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Monday, October 1, 2018

Mayo Clinic, Helix launch at-home DNA testing program


The Mayo Clinic, in collaboration with Helix, has released a new personal genomics product in collaboration with Helix aimed at providing healthy individuals with DNA testing and a focus on education.
The GeneGuide consists of an app and a saliva collection kit provided through the mail. The process begins with a Mayo-affiliated physician reviewing the person’s medical history and ordering the test, which is then evaluated by Helix’s clinical lab.
There the DNA will be sequenced and the data stored for future use, with results available through the web application—including reports on health and disease risks, mutations associated with hereditary genetic conditions and enzyme levels related to how the body processes certain anesthesia and over-the-counter medications.
Users also can share their results with their healthcare provider and give consent regarding how the genetic data is used and shared with a third party. The program will not be available in Maryland, New York or Pennsylvania, which have passed laws restricting who can order or market genetic tests.

“Mayo Clinic GeneGuide is an important step forward in helping people make informed health decisions involving DNA, and is a critical health product on the Helix platform,” said Justin Kao, senior VP and co-founder at Helix. “People are highly motivated to learn about how their DNA impacts their health.”

Other features of the GeneGuide include educational modules by the Mayo Clinic that teach users about genetics and the specific conditions tested, as well as access to Mayo-affiliated healthcare providers and genetic counselors.
In addition, other tests and content can be added over time through Helix’s Exome+ platform and can be accessed without the requiring users to provide a new sample.

Novo picks up Calif. plant from Asterias as it moves stem cell work forward


Novo Nordisk has been gathering a phalanx of assets around a stem cell development program that could cure Type 1 diabetes. Now it has a U.S. manufacturing facility where it can produce them.
The diabetes specialist announced today that it will build out a facility in Fremont, California, that it has leased from stem cell biotech Asterias Biotherapeutics. Along with manufacturing intellectual rights it is picking up in the deal, the facility gives Novo a plant that can produce stem cell-based therapies while kick-starting Asterias’ stem-cell program.
Novo paid $2 million for the plant and production know-how. It expects the reworked facility, previously operated by Asterias, to be up and running by the end of next year to support its clinical work in stem cells. Novo couldn’t put a number on how many employees would work at the facility but said in an email today that “there will be a significant workforce operating the facility.”
“Our ambition is to develop stem cell-based therapies for a range of serious chronic diseases where we see significant unmet medical need,” Jacob Sten Petersen, Novo’s head of stem cell R&D, said in a statement. “The reliable, large-scale supply of therapies is a vital component in our efforts, so I am delighted that we have established this facility that further demonstrates our strong commitment to this field.”
The Denmark drugmaker said that in addition to the long-term lease of the facility, it has signed a two-year nonexclusive license on Asterias’ intellectual property for manufacturing stem cells. It will also permit Asterias to move forward with its own clinical program by subleasing laboratory, manufacturing and office space in the facility back to Asterias until the end of 2021.
Before Lars Rebien Sorensen gave up the CEO role at Novo Nordisk in 2016, he predicted that the Denmark diabetes specialist would have a stem cell therapy approach that could cure Type 1 diabetes in the clinic in five years.
It has been working toward that goal, and the drugmaker has centralized its stem cell R&D in at its recently established Stem Cell Transformational Research Unit in Måløv, Denmark, where it is working on treatments not only for diabetes but also for Parkinson’s disease, chronic heart failure and dry age-related macular degeneration (AMD).
Much of its work, however, is taking place in the U.S. In May, Novo struck an agreement with the University of California, San Francisco (UCSF), to license a technology to enable the generation of GMP-compliant human embryonic stem cell lines, along with the rights to develop them into future regenerative therapies. It claims that its work in the GMP lab at UCSF is “deriving cell lines that are defining a new quality standard in the production of stem cell-based therapies.”
With cell line work advancing at UCSF and a collaboration with Cornell raising hopes that a major barrier to curing diabetes can be overcome, Novo has set its sights on getting a diabetes candidate into human testing in the next few years. That makes Novo one of the bigger players in a race that includes Eli Lilly partner Sigilon Therapeutics and well-financed Semma Therapeutics, which in May named Bastiano Sanna, formerly of Novartis’ cell and gene therapy unit and Magenta Therapeutics, as its CEO.
An effective stem cell treatment for Type 1 diabetes and other chronic disease would be a huge boost for Novo, which has been laying off employees, including in R&D, as pricing pressures for insulin in the U.S. have slammed its revenue lines. It sees drugs to treat other serious chronic diseases as critical to its future. With that in mind, Novo is restructuring its R&D unit, investing in artificial intelligence and planning to rely more on third parties for innovation.

