Bris­tol My­ers adds to neoad­ju­vant win for Op­di­vo in lung can­cer, es­ca­lat­ing ear­ly can­cer show­down with Mer­ck

Bris­tol My­ers Squibb and Mer­ck are locked in a heat­ed race to bring their block­buster PD-(L)1 drugs in­to ear­ly can­cer pa­tients as part of po­ten­tial­ly cu­ra­tive com­bi­na­tions. The ap­provals have been com­ing fast and heavy, and Bris­tol My­ers keeps adding to its case for a big-time FDA nod in lung can­cer.

A com­bi­na­tion of Op­di­vo and chemo in the neoad­ju­vant set­ting be­fore surgery cut the risk of re­cur­rence or death in pa­tients with stage IB to II­IA non-small cell lung can­cer over pre-surgery chemo alone, ac­ing the sec­ond pri­ma­ry end­point in the Phase III CHECK­MATE-816 study, Bris­tol My­ers said Mon­day.

There were no hard da­ta in Mon­day’s re­lease, but the drug­mak­er said an in­ter­im analy­sis came up aces for the Op­di­vo com­bo, which Bris­tol My­ers an­nounced back in April hit the oth­er pri­ma­ry end­point in this study: an im­prove­ment in patho­log­i­cal com­plete re­sponse.

Bris­tol My­ers and Mer­ck with megablock­buster Keytru­da are lead­ing the pack in terms of bring­ing check­point in­hibitors in­to ear­ly can­cer pa­tients be­fore their dis­ease ever ad­vances in­to the metasta­t­ic stage. In NSCLC, Bris­tol My­ers fore­casts a big mar­ket for its drug, and it’s not hard to see why: The drug­mak­er es­ti­mates that be­tween 30% and 55% of NSCLC pa­tients re­lapse af­ter surgery, un­der­scor­ing the need for ad­di­tion­al ther­a­pies to knock down that risk.

Bris­tol My­ers said it plans to present full da­ta at an up­com­ing med­ical meet­ing as well as with reg­u­la­tors.

Back in April, the drug­mak­er rolled out da­ta for the Op­di­vo-chemo com­bo show­ing it post­ed a 24% patho­log­i­cal com­plete re­sponse (pCR) rate for pa­tients across the PD-(L)1 ex­pres­sion spec­trum  com­pared with just 2.2% for chemo alone. That pCR end­point is a con­tro­ver­sial one and has led to some back­lash — in­clud­ing at a heat­ed ad­comm for a Keytru­da reg­i­men in triple-neg­a­tive breast can­cer — but adding a pos­i­tive EFS read­out could go a long way to sooth­ing reg­u­la­tors’ con­cerns.

Even with Mer­ck neck-and-neck across a grow­ing range of tu­mor types in the neo/ad­ju­vant set­ting, Bris­tol My­ers thinks it has a lead­er­ship po­si­tion here and is build­ing its own case for Op­di­vo, ei­ther alone or in com­bi­na­tion with chemo, as the go-to PD-(L)1 for ear­ly can­cer pa­tients.

The drug­mak­er now sports FDA ap­provals in ad­ju­vant urothe­lial can­cer, ad­ju­vant esophageal or gas­troe­sophageal junc­tion (GEJ) can­cer and ad­ju­vant melanoma.

Albert Bourla (Photo by Steven Ferdman/Getty Images)

UP­DAT­ED: Pfiz­er fields a CRL for a $295M rare dis­ease play, giv­ing ri­val a big head start

Pfizer won’t be adding a new rare disease drug to the franchise club — for now, anyway.

The pharma giant put out word that their FDA application for the growth hormone therapy somatrogon got the regulatory heave-ho, though they didn’t even hint at a reason for the CRL. Following standard operating procedure, Pfizer said in a terse missive that they would be working with regulators on a followup.

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Mar­ket­ingRx roundup: Pfiz­er de­buts Pre­vnar 20 TV ads; Lil­ly gets first FDA 2022 pro­mo slap down let­ter

Pfizer debuted its first TV ad for its Prevnar 20 next-generation pneumococcal pneumonia vaccine. In the 60-second spot, several people (actor portrayals) with their ages listed as 65 or older are shown walking into a clinic as they turn to say they’re getting vaccinated with Prevnar 20 because they’re at risk.

The update to Pfizer’s blockbuster Prevnar 13 vaccine was approved in June, and as its name suggests is a vaccine for 20 serotypes — the original 13 plus seven more that cause pneumococcal disease. Pfizer used to spend heavily on TV ads to promote Prevnar 13 in 2018 and 2019 but cut back its TV budgets in the past two fall and winter seasonal spending cycles. Prevnar had been Pfizer’s top-selling drug, notching sales of just under $6 billion in 2020, and was the world’s top-selling vaccine before the Covid-19 vaccines came to market last year.

