No­var­tis bur­nish­es prospects for its big asth­ma drug with pos­i­tive PhI­II da­ta from a sim­i­lar treat­ment

No­var­tis has some good news to share on the asth­ma front as it sets the scene for a block­buster Phase III read­out.

The star to­day is low dose QMF149, a com­bo of the long-act­ing be­ta ag­o­nist (LA­BA) in­da­caterol ac­etate and the cor­ti­cos­teroid mometa­sone furoate. The once-dai­ly in­hala­tion beat a cor­ti­cos­teroid monother­a­py on all pri­ma­ry and sec­ondary end­points, in­clud­ing forced ex­pi­ra­to­ry vol­ume and asth­ma con­trol as mea­sured by a ques­tion­naire.

Vas Narasimhan Linkedin

The QUARTZ study rep­re­sents a pre­lude to much more sig­nif­i­cant re­sults for QVM149, one of sev­en po­ten­tial block­busters CEO Vas Narasimhan has tapped for 2019 (with 18 more to fol­low in the years to come). QVM149 is a triple that adds a long-act­ing mus­carinic re­cep­tor an­tag­o­nist (LAMA) to the two ac­tive in­gre­di­ents in QMF149. Both the triple and the dou­ble are de­liv­ered with the Breezhaler de­vice, which No­var­tis has used for COPD.

Just days ago, No­var­tis teased some Phase II da­ta show­ing that QVM149 beat Ad­vair — the stan­dard-of-care and one of Glax­o­SmithK­line’s big mon­ey mak­ers for years — head-to-head. In­ves­ti­ga­tors not­ed that both dos­es of the drug notched sta­tis­ti­cal­ly sig­nif­i­cant im­prove­ments of peak FEV1 com­pared to twice-​dai­ly sal­me­terol/flu­ti­ca­s­one pro­pi­onate.

For the 12-week tri­al with QMF149, on the oth­er hand, lung func­tion was mea­sured by trough FEV1 — tak­en ap­prox­i­mate­ly 24 hours af­ter the last ad­min­is­tra­tion of the drug, as op­posed to with­in a few hours in peak FEV1. The least squares mean treat­ment dif­fer­ence was 0.182 L, (95% CI: 0.148, 0.217; p < 0.001). There were al­so im­prove­ments in evening peak ex­pi­ra­to­ry flow of 26.1 L/min com­pared to MF alone (95% CI, 21.0, 31.2).

Oliv­er Ko­rn­mann IKF Pneu­molo­gie Frank­furt

In terms of asth­ma con­trol, pa­tients on the com­bo scored an av­er­age of 0.218 low­er on a 7-point ques­tion­naire than the com­para­tor arm af­ter 12 weeks (95% CI: -0.293, -0.143; p < 0.001). In ad­di­tion, a greater pro­por­tion among them had an im­prove­ment of or above 0.5 on the ques­tion­naire, which tracks symp­toms. (74.7% vs 64.9%, re­spec­tive­ly; odd ra­tio: 1.69, 95% CI: 1.23, 2.33).

“Fixed-dose com­bi­na­tion in­halers may of­fer ad­van­tages to peo­ple with asth­ma by sim­pli­fy­ing com­plex in­haler reg­i­mens, es­pe­cial­ly when they can be dosed once dai­ly which can there­fore fur­ther re­duce the bur­den of the dis­ease,” said Oliv­er Ko­rn­mann at the Uni­ver­si­ty Hos­pi­tal Mainz, Ger­many.

No­var­tis has sub­mit­ted both QMF149 and QVM149 to the EMA for re­view while ex­pect­ing late-stage da­ta on QVM149.


Im­age: No­var­tis

Brian Kaspar. AveXis via Twitter

AveX­is sci­en­tif­ic founder fires back at No­var­tis CEO Vas Narasimhan, 'cat­e­gor­i­cal­ly de­nies any wrong­do­ing'

Brian Kaspar’s head was among the first to roll at Novartis after company execs became aware of the fact that manipulated data had been included in its application for Zolgensma, now the world’s most expensive therapy.

But in his first public response, the scientific founder at AveXis — acquired by Novartis for $8.7 billion — is firing back. And he says that not only was he not involved in any wrongdoing, he’s ready to defend his name as needed.

I reached out to Brian Kaspar after Novartis put out word that he and his brother Allen had been axed in mid-May, two months after the company became aware of the allegations related to manipulated data. His response came back through his attorneys.

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We­bi­nar: Re­al World End­points — the brave new world com­ing in build­ing fran­chise ther­a­pies

Several biopharma companies have been working on expanding drug labels through the use of real world endpoints, combing through the data to find evidence of a drug’s efficacy for particular indications. But we’ve just begun. Real World Evidence is becoming an important part of every clinical development plan, in the soup-through-nuts approach used in building franchises.

