Af­ter a makeover and hir­ing spree, Chi­na's drug agency is romp­ing and stomp­ing on new re­views and ap­provals

When it comes to the re­forms at Chi­na’s drug agency, now un­der­go­ing a name change, pol­i­cy changes and even their out­comes are rel­a­tive­ly easy to spot, but num­bers are hard­er to come by. In a year­ly re­port re­leased last week, though, the agency of­fered some rare sta­tis­tics to track its progress over the past few years and il­lu­mi­nate R&D pri­or­i­ties in the coun­try.

The re­port high­lights some big trends that have ma­jor im­pli­ca­tions for all com­pa­nies look­ing to land a mar­ket­ing OK and roll out new drugs in the boom­ing Asian mar­ket. Af­ter beef­ing up the num­ber of reg­u­la­tors on staff, Chi­na’s FDA slashed re­view times to a frac­tion of what they had been. There’s been a con­tin­ued de­cline in the over­all num­ber of back­logged ap­pli­ca­tion, thanks to in­creased speed at the agency. In drug INDs alone, the Cen­ter for Drug Eval­u­a­tion han­dled 542 ap­pli­ca­tions and ap­proved 481 of them — among those, 399 cas­es (shared by 170 drugs) were for nov­el drugs.

On­col­o­gy and di­ges­tive drugs dom­i­nat­ed the group of nov­el drug INDs ap­proved last year. In bi­o­log­ics, on­col­o­gy al­so takes up the biggest chunk of INDs, with hema­tol­ogy emerg­ing as the run­ner-up.

Each IND took an av­er­age of 120 work­ing days to eval­u­ate, 1.09 times the pe­ri­od re­quired by law — a dras­tic im­prove­ment from, say, 2012, when records show that al­most half of the ap­pli­ca­tions would take longer than 400 days to process.

Ag­gres­sive hir­ing of new staff was like­ly a key fac­tor to speed­ing up the reg­u­la­to­ry op­er­a­tion. With new units spe­cial­iz­ing in clin­i­cal test­ing and da­ta man­age­ment, the CF­DA made 223 new hires, in­clud­ing two “chief sci­en­tists.”

The CDE al­so ramped up the pri­or­i­ty re­view sys­tem, which was launched in 2016. By their count, first rounds for INDs, NDAs and AN­DAs took an av­er­age of 39, 59 and 81 work­ing days once they were ac­cept­ed for pri­or­i­ty re­view.

By the end of 2017, 423 ap­pli­ca­tions of all sorts were in­clud­ed for pri­or­i­ty re­view, with 45% of that be­ing new drugs with clear clin­i­cal ben­e­fit (oth­er com­mon rea­sons in­clud­ed si­mul­ta­ne­ous ap­pli­ca­tion in the US/EU and first copy­cat). Rare dis­ease drugs took up 5% of the cas­es.

The CDE’s 110 pri­or­i­ty re­view ap­provals trans­lat­ed to 57 drugs, and 50 of those were ap­proved in 2017. Over­seas phar­mas won big: Re­gen­eron’s Eylea, Ab­b­Vie’ Hu­mi­ra, In­cyte’s Jakafi and Cel­gene’s Vi­daza (to be mar­ket­ed by part­ner BeiGene) were among those ap­proved through the pri­or­i­ty re­view track.

Giv­en the gov­ern­ment re­vamp an­nounced weeks ago, this would be the last re­port is­sued by a stand­alone CF­DA. But chang­ing its name to Chi­na Drug Ad­min­is­tra­tion and go­ing un­der the purview of an um­brel­la mar­ket su­per­vi­sion agency like­ly won’t stop the reg­u­la­tors from build­ing an even more ag­gres­sive sys­tem.

ZS Per­spec­tive: 3 Pre­dic­tions on the Fu­ture of Cell & Gene Ther­a­pies

The field of cell and gene therapies (C&GTs) has seen a renaissance, with first generation commercial therapies such as Kymriah, Yescarta, and Luxturna laying the groundwork for an incoming wave of potentially transformative C&GTs that aim to address diverse disease areas. With this renaissance comes several potential opportunities, of which we discuss three predictions below.

Allogenic Natural Killer (NK) Cells have the potential to displace current Cell Therapies in oncology if proven durable.

Despite being early in development, Allogenic NKs are proving to be an attractive new treatment paradigm in oncology. The question of durability of response with allogenic therapies is still an unknown. Fate Therapeutics’ recent phase 1 data for FT516 showed relatively quicker relapses vs already approved autologous CAR-Ts. However, other manufacturers, like Allogene for their allogenic CAR-T therapy ALLO-501A, are exploring novel lymphodepletion approaches to improve persistence of allogenic cells. Nevertheless, allogenic NKs demonstrate a strong value proposition relative to their T cell counterparts due to comparable response rates (so far) combined with the added advantage of a significantly safer AE profile. Specifically, little to no risk of graft versus host disease (GvHD), cytotoxic release syndrome (CRS), and neurotoxicity (NT) have been seen so far with allogenic NK cells (Fig. 1). In addition, being able to harness an allogenic cell source gives way to operational advantages as “off-the-shelf” products provide improved turnaround time (TAT), scalability, and potentially reduced cost. NKs are currently in development for a variety of overlapping hematological indications with chimeric antigen receptor T cells (CAR-Ts) today, and the question remains to what extent they will disrupt the current cell therapy landscape. Click for more details.

