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Friday, June 27, 2025

Controversial project aims to make artificial human genomes

 An ambitious project funded by the Wellcome Trust medical charity in the UK is aiming to develop the tools needed to synthesise human genomes, with the promise of accelerating the development of new cell-based therapies.

The Synthetic Human Genome (SynHG) Project, launched on the 25th anniversary of the mapping of the human genome, is being launched with £10 million (nearly $14 million) in initial funding over five years and a promise that there will be no attempt to create synthetic life.

The aim of the project is to move beyond gene editing, where existing DNA sequences are modified, toward the construction of large blocks of human DNA and, potentially at least, entire chromosomes, although the SynHG scientists acknowledge that could take decades to achieve.

That will require a level of understanding that goes far beyond current knowledge, which is limited mostly to the sequences in the genome that code for proteins while the gaps in between – once dismissed as 'junk' DNA – remain largely unexplored.

The potential has, however, sparked concerns about misuse of the approaches by unscrupulous scientists, as occurred a few years ago when Chinese doctor He Jiankui genetically modified human babies using gene-editing techniques to protect them from HIV, sparking a backlash from the scientific community and earning him a prison sentence.

Recognising the potential for controversy, the team behind the project – which is led by Prof Jason Chin of the MRC Laboratory of Molecular Biology – includes social scientists who will work with civil society groups around the world to "explore, assess, and respond to the socio-ethical implications" of the tools and technologies that will be developed.

That side of the project – dubbed Care-full Synthesis – will be led by Prof Joy Zhang of the Centre for Global Science and Epistemic Justice at the University of Kent.

"The ability to synthesise large genomes, including genomes for human cells, may transform our understanding of genome biology and profoundly alter the horizons of biotechnology and medicine," said Prof Chin.

That could include deepening understanding of cellular processes in health and disease, developing ways to more efficiently express gene products that have biomedical value, and working out how to develop novel gene-directed medicines.

"With SynHG we are building the tools to make large genome synthesis a reality, and at the same time we are proactively engaging in the social, ethical, economic, and policy questions that may arise as the tools and technologies advance."

Prof Robin Lovell-Badge of the Francis Crick Institute said he was "enthusiastic" about the project because it marries the investigation of new tools and techniques with a consideration of "safety and risk and, very importantly, the societal values on which it may impinge."

This is important to "judge where the research needs particularly tight scrutiny and to define under what conditions even some experiments deemed to be of high risk might proceed or whether they should be prohibited outright for being far too dangerous," he added.

If synthetic chromosomes or cells were to result from the project, "I would urge incorporating an inducible genetic kill switch to eliminate them from any location in the body or at least to make them easy for the immune system find and destroy," said Prof Lovell-Badge.

https://pharmaphorum.com/news/controversial-project-aims-make-artificial-human-genomes

After FDA says no, Bayer bags EU nod for twice-yearly Eylea

 Bayer has been given a leg up in the competitive market for VEGF therapies used to treat eye diseases like wet age-related macular degeneration (AMD) with a new approval for Eylea 8mg.

The European Commission has cleared the high-strength formulation of Eylea (aflibercept) with an extended treatment interval of up to six months for wet AMD and diabetic macular oedema (DME), becoming the first anti-VEGF candidate to offer such infrequent dosing.

The EU decision comes after the extension to the dosing interval was rejected by the FDA in the US, where Eylea is sold by Regeneron, earlier this year.

Eylea 8mg was first approved in the EU in early 2024 with labelling that supported treatment intervals of up to five months in patients who have completed an initial loading period of three monthly doses, followed by four-monthly injections, and have stabilised vision.

The high-strength version, which complements Bayer and Regeneron's earlier 4mg formulation that required monthly administration, is also approved in Europe for macular oedema secondary to retinal vein occlusion (branch RVO or central RVO) and myopic choroidal neovascularisation (myopic CNV), but the new six-month dosing does not apply to these indications.

As treatment requires injections into the eye, reduced dosing frequency can be a competitive advantage. In Europe, Eylea is competing with rival therapies like Novartis' Lucentis (ranibizumab) and Beovu (brolucizumab) and Roche's Vabysmo (faricimab), which now all require more frequent dosing than Eylea 8mg.

Vabysmo can be dosed every four months in some patients, which has helped it to eat into market leader Eylea's market share, while Lucentis and Beovu need injections every month or two to three months, respectively.

