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Tuesday, July 23, 2019

FDA OKs expanded population for Lipocine’s NASH candidate

Lipocine (NASDAQ:LPCNannounces that the FDA has signed off on expanding the target population of adult male NASH patients for LPCN 1144.
Specifically, the agency has waived the limitation of NASH patients with testosterone levels below 300 ng/dL (threshold for hypogonadism).
The company says a recent report suggests that 75% of biopsy-confirmed male NASH patients have total testosterone levels below 372 ng/dL and the degree of liver fibrosis severity is inversely related to free testosterone levels, supporting the rationale of testing LPCN 1144 in NASH patients regardless of their hypogonadal status.
A Phase 2 clinical trial, LiFT, is ongoing.

Medtronic seeks expanded labeling for MiniMed 670G insulin pump sensor

Medtronic (MDT +0.3%) has filed an application with the FDA seeking approval for non-adjunctive labeling for its Guardian Sensor 3, part of the MiniMed 670G closed-loop insulin pump system.
Non-adjunctive status means that the sensor is accurate enough to safely and consistently calculate an insulin dose for meals and to correct high blood sugar levels.
Medicare requires non-adjunctive labeling for sensor reimbursement. The company says the labeling, if approved, will broaden patient access.
Adjunctive labeling means that the glucose value generated by the sensor cannot be used directly, but indicate that a finger stick may be needed to determine the precise level of blood sugar.

Marinus down 68% premarket on disappointing ganaxolone data

Marinus Pharmaceuticals (NASDAQ:MRNS) plummets 68% premarket on increased volume in response to results from the second part of a Phase 2 clinical trial, MAGNOLIA, evaluating intravenously administered ganaxolone followed by daily oral ganaxolone in women with postpartum depression (PPD).
The treatment effect, as measured by a depression scale called HAM-D17, at six hours and 24 hours after the start of therapy was not statistically significantly different from placebo.
33 patients were enrolled in Part 2 with similar baseline HAM-D17 scores between the treatment and control groups (26.6 and 26.4, respectively).
In the per protocol population, the mean reduction in HAM-D17 score in the ganaxolone group was 6.5 points compared to a mean reduction of 3.1 points for placebo at hour 6 and reductions of 7.5 points and 4.8 points, respectively, at hour 24.
Despite the setback, Executive Chairman Dr. Scott Braunstein says, “We have methodically evaluated treatment paradigms for ganaxolone in PPD and, based on these data, we are confident in a path forward for IV ganaxolone. We believe that ganaxolone has demonstrated a competitive profile in terms of safety/tolerability, early onset of action and ease of administration, which will be meaningful for both patients and physicians. We look forward to meeting with regulators to discuss the development pathway for IV ganaxolone in PPD. Our team will continue to explore the development of ganaxolone in other severe depressive disorders while remaining committed to advancing our exciting programs in orphan epilepsies and refractory status epilepticus.”

Viveve cut to Hold from Buy by Stifel

Target to $1 from $3

Replimune started at Buy by Chardan

Target $28

Phreesia started at Buy by Chardan

Target $33

Karuna started at Buy by Goldman Sachs

Target $34