Junshi and Coherus plan to hustle the latest PD-1 to the FDA after an upbeat PhIII assessment

Li Ning, Junshi Biosciences CEO

Four months af­ter its first up­beat in­ter­im analy­sis, Shang­hai’s Jun­shi Bio­sciences and Cal­i­for­nia biotech Co­herus Bio­Sciences are tout­ing a sta­tis­ti­cal­ly sig­nif­i­cant im­prove­ment in over­all sur­vival for pa­tients treat­ed with tori­pal­imab plus chemother­a­py as a treat­ment for ad­vanced squa­mous or non-squa­mous NSCLC.

The drug, an an­ti-PD-1 mAb al­ready ap­proved in Chi­na as Tuoyi, pre­vi­ous­ly beat place­bo as a first-line treat­ment when com­bined with chemother­a­py. Among 465 ad­vanced NSCLC pa­tients who have nev­er re­ceived ther­a­py (both squa­mous and non­squa­mous), in­ves­ti­ga­tors ob­served a ‘sig­nif­i­cant im­prove­ment in pro­gres­sion-free sur­vival.’

To­day’s in­ter­im analy­sis goes one step fur­ther with the OS an­nounce­ment, and the tri­al al­so met the pri­ma­ry end­point of PFS com­pared to chemother­a­py alone.

Ac­cord­ing to a joint state­ment, the biotechs plan to sub­mit the re­sults of the tri­al for pub­li­ca­tion, and then re­quest a meet­ing with the FDA to dis­cuss a BLA sub­mis­sion for an ad­vanced NSCLC in­di­ca­tion.

If the FDA ac­cepts that BLA, it would not be the on­ly one for tori­pal­imab in the US. An­oth­er BLA for tori­pal­imab — from the same biotechs — is cur­rent­ly un­der pri­or­i­ty re­view in com­bi­na­tion with chemother­a­pies gem­c­itabine and cis­platin for first-line treat­ment for pa­tients with ad­vanced re­cur­rent or metasta­t­ic na­sopha­ryn­geal car­ci­no­ma, with an April 2022 PDU­FA date.

‘We are work­ing to reg­is­ter tori­pal­imab for a broad ar­ray of in­di­ca­tions in Chi­na and the Unit­ed States. In 2022, we look for­ward to clin­i­cal da­ta from ad­di­tion­al Phase 3 stud­ies in NSCLC, small cell lung can­cer, triple neg­a­tive breast can­cer, and he­pa­to­cel­lu­lar can­cer,’ said Jun­shi CMO Pa­tri­cia Kee­gan in a state­ment.

Short­ly af­ter Keytru­da and Op­di­vo wres­tled their way to the top of the PD(L)-1 food chain, they’ve been fol­lowed by a long list of ri­vals. Along­side Co­herus’s $150 mil­lion cash up­front deal ear­li­er this year for the rights to Jun­shi’s tori­pal­imab, oth­er play­ers in­clud­ing Eli Lil­ly, EQRx and No­var­tis, which paid out $650 mil­lion up­front to BeiGene for ex-Chi­na rights to its PD-1 in­hibitor tislelizum­ab, have been lin­ing up.

Sensor-based technology for clinical trial data collection represents the latest medical paradigm shift. There are more than 700 clinical studies involving wearable devices currently underway in the United States. A study from Intel IT projects their inclusion in clinical trials will surge to 70% by 2025.

Apps, biosensors and patient-centered technologies increase visibility of comprehensive patient data. Pharma leaders anticipate the benefits of wearables to include better data (58%), faster results (33%) and lower trial costs (10%).

When Bristol Myers Squibb celebrated the approval of ozanimod — branded Zeposia — in ulcerative colitis earlier this year, the company touted the first gastrointestinal indication for an S1P receptor modulator.

Now Pfizer wants to give the pharma rival a run for its money.

Pfizer is dropping $6.7 billion to acquire Arena Pharmaceuticals, whose lead drug, etrasimod, targets the sphingosine 1-phosphate receptor.

