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Friday, May 7, 2021

Brazil Eyes New Pfizer Deal Next Week for 100 Million More COVID-19 Shots

 Brazil expects to sign a new deal next week with Pfizer Inc for 100 million more COVID-19 vaccine doses, a Health Ministry official said on Friday, which would double the U.S. drugmaker's delivery to the Latin American country this year.

Rodrigo Cruz, executive secretary at the ministry, told journalists the contract has been agreed and just needs to be signed. Earlier this week, Health Minister Marcelo Queiroga said 35 million of these shots are due to be delivered in October.

https://www.usnews.com/news/world/articles/2021-05-07/brazil-eyes-new-pfizer-deal-next-week-for-100-million-more-covid-19-shots

McKesson Higher After Strong FY22 Guidance, Goldman Price Target Hike

 

  • McKesson Corporation (NYSE: MCKreported fourth-quarter FY21 EPS of $5.05, which beat the analyst consensus estimate of $5.04 versus $4.27 a year ago.
  • Sales increased 1% Y/Y to $59.14 billion, which missed the analyst consensus estimate of $61.09 billion.
  • Revenue growth of 1% Y/Y was primarily due to market growth and higher volumes from retail national account customers in the U.S. Pharmaceutical segment.
  • U.S. Pharmaceutical Segment revenues were $47.0 billion, an increase of 3% Y/Y, driven by market growth and higher volumes from retail national account customers, partially offset by the prior year’s acceleration in demand caused by the onset of the COVID-19 pandemic and branded to generic conversions.
  • Prescription Technology Solutions Segment sales increased 7% to $789 million, led by higher volumes of technology and service offerings to support biopharma customers.
  • Medical-Surgical Solutions sales improved 23% to $2.7 billion, driven by demand for COVID-19 tests.
  • Adjusted gross profit was approximately flat to the prior year as inventory charges in the Medical-Surgical segment and the previously mentioned last year demand increase, driven by COVID, largely offset the contribution of COVID-19 vaccine distribution and kitting programs and the distribution of COVID-19 tests.
  • Adjusted operating profit increased 12% to $1.16 billion.
  • Despite the pandemic-driven uncertainty on FY22 financials, “we do expect a return to pre-COVID levels of prescription volumes and patient engagement levels in the second half of fiscal 2022,” CEO Brian Tyler said on the earnings call.
  • McKesson guides FY22 adjusted EPS of $18.85 – 19.45, indicating 9.5% - 13% Y/Y growth. The consensus EPS stands at $18.85 per share.
  • Guidance assumes $0.50 to $0.70 adjusted EPS related to the U.S. government’s COVID-19 vaccine distribution and kitting programs.
  • McKesson sees FY22 revenue growth of 3% to 6%.
  • Goldman Sachs maintains McKesson with a Buy and raises the price target from $231 to $257.

Galapagos Drops Early Metabolic & Osteoarthritis Programs, Reorganizes R&D

 

  • Galapagos NV (NASDAQ: GLPG) is chopping its pipeline to conserve cash while its business development team pursues a mission to find a “transformative” deal for the company.
  • The company is ditching its Idiopathic pulmonary fibrosis (IPF) molecule ’1205 while moving ahead with a Phase 2 IPF study for its chitinase inhibitor ’4617.
  • It is also dropping early research efforts in metabolic diseases and osteoarthritis while cutting back on non-core areas of R&D focus. This decision will cost the pipeline their diabetes drug GLPG4059.
  • Bart Filius, President, and COO said, “in line with our review, we decided to discontinue or cancel certain studies and consequently identified opportunities to reduce operational costs, for a total potential savings of €150 million on a full-year basis. Roughly half of these savings will be realized in 2021, resulting in a 2021 cash burn guidance of between €580 million and €620 million. We are working towards a right-sized, refocused version of Galapagos, setting us on a path towards success with our first commercial product, new R&D opportunities, substantial clinical news flow, and a lengthened cash runway for validation of our early pipeline assets.”
  • Still in the spotlight: Lead Toledo program ‘3970, a SIK2/3 inhibitor, moving ahead in 5 proof-of-concept studies with plans “to roll out our further development plans in the second half of the year.”
  • Researchers selected an additional molecule from their Toledo program, SIK2/3 inhibitor ‘4876, “as a candidate to accelerate from preclinical phase into clinical development.”
  • They expect to progress their TYK2 inhibitor ‘3667 into Phase 2b.

6 Relevant Pieces of Trading Wisdom

 Here are six pieces of trading wisdom that I might touch upon in Sunday evening's happy hour session:


1)  Ego is our self-talk.  Our wisdom comes when we stop talking to ourselves and let markets speak to us.

2)  In stable market conditions, we work to refine our game.  In changing market conditions, we find new games to play.

3)  Opportunity is just as much a function of what you trade as how you trade.

4)  If you trade a style that fits your personality, you'll be a one-trick pony.

5)  Greatness is never achieved in isolation.  Great performers--in athletics, visual arts, drama, medicine, music, markets--learn from others and with others.

6)  If P/L is the most important thing in our lives, markets will always control us and dominate our psychology.


