WEEK OF FEBRUARY 28, 2011 BioCentury THE ERNSTEIN B EPORT ON R B IOB USINESS Volume 19 Number 10 Page A1 of 20 Product Discovery & Development Curing cancer trials BioCentury This Week Cover Story Emerging Company Profile Curing Cancer Trials — NCI’s Clinical Trials Cooperative Groups Program is said to be “approaching a state of crisis.” But if there is broad agreement it must be fixed, the means for overhauling the system are controversial. Shushing the Usher — Karyopharm thinks its molecules that block removal of tumor suppressor proteins and growth regulatory proteins from the nucleus will target cancer cells without the risk of tumor resistance./A12 Understanding the Co-ops — IOM's warning about NCI's Clinical Trials Cooperative Program was not the first, as similar red flags were raised in 1997 about the system, which comprises 3,100 institutions and more than 14,000 investigators./A7 Ebb & Flow Strategy Erecting its Pillars — Message in Vertex jump on VX-770. Clinical Data fantasies. 4SC goes outside the family. IPOs: Dermagraft redux. Also: Delcath; Ligand; Salix; ProStrakan; Quest; Transgene, et al./A15 Cancer Encore — Gilead’s first move into cancer ended when it sold off its liposomal chemotherapeutics. This time the biotech is collecting targeted therapies with potential in cancer and inflammation, possibly in combination./A9 Product Discovery & Development Virtue in Virtual — Atlas Venture is starting to invest in assets instead of companies, aiming to pluck assets from pharma and reduce capital intensity by outsourcing and having virtually no dedicated management./A13 Online this week/A19 Stock charts & tables/A21 Company index/A10 BioCentury 100 Indicators TM Two for One — By binding GD2 and releasing IL-2 at the tumor site, Apeiron believes APN301 will be able to deliver a one-two punch in neuroblastoma while avoiding the toxicities of systemic IL-2./A11 Week ended 02/25/11 PRICES 2215.82 dn 1% VOLUME 611.3M shrs dn 19% By Susan Schaeffer Senior Editor A study reported this month in the Journal of the American Medical Association challenges the standard practice of removing cancerous lymph nodes from the underarms of women with breast cancer. For patients, its finding represents the best of what the NCI’s Clinical Trials Cooperative Groups can be. The flip side is the snail’s pace at which the cooperative system works, which means many trials never finish, or are irrelevant by the time they do. There is broad agreement the cooperative groups must start studies faster, and and NCI already has implemented changes designed to do just that. But that is about where the consensus ends. Illustrating the best of the cooperative system, the Z0011 trial published this month by the American College of Surgeons Oncology Group (ACOSOG) showed sentinel lymph node dissection (SLND) is noninferior to complete axillary lymph node dissection (ALND) on survival in women with some types of breast cancer. The study thus could spare thousands of women each year from the complications of ALND, including infection and lymphedema, improving quality of life without shortening its length. See next page This Week in SciBX Geography Lesson in Dry AMD — American researchers have identified a mechanism in the retina that could be responsible for triggering the blindness associated with advanced dry AMD. Please see Table of Contents on A10. BioCentury TV This Week Are Biotech’s Pioneers Disappearing? Please see the Program Notes on A8. www.biocenturytv.com Future Leaders Update Expanding the slate for both financial and strategic dealmakers. Please see announcement following A20. BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS Product Discovery & Development, from previous page For more than 50 years, the cooperative groups have helped define the practice of oncology. Their landmark studies have directed physicians to the most effective drug combinations, spared patients unnecessary invasive surgeries, optimized the use of radiation and other interventions and improved prevention and diagnosis (see “Understanding the Co-ops,” A7). Yet last April, the Institute of Medicine said the cooperative group program is “approaching a state of crisis.” According to the report, which was commissioned by NCI, inefficiencies and lack of funding threaten the program’s continued ability to conduct the kinds of large-scale, innovative trials needed to advance patient care. As a result of a complex system of oversight, the median time required to design, approve and activate a Phase III trial is 2.5 years. Because of these delays, a large proportion of studies go unfinished, often because the questions they were designed to answer became irrelevant. Only 60% of trials begun by cooperative groups are completed and published. Furthermore, between fiscal 2002 and FY08, funding for the program decreased by 20% after adjusting for inflation. Meanwhile, knowledge of the molecular changes underpinning cancer and the use of predictive biomarkers are increasing the complexity and cost of cancer studies. IOM and NCI say consolidating the cooperative groups’ operations and requiring them to compete for funding will make the program more efficient, while ensuring continued competition for the best ideas. IOM recommended, and NCI has agreed, that the nine existing cooperative groups focused on adult cancers must be reduced in number. But some clinical researchers, industry stakeholders and members of the cooperative groups themselves say it’s not obvious how these efficiencies will be achieved, and they are concerned that having fewer cooperatives will result in fewer innovative ideas being tested. The debate will take years to play out, as NCI expects to issue a funding opportunity announcement (FOA) around July 2012, beginning a competition from which four adult groups and one pediatric group will emerge victorious after October 2013. A window into the process will open on March 21, when the cooperative group See the Doroshow Interview “I think in the future we will have to have a system beyond what most pharmas can do, that can screen thousands of patients, that has 2,000 sites up, ready and ongoing, that will allow us to find the next ALK inhibitor.” James Doroshow, NCI chairs, NCI leadership and stakeholders from industry, payers and patient groups meet for a public workshop at the IOM in Washington. Time to progression No one is arguing the cooperative groups don’t desperately need to reduce the amount of time it takes to start trials. Last April, James Doroshow, director of NCI’s Division of Cancer Treatment and Diagnosis, implemented new deadlines and processes aimed at speeding the timelines. According to a study team led by David Dilts and including Doroshow, opening a Phase III cooperative group study requires 769 steps and 36 approvals and takes a median of 2.5 years. Dilts is director of clinical research at Oregon Health & Science University’s Knight Cancer Institute and professor of healthcare management in the university’s Division of Management. He was also a member of the IOM committee that drafted the April report. The lengthy delays are not due to any one part of the approval process, but rather because review of a protocol by one body, such as NCI or an institutional IRB, can trigger feedback loops as a protocol is passed back and forth between the investigators, the cooperative group, NCI, IRBs and FDA, sometimes for the sake of FEBRUARY 28, 2011 P AGE A2 OF 20 relatively minor changes. Most of these reviews are done in sequence rather than in parallel, and most of the review questions and comments are transmitted in writing. The study, published in Clinical Cancer Research in November, went on to show that the longer it takes to launch a trial, the less likely the study is to reach patient accrual targets. “For studies that took more than two or three years to even open, their success rate of completion, because the science had changed, was very low,” Doroshow said on the Feb. 20 edition of BioCentury This Week, BioCentury’s public affairs television program. Every incomplete study extends false hope to patients who expect their participation in clinical trials will contribute to better treatments. Delays also have discouraged some industry sponsors from placing important trials at the cooperative groups. This means the companies have less access to the cooperative group’s infrastructure and expertise, and that the cooperative groups have less access to novel compounds — and to supplemental funding from industry. “Study startup time, which has been extremely long, has played a role in determining whether a sponsor would place an important study with cooperative groups,” said Peter Ho, co-founder and president of cancer company BeiGene Ltd. “For industry, we’d like to get going in Phase II in 4-6 months.” Ho was previously VP of oncology development at Johnson & Johnson, SVP of the Oncology Center of Excellence in Drug Discovery (CEDD) at GlaxoSmithKline plc and, in the 1990s, worked as part of NCI’s Cancer Therapy Evaluation Program (CTEP), a group within the Division of Cancer Treatment and Diagnosis that oversees the cooperative groups. Sean Harper, SVP of global development and CMO at Amgen Inc., agreed timelines influence decisions to place studies with cooperative groups. “Major factors for deciding are timelines, which can be very long,” he told BioCentury. Amgen does many studies with NCI and its cooperative groups, Harper said, but generally not studies intended for registration unless they are measuring hard endpoints. “Generally, either we use them as ways to screen different tumor types, which we would follow up with Amgen-sponsored studies, or if measuring survival,” he said. See next page BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A3 OF 20 IOMs recommendations for NCI In an April 2010 report commissioned by the National Cancer Institute and the Institute of Medicine said the structure and processes of the entire cancer clinical trials system needs to be redesigned to reduce redundancy and improve the effectiveness and efficiency of the studies. Based on input from oncology experts and the literature, IOM concluded fixing the system will require participation from academia, government, industry and the public. Its recommendations are summarized below. Goal Supporting recommendations Improve speed and efficiency NCI should facilitate some consolidation of cooperative group front office operations (scientific committees and statistical offices) by reviewing and ranking the groups and by linking funding to review scores NCI should require consolidation of administration and data management operations of the cooperative groups, and make process improvement in the operational and organizational management of clinical trials a priority HHS should lead a transagency effort to streamline and harmonize government oversight and regulation of cancer clinical trials Incorporate innovative science and trial designs NCI should mandate submission of annotated biospecimens from cooperative group trials to high-quality, standardized central biorepositories, and should fund management and use of those resources for retrospective correlative science Cooperative groups should lead the development and assessment of innovative designs for clinical trials that evaluate cancer therapeutics and biomarkers NCI, in cooperation with other agencies, should establish a consistent, dynamic process to oversee the development of national unified standards for oncology research Improve prioritization and completion of trials NCI should reevaluate its role in the clinical trials system, including filing more INDs for high-priority trials and strengthening peer review of trial concepts NCI, cooperative groups and physicians should take steps to increase the speed, volume, and diversity of patient accrual and to ensure high-quality performance at all trial sites Increase funding for cooperative groups and, if necessary, reduce the number of trials to ensure funding for those of highest priority Incentivize participation of patients and physicians Academic medical centers, community practices, professional societies and NCI should work to ensure that clinical investigators have adequate training and mentoring, paid protected research time, resources and recognition for participating Government and private payers should compensate for care provided to patients in clinical trials Product Discovery & Development, from previous page “Things that absolutely have to work, we do ourselves. Things that are more flexible, or for large studies where you would compete with cooperative groups — or big adjuvant studies, for example, that take seven years to do — make you lean toward cooperative groups,” he added. Ho agreed cooperative groups are ideal for some kinds of trials, such as studies in rare tumors. “It takes a lot for a sponsor to put together a group of investigators and sites. In the cooperative group, that mechanism, that organization, might be set up already,” he told BioCentury. David Parkinson, who has led several oncology R&D groups and also worked within CTEP, concurred “there are certain types of trials only cooperative groups can do.” As an example he cited adjuvant trials, “which have been very, very large historically and long because of the endpoints, and essentially have not been and prob- ably should not be done by industry.” Parkinson is now president and CEO of diagnostic company Nodality Inc., and previously was SVP of oncology R&D at Biogen Idec Inc., VP and head of oncology development at Amgen, head of oncology at Novartis AG, chief of NCI’s Investigational Drug Branch and acting associate director of CTEP. While he said the cooperative groups “involve the leading oncologists of any era,” Parkinson said he would not likely entrust a key trial to them — “not if the trial were integral to the survival of my company.” Thus, he told BioCentury, “I would not put my main registrational trial in a cooperative group. I would consider secondary indication trials, or trials helping to answer biological questions about which subgroups of patients are appropriate.” Response rates Under Doroshow’s initiatives, the groups have already reduced the time to activate and open studies by 60%. Some of the solutions have been surprisingly simple. One of the biggest changes, he told BioCentury, was to insist on deadlines for every step of the process. He also instituted the use of conference calls for investigators to respond to IRB questions about protocols in real time instead of engaging in back-and-forth email. “That saves literally months and costs nothing. In fact it saves money,” Doroshow said. NCI also provided grant supplements so the groups could hire staff to ensure deadlines are met. The deadlines and process changes went into effect April 1, 2010. Jan. 1 was the first “drop-dead” date, the point at which any trial was to be dropped if the cooperative groups had been working on it for two years but the study had not yet been started. “Only three trials out of hundreds that could have been terminated were,” Doroshow said. The goal is to be consistent with indusSee next page BioCentury, THE BERNSTEIN R EPORT Product Discovery & Development, from previous page try norms. “Another six months from now, I’ll know just how well we’re hitting these early timelines,” Doroshow said. “It’s been quite a year, and turn-around time to approval has gone from 120-140 days to 40 days.” The next part of Doroshow’s plan is the installation of a clinical trials data management system that will be used by all the cooperative groups. The system will allow Internet-based patient enrollment and randomization, replacing