FDA slaps down Brae­burn on opi­oid ad­dic­tion drug, putting In­di­v­ior and Alk­er­mes in strong po­si­tion

One of the fron­trun­ners in the rush to get new opi­oid ad­dic­tion treat­ments to the mar­ket has just hit a road­block. Just days be­fore its PDU­FA date, Brae­burn Phar­ma­ceu­ti­cals got a com­plete re­sponse let­ter from the FDA in lieu of an ap­proval.

Mike Derkacz

The com­pa­ny is de­vel­op­ing a for­mu­la­tion of buprenor­phine that’s in­ject­ed week­ly and month­ly. The drug is called CAM2038, and it pre­vi­ous­ly got fast track and pri­or­i­ty re­view des­ig­na­tions from the FDA. On the promise of this pro­gram, Brae­burn just closed a $110 mil­lion mez­za­nine round ear­li­er this month with back­ers in­clud­ing Deer­field and RA Cap­i­tal Man­age­ment.

Brae­burn was hop­ing to be the first to mar­ket with a month­ly in­jectable buprenor­phine, but the FDA said it needs more in­for­ma­tion be­fore it moves the ap­pli­ca­tion for­ward. Now, it looks like the in­dus­try’s leader In­di­v­ior may well beat them to the chase.

In­di­v­ior makes the well-known opi­oid ad­dic­tion drug Sub­ox­one, which was long tak­en as dai­ly strips that dis­solve on the tongue. The drug con­tains a mild opi­oid that helps stymie with­draw­al. But in No­vem­ber, In­di­v­ior got the FDA’s OK for a buprenor­phine ex­tend­ed-re­lease month­ly in­jec­tion, which goes by the brand name Sublo­cade. In­di­v­ior is poised to launch the prod­uct in Q1 of this year.

Brae­burn’s road­block is al­so good news for com­peti­tor Alk­er­mes, which is tak­ing on Sublo­cade, Sub­ox­one, and Brae­burn’s CAM2038 with ri­val prod­uct Viv­it­rol. Alk­er­mes’ prod­uct con­tains no ad­dic­tive opi­oids what­so­ev­er, which could be a com­pet­i­tive sell­ing point to physi­cians and pa­tients con­cerned about ad­dic­tion. Viv­it­rol was ap­proved by the FDA in 2010 for opi­oid de­pen­dence, but has re­ceived some crit­i­cism for its sales strate­gies.

Al­though we know the CRL will slow down Brae­burn, it’s tough to gauge the im­pact. Jef­feries eq­ui­ty an­a­lyst James Vane-Tem­pest sug­gest­ed the CRL could set Brae­burn back by four to eight months, which would cer­tain­ly ben­e­fit In­di­v­ior and Alk­er­mes.

When asked what “ad­di­tion­al in­for­ma­tion” the FDA is re­quest­ing, Brae­burn de­murred. A com­pa­ny spokesper­son said the com­pa­ny had no fur­ther com­ment be­yond the press re­lease.

“Brae­burn will con­tin­ue to work close­ly with the FDA with the goal of bring­ing CAM2038 to mar­ket as quick­ly as pos­si­ble,” said Mike Derkacz, pres­i­dent and CEO of Brae­burn, in the re­lease. “Opi­oid ad­dic­tion is one of the worst pub­lic health crises in our na­tion’s his­to­ry. We are com­mit­ted to in­tro­duc­ing this in­no­v­a­tive treat­ment to bet­ter meet the over­whelm­ing needs of pa­tients.”

Biotech and Big Phar­ma: A blue­print for a suc­cess­ful part­ner­ship

Strategic partnerships have long been an important contributor to how drugs are discovered and developed. For decades, big pharma companies have been forming alliances with biotech innovators to increase R&D productivity, expand geographical reach and better manage late-stage commercialization costs.

Noël Brown, Managing Director and Head of Biotechnology Investment Banking, and Greg Wiederrecht, Ph.D., Managing Director in the Global Healthcare Investment Banking Group at RBC Capital Markets, are no strangers to the importance of these tie-ups. Noël has over 20 years of investment banking experience in the industry. Before moving to the banking world in 2015, Greg was the Vice President and Head of External Scientific Affairs (ESA) at Merck, where he was responsible for the scientific assessment of strategic partnership opportunities worldwide.

Credit: Shutterstock

How Chi­na turned the ta­bles on bio­phar­ma's glob­al deal­mak­ing

Fenlai Tan still gets chills thinking about the darkest day of his life.

Three out of eight lung cancer patients who received a tyrosine kinase inhibitor developed by his company, Betta Pharma, died in the span of a month. Tan, the chief medical officer, was summoned to Peking Union Medical College Hospital, where the head of the clinical trial department told him that the trial investigators would be conducting an autopsy to see if the patients had died of the disease — they were all very sick by the time they enrolled — or of interstitial lung disease, a deadly side effect tied to the TKI class that’s been reported in Japan.

