Mi­rati and MD An­der­son team up on KRAS; Sanofi inks deal with a Har­vard spin­out for oral bi­o­log­ics

Mi­rati, the oth­er KRAS-fo­cused biotech, is get­ting some ex­tra am­mo as it looks to leapfrog Am­gen in the hunt for the first, most ef­fec­tive and most broad­ly ef­fec­tive for one of the most ubiq­ui­tous and hard-to-hit onco­genes.

The Cal­i­for­nia biotech has signed a re­search and de­vel­op­men­tal with MD An­der­son to help ad­vance both Mi­rati’s lead KRAS G12C mol­e­cule — the one that’s now proven ef­fec­tive in cer­tain lung can­cer pa­tients — and a pre­clin­i­cal mol­e­cule that goes af­ter an­oth­er KRAS mu­ta­tion, G12D. The Texas-based re­search in­sti­tute will help Mi­rati de­sign and run pre­clin­i­cal and clin­i­cal stud­ies for sev­er­al sol­id tu­mors, in­clud­ing non-small cell lung, pan­cre­at­ic, col­orec­tal and gy­ne­co­log­i­cal can­cers, over the next 5 years.

Al­though trail­ing Am­gen for the first ap­proval, both com­pa­nies are still work­ing to show how ef­fec­tive a KRAS drug can be in lung can­cer and, cru­cial­ly, in oth­er tu­mors, where Am­gen has on­ly shown mixed re­sults

“Ef­fec­tive tar­get­ed ther­a­pies against mu­tant KRAS could ad­dress a ma­jor un­met need for many pa­tients,” Christo­pher Flow­ers, in­ter­im head of Can­cer Med­i­cine at MD An­der­son, said in a state­ment. “Our col­lab­o­ra­tion with Mi­rati rep­re­sents an im­por­tant op­por­tu­ni­ty to work to­ward ad­vanc­ing new treat­ment op­tions for pa­tients us­ing nov­el KRAS in­hibitors that tar­get two of the most fre­quent KRAS mu­ta­tions in com­mon can­cers.” — Ja­son Mast

Sanofi en­lists i2O in the hunt for re­al­ly small drugs

Just ten months af­ter they spun out from Har­vard, i2O Ther­a­peu­tics has a big name col­lab­o­ra­tor: Sanofi.

The French phar­ma en­list­ed the small­er biotech to help them de­liv­er nanobod­ies — tiny ver­sions of an­ti­bod­ies that can be just as ac­cu­rate but po­ten­tial­ly con­fer a range of ad­van­tages, in­clud­ing bet­ter abil­i­ty to pen­e­trate tis­sues, greater scal­a­bil­i­ty, and a longer half-life. They’ve got at­ten­tion as po­ten­tial Covid-19 drugs, but Sanofi sees po­ten­tial in a wide va­ri­ety of fields, in­clud­ing di­a­betes and im­muno-on­col­o­gy.

i2O makes oral forms of bi­o­log­ics by en­cas­ing them in a kind of ion­ized slush as op­posed to wa­ter. They will help Sanofi re­search ways of mak­ing pill forms of the nanobod­ies.  — Ja­son Mast

As­traZeneca lends a hand with Hong Kong’s new biotech in­cu­ba­tor

Af­ter carv­ing out a valu­able fran­chise in Chi­na’s on­col­o­gy mar­ket, As­traZeneca is now help­ing set up a new in­cu­ba­tor in Hong Kong for biotech star­tups look­ing to hatch new can­cer drugs and di­ag­nos­tics.

The phar­ma gi­ant teamed with Hong Kong Sci­ence and Tech­nol­o­gy Parks, of­fer­ing sup­port ser­vices to the star­tups that are ac­cept­ed. The fledg­lings in turn gain ac­cess to cash and lab ser­vices as well as an ex­tend­ed set of sup­port ser­vices to help guide the ini­tial phase of their work.