a paper-based process that is both tedious and error prone. It also will function as a uniform collection system for clinical data from all sites involved in a trial, with standardized case report forms. “One of the most important things is to make it easy for both patients and for participating physicians to participate,” Doroshow said on BioCentury This Week. “We hope soon to be able to put forward a national system for clinical trials data management, an IT system that will be uniform across the country that will allow investigators — whether they are in a private office or at an academic medical center, no matter what the study is and who originated the study — to have a standard approach to electronic data entry.” Susan Desmond-Hellmann, chancellor of the University of California, San Francisco and former president of product development at Genentech Inc., said a uniform IT system could improve both efficiency and data quality, which is sometimes a bigger issue in cooperative group trials than in industry trials. Standardizing the data “is a huge advance,” she told BioCentury. Antiproliferative effect IOM says reducing study timelines and implementing a unified data management system alone will not be sufficient to improve efficiency and enable the groups to incorporate more innovative science into their studies. That, the report said, will require consolidating the cooperatives into a smaller number of groups, as well as increasing their funding (see “IOM’s Recommendations to NCI,” A3). According to the report, a smaller number of groups ideally would maintain strong competition for trial concepts and help ensure that only the highest-priority trials are undertaken. Indeed, according to IOM, there is no ON B IOB USINESS “Things that absolutely have to work, we do ourselves.” Sean Harper, Amgen system for prioritizing the most important studies, or those most likely to succeed. NCI has 10 disease-specific scientific steering committees charged with prioritizing and refining concepts for Phase II and III trials to better allocate resources, increase scientific quality and reduce duplication. There are steering committees for gastrointestinal, gynecologic, head and neck, genitourinary, breast, thoracic and brain cancers, plus leukemia, lymphoma and myeloma. Each one is composed of outside cancer experts and NCI senior investigators. However, the committees do not rank trial concepts against each other. While IOM neither specified the ideal number of groups, nor indicated which should merge or remain independent, the report did note: “Groups focused on a single disease site or modality would likely need to merge with multidisciplinary Groups under this system.” In a presentation to the group chairs in November, Doroshow said NCI had determined four adult groups and one pediatric group are the right numbers. The ability to “prioritize molecular characterization resources and develop molecularly driven trial designs” can “be achieved more easily with fewer competing research organizations,” according to slides from Doroshow’s presentation. The presentation also said the planned IT system for clinical data management and tissue resource management “will constantly require modification,” which would be “more manageable with fewer independent entities.” The presentation did not say which groups might be the surviving entities, but did suggest “scientific interactions around imaging” would be facilitated by integrating the American College of Radiol- “I would not put my main registrational trial in a cooperative group.” David Parkinson, Nodality Inc. FEBRUARY 28, 2011 P AGE A4 OF 20 ogy Imaging Network (ACRIN) into a “setting with more access to patient resources for investigational studies.” Minetta Liu, associate professor of medicine and oncology in the Lombardi Cancer Center at Georgetown University, is a proponent of consolidation. “What will be key is how the groups realign. Not every group is structured in the same way, and their talents are different. Combining groups with different strengths may foster better ideas,” she suggested. “If you took a surgical group — hypothetically speaking — and merged it with one of the larger oncology groups, we could increase the number of meaningful collaborations between medical oncology, surgery and radiation medicine,” Liu told BioCentury. Liu is the principal investigator for Cancer and Leukemia Group B (CALGB) at Georgetown and a member of CALGB’s breast cancer committee, correlative science subcommittee, executive committee and data audit committee. She also was a member of the IOM committee that drafted the April report. Doroshow argued that revamping the system to function as a truly national network is essential to bolstering the cooperatives’ ability to incorporate modern tools of molecular oncology. “I think in the future we will have to have a system beyond what most pharmas can do, that can screen thousands of patients, that has 2,000 sites up, ready and ongoing, that will allow us to find the next ALK inhibitor,” he told BioCentury. About 3-5% of non-small cell lung cancer (NSCLC) tumors are anaplastic lymphoma kinase (ALK)-positive. “If we are going to cure lung cancer 3% at a time, we need access to sites, science and systems that can find patients and pilot these ideas, and to work with pharma to do it,” Doroshow said. Nodality’s Parkinson agreed. “Industry is giving lip service to biomarkers, usually against conventional indications, because they believe that’s what regulators want to see,” he said. “But there’s no better way to identify subsets than cooperative group trials, because they have all the basic science, pharmacology and clinical investigators.” The problem, Parkinson said, is “the groups are slow and ponderous and don’t have the resources to do the biological characterization that’s necessary for more appropriate and efficient characterization of patients.” See next page BioCentury, THE BERNSTEIN R EPORT Product Discovery & Development, from previous page William Hait, global therapeutic area head for oncology R&D at J&J, also cautioned that the cooperative groups will need more than streamlined operations and additional funding to perform biomarker research with the rigor that would be required to support registration. “It’s a huge education issue at the site level, how specimens are harvested, annotated, etc. The cooperative groups are good at rounding up paraffin-embedded specimens. But for many tests you need not only paraffin-embedded biopsies, but biopsy samples that are frozen and handled in different ways,” he told BioCentury. Developing resistance NCI has made it plain it does not intend to foist a specific consolidation plan onto the cooperative groups, preferring instead to let the group chairs work it out. But while the chairs’ initial response to IOM recommendations was favorable, resistance has since bubbled up. In a public comment on the IOM report issued last September by the Coalition of Cancer Cooperative Groups, nine of the group chairs said they have begun to take steps to improve operational efficiency. They cited adherence to the new timelines and the planned adoption of a common data management system as examples. Three of the groups, ACOSOG, North Central Cancer Treatment Group (NCCTG) and CALGB, were already discussing consolidating their biostatistical and data management centers before the IOM report came out, and that consolidation is now well under way. The chairs added: “An internal dialogue is underway to address the optimal configuration of our scientific programs and portfolios, building on our diversity and strengths.” The comment was signed by all the group chairs except Laurence Baker of SWOG. Baker declined to be interviewed for this story, but group spokesperson Frank DeSanto confirmed SWOG is not currently discussing a merger with any of the other cooperative groups. And in January, Gynecologic Oncology Group chair Philip DiSaia issued a white paper arguing GOG should not be merged with any other groups. His argument was predicated on GOG’s unique focus, its accomplishments in clinical and translational research, and differences in the practice of gynecologic oncol- ON B IOB USINESS “Should the spirit and integrity of the GOG be disrupted by attaching portions to various large medical oncology groups, the outcome will be repeated failure.” Philip DiSaia, Gynecologic Oncology Group ogy compared with other cancer disciplines. “The study of gynecologic cancers has been attempted by Groups other than the GOG. In point of fact, SWOG has attempted to accomplish this on two occasions without success, and ECOG’s attempt in this area also was unsuccessful,” the white paper noted. DiSaia warned: “Should the spirit and integrity of the GOG be disrupted by attaching portions to various large medical oncology groups, the outcome will be repeated failure.” The Eastern Cooperative Oncology Group (ECOG) and SWOG are the two largest cooperative groups. DiSaia told BioCentury he fears merging into a larger group will limit the number of gynecological studies that get approved. “SWOG, for instance, has a quota on how many protocols the myeloma committee can develop and how many leukemia can develop. We believe we would be compromised on the number of ideas we could pursue,” he said. “Now, we go for the important ideas, and when we don’t have the money, we go get it from industry.” Moreover, according to DiSaia, “none of the big groups want us, and NCI doesn’t want us to join them anyway. That leaves the radiation oncology group, NSABP, ACRIN — it’s like oranges, apples, kum- “One hopes the number of ideas and studies goes up by decreasing the number of groups, but it’s not immediately clear how that will happen.” John Erban, Tufts Medical Center FEBRUARY 28, 2011 P AGE A5 OF 20 quats and plums. At least when you merge banks, they’re both banks,” he said. DiSaia said he has reached out to the Radiation Therapy Oncology Group (RTOG) and the National Surgical Adjuvant Breast and Bowel Project (NSABP), to no avail. “Radiation and NSABP are already talking about a merger. I have approached the chairs and said we’d be the third, but they want to work out their own marriage before they open the marriage,” he said. DiSaia added his group is considering competing for one of the four new cooperative group awards NCI plans to issue in FY14. “If we are not chosen, [NCI] will have to face the political pressure of not studying female gynecological cancers,” he told BioCentury. DiSaia also is not moved by the IOM and NCI arguments that consolidating and streamlining the groups will better enable them to engage in the translational work necessitated by the advent of targeted therapies. “All the groups have a plethora of really good science going on that’s not part of a protocol. You don’t want to tamper with that,” he said. DiSaia is not alone in his concerns that consolidation could result in fewer ideas reaching the clinic. “One hopes the number of ideas and studies goes up by decreasing the number of groups, but it’s not immediately clear how that will happen,” said John Erban, associate director for clinical science and clinical director of Tufts Medical Center Cancer Center. The IOM report suggested the merger that formed the Children’s Oncology Group (COG) should serve as a template for the adult groups. But Erban argued the pediatric groups had little choice but to merge because of the scarcity of pediatric patients. “They have 1,000 patients per year or 2,000 patients per year with particular diseases and there simply can’t be four cooperative groups enrolling different trials. One breast cancer trial might require 3,000-5,000 patients, but many, many more patients are eligible for those trials,” he said. Maha Hussain, professor and associate director for clinical research at the University of Michigan Comprehensive Cancer Center, also has doubts that consolidation will result in more and better ideas. Hussain is co-chair of SWOG’s prostate cancer committee, but said she See next page BioCentury, THE BERNSTEIN R EPORT Product Discovery & Development, from previous page was not speaking on behalf of SWOG. “The IOM report is legit, and they brought up very good points. But as an investigator I am somewhat skeptical that the changes will actually improve the process,” Hussain said. Consolidation “may help in that you are bringing more brains together. But unless you bring the resources and infrastructure, I don’t see it. We participate in cooperative groups as volunteers; we don’t get paid to participate. And volunteers need resources to accomplish big ideas,” she said. Growth factors But one of IOM’s recommendations — that funding for the groups be increased — is unlikely to happen any time soon. During a town hall meeting for NCI webcast on Jan. 10, institute Director Harold Varmus said he did not expect any budget increase for NIH, and that threats from Republican leadership in the House to roll back funding to FY08 levels are “certainly real for 2012.” Nevertheless, Varmus named fixing the cooperative groups as a priority, and said in the absence of new funding, NCI would have to find the money elsewhere in its “commitment base,” the portion of the budget earmarked for things like salaries and noncompeting grants. The details of how the groups will be ON B IOB USINESS FEBRUARY 28, 2011 “We participate in cooperative groups as volunteers; we don’t get paid to participate. And volunteers need resources to accomplish big ideas.” Maha Hussain, University of Michigan funded have not been released. According to its timeline, NCI will develop and issue new guidelines for a national clinical trials network, plus the funding opportunity announcement, around July 2012. Applications from groups will be reviewed during 2013, with new awards to be issued in FY14. The four surviving adult groups and COG will undergo competitive review every five years. All five groups will be reviewed in the same year “so that the “The numbers tell the story: more and more registration trials are conducted outside the U.S.” William Hait, J&J COMPANIES AND INSTITUTIONS MENTIONED American College of Radiology Imaging Network (ACRIN), Philadelphia, Pa. American College of Surgeons Oncology Group (ACOSOG), Durham, N.C. Amgen Inc. (NASDAQ:AMGN), Thousand Oaks, Calif. BeiGene Ltd., Beijing, China Biogen Idec Inc. (NASDAQ:BIIB), Weston, Mass. Cancer and Leukemia Group B (CALGB), Chicago, Ill. Children’s Oncology Group (COG), Arcadia, Calif. Eastern Cooperative Oncology Group (ECOG), Philadelphia. Pa. Genentech Inc., South San Francisco, Calif. Georgetown University, Washington, D.C. GlaxoSmithKline plc (LSE:GSK; NYSE:GSK), London, U.K. Gynecologic Oncology Group (GOG), Philadelphia, Pa. Institute of Medicine (IOM), Washington, D.C. P AGE A6 OF 20 Groups can be directly compared and resources allocated appropriately, based on the outcome,” according to slides from Doroshow’s presentation. Going forward, Doroshow told BioCentury, the groups will be funded based on not only their ability to develop trials, but also whether they work well with other groups to bring forth novel ideas and accrue patients to studies that originate at other groups. Even if the stakeholders differ on how to accomplish the restructuring, they agree it must be done to preserve patient access to clinical trials and effective therapies. “Increasingly, if the cooperative group mechanism does not work, for big, important trials, people will go ex-U.S. That will decrease access to trials for U.S. patients and will mean studies are not representative of the U.S. population for approval,” Desmond-Hellmann said. Parkinson and Hait both said that’s already