A bruised Eli Lil­ly buys rights to Cen­trex­ion's ear­ly-stage pain drug for $47.5M up­front

Eli Lil­ly is work­ing on putting its woes in the rearview mir­ror. In re­cent months, a late-stage fail­ure trig­gered the with­draw­al of its can­cer drug Lartru­vo, the US drug­mak­er rel­e­gat­ed two mid-stage drugs to the scrap heap, and Japan flagged safe­ty con­cerns as­so­ci­at­ed with its breast can­cer treat­ment, Verzenio.

On Tues­day, the US drug­mak­er said it was ac­quir­ing the rights to an ex­per­i­men­tal ear­ly-stage non-opi­oid pain drug from Cen­trex­ion for $47.5 mil­lion up­front. The Boston-based com­pa­ny ac­quired the chron­ic pain drug CN­TX-0290 — a small mol­e­cule so­mato­statin re­cep­tor type 4 (SSTR4) ag­o­nist — from Boehringer In­gel­heim in 2016.

Af­ter kick­ing off the year with a bang with $8 bil­lion agree­ment to buy Loxo, in a deal forged in 10 days, things for Lil­ly $LLY have on­ly gone south. Last month, the com­pa­ny slashed its 2019 fore­cast by $3 bil­lion — re­flect­ing the Elan­co An­i­mal Health spin off — and is in des­per­ate need for as­sets to im­prove its pipeline and prospects.

Apart from the is­sues out­lined above, Lil­ly is al­so strug­gling on the R&D side. Ear­li­er this year, re­searchers re­newed safe­ty fears about its once-tout­ed block­buster con­tender tanezum­ab and the larg­er an­ti-NGF pain drug class; the com­pa­ny aban­doned a mid-stage BTK in­hibitor, shrug­ging off a $690 mil­lion pact for the im­munol­o­gy drug — in-li­censed from Ko­rea’s Han­mi three years ago; part­ner In­cyte $IN­CY halt­ed all fur­ther R&D in­vest­ments in Olu­mi­ant, a JAK in­hibitor that bare­ly man­aged an FDA ap­proval, with a low­er dose than Lil­ly had ad­vo­cat­ed for af­ter reg­u­la­tors raised se­ri­ous safe­ty con­cerns about the drug — and the class; and then there’s the Alzheimer’s drug solanezum­ab, which has failed three piv­otal pro­grams but is still mar­i­nat­ing in late-stage de­vel­op­ment, de­spite most ob­servers hav­ing writ­ten it off as col­lat­er­al dam­age in the all-but-dead amy­loid be­ta hy­poth­e­sis.

Lil­ly’s ex­ist­ing drugs aren’t in the best shape ei­ther. The com­pa­ny is fac­ing fierce pres­sure to rein in the prices of its ar­se­nal of di­a­betes drugs, while its erec­tile dys­func­tion treat­ment Cialis is be­ing eat­en up by gener­ic com­pe­ti­tion.

Jef­frey Kindler Linkedin

In the deal an­nounced on Tues­day, Cen­trex­ion may be el­i­gi­ble for up to $575 mil­lion in po­ten­tial de­vel­op­ment and reg­u­la­to­ry mile­stones. If CN­TX-0290 is ap­proved, Cen­trex­ion could get an­oth­er $375 mil­lion in po­ten­tial sales mile­stones and tiered roy­al­ties.

The pri­vate­ly-held com­pa­ny, led by for­mer Pfiz­er $PFE chief Jef­frey Kindler, re­port­ed­ly post­poned its plans for a $75 mil­lion IPO last No­vem­ber. Its lead drug, CN­TX-4975, is in late-stage de­vel­op­ment. The ex­per­i­men­tal treat­ment is a man-made ver­sion of chili plant ex­tract trans-cap­saicin and is de­signed to work by in­ac­ti­vat­ing lo­cal pain fibers trans­mit­ting sig­nals to the brain.


Im­age: Shut­ter­stock

Brian Kaspar. AveXis via Twitter

AveX­is sci­en­tif­ic founder fires back at No­var­tis CEO Vas Narasimhan, 'cat­e­gor­i­cal­ly de­nies any wrong­do­ing'

Brian Kaspar’s head was among the first to roll at Novartis after company execs became aware of the fact that manipulated data had been included in its application for Zolgensma, now the world’s most expensive therapy.

But in his first public response, the scientific founder at AveXis — acquired by Novartis for $8.7 billion — is firing back. And he says that not only was he not involved in any wrongdoing, he’s ready to defend his name as needed.

I reached out to Brian Kaspar after Novartis put out word that he and his brother Allen had been axed in mid-May, two months after the company became aware of the allegations related to manipulated data. His response came back through his attorneys.

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We­bi­nar: Re­al World End­points — the brave new world com­ing in build­ing fran­chise ther­a­pies

Several biopharma companies have been working on expanding drug labels through the use of real world endpoints, combing through the data to find evidence of a drug’s efficacy for particular indications. But we’ve just begun. Real World Evidence is becoming an important part of every clinical development plan, in the soup-through-nuts approach used in building franchises.

