Fed­er­al judge de­nies Am­gen's mo­tion to dis­miss Re­gen­eron an­titrust case

While Am­gen and Re­gen­eron’s spat be­fore the Supreme Court goes for­ward on Am­gen’s re­quest to re­vive patents on its block­buster Repatha and block the sale of Sanofi and Re­gen­eron’s Pralu­ent, an­oth­er case is mov­ing for­ward in fed­er­al court — this time Re­gen­eron is push­ing a case against Am­gen and fo­cus­ing on an­titrust law.

Delaware Cir­cuit Court Judge Richard An­drews over­ruled a pe­ti­tion from Am­gen on Tues­day to dis­miss the case (1:22-cv-00697-RGA-JLH), now al­low­ing it to con­tin­ue. Re­gen­eron filed the case against Am­gen last May.

An­drews over­ruled all of Am­gen’s ob­jec­tions, fol­low­ing a rec­om­men­da­tion from mag­is­trate judge Jen­nifer Hall that An­drews de­ny Am­gen’s mo­tion to dis­miss the case. Over­all, Re­gen­eron’s case ac­cus­es Am­gen of en­gag­ing in an il­le­gal and an­ti-com­pet­i­tive strat­e­gy to force pay­ers to choose Repatha over Pralu­ent.

Am­gen’s ob­jec­tions re­lat­ed to sub­mit­ted con­tracts re­lat­ed to prod­uct bundling, al­le­ga­tions against block­buster drug En­brel, and fore­clo­sure.

In Am­gen’s re­sponse to the mag­is­trate’s fil­ing, it wrote that the fil­ing found Re­gen­eron “plau­si­bly al­leged this con­duct fore­closed Re­gen­eron from com­pet­ing for about 22% of the mar­ket. But un­der well-es­tab­lished law in this Cir­cuit, that is not enough. Re­gen­eron must show it has been ‘sub­stan­tial­ly fore­closed’ from the mar­ket, which gen­er­al­ly re­quires fore­clo­sure lev­els of 40 to 50%.”

How­ev­er, An­drews not­ed in his 3-page rul­ing that Am­gen’s main ar­gu­ment on fore­clo­sure is not “all that suit­able for a mo­tion to dis­miss,” adding that Am­gen was most­ly re­ly­ing on cas­es that were de­cid­ed af­ter sum­ma­ry judg­ment or a tri­al.

“[T]he al­le­ga­tions have to be judged in the con­text of the en­tire com­plaint,” An­drews wrote.

Re­gen­eron’s orig­i­nal com­plaint de­tailed what Re­gen­eron de­scribed as an ef­fort from Am­gen to “elim­i­nate from the mar­ket a life-sav­ing med­i­cine that has served thou­sands of pa­tients” — aka Pralu­ent. Re­gen­eron claimed that Am­gen did so be­cause Pralu­ent is the on­ly di­rect com­peti­tor to Am­gen’s Repatha.

Fur­ther, Re­gen­eron claimed that Am­gen start­ed a bundling scheme — where mul­ti­ple prod­ucts are sold in a bun­dle at a cheap­er price than buy­ing those items in­di­vid­u­al­ly — in a bid to lever­age sales of oth­er Am­gen drugs and raise Pralu­ent’s ef­fec­tive cost.

Ac­cord­ing to the 100+ page suit, Am­gen and Re­gen­eron had com­pet­ed on for­mu­la­ry po­si­tion­ing with PBMs un­til 2020, af­ter Am­gen spent $13.4 bil­lion to get its hands on Cel­gene’s Ote­zla be­fore Bris­tol My­ers Squibb bought out Cel­gene in 2019.

Re­gen­eron then ac­cused Am­gen of threat­en­ing to with­hold re­bates on Ote­zla and block­buster En­brel “un­less Pay­ors ac­cept ei­ther out­right ex­clu­siv­i­ty for Repatha or else ‘equal’ for­mu­la­ry po­si­tion,” per the suit.