Al­fred Sit, the sec­re­tary for in­no­va­tion and tech­nol­o­gy, had this to say:

This co-in­cu­ba­tion col­lab­o­ra­tion is a great leap in the biotech field of the lo­cal ecosys­tem. By cre­at­ing, as I would de­scribe, a unique “one-stop so­lu­tion in­te­gra­tion plat­form” for the whole course of ac­tion in com­bat­ing can­cer from di­ag­no­sis, to mon­i­tor­ing and treat­ment, the col­lab­o­ra­tion is a break­through in re­search on on­col­o­gy, which is cur­rent­ly con­duct­ed in a seg­men­tal man­ner pre­dom­i­nant­ly by look­ing in­to dis­crete ac­tions against can­cer. This will make re­search on on­col­o­gy more con­sol­i­dat­ed, stand­ing a high­er chance of ac­tu­al­is­ing new and bet­ter op­tions to fight against the life-threat­en­ing dis­ease.

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In­no­v­a­tive MedTech De­mands Spe­cial­ist Clin­i­cal Tri­al Reg­u­la­to­ry Af­fairs and De­sign

Avance Clinical is the Australian CRO for international biotechs providing world-class clinical research services with FDA-accepted data across all phases. With Avance Clinical, biotech companies can leverage Australia’s supportive clinical trials environment which includes no IND requirement plus a 43.5% Government incentive rebate on clinical spend. The CRO has been delivering clinical drug development services for international biotechs for FDA and EMA regulatory approval for the past 24 years. The company has been recognized for the past two consecutive years with the prestigious Frost & Sullivan CRO Best Practices Award and a finalist in Informa Pharma’s Best CRO award for 2022.

Uğur Şahin, BioNTech CEO (Kay Nietfeld/picture-alliance/dpa/AP Images)

De­spite falling Covid-19 sales, BioN­Tech main­tains '22 sales guid­ance

While Pfizer raked in almost $28 billion last quarter, its Covid-19 vaccine partner BioNTech reported a rise in total dose orders but a drop in sales.

The German biotech reported over $3.2 billion in revenue in Q2 on Monday, down from more than $6.7 billion in Q1, in part due to falling Covid sales. While management said last quarter that they anticipated a Covid sales drop — CEO Uğur Şahin said at the time that “the pandemic situation is still very much uncertain” — Q2 sales still missed consensus by 14%.

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Ted Love, Global Blood Therapeutics CEO

Up­dat­ed: Pfiz­er scoops up Glob­al Blood Ther­a­peu­tics and its sick­le cell ther­a­pies for $5.4B

Pfizer is dropping $5.4 billion to acquire Global Blood Therapeutics.

Just ahead of the weekend, word got out that Pfizer was close to clinching a $5 billion buyout — albeit with other potential buyers still at the table. The pharma giant, flush with cash from Covid-19 vaccine sales, apparently got out on top.

The deal immediately swells Pfizer’s previously tiny sickle cell disease portfolio from just a Phase I program to one with an approved drug, Oxbryta, plus a whole pipeline that, if all approved, the company believes could make for a $3 billion franchise at peak.

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FDA commissioner Rob Califf (Tom Williams/CQ Roll Call via AP Images)

With drug pric­ing al­most done, Con­gress looks to wrap up FDA user fee leg­is­la­tion

The Senate won’t return from its summer recess until Sept. 6, but when it does, it officially has 18 business days to finalize the reauthorization of the FDA user fee programs for the next 5 years, or else thousands of drug and biologics reviewers will be laid off and PDUFA dates will vanish in the interim.

FDA commissioner Rob Califf recently sent agency staff a memo explaining how, “Our latest estimates are that we have carryover for PDUFA [Prescription Drug User Fee Act], the user fee funding program that will run out of funding first, to cover only about 5 weeks into the next fiscal year.”

Pascal Soriot, AstraZeneca CEO (David Zorrakino/Europa Press via AP Images)

As­traZeneca and Dai­ichi Sankyo sprint to mar­ket af­ter FDA clears En­her­tu in just two weeks

Regulators didn’t keep AstraZeneca and Daiichi Sankyo waiting long at all for their latest Enhertu approval.

The partners pulled a win on Friday in HER2-low breast cancer patients who’ve already failed on chemotherapy, just two weeks after submitting a supplemental BLA. While this isn’t the FDA’s fastest approval — Bristol Myers Squibb won an OK for its blockbuster checkpoint inhibitor Opdivo in just five days back in March — it comes well ahead of Enhertu’s original Q4 PDUFA date.