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Roberto Bellini, Bellus Health CEO

Do investors want the good news, or the bad news first? Bellus went with the good news, sharing that its chronic cough contender hit the primary endpoint in a Phase IIb trial, lining it up for a Phase III study in the second half of next year where it could pose stiff competition for Merck.

Amidst all the commotion, the Canadian biotech also revealed that the same candidate flunked a proof-of-concept trial in atopic dermatitis, and the company will now steer the program away from pruritic conditions.

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Rumors have swirled around a potential buyout of Switzerland’s Vifor Pharma by Australia’s CSL since the start of December, and now the gossip reportedly has some truth to it.

Vifor confirmed to Reuters early Monday that it is in discussions to be acquired by CSL for more than $8.5 billion, sending its shares up more than 15% in overseas trading. The deal is expected to be finalized Tuesday, according to Australian media, with one large investor reportedly willing to pay more than $173 per share — about $60 more than Vifor’s price before the rumors began circulating on Dec. 2.

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Precision CMO Alan List (Diane Bondareff/AP Images for Moffitt Cancer Center)

The next generation of cell therapies have focused in large part on the development of allogeneic — better known as ‘off-the-shelf — drugs that can cut manufacturing times and hopefully evade a patient’s immune system. One of the early players in that race has new data at #ASH21 that show deep responses but will also raise fresh concerns about these therapies’ durability.

Precision Biosciences’ PBCAR0191, a CD19-directed allogeneic CAR-T cell therapy, posted a complete response rate of 59% in 22 heavily pretreated patients with various forms of relapsed or refractory non-Hodgkin’s lymphoma and acute lymphocytic leukemia, six of whom had previously received an autologous CAR-T before dosing, the biotech said.

Stéphane Bancel, Moderna CEO (Endpoints JPM20/Jeff Rumans)

Last fall, as their Covid-19 vaccine crossed the finish line, Moderna unveiled plans to take its newly proven mRNA platform and use it to effectively change how the world blocks humanity’s most persistent viral foes.

In addition to their pre-existing vaccine programs, executives announced new ones for flu, where vaccines have chronically underperformed, and HIV, which has eluded every inoculation effort over nearly 40 years. In flu, the other mRNA vaccine companies — BioNTech (with Pfizer), Translate Bio (under Sanofi), and CureVac (with GSK) — all had similar ambitions, hoping to make shots that were as high as 80% effective.

Gene therapy biotech Intellia Therapeutics has dosed its first patient with genome editing candidate NTLA-2002, its drug candidate for hereditary angioedema, a rare genetic condition that causes swelling under the skin.

The drug candidate has been under development as a single-dose gene therapy to prevent HAE attacks by inactivating the target gene kallikrein B1 (KLKB1). That would, Intellia hopes, reduce plasma kallikrein activity and thus prevent HAE attacks.

AbbVie’s Migraine Relief-Tok on TikTok

Relaxation apps have nothing on AbbVie migraine med Ubrelvy’s TikTok. Ocean waves and birds chirping offer respite and a quiet scrolling break on the more typically frenetic social media app.

AbbVie calls it Migraine Relief-Tok and in a series of ads feature different calming sounds of nature with the advice: ‘Take a Break. Breathe in, Breathe out.’

The unexpected quiet in what can be an overstimulating experience of music, dancing, pop culture and politics is intentional. AbbVie knows that like many people, the 40 million people who suffer from migraine, are also on social media and TikTok.

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In the face of short attacks, it is not uncommon these days for companies to cry foul and defend themselves against what they call false and misleading statements. But are these short sellers involved in something more nefarious? The Department of Justice is reportedly trying to find out through a sweeping criminal investigation.

Federal investigators are scrutinizing an unknown number of hedge funds and research firms — alongside their trading of at least several dozen shorts — to see if any kind of deception or manipulation was involved, Reuters and Bloomberg reported.
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