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Wednesday, September 9, 2020

Merck 15-valent pneumonia vaccine successful in late-stage studies

Merck (NYSE:MRK) announces positive results from two Phase 3 clinical trials assessing V114, its 15-valent pneumococcal conjugate vaccine.

Results from PNEU-AGE (V114-019) in healthy adults at least 50 years old showed that V114 was non-inferior to the currently available 13-valent pneumococcal conjugate vaccine [Pfizer’s (NYSE:PFE) Prevnar 13] for the 13 serotypes targeted by both vaccines and superior for serotypes 22F and 33F, the two additional serotypes targeted by V114. The study also met a key secondary endpoint demonstrating V114’s superiority for serotype 3, a leading cause of pneumonia globally.

Results from PNEU-TRUE (V114-020), also in healthy adults at least 50 years old, showed equivalent responses across all 15 serotypes across three different lots of V114, the primary objective.

In both studies, V114’s safety profile was comparable to that of Prevnar 13.

Additional data will be submitted for presentation at a future medical conference.

The company expects to file a U.S. marketing application before year-end. Applications in other markets will follow.

https://seekingalpha.com/news/3612398-mercks-15-valent-pneumonia-vaccine-successful-in-late-stage-studies

Precision Bio CAR T candidate Fast Track’d for multiple myeloma

The FDA designates Precision BioSciences’ (NASDAQ:DTIL) PBCAR269A, a CAR T cell therapy, for Fast Track review for the treatment of relapsed/refractory multiple myeloma (MM).

The candidate is currently being evaluated in an open-label, parallel assignment, single-dose, dose-escalation and dose-expansion Phase 1/2a clinical trial in MM patients.

Fast Track status provides for more frequent interaction with the FDA review team and a rolling review of the marketing application.

https://seekingalpha.com/news/3612419-precision-bio-car-t-candidate-fast-trackd-for-multiple-myeloma

Intra-Cellular up on positive lumateperone data in bipolar patients

Intra-Cellular Therapies (NASDAQ:ITCI) soars 74% premarket in reaction to positive topline results from its Phase 3 clinical trial (Study 402) evaluating lumateperone as adjunctive therapy to lithium or valproate in the treatment of major depressive episodes associated with Bipolar I or Bipolar II disorder.

In Study 402, once daily lumateperone 42 mg met the primary endpoint for improvement in depression as measured by change from baseline versus placebo at Week 6 on the Montgomery-Åsberg Depression Rating Scale (MADRS) total score (p=0.0206; effect size = 0.27).

In the intent-to-treat study population, the mean reduction from baseline for lumateperone 42 mg was 16.9 points, versus 14.5 points for placebo (LS mean difference = 2.4 points; effect size = 0.27, p=0.0206).

Key secondary endpoint of statistically significant improvement on the Clinical Global Impression Scale for Bipolar for Severity of Illness – Depression subscale (CGI-BP-S Depression Score) (p=0.0082; effect size = 0.31) was also achieved.

The lower lumateperone dose, 28 mg, showed a trend for a dose-related improvement in symptoms of depression but the results did not reach statistical significance.

Lumateperone demonstrated a favorable safety profile and was generally well-tolerated in the trial.

This trial, in conjunction with previous Phase 3 monotherapy study, Study 404, forms the basis for sNDA submission to the FDA in late 2020 or early 2021.

A total of 529 patients were enrolled in Study 402.

https://seekingalpha.com/news/3612432-intra-cellularsplus-74-on-positive-lumateperone-data-in-bipolar-patients

Pfizer/BioNTech COVID-19 vax candidate encouraging in preclinical studies

Pfizer (NYSE:PFE) and development partner BioNTech SE (NASDAQ:BNTX) announce preliminary results from preclinical studies of COVID-19 nucleoside-modified messenger RNA vaccine candidate BNT162b2.

In a viral infection model, rhesus macaques received two injections of 100 µg BNT162b2 or saline, then challenged 55 days after the second dose with a very high viral inoculum of ~1M plaque forming units of SARS-CoV-2 via intranasal and intratracheal routes. Animals immunized with BNT162b2 experienced reduced viral infection with no viral RNA detected in the lower respiratory tract. Most of the non-immunized animals showed evidence of viral RNA.

BNT162b2 induced potent SARS-CoV-2 neutralizing antibodies and viral antigen-specific CD4+ and CD8+ T cells. After two shots of either 30 µg or 100 µg of BNT162b2 21 days apart, neutralization titers were 962 in the 30 µg group and 1,689 in the 100 µg group. Geometric mean titers persisted to at least day 56 at levels higher than a panel of human convalescent sera.