Roche's drug made $4.3 billion in sales last year, while Eylea brought in $9.5 billion between the low- and high-dose formulations, the latter sold as Eylea HD by Regeneron.

Vabysmo is growing at a much faster rate, however, so the new dosing frequency could help Bayer defend its franchise, although, both brands are being affected by the launch of lower-cost biosimilars of Lucentis.

Bayer's global product strategy and commercialisation lead, Christine Roth, said that the new label means that Eylea 8mg "has the potential to establish a new standard of care for retinal diseases."

The decreased frequency of injections and clinic visits "translates to decreased burden of disease for patients and may enhance adherence to treatment," added Roth. "For ophthalmologists, it allows for greater capacity to treat additional patients."

https://pharmaphorum.com/news/after-fda-says-no-bayer-bags-eu-nod-twice-yearly-eylea

BioCryst to sell European ORLADEYO business to Neopharmed for $264M

 BioCryst Pharmaceuticals, Inc. (NASDAQ:BCRX) has entered into an agreement to sell its European ORLADEYO business to Neopharmed Gentili for up to $264 million, according to a press release statement issued Friday.

The deal includes a $250 million upfront payment and potential future milestone payments of up to $14 million related to sales in Central and Eastern Europe. BioCryst plans to use the proceeds to retire its remaining term debt of $249 million from Pharmakon, eliminating approximately $70 million in future interest payments. The company’s current total debt stands at $829 million, with a current ratio of 2.93x indicating strong short-term liquidity position.

As part of the transaction, Neopharmed Gentili will acquire BioCryst’s European organization, which is expected to result in at least $50 million in annual operating expense savings for BioCryst. The Italian pharmaceutical company will also assume responsibility for all royalties related to European sales.

BioCryst now forecasts it will end 2027 with approximately $700 million in cash and no term debt, representing a $400 million increase from its previous guidance. 

"This transaction is consistent with our strategy of making ORLADEYO available to patients in Europe through the team we built, and it now provides the capital to retire our remaining term debt," said Jon Stonehouse, president and chief executive officer of BioCryst.

https://www.investing.com/news/company-news/biocryst-to-sell-european-orladeyo-business-to-neopharmed-for-264m-93CH-4114313

Turnstone, once allied with AbbVie and Takeda, accepts $8M Xoma buyout

 Turnstone Biologics has limped to the exit. Xoma Royalty is buying Turnstone for less than $8 million, marking a low-profile end for a company that pulled in hundreds of millions of dollars from investors and partners. 

San Diego-based Turnstone has been on life support since manufacturing costs forced the biotech to ax its last remaining clinical program early this year. The termination triggered another round of layoffs and sparked a search for strategic alternatives.

Transferred off the main Nasdaq exchange and running low on cash, Turnstone lacked some of the resources buyers look for in beleaguered biotechs.

Xoma has seen enough value in Turnstone to offer $0.34 per share in cash for the biotech. Multiplying the offer by the number of shares outstanding at the last count puts the value of the buyout at $7.9 million. Xoma has also offered a contingent value right that could give shareholders a future payday. The companies didn't provide details of the CVR in their June 27 press release.

In return, Xoma will gain Turnstone’s remaining cash reserves, which stood at $21.8 million at the end of March, and its tumor-infiltrating lymphocyte pipeline and technologies. Turnstone’s lead candidate was in a phase 1 solid tumor trial when it ended development.

Xoma’s business model is to acquire rights to royalties and milestones, offering biotechs cash upfront in exchange for longer-term revenue streams.

Turnstone, for its part, teamed up with AbbVie in 2017 and landed a deal with Takeda in 2019, but both partners are long gone. 

In its 2024 annual report, Turnstone said “we will not receive any additional collaboration revenue under the Takeda Agreement in the future because this agreement has been terminated.” AbbVie, which axed its deal with Turnstone in 2019, isn’t mentioned in the annual report. 

https://www.fiercebiotech.com/biotech/turnstone-once-allied-abbvie-and-takeda-accepts-8m-xoma-buyout

CVS Caremark to pay $95M in Medicare fraud case

 

  • CVS must pay the government at least $95 million after a federal court ruled in favor of a whistleblower, finding its pharmacy benefit subsidiary Caremark overcharged Medicare for generic drugs.
  • Judge Mitchell Goldberg in the Eastern District of Pennsylvania ruled on Wednesday that Caremark inflated Medicare Part D drug prices to offset other costs.
  • But Goldberg said that the False Claims case did not prove liability against the parent company CVS Health or CVS Pharmacy. A CVS spokesperson on Wednesday said the company was “pleased” about the two liability rulings, but “disappointed” the court ruled against Caremark on other issues.
  • Sarah Behnke, a former actuary in CVS’ insurance subsidiary Aetna, filed the lawsuit in 2014, alleging the company had violated the False Claims Act by knowingly and falsely claiming funds from the U.S. government. Although the case was filed in 2014, it was sealed until 2018 after the Justice Department declined to intervene.

