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Tuesday, February 2, 2021

Neurocrine axes Parkinson's collab with Voyager after safety issues

 Six years ago, Third Rock Ventures launched Voyager Therapeutics with $45 million and a goal of bringing gene therapy into some of the most notorious neurological diseases, most notably Parkinson’s. Now that program, long their lead and only clinical asset, is in jeopardy.


Voyager announced Tuesday afternoon that Neurocrine Biosciences has terminated their agreement to co-develop the Parkinson’s gene therapy after safety issues put the program on hold last year. Voyager said they are still evaluating whether or not to continue developing the gene therapy internally. They pinned Neurocrine’s decision on a “portfolio review and prioritization of its current pipeline assets.”


The Parkinson’s program was the centerpiece not only of the Cambridge biotech but also of the $1.8 billion collaboration they signed with Neurocrine 2 years ago, along with earlier stage collaborations on Friedreich’s ataxia and two undisclosed diseases. Neurocrine has now become the second company to back out of a deal with Voyager on the Parkinson’s program, after Sanofi opted in 2017 to decline an option they had under a larger $845 million partnership. They ditched the rest of the partnership two years later, although Voyager is still led by Sanofi alum Andre Turenne.

Voyager and Neurocrine will continue to work together on Friedreich’s ataxia and the undisclosed diseases, Voyager said.


The company’s stock $VYGR, already eroded by the Sanofi exit and last year’s safety delays, was not majorly impacted, sliding 5% after the bell from $8.00 to $7.55.


The Parkinson’s program was already in the clinic when Voyager launched in 2014 and three years later it offered them an early glimpse of success, reducing the need for Parkinson’s medications and increasing motor function in a 10-patient cohort. They also showed increased expression of AADC, an enzyme needed to turn levodopa into dopamine, the key molecule Parkinson’s patients need.


After releasing similar tentative results in a 15-patient group a year later, they moved into a pivotal trial, where the setbacks began. In November, the trial’s data safety and monitoring board paused the study after finding worrying signs in “certain patient imaging data.” The FDA followed up a month later with a formal clinical hold, citing “MRI abnormalities.”


Voyager has still not disclosed details on what triggered the pause, but concern around the industry has been over the route of administration. Neurosurgeons inject the therapy directly into the brain.


Without the Parkinson’s program, Voyager would become a pre-clinical biotech. The FDA has prevented the No. 2 project in the pipeline, a gene therapy for Huntington’s disease, from going into the clinic over what Voyager said were CMC issues.

https://endpts.com/neurocrine-axes-parkinsons-collab-with-voyager-after-safety-issues-jeopardizing-biotechs-longrunning-centerpiece/

Verily spinout Onduo expands virtual care to Spanish speakers

 The virtual care company Onduo is widening its reach: On Tuesday, the Alphabet-owned company announced it was bringing its chronic disease management platform to patients with certain cardiometabolic conditions, including hypertension and prediabetes.

The move marks a significant expansion of the mission of the company, which was spun out of Alphabet’s life science unit Verily and initially targeted patients with type 2 diabetes. But it’s not the only change aimed at broadening the company’s user base: Onduo will also start providing its services in Spanish.

Digital medicine in the U.S. has long fallen short when it comes to caring for non-English-speaking patients.

“We’ve seen study after study after study showing that Spanish speakers are less likely to use digital health portals,” said Jorge Rodriguez, a hospitalist and technology equity researcher at Brigham and Women’s Hospital.

Those inequities have become more pronounced during the pandemic. As telemedicine visits increased over the last year, Spanish-speaking patients were about 40% less likely to complete video visits than average, based on an analysis Rodriguez and his colleagues conducted of more than 200,000 doctor’s visits during the pandemic.

To support care for the 5% of Americans who speak Spanish but are not fluent in English, some digital health providers have added Spanish-language services in recent years, including complex networks of third-party interpretation services. “Before it was a nice to have,” said Rodriguez. “Now it’s like, ‘Oh shoot, we need to move fast.’” A full half of the employers served by one of Onduo’s large health plan clients have requested Spanish-language services, according to a company spokesperson.

In some ways, Onduo’s self-contained virtual care system is easier to adapt than entrenched telemedicine systems. The company is adding Spanish-language capabilities to both its app and its team of health coaches, which help users establish long-term habits to support their general health and manage their chronic conditions.

“We brought on Spanish-speaking coaches as of the end of last quarter,” said Vindell Washington, Onduo’s chief executive officer. The spokesperson said that 20% of its coaches are now bilingual.

“The software piece was more straightforward, as an Alphabet spinoff,” said Washington. “They know how to do languages.” Onduo worked with Google’s localization team on the new Spanish language services.

Onduo’s sister company, Google Cloud, is also offering automated translation as just one part of its $100 million investment in telehealth company Amwell, announced in August.

