Eye­ing sec­ond Japan­ese ap­proval, Dai­ichi and Ex­elix­is an­nounce pos­i­tive piv­otal for kid­ney drug

Near­ly a year af­ter earn­ing reg­u­la­to­ry ap­proval against hy­per­ten­sion in Japan, Dai­ichi Sankyo an­nounced new pos­i­tive Phase III tri­al da­ta that could push them and the drug they de­vel­oped in col­lab­o­ra­tion with Ex­elix­is to­ward ap­proval for di­a­bet­ic nephropa­thy.

Dai­ichi test­ed Min­nebro (esax­erenone) in a dou­ble-blind tri­al against a place­bo in 455 pa­tients with di­a­bet­ic nephropa­thy and on an an­giotensin II block­er (ARB) or an­giotensin con­vert­ing en­zyme (ACE) in­hibitor. On the pri­ma­ry end­point – mi­croal­bu­min­uria re­mis­sion rate – Min­nebro out­paced a place­bo 22% to 4%. The Dai­ichi drug al­so re­duced over­all mi­croal­bu­min­uria-to-cre­a­ti­nine ra­tio by 58%, while it in­creased by 8.3% in the place­bo.

Mi­croal­bu­min­uria, al­so known as mod­er­ate­ly in­creased al­bu­min­uria, is an in­crease in the amount of al­bu­min in urine and oc­curs when the kid­neys leak an ex­cess amount of the pro­tein in­to urine. It is con­sid­ered a sign of kid­ney dis­ease.

Esax­erenone is a min­er­alo­cor­ti­coid re­cep­tor block­er. The con­cern with such block­ers is that they can in­crease hy­per­kalemia – in­creased blood potas­si­um lev­els, a dan­ger­ous con­di­tion that can lead to heart at­tacks. Min­nebro quadru­pled the risk of hy­per­kalemia in the study, with 8.8% of the esax­erenone de­vel­op­ing the con­di­tion against 2.2% of the place­bo group, but the con­di­tion al­le­vi­at­ed af­ter the ad­min­is­tra­tion pe­ri­od.

Ex­elix­is large­ly fo­cus­es on can­cer, but the near­ly 15-year-old col­lab­o­ra­tion with Dai­ichi has proved steadi­ly lu­cra­tive in non-on­col­o­gy ar­eas. On top of a $20 mil­lion up­front pay­ment and dou­ble-dig­it roy­al­ties just be­gin­ning to come through, the 25-year-old biotech earned $20 mil­lion when Dai­ichi filed for reg­u­la­to­ry ap­proval in 2018 and an­oth­er $20 mil­lion when Dai­ichi sold its first dose of the drug. That’s on top of the $15 mil­lion mile­stone pay­out when the first Phase III on hy­per­ten­sion be­gan in 2016.

Ex­elix­is said it stands to earn fur­ther mile­stones on Min­nebro. Ac­cord­ing to Dai­ichi’s Q3 re­port, di­a­bet­ic nephropa­thy is the on­ly oth­er in­di­ca­tion they are in “ma­jor” pur­suit of with this drug.

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.

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.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 65,000+ biopharma pros reading Endpoints daily — and it's free.

Ed­i­tas and Cel­gene sub Juno are tack­ling hottest im­munother­a­py cells

As the first CRISPR-edited cancer patients watch their treatments unfold, one of the first CRISPR companies is rejigging a major oncology deal.

Editas Medicine is amending its long-running collaboration with Celgene and their subsidiary Juno Therapeutics. The new deal will expand the focus of their work to cover a subset of immune cells that have become an increasingly hot target for immunotherapy: gamma-delta cells.

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%.
The insider take at the agency includes a note on two new safety signals seen in the big cardio outcomes study of the omega-3 fatty acid drug that shocked many analysts with a solid set of efficacy data. There’s a key concern over whether the use of mineral oil in the placebo skewed LDL levels in such a way that tilted the data in Amarin’s favor.
The FDA overview was written by John Sharretts, the acting deputy director in the Division of Metabolism and Endocrinology Products. 
On the safety side, the internal review focused on a 3.1% versus 2.1% rate of adjudicated events of atrial fibrillation or atrial flutter requiring hospitalization. But they also say a-fib shouldn’t confound the benefit-safety of the drug — given the improvement on MACE — or prevent its use. And then there was also a higher rate of bleeding events in the drug arm.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 65,000+ biopharma pros reading Endpoints daily — and it's free.

Prakash Raman. Flagship

Flag­ship woos No­var­tis top deal­mak­er Prakash Ra­man in move to get the BD ball rolling ear­ly

Flagship Pioneering likes to be ahead of its times — so far ahead, perhaps, that it is often challenging to find partners for their startups while the scientific scaffolding is underway. But Prakash Raman is here to change that.

Raman, who most recently headed up business development at the Novartis Institutes for BioMedical Research, became Flagship’s first chief business development officer two weeks ago. By acting as a “central resource” for the 100 companies in the venture fund’s portfolio, he hopes to help entrepreneurs and management teams strategize about dealmaking to capture value beyond the near-term validation of their platform technologies, Raman told Endpoints News.

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.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 65,000+ biopharma pros reading Endpoints daily — and it's free.

Bill Haney, Skyhawk

Cel­gene ex­ecs shell out $92M cash for a pair of R&D deals that will fit per­fect­ly in their new home at Bris­tol-My­ers

With Bristol-Myers Squibb’s Celgene buyout all but complete, the BD teams are working in perfect synchrony now. The Celgene side is going back to Skyhawk, a darling of the crowd that set out to drug RNA, and they’re adding a suite of new programs that mesh perfectly with the new regime in charge.

Celgene is shelling out $80 million in a cash upfront to add oncology, immuno-oncology and autoimmune diseases to the initial roundup of neurological targets mapped early in Skyhawk’s existence.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 65,000+ biopharma pros reading Endpoints daily — and it's free.

Reata's bar­dox­olone of­fers promise in pa­tients with rare kid­ney dis­or­der

After surprising Wall Street with positive data on its drug, omaveloxolone, in patients suffering from a notoriously hard-to-treat degenerative neuromuscular disorder last month, Reata Pharma on Monday unveiled pivotal results from a trial testing another drug, bardoxolone, in patients with a rare, genetic form of chronic kidney disease for which there exist no approved therapies.

Bardoxolone, like Reata’s other lead drug — omaveloxolone — is a small molecule engineered to bind to a gene called Keap1 to enhance the activity of the protein Nrf2 in order to defuse inflammation.

Am­gen ax­es 149 of its staff in Cam­bridge of­fice; Evotec, Mil­li­pore­Sig­ma en­ter re­search pact

→ Amgen has submitted a Worker Adjustment and Retraining Act (WARN) — a warning of impending mass layoffs 60 days in advance of the date — to the state of Massachusetts in the wake of the company’s exodus from the neurosciences R&D sector. David Reese, the company’s R&D chief, said at the time that the company is cutting ties in the field to focus on other undisclosed areas. In its WARN notice, the Cambridge-based company stated that 149 of its employees would be affected — among the total 180 being let go. The terminations will take effect on December 31, 2019.