David Reese, Amgen R&D chief

UP­DAT­ED: In a fresh dis­ap­point­ment, Am­gen spot­lights a ma­jor safe­ty is­sue with KRAS com­bo

Amgen had hoped that its latest study matching its landmark KRAS G12C drug Lumakras with checkpoint inhibitors would open up its treatment horizons and expand its commercial potential. Instead, the combo spurred safety issues that blunted efficacy and forced the pharma giant to alter course on its treatment strategy, once again disappointing analysts who have been tracking the drug’s faltering sales and limited therapeutic reach.

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GSK and IQVIA launch plat­form of US vac­ci­na­tion da­ta, show­ing drop in adult rates

Throughout the Covid-19 pandemic, the issue of vaccine uptake has been a point of contention, but a new platform from GSK and IQVIA is hoping to shed more light on vaccine data, via new transparency and general awareness.

The two companies have launched Vaccine Track, a platform intended to be used by public health officials, medical professionals and others to strengthen data transparency and display vaccination trends. According to the companies, the platform is intended to aid in increasing vaccine rates and will provide data on trends to assist public health efforts.

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Ab­b­Vie sur­veys emo­tion­al im­pact of chron­ic leukemia con­di­tion, finds 'roller coast­er' of emo­tions

Rare diseases often have more than just physical effects on patients — especially when it comes to chronic conditions. In the case of the rare slow-growing blood cancer chronic lymphocytic leukemia (CLL), AbbVie wanted to try to assess the mental and emotional toll on patients.

So it surveyed more than 300 CLL patients, caregivers and physicians. While each group differed in how they felt — caregivers overwhelmingly (81%) felt positive about their role, for instance — patients described a “roller coaster” of emotions traversing diagnosis to treatment to remission and even relapse for some.

Bernhardt Zeiher, outgoing Astellas CMO (Astellas)

Q&A: Astel­las' re­tir­ing head of de­vel­op­ment re­flects on gene ther­a­py deaths

For anyone who’s been following discussions about the safety alarms surrounding the adeno-associated viruses (AAV) commonly used to deliver gene therapy, Astellas should be a familiar name.

The Japanese pharma — which bought out Audentes Therapeutics near the end of 2019 and later built a gene therapy unit around the acquisition — rocked the field when it reported three patient deaths in a trial testing AT132, the lead program from Audentes designed to treat a rare muscle disease called X-linked myotubular myopathy (XLMTM).

When the company restarted the trial, it adjusted the dose and instituted a battery of other measures to try to prevent the same thing from happening again. But tragically, the first patient to receive the new regimen died just weeks after administration. The therapy remains under clinical hold, and just weeks ago, Astellas flagged another safety-related hold for a separate gene therapy candidate. In the process of investigating the deaths, the company has also taken flak about the way it disclosed information.

Big questions remain — questions that can have big implications about the future of AAV gene therapies.

Bernhardt Zeiher did not imagine any of it when he first joined Astellas as the therapeutic area leader in inflammation, immunology and infectious diseases. But his ascent to chief medical officer and head of development coincided almost exactly with Astellas’ big move into gene therapy, putting him often in the driver’s seat to grapple with the setbacks.

As Zeiher prepares to retire next month after a 12-year tenure — leaving the unfinished tasks to his successor, a seasoned cancer drug developer — he chatted with Endpoints News, in part, to discuss the effort to understand what happened, lessons learned and the criticism along the way.

The transcript has been lightly edited for length and clarity.

Endpoints: I want to also ask you a bit about the gene therapy efforts you’ve been working on. Astellas has really been at the forefront of discovering the safety concerns associated with AAV gene therapy. What’s that been like for you?

Zeiher: Well, I have to admit, it’s been a bit of a roller coaster. We acquired Audentes. Huge amount of enthusiasm. What we saw with AT132 — that was the lead program in XLMTM — was just remarkable efficacy. I mean, kids who went from being on ventilators, not able to eat for themselves, sit up, do things like that, to off ventilators, walking, you know, really — one investigator called it this Lazarus-like effect. It was just really dramatic efficacy. And then to have the safety events that occurred. So they actually occurred within that first year of the acquisition. So we had the three patient deaths. Me and my organization became very, very much involved. In fact, Ed Conner, who had been the chief medical officer, he left after some of the deaths, but I stepped in as the kind of acting chief medical officer, we had another chief medical officer who was involved, and then we had a fourth death, and I became acting again for a period of time.

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