EMA hands Italy's Chiesi a win in its long cam­paign to ad­vance new drugs for rare dis­eases

Five years af­ter Italy’s Chiesi built up its rare dis­ease ef­forts through ac­quir­ing Zymenex, the EMA has come through with a mar­ket­ing OK for a drug ob­tained in that deal.

Lamzede is an en­zyme re­place­ment ther­a­py for the ul­tra-rare al­pha-man­nosi­do­sis, a mul­ti-faceted de­bil­i­tat­ing dis­ease that is es­ti­mat­ed to af­fect 470 peo­ple in the EU. The treat­ment is ap­proved specif­i­cal­ly for non-neu­ro­log­i­cal man­i­fes­ta­tions in pa­tients with mild to mod­er­ate forms of the dis­or­der, a first for this pa­tient pop­u­la­tion.

The dis­ease is caused by a gene mu­ta­tion that leads to se­vere de­fi­cien­cy in al­pha-man­nosi­dase, an en­zyme that breaks down gly­co­pro­teins. As a re­sult, a tox­ic build-up of sug­ars takes place in the body, caus­ing a va­ri­ety of symp­toms from skele­tal ab­nor­mal­i­ties and mus­cle prob­lems to hear­ing loss and mo­tor skill im­pair­ments. Cur­rent treat­ments in­clude bone mar­row trans­plant and pe­riph­er­al blood stem cell trans­plan­ta­tion, in ad­di­tion to oth­er ther­a­pies tar­get­ing in­di­vid­ual symp­toms.

Alessan­dro Chiesi

Des­ig­nat­ed an or­phan drug back in 2005 when it was still in Zymenex’s hands, Chiesi’s Lamzede works by de­liv­er­ing, in­tra­venous­ly, a re­com­bi­nant form of al­pha-man­nosi­dase dubbed vel­manase al­fa to pa­tients. Falling un­der “ex­cep­tion­al cir­cum­stances,” the treat­ment’s ap­proval came af­ter sev­er­al clin­i­cal stud­ies in­volv­ing a to­tal of 34 pa­tients and a pos­i­tive CHMP opin­ion in Jan­u­ary.

The largest of those tri­als, a Phase III, en­rolled 25 pa­tients, and found re­duc­tion in serum oligosac­cha­rides for both the adult and pe­di­atric sub-groups. Those un­der 18 showed pos­i­tive im­prove­ment in func­tion­al tests like the three-minute stair climb­ing test and six-minute walk­ing test, while the adult group achieved sta­bi­liza­tion com­pared to the place­bo arm (who ex­pe­ri­enced more de­cline than the drug arm).

“Lamzede is the first ap­proved treat­ment with dis­ease mod­i­fy­ing po­ten­tial for al­pha-man­nosi­do­sis and there­fore, our next goal is to make this treat­ment avail­able to pa­tients in Eu­rope as soon as pos­si­ble,” said Alessan­dro Chiesi, head of Eu­rope at the Chiesi Group. “The mar­ket­ing au­tho­ri­sa­tion of Lamzede in the EU is a sig­nif­i­cant step­ping stone for pa­tients suf­fer­ing from this dev­as­tat­ing dis­ease and re­in­forces the Chiesi Group’s role in the com­plex and chal­leng­ing world of rare dis­eases.”


Chiesi build­ing in Ger­many. CHIESI DEUTSCH­LAND

Bris­tol My­ers is clean­ing up the post-Cel­gene merg­er pipeline, and they’re sweep­ing out an ex­per­i­men­tal check­point in the process

Back during the lead up to the $74 billion buyout of Celgene, the big biotech’s leadership did a little housecleaning with a major pact it had forged with Jounce. Out went the $2.6 billion deal and a collaboration on ICOS and PD-1.

Celgene, though, also added a $530 million deal — $50 million up front — to get the worldwide rights to JTX-8064, a drug that targets the LILRB2 receptor on macrophages.

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GSK presents case to ex­pand use of its lu­pus drug in pa­tients with kid­ney dis­ease, but the field is evolv­ing. How long will the mo­nop­oly last?

In 2011, GlaxoSmithKline’s Benlysta became the first biologic to win approval for lupus patients. Nine years on, the British drugmaker has unveiled detailed positive results from a study testing the drug in lupus patients with associated kidney disease — a post-marketing requirement from the initial FDA approval.

Lupus is a drug developer’s nightmare. In the last six decades, there has been just one FDA approval (Benlysta), with the field resembling a graveyard in recent years with a string of failures including UCB and Biogen’s late-stage flop, as well as defeats in Xencor and Sanofi’s programs. One of the main reasons the success has eluded researchers is because lupus, akin to cancer, is not just one disease — it really is a disease of many diseases, noted Al Roy, executive director of Lupus Clinical Investigators Network, an initiative of New York-based Lupus Research Alliance that claims it is the world’s leading private funder of lupus research, in an interview.

