When drug val­ue as­sess­ment meets re­al-world ev­i­dence: ICER en­lists Ae­tion in pric­ing eval­u­a­tion

In a union of two of the hottest trends in the US bio­phar­ma world, ICER is team­ing up with a high-pro­file com­pa­ny to in­te­grate re­al-world ev­i­dence in their as­sess­ment of treat­ment val­ue.

The drug pric­ing watch­dog — for­mal­ly the In­sti­tute for Clin­i­cal and Eco­nom­ic Re­view — said it will uti­lize Ae­tion’s ev­i­dence plat­form in “se­lect up­com­ing as­sess­ments” and their new 24-month re-eval­u­a­tions of drugs grant­ed ac­cel­er­at­ed ap­proval by the FDA.

Even though ICER doesn’t play an of­fi­cial role in set­ting drug prices, its ver­dicts on whether treat­ments are cost-ef­fec­tive are in­creas­ing­ly shap­ing pay­er at­ti­tude and con­sumer per­cep­tion, as well as, gen­er­al dis­course as the heat­ed de­bate around US drug prices rages on.

Car­olyn Mag­ill

Led by Unit­ed­Health vet Car­olyn Mag­ill, Ae­tion de­rives much of its da­ta from in­sur­ance claims, but it al­so works with elec­tron­ic health records, reg­istries and clin­i­cal tri­als. The FDA and Brigham and Women’s Hos­pi­tal have a pact in place with the com­pa­ny to try pre­dict­ing the re­sults of ran­dom­ized clin­i­cal tri­als in a pi­lot project in­volv­ing sev­en stud­ies.

Scott Got­tlieb, who pushed the in­dus­try to try new things with RWE dur­ing his tenure as FDA com­mis­sion­er, joined Ae­tion’s board a few months af­ter leav­ing the agency.

David Whitrap

For its part, ICER has com­mit­ted to ex­pand­ing its RWE use, not on­ly us­ing ex­ist­ing sources such as man­u­fac­tur­ers and pa­tient or­ga­ni­za­tions but ex­plor­ing ways to gen­er­ate da­ta that can com­ple­ment pub­lished sources. The deal with Ae­tion al­lows them to do it at greater scale, David Whitrap, ICER’s VP of com­mu­ni­ca­tions and out­reach, told End­points News.

Where­as RWE can come in handy for com­par­isons to ex­ist­ing treat­ments and the nat­ur­al trend of cer­tain con­di­tions (such as sick­le cell dis­ease, where ICER is con­duct­ing a re­view of ther­a­pies with Ae­tion’s help), their re­la­tion­ship will be most use­ful in the new process they are pi­lot­ing: re-eval­u­at­ing treat­ments af­ter they’ve been on the mar­ket for sev­er­al years.

“Ran­dom­ized clin­i­cal tri­als re­main the gold stan­dard for de­vel­op­ing un­bi­ased ev­i­dence, but as the FDA is in­creas­ing­ly ap­prov­ing treat­ments based on thin­ner clin­i­cal tri­al da­ta, the en­tire health in­dus­try will need to fill larg­er knowl­edge gaps about how well a new drug ac­tu­al­ly works,” he said. “And RWE is one way to do so.”

Tar­get­ing a Po­ten­tial Vul­ner­a­bil­i­ty of Cer­tain Can­cers with DNA Dam­age Re­sponse

Every individual’s DNA is unique, and because of this, every patient responds differently to disease and treatment. It is astonishing how four tiny building blocks of our DNA – A, T, C, G – dictate our health, disease, and how we age.

The tricky thing about DNA is that it is constantly exposed to damage by sources such as ultraviolet light, certain chemicals, toxins, and even natural biochemical processes inside our cells.¹ If ignored, DNA damage will accumulate in replicating cells, giving rise to mutations that can lead to premature aging, cancer, and other diseases.

Fol­low biotechs go­ing pub­lic with the End­points News IPO Track­er

The Endpoints News team is continuing to track IPO filings for 2021, and we’ve designed a new tracker page for the effort.

Check it out here: Biopharma IPOs 2021 from Endpoints News

You’ll be able to find all the biotechs that have filed and priced so far this year, sortable by quarter and listed by newest first. As of the time of publishing on Feb. 25, there have already been 16 biotechs debuting on Nasdaq so far this year, with an additional four having filed their S-1 paperwork.

