FDA approves pricey new treatment for ultra-rare and aggressive form of sarcoma

Neil Desai, Aadi Bioscience CEO (via YouTube)

The FDA on Tues­day ap­proved Aa­di Bio­science’s first drug and the first treat­ment ap­proved specif­i­cal­ly for pa­tients with an ul­tra-rare and ag­gres­sive form of sar­co­ma that oc­curs most­ly in women.

The ap­proval of the drug, known as Fyarro, is for those with lo­cal­ly ad­vanced un­re­sectable or metasta­t­ic ma­lig­nant perivas­cu­lar ep­ithe­lioid cell tu­mor (PECo­ma), and is based on a Phase II tri­al.

Re­sults showed an over­all re­sponse rate as as­sessed by in­de­pen­dent re­view of 39% (12/31), with two pa­tients achiev­ing a com­plete re­sponse af­ter pro­longed fol­low up, Aa­di said. The com­pa­ny al­so said that among re­spon­ders, 92% had a re­sponse last­ing greater than or equal to six months; 67% had a re­sponse last­ing greater than or equal to 12 months; and 58% had a re­sponse last­ing greater than or equal to two years. The com­pa­ny said the drug will be priced at a WAC of about $39,000 per month, or $468,000 per year.

Aa­di COO Bren­dan De­laney said on Tues­day’s in­vestor call, ‘FYARRO’s whole­sale ac­qui­si­tion cost for a sin­gle-use 100 mil­ligram vial is $6,785.00, fac­tor­ing in the vari­abil­i­ty of pa­tient body sur­face area and dose mod­i­fi­ca­tions, we project the whole­sale ac­qui­si­tion cost for a month of FYARRO ther­a­py to be ap­prox­i­mate­ly $39,000.  Statu­to­ry gov­ern­ment dis­counts such as Med­ic­aid re­bates, sales to 340B cov­ered en­ti­ties and VA fa­cil­i­ties among oth­ers will re­duce the net price that Aa­di Bio­science will re­ceive by ap­prox­i­mate­ly 15% to 20%.’

De­laney added in an emailed state­ment to End­points News, ‘These pric­ing es­ti­mates are ap­prox­i­mate and will vary based on pa­tient and oth­er fac­tors (body weight, etc). We think this pric­ing is ap­pro­pri­ate giv­en the great need in PECo­ma, the small pa­tient pop­u­la­tion and over­all clin­i­cal pro­file of FYARRO.’

An­drew Wag­n­er, a se­nior on­col­o­gist at Dana-Far­ber Can­cer In­sti­tute and the prin­ci­pal in­ves­ti­ga­tor of the piv­otal tri­al, said in a state­ment that Fyarro will pro­vide physi­cians ‘with a new weapon for treat­ing pa­tients with this rare dis­ease.’

Shares of the com­pa­ny’s stock rose more than 25% in pre-mar­ket trad­ing Tues­day, but then fell to about a 6% spike by morn­ing. Fyarro was cre­at­ed by Aa­di founder and CEO Neil De­sai, the for­mer glob­al R&D chief at Abrax­is, who tried to de­vel­op a sim­i­lar ap­proach to the one he and Patrick Soon-Sh­iong used to cre­ate block­buster can­cer drug Abrax­ane, which is now in short­age. Abrax­ane was a decades-old chemother­a­py, en­cased in an al­bu­min coat that tricks tu­mor cells in­to ab­sorb­ing the tu­mor-killing agent.

With Fyarro, De­sai took a decades-old im­mune-mod­u­lat­ing drug, ra­pamycin, and coat­ed it in a sim­i­lar al­bu­min coat. Once tak­en up by the tu­mor, it knocks down mTOR, a pro­tein that has long been linked to tu­mor pro­lif­er­a­tion, among oth­er things.

The com­pa­ny did not re­spond to a re­quest for com­ment on the price of the new treat­ment.

Aa­di in May merged with the strug­gling pub­lic biotech Aer­pio Phar­ma­ceu­ti­cals and raised $155 mil­lion from pri­vate in­vestors to com­mer­cial­ize Fyarro.

Australia’s Avance Clinical: no IND required and a 43.5% rebate on clinical spend for CGT biotechs

Avance Clinical is the specialist Australian CRO, with CGT accreditation, for international biotechs that leverages Australia’s supportive clinical trials environment which includes no IND requirement plus a 43.5% Government incentive rebate on clinical spend.

Learn more about Avance ClinicReady here.

Contact us about your next study.

Download our Frost & Sullivan APAC CRO Report here. 

The cell and gene therapies (CGT) sector offers unprecedented opportunities for patient disease management across virtually all therapeutic areas. However, finding the right accredited clinical teams to take a therapy through to the clinic and manage the regulatory process can be a major challenge for biotechs with a CGT product.

If both its BioNTech-partnered Covid-19 vaccine and in-house antiviral live up to their full promises, Pfizer may be sitting on a $100 billion goldmine in 2022.

