Neu­ro­crine breaks out proof-of-con­cept da­ta for CAH drug; Ake­bia, MT­PC work to­ward Japan­ese NDA af­ter ane­mia drug scores in twin PhI­I­Is

→ More than a month af­ter its big tick­et deal with Voy­ager Ther­a­peu­tics $VY­GR, Neu­ro­crine Bio­sciences $NBIX an­nounced pos­i­tive in­ter­im da­ta from a Phase II proof-of-con­cept study eval­u­at­ing its ex­per­i­men­tal drug, NBI-74788, in adults with a ge­net­ic dis­or­der that re­sults in an en­zyme de­fi­cien­cy that al­ters the pro­duc­tion of adren­al steroids called clas­sic con­gen­i­tal adren­al hy­per­pla­sia (CAH). Da­ta showed a re­duc­tion of at least 50% from base­line in 17-hy­drox­yprog­es­terone (17-OHP) — used as a di­ag­nos­tic bio­mark­er in CAH — in more than half the treat­ed pa­tients. “But what does a 50% ‘re­spon­der’ rate mean in clin­i­cal terms? This study wasn’t re­al­ly de­signed to an­swer this ques­tion, and while we don’t know the pa­tients’ 17-OHP base­line val­ues in this study, our guess from look­ing at oth­er CAH tri­als (ahead of the da­ta to­day) is that it was prob­a­bly very high. Thus, it is un­clear to us to­day how these bio­mark­er changes will or will not trans­late in­to an im­prove­ment in pa­tient out­comes,” Stifel’s Paul Mat­teis wrote.

Ake­bia, which merged with Au­ryx­ia mak­er Keryx last year, put out pos­i­tive late-stage da­ta from twin Phase III Japan­ese stud­ies eval­u­at­ing its lead ex­per­i­men­tal drug vadadu­s­tat as an ane­mia treat­ment for CKD pa­tients. Part­ner Mit­subishi Tan­abe Phar­ma Corp (MT­PC) ex­pects to sub­mit a Japan­ese mar­ket­ing ap­pli­ca­tion in 2019. Ake­bia $AK­BA is in a fierce race with Fi­bro­Gen $FGEN in both Japan and the Unit­ed States to get their re­spec­tive ane­mia drugs on the mar­ket. Fi­bro­Gen and its part­ner Astel­las re­port­ed pos­i­tive 4th Phase III study of their ri­val rox­adu­s­tat in Japan in 2018.

→ UK’s Ox­ford Bio­med­ica is join­ing forces with tech ma­jor Mi­crosoft in a re­search and de­vel­op­ment col­lab­o­ra­tion to de­vel­op next-gen gene ther­a­py vec­tors us­ing the cloud and ma­chine learn­ing.

Lipocine pro­vid­ed up­dat­ed da­ta from its “liv­er fat” study eval­u­at­ing its ex­per­i­men­tal oral drug — LPCN 1144 — which is be­ing de­vel­oped for NASH. In Jan­u­ary, the com­pa­ny said the drug was be­ing eval­u­at­ing in 36 hy­pog­o­nadal males in a 16-week study. Sev­en of the nine sub­jects had at least 10% base­line liv­er fat, which the com­pa­ny said is in­dica­tive of sub­jects with NAFLD with the po­ten­tial to have NASH. Base­line mean liv­er fat of these sev­en sub­jects was 21.0%, and af­ter treat­ment there was an av­er­age ab­solute mean re­duc­tion from base­line of 7.6% in liv­er fat af­ter 8 weeks of treat­ment. On Tues­day, Lipocine said 62% of the of the eval­u­at­ed sub­jects had NAFLD, de­fined as base­line liv­er fat of at least 5%. At the end, 48% of the treat­ed NAFLD sub­jects had NAFLD res­o­lu­tion, de­fined as liv­er fat <5% post treat­ment for 16 weeks. The com­pa­ny’s shares $LPCN were up 7.3% in morn­ing trad­ing.

BiTE® Plat­form and the Evo­lu­tion To­ward Off-The-Shelf Im­muno-On­col­o­gy Ap­proach­es

Despite rapid advances in the field of immuno-oncology that have transformed the cancer treatment landscape, many cancer patients are still left behind.1,2 Not every person has access to innovative therapies designed specifically to treat his or her disease. Many currently available immuno-oncology-based approaches and chemotherapies have brought long-term benefits to some patients — but many patients still need other therapeutic options.3

President Donald Trump (left) and Moncef Slaoui, head of Operation Warp Speed (Alex Brandon, AP Images)

UP­DAT­ED: White House names fi­nal­ists for Op­er­a­tion Warp Speed — with 5 ex­pect­ed names and one no­table omis­sion

A month after word first broke of the Trump Administration’s plan to rapidly accelerate the development and production of a Covid-19 vaccine, the White House has selected the five vaccine candidates they consider most likely to succeed, The New York Times reported.

