Can tiny Mus­tang Bio com­pete on the CAR-T front with gi­ants like No­var­tis and Gilead? Man­ny Litch­man aims to find out

Now that No­var­tis and Gilead have picked up the first two ap­provals for CAR-T drugs, you can ex­pect to see ri­vals com­ing along who will probe for any weak­ness­es in their ap­proach, look­ing to com­pete on the next wave of per­son­al­ized cell ther­a­pies head­ed through the clin­ic.

The small crew at Mus­tang Bio — $MBIO, up 11% to­day — has some big am­bi­tions on that score, and to­day they’re adding some man­u­fac­tur­ing ca­pac­i­ty that the com­pa­ny be­lieves will be cen­tral to its abil­i­ty to even­tu­al­ly com­pete with these two gi­ants.

Man­ny Litch­man

Mus­tang has inked a lease deal with the UMass Med­i­cine Sci­ence Park in Worces­ter, MA, where they ex­pect to be­gin pro­duc­tion of their CAR-Ts next year. And they’ll be aim­ing to make these cell ther­a­pies for ear­ly-stage stud­ies for glioblas­toma and acute myeloid leukemia and a grow­ing sta­ble of pre­clin­i­cal ef­forts.

Look­ing for com­pet­i­tive ad­van­tages at this stage of the game will re­ly quite a lot on a “more stream­lined, more cost ef­fec­tive man­u­fac­tur­ing ap­proach,” CEO Man­ny Litch­man tells me. “Every­thing re­al­ly has cost in mind,” he adds, siz­ing up the first two ther­a­pies that come with hefty six-fig­ure price tags.

“Look in the black box of man­u­fac­tur­ing,” he says, and you can see “dozens of pa­ra­me­ters that can vary.”

There’s more reengi­neer­ing work to be done to make CAR-Ts bet­ter at com­bat­ting can­cers like glioblas­toma and AML, he adds. In­ves­ti­ga­tors, for ex­am­ple, have been bal­anc­ing the im­pact of quick ver­sus slow­er ac­tion of the ther­a­peu­tic — slow­er ac­tion ap­pears to be more durable — along with a mul­ti­tude of com­bi­na­tion ap­proach­es that need to be ex­plored.

There’s enough po­ten­tial in these new ap­proach­es to of­fer an open­ing for a com­pa­ny like Mus­tang to step in and ex­ploit new op­por­tu­ni­ties, he be­lieves.

Litch­man left the helm at Arv­inas, a pro­tein degra­da­tion biotech spun out of the lab of Yale’s Craig Crews, to take the lunge at CAR-T. It’s a field he knows some­thing about. As for­mer head of on­col­o­gy BD at No­var­tis, Litch­man was present at the cre­ation of the Penn/No­var­tis deal that set the phar­ma gi­ant down the path to­ward an his­toric CAR-T ap­proval. He was pro­gram head of CTL019 for awhile. And he’s fol­low­ing in much the same path that the pi­o­neers — along with Kite and Juno — did, let­ting the sci­en­tif­ic founders do the ear­ly-stage re­search work that will be used to set up the fast-paced piv­otal de­vel­op­ment pro­grams to come.

Stephen For­man

In Mus­tang’s case, that in­volves Stephen For­man’s lab­o­ra­to­ry at City of Hope Na­tion­al Med­ical Cen­ter and top re­searchers at the Fred Hutchin­son Can­cer Re­search Cen­ter, where Oliv­er Press and Bri­an Till have been build­ing a T cell ther­a­py which ex­press­es a CD20-spe­cif­ic chimeric anti­gen re­cep­tor. That work has ex­pand­ed Mus­tang’s pipeline to 6 clin­i­cal and pre­clin­i­cal ef­forts.

The Cal­i­for­nia In­sti­tute for Re­gen­er­a­tive Med­i­cine, rest­less­ly look­ing to make a clin­i­cal mark af­ter years in­vest­ing in labs, just days ago pro­vid­ed a $12.8 mil­lion grant to the City of Hope for the Phase I glioblas­toma study. And that comes on top of a $94.5 mil­lion raise in Feb­ru­ary from a pri­vate place­ment arranged by its par­ent com­pa­ny Fortress, which is build­ing a port­fo­lio of biotechs.

Try­ing to leapfrog in­to a clin­i­cal ri­val­ry in a com­plex are­na like this will cost much, much more than that. And Litch­man tells me he has plans to raise some­where be­tween $60 mil­lion and $100 mil­lion more next year.

Right now, Mus­tang has 5 full timers, a tiny boat­load of staffers com­pared to the jug­ger­nauts crewed by No­var­tis and Gilead’s Kite. Juno al­so has a much larg­er op­er­a­tion look­ing to make a come­back af­ter their lead ther­a­py was de­stroyed by its lethal tox­i­c­i­ty. But Litch­man plans to up that to about 20 over the next year, while the in­de­pen­dent sci­en­tists con­tin­ue to do the heavy lift­ing in the ear­ly stud­ies.

This is one race that Litch­man says is still very much just be­gin­ning. And it won’t be dom­i­nat­ed by a hand­ful of lead­ers.

The Fac­tors Dri­ving a Rapid Evo­lu­tion of Gene & Cell Ther­a­py and CAR-T Clin­i­cal Re­search in APAC

APAC is the fastest growing region globally for cell & gene therapy trials representing more than a third of all cell & gene studies globally, with China leading in the region. 