Steve Cutler, Icon CEO (Icon)

In the biggest CRO takeover in years, Icon doles out $12B for PRA Health Sci­ences to fo­cus on de­cen­tral­ized clin­i­cal work

Contract research M&A had a healthy run in recent years before recently petering out. But with the market ripe for a big buyout and the Covid-19 pandemic emphasizing the importance of decentralized trials, Wednesday saw a tectonic shift in the CRO world.

Icon, the Dublin-based CRO, will acquire PRA Health Sciences for $12 billion in a move that will shake up the highest rungs of a fragmented market. The merger would combine the 5th- and 6th-largest CROs by 2020 revenue, according to Icon, and the merger will set the newco up to be the second-largest global CRO behind only IQVIA.

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Tom Barnes (Orna)

The mR­NA era is here. MPM be­lieves the fu­ture be­longs to oR­NA — and Big Phar­ma wants a seat at the ta­ble

If the ultra-fast clinical development of Covid-19 vaccines opened the world’s eyes to the promises of messenger RNA, the subsequent delays in supply offered a crash course on the ultra-complex process of producing them. Even before the formulation and fill-finish steps, mRNA is the precious end product from an arduous journey involving enzyme-aided transcription, modification and purification.

For Bristol Myers Squibb, Novartis Institutes for Biomedical Research, Gilead’s Kite and Astellas, it’s time to rethink the way therapeutic RNA is engineered.

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Ken Frazier, Merck CEO (Bess Adler/Bloomberg via Getty Images)

UP­DAT­ED: Mer­ck takes a swing at the IL-2 puz­zle­box with a $1.85B play for buzzy Pan­dion and its au­toim­mune hope­fuls

When Roger Perlmutter bid farewell to Merck late last year, the drugmaker perhaps best known now for sales giant Keytruda signaled its intent to take a swing at early-stage novelty with the appointment of discovery head Dean Li. Now, Merck is signing a decent-sized check to bring an IL-2 moonshot into the fold.

Merck will shell out roughly $1.85 billion for Pandion Pharmaceuticals, a biotech hoping to gin up regulatory T cells (Tregs) to treat a range of autoimmune disorders, the drugmaker said Thursday.

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S&P ex­pects steady ero­sion in Big Phar­ma's cred­it pro­file in 2021 as new M&A deals roll in — but don't un­der­es­ti­mate their un­der­ly­ing strength

S&P Global has taken a look at the dominant forces shaping the pharma market and come to the conclusion that there will be more downgrades than upgrades in 2021 — the 8th straight year of steady decline.

But it’s not all bad news. Some things are looking up, and there’s still plenty of money to be made in an industry that enjoys a 30% to 40% profit margin, once you factor in steep R&D expenses.

Tal Zaks, Moderna CMO (AP Photo/Rodrique Ngowi, via still image from video)

CMO Tal Zaks bids Mod­er­na a sur­prise adieu as biotech projects $18.4B in rev­enue, plots post-Covid ex­pan­sion

How do you exit a company after six years in style? Developing one of the most lucrative and life-saving products in pharma history is probably not the worst way to go.

Tal Zaks, Moderna’s CMO since 2015, will leave the mRNA biotech in September, the biotech disclosed in their annual report this morning. The company has already retained the recruitment firm Russell Reynolds to find a replacement.

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Glax­o­SmithK­line re­thinks strat­e­gy for Covid-19 an­ti­body — not the Vir ones — af­ter tri­al flop. Is there hope in high-risk pa­tients?

In the search for a better Covid-19 therapeutic, GlaxoSmithKline and Vir have partnered up on two antibodies they hope have a chance. GSK is also testing its own in-house antibody, and early results may have shut the door on its widespread use.

A combination of GSK’s monoclonal antibody otilimab plus standard of care couldn’t best standard of care alone in preventing death and respiratory failure in hospitalized Covid-19 patients after 28 days, according to data from the Phase IIa OSCAR study unveiled Thursday.

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Bio­phar­ma's suc­cess rate in bring­ing drugs to mar­ket has long been abysmal. Can new tools help rewrite that trou­bled past?

In 2011, a team of researchers at British drugmaker AstraZeneca had a problem they were looking to solve.

For years, drug discovery and development were a wasteland for innovation. Novel drugs largely fell into one of two categories — monoclonal antibodies and small molecules — and new therapeutic modalities were hard to come by. After a rush of promising approvals in the late 1990s — including then-Biogen’s CD20 targeting antibody breakthrough Rituxan — the field stagnated and attrition rates stayed sky-high. What exactly is the industry doing wrong? AstraZeneca asked itself.

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