Making an app accessible to a new population isn’t as simple as translation. Many digital health platforms start in English, and are then adapted for non-English-speaking users, but their updates may not account for other differences in populations.

“Oftentimes when we speak of Spanish speakers, not only is there limited English proficiency but there’s also lower health literacy and often lower digital literacy,” said Rodriguez. “If you’re developing something for an English-speaking audience you’re automatically targeting a slightly different perspective. It’s not so much the Spanish that makes a big difference, it’s all the other associated pieces.” 

Ideally, developers would be able to show that digital health platforms worked equally well for patients regardless of language. But even the methods used to determine how well digital health tools work can bring their own set of limitations. Digital care portals like those provided by Onduo are often vetted using the System Usability Scale (SUS) to make sure they’re easy for patients to use. But the SUS was originally developed in English.

When Magdalena del Rocio Sevilla-Gonzalez, a postdoc at Massachusetts General Hospital’s clinical and translational epidemiology unit, wanted to test the usability of a digital health app with a patient population in Mexico City, “we didn’t find anything to measure the usability in our population.” So she and her team set out to verify that a Spanish-language SUS questionnaire can accurately gauge usability of digital tools in Spanish. It’s that kind of tool that will be necessary to validate both the usability of an app — and ultimately, the health outcomes it supports.

“I care about tech equity, but only so much as it gets me to health equity,” said Rodriguez. “It doesn’t matter if everyone has a phone and a portal if their diabetes outcomes are not better.”

Now that Onduo has made a step toward tech equity, it can collect the data to show how its platform impacts health outcomes across populations.

https://www.statnews.com/2021/02/02/onduo-verily-spanish-language/

VBI hep B vax application accepted by FDA

 VBI Vaccines Inc. (Nasdaq: VBIV) (VBI), a commercial-stage biopharmaceutical company developing next-generation infectious disease and immuno-oncology vaccines, today announced that the U.S. Food and Drug Administration (FDA) has accepted its filing of the Biologics License Application (BLA) for the Company’s 3-antigen prophylactic hepatitis B vaccine candidate for the prevention of infection caused by all known subtypes of the hepatitis B virus (HBV) in adults. The FDA has set a Prescription Drug User Fee Act (PDUFA) target action date of November 30, 2021.

https://finance.yahoo.com/news/vbi-vaccines-announces-u-fda-130000274.html

CVS, Walgreens Expanding Covid-19 Vaccinations

 CVS Health Corp. and Walgreens Boots Alliance Inc. each outlined details Tuesday about plans for Covid-19 vaccinations in stores.

CVS Health said it will begin to offer Covid-19 vaccinations to eligible populations at a limited number of CVS Pharmacy locations across 11 states starting Feb. 11.

Supply for the initial rollout, sourced directly from the federal government through the pharmacy partnership program, will be about 250,000 total doses, CVS said. As more supply becomes available the company will expand to additional states while increasing the number of stores offering vaccinations.

CVS said the states include California, Connecticut, Hawaii, Maryland, Massachusetts, New Jersey, New York, Rhode Island, South Carolina, Texas and Virginia.

CVS Health said it is also working directly with Indiana and Ohio to provide in-store vaccinations to eligible populations using state allocations.

CVS Health said it has administered the first round of Covid-19 vaccine doses to nearly 8,000 skilled nursing facilities, and second doses are more than 60% complete. First doses at all long-term care facilities that selected CVS Health to provide Covid-19 vaccinations--more than 40,000 in total--will be complete by mid-February, the company said. The company said most states chose activation dates for assisted living and other facilities well into January, which prevented clinics from being scheduled earlier.

Walgreens separately said it would provide a limited number of Covid-19 vaccinations across 15 states and jurisdictions as part of the Federal Retail Pharmacy Program.

Vaccinations will begin in stores Feb. 12 to eligible individuals based on state and jurisdiction guidelines, and may include healthcare workers, people ages 65 and older, and individuals with pre-existing conditions.

Walgreens also said it continues to support vaccinations across long-term care facilities. The company said it completed first dose vaccinations in more than 75% of long-term care facilities that selected Walgreens as their vaccine provider and remains on track to complete remaining first doses by mid-February.

https://www.marketscreener.com/quote/stock/CVS-HEALTH-CORPORATION-12230/news/CVS-Walgreens-Expanding-Covid-19-Vaccinations-32339469/

Amgen fourth-quarter profit rises, 2021 outlook below Street view

 

Amgen Inc on Tuesday reported a higher-than-expected quarterly profit as sales of newer drugs offset lower revenue from older off-patent medications, but the biotech company forecast 2021 earnings below Wall Street estimates.

For the full year, Amgen said it expects adjusted earnings of $16.00 to $17.00 per share on revenue of $25.8 billion to $26.6 billion. Analysts were looking for $17.03 per share on revenue of $26.45 billion, according to IBES data from Refinitiv.

