adding that Allterum will need to raise more money to carry out the clinical trials.

The global market for monoclonal antibody therapies is projected to exceed $350 billion by 2027, Fortune Business Insight says. The continued growth of these products "is expected to be a major driver of overall biopharmaceutical product sales," according to a review published last year in the Journal of Biomedical Science.

One benefit of these antibody therapies, delivered through IV-delivered infusions, is that they tend to cause fewer side effects than chemotherapy drugs, the American Cancer Society says.

"Monoclonal antibodies are laboratory-produced molecules engineered to serve as substitute antibodies that can restore, enhance or mimic the immune system's attack on cancer cells. They are designed to bind to antigens that are generally more numerous on the surface of cancer cells than healthy cells," the Mayo Clinic says.

Varadhachary says that unlike chemotherapy, monoclonal antibody therapy takes aim at specific targets. Therefore, monoclonal antibody therapy typically doesn't broadly harm healthy cells the way chemotherapy does.

Allterum's clinical trials initially will involve children with ALL, he says, but eventually will pivot to children and adults with other kinds of cancer. Varadhachary believes the initial trials may be the first cancer therapy trials to ever start with children.

"Our collaborators are excited about that because, more often than not, the cancer drugs for children are ones that were first developed for adults and then you extend them to children," he says. "We're quite pleased to be able to do something that's going to be important to children."

Houston expert calls for more innovation within the construction industry

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The construction industry has the opportunity to drive positive change through the development and deployment of technologies influencing the way we work and live, ultimately affecting our environment, communities, and personal well-being.

Carbon emissions come from a handful of broad categories, including transportation, electricity production, and industry. According to the International Energy Agency, more than a third of all global greenhouse gases come from the building and construction industry. Concrete production alone contributes an estimated 8 percent of global carbon emissions. As a result, in Houston, we are vulnerable to longer, hotter summers, stronger hurricanes and once-in-a-lifetime storms. But I'm optimistic that there is opportunity for our industry to come together and reverse the current trajectory.

We must continue developing and deploying new technologies and best practices to reduce emissions. By using data to understand the environmental implications of the materials we use, we can make adjustments that are beneficial to both our clients and the environment.

One such example is the Embodied Carbon in Construction Calculator, known as "EC3." Skanska USA developed the open-source, freely available software in collaboration with Microsoft and C Change Labs. The tool democratizes important building data and allows the construction industry to calculate and evaluate carbon emissions associated with various building materials.

Now hosted and managed by Building Transparency, a new 501c3 organization, the EC3 tool was incubated at the Carbon Leadership Forum with input from nearly 50 industry partners. Like the tech industry, we should promote knowledge-sharing among general contractors to drive innovation and sustainability.

The demand for this tool is growing because it's not only the right thing to do, but it also benefits our communities and drives stakeholder value. Now more than ever, clients want to be responsible global citizens and they know that adopting green building practices is attractive to their prospective workforce and their clients and customers.

In Houston, the current population of 7.1 million will double to 14.2 million by 2050. With that population growth comes the need for more housing, more office space and more transportation options. Last April, Houston enacted a climate action plan that sets goals aligned with those from the Paris accord — carbon neutrality by 2050.

Similar local plans have been and are continually being developed all around the world, a necessary step to address a global issue that impacts all of us. Like others, the Houston plan contemplates how to reduce carbon emissions that are the result of energy consumption which accounts for about half of Houston's greenhouse-gas emissions.

Innovations in energy efficiency can help drive down energy consumption. As conscientious global and local citizens, we also have to consider the emissions that are created by the raw materials that are used in construction. That's become a much easier process with the EC3 tool. Now architects, engineers and others involved in the design process can make data-driven decisions that can have significant impact on the carbon footprint — as much as a 30 percent reduction in embodied carbon — of a structure that are mostly cost-neutral.

Embodied-carbon reductions can be made simply by smartly using data. The EC3 tool is one of many steps toward innovative building practices and complements the important ongoing work done by the U.S. Green Building Council, which oversees LEED certification.

Opting for sustainable building practices is good for the environment, but it's also good for the people who will spend time in these spaces. Green building reduces the use of toxic materials, and studies have found that sustainable structures, such as schools, health care facilities and airports, have positive impacts on cognitive ability, seasonal affective disorder and overall happiness.

We are also seeing an influx of client requests for sustainable and healthy building upgrades, especially since the onset of COVID-19. These upgrades are changing the way we live and work while supporting infection control, from touchless elevators to advanced air filtration systems.

For example, innovation has been instrumental throughout the pandemic for the aviation industry's safe operation. Increased biometrics across airport touchpoints, flexible passenger gathering areas that include modifications to passenger hold rooms and departure lounges, and environmental monitoring and wayfinding technology to alert passengers of airport congestion points are a few new concepts airports are incorporating into builds to keep travelers healthy now and in a post-COVID world.

Overall, the construction sector will play an essential role in how we approach expanding the built environment over the next 30 years. Using data and striving for continual innovation, we have a great opportunity to come together as an industry and create real change that will benefit our collective lives and those of generations to come.

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Dennis Yung is executive vice president and general manager at
Skanska, one of the world's leading project development and construction groups, where he oversees building operations for Houston and North Texas.

These are the 7 newest health tech companies to join TMCx

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Last year, TMCx, the Texas Medical Center's health tech startup accelerator pivoted to digital programming.

The accelerator revamped its program to allow for an initial Bootcamp stage that would bring in a larger group of startups and then, after the boot camp, the program would move forward with a smaller group through the official acceleration process.

"We hosted 21 companies, representing six countries and 10 states, who each engaged with subject matter experts, clinical leaders, and corporate partners," writes Emily Reiser, senior manager of Innovation Community Engagement at TMC Innovation, in a blog post. "Over half of which ended Bootcamp in advanced discussions with hospitals and/or corporate partners."

Through the bootcamp, TMCx has accepted seven startups into the program. These companies are currently engaged with the TMC community and are receiving support, mentorship, and other opportunities.

Cardiosense

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Chicago-based Cardiosense, a medical device company with heart health tracking technology, is familiar with Houston innovation. The company won sixth place in the 2020 Rice Business Plan Competition, and the TMC's prize at the event.

Cognetivity Neurosciences

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Cognetivity Neurosciences, founded in the United Kingdom, is a digital health platform that taps into neuroscience and artificial intelligence to measure cognitive performance of patients in order to more effectively allow for early detection and management of neurodegenerative disorders.

Eleos Health

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Cambridge, Massachusetts-based Eleos Health is focused on helping behavioral health clinicians to optimize their efforts with an all-in-one behavioral health platform. It combines telehealth, measurement-based, and evidence-based care in one holistic solution, and is powered by therapy-specific voice analysis and natural language processing.

Harmonic Bionics

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Harmonic Bionics is one of two Lone Star State companies in the program. The Austin-based robotics startup is working on technology that can help improve upper extremity rehabilitation for patients.

Native Cardio

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Florida-based Native Cardio is tapping into technology to help find a solution to postoperative atrial fibrillation (POAF), which is the most frequent complication after cardiac surgery, occurring in up to 60 percent of patients, according to the company's website. The goal is to help reduce costs, increase accessibility, and improve quality of care.

Progenerative Medical

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Progenerative Medical, based in San Antonio, is working on a clinically-proven reduced pressure therapy to spinal and orthopedic indications to significantly improve clinical outcomes.

RCE Technologies

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Atlanta-based RCE Technologies is an artificial intelligence-enabled medical device company that has created a technology that can detect heart attacks early using non-invasive wearables.