happening. “The numbers tell the story: more and more registration trials are conducted outside the U.S. Clinical research gives patients early access to the best drugs, and having these trials exported reduces access for U.S. patients,” Hait told BioCentury. Parkinson added: “If it takes too long, the groups will lose their relevance. I have a sense of urgency about this. I think there’s no excuse. We have the technology. People have been talking about this for 15 years, and it hasn’t made it better; it has gotten worse.” Johnson & Johnson (NYSE:JNJ), New Brunswick, N.J. National Cancer Institute (NCI), Bethesda, Md. National Surgical Adjuvant Breast and Bowel Project (NSABP), Pittsburgh, Pa. Nodality Inc., South San Francisco, Calif. North Central Cancer Treatment Group (NCCTG), Rochester, Minn. Novartis AG (NYSE:NVS; SIX:NOVN), Basel, Switzerland Oregon Health & Science University, Portland, Ore. Radiation Therapy Oncology Group (RTOG), Philadelphia, Pa. SWOG, Ann Arbor, Mich. Tufts Medical Center Cancer Center, Boston, Mass. University of California, San Francisco (UCSF), San Francisco, Calif. University of Michigan Comprehensive Cancer Center, Ann Arbor, Mich. All press releases, news announcements and story inquiries should be submitted to our news room at [email protected]. Editorial announcements emailed to the Editor-in-Chief and/or the Publisher may not receive immediate attention and potential stories will be delayed. BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A7 OF 20 Curing Cancer Trials Understanding the co-ops By Susan Schaeffer groups, the cure rate of childhood cancers has climbed from Senior Editor about 10% in the 1950s to nearly 80% today. Since its inception in the 1950s, the cooperative oncology Indeed, 90-95% of all children with a newly diagnosed cancer group system has been instrumental in establishing standards for are seen at an institution that participates in COG. If they qualify cancer treatment and clinical research. for a clinical trial, more than half of these children participate; for NCI’s Clinical Trials Cooperative Group Program is the children less than five years of age, the rate is closer to 90%. nation’s largest publicly funded clinical trials network, consisting of nine groups focused on adult cancers, and one focused on Under scrutiny pediatric cancers. There are four main types of groups: some focus on particular But despite their track record of accomplishment, the coopdiseases, such as the Gynecologic Oncology Group (GOG); erative groups have been under scrutiny almost since day one. some focus on a particular treatment modality, such as the Indeed, many of the concerns highlighted in an Institute of Radiation Therapy Oncology Group (RTOG); some focus Medicine report last April were raised in August 1997 in a on a particular patient population, such as the Children’s report by NCI’s Clinical Trials Program Review Group, now Oncology Group (COG); and a few are large multimodality known as the “Armitage Report.” groups such as SWOG. Armitage concluded the clinical trials Cooperative groups provide funding, system had become bogged down by com“This complexity has bred oversight and data management for trials plexity arising from collaboration between conducted by a network of members inmultiple parties including investigators, inefficiencies and eroded cluding researchers, cancer centers, and physicians, industry, academia and NCI. the ability of the system to community physicians throughout the U.S., “This complexity has bred inefficiencies Canada and Europe. Each group has an and eroded the ability of the system to generate new ideas to operations center and a statistical center, generate new ideas to reduce the cancer reduce the cancer burden.” scientific committees and data manageburden,” the report said. ment infrastructure. At the same time, Armitage noted that The “Armitage Report” In total, the program involves more funding was becoming scarce, even as the than 3,100 institutions and more than availability of new therapeutics and tech14,000 individual investigators. The cooperative groups place nologies that needed to be tested was accelerating. more than 25,000 patients into clinical trials — mostly multicenter According to David Parkinson, who was acting associate Phase II or III studies — each year. director of NCI’s Cancer Therapy Evaluation Program (CTEP) at Historically, these have been large trials to answer questions the time, the system failed to keep pace with new developments that are important to oncologists and cancer patients, but are in clinical science and with industry’s growing ability to develop unlikely to be undertaken by industry, such as effective combi- cancer drugs. CTEP, a group within NCI’s Division of Cancer nations of approved drugs, or comparisons between different Treatment and Diagnosis, oversees the cooperative groups. drugs or interventions. Parkinson is now president and CEO of diagnostic company A prime example is a study published this month in the Journal Nodality Inc. of the American Medical Association by the American College of Little has changed since the Armitage Report was published. Surgeons Oncology Group (ACOSOG). It compared axillary The review process remains cumbersome and the groups are still lymph node dissection and sentinel lymph node dissection. underfunded. Axillary lymph node dissection (ALND) involves removing In 2010, the cooperative groups had a budget of just $238 the axillary lymph nodes as a means of staging breast cancer and million. NCI also provides per-patient reimbursement for group achieving local disease control. The method risks complications trials, but the amount has been set at $2,000 per patient since such as seroma, infection, and lymphedema, and mounting 1999. In June 2008, NCI began using a rating system to increase evidence has suggested the procedure produces no benefit on reimbursement for “complex” trials, but the maximum persurvival or disease activity. patient reimbursement is still just $3,000. Sentinel lymph node dissection (SLND) was developed as a According to IOM, in 2004 median per-patient costs for way to stage cancer with less risk. SLND involves injecting the cancer trials were $3,500 for Phase III trials and $6,000 for Phase tumor with dye, and then selectively removing only the lymph II trials. nodes that take up the dye. As a result, up to half the costs of cooperative group trials are When the tumor-draining lymph nodes are free of cancer, no borne by the investigators and other care providers who do the further surgery is performed. However, when the sentinel lymph studies, which IOM noted creates a large disincentive for nodes (SLNs) are cancerous, subsequent ALND has remained physicians to participate. standard of care. The ACOSOG study found that SLND alone “It is not surprising that physician preferences are to treat was noninferior to ALND on survival and disease-free survival. patients with the standard of care or with a therapeutic agent off Perhaps the best example of the ways cooperative groups can protocol, rather than being involved in a significantly more costly change cancer treatment comes from the Children’s Oncology and more burdensome clinical trial,” the report said. Group. Thanks in large measure to trials conducted by pediatric See next page BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A8 OF 20 Curing Cancer Trials, from previous page BioCentury THE BERNSTEIN REPORT ON BIOBUSINESS Editorial & Research Newsroom: [email protected] San Carlos, CA: +1 650-595-5333; Fax: +1 650-595-5589 Chicago: +1 312-755-0798; Fax: +1 312-755-0658 Washington, DC: +1 202-462-9582; Fax: +1 202-667-2922 Oxford, UK: +44 (0)1865-512184; Fax: +1 650-595-5589 One consequence of such physician disincentives is low levels of patient participation in trials. Only 2-3% of adults with cancer participate in clinical trials (see Cover Story). COMPANIES AND INSTITUTIONS MENTIONED American College of Surgeons Oncology Group (ACOSOG), Durham, N.C. Children’s Oncology Group (COG), Arcadia, Calif. Gynecologic Oncology Group (GOG), Philadelphia, Pa. Institute of Medicine (IOM), Washington, D.C. National Cancer Institute (NCI), Bethesda, Md. Nodality Inc., South San Francisco, Calif. Radiation Therapy Oncology Group (RTOG), Philadelphia, Pa. SWOG, Ann Arbor, Mich. www.biocentury.com Editor-in-Chief: Karen Bernstein, Ph.D. Managing Editor: Jeff Cranmer Director of Research: Walter Yang Research Managers: Juli Balestrieri, Meredith Durkin Senior Editors: Susan Schaeffer, Steve Edelson (SciBX), Steve Usdin (Washington) Senior Writers: Aaron Bouchie, Michael Flanagan, Tim Fulmer, Ph.D., Michael J. Haas, Stacy Lawrence, Erin McCallister, Lev Osherovich, Ph.D. Staff Writers: Chris Cain, Ph.D., Matt Crockett, Stephen Hansen, Kevin Lehnbeuter, Kai-Jye Lou, Lauren Martz, Brian Moy, Derek Smith BioCentury BioCentury®; the Bernstein Report on BioBusinessTM; Because Real Intelligence is Hard to Find; BCIQ; The BioCentury 100; and The Clear Route to ROI are trademarks of BIOCENTURY PUBLICATIONS, INC. All contents Copyright © 2011, BIOCENTURY PUBLICATIONS, INC. ALL RIGHTS RESERVED. SciBX and SciBX: Science-Business eXchange are trademarks of Nature America, Inc. that are jointly used by BioCentury Publications, Inc. and Nature America, Inc. No part of BioCentury’s Publications or Website may be copied, reproduced, retransmitted, disseminated, sold, distributed, published, broadcast, circulated, commercially exploited or used to create derivative works without the written consent of BioCentury. Information provided by BioCentury’s Publications and Website is gathered from sources that BioCentury believes are reliable; however, BioCentury does not guarantee the accuracy, completeness, or timeliness of the information, nor does BioCentury make any warranties of any kind regarding the information. The contents of BioCentury’s Publications and Website are not intended as investment, business, tax or legal advice, and BioCentury is not responsible for any investment, business, tax or legal opinions cited therein. See next page Read the Story, Watch the Show Read BioCenturys Feb. 21 Cover Story on the Genzyme-sanofi deal and the future of big biotech View the entire public affairs TV program now at www.biocenturytv.com With the news that French giant sanofi-aventis will acquire Genzyme for more than $20 billion, BioCentury This Week on Feb. 27 featured an exclusive interview with former MedImmune CEO David Mott on whether this second-largest ever takeout of a biotech company is a sign that biotech pioneers are disappearing, and what the future looks like for the next generation of big thinking innovators. Near Death Former MedImmune CEO David Mott recounts how the company overcame four years of financial and scientific near death setbacks to create breakthrough drugs and ultimately be acquired by AstraZeneca. Headwinds While Mott sees an abundance of opportunities for new companies, he also says Americas ability to replenish innovation is slowing down while product development is moving outside the U.S. What to Fix After the Genzyme takeout, Mott cites worries about VCs and CEOs who think smaller, the urgency to take politics and media out of FDA decisions, and the need for a new biobanking infrastructure. The Final Word BioCenturys Steve Usdin says Washington must learn from the stories of the biotech pioneers. Web Exclusive: Investing Now Now a VC at NEA, Mott says next-generation biologics and new scaffolds for making better antibodies are set to lead innovation, but has questions about vaccines, diagnostics. Charter Sponsorship from BIO, Biogen Idec, and Rodman & Renshaw BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A9 OF 20 Strategy Gilead’s cancer encore By Michael Flanagan should emerge that will be developed for cancer. Senior Writer The company also had cgi1842, an angiogenesis inhibitor Gilead Sciences Inc.’s initial dalliance with cancer ended targeting EPH receptor B2 (EPHB2) and VEGF receptor 2 (KDR/ in 2001 when it sold its portfolio of liposomal chemotherapeu- Flk-1; VEGFR-2) in Phase I testing for cancer. However, this tics. A decade later, the company is jumping back in, this time by program was out-licensed to Jubilant Innovations Ltd. acquiring companies with targeted therapies against novel tarFrom Arresto, Gilead gained access to allosteric inhibitors of gets. enzymes found in the extracellular matrix, which have potential Gilead is not detailing its strategy, but all three deals involve for both cancer and fibrotic disorders (see BioCentury, June 28, programs that address both inflammation and oncology, and 2010). appear to include compounds that could be paired in combinaArresto’s lead product, AB0024, is a mAb against lysyl tion regimens. oxidase-like 2 (LOXL2). The enzyme cross-links collagen, creatGilead’s third transaction in eight months was announced ing a scaffold for fibroblasts to grow on, and is involved in the last week: a $375 million deal for Calistoga Pharmaceuticals production of growth factors, such as VEGF, connective tissue Inc., which has a small molecule phosphoinositide 3-kinase growth factor (CTGF), and transforming growth factor (TGF) (PI3K) delta inhibitor, CAL-101, in Phase II testing for indolent beta. non-Hodgkin’s lymphoma (NHL) and chronic lymphocytic leukeAB0024 is in Phase I testing for advanced solid tumors and mia (CLL). idiopathic pulmonary fibrosis (IPF). Gilead acquired Arresto BioSciences Gilead has suggested Arresto’s antiInc. for $225 million in December, and fibrosis programs will fit its efforts to build “I think they are building a paid an undisclosed amount for CGI Pharfranchises in liver, pulmonary and cardiopipeline of key mechanisms maceuticals Inc. last June. vascular diseases (see BioCentury, Jan. 3). Gilead’s first foray into cancer drug The most advanced of the acquired that could some day be development was its 1999 acquisition of programs is Calistoga’s CAL-101. Its tarNeXstar Pharmaceuticals Inc. for $550 get, PI3K delta, is a protein involved with combinable.” million in stock. cell proliferation, survival and trafficking. At the time, Gilead said the primary Calistoga has focused on a set of selective Carol Gallagher, Calistoga driver was its desire to move into the inhibitors licensed from Icos Corp. (now cancer space, where the regulatory envipart of Eli Lilly and Co.). ronment allowed for rapid drug development (see BioCentury “The dogma for PI3K in cancer has always been to focus on Extra, March 2, 1999). the alpha isoform because it has a number of point mutations The cancer programs were mostly liposomal formulations of known to be associated with solid tumors,” Calistoga President chemotherapeutics. They included DaunoXome liposomal and CEO Carol Gallagher told BioCentury. daunorubicin, which was marketed for AIDS/HIV-related Kaposi’s However, she noted, PI3K alpha “is ubiquitous in all cells, sarcoma; NX211, a liposomal camptothecin analog that moved where it controls glucose regulation and insulin signaling located into Phase II testing for solid tumors; and GS7904L, a preclinical in almost every cell in the body.” Interrupting this can cause liposomal thymidylate synthase inhibitor. There was also a safety problems. nucleoside analog, GS7836, in Phase I testing for solid tumors. “Our founders observed that PI3K delta plays an important Two years later, Gilead decided to aim for profitability by role in B cell signaling,” which provided the rationale for focusing on its marketed antiviral portfolio. Most of the cancer evaluating CAL-101 in the B cell malignancies NHL and CLL, assets were sold to OSI Pharmaceuticals Inc. (now part of Gallagher said. “I believe