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A new can­cer im­munother­a­py brings cau­tious hope for a field long await­ing the next big break­through

Bob Seibert sat silent across from his daughter at their favorite Spanish restaurant near his home in Charleston County, SC, their paella growing cold as he read through all the places in his body doctors found tumors.

He had texted his wife, a pediatric intensive care nurse, when he got the alert that his online chart was ready. Although he saw immediately it was bad, many of the terms — peritoneal, right iliac — were inscrutable. But she was five hours downstate, at a loud group dinner the night before another daughter’s cheer competition.

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Graphic: Alexander Lefterov for Endpoints News

Small biotechs with big drug am­bi­tions threat­en to up­end the tra­di­tion­al drug launch play­book

Of the countless decisions Vlad Coric had to make as Biohaven’s CEO over the past seven years, there was one that felt particularly nerve-wracking: Instead of selling to a Big Pharma, the company decided it would commercialize its migraine drug itself.

“I remember some investors yelling and pounding on the table like, you can’t do this. What are you thinking? You’re going to get crushed by AbbVie,” he recalled.

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Roy Baynes, Merck

FDA bats back Mer­ck’s ‘pipeline in a prod­uct,’ de­mands more ef­fi­ca­cy da­ta

Despite some heavy blowback from analysts, Merck execs maintained an upbeat attitude about the market potential of its chronic cough drug gefapixant. But the confidence may be fading somewhat today as Merck puts out news that the FDA is handing back its application with a CRL.

Dubbed by Merck’s development chief Roy Baynes as a “pipeline in a product” with a variety of potential uses, Merck had fielded positive late-stage data demonstrating the drug’s ability to combat chronic cough. The drug dramatically reduced chronic cough in Phase III, but so did placebo, leaving Merck’s research team with a marginal success on the p-value side of the equation.

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Florida Gov. Ron DeSantis (AP Photo/Wilfredo Lee, File)

Opin­ion: Flori­da is so mAb crazy, Ron De­San­tis wants to use mAbs that don't work

Florida Gov. Ron DeSantis is trying so hard to politicize the FDA and demonize the federal government that he entered into an alternate universe on Monday evening in describing a recent FDA action to restrict the use of two monoclonal antibody, or mAb, treatments for Covid-19 that don’t work against Omicron.

Without further ado, let’s break down his statement from last night, line by line, adjective by adjective.

Not cheap­er by the dozen: Bris­tol My­ers be­comes the 12th phar­ma com­pa­ny to re­strict 340B sales

Bristol Myers Squibb recently joined 11 of its peer pharma companies in limiting how many contract pharmacies can access certain drugs discounted by a federal program known as 340B.

Bristol Myers is just the latest in a series of high-profile pharma companies moving in their own direction as the Biden administration’s Health Resources and Services Administration struggles to rein in the drug discount program for the neediest Americans.

Joaquin Duato, J&J CEO (Photo by Charles Sykes/Invision/AP)

New J&J CEO Joaquin Du­a­to promis­es an ag­gres­sive M&A hunt in quest to grow phar­ma sales

Joaquin Duato stepped away from the sideline and directly into the spotlight on Tuesday, delivering his first quarterly review for J&J as its newly-tapped CEO after an 11-year run in senior posts. And he had some mixed financial news to deliver today while laying claim to a string of blockbuster drugs in the making and outlining an appetite for small and medium-sized M&A deals.

Duato also didn’t exactly shun large buyouts when asked about the future of the company’s medtech business — where they look to be in either the top or number 2 position in every segment they’re in — even though the bar for getting those deals done is so much higher.

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Amgen's Twitter campaign #DearAsthma inspired thousands of people to express struggles and frustrations with the disease

Am­gen’s #Dear­Asth­ma spon­sored tweet lands big on game day, spark­ing thou­sands to re­spond

Amgen wanted to know how people with asthma really felt about daily life with the disease. So it bought a promoted tweet on Twitter noting the not-so-simple realities of life with asthma and ended the post with a #DearAsthma hashtag, a megaphone emoji and a re-tweet button.

That was just over one week ago and the responses haven’t stopped. More than 7,000 posts so far on Twitter replied to #DearAsthma to detail struggles of daily life, expressing humor, frustration and sometimes anger. More than a few f-bombs have been typed or gif-ed in reply to communicate just how much many people “hate” the disease.