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Tuesday, December 18, 2018

Corbus Pharmaceuticals: Initiates Phase 3 Study in Dermatomyositis


Corbus Pharmaceuticals Holdings, Inc. (NASDAQ: CRBP) (‘Corbus’ or the ‘Company’), a clinical stage drug development company with the industry’s leading pipeline focused on treating inflammatory and fibrotic diseases through the endocannabinoid system (‘ECS’) pathways, announced today the start of the Company’s Phase 3 trial, titled ‘DETERMINE,’ designed to evaluate the efficacy and safety of its investigational drug lenabasum for the treatment of dermatomyositis (‘DM’).
The Phase 3 study design is consistent with guidance from the U.S. Food and Drug Administration (‘FDA’) at an end-of-Phase 2 meeting, formal consultation with Japanese regulatory authorities (‘PMDA’), and scientific advice from European regulatory authorities. Dermatomyositis is a rare and serious multisystem inflammatory autoimmune disease that characteristically affects muscle and skin and can also involve the lungs, heart, joints, and gastrointestinal tract. The disease is characterized by significant morbidity, disability, and mortality despite the current standard-of-care treatment with corticosteroids or other immunosuppressive medications.
‘We are delighted to have achieved many important regulatory and clinical milestones in the development of lenabasum this year, now including the initiation of this Phase 3 DM study,’ said Barbara White, M.D., Chief Medical Officer of Corbus. ‘The double-blinded placebo-controlled 1-year study is designed to include subjects with active muscle and/or skin disease who represent the clinical spectrum of DM, making results applicable to the broad DM population. If the efficacy data from this single Phase 3 study are positive and the safety profile continues to be favorable, we intend to approach regulatory authorities about a registration package for lenabasum for treatment of DM.’
The DETERMINE Phase 3 study will test efficacy and safety of lenabasum in approximately 150 adults with DM. Subjects will be randomized to receive lenabasum 20 mg twice per day, lenabasum 5 mg twice per day, or placebo twice per day in a 2:1:2 ratio. The primary efficacy outcome at Week 52 will be Total Improvement Score (TIS), which is a weighted composite measure of improvement from baseline in six endpoints, including Physician Global Assessment of Disease Activity, Physician Global Assessment of Extramuscular Disease Activity, Patient Global Assessment of Disease Activity, Health Assessment Questionnaire (patient-reported disability), Manual Muscle Testing, and muscle enzymes. Evaluation of key organ involvement – muscle, skin, and lungs, will be included in secondary efficacy outcomes. Change from Baseline in the Cutaneous Dermatomyositis Activity and Severity index (‘CDASI’) activity score will be a secondary efficacy outcome.

Quidel Gets CE Mark for Point-of-Care Lyme+ Fluorescent Immunoassay


Quidel Corporation (NASDAQ: QDEL) (“Quidel”), a provider of rapid diagnostic testing solutions, cellular-based virology assays and molecular diagnostic systems, announced today that it has received CE Mark to market Quidel’s Sofia 2 Lyme+ FIA to be used with the Sofia 2 Fluorescent Immunoassay Analyzer for the rapid differential detection of human IgM and IgG antibodies to Borrelia burgdorferi, Borrelia garinii, and Borrelia afzelii from serum and plasma specimens. The test is specifically developed for the European market and intended for use with the Sofia 2 analyzer to aid in the diagnosis of Lyme disease.
Sofia 2 is Quidel’s next-generation version of its best-selling Sofia instrumented system. Sofia 2 utilizes the original Sofia’s fluorescent chemistry design while improving upon the graphical user interface and optics system to provide an accurate, automated and objective result in as few as 3 minutes. Sofia 2 also integrates ethernet connectivity and its barcode scanner within a smaller footprint than the legacy Sofia instrument.
Lyme disease (LD) is the most common tickborne disease in North America and Europe.1 While Lyme disease is caused by the Borrelia burgdorferi bacterium in the U.S., Borrelia afzelii and Borrelia garinii are the major pathogenic species found in Europe, transmitted through the bite of an infected tick.1,2 Patients infected with B. burgdorferi, B. afzelii, and/or B. garinii may experience symptoms associated with three stages: early localized disease, early disseminated disease, and late persistent disease.1 The most characteristic symptom of early localized disease is the appearance of erythema migrants (EM) on the skin, which appears in up to 80% of cases.1,4 EM may also be accompanied by flu-like symptoms (headache, abdominal pain, and fatigue) days or weeks after infection.4 In the second stage, early disseminated disease, untreated patients may begin to see neurological and rheumatological manifestations, and less commonly, dermatological, cardiac, or ophthalmological manifestations. These symptoms generally appear weeks to months after infection.1 If the disease continues to be left untreated, late persistent disease may also follow months or years later.4 In late stage disease, patients may see continued progression of manifestations in the joints, heart, skin, and nervous system.2
Early detection and treatment of LD can help resolve symptoms and prevent progression of the disease.The primary means of identifying B. burgdorferi, B. afzelii, and B. garinii infection is detection of the body’s IgM and IgG antibody response using immunoassay. Detection of IgM antibodies to B. burgdorferi, B. afzelii, and B. garinii is generally most significant in the earlier stages of the disease. Conversely, detection of IgG antibodies has proven to be significant for longer periods, as the antibodies may remain detectable years after infection.4

