Murmurs of investors’ growing unease about GlaxoSmithKline’s struggling revival strategy spilled out into the public on Thursday as the Financial Times reported that activist hedge fund Elliott Management has built up a multibillion-pound stake in the pharma giant, portending a high profile showdown over CEO Emma Walmsley’s reign.

Shares had been down 14% since Walmsley became CEO and brought in Hal Barron to spur a makeover in the pipeline. Now, the FT reports, some of the unhappy investors are making unfavorable comparisons between Walmsley and Pascal Soriot, the CEO credited with a major turnaround at that other UK pharma giant — AstraZeneca.

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Cytokinetics’ candidate for the muscle disease amyotrophic lateral sclerosis, or ALS, failed a Phase III trial, the Bay Area biotech announced Friday morning.

At a second interim analysis of the trial, an independent review committee recommended that Cytokinetics discontinue its COURAGE-ALS trial for reldesemtiv, as it “found no evidence of effect” compared to placebo on the primary or key secondary endpoints.

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Welcome back to Endpoints Weekly, your review of the week’s top biopharma headlines. Want this in your inbox every Saturday morning? Current Endpoints readers can visit their reader profile to add Endpoints Weekly. New to Endpoints? Sign up here.

Please join us in welcoming Andrew Dunn, Jaimy Lee and Ryan Cross to the Endpoints team! They are coming on board this month and we can’t wait to start working with them.

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The beginning of March saw manufacturer Akorn Pharmaceuticals file for Chapter 7 bankruptcy protection, which led to the closure of all its US manufacturing plants and hundreds of layoffs. But this also had a cascading effect leading to a shortage of albuterol, specifically the 0.5% version, which is used to treat breathing issues.

The closures came at a time when the drug was already in short supply, with the FDA reporting that another manufacturer, Nephron, was in shortage too. The FDA’s drug shortage site states that the drug is still in shortage with no new supply coming from Akron, and Nephron with drug “on allocation.”

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Insulin drug prices and out-of-pocket costs have been hot topics — and a drag on pharma industry reputation — for years. But now recent news from a trio of drugmakers pledging to cap extra costs for consumers helped push the entire industry reputation upward, according to The Harris Poll.

In polling meant to gauge the impact of the Silicon Valley Bank crash and crisis, Harris found that the pharma industry was only one of two industries among 10 verticals tracked to record a gain between the time before and after the crash. Positive view of pharma grew 49%, up 4% from the beginning to the end of March, the Harris survey found. Government was the other sector gaining with a 1% increase over the month.

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Molecular Templates is ridding itself of a Phase I HER2 asset and fine-tuning its pipeline to focus on three programs and a preclinical Bristol Myers Squibb collaboration. With the narrowed scope on its so-called engineered toxin bodies, the Austin, TX biotech is laying off about half of its staff.

That’s a little more than 100 employees, per an SEC filing. Molecular’s layoffs, approved by its board Wednesday, add to the dozens of pullbacks in the industry in the first three months of 2023.

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This year has been tough for Aptinyx — two failed trials, a 60% cut in its workforce, and now the company has brought on a firm to help evaluate the future of the company.

The press release noted it’s working with the firm Ladenburg Thalmann as its financial advisor to assist in exploring and evaluating “strategic alternatives” — a process that a growing group of struggling biotechs has embarked on, sometimes ending in a merger, asset sale or wind-down.

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