VBI Vaccines execs tout approval of new triple-antigen hepatitis B shot. Can they sell it?

Jeff Baxter, VBI Vaccines CEO (ChromaDex)

VBI Vac­cines cel­e­brat­ed a new ap­proval Wednes­day morn­ing, an­nounc­ing the FDA has green­light­ed its he­pati­tis B vac­cine for adults. But ques­tions re­main on how well the new shot will sell.

The biotech in­tends to hit the mar­ket in the first quar­ter of next year, join­ing three oth­er adult he­pati­tis B vac­cines from Mer­ck, Dy­navax and Glax­o­SmithK­line. CEO Jeff Bax­ter said in an an­a­lyst call Wednes­day the price of VBI’s shot, brand­ed as Pre­Hevbrio, won’t be re­vealed un­til com­mer­cial­iza­tion, but claimed it would be ‘high­ly com­pet­i­tive.’

In re­sponse to the news, VBI shares $VBIV trad­ed about 15% high­er in Wednes­day’s pre-mar­ket ses­sion. The price re­mains well with­in pen­ny stock ter­ri­to­ry, hit­ting about $3.45 per share.

Mer­ck and Dy­navax are the big names in this mar­ket, and Bax­ter faced ques­tions from in­vestors on Wednes­day’s call about how VBI in­tends to dif­fer­en­ti­ate it­self from those two shots. Bax­ter tout­ed VBI’s vac­cine as the first to con­tain three dif­fer­ent anti­gens against the he­pati­tis B virus and said that the ’90 per­cent-plus’ pro­tec­tion af­ter two dos­es gives VBI a po­ten­tial ad­van­tage.

One key re­main­ing piece is a full sign-off from the CDC’s ACIP, which vot­ed last month to broad­ly rec­om­mend uni­ver­sal he­pati­tis B vac­cines to all adults aged 19-59. Bax­ter not­ed the en­dorse­ment for VBI’s shot would need to hap­pen be­fore launch, but de­murred when asked if he want­ed to see ad­di­tion­al up­dates to the vac­cine rec­om­men­da­tions.

‘At this stage I don’t think it goes be­yond that but just giv­en that rec­om­men­da­tion ob­vi­ous­ly … it is a very im­por­tant first step, and cre­ates a lev­el play­ing field for Pre­Hevbrio,’ Bax­ter said on the call.

He added that the full go-ahead will help VBI get its shot cov­ered by both pub­lic and pri­vate and in­sur­ers, giv­ing it an­oth­er av­enue to cut in­to the Mer­ck and Dy­navax pie. But the biotech will al­so need to en­gage in aware­ness cam­paigns with physi­cians as well, for which Bax­ter said VBI is pre­pared.

Ap­proval of the new vac­cine came due to two Phase III stud­ies, pub­lished in sci­en­tif­ic jour­nals in May and Oc­to­ber of this year. VBI com­pared its vac­cine to GSK’s shot, which on­ly in­cludes one of the he­pati­tis B anti­gens. The first study showed high­er sero­pro­tec­tion in all adults, at 91.4% to 76.5%, as well as adults over 45 — 89.4% to 73.1%.

The sec­ond study, mean­while, aimed to show that VBI’s sero­pro­tec­tion re­mained con­sis­tent across three dif­fer­ent vac­cine lots. Af­ter two dos­es, Pre­Hevbrio man­aged a 90.4% sero­pro­tec­tion rate com­pared to 51.6% for the con­trol. The rates in­creased for both vac­cines af­ter third dos­es, hit­ting 99.3% and 94.8%, re­spec­tive­ly.

Out­side the US, the EMA is con­tin­u­ing its re­view of the shot, while VBI is plan­ning to file reg­u­la­to­ry sub­mis­sions to the UK and Cana­da ear­ly next year.

While oncology researchers have long pursued the potential of cellular immunotherapies for the treatment of cancer, it was unclear whether these therapies would ever reach patients due to the complexity of manufacturing and costs of development. Fortunately, the recent successful development and regulatory approval of chimeric antigen receptor-engineered T (CAR-T) cells have demonstrated the significant benefit of these therapies to patients.

