The NASH par­ty is over at No­var­tis-backed Cona­tus. And this time they’re turn­ing off the lights.

More than 2 years af­ter No­var­tis sur­prised the biotech in­vest­ment com­mu­ni­ty with its $50 mil­lion up­front and promise of R&D sup­port to part­ner with the lit­tle biotech on NASH — ig­nit­ing a light­ning strike for the share price — Cona­tus $CNAT is back with the lat­est bit­ter tale to tell about em­ri­c­as­an, which once in­spired con­fi­dence at the phar­ma gi­ant.

Steven Men­to Cona­tus

Not on­ly did the topline re­sults for the EN­CORE-LF Phase IIb clin­i­cal tri­al fail to reach sta­tis­ti­cal sig­nif­i­cance, the ex­ten­sion study of the EN­CORE-PH study al­so flopped. EN­CORE-LF is now be­ing wrapped up.

This is Cona­tus’ fourth strike, fol­low­ing a se­ries of set­backs that elim­i­nat­ed any se­ri­ous hope in its fu­ture. The com­pa­ny is now lay­ing off 40% of its staff. And in an SEC fil­ing, the biotech not­ed that it will now search out its “strate­gic al­ter­na­tives,” which are se­vere­ly lim­it­ed.

The biotech stood up and took the bul­let, read­ing the last rites for this one: “Cona­tus will con­tin­ue to work with its part­ner No­var­tis on en­sur­ing that all re­main­ing oblig­a­tions re­lat­ed to the em­ri­c­as­an pro­gram are ful­filled.”

“We de­signed the EN­CORE pro­gram to give em­ri­c­as­an an op­por­tu­ni­ty to achieve its po­ten­tial through a se­ries of clin­i­cal tri­als tai­lored to spe­cif­ic pa­tient pop­u­la­tions en­com­pass­ing a broad range of chron­ic liv­er dis­ease,” said a straight­for­ward Steven Men­to, CEO and co-founder of Cona­tus, in a state­ment. “We are dis­ap­point­ed that em­ri­c­as­an failed to meet the ex­pec­ta­tions es­tab­lished in pri­or pre­clin­i­cal and clin­i­cal stud­ies, but con­fi­dent that the EN­CORE tri­als pro­vid­ed a fair eval­u­a­tion of em­ri­c­as­an’s lack of ef­fi­ca­cy in these pa­tient pop­u­la­tions.”

Back in late 2016, though, it was a dif­fer­ent sto­ry as No­var­tis shocked the mar­ket by pro­vid­ing an up­front that equaled Cona­tus’ mar­ket cap at the time. It’s in much worse shape now, with its pen­ny stock slashed more than 60% af­ter the mar­ket closed, drop­ping be­low the 40 cent mark in ex­tinc­tion ter­ri­to­ry.

NASH has proven to be a grave­yard for a num­ber of small and not-so-small biotechs. But with a mar­ket pro­ject­ed to reach the tens of bil­lions of dol­lars, the hunt con­tin­ues.

So­cial im­age: Shut­ter­stock

Novo Nordisk’s priority review voucher on oral semaglutide has paid off. The FDA approval for the GLP-1 drug hit late Friday morning, around six months after the NDA filing.

Rybelsus will be the first GLP-1 pill to enter the type 2 diabetes market — a compelling offering that analysts have pegged as a blockbuster drug with sales estimates ranging from $2 billion to $5 billion.

Ozempic, the once-weekly injectable formulation of semaglutide, brought in around $552 million (DKK 3.75 billion) in the first half of 2019.

There are two updates on the lawsuit against Purdue Pharma over its role in fueling the opioid epidemic, as the Sackler family threatens to walk away from their pledge to pay out $3 billion if a bankruptcy judge does not stop outstanding state lawsuits against them. At the same time, the company has asked permission to pay millions in bonuses to select employees.

Purdue filed for chapter 11 bankruptcy this week as part of its signed resolution to over 2,000 lawsuits. The deal would see the Sackler family that owns Purdue give $3 billion from their personal wealth and the company turned into a trust committed to curbing and reversing overdoses.

The sign is still there, a quaint reminder of whitewashed concrete not 5 miles from Genentech’s sprawling, chrome-and-glass campus: South Francisco The Industrial City. 

The city keeps the old sign, first erected in 1923, as a tourist site and a kind of civic memento to the days it packed meat, milled lumber and burned enough steel to earn the moniker “Smokestack of the Peninsula.” But the real indication of where you are and how much has changed both in San Francisco and in the global economy since a couple researchers and investors rented out an empty warehouse 40 years ago comes in a far smaller blue sign, resembling a Rotary Club post, off the highway: South San Francisco, The Birthplace of Biotech.

While Novartis painstakingly works to mop up the stench of the data manipulation scandal associated with its expensive gene therapy for spinal muscular atrophy (SMA) Zolgensma— rival Biogen is attempting to expand the use of its SMA therapy, Spinraza. 

The US drugmaker $BIIB secured US approval for Spinraza for use in the often fatal genetic disease in 2016. The approval covered a broad range of patients with infantile-onset (most likely to develop Type 1) SMA. 

After months of buzz from both sides of the aisle, Speaker Nancy Pelosi will today introduce her plan to allow the federal government to negotiate prices for 250 prescription drugs, setting up a showdown with a pharmaceutical industry working overtime to prevent it.

The need to limit drug prices is a rare point of agreement between President Trump and Democrats, although the president has yet to comment on the proposal and will likely face pressure to back a more conservative option or no bill at all. Republican Senator Chuck Grassley is reportedly lobbying his fellow party members on a more modest proposal he negotiated with Democratic Senator Ron Wyden in July.