Take­da has stum­bled again in its quest to build up the block­buster po­ten­tial of its mul­ti­ple myelo­ma drug Nin­laro. The phar­ma gi­ant says the drug com­bined with dex­am­etha­sone failed to pro­vide sig­nif­i­cant help for pa­tients with rare cas­es of sys­temic light-chain amy­loi­do­sis, so now they’re scrap­ping the en­tire Phase III pro­gram.

Philip Row­lands LinkedIn

The drug failed on the first pri­ma­ry end­point on hema­to­log­i­cal re­spons­es, and re­searchers are throw­ing in the tow­el on or­gan de­te­ri­o­ra­tion and death, the sec­ond pri­ma­ry end­point, with lit­tle ex­pec­ta­tion of suc­cess. The drug com­bo with dex was com­pared against a physi­cian’s choice se­lec­tion of dex­am­etha­sone plus ei­ther mel­pha­lan, cy­clophos­phamide, thalido­mide, or lenalido­mide; or dex­am­etha­sone alone.

We won’t have the num­bers un­til a lat­er sci­en­tif­ic con­fer­ence, but Take­da on­col­o­gy chief Phil Row­lands said the tri­al was “one of the largest” mount­ed in this field. Pa­tients suf­fer­ing from amy­loi­do­sis ex­pe­ri­ence an ac­cu­mu­la­tion of amy­loid in or­gans, which can trig­ger even­tu­al or­gan fail­ure. 

Take­da has had high hopes for Nin­laro since its ap­proval in 2015. But it al­so faces sig­nif­i­cant com­pe­ti­tion with a grow­ing va­ri­ety of drugs in the same mar­ket.

This lat­est set­back on Nin­laro comes fast on the heels of an­oth­er stum­ble ear­li­er in the year, when the com­pa­ny said that it was with­draw­ing their ap­pli­ca­tion to sell the drug as a main­te­nance ther­a­py for myelo­ma pa­tients af­ter stem cell trans­plants. Take­da had pur­sued that  in­di­ca­tion with pos­i­tive pro­gres­sion-free sur­vival stats, but the agency is hold­ing out for over­all sur­vival da­ta be­fore they con­sid­er a green light.

So­cial im­age: Take­da

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.

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.

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.

There haven’t been a lot of big venture rounds for biotech companies looking to run a Phase II study in Alzheimer’s.

The field has been a disaster over the past decade. Amyloid didn’t pan out as a target — going down in a litany of Phase III failures — and is now making its last stand at Biogen. Tau is a comer, but when you look around and all you see is destruction, the idea of backing a startup trying to find complex cocktails to swing the course of this devilishly complicated memory-wasting disease would daunt the pluckiest investors.

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.