As­traZeneca R&D leader Pan­ga­los warns of a post-Brex­it UK re­search re­treat with­out re­im­burse­ment re­form

As­traZeneca’s in­flu­en­tial R&D leader Mene Pan­ga­los has blast­ed the UK gov­ern­ment’s drug watch­dog NICE for keep­ing the price of new drugs at low lev­els, say­ing that reg­u­la­tors are threat­en­ing the in­dus­try’s sub­stan­tial R&D pres­ence in the coun­try in a post-Brex­it world.

Mene Pan­ga­los

“To con­tin­ue to get the re­search and in­vest­ment here, you have to pay for the drugs,” Pan­ga­los told The Tele­graph in an in­ter­view. “Re­search and adop­tion of clin­i­cal in­no­va­tion go hand in hand and the Gov­ern­ment has to be pre­pared to pay for treat­ments that work.”

World-class aca­d­e­m­ic re­search in the UK’s Gold­en Tri­an­gle or Lon­don, Ox­ford and Cam­bridge com­bined with an at­trac­tive tax en­vi­ron­ment has played to the coun­try’s ad­van­tage so far, he adds, but Brex­it could change that equa­tion with­out a bet­ter ap­proach to re­im­burse­ment that rec­og­nizes the val­ue of new meds.

Added Pan­ga­los:

The UK is not a big enough mar­ket to be a pri­or­i­ty. As a drugs mar­ket it is more im­por­tant for us to launch in France, Ger­many and Swe­den than in the UK be­cause they adopt and pay for the drugs. The UK is a chal­lenge now but with­out the EU the UK will get left be­hind if it doesn’t start to change the way it re­im­burs­es drugs.

As­traZeneca $AZN has re­lied heav­i­ly on its pres­ence in the UK to weath­er a va­ri­ety of storms in re­cent years. CEO Pas­cal So­ri­ot raised the prospect of an R&D Ar­maged­don if Pfiz­er —  known for its will­ing­ness to pil­lage re­search as a way to pay for M&A — was al­lowed to fol­low through on its pro­posed takeover. And ear­ly on So­ri­ot hit hard on the com­pa­ny’s base in the UK with his com­mit­ment to build a half-bil­lion dol­lar HQ and re­search hub in Cam­bridge as he set out to re­or­ga­nize the com­pa­ny’s hap­less R&D op­er­a­tions four years ago.

He’s had mixed suc­cess on that score so far, gain­ing a cou­ple of sig­nif­i­cant ad­vances in on­col­o­gy with new drugs like Lyn­parza and Tagris­so. The phar­ma gi­ant al­so has a late-stage check­point in­hibitor in a slate of com­bi­na­tion stud­ies, though one pro­gram for head and neck can­cer was placed on a par­tial hold due to safe­ty fears. A string of oth­er set­backs have al­so tak­en a toll.

It’s not un­com­mon for drug com­pa­nies to ham­mer British reg­u­la­tors for the way NICE man­ages drug costs to their dis­ad­van­tage. But it is rare for a se­nior re­search ex­ec like Pan­ga­los to spear­head a di­rect as­sault like this by threat­en­ing the coun­try’s Achilles heel: hit­ting on re­search em­ploy­ment, which dis­tin­guish­es the coun­try from much of the rest of Eu­rope. That sig­nals their be­lief that the UK gov­ern­ment is feel­ing par­tic­u­lar­ly vul­ner­a­ble in the wake of the stun­ning Brex­it vote, and may fi­nal­ly be will­ing to do more to cater to Big Phar­ma now.

A New Fron­tier: The In­ner Ear

What happens when a successful biotech venture capitalist is unexpectedly diagnosed with a chronic, life-disrupting vertigo disorder? Innovation in neurotology.

That venture capitalist was Jay Lichter, Ph.D., and after learning there was no FDA-approved drug treatment for his condition, Ménière’s disease, he decided to create a company to bring drug development to neurotology. Otonomy was founded in 2008 and is dedicated to finding new drug treatments for the hugely underserved community living with balance and hearing disorders. Helping patients like Jay has been the driving force behind Otonomy, a company heading into a transformative 2020 with three clinical trial readouts: Phase 3 in Ménière’s disease, Phase 2 in tinnitus, and Phase 1/2 in hearing loss. These catalysts, together with others in the field, highlight the emerging opportunity in neurotology.
Otonomy is leading the way in neurotology
Neurotology, or the treatment of inner ear neurological disorders, is a large and untapped market for drug developers: one in eight individuals in the U.S. have moderate-to-severe hearing loss, tinnitus or vertigo disorders such as Ménière’s disease.1 With no FDA-approved drug treatments available for these conditions, the burden on patients—including social anxiety, lower quality of life, reduced work productivity, and higher rates of depression—can be significant.2, 3, 4

Joe Jimenez, Getty

Ex-No­var­tis CEO Joe Jimenez is tak­ing an­oth­er crack at open­ing a new chap­ter in his ca­reer — and that in­cludes a new board seat and a $250M start­up

Joe Jimenez is back.

