Qiming-backed CANbridge gets its Hong Kong IPO as Nasdaq slowdown prompts renewed market analysis

James Xue, CANbridge Pharmaceuticals CEO

Though IPO ac­tiv­i­ty has slowed in the US sig­nif­i­cant­ly, a Qim­ing Ven­ture-backed biotech took the pub­lic leap in a Hong Kong de­but Fri­day.

CAN­bridge Phar­ma­ceu­ti­cals be­gan trad­ing on the HKEX af­ter rais­ing about $77.4 mil­lion in its IPO, ac­cord­ing to a Qim­ing re­lease. The move comes a lit­tle less than two years af­ter CAN­bridge’s last raise, when it pulled in $98 mil­lion from a glob­al syn­di­cate joined by RA Cap­i­tal.

Shares of CAN­bridge de­buted at HK$12.18 apiece, but when Fri­day’s ses­sion end­ed they had fall­en about 27% to HK$8.90 each.

The biotech has a heap of rare dis­ease and gene ther­a­py pro­grams, with 10 prod­ucts and can­di­dates be­ing re­searched across 13 dif­fer­ent in­di­ca­tions. Rough­ly half of the IPO cash is ex­pect­ed to go to­ward the glioblas­toma pro­gram CAN008, a gly­co­sy­lat­ed CD95-Fc fu­sion pro­tein cur­rent­ly in Phase II stud­ies.

About one fourth of the raise will go to­ward CAN­bridge’s oth­er ma­jor pro­grams, the com­pa­ny said. While most of CAN­bridge’s pipeline fo­cus is cen­tered around rare dis­eases — most of its clin­i­cal can­di­dates and its on­ly ap­proved prod­ucts are in this space — the IPO sig­ni­fies a re­newed em­pha­sis in can­cer in­di­ca­tions as CAN008 is the biotech’s sole on­col­o­gy can­di­date.

But the biotech has al­so been push­ing in­to the gene ther­a­py space, though that’s a bit far­ther be­hind. CAN­bridge is re­search­ing three gene ther­a­pies in Fab­ry dis­ease, Pompe dis­ease and an as yet undis­closed in­di­ca­tion, all of which re­main in the pre­clin­i­cal phase.

The IPO comes as US biotech ac­tiv­i­ty grinds to a near halt fol­low­ing a pan­dem­ic boom that saw tens of bil­lions of dol­lars fun­neled to the in­dus­try. While the to­tal fig­ure raised through­out 2021 re­mains around $15 bil­lion and reached $16.5 bil­lion last year, more and more com­pa­nies have priced at the low ends of their ranges, os­ten­si­bly lead­ing to more hes­i­tan­cy to go to Nas­daq.

Over the week­end, Ever­core an­a­lyst Josh Schim­mer put out a note de­tail­ing the slow­down, de­tail­ing how mean and me­di­an per­for­mance for 2021’s IPO class have both been neg­a­tive, down 20% and 29% re­spec­tive­ly. That con­trasts with each of the last 10 years of IPOs, where mean per­for­mance is pos­i­tive and me­di­an is neg­a­tive.

Rather than fund IPOs, in­vestors have tak­en to ear­ly-stage fi­nanc­ings as their new pre­ferred choice, with Schim­mer writ­ing the shift ‘has pre­sum­ably been dri­ven by a com­bi­na­tion of low in­ter­est rates, ex­cit­ing new emerg­ing tech­nolo­gies, and chal­lenges with com­mer­cial­iza­tion which makes lat­er stage com­pa­nies less at­trac­tive for new cap­i­tal.’

Part of the com­mer­cial chal­lenge has to do with the huge num­ber of biotechs work­ing in on­col­o­gy — Schim­mer notes near­ly half of all pri­vate and IPO biotechs fo­cus on this area.

Go­ing for­ward, Schim­mer says the in­dus­try may see more M&A ac­tion next month, as af­ter most ‘tough biotech years’ there is his­tor­i­cal­ly strong merg­er ap­petite in Jan­u­ary. It’s re­mains to be seen if that will play out, but Schim­mer’s analy­sis came at some­what of a for­tu­itous mo­ment, with Pfiz­er an­nounc­ing ear­ly Mon­day it would ac­quire Are­na Phar­ma­ceu­ti­cals in a $6.7 bil­lion deal.

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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Merck’s potential Covid-19 treatment molnupiravir will not be used in France, French regulators said Friday.

The French National Authority of Health cited the potential impact of the Omicron variant, the fact that Regeneron’s mAb cocktail is more effective, and the pill’s own lack of efficacy as reasons for denying early access of the drug to patients experiencing mild to moderate cases of Covid-19. France has already pre-ordered hundreds of thousands of the pills, with the goal of treating 50,000 patients.

The Senate Finance Committee on Saturday released the latest text of President Joe Biden’s $2 trillion spending package, paid for at least in part with new negotiating power for Medicare and inflation rebates drugmakers will have to pay if their drug prices rise too quickly each year.

But now, generic drugs at risk of shortage and biosimilars have been cut out of the rebates, as their industry lobbying groups had sought. They’d said the inclusion of such rebates and negotiations could increase the likelihood of drug shortages and create barriers to competition.

Jacob Van Naarden (Lilly Oncology)

Jake Van Naarden, who rules the oncology roost at Eli Lilly, is back in the dealmaking game.

Monday morning he uncorked a deal to provide Flagship-backed Foghorn Therapeutics $380 million — $300 million in cash and $80 million for a premium equity deal — to jump on board the biotech’s development platform. The deal gives him co-development and co-commercialization rights to their BRM selective program — which uses protein degradation and enzymatic inhibition — directed against BRG1 mutations. Those mutations are aligned along 5% of all tumors and 10% of NSCLC.

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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.

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The bulk of this week’s report is brought to you by Endpoints editors Nicole DeFeudis and Max Gelman, who are covering for me as I take a few days off after the big Women in Biopharma R&D event. We are really proud of both the special report and the live panel, which featured some great stories from trailblazing leaders and insights on gender diversity in biotech. Do check them out below if you haven’t had a chance.

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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.

House Speaker Nancy Pelosi (Jacquelyn Martin/AP Images)

Back in January 2019, the late House Oversight Committee chair Elijah Cummings kicked off a nearly 3-year-long drug pricing investigation that culminated today in a major new report detailing how prices for vital drugs have risen substantially since their launch, while calling on the Senate to pass a bill that will allow Medicare to negotiate some prices.

The committee’s investigation focused on 12 of the most expensive drugs for Medicare, showing massive price spikes that have accumulated over the years and made some drugs, like insulin, entirely unaffordable for some, to the point where some diabetics have had to ration their life-saving insulin, and some have died.
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