PureTech's Gele­sis brings in $30M to back its FDA pitch on a new weight loss ther­a­py with trou­ble­some da­ta

Gele­sis has round­ed up $30 mil­lion to take its mixed set of da­ta on its weight loss ther­a­py to reg­u­la­tors in the US and Eu­rope.

Yishai Zo­har

The biotech, part of the PureTech group in Boston, did what it could last fall to whip up ex­cite­ment for hit­ting one pri­ma­ry mea­sure for ef­fi­ca­cy — with 58% of the treat­ment arm los­ing at least 5% of their body weight dur­ing a study com­pared to 42% in the place­bo group. But it al­so con­ced­ed that the study failed to demon­strate a 3% mean dif­fer­ence be­tween the two, miss­ing the co-pri­ma­ry.

Typ­i­cal­ly, fail­ing an es­sen­tial agency stan­dard for an ap­proval would douse ex­pec­ta­tions about the fu­ture, but Gele­sis’ unim­pres­sive out­comes were based on a study with a non­signif­i­cant risk (NSR) de­vice des­ig­na­tion — un­der­scor­ing that reg­u­la­tors don’t see much risk in tak­ing the prod­uct, which swells up in the stom­ach to pro­duce a sen­sa­tion of be­ing full. Ab­sence of risk will be key if this treat­ment ex­pects to pass muster with reg­u­la­tors.

Pe­ter Welford

Jef­feries’ Pe­ter Welford has been of­fer­ing some sup­port for Gele­sis’ chances, not­ing that In­vesco put up about $18 mil­lion for pre­ferred stock, with PureTech in for $5 mil­lion to main­tain their 20% own­er­ship stake.

Welford not­ed:

Fail­ing to meet both co-pri­ma­ry end­points is not “best” case, in our view, but giv­en near­ly 60% of adults achieved clin­i­cal­ly mean­ing­ful 5+% weight loss and the clean safe­ty pro­file, plus pri­or FLOW tri­al da­ta, we are op­ti­mistic reg­u­la­to­ry au­thor­i­ties should sup­port fil­ings.

If they do green-light the prod­uct, the an­a­lyst ex­pects the prod­uct has peak sales po­ten­tial of $500 mil­lion a year. And he of­fered an ex­pla­na­tion for the co-pri­ma­ry flop, not­ing that the place­bo group had to drink two glass­es of wa­ter be­fore eat­ing, which may have swelled the place­bo ef­fect.

Of course, drink­ing more wa­ter every day is al­so a stan­dard sug­ges­tion for los­ing weight — and costs a lot less than any ther­a­py.

We have yet to see the full set of sec­ondary da­ta that was al­so tracked in the study. Gele­sis is run by Yishai Zo­har, the hus­band of PureTech chief Daphne Zo­har.

Health­care Dis­par­i­ties and Sick­le Cell Dis­ease

In the complicated U.S. healthcare system, navigating a serious illness such as cancer or heart disease can be remarkably challenging for patients and caregivers. When that illness is classified as a rare disease, those challenges can become even more acute. And when that rare disease occurs in a population that experiences health disparities, such as people with sickle cell disease (SCD) who are primarily Black and Latino, challenges can become almost insurmountable.

David Meek, new Mirati CEO (Marlene Awaad/Bloomberg via Getty Images)

Fresh off Fer­Gene's melt­down, David Meek takes over at Mi­rati with lead KRAS drug rac­ing to an ap­proval

In the insular world of biotech, a spectacular failure can sometimes stay on any executive’s record for a long time. But for David Meek, the man at the helm of FerGene’s recent implosion, two questionable exits made way for what could be an excellent rebound.

Meek, most recently FerGene’s CEO and a past head at Ipsen, has become CEO at Mirati Therapeutics, taking the reins from founding CEO Charles Baum, who will step over into the role of president and head of R&D, according to a release.

Who are the women su­per­charg­ing bio­phar­ma R&D? Nom­i­nate them for this year's spe­cial re­port

The biotech industry has faced repeated calls to diversify its workforce — and in the last year, those calls got a lot louder. Though women account for just under half of all biotech employees around the world, they occupy very few places in C-suites, and even fewer make it to the helm.

