Taking notes from MD Anderson and Rice University, Avenge Bio uncloaks with $45M and a slate of immunotherapies

Michael Heffernan, Avenge Bio CEO

Michael Hef­fer­nan was al­ready the head of a biotech com­pa­ny fo­cused on chron­ic pain, called Col­legium Phar­ma­ceu­ti­cal, which he suc­cess­ful­ly brought pub­lic in 2015. But when his wife was di­ag­nosed with ovar­i­an can­cer, he knew that was his next mis­sion.

Hef­fer­nan’s wife is do­ing well — but un­for­tu­nate­ly, that isn’t the case for most pa­tients, he said. In 2018, he stepped down from Col­legium to look for a bet­ter op­tion for women with re­cur­rent re­frac­to­ry ovar­i­an can­cer. That’s when he met Rice Uni­ver­si­ty’s Omid Veiseh, who was work­ing on an im­munother­a­py plat­form with a physi­cian over at The Uni­ver­si­ty of Texas MD An­der­son Can­cer Cen­ter.

On Wednes­day, Hef­fer­nan, Veiseh and their col­league Paul Wot­ton (who’s al­so CEO of Ob­sid­i­an Ther­a­peu­tics) un­veiled a new com­pa­ny around the tech­nol­o­gy called Avenge Bio, equipped with $45 mil­lion in Se­ries A cash and a lead can­di­date ready for the clin­ic. ‘The rea­son I got in­ter­est­ed in this is there were some da­ta in the lit­er­a­ture that was ex­plained to me by the folks at MD An­der­son and Omid from back in the 90s, out of the Uni­ver­si­ty of Pitts­burgh,’ said Hef­fer­nan, who has tak­en the helm at Avenge.

A few decades ago, pro­fes­sor Robert Ed­wards used re­com­bi­nant Pro­leukin IL-2, and in­fused it in­to the peri­toneal cav­i­ties of women with re­frac­to­ry re­cur­rent ovar­i­an can­cer us­ing an in­dwelling catheter over 16 weeks.

‘It was a very cum­ber­some process, not a very user-friend­ly process, but he got some re­al­ly dra­mat­ic re­sults,’ Hef­fer­nan said. ‘It nev­er be­came stan­dard of care be­cause of how dif­fi­cult it is to do that type of a pro­ce­dure.’

Avenge Bio’s lead can­di­date, AVB-001, takes a slight­ly dif­fer­ent ap­proach. The plat­form, dubbed LO­CO­cyte, be­gins with an al­lo­gene­ic hu­man cell line re-en­gi­neered to pro­duce im­munomod­u­la­tors. AVB-001, for in­stance, pro­duces IL-2.

‘We ac­tu­al­ly are able to, through a hu­man cell line, cre­ate hu­man na­tive IL-2,’ Hef­fer­nan said. ‘We en­cap­su­late these cells, and then we im­plant them in prox­im­i­ty to the tu­mor.’

In the case of ovar­i­an can­cer pa­tients, that’s in the peri­toneal cav­i­ty. While the im­plant­ed cells are pro­tect­ed by the en­cap­su­la­tion, they be­come fac­to­ries, pro­duc­ing high lev­els of IL-2 for 15 to 30 days in the peri­toneal cav­i­ty.

‘The IL-2 is not in the sys­temic cir­cu­la­tion where a lot of the tox­i­c­i­ty oc­curs,’ he added, not­ing that you get a cor­re­spond­ing sys­temic im­mune re­sponse, while avoid­ing the tox­i­c­i­ties as­so­ci­at­ed with sys­temic ex­po­sure.

AVB-001 should be in the clin­ic in mid-2022, ac­cord­ing to Hef­fer­nan. They’re al­so ex­plor­ing a pipeline of can­di­dates be­hind IL-2 (in­clud­ing an IL-12 and an IL-15), all based on the tech­nol­o­gy ex­clu­sive­ly li­censed from Rice. In the fu­ture, they may ex­pand AVB-001 to tar­get lung can­cers, in­clud­ing mesothe­lioma. AVB-002, the IL-12, will ad­dress oth­er peri­toneal can­cers, in­clud­ing pan­cre­at­ic can­cer.

One of the Holy Grails in im­muno-on­col­o­gy over the last few years has been find­ing an IL-2 drug that can be used safe­ly and ef­fec­tive­ly to com­bat can­cer, sans the tox­i­c­i­ty that large­ly side­lined the orig­i­nal IL-2 Pro­leukin. Anaveon raked in $119 mil­lion just last month to see its own can­di­date in­to a se­ries of Phase II tri­als — and it’s not the on­ly IL-2-fo­cused com­pa­ny to swing a megaround in the last year or so.

Ovar­i­an can­cer of­ten goes un­de­tect­ed un­til it has spread with­in the pelvis and bel­ly, at which time it’s more dif­fi­cult to treat. Women who are di­ag­nosed ear­li­er have much high­er five-year sur­vival rates, but on­ly about 15% of pa­tients are di­ag­nosed ear­ly, ac­cord­ing to the Ovar­i­an Can­cer Re­search Al­liance.

