Gilead rac­ing to FDA with a new HIV cock­tail boast­ing megablock­buster po­ten­tial

Gilead’s R&D team brought home a clean sweep for its four Phase III stud­ies adding the ex­per­i­men­tal drug bicte­gravir to its back­bone HIV ther­a­py.

Their cock­tail ther­a­py adding bicte­gravir to its main­stays emtric­itabine/teno­fovir alafe­namide (200/25mg) (FTC/TAF) proved non-in­fe­ri­or to do­lute­gravir and oth­er an­ti­retro­vi­ral ther­a­pies in the 4 late-stage stud­ies, set­ting up a new drug ap­pli­ca­tion in a mat­ter of weeks as Gilead races to a near-term mar­ket­ing OK.

That’s a clear win for Gilead, ac­cord­ing to some of the an­a­lysts who have been watch­ing this late-stage pro­gram ad­vance at a rapid pace. Gilead is a dom­i­nant play­er in HIV, and bicte­gravir is seen as a key piece in its megablock­buster mar­ket puz­zle for main­tain­ing its edge against a vi­brant Vi­iV, ma­jor­i­ty-owned by GSK.

Some GSK in­vestors, though, had been jit­tery that Gilead’s late-stage da­ta would re­flect su­pe­ri­or re­sults over do­lute­gravir (Tivicay). So when the da­ta came in as non-in­fe­ri­or, GSK back­ers let out a sigh of re­lief and drove up the phar­ma gi­ant’s shares 2.25% Tues­day morn­ing.

Gilead’s stock $GILD bare­ly edged up on the news, which met min­i­mum ex­pec­ta­tions.

Ge­of­frey Porges

Leerink’s bull­ish Ge­of­frey Porges ex­pects the big biotech, in bad need of some pos­i­tive R&D de­vel­op­ments af­ter a string of set­backs last year, will use a pri­or­i­ty re­view vouch­er to hus­tle this drug to a quick de­ci­sion at the FDA, which he now ex­pects to ar­rive be­fore the end of 2017.

Our fore­cast for bicte­gravir starts lat­er than this im­plied time­line (Q3 2018) but ramps to more than $10bn in glob­al sales based on the prod­uct’s con­ve­nience, safe­ty and tol­er­a­bil­i­ty and ef­fi­ca­cy. This dis­clo­sure ap­pears to be con­sis­tent with that po­ten­tial, and with the $12-13/share in val­ue con­tributed by bicte­gravir in our cur­rent com­pa­ny mod­el and val­u­a­tion.

Added Bar­clay’s Ge­off Meacham:

Bicte­gravir to­geth­er with TAF (a nu­cleotide re­verse tran­scrip­tase in­hibitor) are key dri­vers of Gilead’s strat­e­gy to pro­tect its HIV fran­chise against the head­winds of the up­com­ing TDF patent ex­piry and com­pe­ti­tion from do­lute­gravir, Vi­iV’s new in­te­grase in­hibitor.

Nor­bert Bischof­berg­er

“This in­ves­ti­ga­tion­al sin­gle tablet reg­i­men brings to­geth­er the po­ten­cy of an in­te­grase in­hibitor, bicte­gravir, with the demon­strat­ed ef­fi­ca­cy and safe­ty pro­file of the FTC/TAF back­bone,” said Nor­bert Bischof­berg­er, ex­ec­u­tive vice pres­i­dent, re­search and de­vel­op­ment and chief sci­en­tif­ic of­fi­cer, Gilead Sci­ences. “Based on the re­sults from these Phase 3 stud­ies, the com­bi­na­tion of bicte­gravir and FTC/TAF could rep­re­sent an im­por­tant ad­vance in triple-ther­a­py treat­ment for a broad range of HIV pa­tients, and we look for­ward to sub­mit­ting reg­u­la­to­ry ap­pli­ca­tions in the U.S. and EU this year.”

Aerial view of Genentech's campus in South San Francisco [Credit: Getty]

Genen­tech sub­mits a big plan to ex­pand its South San Fran­cis­co foot­print

The sign is still there, a quaint reminder of whitewashed concrete not 5 miles from Genentech’s sprawling, chrome-and-glass campus: South Francisco The Industrial City. 

The city keeps the old sign, first erected in 1923, as a tourist site and a kind of civic memento to the days it packed meat, milled lumber and burned enough steel to earn the moniker “Smokestack of the Peninsula.” But the real indication of where you are and how much has changed both in San Francisco and in the global economy since a couple researchers and investors rented out an empty warehouse 40 years ago comes in a far smaller blue sign, resembling a Rotary Club post, off the highway: South San Francisco, The Birthplace of Biotech.

Here comes the oral GLP-1 drug for di­a­betes — but No­vo Nordisk is­n't dis­clos­ing Ry­bel­sus price just yet

Novo Nordisk’s priority review voucher on oral semaglutide has paid off. The FDA approval for the GLP-1 drug hit late Friday morning, around six months after the NDA filing.