that we’ve got a three- to four-year Astellas Pharma Inc.) in 2001. DaunoXome was licensed to head start on the competition as far as PI3K delta inhibitors go.” Diatos S.A. in 2006. In separate Phase I trials, NHL patients given CAL-101 Gilead is taking a different approach this time, most notably monotherapy had a 63% response rate, while 80% of CLL patients by focusing on targeted agents addressing novel pathways. receiving CAL-101 plus Rituxan rituximab had more than a 50% Spokesperson Nathan Kaiser told BioCentury the company’s decrease in tumor volume in the lymph nodes. strategy has evolved in parallel with the field of cancer research. Calistoga had planned to start Phase III trials of CAL-101 this “Over the last decade or so, there has been a dramatic increase year as monotherapy for indolent NHL and in combination with in the understanding of the genetic basis of cancer, which has Rituxan for CLL, but Gallagher said the timing is now up to allowed for the development of disease-specific targeted thera- Gilead. “We had hoped to be ready to begin commercializing the pies,” he said. product in the U.S. by the end of 2013,” she added. Another difference, Kaiser noted, is that Gilead is particularly Calistoga also had planned to start Phase I testing this year interested in finding assets with broad potential in both cancer of two more selective PI3K inhibitors: CAL-129, a PI3K delta and inflammatory conditions. inhibitor for inflammatory/autoimmune diseases, and CAL-120, CGI provided Gilead with a library of Syk tyrosine kinase a dual beta and delta inhibitor for cancer. (SYK) inhibitors that Kaiser said have shown potential in Rituxan is marketed by Biogen Idec Inc. and Roche’s inflammatory diseases and cancer. CGI’s preclinical program is Genentech Inc. unit. for rheumatoid arthritis (RA), he said, but other molecules See next page BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A10 OF 20 Strategy, from previous page SciBX This Week ANALYSIS COVER STORY Geography lesson in dry AMD American researchers have identified a mechanism in the retina that could be responsible for triggering the blindness associated with advanced dry age-related macular degeneration, which currently is untreatable. The team will develop inhibitors for preclinical testing and hopes eventually to submit an IND to FDA. TARGETS & MECHANISMS Seeing the light in melanoma U.S. researchers have shown that UV light induces the expression of interferon-γ, which may drive the formation and growth of melanoma. The findings could open a new therapeutic area for companies now developing IFN-γblocking antibodies for immune disorders. Inflaming cardiovascular passions UCSD and Scripps researchers have linked the heart disease locus 9p21 to aberrant inflammatory responses that lead to misregulation of nearby genes. The data could help differentiate patients whose cardiovascular disease is likely due to inflammation from patients whose disease is more likely due to dyslipidemia. A NAC for TTP U.S. and Canadian researchers have shown that the generic drug N -acetylcysteine, which is sold over the counter for some uses, could potentially be repurposed to treat thrombotic thrombocytopenic purpura, a hematological disorder for which cumbersome plasma exchange therapy has been the standard of care for nearly two decades. THE DISTILLERY This week in therapeutics Sensitizing cancers to Akt inhibitors using EEF2 inhibitors; treating botulism, malaria and ebola with 1,7bis(aminoalkyl)diazachrysene–based derivatives; using ATP5O inhibitors to reduce GvHD; and more… This week in techniques A synthetic platform for tetracycline analogs; a transgenic mouse model of diabetes; unnatural amino acid–based multimeric antibody Fab fragments; and more… FROM THE MAKERS OF BioCentury AND nature Request a Free Trial [email protected] Package deals Although Gilead isn’t discussing its strategy, Gallagher suggested that, based on her view of its recent deals, the big biotech might be approaching cancer the same way it did HIV. “I think they are building a pipeline of key mechanisms that could some day be combinable,” she said. “Gilead is a believer in the concept that as we better understand the molecular basis for cancer — just like HIV — you can target the disease with small molecules with the objective of having a very clean molecule that has exposure many-fold above the threshold needed to inhibit the target, and do it with a therapeutic index that allows for good tolerability.” Gallagher pointed to Gilead’s Atripla for HIV, a combination of its Truvada emtricitabine/tenofovir and Sustiva efavirenz from Bristol-Myers Squibb Co. “We might even be able to combine mechanisms, much like Atripla, by combining a PI3K inhibitor, SYK inhibitor, and another agent into one tablet that is efficacious, tolerable and convenient, and thereby make cancer a chronic disease,” she said. Gallagher said combining the mAb from Arresto with a small molecule from either Calistoga or CGI, or possibly even both, might make sense. “By shutting down the chemokine pathways and getting apoptosis using something like a PI3K [delta] inhibitor, and then also cutting off the tumor’s support system in the micro-environment” by adding a mAb against LOXL2, “could prove very effective for not only shrinking the tumor but also keeping it from coming back,” she said. COMPANIES AND INSTITUTIONS MENTIONED Astellas Pharma Inc. (Tokyo:4503), Tokyo, Japan Biogen Idec Inc. (NASDAQ:BIIB), Cambridge, Mass. Bristol-Myers Squibb Co. (NYSE:BMY), New York, N.Y. Calistoga Pharmaceuticals Inc., Seattle, Wash. Diatos S.A., Paris, France Eli Lilly and Co. (NYSE:LLY), Indianapolis, Ind. Genentech Inc., South San Francisco, Calif. Gilead Sciences Inc. (NASDAQ:GILD), Foster City, Calif. Jubilant Innovations Ltd., Bangalore, India Roche (SIX:ROG; OTCQX:RHHBY), Basel, Switzerland BioCentury Company Index February 28, 2011 Abbott A20 ACOSOG A1, A7 ACRIN A4 Advanced BioHealing A16 Alnylam A19 Amgen A2 Apeiron A11 ASCO A19 Astellas A9 Bayer A17 BeiGene A2 Biogen Idec A3, A9 Bristol-Myers A10, A12 CALGB A4 Calistoga A9, A17 Charing Cross Hospital A12 Clinical Data A16 COG A5, A7 Cystic Fibrosis Fndtn A15 Delcath Systems A17 Diatos A9 Dyax A19 ECOG A5 Eisai A11 Eli Lilly A9, A20 Epix A12 Eurofins A17 Forest Laboratories A16 4SC A16 Genentech A4, A9 Georgetown U A4 See page A19 BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A11 OF 20 Product Discovery & Development Two for one in neuroblastoma By Erin McCallister ment (CRADA). Senior Writer In 2009, the COG announced Phase III results that showed By activating multiple elements of the host’s immune system, ImmRx plus isotretinoin produced significantly higher event-free Apeiron Biologics AG believes its mAb fused to IL-2 will survival vs. isotretinoin alone after median follow-up of 2.1 years provide a one-two punch to neuroblastoma cells, without the (66% vs. 46%, p=0.0115). Preliminary two-year survival favored toxic side effects of systemic IL-2 treatment. ImmRx plus isotretinoin vs. isotretinoin alone (86% vs. 75%, The biotech this month obtained rights to develop and p=0.023). commercialize hu14.18-IL2 from Merck KGaA, which had However, neither the GM-CSF nor the IL-2 proteins are fused decided not to develop the candidate due to pipeline prioritization, to the GD2 antibody, resulting in systemic delivery of IL-2. according to Apeiron CFO Lukas Kadawy. There were 24 cases of vascular leak reported in the ImmRx hu14.18-IL2, now called APN301, comprises a mAb against arm and one death due to IL-2 related toxicity vs. 0 cases for GD2 fused to IL-2. It has completed Phase II testing in neuroblas- isotretinoin monotherapy. toma. Accutane isotretinoin from Roche is marketed as an acne Neuroblastoma is a cancer of the sympathetic nervous system treatment. that occurs in infants and children, with 650-700 new cases Because GD2 also is present on melanoma cells, Apeiron may diagnosed each year in the U.S. explore development in that cancer. But Schuster expects that According to Manfred Schuster, the biotech would need a partner due to Apeiron’s COO, the standard of care is the size of the melanoma indication. “With the GD2 antibody, chemotherapy plus systemic treatment While financial details of the Merck with off-label IL-2. However, IL-2 treatdeal were not disclosed, Kadawy said we can bring IL-2 to ment is associated with severe side effects Apeiron was able to in-license APN301 the place where it is including vascular leak syndrome. using the revenues from its 2010 deal with Marketed IL-2 drugs include Proleukin GlaxoSmithKline plc. needed with lower aldesleukin IL-2 from Novartis AG to Apeiron received £11 million ($17.6 systemic concentrations.” treat metastatic melanoma and renal cell million) up front from the deal, which carcinoma (RCC), and Ontak denileukin granted GSK exclusive, worldwide rights Manfred Schuster, Apeiron diftitox, an IL-2 plus diphtheria toxin futo APN01. The recombinant angiotensinsion protein from Eisai Co. Ltd. The converting enzyme 2 (ACE2) has comlatter is approved to treat cutaneous T cell lymphoma (CTCL). pleted Phase I testing to treat acute respiratory distress syn“One of the drawbacks to IL-2 is its dose-related toxicity. But drome (ARDS), and Apeiron CEO Hans Loibner said GSK is with the GD2 antibody, we can bring IL-2 to the place where it preparing for a Phase II study. is needed with lower systemic concentrations,” Schuster said. The upfront included cash and an undisclosed equity investGD2 is a disialoganglioside that is expressed in more than ment. Apeiron is eligible for £207 million ($330.9 million) in 99% of neuroblastoma cells. APN301 binds to the GD2 antigen milestones, plus royalties. and delivers a dose of IL-2. According to Schuster, this action Apeiron also used a portion of the GSK revenues to finance triggers multiple elements of the host’s immune system. an October deal with Polymun Scientific Immunbiologische “The antigen is captured by the antibody, which elicits Forschung GmbH, under which Apeiron received exclusive, effector functions like complement activation and ADCC. But it worldwide rights to Polymun’s recombinant human superoxide also carries IL-2, which activates immune cells and affects dismutase (SOD), APN201. macrophages, leading to tumor cell lysis,” he said. Apeiron is developing APN201 as a topical formulation to In a single-arm Phase II study in 23 evaluable patients treat skin damage resulting from cancer radiation treatment. The conducted by the National Cancer Institute’s Children’s biotech expects to start Phase Ib testing in 1H12. Oncology Group (COG), patients treated with APN301 had a According to Kadawy, Apeiron expects to in-license “one or 21.7% complete response (CR). two other things” in the near future in cancer or cancer-related APN301 also interacts with GD2 expressed in CNS tissues indications. and peripheral nerves. Kadawy said side effects include joint and muscle pain, which he said can be managed by slowing the COMPANIES AND INSTITUTIONS MENTIONED infusion time and co-administration of analgesics. Apeiron Biologics AG, Vienna, Austria Apeiron expects to take APN301 into Phase II/III testing this Eisai Co. Ltd. (Tokyo:4523; Osaka:4523), Tokyo, Japan year. It is evaluating the trial design, including which, if any, GlaxoSmithKline plc (LSE:GSK; NYSE:GSK), London, U.K. chemotherapies might be tested in combination with APN301. Merck KGaA (Xetra:MRK), Darmstadt, Germany NCI also has combined GD2 and IL-2 to treat neuroblastoma. National Cancer Institute (NCI), Bethesda, Md. Its ImmRx immunotherapy includes ch14.18, a chimeric mAb Novartis AG (NYSE:NVS; SIX:NOVN), Basel, Switzerland against GD2, granulocyte macrophage-colony stimulating factor Polymun Scientific Immunbiologische Forschung GmbH, Wien, (GM-CSF) and IL-2. NCI is collaborating on the development and Austria commercialization of ch14.18 with United Therapeutics Corp. Roche (SIX:ROG; OTCQX:RHHBY), Basel, Switzerland under a 2010 Cooperative Research and Development AgreeUnited Therapeutics Corp. (NASDAQ:UTHR), Silver Spring, Md. BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A12 OF 20 Emerging Company Profile Karyopharm: Shushing the usher By Michael Flanagan Senior Writer In the battle with the human body’s natural defense mechanisms, one of the favorite tricks of tumor cells is to use karyopherins to usher tumor suppressor proteins outside the nucleus where they can no longer regulate the cell cycle, thus paving the way for unchecked growth and proliferation. Karyopharm Therapeutics Inc. is developing small molecules that inhibit karyopherins, which it hopes will prevent cancer cells from hijacking the normal cell cycle without the risk of tumor resistance. Karyopharm’s lead program targets exportin 1 (XPO1; CRM1). The company hopes to enter Phase I testing for severe hematologic malignancies in 12-24 months. Tumor suppressor proteins like p53 and retinoblastoma 1 (RB1) and growth regulatory proteins like p21 are activated in the nucleus to halt the cell cycle under conditions common to tumor cells, such as DNA damage or deregulated oncogene expression. If the damaged DNA cannot be repaired, then the proteins induce apoptosis. Over the past 10 years, researchers have shown that “virtually every important tumor suppressor protein is transplanted outside of the nucleus by” XPO1, CEO Michael Kauffman told BioCentury. Moreover, he noted that research suggests XPO1 overexpression is correlated with poor prognosis in ovarian, cervical, pancreatic and liver cancers, as well as osteosarcoma and gliomas. According to Kauffman, cancer cells should have a hard time developing resistance to XPO1 inhibitors because XPO1 is upstream of most targeted therapies and affects many different pathways. XPO1 was isolated in 1990, but Kauffman said identifying inhibitors proved hard until researchers found one in leptomycin B, a naturally occurring antibiotic first isolated from Streptomyces. In a clinical study by researchers at Charing Cross Hospital published in the British Karyopharm Therapeutics Inc. Location: Natick, Mass. Technology: Small molecule modulators of nuclear transport Disease focus: Cancer, inflammation, infectious disease Clinical status: Preclinical Founded: 2008 by Sharon Shacham, Michael Kauffman, Ronald DePinho and Giulio Draetta University collaborators: Multiple academic institutions Corporate partners: None Number of employees: 9 Funds raised: $21.5 million Investors: Chione Ltd. and angel investors CEO: Michael Kauffman Patents: None Journal of Cancer in 1996, the compound showed some anti-cancer properties, but off-target effects caused severe diarrhea and fatigue. Kauffman said Kosan Biosciences Inc. was the only company he knew of that had looked into designing leptomycin B analogs, but the program had been shelved before Kosan was bought by BristolMyers Squibb Co. in 2008 (see BioCentury, June 2, 2008). Karyopharm has taken a different approach. CSO and Head of R&D Sharon Shacham used in silico modeling to discover drug-like molecules that appeared to be much more specific for XPO1 than leptomycin B. “We modified and optimized these, filed some patents, and formed the company based on them,” Kauffman said. Shacham helped invent the discovery software when she was SVP of drug development at Predix Pharmaceuticals Inc. (now Epix Pharmaceuticals Inc.). Predix used the software to identify at least four small molecules that were taken into clinical testing. Karyopharm’s XPO1 inhibitors kill tumor cells rapidly and with high potency and selectivity in a variety of in vitro cancer models, according to Kauffman. The company is waiting until its patent applications have