CEO Amit Munshi (Arena Pharmaceuticals)

Are­na's lead drug miss­es on PhII in AD, thwack­ing stock, but com­pa­ny sol­diers on in­to Phase III

Amit Mun­shi’s tenure at Are­na Phar­ma­ceu­ti­cals has al­most ex­clu­sive­ly been one of suc­cess: Tak­ing the reins of a com­pa­ny in the Nas­daq gut­ter, he’s steered it through mul­ti­ple pos­i­tive read­outs and even bagged an $800 mil­lion up­front deal on a non-lead drug.

On Mon­day, though, the com­pa­ny an­nounced a fail­ure: Its lead drug, the S1P in­hibitor etrasi­mod, missed the pri­ma­ry end­point on a Phase II tri­al for atopic der­mati­tis, fail­ing to re­duce symp­toms on a stan­dard clin­i­cal scale bet­ter than place­bo. Yet they will con­tin­ue on with a Phase III, bet­ting that aber­ra­tions at one tri­al site thwart­ed that end­point and that they can re­peat suc­cess on a met­ric the FDA us­es to eval­u­ate ap­proval.

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