DOJ in­ves­ti­gat­ing Bausch Health over plaque pso­ri­a­sis drug mar­ket­ing — re­port

Just a few weeks af­ter Bausch Health ran afoul of the FDA’s drug mar­ket­ing po­lice, a new re­port has emerged that the com­pa­ny has been un­der in­ves­ti­ga­tion by the De­part­ment of Jus­tice since at least last June.

STAT News re­port­ed Bausch cir­cu­lat­ed doc­u­ments among its le­gal team on June 14, 2021, out­lin­ing its strat­e­gy to com­ply with the DOJ’s re­quest. The probe, known as a civ­il in­ves­tiga­tive de­mand, aims to look at whether Bausch pro­mot­ed three plaque pso­ri­a­sis drugs — as well as a fun­gal treat­ment — in ways not in­tend­ed for use.

DOJ is al­so ex­am­in­ing if fi­nan­cial com­pen­sa­tion was pro­vid­ed to Medicare pa­tients who had been pre­scribed one of the drugs, the com­pli­ance in­for­ma­tion re­gard­ing that drug and if oth­er pay­ments had been made to doc­tors help­ing pro­mote all four treat­ments, ac­cord­ing to the re­port.

End­points News has reached out to Bausch Health and will up­date ac­cord­ing­ly. DOJ de­clined to com­ment, cit­ing its gen­er­al pol­i­cy to “not con­firm, de­ny, or oth­er­wise com­ment on the ex­is­tence or non-ex­is­tence of in­ves­ti­ga­tions, crim­i­nal, civ­il, or oth­er­wise.”

Ac­cord­ing to doc­u­ments ob­tained by STAT, Bausch di­rect­ed em­ploy­ees to pre­serve all doc­u­ments and com­mu­ni­ca­tions re­lat­ed to the four drugs: Siliq, Bry­hali, Duo­brii and Jublia. Most of the preser­va­tion re­quests stem from the com­pa­ny’s work around Siliq and the fi­nan­cial com­pen­sa­tion pro­vid­ed to pa­tients tak­ing that drug.

Per the doc­u­ment, the ac­tion amounts to what’s known as a “le­gal hold,” in­struct­ing em­ploy­ees to com­ply un­til in­struct­ed oth­er­wise. It’s not clear when DOJ first launched its in­ves­ti­ga­tion.

The rev­e­la­tion comes a cou­ple of weeks af­ter Bausch ran in­to trou­ble at the FDA — again. Per an un­ti­tled let­ter dat­ed March 31, the FDA’s Of­fice of Pre­scrip­tion Drug Pro­mo­tion (OPDP) found mul­ti­ple is­sues with Bausch’s mar­ket­ing prac­tices of Duo­brii, in­clud­ing a “mis­lead­ing” video and prob­lem­at­ic claims about pur­port­ed ef­fi­ca­cy.

OPDP al­so not­ed this was not the first time it had tak­en is­sue with Duo­brii mar­ket­ing. Back in Feb­ru­ary 2020, the of­fice “ex­pressed sim­i­lar con­cerns,” ac­cord­ing to the let­ter.

FDA de­clined to elab­o­rate on specifics when con­tact­ed by End­points, and Bausch, af­ter ini­tial­ly say­ing it had not re­ceived a let­ter from the agency, clar­i­fied its state­ment that OPDP “pro­vid­ed non-pub­lic ad­vi­so­ry com­ments in re­sponse to our pre­clear­ance sub­mis­sion of the video” in 2020.

Duo­brii is a com­bi­na­tion cor­ti­cos­teroid and retinoid cream, ap­proved in 2019 to treat mod­er­ate-to-se­vere plaque pso­ri­a­sis. Siliq is a mon­o­clon­al an­ti­body OK’ed in 2017 to treat the same pop­u­la­tion.

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End­points 20(+2) un­der 40, 2023; Bio­phar­ma's high­est-paid CEOs; N-of-1 CRISPR sto­ry goes on af­ter tragedy; 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.

We will be off Monday in observance of Memorial Day — and when we get back, it will be a straight march to ASCO, BIO and more. Enjoy the (long) weekend!

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FDA ap­proves Lex­i­con’s heart-fail­ure drug af­ter de­feat in di­a­betes

The FDA on Friday approved Lexicon’s heart failure drug sotagliflozin following a string of setbacks for the pharma company, including an FDA rejection in diabetes and the loss of a development deal with Sanofi.

