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Wednesday, June 6, 2018

What’s with Longevity Firm Unity Biotechnology and its $700M Valuation?


Early biotech company valuations are a type of voodoo made up of interesting ideas, talented management, investor enthusiasm and wishful thinking. How to explain UNITY Biotechnology,which wants to help you stay young until you die? The company has raised $222 million in venture capital, raised $85 million in an initial public offering (IPO) in May, and has a value of $700 million. All without having a product to sell.
Unity Biotechnology’s focus is on killing senescent cells. These cells are essentially aging cells that aren’t quite dead, but aren’t actually doing anything anymore, and they build up in the body and are part of what makes people feel old—related to achy joints, diminished eyesight and some diseases of aging, potentially Alzheimer’s. The company believes that if you can kill those senescent cells, you can eliminate many of the symptoms of aging.
“Like, how awesome would it be?” said Nathaniel “Ned” David, the co-founder and president of the company, to Forbes. “The problem is you have to take the first baby step to demonstrate it’s possible. That’s what chapter one is: demonstrate in a human being that the elimination of senescent cells takes a heretofore inescapable aspect of aging and can either halt it or reverse it.”
“Just that,” responds the company’s chief executive officer and chairman, Keith Leonard. “It’s easier to talk to the Food & Drug Administration about treatment of a disease once it’s diagnosed than it is to work really early and prevent disease. But [prevention] is what we’d love to get to.”
At the moment, the company’s pipeline is all early stage. UBX0101 is close to Phase I for osteoarthritis. Its UBX1967 is in lead optimization for diabetic retinopathy and diabetic macular edema, glaucoma, and age-related macular degeneration. It also has other programs in pulmonary diseases, cognition, and kidney disease, all in the preclinical stages. UBX0101 is currently recruiting patients for a Phase I trial.
UBX0101 is described as “a potent senolytic small molecule inhibitor of the MDM2/p53 protein interaction. Disruption of this protein interaction can trigger the elimination of senescent cells.”
UBX1967 is for diseases of the eye and is a senolytic small molecule inhibitor of specific members of the Bcl-2 family of apoptosis regulatory proteins. The company notes, “Senescent cells utilize pro-survival mechanisms to remain viable and rely on specific Bcl-2 protein family members to persist and accumulate in tissues.” The company plans to submit its IND application and begin a Phase I trial in the second half of 2019.
Ned David co-founded Unity in 2011 because, he said, it was “simply the coolest biology he had ever seen.” Prior to co-founding the company, he co-founded four other biotech companies that in total have raised over $1.5 billion in financing. These include Syrrx, which was acquired by TakedaAchaogen (AKAO), Kythera Biopharmaceuticals, later acquired by Allergan, and Sapphire Energy.
Kristina Burow, managing director at Arch Venture Partners, who has invested in four of David’s companies, told Forbes, “He’s probably the best person in the world at finding great academic science and shaping it into a fundable story and a sellable business plan.”
There may be two other factors involved as well. First, the timing just may be right for research into longevity—science has a much deeper understanding of aging based on things like senescent cells and telomere shortening—a function of cell division that places a limit on the number of times a cell can divide. And secondly, a lot of investors, especially of the billionaire-variety, are aging.
It was recently noted that a number of billionaires who are fifty years or older in age, have been investing in health care and longevity-related startups companies. That includes Bill Gates, 62, Michael Bloomberg, 76, Richard Branson, 67, Tim Disney, 57, Andrew Russel, 56, Jeff Bezos,65, Peter Thiel, 50.
Another factor, not really related to age, is that there are a number of people who have created enormous amounts of wealth, often via tech companies, and longevity research just seems like a good idea whose time has come. Which may be why Mark Zuckerberg, Facebook founder and his wife, physician Priscilla Chan, have invested $3 billion toward basic research over the next 10 years. Both of them are 33 years old. And Bill Marris, who is 42, the founder and former chief executive officer of GV (Google Ventures), invested and founded Calico, a Google/Alphabet company, whose focus is aging and related diseases.
It’s possible that betting on a potential fountain of youth is just a good investment.

