Covid-19 roundup: France cancels order on Merck’s antiviral pill — report; New study suggests Sinovac’s vaccine does not protect against Omicron

A lit­tle over a week af­ter French reg­u­la­tors de­cid­ed against au­tho­riz­ing Mer­ck’s Covid-19 an­tivi­ral pill, the coun­try has can­celed its or­der, ac­cord­ing to mul­ti­ple re­ports.

A Mer­ck spokesper­son told Reuters that France’s planned pur­chase didn’t take place af­ter the coun­try’s health au­thor­i­ty re­ject­ed the pill over grow­ing con­cerns about ef­fi­ca­cy and the im­pact of the Omi­cron vari­ant. The coun­try had pre-or­dered enough dos­es to treat 50,000 pa­tients.

Mer­ck had orig­i­nal­ly said the Ridge­back Bio­ther­a­peu­tics-part­nered drug, called mol­nupi­ravir, re­duced the risk of death and hos­pi­tal­iza­tions by 50%. Then in late No­vem­ber, the com­pa­ny came back with up­dat­ed da­ta that sug­gest­ed mol­nupi­ravir on­ly cut the risk by about 30% com­pared to place­bo.

Last month, the FDA’s An­timi­cro­bial Drugs Ad­vi­so­ry Com­mit­tee vot­ed 13-10 in fa­vor of the pill’s ben­e­fits out­weigh­ing the risks for adults with­in 5 days of de­vel­op­ing Covid symp­toms. But the FDA has yet to au­tho­rize the pill.

Yes­ter­day, US reg­u­la­tors signed off on Pfiz­er’s Covid-19 pills, made up of nir­ma­trelvir tablets and ri­ton­avir tablets, co-pack­aged for oral use.

Pfiz­er’s pill, known as Paxlovid, proved to re­duce the rel­a­tive risk of hos­pi­tal­iza­tion or death by 89% (with­in three days of symp­tom on­set) and 88% (with­in five days of symp­tom on­set) com­pared to place­bo in a tri­al of more than 2,000 peo­ple.

‘I don’t think you would find any­one who would pre­fer the Mer­ck pill to the Pfiz­er pill, giv­en the da­ta ev­i­dent so far,’ Walid Gel­lad, a pro­fes­sor of med­i­cine at the Uni­ver­si­ty of Pitts­burgh, told End­points News.

New study sug­gests Sino­vac’s vac­cine does not pro­tect against Omi­cron 

A new study con­duct­ed in Chi­na found that two dos­es and a boost­er of Sino­vac’s vac­cine, dubbed Coro­n­aVac, did not pro­duce ad­e­quate lev­els of pro­tec­tive an­ti­bod­ies against the Omi­cron vari­ant.

The study, con­duct­ed by the Uni­ver­si­ty of Hong Kong and the Chi­nese Uni­ver­si­ty of Hong Kong, al­so found that two dos­es of the Pfiz­er/BioN­Tech vac­cine, Comir­naty, pro­duced poor an­ti­body re­spons­es against Omi­cron. How­ev­er, a third dose of Comir­naty giv­en to those who re­ceived two dos­es of ei­ther Comir­naty or Coro­n­aVac did pro­duce pro­tec­tive lev­els, ac­cord­ing to a news re­lease by the Uni­ver­si­ty of Hong Kong.

‘Those who had re­ceived two dos­es of ei­ther Comir­naty or Coro­n­aVac should get a third dose of Comir­naty vac­cine around six months af­ter their sec­ond dose of vac­cine to achieve op­ti­mal pro­tec­tion against Omi­cron vari­ant,’ pro­fes­sor Ma­lik Peiris said in a state­ment.

Just a week ago, Sino­vac claimed that a third shot of Coro­n­aVac was 94% ef­fec­tive against Omi­cron, ac­cord­ing to a re­port by Nikkei Asia.

Coro­n­aVac was one of the first vac­cines au­tho­rized for emer­gency use by the Chi­nese gov­ern­ment, snag­ging an OK back in Ju­ly 2020, an un­named of­fi­cial told Reuters. 

Sino­vac has tout­ed mixed re­sults in the past, with Brazil’s Bu­tan­tan In­sti­tute an­nounc­ing a 78% ef­fi­ca­cy rate back in Jan­u­ary, then cor­rect­ing that fig­ure to 50.4% less than a week lat­er. In Feb­ru­ary, tri­al re­sults from Brazil and Turkey sug­gest­ed Coro­n­aVac pre­vent­ed 50.65% of all Covid-19 cas­es, 83.70% of cas­es re­quir­ing med­ical treat­ment, and 100% of hos­pi­tal­iza­tions, and se­vere or fa­tal cas­es 14 days af­ter the sec­ond dose was ad­min­is­tered.

For a look at all End­points News coro­n­avirus sto­ries, check out our spe­cial news chan­nel.

CALQUENCE is a registered trademark of the AstraZeneca group of companies.

