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Wednesday, August 31, 2022

Arcturus Gets Fed Award for Self-amplifying mRNA Vaccine for Rapid Pandemiclu Respon Fse

Arcturus will expand its current influenza vaccine program to include development of a pandemic influenza vaccine based on its proprietary self-amplifying mRNA platform with the support of the Biomedical Advanced Research and Development Authority

$63.2 Million base award to fund development from preclinical stage through Phase 1 over three-year period

A lower-dose, freeze-dried, pandemic influenza vaccine candidate will use Arcturus’ STARR™ self-amplifying mRNA vaccine platform technology which demonstrated favorable safety and efficacy against SARS-CoV-2 infection combined with a stable cold chain profile that may help support U.S. government pandemic preparedness goals

https://finance.yahoo.com/news/arcturus-announces-63-2-million-200000755.html

AnaptysBio: Candidate no improvement over placebo in Phase 2

 

  • Imsidolimab (anti-IL-36 receptor antagonist) did not demonstrate improvement over placebo in the primary endpoint and key secondary endpoints

  • Imsidolimab was safe and well tolerated with no imsidolimab-related serious or severe adverse events reported

  • Company to discontinue imsidolimab clinical development in hidradenitis suppurativa

  • Enrollment ongoing in the imsidolimab GEMINI-1 GPP Phase 3 registrational trial with top-line data anticipated Q4 2023 and the company plans to outlicense imsidolimab prior to potential FDA approval

  • Company to focus R&D efforts on its novel immune cell modulator pipeline, including its two checkpoint agonists in clinical-stage development, rosnilimab and ANB032

Amneal Submits Application for IPX203 for Treatment of Parkinson’s

 Amneal Pharmaceuticals, Inc. (NYSE: AMRX) today announced it has submitted a New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) for IPX203, a novel, oral formulation of carbidopa/levodopa (CD/LD) extended-release capsules for the treatment of Parkinson’s disease (PD).

The submission is based on results from the pivotal Phase 3 RISE-PD clinical trial demonstrating more "Good On" time compared to immediate-release CD/LD, even when IPX203 was dosed on average three times per day and immediate-release CD/LD was dosed on average five times per day. The trial also showed that subjects on IPX203 demonstrated significantly less "Off" time compared with immediate-release CD/LD. A post-hoc analysis of the Least Squares Mean difference at end of study (week 20) showed that IPX203 provided 1.55 more hours of "Good On" time per dose versus immediate-release CD/LD, representing a 70% per dose increase.

"We are committed to furthering the advancement of treatments that can provide longer-lasting duration of benefit with every dose and simplify medication regimens," said Chintu Patel, Co-Chief Executive Officer. "The RISE-PD data indicate IPX203 can offer patients a new and important treatment option that will enable them to have more "Good On" time during the day, which we believe would be a significant new benefit for Parkinson’s patients. We are working with the FDA to bring this treatment to market."

https://finance.yahoo.com/news/amneal-announces-submission-drug-application-203500813.html

Why Nuwellis surged

 Nuwellis announced the publication of key clinical data supporting the use of ultrafiltration with the Aquadex FlexFlow System in high-risk postoperative coronary artery bypass grafting (CABG) patients in the Journal of Cardiac Surgery.

Study Title: “The Use of Simple Ultrafiltration Technology as a Fluid Management Strategy for High-Risk Coronary Artery Bypass Grafting Surgery”

More details: The study is a real-world retrospective review of postoperative isolated CABG patients who were treated in the Division of Cardiothoracic Surgery at Baylor Scott & White Health in Temple, Texas between January 1, 2020 and July 31, 2021. A total of 254 CABG procedures were performed during this period, and ultrafiltration was used in 17 (6.7%) patients. Despite an elevated mean Society of Thoracic Surgeons mortality score of 5.7% (range 0.6-50.0), the 30-day survival rate of patients treated with ultrafiltration was 100%.

KEY QUOTES:

“Ultrafiltration technology has been used for decades to successfully treat advanced heart failure patients and data hav been published to demonstrate its outcomes, but its application in cardiac surgery to treat fluid overload is innovative. These favorable results are consistent with the clinical findings in other large academic centers using ultrafiltration technology in cardiac surgery, and we are eager to gather additional multi-institutional data about the use of Aquadex for this challenging patient population.”