Due to the COVID-19 pandemic, Amgen said physician-patient interactions remained below normal levels in the fourth quarter and it expects that to continue through 2021.

In a statement, the company said recovery in the latter part of the year is contingent on the speed and effectiveness of the global vaccination rollout.

For the fourth quarter, Amgen reported adjusted earnings per share of $3.81, beating the average analyst estimate of $3.40 per share. The number of Amgen shares outstanding fell 13% from a year earlier.

Net profit for the quarter fell 3% to $2.76 per share.

Quarterly revenue rose 7% to $6.6 billion, in line with analysts' estimates.

Sales of older rheumatoid arthritis drug Enbrel fell 5% to $1.27 billion, shy of analysts' estimate of $1.3 billion.

Sales of newer migraine drug Aimovig totaled $104 million for the quarter, short of the $115 million projected by analysts. But sales of cholesterol fighter Repatha rose 27% to $253 million, beating Wall Street estimates of $223 million.

Sales of Neulasta, which fights infections by boosting white blood cells, fell 19% to $536 million, while sales of kidney drug Sensipar dropped 58% to $45 million in the face of increased competition from cheaper generics and biosimilars.

Amgen, which produces its own biosimilar versions of drugs from rival companies, said sales of those medicines rose in the fourth quarter.

https://www.marketscreener.com/quote/stock/AMGEN-INC-4847/news/Amgen-fourth-quarter-profit-rises-2021-outlook-below-Street-view-32340110/

J&J Vision Gets FDA OK For Intraocular Lens For Cataract Treatment

 Johnson & Johnson Vision**, a global leader in eye health and part of the Johnson & Johnson Medical Devices Companies***, today announced that the U.S. Food and Drug Administration (FDA) approved the TECNIS Eyhance™ and TECNIS Eyhance™ Toric II intraocular lens (IOL) for the treatment of cataract patients in the United States. With this approval and subsequent commercial launch, ophthalmologists in the U.S. now have the ability to choose this next generation monofocal as the lens of choice for their patients with or without astigmatism. The first implantation of TECNIS Eyhance IOL in the U.S. will happen in Texas next week.

More than 90% of people develop cataracts—the clouding and yellowing of the lens in the eye—by the age of 65.2 While part of the normal aging of the eye, left untreated, cataracts cause vision to deteriorate over time. In fact, cataracts are the leading cause of preventable blindness worldwide, impacting more than 100 million eyes.3 Cataract surgery is one of the most common outpatient procedures performed today and has a success rate of approximately 98%.4 Today, cataract treatments can also offer patients vision correction, reducing or eliminating the need for glasses, in addition to removing the cataract.5,6

"84% of surgeons7 choose monofocal IOLs for their cataract patients, so it's thrilling to see the first breakthrough in monofocal technology in decades enter the market to add to our treatment portfolio," said Douglas Koch, M.D., Houston, TX****. "It's the first monofocal designed to provide a slight increase in the depth of focus,1*,8 which is something I need for the patients in my practice looking for more from a monofocal."

The latest innovation in the TECNIS® Family of IOLs - TECNIS Eyhance and TECNIS Eyhance Toric II IOLs – is defining the future of monofocals, with a breakthrough refractive surface designed to:

  • Slightly extend the depth of focus1* through the unique shape of the lens
  • Deliver better image contrast in low light9 TECNIS Eyhance IOLs deliver 30% improvement in image contrast compared to AcrySof IQ SN60WF at 5mm
  • Provide safe and easy delivery using the new TECNIS Simplicity® system that streamlines lens delivery and protects against contamination10

"Built on the proven TECNIS® platform,11 TECNIS Eyhance combines low-light performance with breakthrough refractive surface design, providing a new kind of monofocal experience for cataract patients,12" said Rajesh K. Rajpal*****, MD, Chief Medical Officer and Global Head of Clinical and Medical Affairs at Johnson & Johnson Vision. "Additionally, the TECNIS Eyhance Toric II lens is engineered with a new squared and frosted haptic design for added friction inside the capsular bag to treat cataract patients with astigmatism."

https://www.streetinsider.com/Corporate+News/Johnson+%26+Johnson+%28JNJ%29+Vision+Receives+FDA+Approval+For+Next+Generation+Monofocal+Intraocular+Lens+For+The+Treatment+Of+Cataract+Patients/17899708.html

Jefferies Starts Gracell Biotechnologies Inc (GRCL) at Buy

  'Unmatched Innovation to Deliver Faster, Better, and Cheaper CAR'

https://www.streetinsider.com/Analyst+Comments/UPDATE%3A+Jefferies+Starts+Gracell+Biotechnologies+Inc+%28GRCL%29+at+Buy%2C+Unmatched+Innovation+to+Deliver+Faster%2C+Better%2C+and+Cheaper+CAR/17898132.html