been issued to publish the data, he said. Kauffman said that virtually every hematological malignancy has been susceptible within 48 hours of administration — including myeloma, lymphoma and leukemia. Solid tumor cells also were killed, though it took 24 hours longer. “One of the things that we have shown is that normal cells don’t mind it when you block the transport of the tumor suppressor proteins,” he said. Unlike tumor cells, which have been shown to undergo apoptosis within 48-72 hours, healthy cells temporarily undergo cell cycle arrest and stop dividing, but soon return back to normal. “In mice, we’ve shown that we can inhibit the growth of a variety of tumors without any tolerability issues” such as the severe diarrhea and fatigue caused by leptomycin B, said Kauffman. With preclinical data in hand last year, Karyopharm closed a $20 million series A round that should last through the completion of the company’s first Phase I trial in advanced hematological malignancies. Once a dose range is established in the initial study, “we are likely to get a solid tumor study up and running as well,” Kauffman said. Karyopharm also has discovery programs focused on other karyopherins, which Kauffman said may have potential for inflammatory and infectious diseases. COMPANIES AND INSTITUTIONS MENTIONED Bristol-Myers Squibb Co. (NYSE:BMY), New York, N.Y. Charing Cross Hospital, London, U.K. Epix Pharmaceuticals Inc. (Pink:EPIX), Lexington, Mass. Karyopharm Therapeutics Inc., Natick, Mass. ‘It’s the BioCentury’TM Authoritative. Globally focused. The leading perspective on the strategic issues essential to the formation, development and sustainability of life science ventures into 2011 and beyond. BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A13 OF 20 Finance Virtue in virtual By Stacy Lawrence entity. Each structure will have a CMO, but no other dedicated Senior Writer management. To plan and execute clinical development, AVDC Atlas Venture is looking to build a pipeline, rather than will rely on direction from a network comprising “every single companies, with its new Atlas Venture Development Corp. Atlas network contact with information on a particular indicainitiative. Through AVDC, Atlas will develop clinical candidates tion or asset,” he said. and then sell or partner them without the traditional trappings Formela said AVCD’s first deal, which is still in progress and that go with company formation. is not disclosed, exemplifies the approach. “The target was The model promotes capital efficiency, a long-standing pursued by 2-4 companies. We’re working with one to farm it buzzword among VCs that has taken on real meaning in this out,” into a holding structure. economic climate. Given a listless IPO market, lower returns and He added: “There are two other people who are no longer an increasing cost of capital, life science VCs like Atlas are working on the target who are free to help benchmark it across looking for creative ways to make more of what they’ve got. all the related assets,” on the same target. “We’re trying to promote both capital efficiency and velocity The virtual team will be paid in cash and equity, but will not with an asset-centric model,” Partner Jean-Francois Formela told work on the project full time. “We are renting, rather than Ebb & Flow. buying,” said Formela. Atlas expects to do two or three AVDC The firm has negotiated term sheets for deals this year, starting next quarter. The two deals and is in transaction discussions “We believe we can get to firm has reserved an undisclosed portion for two or three more candidates. To get POC for $12-$15 million on of its eighth fund specifically to invest in there, Atlas evaluated about 150 proAVDC. The fund closed at $283 million in grams, entered confidential disclosure average, all included, if you 2009 (see BioCentury, Feb. 2, 2009). agreements on 30 and completed due select the right programs. If Formela noted VCs have long bandied diligence on about 15. about the notion of virtual companies. Atlas is turning to pharma companies you can do that, you should But, he said, when capital was abundant, because they have assets but can’t afford the model was suspect. to move every promising program into full be able to generate venture “I had been quoted in the ‘90s as development. returns with this model.” saying, ‘Virtual investments lead to virtual “Pharma has seen an increase in its returns’,” Formela said. “Back then, comearly pipeline, pre-IND and Phase I. But Jean-Francois Formela, panies typically stayed virtual when they the cost of late-stage development and Atlas Venture couldn’t raise money. Because capital was commercialization has gone higher and plentiful, if a company was virtual that higher, driven in part by rising safety wasn’t a good sign.” hurdles,” Formela noted. But this is clearly not that economy. In some of the deals, pharmas still may help fund developVenture returns and fundraising remain muted. The closely ment, as Formela noted “companies most interested in watched 10-year returns for venture capital funds were -4.6% at externalization are willing to allocate some of their budget Sept. 30, according to Cambridge Associates. That’s worse than toward externalization.” the performance over the same period of the NASDAQ (-4.3%) Formela said accounting rule FIN 46(R) from the Financial and S&P 500 (-0.4%). Accounting Standards Board (FASB) means companies need to In the third quarter, Cambridge Associates calculated that be “very careful about consolidation.” healthcare venture capital generated less than half the returns — FIN 46(R) requires a company to consolidate a related entity 3.5% — of venture capital invested in software (7.7%), IT (7.3%) onto its balance sheet if the company has a controlling financial or energy (7.2%). interest, which is not limited to equity ownership and voting Last year, 157 U.S. venture firms raised $12.3 billion, accord- rights but may include things like entitlement to residual returns, ing to Thomson Reuters and the National Venture Capital and obligations to accept losses. Association. That’s only 39% of the $31.9 billion raised by 235 “Different CFOs will have different levels of tolerance,” said U.S. firms in 2006. The peak of venture fundraising was in 2000 Formela. “Perhaps the structure of the deal will have to be at nearly $100 billion. different based on their sensitivity to consolidation.” He expects the accounting issues will become easier to address as companies become more familiar with the AVDC Advising AVDC structure. “The thing we’ve learned is that because the structure is Beyond the pressures on private and public biotech investors, Formela now sees several factors favoring the virtual model. novel, a lot has to do with mutual understanding and trust,” he Among these are improved outsourcing capability for everything said. “Once we agree on core intents, it becomes easier to from trial design to formulation to manufacturing, and budgetary structure the relationship despite potential complexity.” The venture firm isn’t particularly interested in the candiconstraints and pipeline needs within pharma. AVDC will take early stage assets from pharma companies dates that a pharma might be “ready and willing to externalize. See next page and spin them into individual “structures” within a holding BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A14 OF 20 Finance, from previous page We’re interested in the one they have a tough time giving up but that doesn’t make the budget,” said Formela. “Historically, many assets that are readily disclosed and offered for out-licensing are typically the dogs.” Formela’s also skeptical of the traditional spin-off model, in which a pharma lops off several candidates to form a newco. “Historically, venture guys thinking about a spin-off would have been excited to announce a Pfizer spin-off with many molecules and $50-$75 million. We’re looking at that today and scratching our heads,” he said. “To identify more than one winning asset in one defined pool has essentially been impossible. I would want to be shown spinouts where every single molecule and program deserves financing on a stand-alone basis.” BioCentury The ROI Chicago: +1 312-755-0798; Fax: +1 312-755-0658 The anemic IPO market is also a strong impetus behind the new vehicle. Through AVDC, Atlas is developing assets for M&A. “We need a different structure to do that,” said Atlas Managing Director David Grayzel, who is managing director at AVDC. Formela added an IPO “is a last resort right now, as investors will typically take a tremendous haircut that will probably wipe out returns.” In contrast, he said it’s possible to get a price range of about $150-$400 million for an asset with Phase II proof-of-concept data, depending on the indication. “A lot of deals are seeing $150-$250 million up front and another 2X-plus on top of that if you get approval,” he said. “We believe we can get to POC for $12-$15 million on average, all included, if you select the right programs. If you can do that, you should be able to generate venture returns with this model. Of course not every candidate is going to get to the full POC I’m describing,” he said. Atlas is flexible on the types of deals. Some will be structured as single asset spinouts, while others will include a buyback option, and still others will allow the pharma to retain the candidate and simply contract out development. In the latter scenario, AVDC would function as “almost a venture service company,” between pre-IND and POC, said Formela. “We believe that we can structure success fees and milestones in a way that produces venture returns and yet gives pharma a more cost-efficient way to access/opt-in on POC programs,” he added. The expectations are not limited to the idea that the investment threshold be lower to get to the same POC result. Without a management team and a corporate structure, it will be much easier to kill projects that aren’t working. “Not only can we be more efficient for fully funded programs, but we can be more rigorous about early kills,” said Grayzel. “Sometimes the goal of company building can distract you away from running a killer experiment. And it can be a big challenge when those don’t have positive data.” Formela concurred: “In the traditional, old-school model, attrition costs are piling up. Here attrition is costing less money because you’re always going for the quick kill.” Washington, DC: +1 202-462-9582; Fax: +1 202-667-2922 COMPANIES AND INSTITUTIONS MENTIONED Pfizer Inc. (NYSE:PFE), New York, N.Y. ® BioCentury’s mission is to provide value-added business information & analysis for life science companies, investors, academia and government on the strategic issues essential to the formation, development and sustainability of life science ventures. BioCentury Publications, Inc. BioCentury International Inc. Main Offices PO Box 1246 San Carlos CA 94070-1246 +1 650-595-5333; Fax: +1 650-595-5589 Oxford, UK: +44 (0)1865-512184; Fax: +1 650-595-5589 www.biocentury.com Corporate Karen Bernstein, Ph.D., Chairman & Editor-in-Chief David Flores, President & CEO Thomas C. 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BioCentury is pleased to acknowledge its conference partners and sponsors through promotional announcements in its publications and on its website, but such announcements do not constitute paid advertising. BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A15 OF 20 Ebb & Flow Vertex erects its pillars By Stacy Lawrence regulatory authorities how to move forward on testing the & Stephen Hansen compound in patients with those mutations. Staff Writers Vertex expects to report data this half from a Phase IIa Vertex Pharmaceuticals Inc. (NASDAQ:VRTX) gained combination trial of VX-770 and another CF candidate, VX-809. $1.2 billion in market cap last week on positive Phase III data for The study is in adult patients with the F508del mutation, the most VX-770 to treat cystic fibrosis. The data sent shorts running for common CF mutation. cover and gave room for optimists to run. VX-770 aims to increase the function of defective CFTR The shares climbed $5.75 (15%) to $43.97 on Wednesday on proteins by increasing the gating activity of CFTR at the cell the news that the compound met the primary endpoint in the surface — the ability to transport ions across the cell membrane. STRIVE trial in patients with at least one copy of the G551D VX-809 is a CFTR corrector that aims to increase CFTR function cystic fibrosis transmembrane conductance regulator mutation. by increasing the trafficking of CFTR to the cell surface. The CFTR potentiator significantly improved mean absolute About 48% of CF patients in the U.S. have two copies of the change in forced expiratory volume in one second (FEV1) from F508del mutation, while another 39% have one copy, according baseline to week 24. to the Cystic Fibrosis Foundation. “We believe that a corrector compound [VX-809] may allow The price move “was partially short covering,” Sven Borho of OrbiMed Advisors told Ebb & Flow. “The Street consensus more functioning CFTR to get to the cell surface,” said Mueller, amongst hedge funds is to short every stock just around the new who said the data for the potentiator VX-770 “may help that corrective CFTR protein work better once product launch. But in this case hedge it reaches the surface.” funds were also shorting ahead of the CF Money Raised in 2011 While the combination trial is primadata.” rily a safety study, Mueller said, “we hope The short interest in Vertex at Jan. 31 Last week, the biotech industry raised $195 also to see some signal that we are increaswas 13.1 million shares (6.5% of outstandmillion, bringing to $4.3 billion the total raised ing CFTR function.” ing shares), up from 11.9 million on Jan. year-to-date. In 2010, a total of $36.1 billion was 14. raised, including $1.6 billion in IPOs, $3.5 billion But, Borho added, “the jump in share in follow-ons, $5.4 billion in venture capital, and Doing the math price was not just short covering. This $25.6 billion in other fundraising. Totals include was also a reflection of the new second The CF population is about 30,000 in overallotments and warrants, and are rounded to pillar in the Vertex story.” the U.S., with about 70,000 patients glothe nearest millions. Vertex’s telaprevir to treat HCV has a bally. That would mean about 1,200 U.S. May 23 PDUFA date. patients with the G551D mutation and Vertex expects results mid-year from about 2,800 globally. another trial of VX-770, the Phase III Using 3,000 patients and a $250,000 ENVISION trial in patients ages 6-11 with price, in line with other ultra-orphan drugs, at least one copy of the G551D mutation. Mark Schoenebaum of ISI Group pegs peak The company plans to submit regulatory sales for this indication at $550 million. applications in the U.S. and EU in 2H11 to He estimated that associated costs treat CF patients with the G551D mutawould be only $30 million, because it’s a tion. small molecule. That cohort represents about 4% of Vertex started its CF program in 1998 the CF population in the U.S. But the as part of a collaboration with CFFT, the potential to expand the treatment populaSource: BCIQ: BioCentury Online Intelligence non-profit drug discovery and develoption also caught investor interest. ment affiliate of the Cystic Fibrosis FounVertex could “hit multiple different dation. If VX-770 is approved, CFFT will specific patient populations with one or receive single-digit royalties from Vertex. more compound, addressing one of the “This is a nice example of how patient most active patient populations of any groups can impact the development proorphan disease,” said Andrew Bogan of cess,” said Bogan. “It’s very clear that Bogan Associates. Vertex would not have done this without funding from the Cystic Fibrosis Foundation.” 