FDA cancels ODAC meeting this week to review two more dangling accelerated approvals — but won’t explain why

The FDA’s On­co­log­ic Drugs Ad­vi­so­ry Com­mit­tee has de­cid­ed to can­cel a planned meet­ing on Thurs­day to dis­cuss two can­cer drugs that pre­vi­ous­ly won ac­cel­er­at­ed ap­provals but failed to con­firm clin­i­cal ben­e­fit in re­quired fol­low-up tri­als or have tak­en a long time to fin­ish those tri­als.

The FDA said in a state­ment that the meet­ing ‘is no longer need­ed’ but did not of­fer fur­ther de­tail on why ex­act­ly it was can­celed, telling End­points News to con­tact the com­pa­nies. At­tempts to con­tact both Se­cu­ra Bio and Acrotech went un­re­turned. The com­pa­nies may have de­cid­ed to pull these treat­ments from the mar­ket, or they’ve come to new agree­ments with the agency on their con­fir­ma­to­ry tri­als.

ODAC was set to dis­cuss Se­cu­ra Bio’s Fary­dak (panobi­no­s­tat), a third-line mul­ti­ple myelo­ma drug, and Acrotech Bio­phar­ma’s Mar­qi­bo, a third-line drug for adult pa­tients with Philadel­phia chro­mo­some neg­a­tive acute lym­phoblas­tic leukemia. Both drugs have been mar­ket­ed for more than five years un­der their ac­cel­er­at­ed ap­provals but have record­ed neg­li­gi­ble sales in their re­spec­tive in­di­ca­tions in re­cent years.

In the case of Fary­dak, No­var­tis won the ini­tial ac­cel­er­at­ed ap­proval in 2015 but said it like­ly wouldn’t start the con­fir­ma­to­ry tri­al for al­most three years, and the FDA gave the com­pa­ny un­til this year to fin­ish both of its re­quire­ments. In March 2019, Se­cu­ra Bio bought the drug from No­var­tis, but an­nu­al sales have fall­en be­low $100 mil­lion re­cent­ly.

In the case of Mar­qi­bo, Talon Ther­a­peu­tics ini­tial­ly won the ac­cel­er­at­ed ap­proval in 2012 based on da­ta from a sin­gle Phase II tri­al. Spec­trum Phar­ma­ceu­ti­cals then ac­quired Talon and the drug for about $11 mil­lion in 2013. In 2018, Spec­trum re­port­ed about $5.5 mil­lion in Mar­qi­bo sales, and then pro­ceed­ed to sell the drug a year lat­er with six oth­er can­cer drugs to Au­robindo Phar­ma’s sub­sidiary Acrotech for $160 mil­lion up­front.

Mean­while, Talon had ini­tial­ly agreed to sub­mit the re­sults of its con­fir­ma­to­ry tri­al to the FDA more than three years ago, but it re­mains un­known if that sub­mis­sion oc­curred.

The push to re­view these two dan­gling ac­cel­er­at­ed ap­provals fol­lowed an­oth­er ODAC meet­ing last sum­mer to re­view six oth­er in­di­ca­tions, four of which the com­mit­tee end­ed up rec­om­mend­ing re­main on the mar­ket. Since then, three in­di­ca­tions have been pulled vol­un­tar­i­ly by the com­pa­nies, and one has gone on to nab a full ap­proval.

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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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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After years as the top spending pharma TV advertiser, AbbVie’s Humira brand finally downshifted earlier this year, ceding much of its marketing budget to up-and-coming sibling meds Skyrizi and Rinvoq. However, now Humira is back on TV with ads for another condition — Hidradenitis suppurativa (HS).

The chronic and painful skin condition results in lumps and abscesses caused by inflammation or infection of sweat glands, most often in the armpits or groin. Humira was first approved to treat HS in 2015 and remains the only FDA-approved drug for the condition. Two TV ads both note more than 30,000 people with HS have been prescribed Humira.

Barely a month after disappointing data shattered hopes for a major label expansion for the GI tumor drug Qinlock, Deciphera is making a major pivot — scrapping development plans for that drug and discarding another while it hunkers down and focuses on two remaining drugs in the pipeline.

As a result, 140 of its staffers will be laid off.

The restructuring, which claims the equivalent of 35% of its total workforce, will take place across all departments including commercial, R&D as well as general and administrative support functions, Deciphera said, as it looks to streamline Qinlock-related commercial operations in the US while concentrating only on a ‘select number of key European markets.’

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Mark Enyedy, ImmunoGen CEO

When ImmunoGen’s lead antibody-drug conjugate flunked a Phase III study in ovarian cancer a couple years ago, the company clung to hope that it would perform better in a subgroup of patients with high folate receptor alpha (FRα) expression.

On Tuesday, researchers uncorked topline Phase III results suggesting it was right — and investors cheered on the news with a 40% boost to ImmunoGen’s stock price $IMGN. CEO Mark Enyedy says he’s going after an accelerated approval and plans to file in the first quarter of 2022.

Drugmakers looking to design a new registry or use an existing one to support a regulatory decision on a drug’s effectiveness or safety will need to consult with a new draft guidance released Monday by the FDA.

The agency’s reliance on registry data for regulatory decisions dates back more than two decades, at least, as in 1998 Bayer won approval for its anticoagulant Refludan (withdrawn from the market in 2013 for commercial reasons) based in part on a historical control group pulled from a registry.

Drug developers at Gilead Sciences are moonlighting as college professors these days. However, it’s not a side hustle for extra income, but a new program to help draw Black and Hispanic students to the industry.

Chemists, manufacturing experts, biologics scientists and supply chain managers are just some of the employee teachers Gilead is enlisting to explain the pharma business from drug discovery to commercialization.

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