Some companies are listening, according to a recent BIO survey which showed that this year’s companies were 2.5 times more likely to have a diversity and inclusion program compared to last year’s sample. But we still have a long way to go. Women represent just 31% of biotech executives, BIO reported. And those numbers are even more stark for women of color.

Jacob Van Naarden (Eli Lilly)

Ex­clu­sives: Eli Lil­ly out to crash the megablock­buster PD-(L)1 par­ty with 'dis­rup­tive' pric­ing; re­veals can­cer biotech buy­out

It’s taken 7 years, but Eli Lilly is promising to finally start hammering the small and affluent PD-(L)1 club with a “disruptive” pricing strategy for their checkpoint therapy allied with China’s Innovent.

Lilly in-licensed global rights to sintilimab a year ago, building on the China alliance they have with Innovent. That cost the pharma giant $200 million in cash upfront, which they plan to capitalize on now with a long-awaited plan to bust up the high-price market in lung cancer and other cancers that have created a market worth tens of billions of dollars.

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When ef­fi­ca­cy is bor­der­line: FDA needs to get more con­sis­tent on close-call drug ap­provals, agency-fund­ed re­search finds

In the exceedingly rare instances in which clinical efficacy is the only barrier to a new drug’s approval, new FDA-funded research from FDA and Stanford found that the agency does not have a consistent standard for defining “substantial evidence” when flexible criteria are used for an approval.

The research comes as the FDA is at a crossroads with its expedited-review pathways. The accelerated approval pathway is under fire as the agency recently signed off on a controversial new Alzheimer’s drug, with little precedent to explain its decision. Meanwhile, top officials like Rick Pazdur have called for a major push to simplify and clarify all of the various expedited pathways, which have grown to be must-haves for sponsors of nearly every newly approved drug.

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Af­ter sell­ing to Genen­tech, the old Je­cure team is back at an RNA-fo­cused start­up — and more en­thu­si­as­tic than ever

When Genentech swooped in to buy NASH-focused Jecure Therapeutics back in 2018, a handful of the startup’s executives weren’t quite ready to disperse.

It had been just three years since Jecure launched with a preclinical portfolio of NLRP3 inhibitors — and the takeover came sooner than anyone, including CEO Jeff Stafford, had expected. So he got talking with James Veal and Gretchen Bain, two serial entrepreneurs in charge of Jecure’s R&D.

Jay Bradner (Jeff Rumans for Endpoints News)

Div­ing deep­er in­to in­her­it­ed reti­nal dis­or­ders, No­var­tis gob­bles up an­oth­er bite-sized op­to­ge­net­ics biotech

Right about a year ago, a Novartis team led by Jay Bradner and Cynthia Grosskreutz at NIBR swooped in to scoop up a Cambridge, MA-based opthalmology gene therapy company called Vedere. Their focus was on a specific market niche: inherited retinal dystrophies that include a wide range of genetic retinal disorders marked by the loss of photoreceptor cells and progressive vision loss.

But that was just the first deal that whet their appetite.

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Take­da snaps up the Japan­ese rights to an old Shire cast-off; Boehringer In­gel­heim ac­quires Abexxa Bi­o­log­ics

A week before the FDA is set to decide on Mirum Pharmaceuticals’ lead liver disease drug — an old Shire cast-off called maralixibat — Takeda is swooping in to secure the rights in Japan.

Maralixibat’s roots trace back to Lumena, which was snapped up by Shire for $260 million-plus back in 2014. While the candidate had failed mid-stage studies at Shire, Mirum believes better trial design and patient selection will deliver the wins it needs. The drug is currently in development for Alagille syndrome (a condition called ALGS in which bile builds up in the liver), progressive familial intrahepatic cholestasis (PFIC, which causes progressive liver disease) and biliary atresia (a blockage in the ducts that carry bile from the liver to the gallbladder).

Vicente Anido (University of West Virginia via YouTube)

Aerie fires CEO af­ter lead pro­gram flop, com­ments about pri­ma­ry end­points be­ing 'not re­quired'

Aerie Pharmaceuticals CEO Vicente Anido has left the company less than a week after trying to chart a Phase III study in the wake of a serious Phase IIb flop.

Anido’s last day at Aerie was Friday, the biotech announced in a news release Tuesday morning, and Benjamin McGraw is taking his place in an interim role. The now former CEO was terminated without cause, according to an SEC filing.

The board has started looking for a full-time chief to take his place.

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