Rybelsus will be the first GLP-1 pill to enter the type 2 diabetes market — a compelling offering that analysts have pegged as a blockbuster drug with sales estimates ranging from $2 billion to $5 billion.

Ozempic, the once-weekly injectable formulation of semaglutide, brought in around $552 million (DKK 3.75 billion) in the first half of 2019.

As Nas­daq en­rolls the fi­nal batch of 2019 IPOs, how have the num­bers com­pared to past years?

IGM Biosciences’ upsized IPO haul, coming after SpringWorks’ sizable public debut, has revved up some momentum for the last rush of biotech IPOs in 2019.

With 39 new listings on the books and roughly two more months to go before winding down, Nasdaq’s head of healthcare listings Jordan Saxe sees the exchange marking 50 to 60 biopharma IPOs for the year.

“December 15 is usually the last possible day that companies will price,” he said, as companies get ready for business talks at the annual JP Morgan Healthcare Conference in January.

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Oxitec biologist releases genetically modified mosquitoes in Piracicaba, Brazil in 2016 [credit: Getty Images]

In­trex­on unit push­es back against claims its GM mos­qui­toes are mak­ing dis­ease-friend­ly mu­tants

When the hysteria of Zika transmission sprang into the American zeitgeist a few years ago, UK-based Oxitec was already field-testing its male Aedes aegypti mosquito, crafted to possess a gene engineered to obliterate its progeny long before maturation.

But when a group of independent scientists evaluated the impact of the release of these genetically-modified mosquitoes in a trial conducted by Oxitec in Brazil between 2013 and 2015, they found that some of the offspring had managed to survive — prompting them to speculate what impact the survivors could have on disease transmission and/or insecticide resistance.

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Pur­due threat­ens to walk away from set­tle­ment, asks to pay em­ploy­ees mil­lions in bonus­es

There are two updates on the lawsuit against Purdue Pharma over its role in fueling the opioid epidemic, as the Sackler family threatens to walk away from their pledge to pay out $3 billion if a bankruptcy judge does not stop outstanding state lawsuits against them. At the same time, the company has asked permission to pay millions in bonuses to select employees.

Purdue filed for chapter 11 bankruptcy this week as part of its signed resolution to over 2,000 lawsuits. The deal would see the Sackler family that owns Purdue give $3 billion from their personal wealth and the company turned into a trust committed to curbing and reversing overdoses.

While No­var­tis ban­ish­es Zol­gens­ma scan­dal scars — Bio­gen goes on a Spin­raza 'of­fen­sive'

While Novartis painstakingly works to mop up the stench of the data manipulation scandal associated with its expensive gene therapy for spinal muscular atrophy (SMA) Zolgensma— rival Biogen is attempting to expand the use of its SMA therapy, Spinraza. 

The US drugmaker $BIIB secured US approval for Spinraza for use in the often fatal genetic disease in 2016. The approval covered a broad range of patients with infantile-onset (most likely to develop Type 1) SMA. 

Jason Kelly. Mike Blake/Reuters via Adobe

Eye­ing big ther­a­peu­tic push, Gink­go bags $290M to build a cell pro­gram­ming em­pire

Ginkgo Bioworks is on a roll. Days after publicizing a plan to nurture new startups via partnerships with accelerators Y Combinator and Petri, the Boston biotech says it has raised another $290 million for its cell programming platform to reach further and wider.

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UP­DAT­ED: Speak­er Nan­cy Pelosi to un­veil bill for fed­er­al­ly ne­go­ti­at­ed drug prices

After months of buzz from both sides of the aisle, Speaker Nancy Pelosi will today introduce her plan to allow the federal government to negotiate prices for 250 prescription drugs, setting up a showdown with a pharmaceutical industry working overtime to prevent it.

The need to limit drug prices is a rare point of agreement between President Trump and Democrats, although the president has yet to comment on the proposal and will likely face pressure to back a more conservative option or no bill at all. Republican Senator Chuck Grassley is reportedly lobbying his fellow party members on a more modest proposal he negotiated with Democratic Senator Ron Wyden in July.

David Grainger [file photo]

'Dis­con­nect the bas­tard­s' — one biotech's plan to break can­cer cell­s' uni­fied de­fens­es

Chemotherapy and radiotherapy are the current gladiators of cancer treatment, but they come with well-known limitations and side-effects. The emergence of immunotherapy — a ferocious new titan in oncologist’s toolbox — takes the brakes off the immune system to kill cancer cells with remarkable success in some cases, but the approach is not always effective. What makes certain forms of cancer so resilient? Scientists may have finally pieced together a tantalizing piece of the puzzle, and a new biotech is banking on a new approach to fill the gap.

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