Icosavax nabs $51M as syn­thet­ic virus heads to­ward clin­ic

A new biotech is us­ing an ar­ti­fi­cial virus-like par­ti­cle to try to vac­ci­nate against the res­pi­ra­to­ry syn­cy­tial virus (RSV), a flu-like dis­ease for which no vac­ci­na­tion or cure ex­ists.

Icosavax launch­es with a $51 mil­lion Se­ries A fi­nanc­ing from Qim­ing Ven­ture Part­ners USA, Adams Street Part­ners, Sanofi Ven­tures and Nan­oDi­men­sion that will pro­pel it in­to a Phase I tri­al for IVX-121, their new vac­cine for old­er adults.

“The mag­ic of the VLP is that it looks and smells like a virus but it’s safe,” CEO Adam Simp­son told End­points News. “You get all the ben­e­fits of your body giv­ing off the dan­ger sig­nal with­out the down­side.”

RSV will af­fect vir­tu­al­ly all chil­dren be­low the age of 2, ac­cord­ing to the NIH, in­duc­ing a mild cold for most but forc­ing a small per­cent­age to be hos­pi­tal­ized. It can have se­vere con­se­quences in old­er adults, an­nu­al­ly con­tribut­ing to the deaths of 14,000 Amer­i­cans.

Simp­son wants you to pic­ture a soc­cer ball. He wants you to pic­ture it be­cause it’s rough­ly what a virus looks like if you add lit­tle anti­gen prongs to every black tile, and thus its rough­ly what their virus-like par­ti­cle (VLP) looks like.

This par­ti­cle works like a stan­dard virus-based vac­cine, trig­ger­ing the body’s im­mune re­sponse by bind­ing to lym­pho­cyte cells and mak­ing them think the body is in­fect­ed. Simp­son ar­gues this is safer than a con­ven­tion­al vac­cine be­cause it doesn’t in­volve any ac­tu­al for­eign virus.

This VLP, though, is crit­i­cal for RSV for oth­er rea­sons, he said. A vac­cine for the very com­mon virus has elud­ed re­searchers for years in large part be­cause the virus changes form dra­mat­i­cal­ly when it comes in­to con­tact with a cell. The trick, then, was to de­vise a vac­cine that would prime the body’s im­mune sys­tem against the virus’s pre-con­tact form.

The NIH cre­at­ed an anti­gen for that form last year, Simp­son said — pro­vid­ing a prong for Icosavax to at­tach to their VLP.

“What we’ve been able to do is come up with a tech­nique to make this soc­cer-ball-look­ing struc­ture with com­plex anti­gens and ac­tu­al­ly man­u­fac­ture it,” Simp­son said, “And that’s what’s nev­er been done be­fore.”

VLPs are al­ready wide­ly used for vac­cines, in­clud­ing for in­oc­u­la­tion against he­pati­tis B and hu­man pa­pil­lo­mavirus. But Simp­son and the builders of the VLP at the In­sti­tute for Pro­tein De­sign at the Uni­ver­si­ty of Wash­ing­ton told End­points this presents a ma­jor step for­ward by al­low­ing re­searchers to build them from scratch, us­ing com­pu­ta­tion­al mod­els — tech­niques, they said, that could be used in build­ing vac­cines for oth­er virus­es that have thus far elud­ed re­searchers.

The new mod­el works by mim­ic­k­ing the repet­i­tive struc­ture the body au­to­mat­i­cal­ly as­so­ciates with virus­es, Neil King told End­points.

“The beau­ti­ful thing about the par­ti­cle we’ve de­signed is they’re very ro­bust and ver­sa­tile,” King, an as­sis­tant pro­fes­sor at the In­sti­tute for Pro­tein De­sign said. “You could use the par­ti­cles to make HIV vac­cines or malar­ia vac­cines or flu vac­cines as well as RSV just by swap­ping out dif­fer­ent anti­gens.”

Icosavax will soon be­gin a Phase Ib tri­al on old­er adults, eval­u­at­ing safe­ty and proof-of-con­cept. Simp­son said they will soon look at oth­er in­di­ca­tions but de­clined to name them.

UP­DAT­ED: In a stun­ning turn­around, Bio­gen says that ad­u­canum­ab does work for Alzheimer's — but da­ta min­ing in­cites con­tro­ver­sy and ques­tions

Biogen has confounded the biotech world one more time.

In a stunning about-face, the company and its partners at Eisai say that a new analysis of a larger dataset on aducanumab has restored its faith in the drug as a game-changer for Alzheimer’s and, after talking it over with the FDA, they’ll now be filing for an approval of a drug that had been given up for dead.

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Vas Narasimhan. Getty Images

UP­DAT­ED: Failed PhI­II fe­vip­iprant tri­als pour more cold wa­ter on No­var­tis' block­buster R&D en­gine — and briefly spread the chill to a high-pro­file biotech

Back in July, during an investor call where Novartis execs ran through an upbeat assessment of their Q2 performance, CEO Vas Narasimhan and development chief John Tsai were pressed to predict which of the two looming Phase III readouts — involving cardio drug Entresto and asthma therapy fevipiprant, respectively — had a higher likelihood of success. Tsai gave the PARAGON-HF study with Entresto minimally better odds, but Narasimhan emphasized that their strategy of giving fevipiprant to more severe patients gave them confidence.

