Dai­ichi says it’s ready to change the stan­dard of care for acute myeloid leukemia — but it’s a work in progress

Close to 4 years ago, Dai­ichi Sankyo swooped in to buy lit­tle San Diego-based Am­bit Bio­sciences for up to $410 mil­lion — $315 mil­lion of that in cash — to lay its hands on a leukemia drug called quizar­tinib.

Jorge Cortes

Over the week­end, in­ves­ti­ga­tors rolled out the late-stage da­ta that the Japan­ese com­pa­ny plans to take to reg­u­la­tors at the FDA. The re­sults are sta­tis­ti­cal­ly sig­nif­i­cant but un­spec­tac­u­lar, with 27% of the pa­tients suf­fer­ing from treat­ment-re­sis­tant acute myeloid leukemia with FLT3-ITD mu­ta­tions in the drug arm mak­ing it to 52 weeks com­pared to 20% of the chemo pa­tients in the con­trol arm.

The haz­ard ra­tio was 0.76, with a 24% drop in risk of death. The p-val­ue on that was pos­i­tive: 0.0177.

For Jorge Cortes at MD An­der­son, who led the study, the da­ta of­fer a com­pelling case for Dai­ichi’s drug as the on­ly sin­gle agent to prove ef­fi­ca­cy in this spe­cif­ic FLT3-ITD group. 

 “For 50 years, since the stan­dard of ther­a­py was in­tro­duced, noth­ing has changed since then,” Cortes tells me. “You could say a few weeks isn’t much,” but he sees this as a land­mark suc­cess that will change that long-run­ning stan­dard of care.

“I see this as very sig­nif­i­cant,” he adds, cit­ing the progress with an oral, sin­gle agent in a sal­vage set­ting with re­frac­to­ry pa­tients. “Any ben­e­fit for these pa­tients is very wel­come.”

That’s all true, but it’s worth not­ing that No­var­tis’ Ry­dapt (mi­dostau­rin) was ap­proved a year ago in com­bi­na­tion with chemo for front­line cas­es of AML with FLT3 mu­ta­tions (in­clud­ing ITD) while Nex­avar re­cent­ly demon­strat­ed ef­fi­ca­cy with chemo in the same spe­cif­ic pa­tient pop­u­la­tion. 

Dai­ichi is clear­ly in­ter­est­ed in see­ing how this drug can do with chemo as well, with at least two com­bo stud­ies on­go­ing, ac­cord­ing to clin­i­cal­tri­als.gov. One of the study de­scrip­tions notes the “tran­sient” na­ture of the sec­ond-gen drugs in the field. There’s al­so an ear­ly-stage study that was filed on the site a few days ago call­ing for a com­bi­na­tion of Dai­ichi’s MDM2 In­hibitor DS-3032 with quizar­tinib.

That chemo com­bo ap­proach may well prove ef­fec­tive in the front­line set­ting, says the in­ves­ti­ga­tor. And the MDM2 ap­proach could sig­nif­i­cant­ly ex­pand the pop­u­la­tion of AML pa­tients they can help.

The next stop for quizar­tinib: Reg­u­la­tors.

UP­DAT­ED: A small, ob­scure biotech just won big with their IPO. In this mar­ket. Are you kid­ding me?

How could a small, largely unknown biotech that emerged from stealth mode just months ago with early-stage cancer programs jump onto Wall Street in the middle of a Category 6 financial hurricane and sail through with a $165 million IPO?

And what does that mean for the rest of the industry waiting to see just how much damage global lockdowns will wreak on clinical development?

The biotech is a company called Zentalis. The crew there nabbed an $85 million crossover round late last year — notably waiting 5 years before waving the numbers around to attract attention, according to my read of a FierceBiotech story. Perceptive joined in, but the syndicate was not in general the kind of marquee affair that gets tongues wagging.

Endpoints Premium

Premium subscription required

Unlock this article along with other benefits by subscribing to one of our paid plans.

Gilead CEO Daniel O'Day attends a meeting with the President and other biopharma leaders at the White House on March 2, 2020 (AP Photo)

Ramp­ing up glob­al pro­duc­tion of remde­sivir, Gilead CEO Dan O’Day de­tails plans to dis­trib­ute 1.5M dos­es to fight Covid-19 — for free

Gilead is still some days away from turning the card on its first round of data on remdesivir’s ability to fight severe cases of Covid-19, but the big biotech is ramping up an emergency supply of a million courses of therapy as it starts free distribution of the drug to tens of thousands of patients under their compassionate use and expanded access program as well as clinical trials.

In his latest open letter posted over the weekend, Gilead CEO Dan O’Day outlined how the company has been successful in cutting production time on remdesivir while repurposing some of their own facilities and turning to contract manufacturers to build a near-term supply of 1.5 million doses. They are still working on efficacy and dosing, but that supply could cover 140,000 courses of treatment. That supply, he added, would be more widely available following a potential approval.

