Covid-19 roundup: Investors call to link CEO salaries to vaccine access; Why there aren’t more initial supplies of the Pfizer pill

A group of in­sti­tu­tion­al in­vestors from No­mu­ra, BMO, GAM and more than 60 oth­ers rep­re­sent­ing tril­lions in as­sets are now call­ing on Covid-19 vac­cine de­vel­op­ers to link their ex­ec­u­tives’ pay to en­sure the vac­cines are avail­able glob­al­ly.

‘It is clear that cur­rent­ly a large part of the world pop­u­la­tion still does not have suf­fi­cient and eq­ui­table ac­cess to vac­cines,’ the in­vestors said in ex­plain­ing their rea­son­ing be­hind Thurs­day’s let­ter to the ex­ecs at Pfiz­er, Mod­er­na, As­traZeneca and J&J.

The push comes as all of the com­pa­nies have pledged to make low­er-cost ver­sions of their vac­cines avail­able, but many coun­tries still lack cru­cial sup­plies. The WHO has sought to reach the mark of 70% vac­ci­nat­ed in every coun­try af­ter al­most half of its par­tic­i­pat­ing mem­ber coun­tries failed to reach 40% vac­ci­nat­ed in 2021, ac­cord­ing to the Fi­nan­cial Times.

House Re­pub­li­can calls for Omi­cron treat­ment hear­ing

Rep. Michael Burgess (R-TX) is call­ing for a hear­ing with fed­er­al pol­i­cy lead­ers to get a bet­ter un­der­stand­ing of how Con­gress can im­prove the US re­sponse, in­clud­ing via the dis­tri­b­u­tion of ef­fec­tive treat­ments, to bat­tle the new vari­ant Omi­cron, ac­cord­ing to a let­ter sent yes­ter­day to House En­er­gy & Com­merce com­mit­tee chair Frank Pal­lone (D-NJ).

‘It would be ben­e­fi­cial to in­vite var­i­ous agen­cies such as the Cen­ters for Dis­ease Con­trol and Pre­ven­tion, the Food and Drug Ad­min­is­tra­tion, and the Bio­med­ical Ad­vanced Re­search and De­vel­op­ment Au­thor­i­ty to tes­ti­fy on the de­vel­op­ment process for COVID-19 ther­a­peu­tics and an­tivi­rals, such as mol­nupi­ravir and sotro­vimab, and how we can en­sure ad­e­quate dis­tri­b­u­tion of these op­tions,’ he wrote.

Burgess al­so not­ed how due to its ex­pect­ed ef­fec­tive­ness against the Omi­cron vari­ant, ship­ments of Glax­o­SmithK­line and Vir’s sotro­vimab were paused to en­sure re­serves would not be de­plet­ed as the vari­ant spread. ‘Though this de­ci­sion has since been re­versed, I am very con­cerned about the lim­it­ed sup­ply cur­rent­ly avail­able,’ he wrote.

The Sen­ate health com­mit­tee is set to meet next Tues­day to hear from CDC, FDA and NIH of­fi­cials, in­clud­ing act­ing FDA com­mis­sion­er Janet Wood­cock and Pres­i­dent Biden’s top med­ical ad­vi­sor Tony Fau­ci.

Man­u­fac­tur­ing dif­fi­cul­ties mean there will be a lot more of Mer­ck’s pill than Pfiz­er’s in the next few months

Un­til at least March, the US is go­ing to have hun­dreds of thou­sands of more cours­es of Mer­ck’s pill to treat Covid-19, known as mol­nupi­ravir, than Pfiz­er’s pill Paxlovid, even as the US has pur­chased 20 mil­lion pills from Pfiz­er.

Part of the rea­son for this ear­ly dis­crep­an­cy is that while Pfiz­er’s pill might be more ef­fec­tive than Mer­ck’s pill (no one ran a head-to-head tri­al), Pfiz­er’s pill is al­so dif­fi­cult to man­u­fac­ture.

Chemist Derek Lowe wrote in Sci­ence re­cent­ly about how and why Pfiz­er’s pill is dif­fi­cult to make, and how there are short­ages of the reagents used to make it.

‘So there’s a short­age of the stuff, that’s used to make the stuff, that’s used to make the stuff, that’s used to make two of the start­ing ma­te­ri­als for Paxlovid. And that’s just one of the reagents,’ he wrote. ‘Re­mem­ber, as com­pli­cat­ed as this may seem, there’s a lot more to set­ting up a pro­duc­tion sup­ply chain than this! What it all means is that when some­one says ‘Oh, we can just make Paxlovid in plants all over the world’, they have left out the rest of the sen­tence, which is ‘. . .if we can get the start­ing ma­te­ri­als’.’

White House coro­n­avirus re­sponse co­or­di­na­tor Jeff Zients al­so re­cent­ly said in a press brief­ing that the US is of­fer­ing what­ev­er it can to help Pfiz­er, but the com­plex chem­istry in­volved in cre­at­ing the ac­tive in­gre­di­ent in the pill means pro­duc­tion takes about six to eight months.