The dual SGLT1 and SGLT2 inhibitor will be marketed as Inpefa and is a once-daily tablet. It’s been approved to reduce the risk of cardiovascular death and heart failure-related hospitalization or urgent visits in adults with heart failure or type 2 diabetes mellitus, chronic kidney disease, and other cardiovascular risk factors. The label spans the range of left ventricular ejection fraction, including preserved ejection fraction and reduced ejection fraction, as well as patients with or without diabetes, Lexicon said Friday.

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Douglas Love, Annexon CEO

An­nex­on’s GA drug miss­es on pri­ma­ry goal but win on vi­su­al acu­ity will be fo­cus of planned late-stage tri­al

Annexon’s complement inhibitor didn’t prove better than sham at reducing lesion growth in a leading cause of blindness, but the biotech still plans to move forward on the back of secondary endpoints showing visual acuity preservation, which will “certainly” be the primary goal in a late-stage trial to be discussed shortly with the FDA, CEO Douglas Love told Endpoints News. 

The California biotech’s ANX007 was not statistically significant compared to pooled sham, the comparator, at 12 months in patients with geographic atrophy, per a Wednesday presentation. In every-month dosing, the GA lesion area changed about 6.2% from baseline (p=0.526) and 1.3% (p=0.896) in the every-other-month group. In a March note, Jefferies analyst Suji Jeong said a reduction of 20% to 30% would be “encouraging.”

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Eu­ro­pean Com­mis­sion to re­ceive few­er Pfiz­er-BioN­Tech vac­cine dos­es un­der amend­ed con­tract

The European Commission has made a few changes to its vaccine contract with Pfizer and BioNTech, reducing the dose volume while extending the delivery timeline to cope with “evolving public health needs.”

The Commission previously struck a contract in May 2021 for 900 million doses, with the option to purchase another 900 million. Of those, 450 million were expected to be delivered in 2023, though an amendment now calls for fewer doses. While neither the Commission nor Pfizer and BioNTech have revealed an exact amount, an unnamed source told Reuters that the amendment reduces the remaining expected doses by about a third.

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Teresa Bitetti, Takeda's president of the global oncology business unit

Take­da wins pri­or­i­ty re­view for $400M col­orec­tal can­cer drug, li­censed from Hutchmed in Jan­u­ary

Takeda and Hutchmed scored a priority review Thursday afternoon for a colorectal cancer drug, the companies announced.

The experimental drug in question is fruquintinib, previously approved in China in 2018 to treat metastatic colorectal cancer. Takeda and Hutchmed are aiming to bring fruquintinib to the US and other countries outside China in the same indication, and the FDA set its decision date for Nov. 30 of this year.

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EMA rec­om­mends re­vok­ing au­tho­riza­tion of No­var­tis' sick­le cell drug

The European Medicines Agency’s committee for medicinal products for human use (CHMP) on Friday recommended revoking the marketing authorization for Novartis’ treatment for a painful complication related to sickle cell, after a recent study did not confirm its clinical benefit.

CHMP’s review looked at results of the STAND study, finding that Adakveo (crizanlizumab) did not reduce the number of painful crises leading to a healthcare visit, and patients treated with Adakveo had slightly more painful crises on average, with a subsequent healthcare visit, over the first year of treatment, compared with those on placebo.

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Rich Horgan (R) with his late brother, Terry

Rich Hor­gan spear­head­ed a gene ther­a­py for his broth­er. The tri­al end­ed in tragedy, but the work con­tin­ues for more pa­tients

Rich Horgan’s quest to create a custom gene therapy for his brother, Terry, ended in tragedy. But Horgan doesn’t believe it’s the end of the story.

Terry, a 27-year-old patient with Duchenne muscular dystrophy, died last October just eight days after receiving the therapy in a clinical trial in which he was the only participant. The case raised questions about the safety of certain gene therapies and what would happen to other drug programs under a nonprofit that Horgan created, called Cure Rare Disease.

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Bio­phar­ma's 20 high­est-paid CEOs of 2022, each bring­ing in $20M+ pay­days

Even in a down year for much of the biopharma market, 20 CEOs brought in pay packages valued at more than $20 million, an Endpoints News analysis found.

Endpoints collected data on more than 350 CEO compensation packages, covering a wide range of pharma, biotech, and life sciences companies. All told, the 20 largest earners made over $725 million in 2022 — an average package of $36.4 million. Three brought in paydays over $50 million, and one CEO broke the $100 million mark.

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