I’ve recruited a panel of 3 top experts in the field — the first in a series of premium webinars — to look at the practical realities governing what can be done today, and where this is headed over the next few years, at the prodding of the FDA.


ZHEN SU — Merck Serono’s Senior Vice President and Global Head of Oncology


ELLIOTT LEVY — Amgen’s Senior Vice President of Global Development


CHRIS BOSHOFF — Pfizer Oncology’s Chief Development Officer

A premium subscription to Endpoints News is required to attend this webinar. Please upgrade to either an Insider or Enterprise plan for access. Already have Endpoints Premium? Please sign-in below. You can contact our Subscriptions team at help@endpointsnews.com with any issues.

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Video: Putting the AI in R&D — with Badhri Srini­vasan, Tony Wood, Rosana Kapeller, Hugo Ceule­mans, Saurabh Sa­ha and Shoibal Dat­ta

During BIO this year, I had a chance to moderate a panel among some of the top tech experts in biopharma on their real-world use of artificial intelligence in R&D. There’s been a lot said about the potential of AI, but I wanted to explore more about what some of the larger players are actually doing with this technology today, and how they see it advancing in the future. It was a fascinating exchange, which you can see here. The transcript has been edited for brevity and clarity. — John Carroll

UP­DAT­ED: As­traZeneca’s Imfinzi/treme com­bo strikes out — again — in lung can­cer. Is it time for last rites?

AstraZeneca bet big on the future of their PD-L1 Imfinzi combined with the experimental CTLA-4 drug tremelimumab. But once again it’s gone down to defeat in a major Phase III study — while adding damage to the theory involving targeting cancer with a high tumor mutational burden.

Early Wednesday the pharma giant announced that their NEPTUNE study had failed, with the combination unable to beat standard chemo at overall survival in high TMB cases of advanced non-small cell lung cancer. We won’t get hard data until later in the year, but the drumbeat of failures will call into question what — if any — future this combination can have left.

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Ted Ashburn. Oncorus

Cowen, Per­cep­tive lead $79.5M Se­ries B for 's­tand­out' biotech shep­herd­ing on­colyt­ic virus to clin­ic

As several Big Pharma players secure biotech partners in the oncolytic virus space for new immuno-oncology combos, Cowen and Perceptive Advisors have come out with their own bet on a startup that promises to shine.

The marquee investors are joining MPM, Deerfield, Celgene, Astellas, Arkin and UBS in backing the drug developer, Oncorus, which will now deploy the $79.5 million in Series B cash toward clinical development of its lead program. Other new investors include Surveyor Capital, Sphera Funds, IMM Investment, QUAD Investment Management, UTC Investment, SV Investment Corp and Shinhan Investment-Private Equity, the last five of which are Korean-based funds.

Fu­til­i­ty analy­sis au­gurs de­feat in piv­otal tri­al test­ing of Nu­Cana's lead drug in metasta­t­ic pan­cre­at­ic can­cer

Nearly two years after making its public debut, UK-based NuCana’s mission to make chemotherapies more potent and safer was dealt a blow, after a pivotal study testing its lead experimental drug halted enrollment in a hard-to-treat advanced form of cancer, following a futility analysis.

The drug, Acelarin, is being evaluated for use in metastatic pancreatic cancer patients who were not considered suitable for combination chemotherapy. In the late-stage ACELARATE study — which compared the experimental drug against the chemotherapy gemcitabine — 200 patients had been enrolled by the sponsor, Clatterbridge Cancer Centre, before an analysis from an independent safety and data monitoring panel suggested the study’s main goal would not be met.

UP­DAT­ED: Pay­back? An­a­lysts say Sarep­ta was blind­sided by an FDA re­jec­tion dri­ven by reg­u­la­to­ry re­venge

In one of the least anticipated moves of the year, the FDA has rejected Sarepta’s application for an accelerated approval of its Duchenne MD drug golodirsen after fretting over safety issues.

In a statement that arrived after the bell on Monday, Sarepta explained the CRL, saying:

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Levi Garraway. Broad Institute via Youtube

Roche raids Eli Lil­ly for its next chief med­ical of­fi­cer as San­dra Horn­ing plans to step down

We found out Monday morning where Levi Garraway was headed after he left Eli Lilly as head of oncology R&D a few days ago. Roche named Garraway as their new chief medical officer, replacing Sandra Horning, who they say is retiring from the company.

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FDA de­ci­sion on Ver­tex's CF triple will come just ahead of planned CEO shake­up

Vertex has clinched a priority review for the all-important cystic fibrosis triple that will blaze the trail for treating a large group of patients unhelped by its current drugs.

FDA regulators have set a PDUFA date of March 19, 2020, just a year after the Boston biotech posted positive Phase III results showing that people with two F508del mutations experienced statistically significant improvements in lung function after a 4-week regimen of VX-445, tezacaftor and ivacaftor. After reviewing 24-week data among patients with one F508del mutation and one minimal function mutation — and thoroughly comparing the VX-445 triple with another combo featuring VX-659 on scores like safety, drug-drug interactions, and photosensitivity — Vertex ultimately went with VX-445.