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Wednesday, January 22, 2020

Proteostasis up ahead of CF data presentation

Nano cap Proteostasis Therapeutics (NASDAQ:PTI) is up 6% premarket on modest volume ahead of a presentation of results from an ex vivo study of its cystic fibrosis transmembrane conductance regulator (CFTR) modulators in organoids from individuals with CF who are ineligible for current standard-of-care CFTR modulator therapies due to their genotype (~2,300 European adults). The data, based on samples from up to 500 patients, are being presented at the Keystone Symposia on Tissue Organoids in Vancouver, BC.
The study is assessing responsiveness to the company’s CFTR potentiator dirocaftor, corrector posencaftor and amplifier nesolicaftor.
The European Commission is funding the organoid program as part of a strategic initiative aimed at building a road map for personalized treatments for CF.

Axsome up on advancement of AXS-05

Axsome Therapeutics (NASDAQ:AXSMcompletes patient randomization in a Phase 3 clinical trial, STRIDE-1, evaluating AXS-05 in patients with treatment-resistant depression.
The primary endpoint is the change from baseline at week 6 in the total score of a scale called MADRS. Topline results should be available later this quarter.

Neurotrope jumps on data on lead drug

Thinly traded nano cap Neurotrope (NTRP +113.1%) rallies on a healthy 57x surge in volume in reaction to data from a Phase 2 clinical trial evaluating lead candidate Bryostatin-1 in patients with moderately severe-to-severe Alzheimer’s disease (AD) who are not on memantine (Namenda).
The company says there was a “significant” imbalance in the baseline Severe Impairment Battery (SIB) scores between the treatment and placebo groups that it says was due to chance (primary endpoint).
As a result, a post-hoc analysis was done using paired data for individual participants, each serving as his/her own control. On this basis, there was a statistically significant treatment effect as measured by the improvement from baseline at week 13 in SIB score. The control group, however, also showed a statistically significant improvement in SIB score at week 13.
There was no statistically valid treatment effect observed in either arm as measured by a scale called MMSE-2, a secondary endpoint.
The company plans to meet with the FDA to review the “totality” of clinical data on Bryostatin-1 (two Phase 2 trials).

JNJ EPS up 34% in Q4

Johnson & Johnson (JNJQ4 results: Revenues: $20,747M (+1.7%); Consumer: $3,567M (+0.9%); Pharmaceutical: $10,548M (+3.5%); Medical Devices: $6,632M (-0.5%).
Net Income: $4,010M (+31.8%); EPS: $1.50 (+33.9%); non-GAAP Net Income: $5,027M (-6.4%); non-GAAP EPS: $1.88 (-4.6%).
Key Product Sales: Remicade: $1,035M (-16.4%); Simponi/Simponi Aria: $515M (+6.6%); Stelara: $1,700M (+17.7%); Tremfya: $270M (+53.9%); Darzalex: $830M (+42.1%); Xarelto: $609M (+0.4%); Zytiga: $677M (-13.8%); Imbruvica: $875M (+24.5%); Velcade: $115M (-54.6%); Invega Sustennn/Xeplion/Trinza/Trevicta: $871M (+14.2%); Edurant/rilpivirine: $222M (+15.2%); Prezista/Prezcobix/Rezolsta/Symtuza: $544M (+9.9%); Procrit/Eprex: $183M (-17.0%); Opsumit: $326M (+1.0%); Uptravi: $208M (+14.8%); Invokana/Invokamet: $177M (-22.2%).
2020 Guidance: Revenues: $85.4B – 86.2B; Non-GAAP EPS: $8.95 – 9.10.

Exact Sciences up 10% on diminished competitive concerns

Exact Sciences (EXAS +9.6%) is up on average volume in apparent response to data from colorectal cancer (CRC) biopsy samples generated by privately held Freenome. William Blair’s Brian Weinstein says the results, as they relate to CRC screening, do not present a threat to Cologuard. BTIG’s Amanda Murphy agrees, adding that Freenome’s approach comparing results across trials is “flawed.”
The data are being presented at the ASCO GI Cancers Symposium in San Francisco.

