End­points Video spot­light: The de­bate over drug pric­ing takes cen­ter stage in 2017

If you thought the drug pric­ing de­bate looked big in 2016, wait for what 2017 has in store for you.

At JP Mor­gan ear­li­er this month, End­points News gath­ered to­geth­er some of the top in­dus­try play­ers to dis­cuss the lat­est news on pric­ing strate­gies as well as dif­fer­ent per­spec­tives on what it’s go­ing to take to sat­is­fy the grow­ing pub­lic de­mand for price re­forms.

This was just be­fore Pres­i­dent Trump lined up a broad­side that would rat­tle every win­dow in phar­ma.

What­ev­er di­rec­tion this goes on Capi­tol Hill, it’s quite cer­tain that the in­dus­try will no longer be al­lowed to qui­et­ly en­gi­neer steep and steady price hikes, though that may de­pend on your de­f­i­n­i­tion of “steep.” But what’s to be done with the price gougers when there’s no law pre­vent­ing any­one from overnight price hikes of 5,000%? And how will drug com­pa­nies han­dle the next con­tro­ver­sy over stick­er shock?

The End­points team gath­ered a few clips from the break­fast to of­fer a fla­vor of what’s be­ing dis­cussed. It’s clear that the de­bate has a long way to run, though, be­fore it’s played out.

We al­so have the en­tire 52-minute pan­el dis­cus­sion avail­able for e-mail sub­scribers. (There’s nev­er any cost to read End­points.)


End­points Ed­i­tor John Car­roll breaks it down

There does seem to be sev­er­al dif­fer­ent con­tro­ver­sies about pric­ing. There’s not just one.


Alk­er­mes CEO Richard Pops of­fers a dif­fer­ent per­spec­tive

I come to it al­most like a Mar­t­ian from Mars com­ing to say, “How does this whole thing work?” It’s so bizarre be­cause, I must ad­mit, I don’t think any of us re­al­ized how fre­quent­ly phar­ma­ceu­ti­cal com­pa­nies were in­deed rais­ing prices over the last decade or so.


Al­ler­gan CEO Brent Saun­ders on gross vs net prices

(T)he 20-some­thing drugs that we in­creased in Jan­u­ary, was an av­er­age of about 7.5% price in­crease, but that’s gross. The net was clos­er to two to three.


Pops and Saun­ders talk val­ue-based pric­ing

I would love to see a com­pa­ny come to mar­ket with a high-priced drug, quote un­quote, and pro­vide both a qual­i­ta­tive and quan­ti­ta­tive jus­ti­fi­ca­tion for the way they priced it. Be­cause peo­ple hate the opac­i­ty.


J&J’s Joaquin Du­a­to on gener­ics and biosim­i­lars

In the next five years, we’re go­ing to be fac­ing around $150 bil­lion of med­i­cines that are go­ing to lose patent and that’s go­ing to be a source of reg­u­lat­ing the mar­ket from an­oth­er per­spec­tive.


PhRMA CEO Stephen Ubl has a plan

We’re go­ing to launch a very am­bi­tious, com­pre­hen­sive, na­tion­al com­mu­ni­ca­tions and pub­lic af­fairs ef­fort.

Com­mu­ni­cat­ing the val­ue of pre­ci­sion med­i­cine

By Natasha Cowan, Content Marketing Manager at Blue Latitude Health.
Many stakeholders are confused by novel precision medicines, including patients and healthcare professionals. So, how can industry help them to navigate this complexity?

Precision medicine represents a new paradigm in healthcare. It embodies the shift from treating many patients with the same therapy, to having the tools to identify the best treatment for every patient.

Mer­ck buys a fledg­ling neu­rode­gen­er­a­tive biotech spawned by an old GSK dis­cov­ery al­liance. What’s up with that?

