Alk­er­mes touts equal ef­fi­ca­cy of month­ly Viv­it­rol against dai­ly Sub­ox­one

A new study com­par­ing two of the main drugs treat­ing opi­oid ad­dic­tion found that the med­i­cines worked sim­i­lar­ly in help­ing pa­tients quit hero­in and oth­er opi­oids.

That’s in­ter­est­ing news con­sid­er­ing the brand­ing bat­tle be­tween the two drug mak­ers, whose fierce (and some­times ug­ly) com­pe­ti­tion has drawn the at­ten­tion of politi­cians and re­porters at The New York Times.

Craig Hop­kin­son

The new study, pub­lished in The Lancet, com­pared In­di­v­ior’s drug Sub­ox­one with Alk­er­mes’ Viv­it­rol in an ex­per­i­ment with 570 adults.

Sub­ox­one is the old timer of the two, more wide­ly used and stud­ied than its new­er com­peti­tor. The drug is tak­en dai­ly in strips that dis­solve on the tongue, con­tain­ing a mild opi­oid that helps stymie with­draw­al.

Viv­it­rol is the new­er drug, tak­en as a month­ly shot that blocks the ef­fect of opi­oids. Alk­er­mes’ main brand­ing mes­sage is that Viv­it­rol is clean­er, con­tain­ing no opi­oids. Alk­er­mes has been the tar­get of crit­i­cism, how­ev­er, for its sales and mar­ket­ing tac­tics. Most re­cent­ly, Cal­i­for­nia Sen­a­tor Ka­mala Har­ris ac­cused the com­pa­ny of launch­ing a cam­paign that caused the sys­tem to over­look “cheap­er and more thor­ough­ly stud­ied treat­ments” that have been “stig­ma­tized and mar­gin­al­ized.”

The new study pro­vides some fod­der for fur­ther com­par­i­son. Re­searchers of the study found that 52% of those who used Viv­it­rol re­lapsed dur­ing the 24-week study, while 56% of pa­tients on Sub­ox­one re­lapsed.

There’s one thing to note, how­ev­er. Viv­it­rol re­quires that pa­tients be ful­ly detoxed from opi­oids, which can take a week or more. As a re­sult of that hur­dle, more than a quar­ter of the pa­tients in the study dropped out be­fore tak­ing their first dose of Viv­it­rol.

Alk­er­mes said that was fur­ther proof that the detox­ing process had to be ad­dressed.

“This study high­lights the im­por­tance of detox­i­fi­ca­tion for ini­ti­at­ing treat­ment with Viv­it­rol,” said Craig Hop­kin­son, CMO and SVP of clin­i­cal de­vel­op­ment and med­ical af­fairs at Alk­er­mes. “Alk­er­mes is work­ing along­side promi­nent re­searchers in the field to de­ter­mine ef­fec­tive, safe and ef­fi­cient detox­i­fi­ca­tion strate­gies for suc­cess­ful in­duc­tion on­to Viv­it­rol, in or­der to help health care providers man­age their pa­tients through this crit­i­cal tran­si­tion pe­ri­od.”

On the heels of promis­ing MCL da­ta, Kite hus­tles its 2nd CAR-T to the FDA as the next big race in the field draws to the fin­ish line

Three days after Gilead’s Kite subsidiary showed off stellar data on their number 2 CAR-T KTE-X19 at ASH, the executive team has pivoted straight to the FDA with a BLA filing and a shot at a near-term approval.

In a small, 74-patient Phase II trial reported out at the beginning of the week, investigators tracked a 93% response rate with two out of three mantle cell lymphoma patients experiencing a complete response.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 67,500+ biopharma pros reading Endpoints daily — and it's free.

Paul Hudson, Getty Images

UP­DAT­ED: Sanofi CEO Hud­son lays out new R&D fo­cus — chop­ping di­a­betes, car­dio and slash­ing $2B-plus costs in sur­gi­cal dis­sec­tion

Earlier on Monday, new Sanofi CEO Paul Hudson baited the hook on his upcoming strategy presentation Tuesday with a tell-tale deal to buy Synthorx for $2.5 billion. That fits squarely with hints that he’s pointing the company to a bigger future in oncology, which also squares with a major industry tilt.

In a big reveal later in the day, though, Hudson offered a slate of stunners on his plans to surgically dissect and reassemble the portfoloio, saying that the company is dropping cardio and diabetes research — which covers two of its biggest franchise arenas. Sanofi missed the boat on developing new diabetes drugs, and now it’s pulling out entirely. As part of the pullback, it’s dropping efpeglenatide, their once-weekly GLP-1 injection for diabetes.

“To be out of cardiovascular and diabetes is not easy for a company like ours with an incredibly proud history,” Hudson said on a call with reporters, according to the Wall Street Journal. “As tough a choice as that is, we’re making that choice.”