Adamas Pharma nabs new U.S. patent for Gocovri


The USPTO has issued a new method-of-use patent to Adamas Pharmaceuticals (NASDAQ:ADMS) covering GOCOVRI (amantadine) extended-release capsules. Specifically, the patent claims a method of reducing OFF time in Parkinson’s disease patients.

Ligand sees FY19 revenue at least $212M, consensus $204.23M


Ligand expects revenue in 2019 to be at least $212M, with up to an additional $40M of potential milestone and license payments. Approximately two thirds of the $212M of revenue is expected to be royalty revenue, and the remainder is expected to consist of contract payments and material sales.

Fresenius SE upgraded to Buy from Neutral at Goldman Sachs


Goldman Sachs upgraded Fresenius SE to Buy, stating that its fundamentals remain compelling after the recent sell-off has reset expectations.
https://thefly.com/landingPageNews.php?id=2838971

Novartis announces licensing of pradigastat to Anji Pharmaceuticals


Anji Pharmaceuticals announced it has licensed pradigastat, an inhibitor of acyl coA: diacylglycerol acyl transferase , from Novartis. Pradigastat is a well-characterized molecule which has progressed to Phase 3 clinical testing. Anji has secured rights to pursue new indications for pradigastat, with an initial focus on regulatory approval in China. In exchange, Anji has agreed to make a one-time upfront payment of $2.0M to Novartis, with additional cash payments and downstream royalties due upon reaching regulatory and sales milestones.
https://thefly.com/landingPageNews.php?id=2838973

Using CRISPR technology for conditional gene regulation


A team of engineers at the University of Delaware has developed a method to use CRISPR/Cas9 technology to set off a cascade of activities in cells, a phenomenon known as conditional gene regulation. Their method, described in the journal Nature Chemical Biology, introduces a new functionality to CRISPR, one of today’s most-talked-about technologies.
Gene editing with CRISPR technology has been called “one of the biggest science stories of the decade” for its applications to medicine, agriculture and much more. CRISPR allows scientists to precisely target and edit DNA within living cells, which could help them correct anomalies that cause inherited diseases. The first clinical trials in humans are underway in China.
However, until now, scientists hadn’t figured out how to program their CRISPR systems to target DNA while integrating information from within the cells they were studying.
At UD, Wilfred Chen, the Gore Professor of Chemical Engineering, and graduate student Ka-Hei Siu designed structures — dubbed toehold-gated gRNA (thgRNA) — for targeted gene regulation in E. coli bacteria.
Traditionally, in CRISPR/Cas9 genome editing, scientists use a single-stranded piece of ribonucleic acid (RNA) to guide the Cas9 enzyme to the deoxyribonucleic acid (DNA) they want to target. Instead, Chen and Siu installed a hairpin-like structure that blocks part of the RNA from recognizing the DNA. Only a small part, called the toehold, is exposed and capable of binding to other RNA. Then Chen, and Siu used RNA from within the cell as a trigger to open up their blocking mechanism, activating the Cas9 protein so that it could then bind and regulate the DNA.
“The key thing is that we wanted to use some native cellular information,” said Chen. “We wanted to be able to use this native cellular response as a way to modulate the CRISPR/Cas9 protein functions and basically develop a controlled mechanism so that we could modulate cellular functions accordingly.”
This technology offers a versatile, “plug and play” design that could be used to induce gene editing and regulation in a variety of systems, says Chen.
“Moving forward, the idea is to be able to use, ideally on paper, any kind of cellular messenger RNA as an activation or deactivation device,” he said. “You can imagine that we can activate something based on whether the cells are growing on glucose or starving for phosphate or exposed to high-temperature conditions or low-pH conditions.”
This work was supported by grants from NSF (MCB1615731 and MCB1817675).
Story Source:
Materials provided by University of DelawareNote: Content may be edited for style and length.

Journal Reference:
  1. Ka-Hei Siu, Wilfred Chen. Riboregulated toehold-gated gRNA for programmable CRISPR–Cas9 functionNature Chemical Biology, 2018; DOI: 10.1038/s41589-018-0186-1