Most of the names in the plan, known as Operation Warp Speed, will come as little surprise to those who have watched the last four months of vaccine developments: Moderna, which was the first vaccine to reach humans and is now the furthest along of any US effort; J&J, which has not gone into trials but received around $500 million in funding from BARDA earlier this year; the joint AstraZeneca-Oxford venture which was granted $1.2 billion from BARDA two weeks ago; Pfizer, which has been working with the mRNA biotech BioNTech; and Merck, which just entered the race and expects to put their two vaccine candidates into humans later this year.

Is a pow­er­house Mer­ck team prepar­ing to leap past Roche — and leave Gilead and Bris­tol My­ers be­hind — in the race to TIG­IT dom­i­na­tion?

Roche caused quite a stir at ASCO with its first look at some positive — but not so impressive — data for their combination of Tecentriq with their anti-TIGIT drug tiragolumab. But some analysts believe that Merck is positioned to make a bid — soon — for the lead in the race to a second-wave combo immuno-oncology approach with its own ambitious early-stage program tied to a dominant Keytruda.

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Leen Kawas, Athira CEO (Athira)

Can a small biotech suc­cess­ful­ly tack­le an Ever­est climb like Alzheimer’s? Athi­ra has $85M and some in­flu­en­tial back­ers ready to give it a shot

There haven’t been a lot of big venture rounds for biotech companies looking to run a Phase II study in Alzheimer’s.

The field has been a disaster over the past decade. Amyloid didn’t pan out as a target — going down in a litany of Phase III failures — and is now making its last stand at Biogen. Tau is a comer, but when you look around and all you see is destruction, the idea of backing a startup trying to find complex cocktails to swing the course of this devilishly complicated memory-wasting disease would daunt the pluckiest investors.

GSK presents case to ex­pand use of its lu­pus drug in pa­tients with kid­ney dis­ease, but the field is evolv­ing. How long will the mo­nop­oly last?

In 2011, GlaxoSmithKline’s Benlysta became the first biologic to win approval for lupus patients. Nine years on, the British drugmaker has unveiled detailed positive results from a study testing the drug in lupus patients with associated kidney disease — a post-marketing requirement from the initial FDA approval.

Lupus is a drug developer’s nightmare. In the last six decades, there has been just one FDA approval (Benlysta), with the field resembling a graveyard in recent years with a string of failures including UCB and Biogen’s late-stage flop, as well as defeats in Xencor and Sanofi’s programs. One of the main reasons the success has eluded researchers is because lupus, akin to cancer, is not just one disease — it really is a disease of many diseases, noted Al Roy, executive director of Lupus Clinical Investigators Network, an initiative of New York-based Lupus Research Alliance that claims it is the world’s leading private funder of lupus research, in an interview.

Covid-19 roundup: Mod­er­na read­ies to en­ter PhI­II in Ju­ly, As­traZeneca not far be­hind; EU ready to ne­go­ti­ate vac­cine ac­cess with $2.7B fund

Moderna may soon add another first to the Covid-19 vaccine race.

In March, the mRNA biotech was the first company to put a Covid-19 vaccine into humans. Next month, they may become the first company to put their vaccine into the large, late-stage trials that are needed to prove whether the vaccine is effective.

In an interview with JAMA editor Howard Bauchner, NIAID chief Anthony Fauci said that a 30,000-person, Phase III trial for Moderna’s vaccine could start in July. The news comes a week after Moderna began a Phase II study that will enroll several hundred people.

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José Basel­ga finds promise in new class of RNA-mod­i­fy­ing can­cer tar­gets, lock­ing in 3 pre­clin­i­cal pro­grams with $55M

Having dived early into some of the RNA breakthroughs of the last decades — betting on Moderna’s mRNA tech and teaming up with Silence on the siRNA front — AstraZeneca is jumping into a new arena: going after proteins that modify RNA.

Their partner of choice is Accent Therapeutics, which is receiving $55 million in upfront payment to steer a selected preclinical program through to the end of Phase I. After AstraZeneca takes over, the Lexington, MA-based startup has the option to co-develop and co-commercialize in the US — and collect up to $1.1 billion in milestones in the long run. The deal also covers two other potential drug candidates.

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Pfiz­er’s Doug Gior­dano has $500M — and some ad­vice — to of­fer a cer­tain breed of 'break­through' biotech

So let’s say you’re running a cutting-edge, clinical-stage biotech, probably public, but not necessarily so, which could see some big advantages teaming up with some marquee researchers, picking up say $50 million to $75 million dollars in a non-threatening minority equity investment that could take you to the next level.

Doug Giordano might have some thoughts on how that could work out.

The SVP of business development at the pharma giant has helped forge a new fund called the Pfizer Breakthrough Growth Initiative. And he has $500 million of Pfizer’s money to put behind 7 to 10 — or so — biotech stocks that fit that general description.

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UP­DAT­ED: Es­ti­mat­ing a US price tag of $5K per course, remde­sivir is set to make bil­lions for Gilead, says key an­a­lyst

Data on remdesivir — the first drug shown to benefit Covid-19 patients in a randomized, controlled trial setting — may be murky, but its maker Gilead could reap billions from the sales of the failed Ebola therapy, according to an estimate by a prominent Wall Street analyst. However, the forecast, which is based on a $5,000-per-course US price tag, triggered the ire of one top drug price expert.