Avalon Ventures chief Jay Lichter has a well-known yen for drug development programs picked up in academia. And what he found in Haoxing Xu’s lab at the University of Michigan pricked his interest enough to launch one of his umbrella biotechs in San Diego.
Xu’s work laid the foundation for Avalon to launch Calporta, which has been working on finding small molecule agonists of TRPML1 (transient receptor potential cation channel, mucolipin subfamily, member 1) for lysosomal storage disorders. And that pathway, they believe, points to new approaches on major market neurodegenerative diseases like Parkinson’s, ALS and Alzheimer’s.

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In­vestors could emerge from Neil Wood­ford de­ba­cle with £1B loss, in­ter­nal analy­sis re­veals

When Link Fund Solutions announced that it is closing Woodford Equity Income Fund permanently and kicking out Neil Woodford, it was implied that investors probably won’t get back everything they entrusted to the fund manager. But nobody knew just how much they would lose.

An internal analysis commissioned by Link suggested that the collective loss could amount to £1 billion — out of a fund last valued at £3.1 billion — Citywire has revealed.

GSK's asth­ma bi­o­log­ic Nu­cala scores in rare blood dis­or­der study

GlaxoSmithKline’s asthma drug Nucala, which received a resounding FDA rejection for use in chronic obstructive pulmonary disease (COPD) last year, has shown promise in a rare blood disorder.

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Spe­cial re­port: Twen­ty ex­tra­or­di­nary women in bio­phar­ma R&D who worked their way to the top

What differentiates a woman leader in biopharma R&D from a man?

Not much, except there are fewer of them in senior posts. Data suggest women are not more risk-averse, family-oriented or less confident than their male counterparts — indeed the differences between the two sexes are negligible. But a glance at the top R&D positions in Big Pharma leaves little doubt that upward migration in the executive ranks of biopharma R&D is tough.

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FDA Vas­cepa re­view spot­lights new safe­ty sig­nals, pos­si­ble min­er­al oil spoil­er as Amarin hunts a block­buster ap­proval

An in-house FDA review of Amarin’s Vascepa raises a set of hurdles the biotech will have to clear if the biotech expects to get the long-awaited FDA approval that could set it on a path to superstar status. But it appears that Amarin has survived another potential setback without introducing a major new threat to its prospects.

The stakes don’t get much higher, with analysts saying a win this week for Amarin could lead to billions in new sales — provided the agency stamps it with an OK. And investors liked what they say in the FDA review this morning, bumping the stock $AMRN 17%.

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FDA puts Sol­id Bio’s lead gene ther­a­py pro­gram on hold — again — af­ter an­oth­er pa­tient is hurt by SGT-001

Solid Biosciences continues to be plagued by safety issues.

Close to 18 months after the gene therapy biotech was able to quickly shed an FDA hold on their lead Duchenne muscular dystrophy program for SGT-001, regulators have stepped back in to force another halt after another patient was hit hard by a set of serious adverse events remarkably similar to the first set.

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FDA slaps a hold on an AML tri­al as Mark­er scraps a fail­ing ovar­i­an can­cer pro­gram, sink­ing shares

The FDA has placed a hold on a Phase II AML trial from the small immuno-oncology biotech Marker Therapeutics. Marker disclosed the issue two weeks after responding to FDA concerns, adding it to the Q3 release Tuesday. The company also announced it was scrapping a Phase II ovarian cancer program it determined was unlikely to succeed.

The agency’s concern centers around two reagents used in manufacturing for their trial for acute myeloid leukemia patients who have received a stem cell transplant. The reagents are from third parties and not present in the final product, Marker said.

Eli Lil­ly-backed biotech grabs $100M to dis­patch an­ti­body-oligonu­cleotide con­ju­gates af­ter mus­cu­lar dy­s­tro­phy

Hold up your hand. Make a fist. Now open it. And again.

If you can do it fully and with ease, then the proteins in your hand are likely working properly. If you can’t then they may not be. In people with myotonic muscular dystrophy, something more atomic is going on.

In those folks, the problem is RNA. Certain base pairs repeat far beyond normal, up to 11,000 superfluous letters in some cases. The extended strands form “clumps.” Proteins misform and can’t function properly. They often allow one movement but not the reverse, a condition called myotonia that gives the dystrophy its name.