Lit­tle Alder bags pos­i­tive PhI­II mi­graine da­ta, but gi­ant ri­vals are rac­ing ahead in a crowd­ed field

Lit­tle Alder Bio­Phar­ma­ceu­ti­cals $AL­DR has racked up a slate of pos­i­tive late-stage da­ta for its Phase III study of a new CGRP mi­graine drug, but it will like­ly have trou­ble stand­ing out from some of the gi­ant play­ers that are al­ready out front in the race to reg­u­la­tors.

Dubbed PROMISE 1, in­ves­ti­ga­tors es­tab­lished a base­line av­er­age of 8.6 month­ly mi­graines in its group of fre­quent episod­ic mi­graine suf­fer­ers. Alder’s quar­ter­ly-dosed 300 mg and 100 mg cut that rate by 4.3 and 3.9 days. But the place­bo arm al­so ex­pe­ri­enced a hefty 3.2 day im­prove­ment, leav­ing the biotech with a sta­tis­ti­cal­ly sig­nif­i­cant but un­re­mark­able hit on the pri­ma­ry end­point.

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