Trump tweets a new vow to spur com­pe­ti­tion in the phar­ma biz, slash­ing prices

Pres­i­dent Trump has a re­minder for the bio­phar­ma in­dus­try to­day: He hasn’t for­got­ten you or the con­tro­ver­sy over drug prices.

This lat­est tweet from the pres­i­dent of the Unit­ed States un­der­scores Trump’s re­peat­ed in­sis­tence that the fed­er­al gov­ern­ment can ratch­et down health­care prices by fos­ter­ing com­pe­ti­tion.

Trump proved that he can still send a jolt through in­dus­try shares. Both the IBB and XBI dropped more than a point on the tweet, then start­ed re­cov­er­ing some­what. The pres­i­dent’s so­cial me­dia pro­nounce­ments don’t have the same bite as we saw in the days af­ter his in­au­gu­ra­tion.

This lat­est tweet is al­so long on promise and short on de­tails. And it’s the de­tails — like Trump’s pick for FDA com­mis­sion­er — which peo­ple in the in­dus­try want to see now.

Trump’s brand of change may come through a re­formed FDA, where he’s in­sist­ed that dereg­u­la­tion can make a big dif­fer­ence in re­duc­ing the amount of time and mon­ey spent on drug de­vel­op­ment. Or Medicare could be re­jigged to al­low for price ne­go­ti­a­tions which have been barred by law.

Or all that and more could be in­clud­ed.

I’ve found many ex­ecs in bio­phar­ma be­lieve that the drug in­dus­try is plen­ty com­pet­i­tive as it stands. Al­so, there’s been lit­tle ev­i­dence that faster de­vel­op­ment will re­duce the cost of new drugs.

Umer Raf­fat at Ever­core ISI had this to say:

Ques­tion re­al­ly is:  what does that mean?  Re­call that Pres­i­dent Trump has pre­vi­ous­ly made ref­er­ences to “bid­ding”.

There are 2 types of com­pe­ti­tion:

1.   Brand vs gener­ic – this al­ready ex­ists (and in fact, mar­ket forces dri­ve gener­ics to have very fierce pric­ing wars)

2.   Brand vs brand – for this to hap­pen, you need in­ter­change­able brand­ed prod­ucts … e.g., just be­cause 2 drugs are ap­proved for same in­di­ca­tion doesn’t make them di­rect “com­pe­ti­tion”

o   For true “com­pe­ti­tion” among brands, you need:

§  Mul­ti­ple drugs in same class

§  Same in­di­ca­tion

§  Same route of ad­min­is­tra­tion

§  Sim­i­lar ef­fi­ca­cy

§  Sim­i­lar safe­ty

o   Some ther­a­peu­tic ar­eas have this … but not all

Most im­por­tant­ly, many ther­a­peu­tic ar­eas with gen­er­al­ly in­ter­change­able brand­ed prod­ucts are al­ready un­der Part D … and have for­mu­la­ry tiers etc. 

And that’s the ul­ti­mate ques­tion:  is the Pres­i­dent re­fer­ring more to Part B (where no for­mu­la­ries ex­ist cur­rent­ly)?  Re­al­i­ty is, we just don’t know un­til some­thing de­fin­i­tive is put out

Mean­while, phar­ma may have some ne­go­ti­at­ing lever­age with the Trump ad­min­is­tra­tion be­cause of the abil­i­ty to pitch a job-cre­ation plan … e.g., look at this tweet (al­so from to­day):

One sug­ges­tion from Jim O’Neill, a for­mer HHS of­fi­cial un­der Bush who is ev­i­dent­ly un­der con­sid­er­a­tion as the new head of the FDA, could have an im­pact on pric­ing. He has said in the past that drugs proven to be “safe” should be put on the mar­ket so that peo­ple can find out for them­selves how ef­fec­tive it may be.

A slew of new drugs hur­ried out un­der those stan­dards could start com­pet­ing with es­tab­lished drugs — we just won’t know if they’re worth any­thing at all.

Martin Shkreli [via Getty]

Pris­on­er #87850-053 does not get to add drug de­vel­op­er to his list of cred­its

Just days after Retrophin shed its last ties to founder Martin Shkreli, the biotech is reporting that the lead drug he co-invented flopped in a pivotal trial. Fosmetpantotenate flunked both the primary and key secondary endpoints in a placebo-controlled trial for a rare disease called pantothenate kinase-associated neurodegeneration, or PKAN.

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We­bi­nar: Re­al World End­points — the brave new world com­ing in build­ing fran­chise ther­a­pies

Several biopharma companies have been working on expanding drug labels through the use of real world endpoints, combing through the data to find evidence of a drug’s efficacy for particular indications. But we’ve just begun. Real World Evidence is becoming an important part of every clinical development plan, in the soup-through-nuts approach used in building franchises.

I’ve recruited a panel of 3 top experts in the field — the first in a series of premium webinars — to look at the practical realities governing what can be done today, and where this is headed over the next few years, at the prodding of the FDA.

ZHEN SU — Merck Serono’s Senior Vice President and Global Head of Oncology
ELLIOTT LEVY — Amgen’s Senior Vice President of Global Development
CHRIS BOSHOFF — Pfizer Oncology’s Chief Development Officer

A premium subscription to Endpoints News is required to attend this webinar. Please upgrade to either an Insider or Enterprise plan for access. Already have Endpoints Premium? Please sign-in below. You can contact our Subscriptions team at help@endpointsnews.com with any issues.