— Daniel Beckles, M.D., Surgical Director of Heart Transplantation and Mechanical Circulatory Support at Baylor Scott & White Health and the study’s lead author

“We are pleased with the results of this first-of-its-kind study highlighting the benefits of Aquadex therapy for high-risk CABG patients. The Aquadex System offers a significant opportunity to the medical community to improve clinical outcomes. In 2019, we made the decision to expand our strategic focus to include the use of Aquadex in critical care (cardiac surgery) and pediatric settings. Today, critical care represents approximately 40% of our total revenue, confirming the execution of the strategy and the clinical value of the Aquadex System in this patient segment.”

— Nestor Jaramillo, Jr., President and CEO of Nuwellis

https://pulse2.com/nuwellis-nuwe-stock-why-it-surged-over-70-today/

Amgen Puts Pressure on Mirati with Phase III Lung Cancer Win

 Amgen announced Tuesday that initial Phase III data of Lumakras (sotorasib) in KRAS G12C-mutated non-small cell lung cancer (NSCLC) met the primary endpoint of progression-free survival. 

The early readout points to a significant survival benefit associated with Lumakras treatment compared to intravenous docetaxel chemotherapy, the standard of care.

These findings come from the CodeBreaK 200 trial, a randomized and active-controlled study that enrolled more than 340 patients who had previously been treated with at least a platinum-based doublet chemotherapy and checkpoint inhibitor therapy. All trial participants also had unresectable and metastatic tumors that harbored the G12C mutation in the KRAS gene, the most common genetic alteration in NSCLC.

David M. Reese, M.D., executive vice president of research and development at Amgen, said in a statement that more in-depth data analyses are still ongoing and that the company will reveal more details at an upcoming medical conference.

Lumakras is a highly specific KRAS G12C inhibitor that deactivates the mutant protein by forming an irreversible covalent bond with aberrant cysteine residue. In May last year, Lumakras became the first-ever FDA-approved drug for the treatment of this specific form of NSCLC. Since then, the pharma giant has also initiated a Phase III study of the drug in colorectal cancer, while continuing several studies in lung cancer.

In early August, Amgen released mixed results from two of these trials. The Phase Ib CodeBreaK 100/101 study showed that while combination treatment with pembrolizumab or atezolizumab was effective, inducing an objective response rate of 29%, Lumakras also caused high liver toxicity. Another dose-exploration study under CodeBreaK 101 also showed a good response after Lumakras treatment, accompanied by high rates of side effects.

Lumakras' greenlight was granted under the agency's accelerated approval scheme, which lets the FDA accept a surrogate endpoint as the basis of their regulatory nod but is only applicable for drugs that treat serious diseases for which there are very few treatment options.

The Race Heats Up

Also seeking accelerated approval is California cancer company Mirati Therapeutics, whose NSCLC hopeful adagrasib is awaiting the FDA's verdict. The regulatory body is expected to reach a decision by Dec. 14.

Like Amgen's Lumakras, adagrasib is also a KRAS G12C inhibitor that works by selectively and irreversibly binding to the mutant protein, keeping it inactive. In the Phase II KRYSTAL-I study, Mirati's candidate achieved an objective response rate of 43% and a disease control rate of 80% in nearly 120 NSCLC patients harboring the mutation.

Adagrasib's effects were also durable, lasting for a median of 8.5 months. The average progression-free survival in this trial was 6.5 months. Early data from KRYSTAL-I formed part of adagrasib's new drug application that Mirati filed to the FDA, for which the accelerated approval is pending.

The California biotech presented more promising data for adagrasib at the Annual Meeting of the American Society of Oncology last June.

Drawing from the Phase Ib cohort of KRYSTAL-I, Mirati showed that adagrasib could elicit an intracranial response in about a third of KRAS G12C-mutated NSCLC patients whose tumors had already metastasized to the brain. Three of these responders showed complete treatment responses following adagrasib administration. Mirati's candidate led to an intracranial disease control rate of 84%.

Mirati has also filed a marketing authorization application for adagrasib with the European Medicines Agency.

https://www.biospace.com/article/with-phase-iii-win-in-lung-cancer-amgen-puts-the-pressure-on-mirati/

September's Key PDUFA Catalysts

 After August’s mixed tally for Food and Drug Administration approvals, investors turn to a new month, which has a fairly loaded calendar.

New molecular entity approvals drew a blank in August. NMEs are those active moieties that have not been previously approved by the FDA. This should be a cause of concern, as NME approvals are considered a measure of innovation in drug research.

The fortunate ones that could take their drugs past the finish line included bluebird bio, Inc. 

Johnson & Johnson , and Axsome Therapeutics, Inc. .
ACADIA Pharmaceuticals, Inc. 

 faced rejection for expanding the label of its Nuplazid to be able to treat Alzheimer’s disease psychosis. CorMedix, Inc.’s  defencath application was shot down by the FDA for a second time. The review period for Amicus Therapeutics, Inc.’s  Pompe disease treatment was extended.