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UP­DAT­ED: The FDA sets a reg­u­la­to­ry speed record, pro­vid­ing a snap OK for Ver­tex's break­through triplet for cys­tic fi­bro­sis

The FDA has approved Vertex’s new triplet for cystic fibrosis at a record-setting speed.

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IM­brave150: Roche’s reg­u­la­to­ry crew plans a glob­al roll­out of Tecen­triq com­bo for liv­er can­cer as PhI­II scores a hit

Just weeks after Bristol-Myers Squibb defended its failed pivotal study pitting Opdivo against Nexavar in liver cancer, Roche says it’s beat the frontline challenge with a combination of their PD-L1 Tecentriq with Avastin. And now they’re rolling their regulatory teams in the US, Europe and China in search of a new approval — badly needed to boost a trailing franchise effort.
Given their breakthrough and Big Pharma status as well as the use of two approved drugs, FDA approval may well prove to be something of a formality. And the Chinese have been clear that they want new drugs for liver cancer, where lethal disease rates are particularly high.
Researchers at their big biotech sub, Genentech, say that the combo beat Bayer’s Nexavar on both progression-free survival as well as overall survival — the first advance in this field in more than a decade. We won’t get the breakdown in months of life gained, but it’s a big win for Roche, which has lagged far, far behind Keytruda and Opdivo, the dominant PD-1s that have captured the bulk of the checkpoint market so far.
Researchers recruited hepatocellular carcinoma — the most common form of liver cancer — patients for the IMbrave150 study who weren’t eligible for surgery ahead of any systemic treatment of the disease.
Roche has a fairly low bar to beat, with modest survival benefit for Nexavar, approved for this indication 12 years ago. But they also plan to offer a combo therapy that could have significantly less toxicity, offering patients a much easier treatment regimen.
Cowen’s Steven Scala recently sized up the importance of IMbrave150, noting:

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UP­DAT­ED: Clay Sie­gall’s $614M wa­ger on tu­ca­tinib pays off with solid­ly pos­i­tive piv­otal da­ta and a date with the FDA

Back at the beginning of 2018, Clay Siegall snagged a cancer drug called tucatinib with a $614 million cash deal to buy Cascadian. It paid off today with a solid set of mid-stage data for HER2 positive breast cancer that will in turn serve as the pivotal win Siegall needs to seek an accelerated approval in the push for a new triplet therapy.

And if all the cards keep falling in its favor, they’ll move from 1 drug on the market to 3 in 2020, which is shaping up as a landmark year as Seattle Genetics prepares for its 23rd anniversary on July 15.

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David Liu, Liu Group

David Liu un­veils newest ad­vance­ment in CRISPR tech: Prime edit­ing

The researcher behind base-editing is out with what some scientists are hailing as the biggest advancement in CRISPR technology since that 2016 breakthrough: “prime editing.” The new molecular gadget is capable of erasing any base pair and stenciling in another and cutting or adding long segments of DNA without breaking both strands of the helix.

David Liu, base editing pioneer and founder of Beam Therapeutics, published the findings in Nature alongside Andrew Anzalone. They estimated that the breakthrough “in principle” puts 89% of human diseases in purview — although experts cautioned that human therapies were a long way off.

Bhaskar Chaudhuri. Frazier Healthcare Partners

Fra­zier Health­care Part­ner­s' der­ma­tol­ogy up­start at­tracts a mar­quee syn­di­cate, $94M+ for 'in-be­tween' top­i­cal drug

For the past three years Frazier Healthcare Partners’ Bhaskar Chaudhuri has been carefully and quietly grooming Arcutis Therapeutics, a new dermatology play he co-founded to deliver topical formulations of well-known drugs. Now that the biotech is poised to enter Phase III, he’s being joined by a marquee syndicate for its $94.5 million Series C.

HBM Healthcare Investments, Vivo Capital, BlackRock, Omega Funds, Pivotal BioVentures, and Goldman Sachs jumped on board, joining Bain Capital Life Sciences, OrbiMed and RA Capital Management in backing Arcutis’ lead topical cream for plaque psoriasis.

A new com­pa­ny en­ters the Tec­fidera fight, of­fer­ing to kill two birds

The remedy for the most common side effect for one of the most common multiple sclerosis drugs is simple: aspirin.

Taking aspirin with Biogen’s Tecfidera will reduce the flush, a sometimes painful form of red skin irritation, many patients experiences. The problem is that the aspirin has to be taken at least 30 minutes before Tecfidera, turning a simple twice-a-day, one-dose oral drug into a staggered two-drug regimen.

UP­DAT­ED: Bris­tol-My­ers makes Op­di­vo pitch for front­line lung can­cer with open la­bel PhI­II study

Despite a head start, when Bristol-Myers Squibb and its pioneering checkpoint inhibitor Opdivo suffered a key lung cancer setback in 2016, they found themselves relegated to the backseat as Merck’s Keytruda seized the wheel on the road to immunotherapy stardom. Bristol-Myers has since suffered blow after blow in its quest to take a big slice of the lucrative market, peppered with some small successes. On Tuesday, the New Jersey drugmaker touted positive data from a Phase III open-label study in a bid to carve itself a piece of the frontline lung cancer market.