Lit­tle vTv once again cir­cles sub­group num­ber, strug­gling to find some­thing good to say about failed Alzheimer's drug

The biotech vTv raised $117 mil­lion from their 2015 IPO $VTVT based on a pitch that they could take a failed Alzheimer’s drug from Pfiz­er and fol­low a trail of pos­i­tive sub­set da­ta to a big win. That didn’t work, with Phase A of the piv­otal pro­gram fail­ing both co-pri­ma­ry end­points re­cent­ly.

In fact, the drug arm once again did worse than a place­bo group.

Steve Hol­combe

But now they’ve had a chance to do some post hoc analy­sis of the first round of Phase III da­ta, and they’re back to spot­light­ing a pos­i­tive batch of da­ta for a sub­pop­u­la­tion.

So here it is. In a state­ment out Wednes­day night, vTv says that a group of pa­tients with a con­cen­tra­tion of the drug azeli­ragon un­der a bar of 7.5 ng/mL hit a sta­tis­ti­cal­ly sig­nif­i­cant score for ADAS-cog, p=0.02. It failed on an­oth­er score — CDR-sb — with a p-val­ue of 0.06. And they want to re­vise their sta­tis­ti­cal analy­sis plan for the FDA.

The sub­group in­clud­ed 48 of the 400 pa­tients in the study, which was di­vid­ed be­tween the drug and a place­bo. 

The biotech’s shares — which were crushed on the ini­tial Phase III fail­ure — bounced high­er in pre-mar­ket trad­ing Thurs­day. Whether they can sus­tain that with ad­di­tion­al sub­group analy­sis re­mains to be seen, but vTv is once again go­ing down a path that has led to the de­struc­tion of bil­lions of dol­lars of in­vestors’ cash on a wide range of drug stud­ies.

The com­pa­ny de­signed the 18-month Phase III pro­gram based on da­ta that the small 5 mg dose of the drug per­formed well in Pfiz­er’s study, where the 20 mg failed. And just like about every­thing else in the Alzheimer’s pipeline, that strat­e­gy has proved to be a re­peat los­er.

In­vestors in the field keep buy­ing in­to the idea that ac­quir­ing shares in an Alzheimer’s stock is just like buy­ing lot­tery tick­ets — ul­tra high risk with the pos­si­bil­i­ty of ul­tra high re­wards. But with no win­ners in more than a decade, that ar­gu­ment has been wear­ing thin.

This biotech, though, is still de­ter­mined to keep rolling the dice.

“We are en­cour­aged by the pos­i­tive im­prove­ments in cog­ni­tive and func­tion­al out­comes rel­a­tive to place­bo based up­on low azeli­ragon con­cen­tra­tion lev­els,” said vTv CEO Steve Hol­combe in a state­ment. “With this un­der­stand­ing, we are con­tin­u­ing to an­a­lyze the da­ta and then plan to ex­am­ine the rel­e­vant pop­u­la­tion prospec­tive­ly in the Part B study and an­nounce re­sults in June.”

Op­ti­miz­ing Cell and Gene Ther­a­py De­vel­op­ment and Pro­duc­tion: How Tech­nol­o­gy Providers Like Corn­ing Life Sci­ences are Spurring In­no­va­tion

Remarkable advances in cell and gene therapy over the last decade offer unprecedented therapeutic promise and bring new hope for many patients facing diseases once thought incurable. However, for cell and gene therapies to reach their full potential, researchers, manufacturers, life science companies, and academics will need to work together to solve the significant challenges facing the industry.

Pfiz­er, Sarep­ta and two oth­ers sug­gest Duchenne drug safe­ty is­sues tied to "class ef­fect"

Since the first experimental Duchenne gene therapy programs came about, the space has proven rife with safety issues and patient deaths in clinical trials. Pfizer and three biotechs now think they’ve found a reason why.

The four companies suggested there may be a “class effect” causing the adverse events in Duchenne gene therapies, they wrote in a new study. They specifically highlighted how side effects in five patients across three trials, who all showed muscle weakness with cardiac involvement, were “strikingly similar.”

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Pre­sent­ing a live End­points News event: Man­ag­ing a biotech in tur­bu­lent times

Biotech is one of the smartest, best educated industries on the planet. PhDs abound. We’ve had a long enough track record to see a new generation of savvy, experienced execs coming together to run startups.