ALS trial failure leaves Biogen/Ionis exposed

 Biogen is under increasing pressure – as if it needs it – to deliver with its Ionis-partnered mRNA project tofersen in amyotrophic lateral sclerosis. The asset looks increasingly exposed among pivotal-stage ALS projects after the recent failure of Brainstorm’s NurOwn and that of Orphazyme’s arimoclomol, announced this morning. Investors will have to wait another week to find out the data from arimoclomol’s pivotal ALS trial, Orarials-01, when these are presented at the Encals meeting; for now, Orphazyme says in the 245-patient study arimoclomol failed to beat placebo on either its primary measure, 76-week CAFS score, or secondary endpoints, which included the ALSFRS-R score and slow vital capacity. This comes after US FDA said Brainstorm’s unequivocally negative pivotal study of the stem cell therapy NurOwn was insufficient for filing, Orion’s levosimendan failed in the Refals trial, and Amylyx was told that it had to run a full phase 3 study with AMX0035. Tofersen’s phase 3 Valor study, ending mid-2021, is the next big readout for ALS. In addition to failing in ALS arimoclomol has also flunked trials in inclusion body myositis and Niemann-Pick disease, though Orphazyme is pursuing a filing in the last indication.

Late-stage ALS pipeline (selected projects, excluding riluzole formulations)
ProjectMechanismCompanyTrialNote
Phase III
Simdax po (levosimendan)PDE3 inhibitorOrionNCT03505021 (Refals)Failed Jul 2020
NurOwn Program OneCell therapyBrainstorm Cell TherapeuticsNCT03280056Failed Nov 2020; data insufficient for filing
Arimoclomol citrateSOD1 chaperoneOrphazyme (ex Cytrx)NCT03491462 (Orarials-01)Failed May 2021
TofersenSOD1 inhibitor mRNABiogen/IonisNCT02623699 (Valor)183 subjects; data due H2 2021
UltomirisAnti-complement factor C5 MabAlexionNCT04248465382 subjects, ends Feb 2022
Alsitek (masitinib)CD117, FGFR3 & PDGFR antagonistAB ScienceNCT03127267495 subjects, not yet recruiting, ends Dec 2022
Phase II/III
AMX0035 (sodium phenylbutyrate + Taurursodiol)Histone deacetylase inhibitor + bax inhibitorAmylyxNCT03127514 (Centaur)Centaur met primary endpoint, but FDA has demanded a full ph3 trial
CuATSM UnknownCollaborative Medicinal DevelopmentNCT0408283280 subjects; study ended, no data
ZilucoplanComplement factor C5 inhibitorUCBNCT04436497 (HEALEY ALS Platform Trial – Regimen A)160 subjects, ends Oct (previously Mar) 2021
VerdiperstatMyeloperoxidase enzyme inhibitorBiohavenNCT04436510 (HEALEY ALS Platform Trial – Regimen B)161 subjects, ends Oct (previously Mar) 2021
CNM-Au8Elemental gold nanocrystalsClene NanomedicineNCT04414345 (HEALEY ALS Platform Trial – Regimen C)162 subjects, ends Oct (previously Mar) 2021
Ketas (ibudilast/MN-166)LTD4 receptor antagonistMedicinovaNCT04057898 (Combat-ALS)230 subjects, ends Dec 2023
Source: clinicaltrials & Evaluate Pharma.

https://www.evaluate.com/vantage/articles/news/snippets/arimoclomol-failure-leaves-biogenionis-exposed

Insulin delivery landscape changes

 Becton Dickinson’s diabetes business, a major supplier of insulin pen injection devices, is by far the company’s slowest-growing unit, Evaluate Medtech data show. The consensus of sellside forecasts puts the division's annual growth at just 1% between 2020 and 2026, compared with 5-7% for all BD’s other divisions. This is clearly part of the rationale for the company’s decision, announced yesterday, to spin the unit off as a separate publicly traded company. BD’s chief executive, Tom Polen, said that, once independent, the diabetes business would be able to “unleash its growth potential” through more efficient allocation of its own capital. Leerink analysts said the division was a drag on the company’s topline growth rate, adding that the spin-off was likely necessitated by BD’s desire to pursue strategic investments in other areas. Lilly has also been cutting deals in this same segment: yesterday it agreed to make its Tempo Pen insulin injector and Tempo Smart Button, a small device that automatically records medication usage, compatible with diabetes management platforms from Dexcom, Glooko, Roche and the French group Mydiabby Healthcare. 

WW sales ($bn)BD's business unitsCardiologyDiabetic careDrug deliveryGeneral healthcareSurgeryHealthcare ITIn vitro diagnosticsUrologyOther medtech202020212022202320242025202602468Evaluate Medtech2021 Diabetic care: 1.1

Why Mednax Is Soaring

 Shares of Mednax (NYSE:MD) were soaring 16.3% higher at 11:56 a.m. EDT on Friday. The big gain came after the company announced its first-quarter results before the market opened.


Mednax reported net revenue in the first quarter of $446.8 million. This result was well above the consensus Wall Street estimate of $424.1 million. The company announced adjusted earnings per share (EPS) from continuing operations of $0.24. This trounced the average analysts' estimate of $0.13.

COVID-19 continued to weigh on the medical services provider's performance in Q1. However, patient volumes weren't affected as much as in the fourth quarter of 2020.


Perhaps the biggest reason the healthcare stock is rising today is that investors are more confident about Mednax's prospects. Increased availability of COVID-19 vaccines could further reduce the negative impact of the pandemic on Mednax's business. The company also acquired two physician groups in the first quarter that will help boost its revenue.

https://www.fool.com/investing/2021/05/07/why-mednax-stock-is-soaring-today/