770 + 809 Vertex shares were up $5.68 (15%) to $44.84 on the week. On a conference call about the data, EVP of Global R&D and CSO Peter Mueller said the company has in vitro data showing Not another Savient that VX-770 may work in other CF mutations with reduced or low channel gating. Investors who had fantasized about a Source: BCIQ: BioCentury Online Intelligence See next page He said the company would discuss with BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS Ebb & Flow, from previous page stratospheric sale price for Clinical Data Inc. (NASDAQ:CLDA) were brought down to earth last week, as the company said it would be acquired by Forest Laboratories Inc. (NYSE:FRX) for $30 per share in cash, plus a contingent value right worth up to $6 based on sales milestones of depression drug Viibryd “The fantasy vilazodone. Shares of Clinical Data fell price for CLDA $2.69 to $31.21 on Tuesday was $40-$50.” and closed the week down $3.60 (11%) at $30.30. Sven Borho, After Viibryd was approved OrbiMed Advisors by FDA in February, the company said it was considering selling the company or finding a partner for Viibryd. Investors apparently expected the company would be sold, given that Chairman Randall Kirk had been chairman of New River Pharmaceuticals Inc. when it was acquired by Shire plc (LSE:SHP; NASDAQ:SHPGY) for $2.6 billion in cash in 2007. Clinical Data closed at $15.03 on Jan. 21, the last trading day before FDA approved Viibryd. “Everyone was recollecting Kirk’s acumen in selling New River. The share price ran ahead of itself on M&A rumors,” said Sven Borho of OrbiMed Advisors. “The fantasy price for CLDA was $40-$50.” Once the company said it was potentially for sale, Borho argued that it was stuck. “What was the alternative? If it had raised capital and launched the drug, the stock would have been at $15. Just look at the case of Savient,” he said. Savient Pharmaceuticals Inc. (NASDAQ:SVNT) lost more than half its value after it put itself up for sale following approval of Krystexxa pegloticase for gout, but was unable to find an acquirer (see BioCentury, Feb. 7). “I think it’s smart what CLDA did in the end. If any shareholders fault them for it, that’s foolish,” Borho said. “They preserved a lot of shareholder capital by not being too greedy on the price.” The upfront portion represents about $928.6 million, based on 31 million shares outstanding on Feb. 8, and is a 67% premium to Clinical Data’s close before FDA approved Viibryd. Forest expects to launch the mixed selective serotonin reuptake inhibitor (SSRI) and partial serotonin (5-HT1A) receptor agonist next half. Its shares lost $2.45 to $31.88 on the week. Outside the family With important Phase IIb data expected next quarter for lead compound vidofludimus (4SC-101), 4SC AG (Xetra:VSC) raised €11.7 million ($16.1 million) last week in a private placement. CEO Ulrich Dauer said the financing fulfilled two purposes: diversifying the shareholder base and strengthening the balance sheet prior to any licensing negotiations. Dauer said the previous shareholder structure was dominated by two family-based investors who held a combined 64.5% of the company. 4SC wanted to bring in more institutional life science players, with an emphasis on U.S.-based investors. 4SC sold 3.5 million shares at €3.40, a 5% discount to the close of €3.58 on Feb. 23, the day before the deal was proposed. “A significant portion of this money came from U.S.-based investors”, Dauer told Ebb & Flow. FEBRUARY 28, 2011 P AGE A16 OF 20 The deal reduces the stake of 4SC’s largest investor, Santo Holding, from 48.1% to 44.1%. The stake held by the secondlargest shareholder, FCP Biotech Holding GmbH, moves from 16.4% to 15%. With data from the Phase IIb COMPONENT trial of vidofludimus for rheumatoid arthritis (RA) expected next quarter, Dauer said, it was important to strengthen the balance “A significant sheet before negotiating to partner the compound before portion of this entering Phase III testing. “It’s easier to do those kind money came of negotiations when you can from U.S.-based show some strength on the balance sheet rather than if investors.” you are desperate for cash,” he said. Ulrich Dauer, 4SC AG Vidofludimus is a small molecule inhibitor of dihydroorotate dehydrogenase (DHODH) and IL-17. 4SC has a monthly burn rate of about €1.5 million ($2.1 million). The most recently reported cash figure was €22.2 million ($30.2 million) at Sept. 30, putting the company’s current cash at around €14.7 million ($20.1 million) pre-deal and at about €26.4 million post-deal. That’s enough to reach the end of 2012, by which time the company will have readouts from two Phase II trials of its second most advanced compound, resminostat (4SC-201), in hepatocellular carcinoma (HCC) and Hodgkin’s lymphoma. Resminostat is a pan-histone deacetylase (HDAC) inhibitor. 4SC finished the week down €0.46 (12%) to €3.50. Dermagraft redux Profitable wound healing play Advanced BioHealing Inc. proposed late Friday to raise up to $200 million in an IPO. The company markets Dermagraft, a human fibroblast-derived skin substitute, to treat full-thickness diabetic foot ulcers. Last November, Advanced BioHealing completed enrollment in a pivotal trial of Dermagraft in venous leg ulcers. It expects data this year, and hopes to submit a supplement to the existing PMA in 1Q12. FDA denied approval for Dermagraft to treat venous leg ulcers in 2005. The company’s TransCyte for full and partial thickness burns was approved by FDA in 1997, but has yet to be marketed. Advanced BioHealing hopes to create arrangements to market TransCyte to U.S. state and federal as well as international government agencies. The company had $146.7 million in revenue last year, with operating income of $20.9 million. At Jan. 1, the company had $22.5 million in cash and $14.2 million in a revolving line of credit. Advanced Tissue Sciences Inc. and partner Smith & Nephew plc (LSE:SN; NYSE:SNN) developed Dermagraft and TransCyte. When Advanced Tissue declared bankruptcy in 2002, Smith & Nephew acquired the products and related assets for $7 million. In 2006, Advanced BioHealing purchased the assets for an undisclosed amount. Some of the patents have expired and the remainder are slated to do so from 2012-18. Advanced BioHealing expects to use part of its IPO proceeds to in-license or acquire complimentary products. Investors include Canaan Partners (40.7% pre-IPO stake); See next page BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A17 OF 20 Earnings on deck At least three profitable biotechs and pharmas are slated to report earnings this week. Endo Pharmaceuticals Holdings Inc. (NASDAQ:ENDP) is expected to report a 19% increase in EPS on revenues of $482.8 million. The company, which sells neurology drugs such as Lidoderm lidocaine topical patch to treat post-herpetic neuralgia (PHN), reported sales of $391.4 million in 4Q09. In January, UCB Group (Euronext:UCB) said it expects FY10 revenue and core EPS to exceed its prior guidance of at least €3 billion ($4 billion) and €1.76, respectively. (A) FY09 core EPS figure Company Date Pre/post mkt Bayer AG (Xetra:BAY) 2/28 Pre €0.95 € 0.90 6% Endo Pharmaceuticals Holdings Inc. (NASDAQ:ENDP) 2/28 Post $0.96 $0.81 19% UCB Group (Euronext:UCB) 3/2 NA NA €1.25 (A) NA Ebb & Flow, from previous page Safeguard Scientifics Inc. (28.1%); and Wheatley Partners (14.7%). Underwriters are BofA Merrill Lynch; JPMorgan; Wells Fargo; William Blair; and Oppenheimer. Regulatory milestones Delcath Systems Inc. (NASDAQ:DCTH) fell $4.29 (38%) to $7.01 on Tuesday after FDA refused to file an NDA for melphalan delivered using the Delcath Percutaneous Hepatic Perfusion (PHP) System to treat melanoma metastatic to the liver. The agency requested information about the timing of manufacturing plant inspections and product and sterilization validations, as well as additional safety information and statistical analyses. Delcath lost $5.01 (44%) to $6.29 on the week. Look for shares of Ligand Pharmaceuticals Inc. (NASDAQ:LGND) to move this week after partner GlaxoSmithKline plc (LSE:GSK; NYSE:GSK) reported late Friday that FDA granted full approval for Promacta eltrombopag to treat chronic idiopathic thrombocytopenic purpura (ITP) in patients who have an insufficient response to corticosteroids, immunoglobulins or splenectomy. The drug received accelerated approval from FDA in 2008. GSK has worldwide rights from Ligand, which gained $0.10 to $10.08 last week. Regeneron Pharmaceuticals Inc. (NASDAQ:REGN) was off $0.48 to $37 last week after submitting a BLA to FDA for VEGF Trap-Eye to treat wet age-related macular degeneration (AMD). The biotech requested Priority Review. Partner Bayer AG (Xetra:BAY) plans to submit a regulatory application in Europe this half. Salix Pharmaceuticals Ltd. (NASDAQ:SLXP) fell $9.84 (24%) to $31.61 on Thursday after saying it expects to receive a complete response letter for Xifaxan rifaximin 550 mg tablets based on a telephone conversation with FDA about the irritable bowel syndrome (IBS) candidate. Salix attributed the expected setback to FDA’s “newly expressed need for retreatment information.” The PDUFA date for the sNDA is March 7. Salix was off $10.18 (23%) to $33.49 on the week. Sosei Group Corp. (Tokyo:4565) lost ¥12,400 to ¥139,000 last week after Japan approved NorLevo levonorgestrel as an emergency contraceptive. Clinical milestones Medivir AB (SSE:MVIR B) was off SEK0.75 to SEK139.50 last week after reporting additional data from the Phase IIb PILLAR (TMC435-C205) trial showing that 76-84% of HCV patients in 4Q10 EPS est 4Q09 EPS Expected chg the four TMC435 regimens achieved a sustained virologic response (SVR). The ongoing, double-blind, placebo-controlled, international trial enrolled 386 treatment-naive patients with chronic HCV genotype 1 infection (see B15). Ebb & Flow Gilead Sciences Inc. (NASDAQ:GILD) lost $0.29 to $39.01 last week after saying it plans to acquire cancer and inflammation company Calistoga Pharmaceuticals Inc. for $375 million in cash, plus up to $225 million in milestones (see “Gilead’s Cancer Encore,” A9). Infectious diseases company Intercell AG (VSE:ICLL; OTCQX:INRLY) lost €0.45 to €9.25 last week after raising €33 million ($45.2 million) in a bumped-up private placement of 6% senior unsecured convertible notes due 2014. ProStrakan Group plc (LSE:PSK) gained 22.60p (21%) to 131.50p on Monday after Kyowa Hakko Kirin Co. Ltd. (Tokyo:4151) said it will acquire the company for 130p per share, or about £292 million ($474 million) in cash. Kyowa said the acquisition will provide an established EU and U.S. sales force. It also will gain ProStrakan’s specialty pharmaceutical products, including pain drug Abstral fentanyl. ProStrakan was up 23.62p (22%) to 132.37p last week. Quest Diagnostics Inc. (NYSE:DGX) lost $0.89 to $56.67 last week after announcing plans to buy the Athena Diagnostics Inc. unit of Thermo Fisher Scientific Inc. (NYSE:TMO) for $740 million. Thermo Fisher also plans to sell its Lancaster Laboratories Inc. contract testing unit to Eurofins Scientific S.A. (Euronext:ERF) for $200 million. Eurofins was up €2.63 to €55.27 on the week. Theratechnologies Inc. (TSX:TH) was off C$0.23 to C$4.78 last week after the endocrine and pulmonary company announced plans to sell 11 million shares in a listing on NASDAQ. Transgene S.A. (Euronext:TNG) fell €2.80 (19%) to €12 on Wednesday after Roche (SIX:ROG; OTCQX:RHHBY) terminated a 2007 deal and returned rights to TG4001 (RG3484) for HPV-mediated diseases. The compound is in Phase IIb testing. According to Transgene, Roche said the decision was strategic and not “data-driven.” Transgene was off €2.67 (18%) to €12.18 on the week. — Staff Writer Andrew Fisher contributed to this week’s Ebb & Flow Stay Alert with BioCentury: A New Custom Publications Alert Service BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A18 OF 20 EPS watch At least seven profitable biotechs and pharmas reported earnings last week. Antibody play MorphoSys AG (Xetra:MOR) fell 4% last week after reporting FY10 EPS was unchanged vs. 2009 and announcing that CFO Dave Lemus is stepping down. Lemus will be replaced by Jens Holstein, a regional CFO for Europe and the Middle East at the Fresenius Kabi AG subsidiary of Fresenius SE (Xetra:FRE). Morphosys also raised its FY11 revenue and operating profit guidance. Mcap in $M Company Bio-Rad Laboratories Inc. (NYSE:BIO) 4Q10 EPS est 4Q10 EPS actual $1.35 $2.17 Outcome Beat by $0.82 Growth from 4Q09 46% 2/25 cls Wk chg % chg Mcap chg 2/25 Mcap $113.47 $3.57 3% $99.3 $3,155.4 4Q10 revenue for the tool supplier was $533.7M, up 8% from $495.1M. The Street was expecting $514.5M. Sales from the companys clinical diagnostic segment increased 12% in 4Q10 to $336.5M Merck KGaA (Xetra:MRK) NA €1.78 NA 87% €65.08 €2.38 4% $708.8 $19,380.9 4Q10 total revenue grew 26% to €2.5B ($3.4B) from €2B in 4Q09. The pharma expects FY11 revenues to grow 13-18% over FY10. MorphoSys AG (Xetra:MOR) NA NA NA NA €19.11 -€0.79 -4% -$38.3 $570.1 FY10 EPS was €0.40, same as FY09. 4Q10 revenue was €24.3M ($32.4M), up 4% from €23.4M in 4Q09. The company raised its FY11 revenue and operating profit guidance to €105-€110M from €105M and to €10-€13M from €10M. Ranbaxy Laboratories Ltd. (NSE:RANBAXY; BSE:500359) NA NA NA NA Rs449.15 -Rs57.15 -11% -$534.5 $4,200.4 While Ranbaxy did not report 4Q10 figures, the Indian pharmas FY10 net income of Rs15.0B ($333.8M) was less than the Rs15.9B ($355.5M) recorded for the first nine months of 2010, indicating a loss in 4Q10. Ranbaxy recorded a Rs1.8B ($40.5M) charge in 2010 related to the impairment in goodwill in its subsidiaries. FY10 global sales were Rs85.5B ($1.9B), up 23% from Rs73.4B ($1.5B) in FY09. U.S. sales rose 80% to Rs27.4B ($600M). The company expects FY11 base case sales to be about Rs84B ($1.9B). Talecris Biotherapeutics Inc. (NASDAQ:TLCR) $0.38 $0.38 Met 73% $24.92 -$0.58 -2% -$72.8 $3,128.2 4Q10 non-GAAP EPS figure excludes a $0.05 per share charge for costs related to Talecris merger agreement with Grifols S.A. (Madrid:GRF) and a $0.20 per share charge related to a breach of contract lawsuit ruling with Plasma Center of America. 