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Friday, August 3, 2018

Medtronic Gets FDA OK for Implantable Pulmonary Arterial Hypertension System


Medtronic plc (NYSE: MDT) has received U.S. Food and Drug Administration(FDA) approval for the Implantable System for Remodulin (ISR) to treat patients with pulmonary arterial hypertension (PAH).
Through a first-of-its-kind collaboration, the Medtronic SynchroMed II drug delivery system and cardiac catheter technologies were leveraged to deliver the PAH medication Remodulin (treprostinil) Injection developed by United Therapeutics Corporation(NASDAQ:UTHR). United Therapeutics will lead the commercial promotion of the ISR, with Medtronic support.
PAH is a severely debilitating and progressive disease that causes high blood pressure in the pulmonary arteries, ultimately resulting in right-heart failure and premature death. It predominantly affects women, who are typically diagnosed in their late 30s to early 50s.1,2,3
‘External infusion pumps have been used to deliver prostacyclins for PAH, but managing the therapy places a significant burden on patients, interferes with their daily activities, and runs a high risk of infections,’ said David Steinhaus, M.D., general manager of the Heart Failure business, part of the Cardiac and Vascular Group at Medtronic. ‘This fully implantable drug delivery system was designed to address these serious patient care concerns.’
The system is composed of the Company’s SynchroMed II implantable drug infusion pump and a newly developed intravascular catheter to deliver Remodulin intravenously to patients who have previously been receiving Remodulin intravenously via an external infusion pump. Medtronic and United Therapeutics pursued parallel regulatory filings for the device and drug, respectively.
FDA approval was based on the DelIVery for PAH trial, a prospective, single-arm, non-randomized, open-label study conducted at 10 sites in the United States. It enrolled 64 patients (60 successfully implanted) and showed the implantable intravascular delivery system effectively delivered treprostinil, with a low rate of catheter-related complications, and a high rate of patient satisfaction.

La Jolla to Get New Technology Add-on Payment Coverage for Septic Shock Med


La Jolla Pharmaceutical Company (Nasdaq: LJPC), a leader in the discovery, development and commercialization of innovative therapies intended to significantly improve outcomes in patients suffering from life-threatening diseases, today announced that the Centers for Medicare & Medicaid Services (CMS) has granted a New Technology Add-on Payment (NTAP) for GIAPREZATM (angiotensin II) Injection for Intravenous Infusion. GIAPREZA is indicated to increase blood pressure in adults with septic or other distributive shock.
The CMS NTAP program provides additional reimbursement to hospitals beyond the Medicare Severity Diagnosis-Related Group (MS-DRG) reimbursement for specific products that meet strict criteria for the treatment of Medicare patients. The amount of the NTAP is equal to 50% of the amount by which the covered costs exceed the MS-DRG reimbursement, or 50% of the cost of the drug, whichever is less. The NTAP for GIAPREZA is effective for the CMS 2019 fiscal year, which begins on October 1, 2018, and is expected to continue for a period of up to two or three years, after which the MS-DRG payments will be adjusted based on hospital-reported costs and utilization. The NTAP program is only available to new drugs that represent an advance in medical technology that substantially improves, relative to technologies previously available, the treatment of Medicare patients.
In the final rule concerning Hospital Inpatient Prospective Payment Systems and Fiscal Year 2019, CMS states that: “Based on the data provided by the applicant and consideration of the public comments we received, we agree with the applicant and the commenters that GIAPREZA™ represents a substantial clinical improvement over existing technologies because it quickly and effectively raises MAP while allowing for a reduction in other vasopressors.”
“The receipt of NTAP coverage for GIAPREZA reaffirms the need for innovative treatment options for patients with septic shock and recognizes GIAPREZA’s potential as a significant medical advancement,” said George F. Tidmarsh, M.D., Ph.D., President and Chief Executive Officer of La Jolla.

Cashing in on DNA: race on to unlock value in genetic data


How much is your DNA worth? As millions of people pay for home tests to check on ancestry or health risks, genetic data is becoming an increasingly valuable resource for drugmakers, triggering a race to create a DNA marketplace.

