Planting another flag on Pfizer and Alnylam’s turf, AstraZeneca grabs amyloidosis drug from the biotech that invented Aduhelm

Marc Dunoyer, Alexion CEO (AstraZeneca via YouTube)

As­traZeneca — or, more specif­i­cal­ly, its rare dis­ease sub­sidiary Alex­ion — is se­ri­ous about get­ting in­to AT­TR amy­loi­do­sis.

Just weeks af­ter li­cens­ing a late-stage an­ti­sense can­di­date from Io­n­is, As­traZeneca has struck an­oth­er deal to pick up a Phase Ib an­ti­body hit­ting the same tar­get, this time from Swiss biotech Neurim­mune.

The up­front from Alex­ion comes in at $30 mil­lion, with the po­ten­tial to add up to $730 mil­lion in mile­stones. Alex­ion is hop­ing the pro­gram would tack­le transthyretin amy­loid car­diomy­opa­thy, or AT­TR-CM, which is char­ac­ter­ized by car­diac buildup of tox­ic amy­loid fib­rils.

As AT­TR-CM can lead to pro­gres­sive heart fail­ure and be fa­tal, the deal fits in­to As­traZeneca’s broad­er am­bi­tions to be­come the leader in heart fail­ure, in­te­grat­ing in­to a port­fo­lio that al­so fea­tures the SGLT2 in­hibitor Farx­i­ga. Eplon­ter­sen, the an­ti­sense com­pound it scored from Io­n­is weeks ago for $200 mil­lion in cash, is al­so be­ing test­ed in AT­TR car­diomy­opa­thy (in ad­di­tion to AT­TR polyneu­ropa­thy). ‘With 30 years of ex­pe­ri­ence in de­vel­op­ing med­i­cines for peo­ple with rare dis­eases, Alex­ion is unique­ly po­si­tioned to ad­vance in­no­v­a­tive sci­ence for small pa­tient pop­u­la­tions who are fre­quent­ly un­der­diag­nosed,’ CEO Marc Dunoy­er said.

Dubbed NI006, the Neurim­mune drug specif­i­cal­ly tar­gets mis­fold­ed transthyretin and is de­signed to spur the re­moval of amy­loid fib­ril de­posits in the heart.

Neurim­mune is known for its oth­er amy­loid-clear­ing an­ti­body, the FDA-ap­proved Alzheimer’s drug Aduhelm, which was still known as ad­u­canum­ab when it was li­censed to Bio­gen. It will be re­spon­si­ble for com­plet­ing the cur­rent Phase Ib tri­al, with Alex­ion shoul­der­ing part of the costs be­fore tak­ing over clin­i­cal de­vel­op­ment, man­u­fac­tur­ing and com­mer­cial­iza­tion.

But Alex­ion will have plen­ty of catch­ing up to do. Pfiz­er’s Vyn­daqel and Vyn­damax (two for­mu­la­tions of the same transthyretin-sta­bi­liz­er, tafamidis) were ap­proved two and a half years ago for AT­TR-CM, and to­geth­er they brought in more than $1 bil­lion in sales just over the first nine months of 2021. Al­ny­lam is al­so far ahead in test­ing its suite of RNAi ther­a­pies for the in­di­ca­tion.

In a state­ment, Alex­ion not­ed that ‘mul­ti­ple mech­a­nisms of ac­tion’ will like­ly be re­quired to ad­dress the needs of pa­tients with var­i­ous types and lev­els of sever­i­ty of amy­loi­do­sis.

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.

A district court in Texas will likely tie up the FDA’s FOIA office for months, as the court ruled late Thursday that the agency must release all documents related to its review of Pfizer-BioNTech’s Covid-19 vaccine.

The order from district judge Mark Pittman, handed down late Thursday, notes that while the Court recognizes the ‘unduly burdensome’ challenges that this FOIA request may present to the FDA, there also ‘may not be’ a more important issue at the FDA right now than the pandemic, the Pfizer vaccine, getting every American vaccinated, and making sure to the American public that the process was not rushed.

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Exscientia CEO Andrew Hopkins and Sanofi CEO Paul Hudson

Drug R&D has for years had an abysmal track record of success, with the vast majority of drug candidates never making it to market. The promise of AI to shorten the discovery time for new drugs and up their chances of success has more big drugmakers buying in — and Sanofi is the latest.

Sanofi will pay $100 million upfront with a potential $5.2 billion in downstream milestones for access to up to 15 small molecule drugs from Exscientia, a red-hot UK deep learning company at the forefront of the so-called ‘AI-discovered’ drug R&D movement, the partners said Friday.

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Aligos Therapeutics took a beating Thursday after reporting it is stopping development on its lead program for chronic hepatitis B.

The biotech’s shares $ALGS closed down 57% and fell into penny stock territory Thursday, following a morning press release saying Aligos’ ALG-010133 program did not prove efficacious at the dose tested in a Phase I study. Additionally, the company concluded that higher doses were also unlikely to be effective, and ultimately decided to axe the candidate altogether.

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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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After 18 years at the FDA and climbing the corporate ladder in biopharma, Vicki Goodman is now in the biotech C-suite for the first time. The new CMO and executive VP of product development for Exelixis started on Dec. 4, flying out to the biotech’s headquarters just outside sunny San Francisco before returning home and flying all the way back to Philly, where she is based.

Goodman got her passion for medicine as a young child — it didn’t surprise anyone that she majored in biochemistry before going through medical school and residency, finishing up in the early 2000s with an emphasis in internal medicine, medical oncology and hematology. But for her, there was an underlying desire to use science to help people and work on problems that impact people’s health.

Stéphane Bancel (AP Images, Boston Herald)

While an Omicron-specific booster of Moderna’s Covid-19 vaccine probably won’t be ready in the next couple of months, according to a Reuters report, CEO Stéphane Bancel says another shot will likely be necessary for the fall.

‘I still believe we’re going to need boosters in the fall of ’22 and forward,’ Bancel said at a Goldman Sachs-organized event, per Reuters.

The news comes days after Israel Prime Minister Naftali Bennett announced that a study conducted in the country suggests a fourth Covid-19 vaccine dose spurs a five-fold increase in antibodies just a week after being administered.

Roger Perlmutter, Eikon CEO

Roger Perlmutter hasn’t wasted any time since announcing his supposed retirement from Merck in October 2020. After leaving his perch as one of the most successful R&D chiefs in Big Pharma, he’s now snatching a cool half-billion dollars to develop ‘a battery of innovative tools’ for drug discovery at the young startup Eikon Therapeutics.

Eikon closed on a $517.8 million Series B round on Thursday morning, bringing the Hayward, CA-based company’s total raise to more than $668 million.

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Eli Lilly is beefing up its fleet of vehicles being deployed to carry drugs to the brain.

Enlisting Canada’s Entos Pharmaceuticals, Eli Lilly has grabbed rights to a suite of proteo-lipid vehicles (PLVs) as part of a research collaboration that spans multiple programs focused on diseases of the central and peripheral nervous system. Entos will receive an upfront of $50 million, part of it as an equity investment, to start developing PLVs for Lilly’s selection.

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