Christi Shaw, Kite CEO (Jeff Rumans)

Gilead and Kite nab an­oth­er ap­proval for Tecar­tus, as lead­ing CAR-T port­fo­lio con­tin­ues to grow

Gilead and Kite took an­oth­er step Fri­day to­ward ex­pand­ing their fran­chise of CAR-T drugs, nab­bing a new ap­proval for Tecar­tus.

The FDA OK’ed the ther­a­py for adults with re­lapsed or re­frac­to­ry B-cell pre­cur­sor acute lym­phoblas­tic leukemia, Gilead an­nounced Fri­day. It’s the drug’s sec­ond in­di­ca­tion af­ter Gilead ini­tial­ly launched the CAR-T in 2020 for adults with re­lapsed or re­frac­to­ry man­tle cell lym­phoma.

A Kite spokesper­son con­firmed to End­points News that there will be no change in pric­ing for the new in­di­ca­tion. When Tecar­tus was first ap­proved, Gilead priced the drug at $373,000.

As Gilead con­tin­ues build­ing out the on­ly com­mer­cial CAR-T port­fo­lio with Tecar­tus and Yescar­ta, it will be seek­ing to en­sure Tecar­tus has as smooth a roll­out as pos­si­ble in the new in­di­ca­tion, Kite CEO Christi Shaw told End­points in an in­ter­view. The drug is al­ready in use at over 100 treat­ment cen­ters around the coun­try for MCL, but up­take has been slow.

“Look­ing at the first launch in B cell lym­phoma, on­ly 2 out of 10 pa­tients re­ceive the drug, while 4 of 10 are re­ferred,” Shaw said. “Now we’re see­ing with fu­ture launch­es … there’s an in­crease in re­fer­rals to the treat­ment cen­ters, so the share of the mar­ket is much high­er, much quick­er.”

Shaw added that she hopes sim­i­lar pit­falls will be avoid­ed as Tecar­tus and CAR-Ts be­come more com­mon. In ad­di­tion to the ed­u­ca­tion­al and out­reach pro­grams spon­sored by Gilead, clin­i­cians are be­com­ing more adept at rec­og­niz­ing signs of ad­verse events, be­ing able to treat them quick­er than be­fore.

CAR-Ts are in­her­ent­ly risky treat­ments, com­ing with a class-wide black box warn­ing for cy­tokine re­lease syn­drome and neu­ro­log­i­cal events. Fri­day’s new in­di­ca­tion re­ceived one as well. In Gilead’s Tecar­tus tri­al for ALL, re­searchers saw two treat­ment-re­lat­ed deaths: one brain her­ni­a­tion and one case of sep­tic shock. Shaw said she ex­pects the new in­di­ca­tion to come with the same warn­ing.

The FDA, how­ev­er, is clear­ly com­fort­able en­dors­ing the ben­e­fits that out­weigh those risks. Fri­day’s ap­proval came from a study Gilead pre­sent­ed at #AS­CO21 over the sum­mer. Of 54 evalu­able pa­tients who re­ceived Tecar­tus in ALL, 65% saw their signs of can­cer dis­ap­pear. Ad­di­tion­al­ly, 31% saw on­go­ing re­spons­es at the da­ta cut­off, Kite said at the time, and 97% had deep mol­e­c­u­lar re­mis­sion with un­de­tectable min­i­mal resid­ual dis­ease.

Bi­jal Shah, a tri­al in­ves­ti­ga­tor at the Mof­fitt Can­cer Cen­ter in Tam­pa, FL, ac­knowl­edged the risks but said the re­lapsed and re­frac­to­ry pa­tient pop­u­la­tions don’t have much else to try.

“What is the al­ter­na­tive here?” Shah said. “What else are we go­ing to do for them? It’s not like there’s this oth­er tool that we’re go­ing to pull out of our tool­box … we don’t have any oth­er tools. We don’t have any­thing that we can suc­cess­ful­ly say, ‘A-ha! This is our an­swer.’ We’re still stuck.”

Gilead re­mains a step ahead of oth­er big-name CAR-T play­ers, though Bris­tol My­ers Squibb is try­ing to close in. The Big Phar­ma net­ted ap­proval for liso-cel ear­li­er this year, with reg­u­la­tors OK’ing treat­ment for re­lapsed or re­frac­to­ry large B-cell lym­phoma.

Biotech Half­time Re­port: Af­ter a bumpy year, is biotech ready to re­bound?

The biotech sector has come down firmly from the highs of February as negative sentiment takes hold. The sector had a major boost of optimism from the success of the COVID-19 vaccines, making investors keenly aware of the potential of biopharma R&D engines. But from early this year, clinical trial, regulatory and access setbacks have reminded investors of the sector’s inherent risks.

RBC Capital Markets recently surveyed investors to take the temperature of the market, a mix of specialists/generalists and long-only/ long-short investment strategies. Heading into the second half of the year, investors mostly see the sector as undervalued (49%), a large change from the first half of the year when only 20% rated it as undervalued. Around 41% of investors now believe that biotech will underperform the S&P500 in the second half of 2021. Despite that view, 54% plan to maintain their position in the market and 41% still plan to increase their holdings.

How to col­lect and sub­mit RWD to win ap­proval for a new drug in­di­ca­tion: FDA spells it out in a long-await­ed guid­ance

Real-world data is messy. There can be differences in the standards used to collect different types of data, differences in terminologies and curation strategies, and even in the way data is exchanged.

While acknowledging this somewhat controlled chaos, the FDA is now explaining how biopharma companies can submit study data derived from real-world data (RWD) sources in applicable regulatory submissions, including new drug indications.

