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Friday, July 26, 2019

AbbVie Q2 sales flat; Humira sales down 6%; shares up 2% premarket

AbbVie (NYSE:ABBVQ2 results ($M): Revenues: 8,255 (-0.3%); Immunology: 4,918 (-5.2%); Hematologic Oncology: 1,268 (+38.7%); HCV: 784 (-19.4%).
Net income: 741 (-62.6%); non-GAAP EPS: 3,370 (+6.5%); EPS: 0.49 (-61.1%); non-GAAP EPS: 2.26 (+13.0%).
Key product sales: Humira: 4,870 (-6.1%); Imbruvica: 1,099 (+29.3%); Mavyret: 780 (-16.3%); Venclexta: 169; Skyrizi: 48.
2019 guidance: EPS: $5.69 – 5.79 from $7.26 – 7.36; non-GAAP EPS: $8.82 – 8.92 from $8.73 – 8.83.
Shares are up 2% premarket on light volume.

Thursday, July 25, 2019

Prevagen maker to face FTC as NY claims memory supplement does not work

Quincy Bioscience failed to dismiss a lawsuit in which the Federal Trade Commission and New York attorney general said it deceptively marketed the dietary supplement Prevagen by claiming it improved memory despite a lack of scientific evidence.
In a decision released on Thursday, U.S. District Judge Louis Stanton in Manhattan rejected Quincy’s claim that the FTC exceeded its powers in bringing the January 2017 lawsuit because it lacked a quorum of commissioners to decide whether to sue.
Stanton also said he had jurisdiction to hear claims against Quincy’s co-founders and largest shareholders – president Mark Underwood and former president and current chief executive Michael Beaman.
He nonetheless dismissed claims against Beaman, finding a lack of evidence that he knew about or took part in any deception, but said the regulators may yet refile those claims.
Lawyers for Quincy, Underwood and Beaman declined to comment. Neither the FTC nor the office of New York Attorney General Letitia James immediately responded to requests for comment.

The complaint said Quincy based much of its suspect advertising on a single study, which the regulators said failed to show a statistically significant improvement in memory among people given Prevagen over people given a placebo.
According to the complaint, Quincy sold about $165 million worth of Prevagen in the United States from 2007 until the middle of 2015, at prices ranging from $16 to $70 for 30 pills.
Regulators said sales for the Madison, Wisconsin-based company benefited from television ads, including infomercials, as well as radio, newspaper and magazine ads and social media.
Stanton had dismissed the lawsuit in September 2017, but the federal appeals court in Manhattan revived it in February, saying the regulators had plausibly alleged that Quincy made false or materially deceptive claims about Prevagen.

The appeals court also said Stanton had not addressed some of the defendants’ arguments for dismissal. Those arguments were the subject of the decision released on Thursday.
The case is Federal Trade Commission et al v Quincy Bioscience Holdings Co et al, U.S. District Court, Southern District of New York, No. 17-00124.

Vehicle infotainment systems called dangerously distracting

Many of the interactive information and entertainment systems turning up in newer cars may be distracting enough to increase the risk for accidents, especially for older drivers, a new AAA Foundation study finds.
The systems often require drivers to take their eyes off the road for extended periods for when performing simple tasks such as navigation or radio tuning. And researchers found that the problem is worse for seniors, who looked away from the road for up to eight and a half seconds longer than younger drivers.
“We know from prior work that younger drivers are struggling,” said study coauthor David Strayer, a professor and director of the Center for the Prevention of Distracted Driving at the University of Utah in Salt Lake City. “We found that older drivers take their eyes off the road for longer when they are trying to interact with this technology.”
The new findings are particularly important given that there will be increasing numbers of senior drivers on the roads, said Jake Nelson, AAA director of traffic safety research and advocacy. And keep in mind, Nelson said, “whether it’s easier-to-see signals or striping on the roads, if it’s good for seniors, it’s good for all of us.”
For the new study, done as a partnership between the AAA Foundation for Traffic Safety and the University of Utah, researchers tested the visual and cognitive demands of infotainment systems in six 2018 vehicles.
Two groups of participants – between ages 21 and 36 and between 55 and 75 – were asked to use the interactive vehicle technologies to make a call, send a text message, tune the radio and run a navigation program. To do that, they needed to use voice commands as well as touch screens. Some of the more complicated systems used multiple menus and cumbersome voice command functions that made it hard to complete tasks while watching the road.
In one test, researchers periodically projected a red light onto the windshield. “The visual and cognitive demands were so great that in some cases people could detect just 25% of the red lights,” Strayer said. “A lot of these systems require the driver to look at a screen and reach over and make a precise adjustment.”
Strayer and colleagues compared the amount of time it took younger and older participants to complete a series of tasks and found: calling and dialing took younger people an average of 17.7 seconds as compared to 22.4 in the older group; text messaging took younger people 27.7 seconds to complete versus 33.8 seconds in the seniors; and navigation entry took the younger adults 31.4 seconds, versus 40 seconds in the older group.