The Prescription Drug User Fee Act, or PDUFA, date is the period by which the FDA is required to rule on an application submitted by a sponsor company.

Here are the key PDUFA catalysts for the upcoming month:

Can Vertex’s Cystic Fibrosis Drug Snag a Label Expansion

Company: Vertex Pharmaceuticals Incorporated 


Type of Application: supplemental new drug application
Candidate: Orkambi
Indication: cystic fibrosis in children.
Date: Sept. 4

Orkambi, a combination of ivacaftor and lumacaftor, was first approved for cystic fibrosis in July 2015. The company is now seeking to expand the label of the drug to include children 12 months to less than 24 months old.

Cystic fibrosis is a rare genetic disease that leads to a build-up of thick mucus in the lungs and other organs. It is caused by a defect in or absence of the protein – “cystic fibrosis transmembrane conductance regulatory protein,” due to mutations in the CFTR gene.

Orkambi fetched Vertex sales of $772 million in 2021, down from $908 million a year ago. A potential label expansion could help reinvigorate sales.

Revance Frown Lines Treatment Awaits FDA Clearance

Company: Revance Therapeutics, Inc. 


Type of Application: biologic license application
Candidate: daxibotulinumtoxinA
Indication: glabellar lines
Date: Sept. 8

DaxibotulinumtoxinA, or Daxi, is a next-gen neuromodulator product that is being evaluated to treat moderate to severe glabellar lines, aka frown lines, and is touted as a potential Botox rival. The original PDUFA date of Nov. 25, 2020, was not met due to COVID delays in inspecting manufacturing sites.

The FDA issued a complete response letter – a communication from the FDA regarding non-approvability of the treatment, in October 2021, citing issues with manufacturing sites. The company’s resubmitted BLA was accepted for review by the FDA in late April, with the new PDUFA date.

Can Second Time Be Charm For Spectrum Pharma

Company: Spectrum Pharmaceuticals, Inc.’s 


Type of Application: BLA
Candidate: eflapegrastim
Indication: chemotherapy-induced neutropenia
Date: Sept. 9

Eflapegrastim, which is to be marketed under the trade name Rolontis, is a long-acting granulocyte-colony stimulating factor. It's a novel molecule for the treatment of neutropenia, with the potential to compete in a worldwide market that exceeds $6 billion, Spectrum said in an investor presentation.

Neutropenia is a condition where the neutrophil count is very low in the blood and it can be caused due to diseases that damage the bone marrow by certain medications, including chemotherapy.

Like Revance, the FDA’s decision on Spectrum Pharma’s Rolontis application was delayed from the original PDUFA date of September 2020. A year later, the drug regulator outrightly rejected the application, citing issues with the manufacturing sites in South Korea. The FDA accepted the resubmitted application and communicated the new PDUFA date.

Bristol-Myers Squibb Looks to Add To Its New Drug Launch Tally For 2022

Company: Bristol-Myers Squibb Company 


Type of Application: NDA
Candidate: deucravacitinib
Indication: plaque psoriasis
Date: Sept. 10

Bristol-Myers Squibb's deucravacitinib, if approved, would be the first tyrosine kinase 2 inhibitor approved for the treatment of any disease. Phase 3 data supporting the NDA submission demonstrated the drug’s superior efficacy relative to Amgen, Inc.’s 

 Otezla.

Otezla, which has been approved for multiple indications, generated sales of $2.3 billion for Amgen in 2021.

Bristol-Myers Squibb has been brisk with its first-in-class drug approvals this year, and if deucravacitinib is approved by the deadline, it would mark the third such drug approval of the year for the company, Fierce Biotech reported.

ObsEva Hopes For Uterine Fibroid Drug Nod In US After EU Approval

Company: ObsEva SA 


Type of Application: NDA
Candidate: linzagolix
Indication: heavy menstrual bleeding
Date: Sept. 13

Linzagolix provides flexible dosing options for the management of heavy menstrual bleeding associated with uterine fibroids in premenopausal women.

“A dosing option without hormonal ABT would be welcomed by the significant number of women who either have contraindications to or a personal preference to avoid the use of estrogen-based therapies, while also providing a dosing option for women in whom hormonal ABT is indicated,” the company’s chief medical officer Elizabeth Garner said in a statement.