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 67,500+ biopharma pros reading Endpoints daily — and it's free.

Cor­re­vio is putting it­self up on the auc­tion block af­ter FDA re­view pan­el points to an­oth­er re­jec­tion

For 13 years, the Canadian biotech Correvio tried to get the FDA to accept a heart drug since abandoned by Merck and Astellas. Yesterday, the agency’s outside experts voted 11-2 against approval, all but assuring another rejection for the atrial fibrillation compound vernakalant.

And today Correvio announced that Correvio may soon be no more. The company said it is looking to sell itself as its stock plummets into penny-stock territory $CORV and its potential moneymaker sputters once more.

Psilocybin mushrooms (via The Denver Post)

In a key step for psy­che­del­ic re­search, mag­ic mush­room com­pound clears first clin­i­cal safe­ty hur­dle

Exasperated with the often-ineffective existing slate of antidepressants, COMPASS Pathways set up shop in London 2016 — and made a beeline for psilocybin, the psychoactive ingredient in magic mushrooms.

On Wednesday, the startup said its man-made version of the chemical — which is illegal across geographies in its natural fungi form — had been well-tolerated in an early-stage, placebo-controlled trial in 89 healthy volunteers.

Al­pham­ab On­col­o­gy rounds out HKEX's sec­ond biotech IPO year with $230M raise and high lo­cal in­ter­est

Alphamab Oncology has inspired a surge of local interest in what will likely be the Hong Kong Stock Exchange’s last biotech run of the year, pricing its IPO on the high end of the range and raising over $230 million (HK$1.83 billion).

After rejigging the offering structure and making up to 50% available for enthusiastic local investors, the biotech sold 179.4 million shares at $1.31 (HK$10.2) and saw its stock rise to $1.77 ($13.8) on the first day of trading.

For sale: Long-act­ing PhI­II GLP-1 di­a­betes drug that’s way be­hind ri­vals, now spurned by Sanofi

Almost exactly 4 years ago Sanofi came to the bargaining table with South Korea’s Hanmi bearing $434 million dollars in cash and offering about $4 billion in milestones to in-license their once-weekly GLP-1 injectable. The pact was intended to revive their ailing diabetes division. Instead, it turned into a very expensive grave to mark the end of Sanofi’s R&D ambitions in the field.

Sanofi CEO Paul Hudson used efpeglenatide’s demise — while committing to paying hundreds of millions of more dollars to push it through 5 late-stage studies — as a marker of the company’s determination to stay focused on first and best-in-class drugs.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 67,500+ biopharma pros reading Endpoints daily — and it's free.

What does $6.9B buy these days in on­col­o­gy R&D? As­traZeneca has a land­mark an­swer

Given the way the FDA has been whisking through new drug approvals months ahead of their PDUFA date, AstraZeneca and their partners Daiichi Sankyo may not have to wait until Q2 of next year to get a green light on trastuzumab deruxtecan (DS-8201).

The pharma giant this morning played their ace in the hole, showing off why they were willing to commit to a $6.9 billion deal — with $1.35 billion in a cash upfront — to partner on the drug.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 67,500+ biopharma pros reading Endpoints daily — and it's free.

Parkin­son's trans­plants emerge as stem cell pi­o­neer Jeanne Lor­ing joins R&D race

Jeanne Loring hadn’t studied Parkinson’s in 22 years when she got an email from a local neurologist.

The neurologist, Melissa Houser, didn’t know Loring had ever published on the disease. She was just looking for a stem cell researcher who might hear her out. 

“I think I was just picked out of a hat,” Loring told Endpoints News. 

At a meeting in Loring’s Scripps Research office, Houser and a Parkinson’s nurse practitioner, Sherrie Gould, asked her why there was so much research done in stem cell transplants for other neurodegenerative diseases but not Parkinson’s. They wanted to know if she would work on one. 

Paul Hudson, Sanofi

Paul Hud­son promis­es a bright new fu­ture at Sanofi, kick­ing loose me-too drugs and fo­cus­ing on land­mark ad­vances. But can he de­liv­er?

Paul Hudson was on a mission Tuesday morning as he stood up to address Sanofi’s new R&D and business strategy.

Still fresh into the job, the new CEO set out to convince his audience — including the legions of nervous staffers inevitably devoting much of their day to listening in — that the pharma giant is shedding the layers of bureaucracy that had held them back from making progress in the past, dropping the duds in the pipeline and reprioritizing a more narrow set of experimental drugs that were promised as first-in-class or best-in-class.  The company, he added, is now positioned to “go after other opportunities” that could offer a transformational approach to treating its core diseases.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 67,500+ biopharma pros reading Endpoints daily — and it's free.