All 3 Proxy Advisors Urge Shareholders Vote FOR Change to Enzo Board

Harbert Discovery Fund, LP and Harbert Discovery Co-Investment Fund I, LP (collectively “HDF”), the beneficial owners of more than 11.8% of the outstanding shares of Enzo Biochem, Inc. (NYSE: ENZ) (“Enzo” or the “Company”), today announced that Egan-Jones Proxy Services (“Egan-Jones”) has recommended shareholders vote for both HDF nominees on the Blue proxy card. All three leading proxy advisors – Egan-Jones, Glass, Lewis and Co. (“Glass Lewis”) and Institutional Shareholder Services Inc. (“ISS”) – have now supported HDF’s case for change at Enzo.
In its report, Egan-Jones highlights the need for change at the Company, its track record of underperformance and corporate governance issues, as well as the qualifications of HDF’s nominees1:
  • “We believe that voting FOR the Harbert nominees is in the best interest of the Company and its shareholders.”
  • “We believe that there is a validated need for change, as evidenced by the Company’s financial and operational underperformance, which have translated to value destruction for the past years.”
  • “In our view, the shareholders have given the Company a considerable time to break the status quo of financial failure, however, the Board and management have engaged in misconstrued decisions, leading to broken promises to fix the Company’s current state.”
  • “We believe that there is a compelling need to alter the Company’s corporate governance structure and practices in order to protect the interests of the shareholders in the future.”
  • “We believe that the addition of the Harbert nominees will endow the Board not only with the right mix of skills, qualifications and experience, but will also bring forward fresh perspectives to execute the appropriate strategy to unlock and maximize shareholder value.”
  • “Given the slate of nominees, the nominees appear qualified, and we recommend that clients vote FOR the nominees on the BLUE proxy card.”
Previously, ISS also recommended voting on HDF’s card, stating:
  • The dissident has made a compelling case that board change is warranted, as evidenced by operational deterioration, prolonged absolute and relative TSR underperformance, and substandard corporate governance.”
  • “ENZ has a history of broken promises, as evidenced by the AmpiProbe development history.”
  • There are also board independence concerns, including the combined CEO/chairman role, the fact that 40 percent of the board is non-independent, and the family and professional relationships between Rabbani, Weiner, and Hanna.”
Glass Lewis found numerous reasons for urgent concern regarding the future of Enzo in its recommendation for both HDF nominees:
  • “[W]e are ultimately inclined to conclude Harbert…submits the much stronger fundamental case.”
  • “Disconcertingly, investors hoping to see a bold response steeped in critical measures of operational progress have instead been greeted by what we consider to be a fairly loosely structured narrative functionally ripped from Enzo’s last battle, including rehashed promises of pending value generation.”
  • “On balance, we consider the yield on our review is fairly straightforward…the Company has underperformed every benchmark over every period, in all cases by no less than roughly 32%.”
  • “[T]here remain a raft of other governance factors that we consider reflect poorly on Enzo and the board’s general willingness to undertake proactive — as opposed to reactive — change.”
Kenan Lucas, Managing Director and Portfolio Manager of HDF, commented on the news, stating: “We believe that unanimous recommendations for change from all three proxy advisory firms sends a clear message: the status quo is no longer acceptable at Enzo and fresh, independent voices are needed in the boardroom. Our nominees, Fabian Blank and Peter Clemens, have the right experience and skillsets to help Enzo become more than a story of broken promises, and to end the prolonged history of underperformance. We encourage any shareholder who cares about the future of their investment to vote today for both of HDF’s nominees.”

Takeda Eyes 12 New Drug OKs by 2024, Hemophilia Therapy May Not Compete

One year ago, Takeda wrapped up its acquisition of Shire plc, which created one of the largest drug developers focused on rare diseases. Over the past year, the company strived to transform itself into becoming a frontrunner in multiple areas, including cell and gene therapies.
During the company’s 2019 R&D Investor Day, Takeda highlighted the importance of gene and cell therapies as it moves forward in its continued transformation from the Shire deal, as well as other collaborations the company has forged since. However, in what might be considered a refreshing moment of real honesty, Andy Plump, Takeda’s head of R&D, recently noted that sometimes being on the cutting edge of treatments does not mean your treatment will be the top-selling preference. In an interview with the Boston Business Journal, Plump revealed that he did not believe the company’s hemophilia A gene therapy treatment would be a market leader. In fact, he went so far as to say the treatment would probably not even be a contender.
“I think the likelihood is that our hemophilia A gene therapy is not going to be a competitor in the market… But I don’t think you need to be a frontrunner in a field to really be effective. In fact, I think, sometimes in the world we live in, being the frontrunner can have disadvantages,” he told the Journal.
In its gene therapy pipeline, Takeda is developing TAK-754 for hemophilia A. The asset is currently in a Phase I study. The company also has TAK-748 in preclinical studies for treatment of hemophilia B. As the Journal reported, the company sees a strong future for its gene therapy programs and considers them a future driver of business. While the Journal’s article did not go into specifics as to why Plump feels that the company’s gene therapy won’t be a market driver in hemophilia, it’s likely due to the fact that it is still in the early stages of development. Spark Therapeutics, a division of Roche, is moving its gene therapy treatment into late-stages of study following highly impressive data that showed a one-time treatment yielded a 97% response rate in reduced bleeding events in hemophilia A patients. When Roche made its bid for Spark, the Swiss pharma giant saw that company’s gene therapies for hemophilia as a complement to its own products for the bleeding disorder, including hemophilia treatment Hemlibra.
While the hemophilia treatment may not be a competitor in the marketplace, Plump told the Journal that Takeda is looking at bringing nearly a dozen treatments to market by 2024. Those treatments are aimed at conditions such as “cytomegalovirus infections, a rare disease called Hunter Syndrome and complications of premature birth.” Takeda believes these therapies can drive a combined $10 billion in peak sales, the Journal said.
In September, Takeda published the results of a Phase II study of TAK-620 (maribavir) for cytomegalovirus (CMV). The drug is designed to target a specific CMV protein, which may lead to inhibition of CMV DNA replication and encapsidation.
Additionally, Takeda has remained busy inking collaborations with multiple companies to advance its drug development programs. Earlier this month, the company struck a multi-year drug discovery deal with Charles River Laboratories. The companies will develop potential drug candidates across Takeda’s four core therapeutic areas—oncology, gastroenterology, neuroscience and rare disease. Only weeks prior to the deal with Charles River, Takeda forged a collaboration worth up to $1 billion with Turnstone Biologics to tackle a number of cancer indications using that company’s vaccinia virus platform. The company and Cerevance teamed up to tackle diseases of the gastrointestinal tract that have their roots in the central nervous system.