Less than stel­lar Phase I re­sults have trig­gered a pipeline cleanup at Sy­ros Phar­ma, where one of its two lead drugs — a CDK7 in­hibitor ad­min­is­tered in­tra­venous­ly — is get­ting swapped out with an oral ver­sion.

The biotech said it main­tains its be­lief in the CDK7 path­way for can­cer, but thinks pri­or­i­tiz­ing SY-5609, which ap­pears more se­lec­tive and po­tent in pre­clin­i­cal mod­els, is a wis­er choice than hold­ing on­to an IV drug that didn’t quite em­body the op­ti­mal bal­ance be­tween ef­fi­ca­cy and tol­er­a­bil­i­ty. A hu­man tri­al for SY-5609 is planned for ear­ly next year.

Sy­ros had po­si­tioned SY-1365 in a num­ber of sol­id tu­mors marked by spe­cif­ic ge­net­ic mu­ta­tions, in­clud­ing ovar­i­an and breast can­cers. Hav­ing treat­ed 68 pa­tients in an ex­pan­sion por­tion of the tri­al with both sin­gle-agent and com­bi­na­tion ther­a­pies — tar­get­ing some pa­tients who are re­sis­tant to CDK4/6 in­hibitors — in­ves­ti­ga­tors con­clud­ed they would need more fre­quent dos­ing to sus­tain the lev­el of CDK7 they need.

No­tably, on­ly 24 pa­tients were evalu­able at the da­ta cut­off, and none had bet­ter re­sponse than sta­ble dis­ease. Of those treat­ed with sin­gle-agent SY-1365, 42% had sta­ble dis­ease as de­fined by RE­CIST cri­te­ria, and the per­cent­age was 64% in the com­bo group (who were al­so giv­en ful­ves­trant or car­bo­platin).

Nan­cy Si­mon­ian Sy­ros

“We have gained im­por­tant in­sights from our work on SY-1365 that have in­formed our de­vel­op­ment strat­e­gy for SY-5609, in­clud­ing fo­cus­ing on pa­tient pop­u­la­tions most like­ly to re­spond to a CDK7 in­hibitor,” CEO Nan­cy Si­mon­ian said in a state­ment. “We are pri­or­i­tiz­ing SY-5609 be­cause we be­lieve it has best-in-class po­ten­tial and that it pro­vides the great­est op­por­tu­ni­ty to re­al­ize the promise of se­lec­tive CDK7 in­hi­bi­tion for pa­tients.”

In­vestors, though, saw the glass half emp­ty. Shares $SYRS are down 33.32% to $6.74.

This is not the first time Sy­ros’ lead drugs have dis­ap­point­ed. SY-1425, their RARα ag­o­nist de­ployed against acute myeloid leukemia, flopped in a Phase II two years ago. Sy­ros is con­duct­ing an­oth­er tri­al pair­ing the drug with azac­i­ti­dine, the stan­dard of care, that they say is turn­ing up high­er re­sponse rates. They will need some sol­id, hard da­ta to win skep­tics back.

Steve Holtzman was awoken by a 1 a.m. call from a doctor at Duke University asking if he could put some pigs on a plane and fly them from Ohio to North Carolina that day. A motorcyclist had gotten into a horrific crash, the doctor explained. He believed the pigs’ livers, sutured onto the patient’s skin like an external filter, might be able to tide the young man over until a donor liver became available.

Ocular Therapeutix $OCUL has had its ups and downs in the 7 years since it went public. Friday was one of those down days.

The Bedford, MA-based biotech reported that its lead experimental eye drug, OTX-CSI (cyclosporine intracanalicular insert), failed a Phase II trial for dry eye disease. And the stock experienced one of its periodic meltdowns, dropping more than 30% ahead of the bell.

The therapy flat failed the primary endpoint: increased tear production at 12 weeks as measured by the Schirmer’s Test compared to the vehicle control group. And while investigators called out an improvement from baseline in “signs of dry eye disease as measured by total corneal fluorescein staining (CFS) and symptoms of dry eye disease as measured by the visual analogue scale (VAS) eye dryness in subjects treated with the OTX-CSI insert,” it wasn’t statistically significant.

Pfizer will present its case to the FDA’s vaccine adcomm next week, seeking authorization for a lower-dose version of its Covid-19 vaccine for kids ages 5 through 12, which the Biden administration said will likely begin rolling out early next month.

Two primary doses of the 10 µg vaccine (the dose for those ages 12 and up is 30 μg) given 3 weeks apart in this group of children “have shown a favorable safety and tolerability profile, robust immune responses against all variants of concern including Delta, and vaccine efficacy of 90.7% against laboratory-confirmed symptomatic COVID-19,” the company said in briefing documents ahead of next Tuesday’s meeting of the FDA’s Vaccines and Related Biological Products Advisory Committee.

Sanofi and Regeneron can boast of another inflammatory disease where Dupixent has proven effective.

The best-selling drug, which targets both IL-4 and IL-13, has delivered a clean sweep in a Phase III trial for prurigo nodularis, a chronic disease characterized by itch so intense that it can affect patients’ sleep and psychology. Thick skin lesions can cover most of the body.

On the primary endpoint, 37% of patients taking Dupixent saw a clinically meaningful reduction in itch compared to 22% of those on placebo (p=0.0216) at week 12. All secondary endpoints were also met, including clearance of skin lesions and improvement in quality of life.