Strayer suggests that consumers put at least as much energy into checking out a car’s infotainment system as they would in buying a new phone. “You need to be a smart consumer,” he said. “Make sure you don’t buy a car you can’t use.”
Beyond that, he said, “if your car has features you need to figure out, figure out how to use them before you start to drive.”
And remember, Nelson said, “just because it’s built into the car doesn’t mean it’s safe to use. You can’t make the assumption that using technology like this while you’re traveling down the road at 70 mph is going to be safe.”
Strayer and Nelson would like to see car companies make the infotainment systems easier to use.
Other studies have shown that “distracted driving is a major risk factor for motor vehicle crashes,” said Dr. Guohua Li, a professor of epidemiology at Columbia University’s Mailman School of Public Health and the founding director of the Center for Injury Epidemiology and Prevention at Columbia in New York City.

The new study shows “that vehicle infotainment systems could be a significant source of distraction for drivers, particularly older drivers,” Li, who was not involved with the new research, said in an email.
Li hopes studies like this will lead car makers to improve the design of vehicle infotainment systems. “Increased integration, automation and personalization may minimize the unintended effects of vehicle technologies,” he said.
SOURCE: bit.ly/2YlIx7b AAA Foundation for Traffic Safety, July 2019.

Takeda-Pfizer Enbrel Co-promotion in Japan to Terminate

Pfizer Japan Inc. (‘Pfizer’) and Takeda Pharmaceutical Company Limited (‘Takeda’), today announced the termination of co-promotion for the rheumatoid arthritis/juvenile idiopathic arthritis treatment ‘Enbrel®‘ (generic name: etanercept (rDNA); hereinafter, ‘Enbrel’), at the end of November 2019. Pfizer is the Marketing Authorization Holder (‘MAH’) of Enbrel.
In March 2005, Enbrel 25 mg for subcutaneous injection was launched in Japan, and Pfizer and Takeda have co-promoted it under a co-promotion agreement. Enbrel was launched in syringe-type in June 2008 and in pen-type in June 2013, offering various doses and dosage types to meet the needs of patients with rheumatoid arthritis and juvenile idiopathic arthritis, as well as those of medical personnel. Takeda and Pfizer have to date been working together to promote the proper use of the drug.
As a result of discussions between the two companies prompted by changes in the business environment, the co-promotion will be terminated by the end of November 2019. From December 2019, Enbrel will be promoted solely by Pfizer, the MAH of the drug. However, Takeda will be responsible for distribution until the end of March 2020. What happens after that is now under discussion.
Moving forward, Pfizer and Takeda will complete the smooth transfer of promotion of Enbrel to Pfizer.

Universal Health Services to pay $127 million to settle fraud allegations

Universal Health Services Inc., a King of Prussia hospital operator, said Thursday it had agreed to pay $127 million settle a long-running civil False Claims Act investigation of billing practices at about 30 of its psychiatric facilities.
UHS also said criminal investigations of the company, underway at least since 2015, had been closed. No charges were filed, the company said.
The civil agreement in principle with the U.S. Department of Justice and numerous state attorneys general offices won’t be final until a definitive agreement is reached and approved by authorities.
The company had denied wrongdoing.
UHS, which had net income of $238 million on revenue of $2.9 billion in the three months ended June 30, owns 26 acute-care hospitals and 288 behavioral health facilities.

In Roundup case, U.S. judge cuts $2 billion verdict against Bayer to $86 million

A California judge on Thursday reduced a $2 billion jury verdict, slashing the award for a couple who blamed Bayer AG glyphosate-based weed killer Roundup for their cancer to $86.7 million.

Superior Court Judge Winifred Smith of the California Superior Court in Oakland said the jury’s billion-dollar punitive damages awards were excessive and unconstitutional, but rejected Bayer’s request to strike the punitive award outright.
Under Smith’s final order, California couple Alva and Alberta Pilliod would receive roughly $17 million in compensatory and $69 million in punitive damages, down from $55 million and $2 billion, respectively.
The plaintiffs still have to formally accept the reduced award.
Bayer in a statement on Thursday said Smith’s decision to slash the award was a step in the right direction, but added it would file an appeal.
“We continue to believe that the verdict and damage awards are not supported by the evidence at trial and conflict with the extensive body of reliable science and conclusions of leading health regulators worldwide that confirms glyphosate-based herbicides can be used safely and that glyphosate is not carcinogenic,” the company said.
Bayer faces Roundup cancer lawsuits by more than 13,400 plaintiffs across the United States. The Germany-based company bought Roundup maker Monsanto in a $63 billion deal last year, but has since seen its share price tumble over the glyphosate litigation.
Plaintiffs allege Roundup causes non-Hodgkin’s lymphoma and that Monsanto for decades tried to influence scientists and regulators to bury cancer evidence. Bayer denies those allegations.
The company had asked Smith to strike the punitive damages award in the Pilliods’ case, arguing that hundreds of studies and assessments by regulators worldwide concluded the herbicide to be safe for human use.
But the judge in her Thursday order rejected those arguments.
“In this case there was clear and convincing evidence that Monsanto made efforts to impede, discourage, or distort scientific inquiry and the resulting science,” Smith said.
Bayer to date has lost three U.S. jury trials in the Roundup litigation, with juries in California awarding multi-million dollar awards. It is appealing the decisions.
In August, the company is scheduled to face its first trial outside California at a courthouse in St. Louis, Missouri. Monsanto has recruited Missouri-based expert witnesses to make its case in a place where it has century-old roots but where juries often hit companies with huge damages.