I’ve recruited a panel of 3 top experts in the field — the first in a series of premium webinars — to look at the practical realities governing what can be done today, and where this is headed over the next few years, at the prodding of the FDA.


ZHEN SU — Merck Serono’s Senior Vice President and Global Head of Oncology


ELLIOTT LEVY — Amgen’s Senior Vice President of Global Development


CHRIS BOSHOFF — Pfizer Oncology’s Chief Development Officer

A premium subscription to Endpoints News is required to attend this webinar. Please upgrade to either an Insider or Enterprise plan for access. Already have Endpoints Premium? Please sign-in below. You can contact our Subscriptions team at help@endpointsnews.com with any issues.

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UP­DAT­ED: Pay­back? An­a­lysts say Sarep­ta was blind­sided by an FDA re­jec­tion dri­ven by reg­u­la­to­ry re­venge

In one of the least anticipated moves of the year, the FDA has rejected Sarepta’s application for an accelerated approval of its Duchenne MD drug golodirsen after fretting over safety issues.

In a statement that arrived after the bell on Monday, Sarepta explained the CRL, saying:

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Levi Garraway. Broad Institute via Youtube

Roche raids Eli Lil­ly for its next chief med­ical of­fi­cer as San­dra Horn­ing plans to step down

We found out Monday morning where Levi Garraway was headed after he left Eli Lilly as head of oncology R&D a few days ago. Roche named Garraway as their new chief medical officer, replacing Sandra Horning, who they say is retiring from the company.

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Af­ter a posse of Wall Street an­a­lysts pre­dict a like­ly new win for Sarep­ta, we're down to the wire on a crit­i­cal FDA de­ci­sion

As Bloomberg notes, most of the Wall Street analysts that cover Sarepta $SRPT are an upbeat bunch, ready to cheer on the team when it comes to their Duchenne MD drugs, or offer explanations when an odd setback occurs — as happened recently with a safety signal that was ‘erroneously’ reported last week.

Ritu Baral Cowen
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FDA de­ci­sion on Ver­tex's CF triple will come just ahead of planned CEO shake­up

Vertex has clinched a priority review for the all-important cystic fibrosis triple that will blaze the trail for treating a large group of patients unhelped by its current drugs.

FDA regulators have set a PDUFA date of March 19, 2020, just a year after the Boston biotech posted positive Phase III results showing that people with two F508del mutations experienced statistically significant improvements in lung function after a 4-week regimen of VX-445, tezacaftor and ivacaftor. After reviewing 24-week data among patients with one F508del mutation and one minimal function mutation — and thoroughly comparing the VX-445 triple with another combo featuring VX-659 on scores like safety, drug-drug interactions, and photosensitivity — Vertex ultimately went with VX-445.

An MIT spin­out kills one of its ‘liv­ing ther­a­peu­tics’ af­ter flunk­ing an ear­ly-stage study — shares rout­ed

Just a few weeks after bagging $80 million in a deal to collaborate with Gingko Bioworks on its special blend of engineered bacteria used for “living therapeutics,” little Synlogic in Boston $SYBX is tossing one of its two clinical programs after watching an early-stage study go down in defeat.

Their Phase Ib/IIa study for SYNB1020 to counter the accumulation of ammonia in the body, a condition called hyperammonemia or urea cycle disorder, floundered at the interim readout, forcing the biotech to kill it and reserve its cash for pipeline therapies with greater potential.

Elan­co to buy Bay­er's an­i­mal health busi­ness for $7.6B, as deal­mak­ing gath­ers steam in the sec­tor

Last week, Elanco explicitly dodged answering questions about its rumored interest in Bayer’s animal health business in its post-earnings call. On Tuesday, the Eli Lilly spinoff disclosed it was purchasing the German drug maker’s veterinary unit in a cash-and-stock deal worth $7.6 billion. 

Elanco $ELAN has been busy on the deal-making front. In April, it laid out plans to swallow its partner, Kansas-based pet therapeutics company Aratana $PETX. A July report by Reuters suggested a potential Bayer deal was being explored, and Bloomberg last week said the deal was imminent, citing sources. 

As­traZeneca's di­a­betes drug Farx­i­ga helps pa­tients with heart dis­ease and with­out di­a­betes in land­mark tri­al

Months ago, data on J&J’s $JNJ Invokana indicated the diabetes drug conferred cardiovascular (CV) benefit in patients who do and do not have preexisting CV disease. On Tuesday, AstraZeneca’s $AZN rival treatment, Farxiga, was shown to cut the risk of CV death or the worsening of heart failure in patients with heart disease, in a landmark trial.

The treatments, in addition to Jardiance from Eli Lilly $LLY, belong to a class of diabetes drugs called sodium-glucose co-transporter 2 (SGLT2) inhibitors, which work by curbing the absorption of glucose via the kidneys so that surplus glucose is excreted through urination.