The ex-CEO of Novartis has taken a board seat on Century Therapeutics, the Versant and Bayer-backed startup focused on coming up with a brand new twist on cell therapies for cancer — a field where Jimenez made his mark backing the first personalized CAR-T approved for use.

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Credit: Shutterstock

Can we make the an­tibi­ot­ic mar­ket great again?

The standard for-profit model in drug development is straightforward. Spend millions, even billions, to develop a medicine from scratch. The return on investment (and ideally a tidy profit) comes via volume and/or price, depending on the disease. But the string of big pharma exits and slew of biotech bankruptcies indicate that the model is sorely flawed when it comes to antibiotics.

The industry players contributing to the arsenal of antimicrobials are fast dwindling, and the pipeline for new antibiotics is embarrassingly sparse, the WHO has warned. Drugmakers are enticed by greener pastures, compared to the long, arduous and expensive path to antibiotic approval that offers little financial gain as treatments are typically priced cheaply, and often lose potency over time as microbes grow resistant to them.

Top Har­vard chemist caught up in FBI’s 'T­hou­sand Tal­ents' drag­net, ac­cused of ly­ing about Chi­nese con­nec­tions, pay

The FBI’s probe into the alleged theft of R&D secrets by Chinese authorities has drawn Harvard’s top chemist into its net.

The agency accused Charles M. Lieber, who chairs the university’s chemistry and chemical biology department, with lying about his involvement in China’s Thousand Talents campaign, which was established as a way of drawing in innovators from around the world. And the scientist, 60, was charged with making false statements about his ties to China.

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Eye­ing a trio of tri­al ini­ti­a­tions, Jim Wilson's gene ther­a­py start­up woos Bruce Gold­smith from Deer­field as CEO

Passage Bio — Jim Wilson’s self-described “legacy company” — has wooed a seasoned biotech executive to steer the clinical entry of its first three gene therapy programs.

Bruce Goldsmith jumps to the helm of Passage after a brief CEO stint at Civetta, a cancer-focused startup he helped launch while a venture partner at Deerfield. He takes over from OrbiMed partner and interim chief Stephen Squinto, who will now lead the R&D team.

The FTC and New York state ac­cuse Mar­tin Shkre­li of run­ning a drug mo­nop­oly. They plan to squash it — and per­ma­nent­ly ex­ile him

Pharma bro Martin Shkreli was jailed, publicly pilloried and forced to confront some lawmakers in Washington riled by his move to take an old generic and move the price from $17.50 per pill to $750. But through 4 years of controversy and public revulsion, his company never backed away from the price — left uncontrolled by a laissez faire federal policy on a drug’s cost.

Now the FTC and the state of New York plan to pry his fingers off the drug once and for all and open it up to some cheap competition. And their lawsuit is asking that Shkreli — with several years left on his prison sentence — be banned permanently from the pharma industry.

UP­DAT­ED: Ac­celeron res­ur­rects block­buster hopes for so­tater­cept with pos­i­tive PhII — and shares rock­et up

Acceleron $XLRN says that its first major trial readout of 2020 is a success.

In a Phase II study of 106 patients with pulmonary arterial hypertension (PAH), Acceleron’s experimental drug sotatercept hit its primary endpoint: a significant reduction in pulmonary vascular resistance. The drug also met three different secondary endpoints, including the 6-minute walking test.

“We’re thrilled to report such positive topline results from the PULSAR trial,” Acceleron CEO Habib Dable said in a statement. The company said in a conference call they plan on discussing a Phase III trial design with regulators.

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Short at­tack­er Sahm Ad­ran­gi draws crosshairs over a fa­vorite of Sanofi’s new CEO — with PhII da­ta loom­ing

Sahm Adrang Kerrisdale

Kerrisdale chief Sahm Adrangi took a lengthy break from his series of biotech short attacks after his chief analyst in the field pulled up stakes and went solo. But he’s making a return to drug development this morning, drawing crosshairs over a company that’s one of new Sanofi CEO Paul Hudson’s favorite collaborators.

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Amber Saltzman (Ohana)

Flag­ship's first ven­ture of 2020 is out, and it's all about sperm

A couple years ago, Amber Salzman got a call as she was returning East full-time after a two-year stint running a gene therapy company in California.

It was from someone at Flagship Pioneering, the deep-pocketed biotech venture firm. They had a new company with a new way of thinking about sperm. It had been incubating for over a year, and now they wanted her to run it.

“It exactly fit,” Salzman told Endpoints News. “I just thought I had to do something.”