The European Commission granted marketing authorization for linzagolix in June, and in the region it would be sold under the brand name Yselty,

bluebird Braces For Double Delight

Company: bluebird bio
Type of Application: BLA
Candidate: eli-cel
Indication: cerebral adrenoleukodystrophy
Date: Sept. 16

Bluebird bio is coming off the successful clearance for Zynteglo, its cell-based gene therapy, for the treatment of beta-thalassemia in adult and pediatric patients requiring red blood cell transfusions. The approval secured in mid-August kickstarted a nice upward momentum in the stock.

If approved, eli-cel will be the first and only gene therapy for the treatment of early active CALD, a rare neurodegenerative disease that primarily affects young children and leads to irreversible loss of neurologic function and death.

See also: Is Monkeypox Outbreak Cooling? Health Officials Says Virus Transmission Has Slowed

Will It Be Smooth Sailing For Heron’s Nausea Drug?

Company: Heron Therapeutics, Inc. 


Type of Application: NDA
Candidate: HTX-019
Indication: post-operative nausea and vomiting
Date: Sept. 17

Heron sees a significant market opportunity for HTX-019, going by about 39 million surgical procedures done annually, where people are at risk for PONV. The regulatory application submitted in Nov. 2021 was accepted for review with a PDUFA goal date of Sept. 17.

Regeneron Seeks Another Label Expansion For Cancer Drug

Company: Regeneron Pharmaceuticals, Inc. 


Type of Application: Libtayo in combination with chemotherapy
Candidate: sBLA
Indication: Lung cancer
Date: Sept. 19

Libtayo, a PD-1 inhibitor jointly developed by Regeneron and Sanofi 

, has already been approved for three indications – two types of skin cancer and as a monotherapy option for lung cancer.

The companies are now attempting to get a fourth approval for the treatment, this time in combination with chemotherapy as a first-line treatment for advanced non-small cell lung cancer patients.

Will FDA Hear Out Fennec’s Argument For Its Hearing Loss Drug?

Company: Fennec Pharmaceuticals Inc. 


Type of Application: NDA
Candidate: Pedmark
Indication: ototoxicity
Date: Sept. 23

Pedmark is a unique formulation of sodium thiosulfate, and is being evaluated for the prevention of ototoxicity induced by cisplatin chemotherapy in patients one month to less than 18 years of age with localized, non-metastatic, solid tumors.

Fennec’s original application was handed with a CRL in November 2021 on the grounds of manufacturing issues. A resubmission was made and the FDA accepted it for review in April.

Will Amylyx’ Wait For Maiden FDA Nod End?

Company: Amylyx Pharmaceuticals, Inc.’s 


Type of Application: NDA
Candidate: sodium phenylbutyrate/taurursodiol
Indication: amyotrophic lateral sclerosis
Date: Sept. 29

An FDA panel had earlier in March voted against approval of the drug, and the drug regulator later announced an extension to the review period. This pushed the PDUFA date from June 29 to Sept. 29. A new Adcom meeting was convened subsequently.

Given the drug is the only pipeline compound in Amylyx’ portfolio, it becomes all the more important for the company to push it past the finish line. On a positive note, the company snagged its first-ever nod in June, when Health Canada approved the combo treatment for ALS.

Sanofi-Regeneron On Cusp Of Getting Another Approval For Blockbuster Drug

Company: Regeneron/Sanofi
Type of Application: sBLA
Candidate: Dupixent
Indication: prurigo nodularis
Date: Sept. 30

Dupixent is Sanofi-Regeneron combo’s blockbuster anti-inflammatory drug, which has been approved for multiple indications. The two companies are now knocking on the FDA’s door for getting approval for Dupixent in prurigo nodularis, a chronic inflammatory skin disease that causes extreme itch and skin lesions.

If greenlighted, Dupixent would be the first and only medicine approved specifically to treat prurigo nodularis in the U.S.

Adcom Calendar:

The Peripheral and Central Nervous System Drugs Advisory Committee has convened a meeting on Sept. 7, between 12 p.m. and 6:30 p.m., to discuss Amylyx’ NDA for sodium phenylbutyrate/taurursodiol powder for oral suspension, for the treatment of ALS.

The FDA’s Oncologic Drugs Advisory Committee Meeting will occur on Sept. 22-23, both days between 9 a.m. and 1:15 p.m., to discuss Spectrum Pharma’s NDA for poziotinib tablets for the treatment of patients with previously treated, locally advanced or metastatic non-small cell lung cancer harboring HER2 exon 20 insertion mutations.

https://www.benzinga.com/general/biotech/22/08/28705100/bluebird-bio-seeks-back-to-back-nods-go-or-no-go-for-revances-botox-rival-amylyx-twin-hurdles-and