APAC is the leading location globally for CAR-T trials with China attracting ~60% of all CAR-T trials globally between 2015-2022. The number of CAR-T trials initiated by Western companies has rapidly increased in recent years (current CAGR of about 60%), with multiple targets being explored including CD19, CD20, CD22, BCMA, CD30, CD123, CD33, CD38, and CD138.

The End­points 11; blue­bird's $3M gene ther­a­py; Bio­gen tout new neu­ro da­ta; Harsh re­views for can­cer drugs; and more

Welcome back to Endpoints Weekly, your review of the week’s top biopharma headlines. Want this in your inbox every Saturday morning? Current Endpoints readers can visit their reader profile to add Endpoints Weekly. New to Endpoints? Sign up here.

Reading about John Carroll’s pick of biotech’s most promising startups has become a treasured tradition. If you ever get curious about previous classes of the Endpoints 11, you can find all of them (plus a number of our other regular specials) here.

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EMA warns of short­ages of two Boehringer heart drugs due to a spike in de­mand

The EMA is putting EU member states on alert over the shortage of two drugs that counter heart attacks due to an uptick in demand.

On Friday, the EMA sent out a warning that two Boehringer Ingelheim drugs are experiencing a shortage: Actilyse and Metalyse. The drugs are used as emergency treatments for adults experiencing acute myocardial infarction, or a heart attack, by dissolving blood clots that have formed in the blood vessels.

The End­points 11: The top pri­vate biotechs in pur­suit of new drugs. Push­ing the en­ve­lope with pow­er­ful new tech­nolo­gies

Right around the beginning of the year, we got a close-up look at what happens after a boom ripples through biotech. The crash of life sciences stocks in Q1 was heard around the world.

In the months since, we’ve seen the natural Darwinian down cycle take effect. Reverse mergers made a comeback, with more burned out shells to go public at a time IPOs and road shows are out of favor. And no doubt some of the more recent arrivals on the investing side of the business are finding greener pastures.

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Solicitor General Elizabeth Prelogar

Should SCO­TUS hear Am­gen's Repatha case? So­lic­i­tor gen­er­al says no

Back in April, Amgen said it was encouraged by the solicitor general’s anticipated review of its Supreme Court petition to rehear a Repatha patent case. They’re likely much less optimistic about the outcome now.

Solicitor General Elizabeth Prelogar wrote in a recent 27-page brief that Amgen’s arguments “lack merit and further review is not warranted.”

The case traces back to a suit filed in 2014 against Sanofi and Regeneron’s Praluent, which ended up beating Amgen’s PCSK9 blockbuster Repatha to market by a month just a year later.

Klick Health gath­ers biotech and phar­ma lu­mi­nar­ies to dis­cuss in­dus­try in­no­va­tions, in­vest­ments and fu­ture

At Klick Health’s first Ideas Exchange conference with biotech and pharma industry insiders since before the pandemic began, it was no surprise many conversations included Covid topics. Yet while vaccines and treatments were discussed, so too were the effects on drug development, federal responses, health inequities — and what to do now and next.

George Yancopoulos, chief scientist and cofounder of Regeneron, opened the conference responding to a question from Acorda CEO Ron Cohen about the spotlight on the industry during Covid and some of the “flak” biopharma has taken in the past.

FDA's out­side ex­perts vote in fa­vor of Fer­ring's fe­cal trans­plant for C. dif­fi­cile, set­ting the stage for Seres

FDA’s outside advisors voted in favor of Ferring Pharmaceuticals’ RBX2660, an experimental poop-based drug implant that the company says would be the first microbiota-based live biotherapeutic to receive an FDA green light.

That was a point repeatedly discussed during the Vaccines and Related Biological Products Advisory Committee, or VRBPAC, meeting Thursday when evaluating Ferring’s fecal microbiota transplant, or FMT, for reducing the recurrence of Clostridioides difficile infection in adults who have received antibiotics. Multiple members brought up the need for a regulated product amid a landscape of unregulated FMTs already happening in clinical care.

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Vas Narasimhan, Novartis CEO (Simon Dawson/Bloomberg via Getty Images)

No­var­tis un­veils 'US-first' strat­e­gy ahead of San­doz spin­off

Weeks after announcing the spinoff of generics arm Sandoz, Vas Narasimhan paints a picture of the new, slimmer Novartis — with a “US-first mindset,” he said at an investor event on Thursday.

The CEO unveiled ambitious plans to become a top-five player in the US by 2027 at Novartis’ “Meet the Management” event in Basel, Switzerland, which means ramping up clinical trials in the states and “building capability and talent, among other things.” The company’s also shooting for a top-three ranking in China.

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Pfiz­er sacks phar­ma com­pe­ti­tion in ear­ly NFL TV ad­ver­tis­ing sea­son

If pharma advertising had a fantasy football league, Pfizer would be crushing the competition. A dive into the National Football League’s TV commercial buys across early season games by iSpot shows a hefty lead with its Covid-19 Comirnaty vaccine ads.

More than 175 million impressions with $9.5 million in media spending put Pfizer in the top spot with a 65% share of voice across NFL pharma spending, according to the real-time TV ad tracker. In a distant second place is Bristol Myers Squibb’s Opdivo with 44 million impressions, $5.2 million in spending and a 16% share, followed by BMS’ Zeposia with 31 million impressions, $3.3 million in media buys and an 11% share.

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