Joe Manchin quashes any immediate hopes for major drug pricing reforms

Sen. Joe Manchin (D-WV) at the Capitol on Friday, Dec. 17 (J. Scott Applewhite/AP Images)

Sen. Joe Manchin on Sun­day de­railed Pres­i­dent Biden’s tril­lion-dol­lar spend­ing pack­age, ef­fec­tive­ly halt­ing the De­moc­rats’ best chance yet to al­low Medicare to ne­go­ti­ate drug prices, among a bevy of oth­er health-re­lat­ed pro­vi­sions tacked on­to the Build Back Bet­ter Act.

White House press sec­re­tary Jen Psa­ki, stunned by Manchin’s an­nounce­ment on Fox News, said in a state­ment: ‘Sen­a­tor Manchin claims that this change of po­si­tion is re­lat­ed to in­fla­tion, but the think tank he of­ten cites on Build Back Bet­ter — the Penn Whar­ton Bud­get In­sti­tute — is­sued a re­port less than 48 hours ago that not­ed the Build Back Bet­ter Act will have vir­tu­al­ly no im­pact on in­fla­tion in the short term, and, in the long run, the poli­cies it in­cludes will ease in­fla­tion­ary pres­sures.’

While the drug pric­ing pro­vi­sions in the bill may not have been the cause for the West Vir­ginia De­mo­c­rat’s de­ci­sion to rebel against his Dem peers, the an­nounce­ment puts in lim­bo not on­ly Medicare ne­go­ti­a­tions, but a cap on in­sulin costs at $35 per month, a cap on se­niors’ out-of-pock­et drug spend­ing at $2,000 per year, and oth­er pro­vi­sions like boost­ing Oba­macare sub­si­dies and clos­ing the Med­ic­aid gap in 12 states.

Sen­ate Ma­jor­i­ty Leader Chuck Schumer (D-NY) said Mon­day he would still hold a floor vote on the BB­BA ear­ly next year, but it’s un­like­ly to hit the 51 votes nec­es­sary for pas­sage with­out Manchin or any Re­pub­li­can sup­port.

And if De­moc­rats at­tempt to go the piece­meal route and push the drug pric­ing pro­vi­sions as a stand­alone bill, they’d like­ly need 60 votes to get there, mean­ing 10 Re­pub­li­cans would have to join them.

Sen. Ron Wyden (D-OR) on Sun­day quick­ly cob­bled to­geth­er a new frame­work for the BB­BA, in­clud­ing the drug pric­ing pro­vi­sions, hop­ing Manchin might be will­ing to budge. But Manchin, whose daugh­ter is the for­mer CEO of the gener­ics firm My­lan and who op­pos­es Biden’s nom­i­na­tion of Rob Califf as FDA com­mis­sion­er, didn’t of­fer any im­me­di­ate thoughts on the plan.

‘Drug com­pa­nies have been mug­ging Amer­i­cans at the phar­ma­cy win­dow for too long, and there may not be an­oth­er op­por­tu­ni­ty any­time soon for De­moc­rats to put a stop to it. Fifty mil­lion se­niors in Medicare have a lot of bar­gain­ing pow­er, and it’s long past due to put it to use,’ Wyden wrote.

For many strug­gling to af­ford their pre­scrip­tion drugs and in­sulin, time is of the essence.

Mindy Salan­go, a type 1 di­a­bet­ic from Mor­gan­town, WV, said in a state­ment, ‘With­out Build Back Bet­ter, di­a­bet­ics could still be forced to pay hun­dreds of dol­lars on in­sulin in­stead of just $35 per month. In the great­est coun­try in the world, we are not meant to beg and de­pend on the kind­ness of strangers in or­der to ob­tain in­sulin. This is ‘sur­vival of the rich­est’ and it must stop.’

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.

Michel Vounatsos, Biogen CEO (Credit: World Economic Forum/Valeriano Di Domenico)

In a surprise move, Biogen announced Monday that it will cut the price of its controversial Alzheimer’s drug Aduhelm in half, slashing the cost from $56,000 to $28,000.

The sudden discount marks a sudden turnaround for the big biotech as it struggles to turn around a drug whose stuck-in-the-mud sales and political ramifications have sent the company into turmoil and triggered the ousting of its longtime chief scientist. Biogen’s leadership had resisted calls since June to reduce the price of the drug.

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One of Pfizer’s new vaccine TV commercials never mentions its vaccine brand Comirnaty. In fact, it doesn’t mention vaccines or Covid-19 at all and doesn’t show people wearing masks or social distancing. Yet it’s clear the ad is talking about the pharma’s Covid-19 vaccines.

The ad’s voiceover talks about the unremarkable moments and routines that matter, like getting a coffee refill at a diner or Sunday grocery shopping. The images shift from those everyday moments to a scientists and purple lidded glass vials spinning off a production line and being packed into freezers.

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.

As the new year rapidly approaches, and gyms and health food stores across America prepare for a wave of people seeking weight loss, Novo Nordisk has announced that it does not expect to meet demand for Wegovy, its prescription injectable weight-loss medication for obesity, until the second half of 2022 in the US.

The shortage comes due to manufacturing issues at a contract manufacturer that was tasked with filling syringes for the pens. The news comes just days after Novo announced that it would invest roughly $2.58 billion to expand its manufacturing hub in Kalundborg, Denmark with three new facilities and the expansion of a fourth to keep up with the success of its diabetes and obesity med semaglutide, Wegovy and Rybelsus.

The AbbVie/Alvotech debacle on a Humira biosimilar has taken yet another turn — escalating tensions between the two biotechs.

The pharma giant filed a complaint with the US International Trade Commission on Friday, trying to prevent Alvotech from selling a lower cost version of AbbVie’s Humira, an anti-TNF drug that treats rheumatoid arthritis, ankylosing spondylitis and Crohn’s disease, among other ailments.

The long wait for Novavax’s promising Covid-19 vaccine will soon be over for Europeans.

The European Medicines Agency on Monday recommended granting a conditional marketing authorization for Novavax’s shot, to be known as Nuvaxovid, to prevent Covid-19 for all those over the age of 18. And later Monday morning, the European Commission granted that authorization.

Clinical trials of the two-shot vaccine, with each jab taken three weeks apart, showed it was safe and offered strong efficacy, but the EMA warned that the vaccine has not been tested against some variants of concern like Omicron.

Tom Plitz (L) and Arthur Roach, Chord Therapeutics CEO and founder

About a year after Geneva-based Chord Therapeutics emerged from stealth to see if it could repurpose an old chemotherapy agent for rare diseases, Merck KGaA is swooping in with a buyout.

While the companies are keeping mum about the financial terms of the deal, Merck KGaA is adding Chord’s lead candidate to its neurology pipeline — a small molecule oral version of the chemotherapy drug cladribine dubbed CRD1.

Brian Culley, Lineage Cell Therapeutics CEO

In a lucrative market for ocular degeneration, Roche has long sat on a gold mine with its drug Lucentis — but the times are changing. Now, Roche will bet on a regenerative approach to eye disease with a small biotech with some very early but promising data.

Genentech will pay $50 million upfront and a potential $620 million in downstream milestones for licensing rights to Lineage Cell Therapeutics’ OpRegen program, a cell therapy that aims to regenerate healthy versions of retinal pigment epithelial cells in patients’ eyes, the companies said Monday.

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