Their Staying Power Lies in their Patient-Centricity

Decentralized clinical trials (DCTs) were traditionally utilized in an isolated fashion prior to the COVID-19 pandemic. To continue their research within the constraints of the pandemic, sponsors and clinical investigators pivoted to a decentralized model out of necessity. At the onset, regulatory agencies offered some guidance on the digital approaches that are acceptable to ensure DCT approaches are applied in a way that maintains patient safety, as well as data quality and integrity.

Patrick Collison, co-founder of Stripe, has become one of Silicon Valley’s biggest advocates for new forms of funding and conducting science (Matt Winkelmeyer/Getty Images for WIRED)

It’s big days for biology.

The pandemic has seen a series of very public scientific breakthroughs: mRNA vaccine, Covid antibodies, CRISPR as therapy. The minds behind these advancements have graced magazine covers and received prestigious awards.

But the last two years have also, far more quietly, seen a series of new experiments in how to fund the next generation of scientific breakthroughs.

Since March 2020, investors, academics, a significant number of Silicon Valley types, at least one Russian billionaire and two crypto billionaires and, most recently, a few West Coast universities have launched a series of grant programs, institutes, NGOs and companies hoping to change how life science research is done. Though unaffiliated and varying greatly in both size and form, they have broadly promised to evade bureaucracy and misaligned incentives and advance both basic and not-so-basic research in ways they say can’t be done in either conventional academia or profit-focused biotech.

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As the FDA is looking to reduce drug shortages further by collecting more data on the volume of drugs and APIs manufactured worldwide, companies like Pfizer, Thermo Fisher, Viatris and industry groups are pushing back on new guidance that seeks to establish how that data should be collected and submitted to the agency.

The technical conformance guide, released last October, spells out the requirements under Section 3112(e) of the CARES Act, which was signed into law in March 2020 and added a new section to the FD&C Act.

Belén Garijo, Merck KGaA CEO (Kevin Wolf/AP Images for EMD Serono)

Bursting at the seams and executing plans for swift expansion to support its manufacturing work for the mRNA vaccine out of Pfizer/BioNTech, Indianapolis-based Exelead has now been scooped up in a $780 million cash buyout deal.

Germany’s Merck KGaA, which bought out another mRNA manufacturer, AmpTec, early last year, has been beefing up its ops around lipids, which, in mRNA vaccines, play a key role in turning human cells into a mini—vaccine factories?

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For anyone who’s been following how the US government has been allocating and shipping supplies of its Covid-19 treatments over the past year, the news has shifted so many times that it can be difficult to keep track of what’s still being shipped and where.

More change is coming this week too, as HHS has now decided to re-start shipments of both Eli Lilly (bamlanivimab plus etesevimab) and Regeneron (casirivimab plus imdevimab) monoclonal antibody products after a short pause because neither product works against the new variant Omicron. Lilly’s combo also was halted last June due to the presence of other variants.

Jay Bradner, NIBR president (Jeff Rumans)

Alnylam was a few years ahead in the small interfering RNA (siRNA) space when Novartis jumped on the bandwagon in early 2020, licensing the company’s cholesterol-lowering drug Leqvio through its buyout of The Medicines Company. Less than a month after securing an approval, the pharma giant wants more where that came from.

Novartis is joining forces with Alnylam once again for the discovery and development of a regenerative siRNA-based therapy to treat end-stage liver disease, the companies announced on Thursday.

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Sosei Heptares is teaming up with a big-name partner: Alphabet’s Verily.

No financials were disclosed, but the pair will aim to use Verily’s immune profiling and Sosei Heptares’ GPCR drug design capabilities to develop a variety of new therapeutics. The collaboration will focus on GPCR drugs in the immunology, gastroenterology and immuno-oncology spaces, as well as other disorders with immunoprotective or immunopathogenic mechanisms, the companies said.

After showcasing clinical data at #ASH21 for a sickle cell disease candidate, Sanofi has decided to throw in the towel on its 8-year partnership with collaborator Sangamo — and return its rights to the candidate.

The gene editing biotech announced the ‘transition’ this morning, several days after Sanofi told Sangamo that the biotech was backing out of the deal. The Paris-based pharma giant will be returning its rights and obligations on SAR445136, a zinc finger nuclease gene-edited cell therapy back to Sangamo by the end of June.

Chris Perkin, Altasciences via Youtube

Altasciences CEO Chris Perkin has gone through several acquisitions in his 45-year career. And if there’s one thing he learned, it’s how not to go through an acquisition.

His company put that knowledge to use on Tuesday when it announced that it had acquired competitor Sinclair research, a preclinical contract research organization in Missouri. With the pickup, Altasciences gains 80 animal rooms, and full-service IND and NDA-enabling toxicology and safety pharmacology services.
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