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Hal Barron. GSK

GSK's Hal Bar­ron her­alds their sec­ond pos­i­tive piv­otal for cru­cial an­ti-BC­MA ther­a­py, point­ing to a push for quick OKs in a crowd­ed field

Hal Barron has his second positive round of Phase III data in hand for his anti-BCMA antibody drug conjugate belantamab mafodotin (GSK2857916). And GSK’s research chief says the data paves the way for their drive in search of an FDA approval for treating multiple myeloma.

It’s hard to overestimate the importance of this drug for GSK, a cornerstone of Barron’s campaign to make a dramatic impact on the oncology market and provide some long-lost excitement for the pharma giant’s pipeline. They’re putting this BCMA program at the front of that charge — looking to lead a host of rivals all aimed at the same target.

We don’t know what the data are yet, but DREAMM-2 falls on the heels of a promising set of data delivered 5 months ago for DREAMM-1. There investigators noted that complete responses among treatment-resistant patients rose to 15% in the extra year’s worth of data to look over, with a median progression-free survival rate of 12 months, up from 7.9 months reported earlier. The median duration of response was 14.3 months.

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Brian Kaspar. AveXis via Twitter

AveX­is sci­en­tif­ic founder fires back at No­var­tis CEO Vas Narasimhan, 'cat­e­gor­i­cal­ly de­nies any wrong­do­ing'

Brian Kaspar’s head was among the first to roll at Novartis after company execs became aware of the fact that manipulated data had been included in its application for Zolgensma, now the world’s most expensive therapy.

But in his first public response, the scientific founder at AveXis — acquired by Novartis for $8.7 billion — is firing back. And he says that not only was he not involved in any wrongdoing, he’s ready to defend his name as needed.

I reached out to Brian Kaspar after Novartis put out word that he and his brother Allen had been axed in mid-May, two months after the company became aware of the allegations related to manipulated data. His response came back through his attorneys.

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Why would Am­gen want to buy Alex­ion? An­a­lysts call hot­ly ru­mored takeover un­like­ly, but seize the mo­ment

A rumor that Amgen is closing in on buyout deal for Alexion has sparked a guessing game on just what kind of M&A strategy Amgen is pursuing and how much Alexion is worth.

Mizuho analyst Salim Syed first lent credence to the report out of the Spanish news outlet Intereconomía, which said Amgen is bidding as much as $200 per share. While the source may be questionable, “the concept of this happening doesn’t sound too crazy to me,” he wrote.

FDA asks why No­var­tis took two months to launch for­mal in­ter­nal probe, af­ter AveX­is flagged da­ta ma­nip­u­la­tion

And the plot thickens. Novartis $NVS officials are reportedly now scrambling to explain to the FDA why it took them two months to open an internal investigation into data discrepancies for their $2.1 million gene-therapy for spinal muscular dystrophy — the world’s most expensive drug.

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Build­ing on suc­cess­ful PD-1 pact, Eli Lil­ly li­cens­es di­a­betes drug to Chi­nese part­ners at In­novent

Eli Lilly is expanding its partnership with China’s Innovent in a deal involving a diabetes drug sitting in its Phase I reserves.

The two companies had jointly developed one of China’s first homegrown PD-1 agents, scoring an approval for Tyvyt (sintilimab) late last year for relapsed/refractory classical Hodgkin’s lymphoma. This time around, Lilly is out-licensing a piece of its diabetes pipeline, a leading franchise that has historically produced the top-selling Trulicity and Humalog.

Am­gen, Al­ler­gan biosim­i­lar of Roche's block­buster Rit­ux­an clears an­oth­er US piv­otal study 

Novartis $NVS may have given up, but Amgen $AMGN and Allergan $AGN are plowing ahead with their knockoff of Roche’s blockbuster biologic Rituxan in the United States.

Their copycat, ABP 798, was found to have a clinically equivalent impact as Rituxan — meeting the main goal of the study involving CD20-positive B-cell non-Hodgkin’s lymphoma patients. This is the second trial supporting the profile of the biosimilar. In January, it came through with positive PK results in patients with rheumatoid arthritis.

Trump ad­min­is­tra­tion re­vives bid to get drug list prices on TV ads

The Trump administration is not giving up just yet. On Wednesday, the HHS filed an appeal against a judge’s decision in July to overturn a ruling obligating drug manufacturers to disclose the list price of their therapies in television adverts — hours before it was stipulated to go into effect.

In May, the HHS published a final ruling requiring drugmakers to divulge the wholesale acquisition cost— of a 30-day supply of the drug — in tv ads in a bid to enhance price transparency in the United States. The pharmaceutical industry has vehemently opposed the rule, asserting that list prices are not what a typical patient in the United States pays for treatment — that number is typically determined by the type of (or lack thereof) insurance coverage, deductibles and out-of-pocket costs. Although there is truth to that claim, the move was considered symbolic in the Trump administration’s healthcare agenda to hold drugmakers accountable in a climate where skyrocketing drug prices have incensed Americans on both sides of the aisle.