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UP­DAT­ED: Leg­end fetch­es $424 mil­lion, emerges as biggest win­ner yet in pan­dem­ic IPO boom as shares soar

Amid a flurry of splashy pandemic IPOs, a J&J-partnered Chinese biotech has emerged with one of the largest public raises in biotech history.

Legend Biotech, the Nanjing-based CAR-T developer, has raised $424 million on NASDAQ. The biotech had originally filed for a still-hefty $350 million, based on a range of $18-$20, but managed to fetch $23 per share, allowing them to well-eclipse the massive raises from companies like Allogene, Juno, Galapagos, though they’ll still fall a few dollars short of Moderna’s record-setting $600 million raise from 2018.

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As it hap­pened: A bid­ding war for an an­tibi­ot­ic mak­er in a mar­ket that has rav­aged its peers

In a bewildering twist to the long-suffering market for antibiotics — there has actually been a bidding war for an antibiotic company: Tetraphase.

It all started back in March, when the maker of Xerava (an FDA approved therapy for complicated intra-abdominal infections) said it had received an offer from AcelRx for an all-stock deal valued at $14.4 million.

The offer was well-timed. Xerava was approved in 2018, four years after Tetraphase posted its first batch of pivotal trial data, and sales were nowhere near where they needed to be in order for the company to keep its head above water.

Drug man­u­fac­tur­ing gi­ant Lon­za taps Roche/phar­ma ‘rein­ven­tion’ vet as its new CEO

Lonza chairman Albert Baehny took his time headhunting a new CEO for the company, making it absolutely clear he wanted a Big Pharma or biotech CEO with a good long track record in the business for the top spot. In the end, he went with the gold standard, turning to Roche’s ranks to recruit Pierre-Alain Ruffieux for the job.

Ruffieux, a member of the pharma leadership team at Roche, spent close to 5 years at the company. But like a small army of manufacturing execs, he gained much of his experience at the other Big Pharma in Basel, remaining at Novartis for 12 years before expanding his horizons.

Covid-19 roundup: Ab­b­Vie jumps in­to Covid-19 an­ti­body hunt; As­traZeneca shoots for 2B dos­es of Ox­ford vac­cine — with $750M from CEPI, Gavi

Another Big Pharma is entering the Covid-19 antibody hunt.

AbbVie has announced a collaboration with the Netherlands’ Utrecht University and Erasmus Medical Center and the Chinese-Dutch biotech Harbour Biomed to develop a neutralizing antibody that can treat Covid-19. The antibody, called 47D11, was discovered by AbbVie’s three partners, and AbbVie will support early preclinical work, while preparing for later preclinical and clinical development. Researchers described the antibody in Nature Communications last month.

Is a pow­er­house Mer­ck team prepar­ing to leap past Roche — and leave Gilead and Bris­tol My­ers be­hind — in the race to TIG­IT dom­i­na­tion?

Roche caused quite a stir at ASCO with its first look at some positive — but not so impressive — data for their combination of Tecentriq with their anti-TIGIT drug tiragolumab. But some analysts believe that Merck is positioned to make a bid — soon — for the lead in the race to a second-wave combo immuno-oncology approach with its own ambitious early-stage program tied to a dominant Keytruda.

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Pfiz­er’s Doug Gior­dano has $500M — and some ad­vice — to of­fer a cer­tain breed of 'break­through' biotech

So let’s say you’re running a cutting-edge, clinical-stage biotech, probably public, but not necessarily so, which could see some big advantages teaming up with some marquee researchers, picking up say $50 million to $75 million dollars in a non-threatening minority equity investment that could take you to the next level.

Doug Giordano might have some thoughts on how that could work out.

The SVP of business development at the pharma giant has helped forge a new fund called the Pfizer Breakthrough Growth Initiative. And he has $500 million of Pfizer’s money to put behind 7 to 10 — or so — biotech stocks that fit that general description.

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Leen Kawas, Athira CEO (Athira)

Can a small biotech suc­cess­ful­ly tack­le an Ever­est climb like Alzheimer’s? Athi­ra has $85M and some in­flu­en­tial back­ers ready to give it a shot

There haven’t been a lot of big venture rounds for biotech companies looking to run a Phase II study in Alzheimer’s.

The field has been a disaster over the past decade. Amyloid didn’t pan out as a target — going down in a litany of Phase III failures — and is now making its last stand at Biogen. Tau is a comer, but when you look around and all you see is destruction, the idea of backing a startup trying to find complex cocktails to swing the course of this devilishly complicated memory-wasting disease would daunt the pluckiest investors.