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Monday, December 9, 2019

Big Drugmakers Push Deeper Into Cancer Treatment

Two of the world’s biggest drugmakers struck multibillion-dollar deals on Monday aimed at bolstering their lineups in the fiercely competitive cancer-drugs market.
Merck & Co. said it would acquire ArQule Inc. for about $2.7 billion, paying a 107% premium in a bid to diversify its cancer treatments beyond top-selling drug Keytruda. Meanwhile, Sanofi SA said it would spend $2.5 billion, a 172% premium, to acquire Synthorx Inc. in the French drugmaker’s own effort to catch up with rivals in the field of oncology.
Both deals reflect the industry’s intense pursuit of new products to sell in one of the world’s biggest and fastest-growing prescription-drug segments. The $123 billion world-wide cancer-drugs market is expected to almost double by 2024, according to market-research firm EvaluatePharma.
Bristol-Myers Squibb Co. recently closed on its $74 billion acquisition of rival Celgene Corp. to create a cancer-drugs powerhouse. Pfizer Inc., which has positioned itself as a company focused on cancer, bought Array BioPharma for $10.6 billion this summer. And Eli Lilly & Co. acquired Loxo Oncology for about $8 billion earlier this year.
The promise of new sales in a lucrative market appeals to pharmaceutical companies, which are counting on cancer treatments to provide new revenues as older products lose patent protection.
Making the segment even more attractive is the U.S. Food and Drug Administration’s willingness to approve new cancer drugs with smaller, faster and less-expensive clinical trials. And companies have found that health plans will pay for cancer drugs, even at prices that often top $100,000 for a year’s treatment.
Scientific breakthroughs, including the ability to target specific mutations and combine medicines, are also helping drive the industry’s interest, said Roy Baynes, Merck’s senior vice president of global clinical development and chief medical officer.
“The science is evolving very rapidly,” Dr. Baynes said in an interview. “The good news is that we are now focused on drugs which really do have big effect.”
But the interest in finding the next big new product has driven up the prices that big drugmakers have had to pay. Companies have paid mean premiums of 114% this year for small- to midsize deals such as Sanofi’s and Merck’s, up from 67% during the previous five years, according to analysts at Evercore ISI. The data are for drugs of all stripes, not just cancer treatments.
And the commercial market for cancer treatments has become hard-fought, forcing companies to race to be the first or second to market to secure a position before rivals.
Merck agreed to pay $20 a share in cash for ArQule, of Burlington, Mass. The deal is expected to close early in the first quarter of 2020.
It would increase Merck’s offerings of therapies that treat blood-related cancers. ArQule’s lead experimental treatment, called ARQ 531, is being tested in patients with blood cancers who carry a specific genetic mutation that prevented them from responding to previous treatments.
“It’s early, but it looks like it has a lot of potential,” Dr. Baynes said of the therapy.
Dr. Baynes acknowledged that other companies are developing therapies similar to ArQule’s, but such contests drive innovation.
Merck has been looking for deals to expand its portfolio of cancer treatments beyond Keytruda, as some investors and analysts have worried that Merck has become too dependent on the product. Keytruda’s global sales totaled nearly $7.2 billion last year.
Earlier this year, Merck, of Kenilworth, N.J., bought Tilos Therapeutics Inc. and Peloton Therapeutics Inc., both of which are developing cancer therapies.
Citigroup analysts said Merck’s expansion in hematology makes sense because it hasn’t been very active in that field, and expects the deal “to be the beginning rather than the end of similar moves.”
Many of the therapies that big drugmakers are acquiring are immunotherapies such as Keytruda or complement the drugs, a relatively new class of treatment that unleashes a patient’s own immune system in the fight against cancer.
For Sanofi, acquiring Synthorx, of La Jolla, Calif., is an attempt by the French pharmaceutical company to erase the gap with rivals that already sell the drugs. Synthorx’s lead agent is in the early phase of patient testing in a range of cancers, both on its own and in combination with existing cancer immunotherapies.
The deal is the first big move by Sanofi Chief Executive Paul Hudson, who began leading the company in September, and suggests that cancer treatment will be one of the company’s new priorities.
Sanofi said it would pay $68 a share in cash for Synthorx.
“This acquisition fits perfectly with our strategy to build a portfolio of high-quality assets and to lead with innovation,” Mr. Hudson said.
Sanofi is one of the most diversified companies in the industry, spanning branded prescription drugs, vaccines and over-the-counter treatments. Within branded drugs, it produces medicines ranging from insulin for diabetes to specialty medicines for rare diseases.

Tenet upgraded to Buy from Neutral by UBS

Target to $53 from $24

Rocket Pharma target raised to $42 from $36 by Oppenheimer

Maintains Outperform

Edwards Lifesciences target upped to $262 from $255 by Piper

Maintains Overweight

Amgen target hiked to $265 from $240 by Argus

Maintains Buy

Agios target raised to $49 from $45 by BMO

Maintains Outperform

Mustang Bio down 18% on less effect of gene therapy on older XSCID patients

Thinly traded Mustang Bio (MBIO -17.7%) is down on almost 4x higher volume, albeit on turnover of less than 1M shares, in apparent reaction to updated data from ongoing Phase 1/2 clinical trials evaluating lentiviral gene therapy MB-107 in patients with X-linked severe combined immunodeficiency (XSCID), an inherited disorder also known as “Bubble Boy Disease” since it occurs almost exclusively in males who lack the necessary immune cells to fight infections. The results were presented as ASH in Orlando.
In the study being conducted at St. Jude Children’s Hospital in Memphis, infants under the age of two showed “robust” stem cell recovery with 3-4 weeks post infusion without blood support. Nine participants who had been followed for more than three months achieved normal-for-age T-cell and NK-cell numbers within three-to-four months post treatment. Five were off IV immunoglobulin therapy and three of the five responded to vaccines.
Investors appear to be reacting to data from the second trial, being conducted at NIH in Bethesda, MD, in five older children and young adults with XSCID who received MB-107 as salvage therapy after haploidentical hematopoietic stem cell transplantation.
Patients required large quantities of vector due to the relative inefficient transduction of hematopoietic stem/progenitor cells which resulted in a relatively low vector copy number (VCN) in myeloid cells in some patients. This delayed immune cell recovery and failed to prevent persistent clinical disease, especially in the last patient treated. NIH refined the transduction procedure and incorporated enhancers which produced a more significant benefit by month 3.
Development is ongoing.
#ASH19