Evoke Pharma Sets Date With FDA

Evoke Pharma, Inc. EVOK 6.15% shares have lost about 51% of their value year to date compared to the 9.4%-gain in the iShares NASDAQ Biotechnology Index IBB 1.33% and a steeper 20% jump in the broader S&P 500 Index.
In early March, the stock hit a long-term support around the $2.35 level and subsequently fell sharply, finding support around 50-60 cents.
After wallowing in penny stock territory until mid-July, the stock has broken the downtrend seen since early March and is experiencing some upward momentum. Volume has also picked up in recent sessions, reflecting investor interest in the stock.
EVOK Chart
Source: Y Charts
Is the stock primed for a sustainable uptrend in the near-term? Here’s a brief on where Evoke stands fundamentally.

One-Trick Pony

Evoke, a specialty pharma company that focuses on developing drugs for gastrointestinal disorders, has a single product in development: Gimoti.
The company bought the rights to the investigational asset from Questcor Pharma in 2007 by paying $650,000 upfront and an additional $500,000 in May 2014 as a milestone payment.
Gimoti is a novel nasal spray formulation of metoclopramide that ensures systemic delivery of the molecule through the nasal mucosa. It is being evaluated as a treatment option for relieving symptoms in adult women with acute and recurrent diabetic gastroparesis.
Diabetic gastroparesis is characterized by slow or delayed gastric emptying; it can lead to various serious digestive system symptoms and other complications.
Metoclopramide in tablet and injection form are the only available treatment options today for diabetic gastroparesis.
About 16 million patients suffer from gastroparesis systems, according to Evoke. The company estimates the market potential at $3-$4 billion.

A Peek Into Financials

Evoke, which has a market cap of $28.714 million and average trading volume of 730,225, has yet to post revenue.
For the fiscal year 2018, the company expended $8.02 million on an operating basis, evenly split between R&D and general and administrative expenses.
The California-based company generated a loss of 46 cents per share in 2018, narrower than the 82-cents-per-share loss in 2017. For the three months ended March 2019, Evoke’s operating expenditures stood at $1.97 million. Its net loss per share was 11 cents compared to the year-ago loss of 13 cents.
As of March 31, 2019, the company had cash and cash equivalents of $4.26 million.

Rocky Regulatory Pathway

Following the submission of a 505(b)(2) NDA for Gimoti to the FDA, the regulatory agency accepted the application in August of 2018 and set a PDUFA date of April 1, 2019.
On March 1, the company received a multidisciplinary review letter from the FDA that named the following deficiencies:
  • Insufficient evidence regarding product quality control and reproducibility for the commercially available sprayer device used with Gimoto.
  • A lack of adequate information to support sex-based efficacy claims.
  • Pharmacology data not demonstrating bioavailability to the listed drug.
Evoke stock shed about 57% March 4 in reaction to the FDA letter.
The company submitted a response to the letter March 14 and met with the FDA March 21.
Notwithstanding the interactions, the FDA handed down a complete response letter to the NDA on April 1. The stock lost an incremental 48% on the adverse development.
The CRL highlighted two issues, clinical pharmacology and product/device quality, although the FDA said they did not warrant additional clinical data or raise any safety concerns.
Evoke communicated to the public on June 27 that it has requested a Type A meeting with the FDA.
A Type A meeting is one that is immediately necessary for an otherwise stalled drug development program to proceed, and has to be scheduled within 30 days of the receipt of the request.

Key Catalysts Ahead

This suggests Evoke could have meet with the FDA in the days ahead, which could explain the recent momentum in the stock.
The final minutes are likely to be released within 30 days of the meeting taking place. Once the final minutes are out, Evoke is likely to work out a schedule for the resubmission of the NDA.
Will the second time be the charm? The company sounds upbeat.
“As recommended by FDA, we have initiated the following: a root cause analysis of the variability observed in the pharmacokinetic bridging study, and manufacture of registration batches of Gimoti. We expect both these initiatives will support resubmission of our NDA,” Evoke CEO Dave Gonyer said in a statement.

Stock Take

If the FDA meeting goes in Evoke’s favor, the stock could extend the recent rally and attempt to reclaim the level it was trading at prior to the March 1 multidisciplinary review letter.
Technically, the recent rally has put the shares in overbought territory, with the 14-day relative strength index now at 75.89.
In the eventuality of the rally extending, the stock could face resistance at its 200-day SMA, currently at 1.78.
If the level is violated to the upside, the $2.3-$2.5 region could serve as resistance. On the downside, the stock is likely to find support at its 50-day SMA at 71.4 cents.EVOK Chart
Source: Y Charts