At the 2021 American Society of Hematology (ASH) Annual Meeting & Exposition, blood cancer researchers from around the world gathered virtually to discuss the progress that has been made in the field of hematology. Over the past decade, that progress has been tremendous. We’ve seen not only breakthrough approaches to care, but also significant improvement upon existing novel treatments and exploring combinations within those medicines.1 These advances have transformed expectations of what a blood cancer diagnosis now means for patients. While we’ve come a long way, I believe the most exciting scientific discovery is yet to come, and that future advances will truly transform patient care.

Khurem Farooq, Gyroscope CEO

Christmas is coming early for Gyroscope.

In its latest gene therapy gambit, Novartis is paying $800 million upfront to acquire the Syncona-backed biotech, with another $700 million reserved for milestones.

Novartis has been diving deep into retinal disorders, and Gyroscope’s lead candidate adds a potential one-time treatment for geographic atrophy — a leading cause of blindness — to the pipeline.

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Vas Narasimhan, Novartis CEO (Simon Dawson/Bloomberg via Getty Images)

The centerpiece of Novartis’s $9.7 billion buyout of the Medicines Company can finally go to market.

Branded Leqvio, the small interfering RNA therapy long known as inclisiran is the first and only FDA-approved treatment to reduce LDL-C, i.e. bad cholesterol, with just two maintenance doses a year after an initial dose and another one at three months.

Touting a ‘revolutionary approach,’ Novartis CEO Vas Narasimhan noted that the approval ‘creates new possibilities for how healthcare systems can impact cardiovascular disease, a defining public health challenge of our time.’ The label covers both atherosclerotic cardiovascular disease and heterozygous familial hypercholesterolemia.

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Alzheimer’s disease researchers along with medical professors from Harvard and Johns Hopkins issued a formal statement Monday asking the FDA to quickly pull Biogen’s Aduhelm from the market.

‘An accelerated withdrawal would mitigate some of the harm of its unwarranted accelerated approval,’ they wrote to FDA, explaining how Aduhelm ‘did not meet the FDA’s own criteria for accelerated approval based on surrogate markers because amyloid plaque does not correlate well with symptoms, severity of disease or progression.’

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The FDA on Wednesday signed off on Pfizer’s Covid-19 pills, which are meant to help keep people out of the hospital.

The news comes at a crucial moment, as the Omicron variant has taken over Delta as the prominent strain in the US, and as monoclonal antibody infusions will likely be in very short supply as two of the three currently marketed are ineffective against Omicron.

Pfizer will see early supply constraints of their pills, which are made up of nirmatrelvir tablets and ritonavir tablets, co-packaged for oral use, meaning doctors will have to be very careful on how they’re doled out. And if Merck’s pill is authorized soon too, there may be more options, although there’s also a drastic difference in efficacy between the two.

Bob Baloh, Novartis Head of Neuroscience at NIBR (via Cedars-Sinai)

Even after agreeing to sell off $20 billion in shares back to Roche in November, Novartis got a bit more from its crosstown rival —  successfully getting ahold of Roche’s head of neuro and rare disease R&D for themselves.

NIBR president Jay Bradner — a well-known name here at Endpoints — announced Bob Baloh’s appointment on Twitter. Baloh will be running NIBR’s neuroscience division.

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Right as the new Omicron variant is poised to increase rapidly across the US, the federal government has effectively run out of the only monoclonal antibody treatment that works against it, and at least one major hospital system is now halting all mAb infusions.

Late last month, the federal government paused shipments of GlaxoSmithKline and Vir’s mAb treatment sotrovimab in order to conserve supplies of the only treatment that might work against the Omicron variant. Last week, however, HHS told Endpoints News that the move to hold back sotrovimab was unrelated to Omicron, and due to a surplus of Eli Lilly mAbs, which aren’t effective against Omicron.

Deck the halls with more appointments in the last Peer Review for 2021. Thanks for reading every week!

→ When the calendar flips to 2022, Joan Shen is out at I-Mab ‘to pursue other interests,’ leaving founder and chairman Jingwu Zang to succeed her as acting CEO in a bit of a surprise. Under Shen’s leadership, I-Mab formed a CD47 alliance with AbbVie in September 2020 with lemzoparlimab as the centerpiece, and a year later our Amber Tong detailed I-Mab’s aspirations for other comparable partnerships, notably for development of the CD73 antibody uliledlimab. Shen was one of our 20 Women in Biopharma R&D honorees this month.

As the FDA is poised to authorize the new Pfizer and Merck pills to treat those with Covid-19 who haven’t been hospitalized, Bloomberg reports that the US will only have limited supplies of each pill initially.

US officials said Americans should have nearly 400,000 courses of Merck’s pill available upon its authorization and 65,000 courses of Pfizer’s pill. By the end of January, the government expects 3 million Merck courses — its entire order — and 250,000 Pfizer courses. Merck’s pill has been shown to be less effective in early trials than Pfizer’s, although Merck did not test its pill head-to-head against Pfizer.
https://endpts.com/covid-19-roundup-france-cancels-order-on-mercks-antiviral-pill-report-new-study-suggests-sinovacs-vaccine-does-not-protect-against-omicron/