Biogen Pays Alkermes $50 Million Milestone for MS Drug


Alkermes, headquartered in Dublin, Ireland, received a $50 million milestone payment from Cambridge, Massachusetts-based Biogen. The payment occurred after Biogen reviewed preliminary gastrointestinal tolerability data from an ongoing Phase III clinical trial of BIIB098 (diroximel fumarate) for relapsing forms of multiple sclerosis (MS).
Under the terms of their agreement, Biogen has exclusive commercialization rights to the drug. Alkermes is eligible for a royalty in the mid-teens on worldwide net sales, should the drug be approved. Alkermes is also eligible for a $150 million milestone payment if the U.S. Food and Drug Administration (FDA) approves the drug, on or before December 31, 2021.
Alkermes is expected to submit a New Drug Application (NDA) for the drug to the FDA in the last quarter of this year.
The original deal was signed in November 2017, when the drug was dubbed ALKS 8700. It is a novel, oral, monomethyl fumarate (MMF) small drug molecule. Biogen reimbursed Alkermes for half of the 2017 development costs and paid Alkermes an upfront payment of $28 million, which represented Biogen’s share of development expenses already incurred that year.
Starting at the beginning of 2018, Biogen handled all development expenses related to the drug. Alkermes is eligible for milestone payments up to $200 million—which is already received $50 million. Alkermes will handle regulatory applications with the FDA, and Biogen will handle commercial activities for the drug, if approved.
The primary components of the EVOLVE-MS (Endeavoring to Advance Treatment for Patients Living with Multiple Sclerosis) clinical program of ALKS 8700/BIIB098 include a two-year safety trial and pharmacokinetic bridging studies comparing the drug and Tecfidera. The program also includes an elective head-to-head study comparing the GI tolerability of the drug and Tecfidera.
“The clinical data generated from this program underscore the potential value of BIIB098 for patients with multiple sclerosis,” said Richard Pops, Alkermes’ chief executive officer, in a statement. “Our focus remains on completing the registration requirements and preparing the BIIB098 NDA for submission in the fourth quarter of 2018, as we advance this important potential new therapeutic option for patients with MS.”
Alkermes is a busy company, with a market cap of $7.19 billion. It markets Aristada for schizophrenia, Vivitrol for alcohol and opioid dependence, Risperdal Consta for schizophrenia and bipolar I disorder, Invega Sustenna for schizophrenia and schizoaffective disorder, Xeplion, Invega Trinza, and Trevicta for schizophrenia, Ampyria/Fampyra to enhance walking in MS patients, and Bydureon for type 2 diabetes. It currently has ALKS 5461 in Phase III trials for depressive disorder, ALKS 3831 in Phase III for schizophrenia, ALKS 8700 for MS, and ALKS 6428 in Phase III to assist physicians transition patients from physical dependent on opioids. Its Aripiprazole lauroxil recently finished a Phase I trial for schizophrenia, and ALKS 4230 is in Phase I clinical trials for cancer immunotherapy.
Biogen, a leader in MS treatments, announced yesterday that it had expanded its strategic collaboration with Ionis Pharmaceuticals to discover and develop novel antisense drugs for neurological diseases. Biogen paid Ionis $1 billion in cash, including $625 million for 11,501,153 shares of Ionis common stock at a price of $54.34 per share and a $375 million upfront payment. The expansion was originally announced on April 20, 2018. The companies expect to advance programs for diseases including dementia, neuromuscular diseases, movement disorders, ophthalmology, diseases of the inner ear, and neuropsychiatry.

Cancer Research, Medical Records Targeted by Amazon Mystery Initiative


The secret group within Amazon working on a series of bold projects is starting to become a little less secret. Several news reports in recent days have speculated on the purpose and structure of the new group within the company traditionally known for e-commerce, consumer devices and web services.
On Tuesday, MSNBC cracked the story by reporting that the group, known as Grand Challenge, was being led by Google Glass creator Babak Parviz. According to an internal chart, Grand Challenge is part of Amazon Web Services (AWS) and Parviz reports directly to AWS CEO Andy Jassy.
“Similar to Alphabet’s experimental research lab, X (formerly Google X), Grand Challenge is a research team set up to explore ambitious new ventures that can eventually expand Amazon’s already wide footprint,’ MSNBC reported.
BioSpace readers will be particularly interested to know about two possible areas of focus — cancer research and medical records.
Cancer research to be supported by AI application
According to those familiar with the project, Parviz and his team are working with Fred Hutchinson Cancer Research Center in Seattle to apply machine learning in ways that can help prevent and cure cancers.
Machine learning is an application of artificial intelligence (AI) that provides systems the ability to automatically learn and improve from experience without being explicitly programmed. Machine learning focuses on the development of computer programs that can access data and use it to learn for themselves.
The story has also been covered by GeekWire. “We have several projects underway with a few of our tech neighbors including Microsoft, Amazon and Tableau,” said a Fred Hutchinson spokesperson. “Given the early stages, we don’t have any specific Amazon Web Services projects to preview but hopefully later this year,” GeekWire reported.
Patient data analysis to improve accuracy of medical records
In January, a press release on BioSpace seemed to foreshadow Amazon’s entry into the medical records field. At the time, they were looking for a professional who can “own and operate” the security and compliance aspects of a new initiative. The job posting also required the candidate to ensure that the new initiative meets HIPAA business associate agreement requirements, meaning Amazon intends to work with outside partners that manage personal health information.
That initiative has been internally dubbed Hera, MSNBC reported. In development for at least three years, Hera involves taking unstructured data from electronic medical records to identify an incorrect code or the misdiagnosis of a patient. The technology captures patient data that a physician may miss. This can help remove inaccuracies for insurers, resulting in greater efficiencies and more accurate assessment of a population’s risk.
According to two people familiar with the effort, Grand Challenge is already starting to pitch Hera to commercial health insurance companies.