Stéphane Bancel, Moderna CEO

Even as public health officials remain guarded about their comments on the likelihood Omicron will escape the reach of the currently approved Covid-19 vaccines, there’s growing scientific consensus that we’re facing a variant that threatens to overwhelm the vaccine barricades that have been erected.

Stéphane Bancel, the CEO of Moderna, one of the leading mRNA players whose quick vault into the markets with a highly effective vaccine created an instant multibillion-dollar market, added his voice to the rising chorus early Tuesday. According to Bancel, there will be a significant drop in efficacy when the average immune system is confronted by Omicron. The only question now is: How much?

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Michael Handley, Statera Biopharma CEO

Last summer, when Cytocom merged with Cleveland BioLabs to grab a spot on Nasdaq, it also inherited an intriguing rare disease program that was under clinical hold. With a new name and brand, the company says it’s ready to bring that program back to the forefront.

The FDA has lifted its clinical hold on entolimod, a toll-like receptor 5 (TLR5) agonist being developed for patients exposed to lethal amounts of radiation, the company — now called Statera Biopharma — announced on Wednesday.

Lan Huang, BeyondSpring CEO

BeyondSpring shocked investors in early August after its once-marginal lead drug suddenly showed a lot of promise in a common form of lung cancer. With hopes high, the FDA has now slammed the door on that drug in another indication — does that spell bad news for BeyondSpring’s Cinderella story?

The FDA issued BeyondSpring a complete response letter for its plinabulin in combination with granulocyte colony-stimulating factor (G-CSF) for the prevention of chemotherapy-induced neutropenia, effectively shutting down the drug’s immediate chances at a marketing approval, the biotech said Wednesday.

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Reshma Kewalramani, Vertex CEO (Vertex via YouTube)

Vertex claimed its second early-stage win of the fall Wednesday, announcing positive results in a small study on a genetically defined form of kidney disease.

The 16-patient, Phase II trial focused on patients with focal segmental glomerulosclerosis, a rare disease where kidneys are unable to filter blood properly. Over 13 weeks on an experimental pill, the level of protein in the patients’ urine fell by an average of 47.6%.

The US Court of Appeals for the Federal Circuit on Wednesday rejected Moderna’s attempt to overturn key patents related to the delivery vehicle for its Covid-19 vaccine after the biotech sought to preempt a potentially risky infringement lawsuit.

For years, Moderna has been battling a tiny Pennsylvania biotech known as Arbutus over patents for a technology required to deliver its mRNA drugs and vaccines, known as lipid nanoparticles or LNP. Moderna is concerned there’s a substantial risk that Arbutus will assert the ‘069 patent in an infringement suit targeting Moderna’s Covid-19 vaccine, particularly as Arbutus has boasted of its patent protection and refused to grant a covenant not to sue Moderna.

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Philip Dormitzer, new GSK global head of vaccines R&D

GlaxoSmithKline has appointed Philip Dormitzer, formerly chief scientific officer of Pfizer’s viral vaccines unit, as its newest global head of vaccines R&D, looking to leverage one of the leading minds behind Pfizer and BioNTech’s RNA collaboration that led to Covid-19 jab Comirnaty, the British drug giant said Tuesday.

Dormitzer had been with Pfizer for a little more than six years, joining up after a seven-year stint with Novartis, where he reached the role of US head of research and head of global virology for the company’s vaccines and diagnostics unit.

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With little explanation for why Merck’s potential Covid-19 antiviral was less effective in reducing Covid hospitalizations and deaths in a full analysis of a Phase III trial versus an interim look, the FDA’s antimicrobial drugs advisory committee on Tuesday voted 13-10 in favor of the pill’s benefits outweighing the risks for adults within 5 days of developing Covid symptoms.

Molnupiravir will likely be authorized by FDA in the coming days for adults with mild or moderate Covid-19. While Pfizer’s antiviral may prove to be more effective, Merck’s pill will be another weapon in the armamentarium of Covid-19 treatments for countries around the world, adding to the mAb treatments already in use in the outpatient space from Regeneron, Eli Lilly and Vir/GlaxoSmithKline.
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