4Q10 revenue was $410.8M, up 5.3% from $390.1M in 4Q09. Valeant Pharmaceuticals International Inc. (NYSE:VRX; TSX:VRX) $0.45 $0.51 Beat by $0.06 -39% $40.11 -$0.36 -1% -$108.7 $12,113.4 4Q09 figures for the company, which was formed from the Sept. 2010 merger between Biovail Corp. and Valeant Pharmaceuticals International, do not include revenue from Valeant Pharmaceuticals International. Total revenue in 4Q10 was $514.6M, up 113% from $241.1M in 4Q09. The company increased its FY11 EPS guidance to $2.45-$2.70 from $2.25-$2.50. ViroPharma Inc. (NASDAQ:VPHM) $0.31 $0.44 Beat by $0.13 144% $17.53 $0.23 1% $18.0 $1,368.2 Net product sales increased 38% in 4Q10 to $121.6M from $87.8M in 4Q09. Sale of hereditary angioedema (HAE) drug Cinryze were $52.5M for the quarter, up 46% from 4Q09. The biotech reiterated FY11 Cinryze sales guidance of $235-$260M. Online links this week Links to the following documents reside online on the BioCentury on BioBusiness page of www.biocentury.com. Biosimilars CHMP draft concept paper for the revision of guidelines for quality requirements of biosimilar products. Drug safety FDA draft guidance on the use of medication guides, which aim to alleviate the burden of REMS on companies and the agency (see BioCentury Extra, Friday, Feb. 25). EMA — EMA statement of revenue and expenditure for 2011. — EMA Joint CHMP/CVMP Quality Working Party work plan for 2011. Geriatrics EMA strategy for developing medicines for the elderly. Health reform Letter from Chairman Fred Upton (R-Mich.) and other Republican members of the House Committee on Energy and Commerce seeking information about meetings the White House Office for Health Reform held with industry groups (see BioCentury Extra, Wednesday, Feb. 23). Heparin Letter to FDA from Chairman Fred Upton (R-Mich.) and other Republican members of the House Committee on Energy and Commerce requesting information related to the 2008 heparin contamination incident (see BioCentury Extra, Thursday, Feb. 24). HIV CHMP draft concept paper on guidance for the non-clinical and clinical development of medicinal products to prevent HIV infection. See next page BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS FEBRUARY 28, 2011 P AGE A19 OF 20 Analyst picks & changes Company Bank Analyst Coverage Opinion Alnylam Pharmaceuticals Inc. (NASDAQ:ALNY) Needham Alan Carr Upgrade Buy (from hold) Wk chg 2/25 cls 0% $11.36 Carr upgraded based on newsflow from the companys clinical pipeline in 2011 and low valuation that is only modestly above cash. He expects final Phase I data for ALN-VSP in liver cancer to be presented at the American Society of Clinical Oncology (ASCO) meeting in June and Phase I data for ALN-TTR01 to treat transthyretin amyloidosis in 3Q11. ALN-VSP is a lipid nanoparticle formulation of two short interfering RNAs that target the kinesin spindle protein (KSP) and VEGF genes. ALN-TTR01 is a stable nucleic acid lipid particle (SNALP)formulated RNAi targeting the transthyretin (TTR) gene. Carr also expects four programs to be in the clinic by mid-year. Dyax Corp. (NASDAQ:DYAX) Needham Mark Monane Price target Buy -11% $1.72 Monane lowered his target to $4 from $8 after Dyax reported $3M in 4Q10 sales for hereditary angioedema (HAE) drug Kalbitor ecallantide, below his estimate of $4.6M. He remains encouraged by managements strategy to grow the acute HAE market and the continued increase in patients treated/re-treated with the yeast-derived recombinant plasma kallikrein inhibitor, but has lowered his expectations for the near-term. He lowered his FY11 and FY12 revenues estimates to $43M and $70M, respectively, from $60M and $112M. Vertex Pharmaceuticals Inc. (NASDAQ:VRTX) Baird Thomas Russo Price target Market outperform Leerink Howard Liang Price target Market outperform Piper Jaffray Edward Tenthoff Price target Overweight 15% $44.84 Russo raised his target to $52 from $47 after Vertex reported that oral VX-770 met the primary endpoint in the Phase III STRIVE trial to treat cystic fibrosis in patients carrying the G551D mutation in cystic fibrosis transmembrane conductance regulator (CFTR) on at least one allele. Vertex plans to submit regulatory applications in the U.S. and Europe for the small molecule potentiator of CFTR next half (see Vertex Erects its Pillars, A15). Liang raised his target to $56 from $48 on the VX-770 news. He believes the data supports premium pricing for the ultra orphan indication of G551D patients, which could be a significant revenue opportunity. Tenthoff raised his target to $52 from $48 on the VX-770 news. He anticipates a launch in 2012. Online Links, from previous page sible agents included on SPCs for plasma-derived medicinal products. Orphan drugs U.S. Supreme Court opinion in Bruesewitz v. Wyeth, which ruled 62 that the National Childhood Vaccine Injury Act of 1986 “preempts all design-defect claims against vaccine manufacturers brought by plaintiffs seeking compensation for injury or death caused by a vaccine’s side effects” (see BioCentury Extra, Tuesday, Feb. 22). Vaccines — Summary of actions taken at the Feb. 8-9 plenary meeting of EMA’s COMP. — Pharmaceutical Research and Manufacturers of America (PhRMA) report listing 460 products in clinical development to treat or prevent rare diseases, up from 303 products in 2007 (see BioCentury Extra, Friday, Feb. 25). Pharmacogenomics FDA draft guidance on early phase clinical trial design for evaluating pharmacogenomics. Pharmacovigilance Summary of actions taken at the Feb. 14-16 plenary meeting of CHMP’s Pharmacovigilance Working Party (PhVWP). Plasma-derived products CHMP draft guideline for texts and warning statements on transmisCompany Index, from page A10 Gilead A9, A17 GlaxoSmithKline A2, A11, A17 GOG A7 Gynecologic Oncology Group A5 Institute of Medicine A2, A7 Intercell A17 J&J A2, A20 Jubilant A9 Karyopharm A12 Kyowa Hakko Kirin A17 Ligand A17 Medivir A17 Merck KGaA A11 National Cancer Inst A11 NCCTG A5 NCI A1, A7 New York U A20 Nodality A3, A7 Novartis A3, A11 NSABP A5 Oregon Health & Science U A2 Product documentation — Alimta: CHMP revised an EPAR updating SPC to include information about Stevens-Johnson syndrome, toxic epidermal necrolysis, sepsis and hemolytic anemia for Alimta pemetrexed to treat pleural mesothelioma and non-small cell lung cancer (NSCLC); from Eli Lilly and Co. (NYSE:LLY). — Humira: U.S. Court of Appeals for the Federal Circuit ruling that patents co-owned by New York University and Johnson & Johnson (NYSE:JNJ) covering the use of antibodies against TNF alpha are invalid and therefore not infringed by autoimmune drug Humira adalimumab; from Abbott Laboratories (NYSE:ABT) (see BioCentury Extra, Wednesday, Feb. 23). Pfizer A14 PhRMA A20 Polymun Scientific A11 ProStrakan A17 Quest Diagnostics A17 Regeneron A17 Roche A9, A11, A17 RTOG A5, A7 Salix A17 Savient A16 Shire A16 Smith & Nephew A16 Sosei A17 SWOG A5, A7 Theratechnologies A17 Thermo Fisher Scientific A17 Transgene A17 Tufts Medical Center Cancer Center A5 United Therap A11 U of California, San Francisco A4 U of Michigan Comprehensive Cancer Center A5 Vertex A15, A19 BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS BioCentury 100 Price & Volume Trend Cumulative weekly performance of 100 bioscience stocks. 12-week period. Line shows Price Level change (Left scale. Index base=1000 on May 10, 1996). Bars show cumulative volume in millions (right scale). FEBRUARY 28, 2011 P AGE A20 OF 20 Price Gains Stocks with greatest % price increase in the week ended Feb. 25. (Priced above $2; 5,000 minimum share volume) Company Ticker $Close $Chg %Chg Vol(00) 4.520 0.950 27% 20338 Transition Therap1 TTHI ProStrakan PSK 132.4p 23.6p 22% 234534 Siga SIGA 13.400 2.000 18% 34806 Achillion ACHN 5.850 0.870 17% 13547 Stentys STNT €14.050 €2.050 17% 848 Apricus Biosciences APRI 5.130 0.740 17% 113301 Neoprobe NEOP 4.290 0.610 17% 69086 Vertex VRTX 44.840 5.680 15% 237397 Trius TSRX 6.240 0.670 12% 6304 Pacira PCRX 7.100 0.650 10% 727 Exelixis EXEL 11.820 1.060 10% 143999 Price Declines BioCentury tracks 564 issues that report prices and volume daily. The BioCentury 100 is a subset used to monitor price and volume trends. BioCentury London Index Weekly change in the combined market capitalization for 14 bioscience stocks listed on the LSE or AIM, 12-week period. Index base =1000 on May 10, 1996. Feb 25 Stocks with greatest Company Delcath Salix Protalix 2 OxiGene 3 Transgene ImmuCell NicOx Sanochemia 4SC NovaBay Questcor % price decline (criteria as above). Ticker $Close $Chg %Chg Vol(00) DCTH 6.290 -5.010 -44% 177991 SLXP 33.490 -10.180 -23% 217517 PLX 7.630 -1.990 -21% 117942 OXGND 2.430 -0.610 -20% 3772 TNG €12.180 -€2.670 -18% 10065 ICCC 3.070 -0.530 -15% 97 COX €2.290 -€0.382 -14% 99666 SAC €3.600 -€0.600 -14% 388 VSC €3.500 -€0.460 -12% 2838 NBY 2.060 -0.270 -12% 1097 QCOR 12.610 -1.620 -11% 73856 Volume Gains Greatest changes in volume above 5,000 shares. Company Ticker Vol(00) %Chg ProStrakan PSK 234534 12368% Transgene TNG 10065 1434% ASD 7475 1147% Axis-Shield4 TCM 5457 868% Tongjitang5 Abcam ABC 15598 560% Stentys STNT 848 522% MediBIC 2369 176 494% Protalix 2 PLX 117942 395% Salix SLXP 217517 387% Flamel FLML 9659 363% Its accurate. Its trusted. It delivers. Put the power of BioCenturys team and 18 years of industry analysis and reporting behind your data solutions needs Get a Free BCIQ Trial www.biocentury.com/bciq Intelligence you can trust. Because biopharma is our business. $Close $Chg 132.4 23.6p €12.18 -€2.670 316p 6.8p 4.400 0.040 350p 3p €14.05 €2.050 ¥8800 ¥600.00 7.630 -1.990 33.490 -10.180 6.440 -0.460 1 Includes volume from Toronto Stock Exchange 2 Includes volume from Tel Aviv Stock Exchange 3 Reverse split shares 1-for-20. Price and volume adjusted to reflect split 4 Includes volume from London Stock Exchange and Oslo Bors 5 Volume figure is of ADSs (ADS = 4 shares) BioCentury 100 Advance-Decline Trend Week ended BC100 Price level BC100 Stocks gaining Jan 31 Feb 04 Feb 11 Feb 18 Feb 25 2166.44 2203.54 2210.77 2244.34 2215.82 41 70 50 63 34 BC100 Gaining Stocks Declining vol. (00) declining vol. (00) 3092126 4677193 2649582 4987546 2005595 59 30 49 37 66 3717047 4512578 4327042 2544125 4106865 April 15, 2011 Millennium Broadway Hotel & Conference Center New York City ORGANIZED BY BioCentury & Thomson Reuters Pharma & Investment Professionals Register Now The 18th Annual FUTURE LEADERS IN THE BIOTECH INDUSTRY Maximum Biopharma Networking OrbiMed Advisors Now in its 18th year, Future Leaders is firmly established as the longest running, turf-neutral conference for investors and biopharma professionals to conduct business. The reason is simple: BioCentury and Thomson Reuters consistently select public and private companies that meet the deal-making criteria of investment and pharma BD&L professionals. The 2011 slate includes investor validated companies with platform technologies and unpartnered assets approaching the clinic, as well as commercially minded companies with later stage milestones. Rodman & Renshaw THE EXPANDING SLATE OF PRESENTING COMPANIES with the Special Support of CONTRIBUTING SPONSORS Ladenburg Thalmann Torreya Partners WBB Securities Yorkville Advisors REGISTER NOW! Visit www.biocentury.com for updates and news about Future Leaders in the Biotech Industry Acceleron Pharma Inc. Achillion Pharmaceuticals Inc. (NASDAQ:ACHN) Alder Biopharmaceuticals Inc. Algeta ASA (OSE:ALGETA) Amarin Corp. plc (NASDAQ:AMRN) ArQule Inc. (NASDAQ:ARQL) AVI BioPharma Inc. (NASDAQ:AVII) BG Medicine Inc. (NASDAQ:BGMD) Biolex Therapeutics Inc. BioSante Pharmaceuticals Inc. (NASDAQ:BPAX) Cempra Pharmaceuticals Inc. Chimerix Inc. Complete Genomics Inc. (NASDAQ:GNOM) Cytori Therapeutics Inc. (NASDAQ:CYTX; Xetra:XMPA) Depomed Inc. (NASDAQ:DEPO) Endoycte Inc. (NASDAQ:ECYT) Enobia Pharma Inc. Epigenomics AG (Xetra:ECX) Epizyme Inc. Euthymics Bioscience Inc. Fate Therapeutics Inc. Invida Group Pte. Ltd. iPierian Inc. Omeros Corp. (NASDAQ:OMER) Pacira Pharmaceuticals Inc. (NASDAQ:PCRX) PharmAthene Inc. (NYSE-A:PIP) Pieris AG Progenics Pharmaceuticals Inc. (NASDAQ:PGNX) Repligen Corp. (NASDAQ:RGEN) Rib-X Pharmaceuticals Inc. S*BIO Pte. Ltd. Threshold Pharmaceuticals Inc. (NASDAQ:THLD) Tolerx Inc. Transcept Pharmaceuticals Inc. (NASDAQ:TSPT) Trius Therapeutics Inc. (NASDAQ:TSRX) Versartis Inc. Xoma Ltd. (NASDAQ:XOMA) Zafgen Inc. Ziopharm Oncology Inc. (NASDAQ:ZIOP) WEEK OF FEBRUARY 28, 2011 BioCentury WEEK IN REVIEW (FORMERLY BIOCENTURY PART II) Volume 19 Number 10 Page B1 of 24 BioBusiness for the week ended February 25 COMPANY NEWS Deals (Page B2) Alizyme/Pharmagenix Almirall (Madrid:ALM)/Kyorin (Tokyo:4569) AlphaRx (OTCBB:ALRX)/Pacific Orient (TSX-V:AAQ) Bayer (Xetra:BAY)/Zydus Cadila (NSE: CADILAHC; BSE:532321) Benitec (ASX:BLT; Pink:BNIKF)/Biomics bioMerieux (Euronext:BIM)/Ipsen (Euronext:IPN) Calistoga/Gilead (NASDAQ:GILD) Cell Signaling/Astellas (Tokyo:4503) Cellerix/TiGenix (Euronext:TIG) Clinical Data (NASDAQ:CLDA)/Forest (NYSE:FRX) Clinical Reference/CompanDX Elan (NYSE:ELN)/PPD (NASDAQ:PPDI) Eureka/Baylor Eurofins (Euronext:EUFI)/Thermo Fisher (NYSE:TMO) Horizon Discovery/U of Pittsburgh iBio (NYSE-A:IBIO)/Kentucky Bioprocessing Isogenica/Phylogica (ASX:PYC; Xetra:PH7) MorphoSys (Xetra:MOR)/Novartis (NYSE: NVS; SIX:NOVN) Naviscan/Neoprobe (NYSE:NEOP) Nordion (TSX:NDN; NYSE:NDZ)/Best Medical Omeros (NASDAQ:OMER)/Daiichi Sankyo (Tokyo:4568; Osaka:4568) Paladin (TSX:PLB)/ProStrakan (LSE:PSK) Proacta/Yakult Honsha (Tokyo:2267; Osaka: 2267) Pronota/Mitsubishi Chemical (Tokyo:4188) ProStrakan (LSE:PSK)/Kyowa Hakko Kirin (Tokyo:4151) Quanterix/Novartis (NYSE:NVS; SIX:NOVN) Quest (NYSE:DGX)/Thermo Fisher (NYSE:TMO) Quintiles Samsung Group (KSE:005930), Seoul, South Korea Santhera (SIX:SANN)/Valeant Stemline/U of Pittsburgh Transgene (Euronext:TNG)/Roche (SIX:ROG; OTCQX:RHHBY) Univercell-Biosolutions/Kyoto U Vical (NASDAQ:VICL)/Naval Med Res Sales & Marketing (Page B6) Avacta (LSE:AVCT)/Pall (NYSE:PLL) Caliper Life Sci (NASDAQ:CALP)/Covaris Using BioCentury Week in Review BioCentury Week in Review (formerly BioCentury Part II) is a comprehensive compendium of business news for management and investors in bioscience companies. It is organized into three departments: Company News, Clinical News and Financial News. The index on this page lists all the companies covered this week. The news items in each department are organized alphabetically by company. When more than one company is listed, the biotech company is shown first. Each brief is labeled with one or more applicable business categories from the following list: ADMET; Agbio/Environmental; Antibodies; Autoimmune; Bioinformatics; Biomanufacturing; Biopharmaceuticals; Biosimilars; Cancer; Cardiovascular; Chemistry; Combinatorial biology; Computational chemistry/biology; Dental; Dermatology; Diagnostic; Drug delivery; Endocrine; Finance; Functional genomics; Gastrointestinal; Gene/Cell therapy; Generics; Genitourinary; Genomics; Hematology; Hepatic; High throughput screening; Infectious; Inflammation; Metabolic; Microarrays; Microfluidics; Musculoskeletal; Neurology; Nutraceuticals; Ophthalmic; Other; Pharmaceuticals; Pharmacogenetics; Proteomics; Pulmonary; Renal; Supply/Service; Transplant; Veterinary Celera (NASDAQ:CRA)/Abbott (NYSE:ABT) Celgene (NASDAQ:CELG)/Specialised Therap Australia Grifols (Madrid:GRF)/Novartis (NYSE:NVS; SIX:NOVN) Ikaria J&J (NYSE:JNJ) MediGene (Xetra:MDG)/Laboratoires Pierre Fabre NanoString Pharmaxis (ASX:PXS; Pink:PXSLY) Prasco/Shire (LSE:SHP; NASDAQ:SHPGY) PreCision Dermatology Other News (Page B7) Abbott (NYSE:ABT)/J&J (NYSE:JNJ)/New York U BioCryst (NASDAQ:BCRX)/U.S. Dpt of Health and Human Serv Leo/Perrigo (NASDAQ:PRGO) Microbix (TSX:MBS) NicOx (Euronext:COX) Novo Nordisk (CSE:NVO; NYSE:NVO) PDL (NASDAQ:PDLI)/AstraZeneca (LSE: AZN; NYSE:AZN) Pfizer (NYSE:PFE) Siga (NASDAQ:SIGA) Stallergenes (Euronext:GENP)/Ares Life Sci Management Tracks (Page B8) Allon (TSX:NPC) Amicus (NASDAQ:FOLD) Cantargia Fate MorphoSys (Xetra:MOR) Nexus Dx Omni Bio (OTCBB:OMBP) Pearl QLT (TSX:QLT; NASDAQ:QLTI) Roche (SIX:ROG; OTCQX:RHHBY) Royal DSM (Euronext:DSM) Swedish Orphan (SSE:SOBI) ViiV Healthcare CLINICAL NEWS Regulatory (Page B9) Abbott (NYSE:ABT) Bristol-Myers (NYSE:BMY) BSD Medical (NASDAQ:BSDM) Cephalon (NASDAQ:CEPH)/InnoPharmax/ SymBio/Astellas/Eisai (Tokyo:4523; Osaka: 4523)/Mundipharma CSL (ASX:CSL) Delcath (NASDAQ:DCTH) Genentech/Roche (SIX:ROG; OTCQX:RHHBY) GlaxoSmithKline (LSE:GSK; NYSE:GSK) HRA Ligand (NASDAQ:LGND)/GlaxoSmithKline (LSE:GSK; NYSE:GSK) NicOx (Euronext:COX) Novartis (NYSE:NVS; SIX:NOVN) Novo Nordisk (CSE:NVO; NYSE:NVO)/ See next page BioCentury Week in Review FEBRUARY 28, 2011 PAGE B2 OF 24 COMPANY NEWS/Deals, Sales & Marketing, Other News, Management Tracks DEALS Alizyme plc, Cambridge, U.K. Pharmagenix AG, Zurich, Switzerland Business: Endocrine Grant Thornton U.K. LLP, which is serving as Alizyme’s administrator after the biotech entered administration in 2009, disclosed that Pharmagenix acquired Alizyme’s ATL-104 for £67,250 ($109,161) last October. The mucositis candidate is a recombinant