Axovant Licenses Gene Therapy for Parkinson’s from Oxford BioMedica


Axovant Sciences, one of Vivek Ramaswamy’s biotech startups best known for its spectacular flameout over its Alzheimer’s drug in September 2017, is taking another shot, this time at Parkinson’s disease.
The company announced it has licensed exclusive worldwide rights to OXB-102, now dubbed AXO-Lenti-PD, from Oxford BioMedica The compound is an investigational gene therapy for Parkinson’s disease. It is designed to deliver three genes that encode a set of enzymes required for dopamine synthesis in the brain.
Oxford BioMedica focuses on lentiviral vector product development and manufacturing. It will continue as the clinical and commercial manufacturer of AXO-Lenti-PD.
Axovant says it plans to launch a Phase I/II dose-escalation trial of AXO-Lenti-PD in patients with advanced Parkinson’s disease by the end of 2018.
Part of Ramaswamy’s business strategy, aside from convincing investors to heavily invest in his companies, is to acquire cast-off drugs from other companies for bargain-bin prices. The key example is intepirdine, which is the Alzheimer’s drug that failed in a Phase III trial. Ramaswamy and Axovant bought the drug from GlaxoSmithKline for $5 million. It had shown a favorable safety and tolerability profile, and in a Phase IIb trial, showed immediate and sustained efficacy over placebo. But it had been abandoned by GSK after four clinical trials.
This appears to be something of a strategic pivot—although a very risky one—for the company. Axovant is paying an upfront payment of $30 million in cash, $5 million which will be applied as a credit towards the process development work and clinical supply. Oxford BioMedia will be eligible for various milestone payments that could exceed $812 million, as well as tiered royalties on net sales of the product if approved.
In addition, Roivant, Ramswamy’s parent company, will buy $25 million of Axovant common shares, which will support the clinical development of AXO-Lenti-PD.
The company is also shaking up its executive team, which has been undergoing a shakeup since September anyway. Last summer David Hung, former founder and chief executive officer of Medivation had taken on the chief executive role. But he left the company shortly after the Alzheimer’s failure. Pavan Cheruvu took over in February 2018.
Part of today’s announcement included that Fraser Wright will join the company as chief technology officer. He is the co-founder and former chief technology officer of Spark Therapeutics.
Cheruvu said in a statement, “Axovant remains committed to developing innovative treatments for serious neurodegenerative conditions such as Parkinson’s disease, and we are excited to partner with Oxford BioMedica, a recognized global leader in cell and gene therapy. We are also pleased to welcome Fraser to our leadership team.”
It’s anyone’s guess as to whether this shift will be successful. Parkinson’s is a slightly less volatile arena than Alzheimer’s, but it’s no picnic, either. As STAT points out, “If you bet $100 on Axovant Sciences nine months ago, you’re down 93 bucks.”
STAT further points out, “In biotech circles, the Axovant debacle became a referendum on Ramaswamy, who left a career as a hedge fund manager to build a constellation of biotech companies at work on drugs licensed from other firms.”
On the one hand, you have to admire someone who swings for the fences. But as any baseball fan knows, you’ve got to hit a homerun periodically if you do, and so far Ramswamy’s companies are striking out. That doesn’t mean all of them will—it seems likely that some of them, which are taking less risky approaches than Axovant, will get a break and become profitable. But gene therapy and Parkinson’s disease is still a tricky and difficult area to be taking big chances in. Maybe it’s good someone is willing to.

Zymeworks cut to neutral by Citi


Zymeworks downgraded to Neutral from Buy at Citi. Citi analyst Yigal Nochomovitz downgraded Zymeworks to Neutral while raising his price target for the shares to $20 from $18. The analyst believes the good ZW25 data at ASCO are now reflected in the valuation. Further, he sees a lack of near-term share catalysts

Perrigo cut to neutral by Barclays


Perrigo downgraded to Equal Weight from Overweight at Barclays. Barclays analyst Douglas Tsao downgraded Perrigo to Equal Weight and lowered his price target for the shares to $80 from $93. The company’s inability to win approval for its generic version of ProAir reduces near-term earnings momentum, Tsao tells investors in a research note. The analyst feels it will be hard for investors to get comfortable with Perrigo’s long-term outlook given secular changes in over-the-counter space.

CymaBay target hiked by Wainwright


CymaBay price target raised to $23 from $21 at H.C. Wainwright. H.C. Wainwright analyst Ed Arce raised his price target for CymaBay Therapeutics to $23 saying the company is well positioned to successfully execute its strategy with seladelpar. The analyst reiterates a Buy rating on the shares