Graphic: Kathy Wong for Endpoints News

What kind of biotech start­up wins a $3B syn­di­cate, woos a gallery of mar­quee sci­en­tists and re­cruits GSK's Hal Bar­ron as CEO in a stun­ner? Let Rick Klaus­ner ex­plain

It started with a question about a lifetime’s dream on a walk with tech investor Yuri Milner.

At the beginning of the great pandemic, former NCI chief and inveterate biotech entrepreneur Rick Klausner and the Facebook billionaire would traipse Los Altos Hills in Silicon Valley Saturday mornings and talk about ideas.

Milner’s question on one of those mornings on foot: “What do you want to do?”

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Sec­ondary patents prove to be key in biosim­i­lar block­ing strate­gies, re­searchers find

While the US biosimilars industry has generally been a disappointment since its inception, with FDA approving 33 biosimilars since 2015, just a fraction of those have immediately followed their approvals with launches. And more than a handful of biosimilars for two of the biggest blockbusters of all time — AbbVie’s Humira and Amgen’s Enbrel — remain approved by FDA but still have not launched because of legal settlements.

FDA+ roundup: FDA's neu­ro­science deputy de­parts amid on­go­ing Aduhelm in­ves­ti­ga­tions; Califf on the ropes?

Amid increased scrutiny into the close ties between FDA and Biogen prior to the controversial accelerated approval of Aduhelm, the deputy director of the FDA’s office of neuroscience has called it quits after more than two decades at the agency.

Eric Bastings will now take over as VP of development strategy at Ionis Pharmaceuticals, the company said Wednesday, where he will provide senior clinical and regulatory leadership in support of Ionis’ pipeline.

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Hal Barron (GSK via YouTube)

GSK R&D chief Hal Bar­ron jumps ship to run a $3B biotech start­up, Tony Wood tapped to re­place him

In a stunning switch, GlaxoSmithKline put out word early Wednesday that R&D chief Hal Barron is exiting the company after 4 years — a relatively brief run for the man chosen by CEO Emma Walmsley in late 2017 to turn around the slow-footed pharma giant.

Barron is being replaced by Tony Wood, a close associate of Barron’s who’s taking one of the top jobs in Big Pharma R&D. He’ll be closer to home, though, for GSK. Barron has been running a UK and Philadelphia-based research organization from his perch in San Francisco.

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Chamath Palihapitiya and Pablo Legorreta

Bil­lion­aires Chamath Pal­i­hapi­tiya and Pablo Legor­re­ta hatch an $825M SPAC for cell ther­a­py biotech

Three years after Royalty Pharma chief Pablo Legorreta led a group of investors to buy up a pair of biotechs and create a new startup called ProKidney, the biotech is jumping straight into an $825 million public shell created by SPAC king and tech billionaire Chamath Palihapitiya.

ProKidney was founded 6 years ago but really got going at the beginning of 2019 with the $62 million acquisition of inRegen, which was working on an autologous — from the patient — cell therapy for kidney disease. After extracting kidney cells from patients, researchers expand the cells in the lab and then inject them back into patients, aiming to restore the kidneys of patients suffering from CKD.

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CBO: Medicare ne­go­ti­a­tions will ham­per drug de­vel­op­ment more than pre­vi­ous­ly thought

As President Biden’s Build Back Better Act — and, with it, potentially the Democrats’ last shot at major drug pricing reforms in the foreseeable future — remains on life support, the Congressional Budget Office isn’t helping their case.

The CBO last week released a new slide deck, outlining an update to its model on how Medicare negotiations might take a bite out of new drugs making it to market. The new model estimates a 10% long-term reduction in the number of new drugs, whereas a previous CBO report from August estimated that 8% fewer new drugs will enter the market over 30 years.

Joshua Brumm, Dyne Therapeutics CEO

FDA or­ders DMD tri­al halt, rais­ing ques­tions about a whole class of promis­ing drugs

Dyne Therapeutics’ stock took a nasty hit this morning after the biotech put out word that the FDA had slapped a clinical hold on their top program for Duchenne muscular dystrophy. And now speculation is bouncing around Biotwitter that there could be a class effect at work here that would implicate other drug developers in the freeze.

Dyne execs didn’t have a whole lot to say about why the FDA sidelined their IND for DYNE-251 in DMD while “requesting additional clinical and non-clinical information for” the drug.

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Michel Vounatsos, Biogen CEO (Credit: World Economic Forum/Ciaran McCrickard)

An un­ortho­dox pro­pos­al for Bio­gen's Medicare-man­dat­ed Aduhelm tri­al

Biogen has gone full blitz since Medicare announced it would only cover its new Alzheimer’s drug when used in clinical trials, accusing the agency of discriminating against Alzheimer’s patients and trying to get physicians to change regulators’ minds.  Critics, meanwhile, cheered what they see as a necessary wall protecting payers and patients from an unproven and unsafe drug.

Far less attention, though, has gone to what a Medicare-funded clinical trial would actually look like. Biogen has operated as if it would be a standard late-stage Alzheimer’s trial, enrolling a couple thousand patients and giving half placebo.

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