Bob Nelsen at the Milken Institute Global Conference on April 29, 2019 in Beverly Hills, California. (Photo by Michael Kovac/Getty Images)

ARCH chief Bob Nelsen has $1.5B to prove 2 sim­ple points: ‘We’re in the most in­no­v­a­tive time ever’ and in­vestors are stay­ing

ARCH co-founder and managing director Bob Nelsen has a well known yen for the home run swing, betting big on potentially transformative meds and tech and the biotech teams he helps bring together. He thrives and bleeds on the cutting edge. And now Nelsen and the ARCH group have debuted 2 big funds to prove that this is the time for the best of biotech to shine — deadly pandemic be damned.

Two new funds, ARCH Venture Fund X and ARCH Venture Fund X Overage, gathered a combined $1.46 billion. And that’s a record. ARCH Venture Fund IX and ARCH Venture Fund IX Overage closed in 2016 with a combined $1.1 billion. ARCH Venture Fund VIII and ARCH Venture Fund VIII Overage closed in 2014 with a combined $560 million.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 77,400+ biopharma pros reading Endpoints daily — and it's free.

Have a new drug that promis­es to fight Covid-19? The FDA promis­es fast ac­tion but some de­vel­op­ers aren't hap­py

After providing an emergency approval to use malaria drugs against coronavirus with little actual evidence of their efficacy or safety in that setting, the FDA has already proven that it has set aside the gold standard when it comes to the pandemic. And now regulators have spelled out a new approach to speeding development that promises immediate responses in no uncertain terms — promising a program offering the ultimate high-speed pathway to Covid-19 drug approvals.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 77,400+ biopharma pros reading Endpoints daily — and it's free.

Once fu­ri­ous over No­var­tis’ da­ta ma­nip­u­la­tion scan­dal, the FDA now says it’s noth­ing they need to take ac­tion on

Back in the BP era — Before Pandemic — the FDA ripped Novartis for its decision to keep the agency in the dark about manipulated data used in its application for Zolgensma while its marketing application for the gene therapy was under review.

Civil and criminal sanctions were being discussed, the agency noted in a rare broadside at one of the world’s largest pharma companies. Notable lawmakers cheered the angry regulators on, urging the FDA to make an example of Novartis, which fielded Zolgensma at $2.1 million — the current record for a one-off therapy.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 77,400+ biopharma pros reading Endpoints daily — and it's free.

Covid-19 roundup: GSK, Am­gen tai­lor R&D work to fit the coro­n­avirus age; Doud­na's ge­nomics crew launch­es di­ag­nos­tic lab

You can add Amgen and GSK to the list of deep-pocket drug R&D players who are tailoring their pipeline work to fit a new age of coronavirus.

Following in the footsteps of a lineup of big players like Eli Lilly — which has suspended patient recruitment for drug studies — Amgen and GSK have opted to take a more tailored approach. Amgen is intent on circling the wagons around key studies that are already fully enrolled, and GSK has the red light on new studies while the pandemic plays out.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 77,400+ biopharma pros reading Endpoints daily — and it's free.

In a stun­ning set­back, Amarin los­es big patent fight over Vas­cepa IP. And its high-fly­ing stock crash­es to earth

Amarin’s shares $AMRN were blitzed Monday evening, losing billions in value as reports spread that the company had lost its high-profile effort to keep its Vascepa patents protected from generic drugmakers.

Amarin had been fighting to keep key patents under lock and key — and away from generic rivals — for another 10 years, but District Court Judge Miranda Du in Las Vegas ruled against the biotech. She ruled that:
(A)ll the Asserted Claims are invalid as obvious under 35 U.S.C.§ 103. Thus, the Court finds in favor of Defendants on Plaintiff’s remaining infringementclaim, and in their favor on their counterclaims asserting the invalidity of the AssertedClaims under 35 U.S.C. § 103.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 77,400+ biopharma pros reading Endpoints daily — and it's free.

Aaron Royston, venBio

In­vest­ing in the time of coro­n­avirus: the good, the bad and the hope­ful, as biotech VC firms close funds worth $3B

Apart from disrupting biopharma R&D and regulatory timelines, the coronavirus pandemic has inevitably ravaged financial markets and eroded investor risk appetite. Investing in the time of coronavirus feels reckless, but if biotech venture funds are any indication, the time is ripe.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 77,400+ biopharma pros reading Endpoints daily — and it's free.

Drug dis­cov­ery in the age of coro­n­avirus

Developing new drugs is incredibly hard. That’s why, despite superhuman efforts from the industry, we’re still looking at 12-18 months minimum before we can realistically hope for a vaccine for Covid-19, and probably months before there’s a proven viable drug treatment.

But our increasing ability to begin to industrialize the drug discovery and development process through an engineering approach means that we have more hope for speeding up this process than ever before — and not just to defeat coronavirus, but to benefit the development of all new medicines in the future.