That’s according to SVB Leerink analyst Geoffrey Porges, who released his latest forecast early Tuesday complete with a lengthy breakdown of all the intricate factors going into his calculation. Bottom line: universal boosting and pediatric recommendations will shore up global Covid vaccine sales to $59 billion in 2021 and $48 billion in 2022, or $107 billion in cumulative sales.

Unlock this story instantly and join 123,900+ biopharma pros reading Endpoints daily — and it’s free.

Joan Perelló, Sanifit CEO

Joan Perelló beat all the odds with his little Spanish biotech startup Sanifit.

Working on the far perimeter of the big US/European drug development scene, he took a drug born out of his PhD work and got enough seed cash to get started. That’s one near miracle. In the second near miracle he gathered a previously unheard of venture raise in Spain — helping build an industry ecosystem from scratch — to pursue a successful search for solid human data for his drug, SNF472. And while gathering a virtual team of developers from Europe and the US, the CEO/co-founder steered it into the late-stage arena.

Unlock this story instantly and join 123,900+ biopharma pros reading Endpoints daily — and it’s free.

Supply chain issues and an inspection backlog have hindered manufacturing’s seemingly endless boom, following an influx of money. But a new threat looms over the industry: a strain of Windows malware.

BIO-ISAC, an international organization that addresses threats to the bio economy, issued the warning on its website Monday, saying that a ‘large biomanufacturing facility’ was involved in an attack in spring 2021, and the same malware was noticed at a second facility in October 2021. The organization expedited the threat advisory in the public’s interest and has issued a statement to manufacturers: Assume that you are a target, and review security protocol accordingly.

Most people know if they’re ‘Team Pfizer’ or ‘Team Moderna,’ but few know if they got the Comirnaty or Spikevax Covid-19 vaccine. Those are the brand names of Pfizer and Moderna vaccines, respectively, however they have yet to take hold with consumers, media or even medical professionals.

And there are others. Covid vaccine brand names also include AstraZeneca’s Vaxzevria, Novovax’s Nuvaxovid, and Sanofi and GlaxoSmithKline’s Vidprevtyn. J&J’s Janssen-developed Covid vaccine is the lone major holdout and is still yet to be named, if ever. In EMA filings approving its conditional use, the brand name is listed simply as ‘Covid-19 Vaccine Janssen.’

Unlock this story instantly and join 123,900+ biopharma pros reading Endpoints daily — and it’s free.

Emma Walmsley, GlaxoSmithKline CEO (Fang Zhe/Xinhua/Alamy Live News)

As activist investors champ at the bit for change at drug giant GlaxoSmithKline, the pharma giant has turned over many rocks to find an R&D success to present to its detractors. In NASH, a field strewn with failures, GSK hopes a new license deal can churn out a much-needed winner.

GSK will pay $120 million in upfront cash and $910 million in downstream milestones to develop and sell ARO-HSD, Arrowhead Pharmaceuticals’ RNA interference drug targeting fatty liver disease nonalcoholic steatohepatitis (NASH), the companies said Monday.

Unlock this story instantly and join 123,900+ biopharma pros reading Endpoints daily — and it’s free.

Pascal Soriot, AstraZeneca CEO (Chris Ratcliffe/Bloomberg via Getty Images)

While Europe is in the midst of a massive fourth Covid-19 surge, the UK has largely avoided the high levels of hospitalizations and deaths seen on the rest of the continent. And AstraZeneca CEO Pascal Soriot suggested Tuesday the reason for Britain’s better fortunes could be his company’s vaccine.

In a one-on-one interview with BBC Radio 4, a reporter asked Soriot whether he was disappointed over the UK’s decision not to use the AstraZeneca/Oxford shot as a booster. Soriot responded by touting the vaccine’s T cell response, saying some data have shown it may be more durable than mRNA shots in older people, where the focus had largely been on antibodies.

Unlock this story instantly and join 123,900+ biopharma pros reading Endpoints daily — and it’s free.

Dragonfly Therapeutics is doing better and better in getting Big Pharma on its TriNKET platform. First Celgene, then BMS, and now Merck — again.

After Merck licensed its first candidate from the platform back in November 2020, the pharma giant is back for seconds as part of a 2018 collaboration between the two companies, which was initially focused on a number of solid tumor targets.

The companies expanded their collaboration last year with an agreement to develop and commercialize NK cell engaging immunotherapies for multiple targets in oncology, infectious diseases and immune disorders.

In an effort to combat rising Covid-19 cases worldwide, the World Health Organization has struck a deal to license serological technology for antibody testing and provide it royalty-free to low- and middle-income countries in the hopes of boosting production.

The WHO’s Covid-19 Technology Access Pool (C-TAP) and the Medicines Patent Pool (MPP) finalized the deal with the Spanish National Research Council (CSIC), a public research institute, on Tuesday. It’s the first test license signed by the MPP, a United Nations-backed public health organization, and included in the WHO pool, according to the organizations. It covers all related patents and biological material necessary for manufacturing the tests, and CSIC has agreed to provide know-how and training.
https://endpts.com/fda-approves-pricey-new-treatment-for-ultra-rare-and-aggressive-form-of-sarcoma/