For con­text, 2020-2021 sales for Ote­zla and En­brel were $12.8 bil­lion com­pared to Pralu­ent’s 2020-2021 sales of $356 mil­lion — on­ly 2.8% of Am­gen’s two prod­uct sales, ac­cord­ing to Re­gen­eron’s com­plaint.

“There­fore, the threat of pay­ing just 3 per­cent more for Ote­zla and En­brel eas­i­ly over­whelms the to­tal amount of sales gen­er­at­ed by Pralu­ent, leav­ing Pay­ors trapped and with no vi­able choice but to ex­clude Pralu­ent from their for­mu­la­ries,” Re­gen­eron wrote.

That scheme, the biotech added, is keep­ing Pralu­ent out of enough mar­ket share that Pralu­ent is “no longer a fi­nan­cial­ly vi­able com­peti­tor to Repatha.”

Both of these drugs are PC­SK9 in­hibitor an­ti­bod­ies that re­duce LDL cho­les­terol.

Am­gen de­clined to com­ment on the de­vel­op­ment of the case. Re­gen­eron kept it short, telling End­points News on­ly that “We are pleased with the court’s de­ci­sion and look for­ward to purs[u]ing our case.”

Achiev­ing Dig­i­tal Trans­for­ma­tion: Un­lock­ing Cost Re­duc­tion, Clin­i­cal Ex­cel­lence & Pre­ci­sion Ther­a­peu­tics Man­u­fac­tur­ing

In the dynamic landscape of pharmaceutical and biotech industries, L7 Informatics is leading the charge in transforming traditional operations through digital innovation. With a firm focus on cost reduction, clinical improvements, reducing tech-transfer times, L7 Informatics is revolutionizing the way companies research, develop, and manufacture while also prioritizing the well-being of patients and providers thereby paving the way for a future where patients receive better treatments at lower costs.

End­points 20(+2) un­der 40, 2023; Bio­phar­ma's high­est-paid CEOs; N-of-1 CRISPR sto­ry goes on af­ter tragedy; and more

Welcome back to Endpoints Weekly, your review of the week’s top biopharma headlines. Want this in your inbox every Saturday morning? Current Endpoints readers can visit their reader profile to add Endpoints Weekly. New to Endpoints? Sign up here.

We will be off Monday in observance of Memorial Day — and when we get back, it will be a straight march to ASCO, BIO and more. Enjoy the (long) weekend!

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 170,200+ biopharma pros reading Endpoints daily — and it's free.

Douglas Love, Annexon CEO

An­nex­on’s GA drug miss­es on pri­ma­ry goal but win on vi­su­al acu­ity will be fo­cus of planned late-stage tri­al

Annexon’s complement inhibitor didn’t prove better than sham at reducing lesion growth in a leading cause of blindness, but the biotech still plans to move forward on the back of secondary endpoints showing visual acuity preservation, which will “certainly” be the primary goal in a late-stage trial to be discussed shortly with the FDA, CEO Douglas Love told Endpoints News. 

The California biotech’s ANX007 was not statistically significant compared to pooled sham, the comparator, at 12 months in patients with geographic atrophy, per a Wednesday presentation. In every-month dosing, the GA lesion area changed about 6.2% from baseline (p=0.526) and 1.3% (p=0.896) in the every-other-month group. In a March note, Jefferies analyst Suji Jeong said a reduction of 20% to 30% would be “encouraging.”

Endpoints Premium

Premium subscription required

Unlock this article along with other benefits by subscribing to one of our paid plans.

FDA ap­proves Lex­i­con’s heart-fail­ure drug af­ter de­feat in di­a­betes

The FDA on Friday approved Lexicon’s heart failure drug sotagliflozin following a string of setbacks for the pharma company, including an FDA rejection in diabetes and the loss of a development deal with Sanofi.