Omeros hit after kidney disease trial results


Omeros Corp. OMER, -42.81% shares dropped nearly 45% in Monday afternoon trade after the company released results from a phase 2 trial testing its OMS721 therapy in a progressive kidney disease called immunoglobulin A (IgA) nephropathy. The trial measured reductions in protein levels in patients’ urine, called proteinuria, the “most reliable prognostic factor for loss of kidney function” in this disease. The most recent results were based on a group of nine patients who had not received corticosteroid treatment and had a high risk of disease progression, or “a difficult-to-treat population,” according to Jonathan Barratt, professor of renal medicine at the University of Leicester. Of those individuals, median reductions in proteinuria after 12 weeks of therapy were very similar: 18.4% for OMS721 and 18% for placebo groups. Omeros continued to treat patients after 12 weeks, and of those eight patients, median proteinuria reductions were nearly 56%, the company said. Four individuals on Omeros’ therapy in the dosing-extension period had reductions of between 53.9% and 67.8%, it said. The company continues to treat patients in this dosing-extension period and plans to present additional data at a future medical meeting. IgA nephropathy’s most common symptoms are blood in the urine and foamy urine, according to the American Kidney Foundation, and doctors try to slow down the disease’s characteristic kidney damage. It affects an estimated 1 in 1,400 individuals in the U.S. and currently has no approved treatments, according to Omeros. Omeros shares have dropped nearly 26% over the last three months, compared with a 7.7% rise in the S&P 500 SPX, +0.36% and a nearly 10% rise in the Dow Jones Industrial Average DJIA, +0.73%

DaVita unit to pay $270 million to resolve Medicare payments probe


A medical care unit of DaVita Inc (DVA.N) has agreed to pay $270 million to resolve claims it provided inaccurate information about patients that caused Medicare Advantage plans operated by private insurers to obtain inflated payments from the government.
The civil settlement with HealthCare Partners Holdings, which Denver-based DaVita acquired in 2012 and is in the process of selling to UnitedHealth Group Inc (UNH.N), was announced on Monday by the U.S. Justice Department.
HealthCare Partners did not admit wrongdoing. DaVita in a statement said the $270 million will be paid for out of escrow funds that it required HealthCare Partners’ former owners to set aside when DaVita acquired it in 2012.
According to court papers, HealthCare Partners, a California-based independent physician association, contracted with insurers to provide medical services to Medicare Advantage patients.
More than one-third of Medicare recipients receive benefits through Medicare Advantage plans run by private insurers, who the government pays a predetermined monthly sum for each person they cover based on individual diagnostic traits.
Under this part of Medicare, the healthcare program for the elderly, the government makes so-called “risk adjustment” payments based on data it receives regarding the health status of a patient covered by a Medicare Advantage plan.
The case stemmed from a broader investigation into data that insurers who operate Medicare Advantage plans submit to receive “risk adjustment” payments. The probe has already led to the U.S. Justice Department suing UnitedHealth in a similar case.
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The Justice Departments said HealthCare Partners instituted practices that led insurers operating Medicare Advantage plans to submit incorrect information about patients’ diagnoses and obtain inflated payments, which the company shared in.
HealthCare Partners also scoured patients’ records for diagnoses its medical providers failed to record which it then submitted to the insurers for use in obtaining increased Medicare payments, the Justice Department said.
Those allegations stemmed from a whistleblower lawsuit filed in 2009 against various insurers and, later, HealthCare Partners by James Swoben, a former employee of an insurer that did business with DaVita, the Justice Department said.
His lawsuit, pending in federal court in Los Angeles, was filed under the False Claims Act, which allows whistleblowers to sue companies on the government’s behalf to recover funds paid out based on fraudulent claims.
The government may intervene in such cases. For his role in bringing the case, Swoben will receive nearly $10.2 million, the Justice Department said.
The case is U.S. ex rel. Swoben v. Secure Horizons, et al, U.S. District Court, Central District of California, No. 09-5013.

Adial Pharmaceuticals initiated at Dawson James


Dawson James initiated Adial Pharmaceuticals with a Buy and $6 price target.
https://thefly.com/landingPageNews.php?id=2797973

Chiasma completes enrollment for phase 3 CHIASMA OPTIMAL trial


Chiasma announced that it has completed enrollment of its international Phase 3 clinical trial, referred to as CHIASMA OPTIMAL. This trial is being conducted under a special protocol assessment, or SPA, agreement with the FDA to support potential regulatory approval in the United States of its investigational octreotide capsules, conditionally trade-named Mycapssa, for the maintenance therapy of adult patients with acromegaly. Chiasma exceeded target enrollment of 50 patients in the trial with a total of 56 acromegaly patients randomized in 17 countries worldwide, including 21 patients from the U.S.
https://thefly.com/landingPageNews.php?id=2798007

AmerisourceBergen to pay $625M to end charges of distributing unapproved drugs


AmerisourceBergen (ABC +0.7%) has agreed to pay 44 states and the federal government $625M to settle civil charges of distributing unapproved and adulterated drugs related to the alleged misbehavior of an Alabama pharmacy owned by subsidiary AmerisourceBergen Specialty Group (ABSG). It seems that the pharmacy in question was behind a number of false Medicaid claims for unapproved new drugs and defective, contaminated or otherwise compromised medications. There were also instances of double billing for the same product.
The pharmacy supposedly repackaged vials of certain drugs into pre-filled syringes which it shipped to oncology practices and doctors treating cancer patients. The “overfill” scheme enabled the pharmacy to boost profits from the vial formulations, but represented increased risk to patients since the activities were performed in an unsterile environment which resulted in a number of cases of contaminated product.
ABSG agreed to pay $260M in criminal fines and forfeitures.