Endpoints Premium

Premium subscription required

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

Sen. Richard Durbin (D-IL, foreground) and Sen. Richard Blumenthal (D-CT) (Patrick Semansky/AP Images)

Sen­a­tors back FDA's plan to re­quire manda­to­ry pre­scriber ed­u­ca­tion for opi­oids

Three Senate Democrats are backing an FDA plan to require mandatory prescriber education for opioids as overdose deaths have risen sharply over the past decade, with almost 97,000 American opioid-related overdose deaths in the past year alone.

While acknowledging a decline in overall opioid analgesic dispensing in recent years, the FDA said it’s reconsidering the need for mandatory prescriber training through a REMS given the current situation with overdoses, and is seeking input on the aspects of the opioid crisis that mandatory training could potentially mitigate.

David Lockhart, ReCode Therapeutics CEO

Pfiz­er throws its weight be­hind LNP play­er eye­ing mR­NA treat­ments for CF, PCD

David Lockhart did not see the meteoric rise of messenger RNA and lipid nanoparticles coming.

Thanks to the worldwide fight against Covid-19, mRNA — the genetic code that can be engineered to turn the body into a mini protein factory — and LNPs, those tiny bubbles of fat carrying those instructions, have found their way into hundreds of millions of people. Within the biotech world, pioneers like Alnylam and Intellia have demonstrated just how versatile LNPs can be as a delivery vehicle for anything from siRNA to CRISPR/Cas9.

Endpoints News

Keep reading Endpoints with a free subscription

Unlock this story instantly and join 120,300+ biopharma pros reading Endpoints daily — and it's free.

Leen Kawas (L) has resigned as CEO of Athira and will be replaced by COO Mark Litton

Ex­clu­sive: Athi­ra CEO Leen Kawas re­signs af­ter in­ves­ti­ga­tion finds she ma­nip­u­lat­ed da­ta

Leen Kawas, CEO and founder of the Alzheimer’s upstart Athira Pharma, has resigned after an internal investigation found she altered images in her doctoral thesis and four other papers that were foundational to establishing the company.

Mark Litton, the company’s COO since June 2019 and a longtime biotech executive, has been named full-time CEO. Kawas, meanwhile, will no longer have ties to the company except for owning a few hundred thousand shares.

Endpoints Premium

Premium subscription required

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

Bris­tol My­ers pledges to sell its Ac­celeron shares as ac­tivist in­vestors cir­cle Mer­ck­'s $11.5B buy­out — re­port

Just as Avoro Capital’s campaign to derail Merck’s proposed $11.5 billion buyout of Acceleron gains steam, Bristol Myers Squibb is leaning in with some hefty counterweight.

The pharma giant is planning to tender its Acceleron shares, Bloomberg reported, which add up to a sizable 11.5% stake. Based on the offer price, the sale would net Bristol Myers around $1.3 billion.

To complete its deal, Merck needs a majority of shareholders to agree to sell their shares.

Boost­er bo­nan­za: FDA en­dors­es 'mix-and-match' scheme, and Mod­er­na and J&J too

The FDA late Wednesday signed off on authorizing the use of heterologous — or what FDA calls a “mix and match” of a primary vaccine series and different booster doses — for all currently available Covid-19 vaccines, in addition to separately authorizing Moderna and J&J boosters.

On the mix-and-match approach, which FDA officials insisted isn’t too confusing in a press conference, the agency offered the example of an 18-year-old who received the J&J shot at least two months ago and may now receive a single booster of the J&J, a half dose of the Moderna, or the Pfizer-BioNTech booster.

David Livingston (Credit: Michael Sazel for CeMM)

Renowned Dana-Far­ber sci­en­tist, men­tor and bio­phar­ma ad­vi­sor David Liv­ingston has died

David Livingston, the Dana-Farber/Harvard Med scientist who helped shine a light on some of the key molecular drivers of breast and ovarian cancer, died unexpectedly last Sunday.

One of the senior leaders at Dana-Farber during his nearly half century of work there, Livingston was credited with shedding light on the genes that regulate cell growth, with insights into inherited BRCA1 and BRCA2 mutations that helped lay the scientific foundation for targeted therapies and earlier detection that have transformed the field.

No­vo CEO Lars Fruer­gaard Jør­gensen on R&D risk, the deal strat­e­gy and tar­gets for gen­der di­ver­si­ty


I kicked off our European R&D summit last week with a conversation involving Novo Nordisk CEO Lars Fruergaard Jørgensen. Novo is aiming to launch a new era of obesity management with a new approval for semaglutide. And Jørgensen had a lot to say about what comes next in R&D, how they manage risk and gender diversity targets at the trendsetting European pharma giant.

John Carroll: I’m here with Lars Jørgensen, the CEO of Novo Nordisk. Lars, it’s been a really interesting year so far with Novo Nordisk, right? You’ve projected a new era of growing sales. You’ve been able to expand on the GLP-1 franchise that was already well established in diabetes now going into obesity. And I think a tremendous number of people are really interested in how that’s working out. You have forecast a growing amount of sales. We don’t know specifically how that might play out. I know a lot of the analysts have different ideas, how those numbers might play out, but that we are in fact embarking on a new era for Novo Nordisk in terms of what the company’s capable of doing and what it’s able to do and what it wants to do. And I wanted to start off by asking you about obesity in particular. Semaglutide has been approved in the United States for obesity. It’s an area of R&D that’s been very troubled for decades. There have been weight loss drugs that have come along. They’ve attracted a lot of attention, but they haven’t actually ever gained traction in the market. My first question is what’s different this time about obesity? What is different about this drug and why do you expect it to work now whereas previous drugs haven’t?

Endpoints Premium

Premium subscription required

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