And in these times, they are being tested as never before.

Biotech is going through quite a rough patch right now. For 2 years, practically anyone with a decent resume and some half-baked ideas on biotech could start a company and get it funded. The pandemic made it easy in many ways to pull off an IPO, with traditional road shows shut down in exchange for a series of quick Zoom meetings. Generalist investors flocked as the numbers raised soared into the stratosphere.

Pearl Huang, former Cygnal Therapeutics president and CEO

UP­DAT­ED: Flag­ship builds a new start­up out of pieces from 2 of its biotechs. And a Roche vet leaves to do some­thing new

Flagship has crafted a new startup out of pieces from a pair of fledglings in the VC’s nest. And a prominent Roche veteran who ran one of the biotechs won’t be making the next leg of the journey.

The new company is called Sonata Therapeutics, which is picking up the work that Inzen was doing related to the cellular microenvironment and combining with Flagship’s Cygnal Therapeutics, which came out of stealth more than 3 years ago and put Pearl Huang — the BeiGene founder and former Roche SVP — at the helm.

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Amidst R&D reshuf­fle, Ver­tex ex­pands its pres­ence in Boston, aim­ing to be­come num­ber one

Vertex Pharmaceuticals has been one of the buzzier names in the bustling Boston biotech scene, but now the company is looking to vault to number one status — at least in terms of physical footprint.

At a ribbon cutting on Tuesday for its new Jeffrey Leiden Center for Cell and Genetic Therapies at the Boston Seaport, Vertex announced it would embark on a new project: The company will build a 344,000 square foot facility in the seaport to accommodate the company’s growing R&D needs, especially in its cell and gene therapies program.

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Martin Shkreli (Dennis Van Tine/MediaPunch/IPX)

In­fa­mous biotech ex­ec Mar­tin Shkre­li gets out of prison, hits the street

Martin Shkreli, the infamous biotech CEO who made headlines for his jeering assault on a legion of critics in and out of Congress, is back on the streets after 4 years inside a federal penitentiary.

Shkreli’s attorney put out a statement Wednesday afternoon saying that the “pharma bro” had been transferred to a halfway house in New York with a few more months to go under federal custody, slated to end September 14. Attorney Benjamin Brafman acknowledged the release and vowed that he and Shkreli are keeping quiet.

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De­spite fed­er­al ef­forts to di­ver­si­fy clin­i­cal tri­als, progress re­mains 'stag­nan­t' — re­port

While calls to diversify clinical trials have grown louder in recent years — gaining support from federal agencies such as the FDA and NIH — progress has largely stalled, according to a new report from the National Academies of Sciences, Engineering and Medicine.

Swaths of patients in racial and ethnic minority groups, as well as LGBTQIA+, pregnant and older adult populations continue to be left out of clinical trials. While some advances have been made in the last 30 years — women now account for roughly half of clinical trial participants — growth in other areas remains stagnant, according to the report, which was mandated by Congress and sponsored by the NIH.

Paul Chaplin, Bavarian Nordic president and CEO

Bavar­i­an Nordic se­cures BAR­DA con­tract for small­pox vac­cine

It seems that smallpox vaccination production is weighing on the mind of the US government. And manufacturer Bavarian Nordic is the latest company to benefit.

Just a few days after Emergent, a company that has made government contracts its lifeblood, acquired the exclusive rights to Tembexa from Chimerix, with a $225 million cash payment and an expected BARDA contract, the agency has offered a contract for smallpox vaccine production.

Frank Pallone (D-NJ), House Energy and Commerce Committee chair (Kevin Dietsch/Pool via AP Images)

House com­mit­tee unan­i­mous­ly ad­vances FDA user fee leg­is­la­tion with ac­cel­er­at­ed ap­proval tweaks

The House Energy and Commerce Committee on Wednesday offered a rare show of bipartisan support for a bill that would provide the FDA with user fees for the next five years.

The committee voted 55-0 to advance the quinquennial user fee bill to the full House floor, which if approved, will allow the FDA to use biopharma funds to hire new reviewers, and hit new marks as outlined in the user fee deals that the FDA and biopharma companies forged over the past several years.