Ar­ray shares surge as sec­ond chap­ter of its PhI­II can­cer com­bo sto­ry ends on an up­beat note

Ar­ray Bio­phar­ma stock got a bounce out of the up­beat as­sess­ment of the sec­ond part of its Phase III study of binime­tinib com­bined with en­co­rafenib, demon­strat­ing their abil­i­ty to sig­nif­i­cant­ly im­prove pro­gres­sion free sur­vival rates for pa­tients with BRAF-mu­tant ad­vanced melanoma. The top-line re­sults lay the foun­da­tion for an NDA, the com­pa­ny adds, which is ex­pect­ed to be de­liv­ered to the FDA this sum­mer.

Ar­ray CEO Ron Squar­er

Ar­ray’s shares $AR­RY surged 20% on Wednes­day as in­vestors and an­a­lysts got a chance to con­sid­er the da­ta on the MEK/BRAF in­hibitors. And while some of the an­a­lysts cov­er­ing the biotech felt that the Phase III news was a def­i­nite plus, there was a feel­ing that a sub­se­quent­ly an­nounced part­ner­ship with Mer­ck in­volv­ing Keytru­da — in which the phar­ma gi­ant will sim­ply con­tribute a quan­ti­ty of their check­point drug for a study — was a bit of a let­down af­ter spec­u­la­tion that a mon­ey deal was in the works.

In Phase III part 2, in­ves­ti­ga­tors looked at a com­bi­na­tion of 45 mg binime­tinib twice dai­ly plus 300 mg en­co­rafenib dai­ly against the con­trol arm of 300 mg en­co­rafenib alone. The com­bi­na­tion achieved a bet­ter me­di­an PFS — 12.9 months vs. 9.2 months; HR = 0.77.

The surge in the stock price helped re­pair some of the dam­age done a cou­ple of months ago when CEO Ron Squar­er had to walk back a promise that they had the da­ta need­ed for its first ap­proval of binime­tinib for NRAS-pos­i­tive melanoma.

Not­ed Leerink’s Michael Schmidt:

Giv­en the pos­i­tive out­come of COLUM­BUS tri­al Part 1 & 2, the like­li­hood of ap­proval of the binime­tinib/en­co­rafenib com­bi­na­tion in mid-2018 re­mains high which was ex­pect­ed by most in­vestors.

Part 1 was a 3-arm tri­al de­sign in 577 pa­tients with a 450 mg en­co­rafenib dose com­bined with binime­tinib com­pared to Zelb­o­raf. The me­di­an PFS rate for Ar­ray’s com­bo was 14.9 months vs. 7.3 months.

Schmidt was less im­pressed with Ar­ray’s deal with Mer­ck to com­bine binime­tinib with Keytru­da for col­orec­tal can­cer in an ear­ly study to test its po­ten­tial.

While this is in­cre­men­tal­ly pos­i­tive for AR­RY, we think a po­ten­tial deal (or even a buy-out of AR­RY) was wide­ly ex­pect­ed by in­vestors.

“The to­tal­i­ty of the COLUM­BUS re­sults, in­clud­ing es­ti­mat­ed pro­gres­sion free sur­vival, ob­jec­tive re­sponse rate, dose in­ten­si­ty and tol­er­a­bil­i­ty of the com­bi­na­tion, pro­vide a strong and con­sis­tent theme across mul­ti­ple end­points, un­der­scor­ing the promise of binime­tinib plus en­co­rafenib as an at­trac­tive treat­ment op­tion for pa­tients di­ag­nosed with BRAF-mu­tant melanoma,” said Kei­th T. Fla­her­ty, di­rec­tor of the Ter­meer Cen­ter for Tar­get­ed Ther­a­py, Mass­a­chu­setts Gen­er­al Hos­pi­tal.

Health­care Dis­par­i­ties and Sick­le Cell Dis­ease

In the complicated U.S. healthcare system, navigating a serious illness such as cancer or heart disease can be remarkably challenging for patients and caregivers. When that illness is classified as a rare disease, those challenges can become even more acute. And when that rare disease occurs in a population that experiences health disparities, such as people with sickle cell disease (SCD) who are primarily Black and Latino, challenges can become almost insurmountable.

Jacob Van Naarden (Eli Lilly)

Ex­clu­sives: Eli Lil­ly out to crash the megablock­buster PD-(L)1 par­ty with 'dis­rup­tive' pric­ing; re­veals can­cer biotech buy­out

It’s taken 7 years, but Eli Lilly is promising to finally start hammering the small and affluent PD-(L)1 club with a “disruptive” pricing strategy for their checkpoint therapy allied with China’s Innovent.

Lilly in-licensed global rights to sintilimab a year ago, building on the China alliance they have with Innovent. That cost the pharma giant $200 million in cash upfront, which they plan to capitalize on now with a long-awaited plan to bust up the high-price market in lung cancer and other cancers that have created a market worth tens of billions of dollars.

