Alex­ion bags a block­buster new ap­proval for its cash cow Soliris. Now what?

Alex­ion $ALXN has won ap­proval to sell its main­stay ther­a­py Soliris for an­oth­er batch of pa­tients suf­fer­ing from an ul­tra-rare con­di­tion — an OK that could well be worth north of a bil­lion dol­lars.

Lud­wig Hantson

Last night the FDA came through with an OK for a sub­set of pa­tients suf­fer­ing from myas­the­nia gravis, set­ting the stage for a new sales ef­fort that Leerink’s Ge­of­frey Porges be­lieves will rack up $1.2 bil­lion in sales 5 years from now. That’s close to a fifth of the rev­enue he’s pro­ject­ing from Soliris — one of the world’s most ex­pen­sive ther­a­pies — for 2022.

That’s a big win for CEO Lud­wig Hantson and the new team at Alex­ion. Over the past year the biotech has un­der­gone a sea change, punt­ing the pre­vi­ous CEO and CFO in the wake of a sales scan­dal and ush­er­ing in a new regime that is en­tire­ly fo­cused on re­mak­ing the pipeline at Aex­ion as they move the com­pa­ny from Con­necti­cut to Boston’s Sea­port dis­trict.

Alex­ion, though, is dan­ger­ous­ly de­pen­dent on Soliris for its fu­ture, at a time a num­ber of small biotechs are tak­ing a shot at over­turn­ing its block­buster fran­chise and carv­ing out mar­ket share. This new ap­proval in­creas­es the drug’s im­por­tance at Alex­ion as the new crew seeks to di­ver­si­fy, like­ly through a slate of up­com­ing deals af­ter rolling out its re­cent plan to shake up the pipeline.

At $542,640 a year, Soliris re­mains one of the 10 most ex­pen­sive ther­a­pies on the plan­et.

Ge­of­frey Porges

The OK from the FDA is for an­ti-AchR an­ti­body-pos­i­tive gMG, which cov­ers about 5% to 10% of the to­tal for that con­di­tion. Porges not­ed this morn­ing:

Based on our re­cent MEDA­Corp physi­cian in­ter­ac­tions, we be­lieve most of the doc­tors treat­ing gMG pa­tients have al­ready ear­marked a sub­group of pa­tients for whom Soliris is ap­pro­pri­ate and in­tend to be­gin treat­ment with­in the next weeks-month. We be­lieve that re­cent con­sen­sus was still dis­count­ing Soliris’ ap­proval and/or com­mer­cial op­por­tu­ni­ty in gMG based on sales es­ti­mates (LP $5.3bn vs con­sen­sus $4.7bn in 2022). We es­ti­mate that gMG will pro­vide an in­cre­men­tal $1.2bn glob­al rev­enue for Soliris in 2022, rep­re­sent­ing ~23% of our to­tal $5.3bn pro­ject­ed sales for Soliris in the same year.

“This is a land­mark day for the mem­bers of the U.S. myas­the­nia gravis com­mu­ni­ty, who have not seen a ther­a­py ap­proved for gen­er­al­ized myas­the­nia gravis in more than 60 years,” said Nan­cy Law, the CEO of the Myas­the­nia Gravis Foun­da­tion of Amer­i­ca. “It is par­tic­u­lar­ly sig­nif­i­cant that this ap­proval of Soliris will pro­vide a new op­tion for those with gMG and es­pe­cial­ly for those who do not re­spond ad­e­quate­ly to or can­not tol­er­ate stan­dard treat­ment op­tions.”

Fangliang Zhang, AP Images

UP­DAT­ED: Leg­end fetch­es $424 mil­lion, emerges as biggest win­ner yet in pan­dem­ic IPO boom as shares soar

Amid a flurry of splashy pandemic IPOs, a J&J-partnered Chinese biotech has emerged with one of the largest public raises in biotech history.

Legend Biotech, the Nanjing-based CAR-T developer, has raised $424 million on NASDAQ. The biotech had originally filed for a still-hefty $350 million, based on a range of $18-$20, but managed to fetch $23 per share, allowing them to well-eclipse the massive raises from companies like Allogene, Juno, Galapagos, though they’ll still fall a few dollars short of Moderna’s record-setting $600 million raise from 2018.

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As it hap­pened: A bid­ding war for an an­tibi­ot­ic mak­er in a mar­ket that has rav­aged its peers

In a bewildering twist to the long-suffering market for antibiotics — there has actually been a bidding war for an antibiotic company: Tetraphase.

It all started back in March, when the maker of Xerava (an FDA approved therapy for complicated intra-abdominal infections) said it had received an offer from AcelRx for an all-stock deal valued at $14.4 million.

The offer was well-timed. Xerava was approved in 2018, four years after Tetraphase posted its first batch of pivotal trial data, and sales were nowhere near where they needed to be in order for the company to keep its head above water.

Drug man­u­fac­tur­ing gi­ant Lon­za taps Roche/phar­ma ‘rein­ven­tion’ vet as its new CEO

Lonza chairman Albert Baehny took his time headhunting a new CEO for the company, making it absolutely clear he wanted a Big Pharma or biotech CEO with a good long track record in the business for the top spot. In the end, he went with the gold standard, turning to Roche’s ranks to recruit Pierre-Alain Ruffieux for the job.

Ruffieux, a member of the pharma leadership team at Roche, spent close to 5 years at the company. But like a small army of manufacturing execs, he gained much of his experience at the other Big Pharma in Basel, remaining at Novartis for 12 years before expanding his horizons.

Covid-19 roundup: Ab­b­Vie jumps in­to Covid-19 an­ti­body hunt; As­traZeneca shoots for 2B dos­es of Ox­ford vac­cine — with $750M from CEPI, Gavi

Another Big Pharma is entering the Covid-19 antibody hunt.

AbbVie has announced a collaboration with the Netherlands’ Utrecht University and Erasmus Medical Center and the Chinese-Dutch biotech Harbour Biomed to develop a neutralizing antibody that can treat Covid-19. The antibody, called 47D11, was discovered by AbbVie’s three partners, and AbbVie will support early preclinical work, while preparing for later preclinical and clinical development. Researchers described the antibody in Nature Communications last month.

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.

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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Mer­ck wins a third FDA nod for an­tibi­ot­ic; Mereo tack­les TIG­IT with $70M raise in hand

Merck — one of the last big pharma bastions in the beleaguered field of antibiotic drug development — on Friday said the FDA had signed off on using its combination drug, Recarbrio, with hospital-acquired bacterial pneumonia and ventilator-associated bacterial pneumonia. The drug could come handy for use in hospitalized patients who are afflicted with Covid-19, who carry a higher risk of contracting secondary bacterial infections. Once SARS-CoV-2, the virus behind Covid-19, infects the airways, it engages the immune system, giving other pathogens free rein to pillage and plunder as they please — the issue is particularly pertinent in patients on ventilators, which in any case are breeding grounds for infectious bacteria.

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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