GlaxoSmithKline decision to invest $300 million (230 million pounds) in 23andMe and forge an exclusive drug development deal with the Silicon Valley consumer genetics company crystallises the value locked up in genetic code.
The tie-up is the biggest yet involving home DNA testing, a market dominated by 23andMe and Ancestry.com, which charge under $100 for a saliva-based test, but can also gain voluntary consent from customers for their data to be used by third parties.
However a number of new start-ups are beginning to offer people the chance to own their genetic information and sell it to data-hungry drug researchers.
Firms like EncrypGen, Nebula Genomics, LunaDNA and Zenome are using blockchain – the technology behind Bitcoin – to secure sensitive DNA records and create a transaction ledger. The new players all have slightly different models, with most simply provide data platforms, where people are rewarded for providing data, although Nebula also plans to offer testing.
The idea of using genetic factors to hunt for better drugs has been around for more than 20 years – but it is only now becoming possible to gather a large enough sample to spot the rare variants responsible for many diseases.
By 2021, he thinks the figure could be north of 100 million.
TESTING TIMES
For drugmakers like GSK, which announced its 23andMe deal last week, access to this data offers a way to accelerate drug development, since finding a drug target linked to a human genetic variant doubles the chance of producing a new medicine.
The interest in home DNA tests, which can reveal genetic variants that may influence the chances of developing diseases including Alzheimer’s, is part of a wider drive by drugmakers to tap into a range of anonymised patient data.
Roche, for example, has spent $4.3 billion this year buying out two specialists in cancer data, Foundation Medicine and Flatiron Health.
The trend raises has worries among campaigners about data security and privacy.
In a bid to alleviate concerns, Ancestry.com, 23andMe and other consumer genetic testing companies have now set out a “best practices” framework to ensure express consent, strong security and transparency on data use.
Caitlin Curtis, a research fellow at the University of Queensland, estimates 23andMe has made around $130 million from selling access to about a million genotypes, prior to the GSK deal, implying an average price of around $130.
Anne Wojcicki, 23andMe’s CEO, believes her customers simply want to help find new treatments for intractable conditions like Parkinson’s disease – the focus of the first drug research project with GSK – and her company has no current plans to give customers rebates if their data is sold on.
“People who have a disease or a family member with a condition are really interested in what they can do to help come up with a solution,” she said in an interview.
A spokesman for Ancestry.com said his group did not have any current relationships with for-profit organisations, although it is working with some academic institutions. Ancestry.com did have a 2015 deal with U.S. biotech company Calico, the financial terms of which were not disclosed, but this has now ended.
NEWCOMERS
The ability of genetic testing companies to rake in cash twice rankles with some like geneticist George Church – the Harvard University scientist famous for wanting to resurrect the extinct Woolly mammoth – who is one of the founders of Nebula.
Nebula aims to eliminate the personal genetics companies as middlemen between data owners and data buyers, a notion shared by rivals like David Koepsell, chief executive of EncrypGen.
“We think people are going to get savvy about how their data is being sold and they are going to want a piece of that action,” Koepsell said in an interview. “Our whole model is about creating a market. People can upload and set a price for their data, and then we will see what the market will bear.”
People selling data on EncrypGen’s system will receive DNA tokens, a cryptocurrency. Other players have different plans, with LunaDNA’s community-owned database offering shares that will generate dividends as researchers pay to access data.
Peter Pitts, president of non-profit healthcare research group the U.S. Center for Medicine in the Public Interest, agrees handing over DNA deserves financial recompense when the benefits flow to for-profit companies.
“People need to realise that they are actually paying for companies to monetize their most personal information and they are getting nothing for it,” he said.
LunaDNA co-founder Dawn Barry, who used to work at leading gene sequencing company Illumina, said she didn’t expect people to make “life-changing money” from selling DNA.
But she added: “People feel good about the transparency and control and respect that they get by being equitable partners in discovery research.”
SIZE MATTERS
It won’t be plain sailing for the new upstart companies.
One of the main attractions for GSK in doing a deal with 23andMe is the fact that the Google-backed Californian company has over 5 million customers, more than 80 percent of whom have consented to participate in research and share their data.
EncrypGen, by contrast, which launched its first storage product earlier this year, has just 1,000 profiled users, of whom around 100 have uploaded DNA data so far.
When it comes to using DNA to understand the links between genetics and disease, scale matters.
“To do the analyses that are required to understand these complex links between genetics and disease you need massive datasets,” said researcher Curtis.
“It’s hard to know how well these kinds of start-up platforms will scale up as research projects aim for millions of participants.”

Alnylam Buy rating reiterated by Chardan


Today, Chardan Capital reiterated its Buy rating on Alnylam Pharmaceuticals, Inc. (NASDAQ:ALNY) with a price target of $180.00.

Allergan plc (NYSE:AGN) gets upgraded to Buy by Mizuho


Today, Allergan plc (NYSE:AGN) stock received an upgrade by Mizuho from Neutral to Buy.

CAR-T player Cellectis poaches US oncology chief from Novartis


Cellectis has named Stefan Scherer, M.D., Ph.D., as its SVP of clinical development. Scherer joins the off-the-shelf CAR-T pioneer from Novartis, where he headed up U.S. oncology early development and strategy.
France’s Cellectis is working to advance allogeneic CAR-T drugs into and through clinical development internally and in collaboration with Arie Belldegrun’s Allogene Therapeutics. With those activities gathering pace, Cellectis has bolstered its access to North American clinical development expertise by hiring Scherer to work out of its New York office.
At Novartis, Scherer led efforts to get immuno-oncology assets into early clinical development in the U.S. Prior to that, Scherer spent time at molecular diagnostics company Biocartis and working on cancer biomarkers at Roche, giving him a grounding in topics that underpin many successful oncology R&D programs.
Scherer forms part of a new-look clinical leadership team at Cellectis. Having entered the clinic under the oversight of Loan Hoang-Sayag, M.D., Cellectis lured Stéphane Depil, M.D., Ph.D., back out of academia to take over as CMO December. Scherer will report to Depil, who headed up oncology R&D at Servier before leaving industry to run the cancer immunotherapy program at a cancer center in Lyon.
On paper, Depil and Scherer have complementary experience and expertise. Cellectis CEO André Choulika highlighted Scherer’s strengths in a statement, pointing to the SVP’s “strong track record of alliance- and relationship-building” to talk up his likely impact on the biotech.
“As we continue to evolve our efforts to accelerate the access to patients of our off-the-shelf, gene-edited CAR T-cell product candidates, Stefan will be a key driver in the advancement of our product pipeline and programs overall,” Choulika said.

Spring Bank’s early inarigivir data ‘promising,’ says JMP Securities


After Spring Bank Pharmaceuticals reported data on the third cohort in the Phase 2 ACHIEVE trial of inarigivir in HBV patients that met the primary endpoints, safety and antiviral activity, at both week 12 and week 24, JMP Securities analyst Liisa Bayko called the early data “promising.” She thinks inarigivir has the potential to be an “integral piece to many iterations of combinations,” which could “put the company in play” if the evidence builds. Bayko reiterated her Outperform rating and $20 price target on Spring Bank shares.