November 30, 2020

The Niche

Knoepfler lab stem cell blog

Midterm grades on my 20 x 2018 stem cell predictions

Every year in December I go out onto a limb and make stem cell predictions for the coming year as I did in late 2017 for this year. Then usually around the 1/2-way point through the year I check in on how the predictions are faring so far at that point.

In this post I give my 2018 predictions (pasted below) the 1/2-way point checkup. Things are off to a reasonably strong start for the old stem cell crystal ball.  For the grading, green is already accurate and orange is either “not yet” or “not clear enough yet”.

What are your predictions for 2018? How about 2019 predictions? For next year, I’ll publish my attempt at being a stem cell oracle in about 5 months.Stem cell predictions

  1. Combo cell-gene therapy continues hot, but with both ups and downs. Combination cell-gene therapy makes more big news including probably additional FDA RMATs here and possibly 1 more drug approval. Some of this could be CAR-T stuff, but probably other work too in this area such as 2017’s epidermal regeneration. Hopefully more ups than downs. Checkup: Yes. Very hot in 2018 and unfortunately the prediction was right about there being downs too as FDA has put a hold on a key CRISPR Therapeutics trial.
  2. At least 20 total FDA RMATs. The FDA continues issuing a steady stream of RMATs getting to a total of 20 or probably more (including those issued in 2017.) Does a dubious stem cell clinic-related biz get one in 2018? Possibly, but if so, I’d bet no more than one such firm and it has an IND first. Checkup: Yes as I’m told that FDA leadership announced at a meeting the 20 RMAT mark this month just days ago. My RMAT list is regulated updated and stands at 19 in the public domain.
  3. More IPSC movement in Japan. More IPS cell regenerative medicine progress in Japan including 1 new clinical trial/study beyond Masayo Takahashi’s work. Checkup: Yes. See this post on a new heart study and the debate over whether the Japanese regenerative medicine oversight system is too lax.
  4. IPSC step forward in USA too. A major step forward for IPS cell clinical trial efforts in the U.S., probably at least 1 notable IND. Checkup: Not yet.
  5. In utero experimental interventions make news. There is a lot of interest in having impact on developing fetuses during pregnancy including via stem cells. At least 1 high-profile study or news development. Checkup: Yes, see the big news here.
  6. ESCR in USA funding stays OK. Assuming Trump is still president throughout 2018 and not Pence, we do not see any concrete restrictions (no new federal law or Presidential action) on embryonic stem cell research (ESCR) in the U.S. Trump just doesn’t personally care about it and Pence has little influence on social issues with him. Checkup: So far, yes!
  7. CRISPR human embryo news. More big new CRISPR human embryo news and/or pubs including at least 1 more “knockout” paper in viable human embryos, probably from Fredrik Lanner’s lab (see interview here). More from Kathy Niakan? See my review of her CRISPR OCT4 knockout human embryo work hereCheckup: Not yet. I’m kind of surprised given the momentum last year.
  8. Parkinson’s Disease advance. A major step forward on stem cell-based therapies for PD, possibly including 1 IND. Checkup: Not yet, but Lorenz Studer’s ISSCR 2018 talk suggests a major PD step forward is coming soon.
  9. Dubious clinics’ MSM ads continue to flow. The trend of mainstream media ads for stem cell clinics continues in a big way. Anyone seen TV commercials yet? Checkup: Yes, unfortunately. Someone even said they saw stem cell commercials on TV.
  10. Ma, et al. human embryo CRISPR pub arguments: limbo at best. The main conclusions of that Mitalipov lab Ma Nature paper on interhomologue repair in human embryos with CRISPR are not conclusively confirmed. They remain at best in limbo throughout most or all of 2018. Checkup: So far, yes. Strangely so far Nature has not published the Egli, et al. matters arising piece…or I missed it.
  11. Clearer CIRM path to 2020 effort. CIRM supporters firm up plans for a new California state proposition effort for 2020, which probably includes a continued plan for an initiative for more funding. Checkup: Getting some hints, but I’ll score this as not quite yet as there’s not that much clarity.
  12. At least one state steps up on dubious clinics. At least one state takes legal action on stem cell clinics in its borders. This could be a medical board or some other state governmental body. Checkup: Yes, see this post on North Dakota! More to come I think.
  13. Some unusual FDA action on dubious clinics. The FDA issues more than 1 warning letter to dubious stem cell clinics and/or takes some other bold action in 2018 such as an injunction or some other strong step that clearly breaks with what it’s done in the past. Checkup: Yes, big time with 2 big suits via the DOJ.
  14. Other Feds step in too. Some other federal body takes an interest in dubious stem cell clinics. Checkup: Not yet, but still possible.
  15. More patients sue. One or more new patient lawsuits against direct-to-consumer stem cell clinics. Checkup: Yes, more suits.
  16. Clinic strikes back, threatens suit. At least one clinic selling non-FDA approved stem cells threatens to (or does) sue a regulator, a patient, or other critic. We saw one such threat in the news in 2017 and there were more behind the scenes too in 2017 too. Checkup: Nope, not that I know of.
  17. Florida stem cell hot mess. The stem cell mess in Florida continues to heat up. Even though California has more clinics, Florida probably makes more news with problems. Checkup: Yes.
  18. Clinic leaks. An insider at a direct-to-consumer stem cell clinic leaks information or documents that aren’t flattering for the biz, or somehow such info comes to light, perhaps via a lawsuit. Checkup: Not yet.
  19. A biotech gets a boost, but the bummer is that overall stem cell biotech stocks continue to struggle. As to the former, a well-known stem cell-related biotech is either acquired or has an IPO. Checkup: Mixed bag, stay tuned.
  20. Anti-aging efforts spark more news and controversy. This could be young blood, specific anti-aging stem cell-related factors, and/or actual stem cells. Checkup: Yes. See here for example.
%d bloggers like this: