Rene Russo (Credit: Alicia Petitti Photography)

Xilio Ther­a­peu­tics eyes the fast track to the clin­ic with $95M in in­vestor cash to test re­designed IL-2, CT­LA-4 meds

About three years af­ter join­ing the search for IL-2  and CT­LA-4 ther­a­pies with­out all those nasty side ef­fects, Xilio Ther­a­peu­tics has teed up $95 mil­lion to dri­ve its two lead can­di­dates in­to the clin­ic.

The Se­ries C round was led by Rock Springs Cap­i­tal, and should al­low the small Waltham, Mass­a­chu­setts-based biotech to file INDs for XTX101, its an­ti-CT­LA-4 an­ti­body, in Q2 and XTX202, its IL-2 ag­o­nist, in Q3.

Tim Clack­son

Xilio got its start in 2018 un­der the name Akre­via with $30 mil­lion in launch mon­ey from At­las and F-Prime. The 13-per­son shop was head­ed by sci­en­tist Tim Clack­son, whose last job was run­ning R&D at Ari­ad un­til Take­da bought it out. Clack­son is now pres­i­dent and CTO.

The big idea — based on tech­nol­o­gy in-li­censed from Thomas Jef­fer­son Uni­ver­si­ty and City of Hope — was to take a set of an­ti­bod­ies, cy­tokines and chemokines that are ei­ther too dan­ger­ous or plagued with tox­i­c­i­ty is­sues and re­design them.

Two years lat­er, with CEO Rene Rus­so at the helm, the com­pa­ny bagged a $100.5 mil­lion Se­ries B and re­brand­ed to Xilio. The name was in­spired by ex ni­hi­lo, a Latin term for cre­ation or big bang.

“We view how our mol­e­cules work as com­plete­ly off or dark when they’re cir­cu­lat­ing in the pe­riph­ery,” Rus­so told End­points News at the time, “and this cre­ation or big bang as ef­fi­ca­cy in the tu­mor specif­i­cal­ly.”

Xilio’s plat­form in­volves shield­ing the bind­ing ac­tiv­i­ty of mol­e­cules un­til they meet the pro­teas­es in the tu­mor. Then the block­ing mod­ules are re­moved, re­leas­ing the ther­a­py just where it’s need­ed.

The biotech joins sev­er­al oth­ers work­ing on a new-and-im­proved IL-2, in­clud­ing Alk­er­mes, which high­light­ed its first glimpse of ef­fi­ca­cy at vir­tu­al ES­MO 2020. Nek­tar, whose pro­gram with Bris­tol My­ers Squibb’s Op­di­vo hit a snag back in 2018, an­nounced ear­li­er this month that it’s en­ter­ing be­m­pe­galdesleukin in a Phase II/III tri­al with Keytru­da. Sanofi struck a deal with Mer­ck in Oc­to­ber to pair Keytru­da with a next-gen im­muno-on­col­o­gy can­di­date snagged in the Syn­thorx buy­out. And back in Ju­ly, Bright Peak Ther­a­peu­tics launched out of Ver­sant’s Ridge­line Ther­a­peu­tics Dis­cov­ery En­gine with its own mod­i­fied IL-2 mol­e­cule.

“In our view, agents like IL-2 and CT­LA-4 have tremen­dous ther­a­peu­tic po­ten­tial, but have been re­al­ly lim­it­ed by their tox­i­c­i­ty,” Rus­so said. “And our ap­proach re­al­ly aims to take ad­van­tage of what’s dif­fer­ent in­side the tu­mor mi­croen­vi­ron­ment, name­ly high ac­tiv­i­ty of MMPs, or ma­trix  met­al­lo­pro­teinas­es, and then uti­lize that to re­al­ly turn on the ac­tiv­i­ty and con­cen­trate it on­ly in the tu­mors.”

The team, which has since grown to 45 staffers, is al­so work­ing on IL-12 and IL-15 pro­grams. How­ev­er, it’s too soon to tell when those might be ready for IND sub­mis­sions.

When asked if an IPO is on the hori­zon, Rus­so said: “We will be think­ing care­ful­ly about that and what the right tim­ing will be for us to max­i­mize the de­vel­op­ment of these pro­grams and to fur­ther ad­vance the pipeline.”

Has the mo­ment fi­nal­ly ar­rived for val­ue-based health­care?

RBC Capital Markets’ Healthcare Technology Analyst, Sean Dodge, spotlights a new breed of tech-enabled providers who are rapidly transforming the way clinicians deliver healthcare, and explores the key question: can this accelerating revolution overturn the US healthcare system?

Key points

Tech-enabled healthcare providers are poised to help the US transition to value, not volume, as the basis for reward.
The move to value-based care has policy momentum, but is risky and complex for clinicians.
Outsourced tech specialists are emerging to provide the required expertise, while healthcare and tech are also converging through M&A.
Value-based care remains in its early stages, but the transition is accelerating and represents a huge addressable market.

Clay Siegall, Morphimmune CEO

Up­dat­ed: Ex-Seagen chief Clay Sie­gall emerges as CEO of pri­vate biotech

Clay Siegall will be back in the CEO seat, taking the helm of a private startup working on targeted cancer therapies.

It’s been almost a year since Siegall resigned from Seagen, the biotech he co-founded and led for more than 20 years, in the wake of domestic violence allegations by his then-wife. His eventual successor, David Epstein, sold the company to Pfizer in a $43 billion deal unveiled last week.

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No­vo Nordisk oral semaglu­tide tri­al shows re­duc­tion in blood sug­ar, plus weight loss

Novo Nordisk is testing higher levels of its oral version of its GLP-1, semaglutide, and its type 2 diabetes trial results released today show reductions in blood sugar as well as weight loss.

In the Phase IIIb trial, Novo compared its oral semaglutide in 25 mg and 50 mg doses with the 14 mg version that’s currently the maximum approved dose. The trial looked at how the doses compared when added to a stable dose of one to three oral antidiabetic medicines in people with type 2 diabetes who were in need of an intensified treatment.

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Ly­me vac­cine test com­ple­tion is pushed back by a year as Pfiz­er, Val­ne­va say they'll ad­just tri­al

Valneva and Pfizer have adjusted the end date for the Phase III study of their investigational Lyme disease vaccine, pushing it back by a year after issues at a contract researcher led to thousands of US patients being dropped from the test.

In a March 20 update to clinicaltrials.gov, Valneva and Pfizer moved the primary completion date on the trial, called VALOR, from the end of 2024 to the end of 2025.

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Stuart Peltz, former PTC Therapeutics CEO

Stu­art Peltz re­signs as PTC Ther­a­peu­tics CEO af­ter 25 years

Stuart Peltz, the longtime CEO of PTC Therapeutics who’s led the rare disease drug developer since its founding 25 years ago, is stepping down.

Succeeding him in the top job is Matthew Klein, who joined PTC in 2019 and was promoted to chief operating officer in 2022. In a call with analysts, he said the CEO transition has been planned for “quite some time” — in fact, as part of it, he gave the company’s presentation at the JP Morgan healthcare conference earlier this year.

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Bet­ter Ther­a­peu­tics cuts 35% of staff while await­ing dig­i­tal ther­a­peu­tic ap­proval

Digital therapeutics company Better Therapeutics announced on Thursday that it’s cutting 35% of its staff as it awaits FDA clearance for its first product.

The company, which launched eight years ago, is one of a growing group of companies seeking a digital alternative to traditional medicine. The space saw a record $7.5 billion in investments in 2021, according to Chris Dokomajilar at DealForma, with uses spanning ADHD, PTSD and other indications. However, private insurers have been slow to hop on board.

FDA spells out how can­cer drug de­vel­op­ers can use one tri­al for both ac­cel­er­at­ed and full ap­provals

The FDA’s Oncology Center of Excellence has been a bright spot within the agency in terms of speeding new treatments to patients. That flexibility was on full display this morning as FDA released new draft guidance spelling out exactly how oncology drug developers can fulfill both the accelerated and full approval’s requirements with just a single randomized controlled trial.

While Congress recently passed legislation that will allow FDA to require confirmatory trials to be recruiting and ongoing prior to granting an accelerated approval, the agency is now making clear that the initial trial used to win the AA, if designed appropriately, can also serve as the trial for converting the accelerated approval into a full approval.

Zhi Hong, Brii Biosciences CEO

Brii Bio­sciences stops man­u­fac­tur­ing Covid-19 an­ti­body com­bo, plans to with­draw EUA re­quest

Brii Biosciences said it will stop manufacturing its Covid-19 antibody combination, sold in China, and is working to withdraw its emergency use authorization request in the US, which it started in October 2021.

The Beijing and North Carolina biotech commercially launched the treatment in China last July but is now axing the work and reverting resources to other “high-priority programs,” per a Friday update. The focus now is namely hepatitis B viral infection, postpartum depression and major depressive disorders.

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FDA ad­vi­sors unan­i­mous­ly rec­om­mend ac­cel­er­at­ed ap­proval for Bio­gen's ALS drug

A panel of outside advisors to the FDA unanimously recommended that the agency grant accelerated approval to Biogen’s ALS drug tofersen despite the drug failing the primary goal of its Phase III study, an endorsement that could pave a path forward for the treatment.

By a 9-0 vote, members of the Peripheral and Central Nervous System Drugs Advisory Committee said there was sufficient evidence that tofersen’s effect on a certain protein associated with ALS is reasonably likely to predict a benefit for patients. But panelists stopped short of advocating for a full approval, voting 3-5 against (with one abstention) and largely citing the failed pivotal study.

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