The Se­ries A round — co-led by Per­cep­tive Xon­toge­ny and CAM Cap­i­tal, with par­tic­i­pa­tion from seed in­vestor Lon­gi­tude Cap­i­tal and new in­vestors Rock Springs Cap­i­tal and Pap­pas Cap­i­tal — should fund the en­tire Phase I study for AVB-001, and al­low the roughy eight- to 10-per­son team in Nat­ick, MA to grow the pipeline.

As for the name Avenge Bio? It re­flects the ‘per­son­al na­ture of the mis­sion,’ Hef­fer­nan said: ‘To treat hard-to-treat sol­id tu­mors.’

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.

Patrick Collison, co-founder of Stripe, has become one of Silicon Valley’s biggest advocates for new forms of funding and conducting science (Matt Winkelmeyer/Getty Images for WIRED)

It’s big days for biology.

The pandemic has seen a series of very public scientific breakthroughs: mRNA vaccine, Covid antibodies, CRISPR as therapy. The minds behind these advancements have graced magazine covers and received prestigious awards.

But the last two years have also, far more quietly, seen a series of new experiments in how to fund the next generation of scientific breakthroughs.

Since March 2020, investors, academics, a significant number of Silicon Valley types, at least one Russian billionaire and two crypto billionaires and, most recently, a few West Coast universities have launched a series of grant programs, institutes, NGOs and companies hoping to change how life science research is done. Though unaffiliated and varying greatly in both size and form, they have broadly promised to evade bureaucracy and misaligned incentives and advance both basic and not-so-basic research in ways they say can’t be done in either conventional academia or profit-focused biotech.

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Ray Tabibiazar, SalioGen CEO

Roughly 10 months ago, a fledgling biotech emerged from stealth with a modest Series A and a big promise looking to develop gene therapy 3.0. The promise inched closer to reality Wednesday as investors have now hopped on board thanks to a new, nine-figure round.

SalioGen Therapeutics closed its $115 million Series B, the company announced Wednesday morning, aiming to push forward its ‘gene coding’ platform and growing preclinical pipeline. The biotech, which focuses on activating dormant mammalian enzymes to edit genes in vivo, secured the new raise after fleshing out some of the technologies’ applications, CEO Ray Tabibiazar told Endpoints News.

BioNTech CEO Ugur Sahin (Photo by ddp images/Sipa USA)

One of the biggest storylines of biotech’s next half-decade will be where Moderna, BioNTech and their growing list of rivals push the mRNA technology that’s already changed the world.

BioNTech and Pfizer gave part of the answer Wednesday, announcing a new partnership to co-develop an mRNA-based shingles vaccine. The candidate will be ready for early-stage trials in the second half of 2022, the companies said.

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For anyone who’s been following how the US government has been allocating and shipping supplies of its Covid-19 treatments over the past year, the news has shifted so many times that it can be difficult to keep track of what’s still being shipped and where.

More change is coming this week too, as HHS has now decided to re-start shipments of both Eli Lilly (bamlanivimab plus etesevimab) and Regeneron (casirivimab plus imdevimab) monoclonal antibody products after a short pause because neither product works against the new variant Omicron. Lilly’s combo also was halted last June due to the presence of other variants.

Kicking off 2022, hundreds of pharmaceuticals, including some blockbusters, saw their list prices rise by about 5% on average. But overall, net drug prices (cost after rebates) declined for the fourth year in a row, potentially complicating already stalled drug price reform efforts.

Among the drugs seeing new increases as of Jan. 1 are Gilead’s bevy of blockbuster HIV drugs.

Biktarvy, which pulled in more than $7 billion in worldwide sales in 2020, saw a 4.8% price increase in 2021, and now, another 5.6% increase in 2022, according to a new report from the nonprofit 46brooklyn Research.

The FDA quietly announced on Tuesday that just before New Year’s eve, the agency again paused all of its non-mission-critical inspections in the US, likely leading to an even larger backlog of inspections worldwide.

The pause, which will last at least two weeks, is meant to ensure the safety of FDA employees and the companies it regulates as the agency further adapts to the spread of Omicron.

All the big R&D trends are on display in this new list of drug approvals for 2021. Plus one.

Add up everything OK’d from CDER and CBER, and you have 60 new drug approvals for last year, topping the 59 in 2020. That’s a close second to the 64 OKs that came out of the FDA in 2018. The dark days of the early 2000s are a distant memory now, with a host of hungry upstarts promising to make their own entries one day as Big Pharmas double down on innovation.

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Shoshana Shendelman, Applied Therapeutics CEO/founder

When the FDA lifted a clinical hold on Applied Therapeutics’ lead program in galactosemia last February, the New York biotech signaled that they were then on a smooth road toward an accelerated approval, with plans to file an NDA in the third quarter of 2021.

Regulators, though, apparently changed their mind.

Applied has decided to hold on submitting an NDA for AT-007 as a treatment for galactosemia, the company disclosed, following discussions with the FDA in which the agency indicated that ‘clinical outcomes data will likely be required for approval.’
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