BNT162b2 vaccination elicited a high frequency of CD4+ T cells that produced IFN-ɣ, IL-2, and TNF-α. Almost no IL-4 producing CD4+ cells were detectable, indicating a TH1-biased response, an immune profile believed to promote vaccine safety. It also elicited spike-specific IFN-ɣ producing CD8+ T cell responses, which is thought to promote an antiviral effect.

In a mouse model, a single immunization of BNT162b2 (0.2, 1.0 or 5.0 µg) generated B cell and T cell immune responses. SARS-CoV-2 pseudovirus neutralizing activity increased steadily to day 28, the last day titers were reported. CD4+ and CD8+ T cells from splenocytes isolated from BNT162b2-immunized mice were strongly positive for IFNγ and IL-2, producing high levels of the TH1 cytokines but minute amounts of TH2 cytokines suggesting a robust, TH1-biased T cell adaptive immune response.

The large-scale in-human Phase 2/3 trial has now enrolled over 25K participants. The companies reiterate that they remain on track to seek regulatory review as early as next month.

https://seekingalpha.com/news/3612440-pfizer-biontech-covidminus-19-vaccine-candidate-shows-encouraging-action-in-preclinical

Aldeyra on go with mid-stage study of ADX-629 in COVID-19

Aldeyra Therapeutics (NASDAQ:ALDX) announces that the FDA has signed off on a 30-subject Phase 2 clinical trial evaluating ADX-629 in hospitalized adult COVID-19 patients.

Participants will be enrolled upon hospitalization for the respiratory illness and will receive ADX-629 or placebo twice per day for up to 28 days (on top of standard of care treatment). Key objectives include the NIAID COVID-19 scale and levels of cytokines and and reactive aldehyde species (RASP).

ADX-629 is an orally available RASP inhibitor that works upstream to modulate the immune system from a pro-inflammatory state to an anti-inflammatory state.

Mid-stage studies in psoriasis and atopic asthma should launch next quarter.

https://seekingalpha.com/news/3612458-aldeyra-on-go-mid-stage-study-of-adxminus-629-in-covidminus-19

IBio up on advancement of IBIO-201, COVID-19 LicKM-subunit vaccine

iBio (NYSEMKT:IBIO) jumps 14% premarket on the heels of selecting IBIO-201, a proprietary lichenase carrier molecule (branded as LickM) fused to a coronavirus subunit protein, as its leading candidate for the prevention of SARS-CoV-2 infection.

The Company previously announced that preclinical immunization studies with IBIO-200 and IBIO-201, combined with select adjuvants from the Infectious Disease Research Institute (IDRI), induced anti-SARS-CoV-2 antibodies.

Additional data from cell-based pseudovirus neutralization assay testing demonstrate that IBIO-201 induced the production of more anti-spike neutralizing antibodies than IBIO-200 in immunized mice.

iBio continues to work with IDRI and the Texas A&M University System, and expects to engage additional collaborators for further characterization and testing of IBIO-201 prior to performing GLP toxicology studies.

Previously: IBio rallies on advancement of COVID-19 vaccine program (Aug. 10)

https://seekingalpha.com/news/3612472-ibioplus-14-on-advancement-of-ibiominus-201-covidminus-19-lickm-subunit-vaccine

COVID-19 vaccine developers rally on AstraZeneca study paus

Many COVID-19 vaccine players are in the green premarket in apparent response to a potential safety signal in a Phase 3 study of AstraZeneca’s (NYSE:AZN) AZD1222. AZN is down 2% on light volume.

Selected tickers: Sanofi (NASDAQ:SNY) (+2%), GlaxoSmithKline (NYSE:GSK) (+2%), Pfizer (NYSE:PFE) (+2%), BioNTech SE (NASDAQ:BNTX) (+5%), Moderna (NASDAQ:MRNA) (+5%), Dynavax (NASDAQ:DVAX) (-2%); Novavax (NASDAQ:NVAX) (+7%), iBio (NYSEMKT:IBIO) (+8%), Vaxart (NASDAQ:VXRT) (+4%), Inovio Pharmaceuticals (NASDAQ:INO) (+6%), Heat Biologics (NASDAQ:HTBX) (+4%), CureVac (NASDAQ:CVAC) (+4%)

https://seekingalpha.com/news/3612377-covidminus-19-vaccine-developers-rally-on-astrazeneca-study-pause