Just weeks af­ter Astel­las agreed to pay Aquinox Phar­ma­ceu­ti­cals $25 mil­lion up­front for Asian rights to their lead drug rosip­tor, the lit­tle biotech says their Phase III tri­al was a com­plete dis­as­ter, leav­ing noth­ing to sal­vage.

David Main

CEO David Main didn’t sug­ar­coat it. No mat­ter how hard they stud­ied the da­ta, the in­ter­sti­tial cys­ti­tis drug clear­ly couldn’t beat a place­bo. He said:

We have con­duct­ed a num­ber of sen­si­tiv­i­ty, sub­pop­u­la­tion, and sec­ondary end­point analy­ses and none demon­strate a ben­e­fit of rosip­tor over place­bo.

In­vestors bet­ting on a key suc­cess here clear­ly weren’t hap­py. Aquinox’s shares $AQXP were swift­ly dec­i­mat­ed, div­ing 85%.

The Van­cou­ver-based biotech had hoped for bet­ter, re­cruit­ing 433 pa­tients suf­fer­ing from in­ter­sti­tial cys­ti­tis/blad­der pain syn­drome for the study, which had the same de­sign as Phase II.

Af­ter bury­ing the drug pro­gram, and watch­ing its mar­ket cap shriv­el, Main says it’s time to study what kind of strate­gic al­ter­na­tives re­mains open. There is a mid-stage study un­der­way for the same drug — a small mol­e­cule ac­ti­va­tor of SHIP1 — in chron­ic pro­sta­ti­tis/chron­ic pelvic pain syn­drome. But vir­tu­al­ly all of its eggs were in the one drug bas­ket.

Three months after Merck published in the New England Journal of Medicine data that left doctors and investors divided over just how well its experimental heart drug worked, the FDA has handed that drug priority review. A decision is now due by January 20, 2021.

Merck first announced the drug, known as vericiguat, as a Phase III success last November. In 2016, Merck had paid $1 billion upfront for US rights to the Bayer-developed drug. Early projections foresaw a few hundred million a year in sales, but the unspecified late-stage success raised the possibility for far more. After all, Novartis’s flagship heart drug, Entresto, was earning $1.7 billion per year and was expected to reach up to $4 billion in annual sales.

After spending 4 years in a senior post with GlaxoSmithKline’s star team positioning Shingrix for a blockbuster approval, Guillaume Pfefer is headed back to the biotech world — in style.

Pfefer has signed on to join Noubar Afeyan’s busy group of partners at Flagship, and he’s taking the helm of an upstart — which today is being merged with another Flagship startup — with some grand plans of its own. The announcement this morning notes that Pfefer will run Kintai Therapeutics, one of the grads of the Flagship labs.

One of the many inequalities the pandemic has laid bare is the gender imbalance in biomedical research. A paper examining Covid-19 research authorship wondered out loud: Where are the women?

It’s a question that echoes beyond our current times. In the biopharma world, not only are women under-represented in R&D roles (particularly at higher levels), their achievements and talents could also be undermined by stereotypes and norms of leadership styles. The problem is even more dire for women of color.