Drug­mak­ers cut prices on av­er­age by more than 60% to get on Chi­na's 2022 NDRL list — re­port

Chi­na’s Na­tion­al Re­im­burse­ment Drug List (NRDL) is a crys­tal clear ex­am­ple of the coun­try’s bar­gain­ing pow­er in the biotech and phar­ma mar­ket, as more firms have re­port­ed­ly agreed to cut their prices for 67 new med­i­cines to be in­clud­ed in its na­tion­al med­ical in­sur­ance cov­er­age start­ing in Jan­u­ary.

Be­ing on the list is lu­cra­tive. Es­sen­tial­ly, if a biotech or phar­ma com­pa­ny gets on this list, they’re cov­ered by the biggest in­sur­ance net­work in the coun­try. Giv­en Chi­na’s vast pop­u­la­tion, the Chi­nese gov­ern­ment has sig­nif­i­cant lever­age to de­cide which med­i­cines can make a prof­it. While do­mes­tic drug­mak­ers are quite will­ing to play that game, cut­ting prices sig­nif­i­cant­ly in ex­change for get­ting on the list, in­ter­na­tion­al com­pa­nies don’t do it as of­ten.

As part of a new round of ne­go­ti­a­tions, the 67 drugs, which in­clude Eli Lil­ly’s pso­ri­a­sis treat­ment Taltz and J&J’s mul­ti­ple myelo­ma drug Darza­lex, had their prices cut by more than an av­er­age of 60% to get on Chi­na’s list — 61.7% to be ex­act, ac­cord­ing to Reuters.

And at a news con­fer­ence, Chi­na’s Na­tion­al Health­care Se­cu­ri­ty Ad­min­is­tra­tion of­fi­cials said that the biggest price cut was 94%, with the prod­uct in ques­tion re­main­ing un­named.

That said, here are some of the new drugs and in­di­ca­tions on the list for next year:

  • Some of BeiGene’s drugs got added to the list, it an­nounced last night, this time for three drugs: the an­ti-PD1 an­ti­body tislelizum­ab in three new in­di­ca­tions; the BTK in­hibitor Bruk­isna in one new in­di­ca­tion; and the first list­ing for pami­parib, a PARP in­hibitor.
  • Hutchmed, a Hong Kong biotech, got to keep its metasta­t­ic CRC can­cer drug Elu­nate on the list, while adding Su­lan­da, a treat­ment for “non-pan­cre­at­ic neu­roen­docrine tu­mors” (or NETs).
  • Do­mes­tic biotech Re­meGen, based in Yan­tai, Chi­na, got two of its drugs ap­proved to the list: Telitaci­cept, a dual-tar­get­ed TACI-Fc fu­sion pro­tein for sys­temic lu­pus ery­the­mato­sus and metasta­t­ic gas­tric can­cer ADC Disi­ta­m­ab Ve­dotin.
  • Shang­hai’s Jun­shi al­so an­nounced that its drug al­ready on the list — tori­pal­imab, an an­ti-PD-1 mon­o­clon­al an­ti­body — is get­ting two new in­di­ca­tions ap­proved: re­cur­rent or metasta­t­ic na­sopha­ryn­geal car­ci­no­ma af­ter fail­ure of at least two lines of pri­or sys­temic ther­a­py, and lo­cal­ly ad­vanced or metasta­t­ic urothe­lial car­ci­no­ma, af­ter fail­ure of plat­inum-con­tain­ing chemother­a­py or pro­gres­sion with­in 12 months of neoad­ju­vant or ad­ju­vant plat­inum-con­tain­ing chemother­a­py.
  • In­novent and Lil­ly got an ex­pan­sion of sin­til­imab, its mon­o­clon­al an­ti­body al­so known as Tyvyt for three new in­di­ca­tions:
    • in com­bi­na­tion with chemother­a­py for first-line treat­ment of ad­vanced or re­cur­rent non-squa­mous NSCLC with­out sen­si­tiz­ing EGFR mu­ta­tions or ALK re­arrange­ments;
    • in com­bi­na­tion with chemo for treat­ing ad­vanced or re­cur­rent squa­mous NSCLC;
    • and in com­bi­na­tion with By­vas­da (be­va­cizum­ab biosim­i­lar in­jec­tion) to treat un­re­sectable or ad­vanced he­pa­to­cel­lu­lar car­ci­no­ma (HCC).
  • Fi­nal­ly, As­cle­tis an­nounced that its oral di­rect an­ti-HCV ther­a­py As­cle­vir got added to the list.

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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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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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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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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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.

Pfiz­er, Bris­tol My­ers dom­i­nate top 10 pre­dic­tions for the best-sell­ing drugs of 2022

The annual exercise where analysts try and predict which drugs will become blockbusters and make the most money tends to highlight the biggest trends in biopharma R&D. 2022 is no exception.

The team at Evaluate Vantage published its predictions for the top 10 selling drugs for the year — expecting tens of billions of dollars in sales and highlighting an industry-wide focus on certain diseases and indications.

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Nabiha Saklayen, Cellino co-founder and CEO (via Cellino)

Backed by Bay­er's Leaps, Boston-based Celli­no lands $80M for cell ther­a­py-in-box

The summer before Cellino CEO and co-founder Nabiha Saklayen started at Harvard, she lost her grandmother following complications to diabetes. Before then, she hadn’t taken a biology class since ninth or tenth grade — the mark of a classic physicist — but it was then she decided she wanted the rest to sit at the intersection of the two for the rest of her career

Combine that with being across the way from the University’s stem cell institute in Cambridge, and you get the birth of Cellino, an autonomous cell therapy manufacturing company that just announced the closing of its Series A.