At issue in the lawsuit is Caremark’s pricing arrangement with insurers and pharmacies. PBMs like Caremark sit between insurers and pharmacies in the drug pricing supply chain, and can negotiate drug costs with retail pharmacies.

Medicare Part D plans, where the the federal government partially subsidizes the cost of prescription drugs, contract with insurers, or Part D sponsors, for their plans. Part D sponsors then can contract with PBMs to negotiate drug costs with pharmacies. In some cases, PBMs can charge different amounts for drugs from pharmacies than the amount paid for by insurers and pocket the difference, a technique called spread pricing.

To calculate the subsidies to provide, the CMS requires Part D sponsors to file reports detailing how much sponsors spent on drugs. Behnke alleged Caremark misrepresented the prices of generic drugs filled at some pharmacies and overcharged Medicare between 2010 and 2016.

Goldberg found Caremark inflated its pricing of Part D drugs to offset other costs in its pricing arrangement.

“Caremark knew that the more it paid for Part D drugs, the less it had to pay for commercial drugs,” Goldberg ruled. “Caremark knew if it paid less on commercial drugs, it could earn more spread.”

Caremark must pay $95 million back to the government. However, Caremark’s damages could rise further. Goldberg declined to rule Wednesday on the amount of civil penalties or number of false claims CVS violated. Because the lawsuit was brough by a whisteblower as a qui tam action under the False Claims Act, CVS could be liable for three times the government’s damages plus an inflation-adjusted penalty. 

Opening briefs for those damages are due July 9.

PBMs have caught flak recently from lawmakers and regulators who accuse the middlemen of raising the price of prescription drugs. Iowa passed a law recently placing restrictions on PBMs, joining other states with similar laws like Texas, Georgia, Indiana and Montana. 

https://www.healthcaredive.com/news/cvs-caremark-ordered-pay-95-million-medicare-overbilling/751704/

Ultragenyx breakthrough therapy status for Angelman syndrome drug

 Ultragenyx Pharmaceutical's experimental treatment for Angelman syndrome received Breakthrough Therapy Designation from the U.S. Food and Drug Administration.

The FDA granted the special status to GTX-102 (apazunersen) based on preliminary clinical evidence from a Phase 1/2 study involving 74 patients aged 4-17 years with a full maternal UBE3A gene deletion. According to the company, participants showed consistent developmental gains with rapid, sustained improvements across multiple symptom domains when treated for up to 3 years.

"FDA Breakthrough Therapy Designation underscores both the urgent need for an effective treatment for patients and families affected by Angelman syndrome and the clinically meaningful results demonstrated to date with GTX-102," said Eric Crombez, M.D., chief medical officer at Ultragenyx.

The Breakthrough Therapy Designation is designed to expedite the development and review process for drugs that treat serious conditions and show preliminary evidence of substantial improvement over existing therapies.

Ultragenyx has already begun enrollment in its global Phase 3 Aspire study, which started in December 2024. The trial is expected to enroll approximately 120 children ages four to 17 with Angelman syndrome who have a genetically confirmed diagnosis of full maternal UBE3A gene deletion.

The company also plans to initiate the Aurora study in the second half of 2025, which will evaluate GTX-102 across other Angelman syndrome genotypes and age groups.

https://www.investing.com/news/stock-market-news/ultragenyx-stock-rises-after-fda-grants-breakthrough-therapy-status-for-angelman-syndrome-drug-93CH-4114580

'WHO says 'no evidence of harm' from thimerosal - Reuters'

The World Health Organization said on Friday that thimerosal, a mercury-preservative used in some vaccines was not harmful, after the U.S. Centers for Disease Control and Prevention's vaccine advisory panel voted to recommend Americans receive seasonal influenza shots that are free from it.