No­var­tis dumps AveX­is pro­gram for Rett syn­drome af­ter fail­ing re­peat round of pre­clin­i­cal test­ing

Say goodbye to AVXS-201.

The Rett syndrome gene therapy drug made by AveXis — the biotech that was bought, kept separate, then renamed and finally absorbed by Novartis into its R&D division — has been dropped by the biopharma.

In Novartis’ third quarter financial report, the pharma had found that preclinical data did not support development of the gene therapy into IND-enabling trials and beyond. The announcement comes a year after Novartis told the Rett Society how excited it was by the drug — and its potential benefits and uses.

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Peter Nell, Mammoth Biosciences CBO

UP­DAT­ED: Jen­nifer Doud­na spin­out inks a Mam­moth CRISPR deal with Ver­tex worth near­ly $700M

When a company gets its start in gene editing pioneer Jennifer Doudna’s lab, it’s bound to make headlines. But three years in, the fanfare still hasn’t died down for Mammoth Biosciences. Now, the Brisbane, CA-based company is cheering on its first major R&D pact.

Mammoth unveiled a nearly $700 million deal with Vertex on Tuesday morning, good for the development of in vivo gene therapies for two mystery diseases. The stars of the show are Mammoth’s ultra-small CRISPR systems, including two Cas enzymes licensed from Doudna’s lab over the past couple years, Cas14 and Casɸ.

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AstraZeneca CEO Pascal Soriot (Raphael Lafargue/Abaca/Sipa USA)

A com­bo of As­traZeneca's Imfinzi and chemo wins where oth­ers have failed in piv­otal bil­iary tract test

Looking to run with the big dogs in the PD-(L)1 class, AstraZeneca’s Imfinzi has a tall hill to climb to compete in an increasingly bustling market. An aggressive combo strategy for the drug has paid off so far, and now AstraZeneca is adding another notch to its belt.

A combo of Imfinzi (durvalumab) and chemotherapy significantly extended the lives of first-line patients with advanced biliary tract cancer over chemo alone, according to topline results from the Phase III TOPAZ-1 study revealed Monday.

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Sean Ianchulev, Eyenovia CEO and CMO

Re­cent court de­ci­sion push­es FDA to re­ject and re­clas­si­fy drug-de­vice com­bo, crush­ing shares

Back in April, the FDA lost a crucial court case in which its broad discretion of regulating medical products that might satisfy the legal definitions of either “drug” and/or “medical device” was sharply curtailed.

In addition to the appeals court ruling that Genus Medical Technologies’ contrast agent barium sulfate (aka Vanilla SilQ) should not be considered a drug, as the FDA had initially ruled, but as a medical device, the agency also was forced to spell out which drugs would transition to devices as a result of the ruling.

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An­gion's or­gan dam­age drug strikes out again, this time in high-risk kid­ney trans­plant pa­tients

After flopping a test in Covid-19 earlier this year, Angion’s lead organ damage drug has now hit the skids again in kidney transplant patients.

Angion and partner Vifor Pharma’s ANG-3777 failed to beat out placebo in terms of improving eGFR, a measure of kidney function, in patients who had received a deceased donor kidney transplant and were at high risk of developing what is known as delayed graft function, according to Phase III results released Tuesday.

(Photo courtesy Pfizer)

FDA's vac­cine ad­comm votes al­most unan­i­mous­ly in fa­vor of Pfiz­er's Covid-19 vac­cine for younger chil­dren

The FDA’s Vaccines and Related Biological Products Advisory Committee on Tuesday voted 17-0, with one panelist abstaining, that the benefits of the Pfizer-BioNTech Covid-19 vaccine outweigh the risks for children between the ages of five and 12.

The vote will likely trigger a process that could allow the shots to begin rolling out as early as next week.

The vaccine, which is one-third of the adult Pfizer dose, proved to be about 90% effective in a placebo-controlled trial in which about 1,500 kids in this age range received the vaccine, and only about 12% of those receiving the vaccine had any adverse event. All serious adverse events in the trial were unrelated to the vaccine.

Stéphane Bancel, Moderna CEO (Steven Ferdman/Getty Images)

Mod­er­na chips in fur­ther on African vac­cine sup­ply — but ad­vo­cates are call­ing for even more

In a sign of its growing commitment to the continent, Moderna will supply up to 110 million doses of its Covid-19 vaccine to the African Union, the company announced Tuesday. And CEO Stéphane Bancel said it’s just the first step.

“We believe our vaccine can play an important role in addressing the needs of low-income countries given its combination of high Phase 3 efficacy against COVID-19, strong durability in the real-world evidence, and superior storage and handling conditions. We recognize that access to COVID-19 vaccines continues to be a challenge in many parts of the world and we remain committed to helping to protect as many people as possible around the globe,” Bancel said in a statement.