Seat­tle Ge­net­ics has se­cured a speedy re­view of its sec­ond armed an­ti­body, cour­tesy of the FDA.

The com­pa­ny’s ‘break­through’ Astel­las-part­nered drug — en­for­tum­ab ve­dotin — has pro­cured pri­or­i­ty re­view from the US reg­u­la­tor, af­ter da­ta showed it helped pa­tients with a stub­born type of blad­der can­cer.

The drug-in­duced a 44% ob­jec­tive re­sponse rate (ORR) in 128 pa­tients whose dis­ease had pro­gressed de­spite treat­ment with both plat­inum-con­tain­ing chemother­a­py and a check­point in­hibitor in the one-arm EV-201 study. About 12% of the pa­tients ex­pe­ri­enced a com­plete re­sponse, Seat­tle Ge­net­ics dis­closed at AS­CO this June.

A mar­ket­ing ap­pli­ca­tion for the drug has al­ready been sub­mit­ted — and a late-stage tri­al de­signed to con­firm the drug’s safe­ty and ef­fi­ca­cy in this pa­tient pop­u­la­tion is on­go­ing.

The FDA is ex­pect­ed to make its de­ci­sion on the drug by March 15, the com­pa­ny said on Mon­day. In a note pub­lished in Ju­ly, Stifel an­a­lysts es­ti­mat­ed that en­for­tum­ab ve­dotin will gen­er­ate North Amer­i­ca sales of about $367 mil­lion in 2024.

Clay Sie­gall Seat­tle Ge­net­ics

The part­ners are test­ing the drug in com­bi­na­tion with Mer­ck’s $MRK Keytru­da and with chemother­a­py, and as part of a triplet com­bo. The idea is to al­so push for ap­proval in the front­line set­ting and gen­er­ate block­buster sales, Seat­tle Ge­net­ics’ chief Clay Sie­gall told End­points News at AS­CO.

AD­Cs are a class of ther­a­peu­tics in which a can­cer-killing tox­in is at­tached to a spe­cif­ic an­ti­body us­ing a biodegrad­able link­er. De­signed to min­i­mize the ef­fects of the chemother­a­py on healthy cells while max­i­miz­ing tu­mor cell death, the tech­nol­o­gy is some­times likened to a tro­jan horse as it is en­gi­neered to go un­no­ticed, de­liv­er­ing chemother­a­pies to cells ex­press­ing the anti­gen tar­get. Seat­tle Ge­net­ics $SGEN al­ready has one ADC on the mar­ket, Ad­cetris, and a slate of oth­ers in de­vel­op­ment.

En­for­tum­ab ve­dotin (EV) tar­gets Nectin-4, a cell ad­he­sion mol­e­cule seen in a range of sol­id tu­mors.

Urothe­lial can­cer is the most com­mon type of blad­der can­cer. About 80,470 new cas­es of blad­der can­cer are ex­pect­ed to be di­ag­nosed this year, and it is an­tic­i­pat­ed that 17,670 blad­der can­cer deaths will oc­cur in 2019, ac­cord­ing to Amer­i­can Can­cer So­ci­ety es­ti­mates. Da­ta sug­gest most pa­tients do not re­spond to check­point in­hibitors af­ter a plat­inum-con­tain­ing ther­a­py has failed as an ini­tial treat­ment for ad­vanced dis­ease, and there are no oth­er ap­proved op­tions for pa­tients once these two lines of treat­ment have been ex­haust­ed.

So­cial im­age: Clay Sie­gall, Life Sci­ence Wash­ing­ton via YouTube

Celyad’s view on developing and delivering a CAR T-cell therapy with multi-tumor specificity combined with cell manufacturing success
Overview
Transitioning potential therapeutic assets from academia into the commercial environment is an exercise that is largely underappreciated by stakeholders, except for drug developers themselves. The promise of preclinical or early clinical results drives enthusiasm, but the pragmatic delivery of a therapy outside of small, local testing is most often a major challenge for drug developers especially, including among other things, the manufacturing challenges that surround the production of just-in-time and personalized autologous cell therapy products.

The ads piqued interest as soon as they started appearing in 2016: at Grand Central Station, on the Red Line in Cambridge, and on a billboard off the New Jersey Turnpike. All showed a young person, generally with his or her arms crossed, and the question, “what is Vivitrol?”

Vivitrol’s maker, Alkermes, was in the midst of a marketing and lobbying campaign to promote the anti-opioid addiction drug — a campaign that would face significant backlash for tarnishing competitors despite little evidence for Vivitrol’s superiority.

The FDA in-house review highlights a disagreement of investigators’ use of a key endpoint by Horizon Pharma in the late-stage trial for the top drug in its pipeline, but largely agreed that the antibody was effective.

Horizon submitted a BLA for thyroid eye disease (TED) drug teprotumumab in March, less than two years after they bought the drug (and the rest of a division) from Narrow River for $145 million upfront. With breakthrough status, priority review, orphan designation and in-house sales projections of up to $750 million, the one-time Roche reject became the marquee pipeline asset for a company that’s developed some of the world’s most expensive drugs.

Seattle Genetics $SGEN is showing off more positive data around tucatinib, its pivotal-stage drug for HER2 positive breast cancer.

A month after hearing about solidly upbeat hazard ratios, we learned today that the estimated progression-free survival rate at one year was 33% in the tucatinib arm compared to 12% for patients taking trastuzumab and capecitabine alone.

Median PFS was 7.8 months (95% CI: 7.5, 9.6) in the tucatinib arm, compared to 5.6 months (95% CI: 4.2, 7.1) in the control arm.

It’s a case of some bad timing for Intec.

Just when a key trial testing the company’s Accordion drug delivery tech imploded in Parkinson’s disease, they handed Novartis data from a successful PK study of a custom Accordion pill engineered to deliver a Novartis compound to entice the Swiss drugmaker into signing a licensing agreement.

Novartis said thanks, but no thanks.

For the cash-strapped Israeli drug developer, the failure to clinch the deal marks a big blow. As of the third quarter, the company has $15.7 million in cash and equivalents, which HC Wainwright analysts estimate will keep the lights on into mid-2020.