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FDA hands ac­cel­er­at­ed nod to Seagen, Gen­mab's so­lo ADC in cer­vi­cal can­cer, but com­bo stud­ies look even more promis­ing

Biopharma’s resident antibody-drug conjugate expert Seagen has scored a clutch of oncology approvals in recent years, finding gold in what are known as “third-gen” ADCs. Now, another of their partnered conjugates is ready for prime time.

The FDA on Monday handed an accelerated approval to Seagen and Genmab’s Tivdak (tisotumab vedotin-tftv, or “TV”) in second-line patients with recurrent or metastatic cervical cancer who previously progressed after chemotherapy rather than PD-(L)1 systemic therapy, the companies said in a release.

David Meek, new Mirati CEO (Marlene Awaad/Bloomberg via Getty Images)

Fresh off Fer­Gene's melt­down, David Meek takes over at Mi­rati with lead KRAS drug rac­ing to an ap­proval

In the insular world of biotech, a spectacular failure can sometimes stay on any executive’s record for a long time. But for David Meek, the man at the helm of FerGene’s recent implosion, two questionable exits made way for what could be an excellent rebound.

Meek, most recently FerGene’s CEO and a past head at Ipsen, has become CEO at Mirati Therapeutics, taking the reins from founding CEO Charles Baum, who will step over into the role of president and head of R&D, according to a release.

Volker Wagner (L) and Jeff Legos

As Bay­er, No­var­tis stack up their ra­dio­phar­ma­ceu­ti­cal da­ta at #ES­MO21, a key de­bate takes shape

Ten years ago, a small Norwegian biotech by the name of Algeta showed up at ESMO — then the European Multidisciplinary Cancer Conference 2011 — and declared that its Bayer-partnered targeted radionuclide therapy, radium-223 chloride, boosted the overall survival of castration-resistant prostate cancer patients with symptomatic bone metastases.

In a Phase III study dubbed ALSYMPCA, patients who were treated with radium-223 chloride lived a median of 14 months compared to 11.2 months. The FDA would stamp an approval on it based on those data two years later, after Bayer snapped up Algeta and christened the drug Xofigo.

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Mi­rati tri­umphs again in KRAS-mu­tat­ed lung can­cer with a close­ly watched FDA fil­ing now in the cards

After a busy weekend at #ESMO21, which included a big readout for its KRAS drug adagrasib in colon cancer, Mirati Therapeutics is ready to keep the pressure on competitor Amgen with lung cancer data that will undergird an upcoming filing.

In topline results from a Phase II cohort of its KRYSTAL-1 study, adagrasib posted a response rate of 43% in second-line-or-later patients with metastatic non-small cell lung cancer containing a KRAS-G12C mutation, Mirati said Monday.

As­traZeneca, Dai­ichi Sanky­o's ADC En­her­tu blows away Roche's Kad­cy­la in sec­ond-line ad­vanced breast can­cer

AstraZeneca and Japanese drugmaker Daiichi Sankyo think they’ve struck gold with their next-gen ADC drug Enhertu, which has shown some striking data in late-stage breast cancer trials and early solid tumor tests. Getting into earlier patients is now the goal, starting with Enhertu’s complete walkover of a Roche drug in second-line breast cancer revealed Saturday.

Enhertu cut the risk of disease progression or death by a whopping 72% (p=<0.0001) compared with Roche’s ADC Kadcyla in second-line unresectable and/or metastatic HER2-positive breast cancer patients who had previously undergone treatment with a Herceptin-chemo combo, according to interim data from the Phase III DESTINY-Breast03 head-to-head study presented at this weekend’s #ESMO21.

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Ex­elix­is pulls a sur­prise win in thy­roid can­cer just days ahead of fi­nal Cabome­tyx read­out

Exelixis added a thyroid cancer indication to its super-seller Cabometyx’s label on Friday — months before the FDA was expected to make a decision, and days before the company was set to unveil the final data at #ESMO21.

At a median follow-up of 10.1 months, differentiated thyroid cancer patients treated with Cabometyx (cabozantinib) lived a median of 11 months without their disease worsening, compared to just 1.9 months for patients given a placebo, Exelixis said on Monday.

Dave Lennon, former president of Novartis Gene Therapies

Zol­gens­ma patent spat brews be­tween No­var­tis and Re­genxbio as top No­var­tis gene ther­a­py ex­ec de­parts

Regenxbio, a small licensor of gene therapy viral vectors spun out from the University of Pennsylvania, is now finding itself in the middle of some major league patent fights.

In addition to a patent suit with Sarepta Therapeutics from last September, Novartis, is now trying to push its smaller partner out of the way. The Swiss biopharma licensed Regenxbio’s AAV9 vector for its $2.1 million spinal muscular atrophy therapy Zolgensma.

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