The dual SGLT1 and SGLT2 inhibitor will be marketed as Inpefa and is a once-daily tablet. It’s been approved to reduce the risk of cardiovascular death and heart failure-related hospitalization or urgent visits in adults with heart failure or type 2 diabetes mellitus, chronic kidney disease, and other cardiovascular risk factors. The label spans the range of left ventricular ejection fraction, including preserved ejection fraction and reduced ejection fraction, as well as patients with or without diabetes, Lexicon said Friday.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 170,200+ biopharma pros reading Endpoints daily — and it's free.

Eu­ro­pean Com­mis­sion to re­ceive few­er Pfiz­er-BioN­Tech vac­cine dos­es un­der amend­ed con­tract

The European Commission has made a few changes to its vaccine contract with Pfizer and BioNTech, reducing the dose volume while extending the delivery timeline to cope with “evolving public health needs.”

The Commission previously struck a contract in May 2021 for 900 million doses, with the option to purchase another 900 million. Of those, 450 million were expected to be delivered in 2023, though an amendment now calls for fewer doses. While neither the Commission nor Pfizer and BioNTech have revealed an exact amount, an unnamed source told Reuters that the amendment reduces the remaining expected doses by about a third.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 170,200+ biopharma pros reading Endpoints daily — and it's free.

EMA rec­om­mends re­vok­ing au­tho­riza­tion of No­var­tis' sick­le cell drug

The European Medicines Agency’s committee for medicinal products for human use (CHMP) on Friday recommended revoking the marketing authorization for Novartis’ treatment for a painful complication related to sickle cell, after a recent study did not confirm its clinical benefit.

CHMP’s review looked at results of the STAND study, finding that Adakveo (crizanlizumab) did not reduce the number of painful crises leading to a healthcare visit, and patients treated with Adakveo had slightly more painful crises on average, with a subsequent healthcare visit, over the first year of treatment, compared with those on placebo.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 170,200+ biopharma pros reading Endpoints daily — and it's free.

Rich Horgan (R) with his late brother, Terry

Rich Hor­gan spear­head­ed a gene ther­a­py for his broth­er. The tri­al end­ed in tragedy, but the work con­tin­ues for more pa­tients

Rich Horgan’s quest to create a custom gene therapy for his brother, Terry, ended in tragedy. But Horgan doesn’t believe it’s the end of the story.

Terry, a 27-year-old patient with Duchenne muscular dystrophy, died last October just eight days after receiving the therapy in a clinical trial in which he was the only participant. The case raised questions about the safety of certain gene therapies and what would happen to other drug programs under a nonprofit that Horgan created, called Cure Rare Disease.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 170,200+ biopharma pros reading Endpoints daily — and it's free.

Bio­phar­ma's 20 high­est-paid CEOs of 2022, each bring­ing in $20M+ pay­days

Even in a down year for much of the biopharma market, 20 CEOs brought in pay packages valued at more than $20 million, an Endpoints News analysis found.

Endpoints collected data on more than 350 CEO compensation packages, covering a wide range of pharma, biotech, and life sciences companies. All told, the 20 largest earners made over $725 million in 2022 — an average package of $36.4 million. Three brought in paydays over $50 million, and one CEO broke the $100 million mark.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 170,200+ biopharma pros reading Endpoints daily — and it's free.

The 20(+2) un­der 40: Your guide to the next gen­er­a­tion of biotech lead­ers

This year’s list of 20 biotech leaders under the age of 40 includes a huge range of ambitions. Some of our honorees are planning to create the next big drug giant. Others are pushing the bounds of AI. One is working to revolutionize TB testing. All are compelling talents who are still young in age, but already far along in achievement.

And, as in years past, we went over. The 20 are actually 22 because of two double profiles that reflect how important teamwork is in the industry. As one of our honorees, Joe Illingworth of DJS Antibodies, told me in our interview, “It takes a village to raise a biotech.”

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 170,200+ biopharma pros reading Endpoints daily — and it's free.