J&J and Sanofi’s multiple myeloma tit-for-tat continues, as subcutaneous Darzalex wins combo approval

J&J and Sanofi have gone back and forth in their mul­ti­ple myelo­ma tug-of-war. Ear­li­er this year, Sanofi notched an ap­proval of Sar­clisa in com­bi­na­tion with Am­gen’s Kypro­lis to try to out­flank the big con­glom­er­ate, but J&J is clap­ping back.

Wednes­day af­ter­noon, Am­gen an­nounced that the sub­cu­ta­neous ver­sion of J&J’s block­buster Darza­lex is al­so now ap­proved as a com­bo with Kypro­lis and dex­am­etha­sone. The green light came through for adults with re­lapsed or re­frac­to­ry mul­ti­ple myelo­ma who had pro­gressed on one to three ear­li­er lines of ther­a­py.

Am­gen ex­ecs praised the de­ci­sion, with R&D chief David Reese say­ing in a state­ment the al­ter­na­tive Darza­lex ad­min­is­tra­tion ‘will of­fer in­creased flex­i­bil­i­ty and con­ve­nience for pa­tients.’

The FDA de­ci­sion comes af­ter the IV for­mu­la­tion of Darza­lex ini­tial­ly clinched ap­proval with Kypro­lis back in Au­gust 2020. That OK came as Sar­clisa had just won an ap­proval the pre­ced­ing March in third-line mul­ti­ple myelo­ma pa­tients.

Though Sar­clisa has a long way to go to eclipse Darza­lex on the mar­ket, it man­aged to se­cure the same Kypro­lis com­bo green light in April 2021 — Sar­clisa plus Kypro­lis plus dex­am­etha­sone in pa­tients who pro­gressed on one to three treat­ments. The back-and-forth be­tween the two drugs will like­ly con­tin­ue as Sanofi looks to carve out more of the mar­ket.

Should it prove suc­cess­ful, there’s quite a slice of pie to be had. The IV form of Darza­lex ini­tial­ly launched in 2015 and quick­ly be­came one of J&J’s top sell­ers with $1.4 bil­lion in sales its first year. And in 2020, the drug tal­lied its best sales year yet with $4.2 bil­lion.

J&J re­ports sales to­geth­er for both forms of the drug — the IV form and the sub­cu­ta­neous ver­sion dubbed Darza­lex Faspro.

Sar­clisa has not seen as sharp an up­take, as the drug was first ap­proved about a week and a half be­fore the WHO de­clared a glob­al pan­dem­ic last year, lim­it­ing pa­tient ac­cess. Nonethe­less, it marked a mile­stone for Sanofi, be­com­ing the com­pa­ny’s first in-house can­cer ap­proval since 2010.

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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On the hunt for a better AAV capsid for gene therapy, Eric Kelsic’s Dyno Therapeutics has set itself apart with its focus on machine learning to help speed discovery. Now, Japanese drugmaker Astellas — fresh off a slate of gene therapy burns — is taking a bet on Dyno as it looks to the future.

Astellas and Dyno will work together as part of an R&D pact to develop next-gen AAV vectors for gene therapy using Dyno’s CapsidMap platform directed at skeletal and cardiac muscle, the companies said Wednesday. Under the terms of the deal, Dyno will design AAV capsids for gene therapy, while Astellas will be responsible for conducting preclinical, clinical and commercialization activities for gene therapy product candidates using the capsids.

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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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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As Covid-19 drug and vaccine developers race to figure out which of their products might be hampered by the new variant, the CDC on Wednesday afternoon announced the first confirmed case of the Omicron variant (B.1.1.529) in the US, found in San Francisco.

The unidentified individual was a traveler who returned from South Africa on Nov. 22, 2021, was fully vaccinated, and had mild symptoms that the CDC described as improving. All close contacts have been contacted and have tested negative, the centers said.

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.

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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