Want to buy a pain ther­a­py? Nek­tar lays out a PhI­II sales pitch

Nek­tar Ther­a­peu­tics has a late-stage pain drug to sell to some­one. And this morn­ing the San Fran­cis­co-based biotech — which has been build­ing a fo­cus on on­col­o­gy — added a Phase III read­out show­ing NK­TR-181’s abil­i­ty to hand­i­ly beat out a place­bo in treat­ing chron­ic pain.

The key at­trac­tion to this drug, though, is Nek­tar’s $NK­TR billing this ther­a­py as the first mu-opi­oid ag­o­nist to lessen the pain with­out trig­ger­ing the eu­pho­ria that launched the opi­oid epi­dem­ic in the US.

First, the da­ta. In the Phase III tri­al, pa­tients suf­fer­ing from low back pain were titrat­ed to up to 400 mg twice dai­ly, with pain scores drop­ping an av­er­age of 63%, then moved in­to a dou­ble-blind phase while in­ves­ti­ga­tors tracked av­er­age week­ly pain scores for 12 weeks. Pain scores in the place­bo arm in­creased on the rat­ing scale by 1.46 com­pared to a low­er 0.92 high­er score for the drug arm. That was sta­tis­ti­cal­ly sig­nif­i­cant, says Nek­tar, though a long way from liv­ing pain free.

And if NK­TR-181 does hit the mar­ket even­tu­al­ly, it won’t be up against a place­bo in the re­al world.

Nek­tar, though, has been en­thu­si­as­ti­cal­ly pump­ing ev­i­dence that the drug doesn’t lead to eu­pho­ria, killing an ef­fect that made opi­oids too pop­u­lar with ad­dicts. Its shares shot up more than 20% this morn­ing.

Nek­tar ex­ecs didn’t hold back on tout­ing the re­sults.

“As a new mol­e­cule, NK­TR-181 has a high­ly dif­fer­en­ti­at­ed pro­file with the po­ten­tial to be one of the most im­por­tant ad­vance­ments in pain med­ica­tion,” not­ed CEO Howard Robin in a state­ment. He went on to say the com­pa­ny is com­mit­ted to bring­ing the drug to pa­tients as quick­ly as pos­si­ble.

Just don’t ex­pect Nek­tar to mar­ket the drug or file for an ap­proval.

A cou­ple of weeks ago the CEO told an­a­lysts:

As­sum­ing pos­i­tive Phase 3 ef­fi­ca­cy re­sults from the cur­rent SUM­MIT-07 tri­al, we plan to out-li­cense NK­TR-181 to a com­pa­ny that has a strong pres­ence and long-term com­mit­ment in the pain mar­ket.

That’s what Nek­tar did with Movan­tik (nalox­e­gol), an opi­oid in­duced con­sti­pa­tion drug which was li­censed to As­traZeneca. Nek­tar in­sists that drug is a block­buster in the mak­ing, though sales have been off to a slow start.

The big fo­cus at Nek­tar now cen­ters on NK­TR-214, a pre­clin­i­cal bi­o­log­ic that the com­pa­ny be­lieves can play a role in im­muno-on­col­o­gy. Last fall Nek­tar pulled the wraps off a 50/50 deal to col­lab­o­rate with Bris­tol-My­ers Squibbs to see how their ex­per­i­men­tal drug match­es up with Op­di­vo, one of the lead­ers in the first wave of check­point in­hi­bi­tion.

As Nas­daq en­rolls the fi­nal batch of 2019 IPOs, how have the num­bers com­pared to past years?

IGM Biosciences’ upsized IPO haul, coming after SpringWorks’ sizable public debut, has revved up some momentum for the last rush of biotech IPOs in 2019.

With 39 new listings on the books and roughly two more months to go before winding down, Nasdaq’s head of healthcare listings Jordan Saxe sees the exchange marking 50 to 60 biopharma IPOs for the year.

“December 15 is usually the last possible day that companies will price,” he said, as companies get ready for business talks at the annual JP Morgan Healthcare Conference in January.

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A fa­vorite in Alex­ion’s C-suite is leav­ing, and some mighty sur­prised an­a­lysts aren’t the least bit hap­py about it

Analysts hate to lose a biotech CFO they’ve come to trust and admire — especially if they’re being blindsided by a surprise exit.

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David Grainger [file photo]

'Dis­con­nect the bas­tard­s' — one biotech's plan to break can­cer cell­s' uni­fied de­fens­es

Chemotherapy and radiotherapy are the current gladiators of cancer treatment, but they come with well-known limitations and side-effects. The emergence of immunotherapy — a ferocious new titan in oncologist’s toolbox — takes the brakes off the immune system to kill cancer cells with remarkable success in some cases, but the approach is not always effective. What makes certain forms of cancer so resilient? Scientists may have finally pieced together a tantalizing piece of the puzzle, and a new biotech is banking on a new approach to fill the gap.

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While No­var­tis ban­ish­es Zol­gens­ma scan­dal scars — Bio­gen goes on a Spin­raza 'of­fen­sive'

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. 

Jason Kelly. Mike Blake/Reuters via Adobe

Eye­ing big ther­a­peu­tic push, Gink­go bags $290M to build a cell pro­gram­ming em­pire

Ginkgo Bioworks is on a roll. Days after publicizing a plan to nurture new startups via partnerships with accelerators Y Combinator and Petri, the Boston biotech says it has raised another $290 million for its cell programming platform to reach further and wider.

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UP­DAT­ED: Speak­er Nan­cy Pelosi to un­veil bill for fed­er­al­ly ne­go­ti­at­ed drug prices

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.

Jeff Kindler's Cen­trex­ion re­news bid to make pub­lic de­but

Jeffrey Kindler’s plan to take his biotech — which is developing a slate of non-opioid painkillers — public, is back on.

The Boston based company, led by former Pfizer $PFE chief Kindler, originally contemplated a $70 million to $80 million IPO last year— but eventually postponed that strategy. On Wednesday, the company revived its bid to make a public debut in a filing with the SEC — although no pricing details were disclosed.

Zachary Hornby. Boundless

'A fourth rev­o­lu­tion in can­cer ther­a­pies': ARCH-backed Bound­less Bio flash­es big check, makes big­ger promis­es in de­but

It was the cellular equivalent of opening your car door and finding an active, roaring engine in the driver seat.

Scientists learned strands of DNA could occasionally appear outside of its traditional home in the nucleus in the 1970s, when they appeared as little, innocuous circles on microscopes; inexplicable but apparently innate. But not until UC San Diego’s Paul Mischel published his first study in Science in 2014 did researchers realize these circles were not only active but potentially overactive and driving some cancer tumors’ superhuman growth.

Scott Gottlieb, AP Images

Scott Got­tlieb is once again join­ing a team that en­joyed good times at the FDA un­der his high-en­er­gy stint at the helm

Right after jumping on Michael Milken’s FasterCures board on Monday, the newly departed FDA commissioner is back today with news about another life sciences board post that gives him a ringside chair to cheer on a lead player in the real-world evidence movement — one with very close ties to the FDA.

Aetion is reporting this morning that Gottlieb is joining their board, a group that includes Mohamad Makhzoumi, a general partner at New Enterprise Associates, where Gottlieb returned after stepping out of his role at the FDA 2 years after he started.

Gottlieb — one of the best connected execs in biopharma — knows this company well. As head of FDA he championed the use of real-world evidence to help guide drug developers and the agency in gaining greater efficiencies, which helped set up Aetion as a high-profile player in the game.

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