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

When Michael Shpigelmacher started the project, he knew he’d have to fund it himself. Every other effort of its kind was academic, rejected as too risky by investors.

Shpigelmacher, a robotics geek and entrepeneur who had drifted into consulting for pharma, wanted to build the real-life equivalent of technology from the 1960s film Fantastic Voyage, the one where a submarine crew is shrunk to “about the size of a microbe” and sent on a mission to repair a scientist’s brain. He scanned the literature, found the lab that was working on the most advanced project — at the Max Planck Institute in Germany, it turned out — and started funding them with money from his own account, along with some seed cash from friends and family.

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Put through a randomized pace with 273 patients, researchers said it flat failed the primary endpoint among the large group with abdominal pain. But they quickly went on to highlight subgroup data, always a tricky and controversial ploy, where they spotlighted a positive p value for patients with moderate to severe pain who received the high dose of the drug — one of 3 provided in the study.

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On Tuesday, we got some idea of how difficult.

San Diego-based Neurocrine revealed that one of the three spotlight clinical programs they’d acquired failed the primary endpoint in a Phase II trial for schizophrenia, registering a negative outcome on the change from baseline in the positive and negative syndrome scale/negative symptom factor score (PANSS NSFS).

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President Joe Biden on Tuesday is expected to announce a partnership between drugmakers Merck and Johnson & Johnson to jointly produce J&J’s recombinant protein Covid-19 vaccine that received the FDA’s emergency use authorization Saturday, the Washington Post reported.