
Xenon jumps on positive data-to-immediate public offering train to bankroll PhIII epilepsy study
After wooing investors last October with a successful Phase IIb, Xenon Pharmaceuticals is back with more data on an expansion study for its daily epilepsy pill, and the biotech immediately went to the public markets to drum up the cash needed for a Phase III that it hopes will garner an FDA nod.
The Phase III trial of XEN1101 is slated to begin in the second half of this year and will set the grounds, along with the Phase IIb data, for a regulatory filing, the company said. To bankroll that work and other studies of the drug, the British Columbia-based biotech laid out plans Wednesday night for a $250 million public offering that is expected to close Monday.
Xenon’s stock $XENE dropped about 11.5% shortly after the opening bell Thursday to approach the offering price of $30.50 per share.
The biotech’s drug reduced focal onset seizure (FOS) within one week for all three doses compared to placebo, Xenon said. A whopping 96% of patients, or 275 people, in the randomized portion of the Phase IIb X-TOLE study moved into the open-label expansion phase, with 54 of them so far going at least two years on treatment.
That fast onset provides a boon for the drug’s potential going forward, with Jefferies analysts noting XEN1101 might beat out already approved competitors and the new data “incrementally supports our view the drug will be used in earlier settings.” With efficacy happening as early as week 1, Jefferies analysts noted other drugs can take multiple weeks, including Xcopri, GSK’s Lamictal and UCB’s Vimpat.
Patients in the open-label expansion had at least a 70% reduction in median monthly seizure frequency after three months and greater than 80% reduction after 12 months, the company said. Further yet, Xenon said the drug led to at least six consecutive months of seizure freedom in 19.6% of patients in the open-label extension and more than 12 months in 9.5% of patients.
“A ‘time course to efficacy’ analysis shows that all doses of XEN1101 rapidly reduced the frequency of focal onset seizures within one week compared to placebo, suggesting that XEN1101 may offer a compelling and differentiated option for patients seeking to quickly reduce seizure frequency,” CEO Ian Mortimer said in a statement.
With the data and at the request of study investigators, Xenon will extend the open-label expansion from three to five years, CMO Christopher Kenney said in a statement.
Commenting on Wednesday’s new data, William Blair analysts said they believe the drug’s case for a highly differentiated profile is bolstered going into the Phase III trial.
The company is also testing the drug in mid-stage studies in primary generalized tonic-clonic seizures and major depressive disorder. Jefferies analysts projected XEN1101’s sales, if approved, could reach $1 billion in epilepsy, more than $1 billion for MDD and eclipse $400 million in PGTCS.
Xenon had $537.9 million in cash as of March 31, which was enough in the bank to last “at least” into 2024, Xenon said last month.
The biotech’s quick data drop to immediate public offering follows the suit of multiple drug developers this year, all trying to raise capital on the back of positive data amid a tumultuous bear market.
Day One Biopharmaceuticals did so last week after positive data on its pediatric brain cancer drug. That followed the trajectory of others, like Phathom Pharmaceuticals, Rezolute, Tarsus, Ascendis Pharma, argenx and Apellis Pharmaceuticals.