A 'high-risk, high-re­ward' ef­fort on NGF pain med fas­inum­ab by Re­gen­eron, Te­va clears a re­vised PhI­II -- se­ri­ous ques­tions linger

Just a few months af­ter Re­gen­eron $REGN and its part­ners at Te­va $TE­VA were forced to drop the two high-dose arms of their Phase III study of the NGF pain med fas­inum­ab, re­searchers say the re­main­ing two low-dose arms cleared a late-stage hur­dle, open­ing the way to more Phase III tri­als as they hunt an elu­sive ap­proval for a brand new class of pain ther­a­pies.

This one isn’t easy.

Just a few months ago the top team at Re­gen­eron un­easi­ly ac­knowl­edged in a Q1 call with an­a­lysts that the in­de­pen­dent mon­i­tor­ing board had told them to shelve the two high­est dos­es in the study, cit­ing con­cerns about the risk/ben­e­fit pro­file. Once a dar­ling in Big Phar­ma cir­cles, NGF drugs were tied to se­vere ad­verse events that forced a lull in tri­al work from 2012 to 2015, un­til re­searchers could per­suade reg­u­la­tors that they could test it with­out threat­en­ing pa­tients. And Re­gen­eron and Te­va have al­ready en­dured a clin­i­cal hold for their pro­gram, which came right af­ter Te­va paid $250 mil­lion to part­ner on the ther­a­py.

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