plant lectin protein that stimulates growth of gastrointestinal epithelial cells. Further terms were not disclosed. Almirall S.A. (Madrid:ALM), Barcelona Spain Kyorin Pharmaceutical Co. Ltd. (Tokyo:4569), Tokyo Japan Business: Pulmonary Almirall granted Kyorin Pharmaceutical exclusive rights in Japan to develop and commercialize chronic obstructive pulmonary disease (COPD) candidate aclidinium bromide. Almirall will receive an upfront payment and milestones totaling up to €38 million ($52.1 million). Almirall is also Regulatory, from previous page Bristol-Myers (NYSE:BMY) Orexo (SSE:ORX)/Paladin (TSX:PLB)/ ProStrakan (LSE:PSK)/Kyowa Hakko Kirin (Tokyo:4151) Otsuka/Bristol-Myers (NYSE:BMY) Pfizer (NYSE:PFE) Protalix(NYSE-A:PLX;TelAviv:PLX)/Pfizer(NYSE:PFE) Provepharm R-Biopharm Regeneron (NASDAQ:REGN)/Bayer (Xetra:BAY) Salix (NASDAQ:SLXP) sanofi-aventis (Euronext:SAN; NYSE:SNY) Sunesis (NASDAQ:SNSSD) Takeda (Tokyo:4502) ViroPharma (NASDAQ:VPHM) Clinical Results (Page B13) Advancell Advanced In Vitro Cell Amgen (NASDAQ:AMGN)/Daiichi Sankyo (Tokyo:4568; Osaka:4568) Aoxing (NYSE-A:AXN)/QRxPharma (ASX: QRX; OTCQX:QRXPY) Aprea Axcan Bellicum Biogen Idec (NASDAQ:BIIB)/Elan (NYSE:ELN) Chimerix Dynavax (NASDAQ:DVAX) Fate Genzyme (NASDAQ:GENZ) Iris (NASDAQ:IRIS) Isis (NASDAQ:ISIS) Medivir (SSE:MVIR B)/J&J (NYSE:JNJ) Mitsubishi Tanabe (Tokyo:4508; Osaka:4508)/ Novartis (NYSE:NVS; SIX:NOVN) eligible for escalating royalties. Further terms were not disclosed. Last month, Almirall and U.S. partner Forest Laboratories Inc. (NYSE:FRX, New York, N.Y.) said the inhalable long-acting, selective M2 and M3 muscarinic receptor antagonist delivered using the Genuair inhaler met the primary endpoints in the Phase III ATTAIN trial. Regulatory submissions in the U.S. and EU for aclidinium monotherapy are planned for mid-year (see BioCentury, Jan. 10). AlphaRx Inc. (OTCBB:ALRX), Hong Kong, China Pacific Orient Capital Inc. (TSX-V:AAQ), Toronto, Ontario Business: Autoimmune AlphaRx terminated its April 2010 letter of intent with Pacific Orient for the acquisition of AlphaRx’s AlphaRx Canada Ltd. subsidiary and ex-U.S., Canada and Europe rights to Indaflex. AlphaRx said the agreement was terminated because the parties were not able to satisfy the closing conditions of the proposed transaction. AlphaRx said it will focus on advancing Indaflex, a topical cream formulation of indomethacin for arthritis, and GAI-122, a caspase inhibitor formulated with AlphaRx’s nanoparticle drug delivery platform for stroke and traumatic See next page Neovacs (Euronext:ALNEV) Novavax (NASDAQ:NVAX) PolyMedix (OTCBB:PYMX) Progenics (NASDAQ:PGNX) TransPharma Verona (LSE:VRP) Vertex (NASDAQ:VRTX) Preclinical Results (Page B18) Harbor (OTCBB:HRBR) Marina Biotech (NASDAQ:MRNA) Otonomy Clinical Status (Page B18) Acacia Active (SSE:ACTI) Aestus/Astellas (Tokyo:4503) Antares (NYSE-A:AIS)/BioSante (NASDAQ:BPAX) BioCryst (NASDAQ:BCRX)/Green Cross/ Shionogi (Tokyo:4507; Osaka:4507) Biomoda (OTCBB:BMOD) Bristol-Myers (NYSE:BMY)/Eli Lilly (NYSE: LLY)/Merck KGaA (Xetra:MRK) Dynavax (NASDAQ:DVAX) DynPort Vaccine Global Health (OTCBB:GHLV) Halozyme (NASDAQ:HALO)/Roche (SIX: ROG; OTCQX:RHHBY) Infinity (NASDAQ:INFI)/Mundipharma IQ Therap KemPharm Medivir (SSE:MVIR B)/J&J (NYSE:JNJ) Micell Neovacs (Euronext:ALNEV)/NicOx (Euronext: COX)/Grupo Ferrer Oncolytics (TSX:ONC; NASDAQ:ONCY) Onyx (NASDAQ:ONXX)/Bayer (Xetra:BAY) Pharming (Euronext:PHARM) Regeneron (NASDAQ:REGN) Regeneron (NASDAQ:REGN)/sanofi-aventis (Euronext:SAN; NYSE:SNY) Tarix TcLand Trevena FINANCIAL NEWS Completed Offerings (Page B22) 4SC (Xetra:VSC) Acetylon Biofrontera (Xetra:B8F) Cantargia FluGen High Throughput Genomics ImmunoCellular (OTCBB:IMUC) Intercell (VSE:ICLL; OTCQX:INRLY) Palatin (NYSE-A:PTN) Pharmaron SymBio Proposed Offerings (Page B23) Accentia (OTCQB:ABPI) Advanced BioHealing Cellerix Cell Therap (NASDAQ:CTIC; Milan:CTIC) RaQualia Theratechnologies (TSX:TH) TiGenix (Euronext:TIG) Other Financial News (Page B23) Aeterna Zentaris (TSX:AEZ; NASDAQ:AEZS) Ardea (NASDAQ:RDEA) Chelsea (NASDAQ:CHTP) Genta (OTCBB:GNTAD) Osage Paladin (TSX:PLB) BioCentury Week in Review Deals, from previous page brain injury, into clinical trials in China. AlphaRx granted Gaia BioPharma Ltd. (Hong Kong, China) exclusive, worldwide rights to GAI-122. Further terms were not disclosed. Bayer AG (Xetra:BAY), Leverkusen, Germany Zydus Cadila Group (NSE:CADILAHC; BSE:532321), Ahmedabad, India Business: Pharmaceuticals Bayer’s Bayer HealthCare unit and Zydus formed a JV, Bayer Zydus Pharma, to market pharmaceuticals in India. Each party will hold 50% of the JV, which will be headquartered in Mumbai, India. The JV’s portfolio will include diabetes drug Glucobay acarbose, cardiovascular drug Xarelto rivaroxaban, cancer drug Nexavar sorafenib, premenstrual syndrome drug Yaz and contraceptive Yasmin from Bayer. Johnson & Johnson (NYSE:JNJ, New Brunswick, N.J.) has U.S. rights to Xarelto from Bayer. Bayer and Onyx Pharmaceuticals Inc. (NASDAQ:ONXX, Emeryville, Calif.) have a worldwide co-development agreement for Nexavar outside of Japan, where Bayer owns rights. Benitec Ltd. (ASX:BLT; Pink:BNIKF), Melbourne, Australia Biomics Biotechnologies Co. Ltd., Nantong, China Business: Infectious Following the successful identification of over 500 RNA sequences capable of inhibiting viral replication under a 2009 deal to co-develop and commercialize a DNA directed or vector expressed RNAi to treat HBV infection, the companies will start an 18-month second stage consisting of in vitro and in vivo proof-of-principle studies to optimize a preclinical candidate. The companies will share costs, IP ownership and commercialization rights based on agreed territories (see BioCentury, Sept. 14, 2009). bioMerieux S.A. (Euronext:BIM), Marcy l’Etoile, France Ipsen Group (Euronext:IPN), Paris, France Business: Cancer, Pharmacogenetics bioMerieux and Ipsen partnered to co-develop hormone-dependent cancer therapeutics and companion diagnostics. Ipsen will provide compounds, while bioMerieux will provide its diagnostic portfolio. The companies said the partnership will focus on prostate and breast cancers, neuroendocrine tumors and pituitary tumors. Further terms were not disclosed. Calistoga Pharmaceuticals Inc., Seattle, Wash. Gilead Sciences Inc. (NASDAQ:GILD), Foster City, Calif. Business: Cancer, Inflammation Gilead plans to acquire cancer and inflammation company Calistoga for $375 million in cash, plus up to $225 million in milestones. Calistoga is developing compounds that target isoforms of phosphoinositide 3kinase (PI3K) for cancer and inflammatory diseases. Calistoga’s lead candidate is CAL-101, a small molecule inhibitor of PI3K delta in Phase II testing for chronic lymphocytic leukemia (CLL) and refractory indolent non-Hodgkin’s lymphoma (NHL). JPMorgan advised Calistoga on the deal, which is expected to close next quarter. Last month, Gilead acquired Arresto BioSciences Inc., whose lead product is a mAb in Phase I testing for idiopathic pulmonary fibrosis (IPF) and advanced solid tumors (see BioCentury, Jan. 31). Cell Signaling Technology Inc., Danvers, Mass. Astellas Pharma Inc. (Tokyo:4503), Tokyo, Japan Business: Cancer, Diagnostic Astellas and Cell Signaling Technology partnered to pool their respective IP covering the EML4-ALK oncogenic fusion protein. Astellas FEBRUARY 28, 2011 PAGE B3 OF 24 will have rights to use the IP to develop and commercialize therapeutics, while Cell Signaling will have rights for diagnostics. Cell Signaling said it is developing a diagnostic using the IP for non-small cell lung cancer (NSCLC). Astellas’ ASP3026, an inhibitor of EML4-ALK, is in Phase I testing for cancer. Further terms were not disclosed. Cellerix S.A., Madrid, Spain TiGenix N.V. (Euronext:TIG), Leuven, Belgium Business: Autoimmune, Gene/Cell therapy, Inflammation Musculoskeletal company TiGenix will acquire Cellerix in a stock deal that values Cellerix at €58 million ($79.8 million). TiGenix will issue 44.8 million new TiGenix shares at €1.30. Prior to the close of the deal, Cellerix will raise €18 million ($24.7 million) through an offering to existing investors, while TiGenix will raise about €15 million ($20.5 million) through the sale of 15 million shares at €1 in a rights issue. Former Cellerix investors will own 49% of the company with TiGenix investors owning the remaining 51%. TiGenix said the acquisition is part of its external growth strategy and strengthens its position in the field of regenerative medicine and cell therapy. TiGenix’s ChrondoCelect, a cell-based therapy, is approved in the EU to treat cartilage defects of the femoral condoyle of the knee. The initial focus of the combined group will be damaged and arthritic joints with future expansion planned for other inflammatory and autoimmune disorders. Cellerix’s Cx601, which comprises expanded stem cells obtained from allogeneic adipose tissue (eASCs), has completed Phase IIa testing in complex perianal fistulas in Crohn’s disease (CD) patients and has Orphan Drug designation in the EU for anal fistula. The deal, which is expected to close in June, is subject to shareholder approval from both companies. TiGenix and Cellerix have scheduled shareholder meetings in April and March, respectively. Kempen & Co. advised TiGenix, while Piper Jaffray advised Cellerix. Kempen and KBC Securities are acting as joint bookrunners for the rights issue (see BioCentury, Feb. 2). Clinical Data Inc. (NASDAQ:CLDA), Newton, Mass. Forest Laboratories Inc. (NYSE:FRX), New York, N.Y. Business: Neurology Forest will acquire Clinical Data for $30 per share in cash, plus a contingent value right worth up to $6 based on sales milestones of Clinical Data’s depression drug Viibryd vilazodone. The upfront portion represents about $928.6 million, based on 31 million shares outstanding on Feb. 8, and is a 67% premium to Clinical Data’s close of $15.03 on Jan. 21, the last trading day before FDA approved Viibryd. At that time, Clinical Data said it was considering a potential takeover of the company or a deal to partner Viibryd. The boards of both companies have approved the deal, which is expected to close next quarter. Forest said Viibryd will enhance its depression portfolio, which includes Celexa citalopram and Lexapro escitalopram. Forest expects to launch the mixed selective serotonin reuptake inhibitor (SSRI) and partial serotonin (5-HT1A) next half. The CVR will pay $1 if U.S. net sales of Viibryd over four quarters reach or exceed $800 million within the first five years. It will pay $2 and $3 if sales reach or exceed $1.1 billion within the first six years and $1.5 billion and seven years, respectively. Morgan Stanley advised Forest, while JPMorgan advised Clinical Data. Lexapro is an allosteric SSRI and Celexa is an orally disintegrating tablet (ODT) formulation of citalopram hydrobromide serotonin (5HT) reuptake inhibitor. Clinical Reference Laboratory Inc., Lenexa, Kan. CompanDX Ltd., Nottingham, U.K. Business: Diagnostic, Pharmacogenetics See next page BioCentury Week in Review Deals, from previous page The companies will partner to develop biomarker panels and companion diagnostic tests. Under the deal, CompanDX will continue to develop its Distiller bioinformatics platform, which aids in the selection of candidate biomarkers, the generation of biomarker signatures and subsequent functional analysis of these signatures. CompanDX will derive the biomarker signatures and Clinical Reference’s CLIAcertified labs will develop tests. Ownership of IP will be determined on a case by case basis. Financial terms were not disclosed. Elan Corp. plc (NYSE:ELN), Dublin, Ireland PPD Inc. (NASDAQ:PPDI), Wilmington, N.C. Business: Supply/Service Elan and PPD will collaborate to advance Elan’s various therapeutic programs through clinical testing. The deal makes PPD the preferred provider of CRO services for the biotech and will allow Elan to leverage PPD’s strengths in data management, biostatistics, and regulatory, clinical and medical monitoring to advance compounds in a “parallel manner.” Elan will retain its focus on in-house discovery and R&D of therapeutics as well as ownership of compounds, and is responsible for all developmental decisions. Financial terms were not disclosed. Eureka Genomics Corp., Hercules, Calif. Baylor Research Institute, Baylor, Texas Business: Cancer The parties will collaborate to confirm the role of the JC virus (JCV) in colorectal cancer and to identify other possible microbial or genetic factors of the disease. The institute will provide clinical resources and IP regarding JCV as a potential causative agent of colorectal cancer. Eureka will use its bioinformatics technology to screen sequence data to look for the presence of human and/or non-human sequences associated with colorectal cancer samples that are absent in other samples. The parties will jointly own any IP relating to the biology or etiology of cancer arising from the collaboration, and will share revenues from the commercialization of any potential diagnostics and treatments that arise out of the deal. Eurofins Scientific S.A. (Euronext:EUFI), Kraainem, Belgium Thermo Fisher Scientific Inc. (NYSE:TMO), Waltham, Mass. Business: Supply/Service Thermo Fisher plans to sell its contract testing unit, Lancaster Laboratories Inc., to Eurofins for $200 million. Lancaster had about $115 million in revenues last year. Eurofins said the unit, based in Lancaster, Pa., will significantly enlarge its North American presence. Thermo Fisher, which had $10.8 billion in revenues last year, said the unit is not part of the company’s core business. The deal is expected to close next quarter. Horizon Discovery Ltd., Cambridge, U.K. University of Pittsburgh, Pittsburg, Pa. Business: Cancer, Gene/Cell therapy The university granted Horizon exclusive, worldwide rights to isogenic cell models, including a model for miRNA21, which the company said is “implicated in a wide range of cancers.” The cell lines will be added to Horizon’s X-MAN cell lines. The university will receive an upfront payment and is eligible for royalties. Further terms were not disclosed. iBio Inc. (NYSE-A:IBIO), Newark, Del. Kentucky Bioprocessing LLC, Owensboro, Ky. Business: Metabolic iBio acquired rights from Kentucky Bioprocessing to plant-pro- FEBRUARY 28, 2011 PAGE B4 OF 24 duced human alpha galactosidase A. iBio will use its iBioLaunch plantbased vaccine and therapeutic protein manufacturing platform to further develop the enzyme to treat Fabry’s disease. iBio said it will collaborate with the not-for-profit Fraunhofer USA Center for Molecular Biotechnology (Newark, Del.) for development of the enzyme, which is in preclinical testing. Kentucky Bioprocessing will be responsible for manufacturing the enzyme. Further terms were not disclosed. Isogenica Ltd., Little Chesterford, U.K. Phylogica Ltd. (ASX:PYC; Xetra:PH7), Subiaco, Australia Business: Inflammation The companies successfully completed a proof of concept (POC) project under a 2010 deal demonstrating the compatibility of Isogenica’s CIS display technology with Phylogica’s Phylomer drug discovery platform for peptide engineering and drug discovery. Under the deal, Isogenica is using its CIS display technology to optimize three undisclosed peptides from Phylogica targeting CD40 ligand (CD154) for inflammatory diseases (see BioCentury, Feb. 8, 2010). Further details were not disclosed. MorphoSys AG (Xetra:MOR), Martinsried, Germany Novartis AG (NYSE:NVS; SIX:NOVN), Basel, Switzerland Business: Antibodies MorphoSys received an undisclosed double-digit million Euro milestone payment from Novartis under a 2007 deal that gave Novartis preferred exclusive access to MorphoSys’ HuCAL antibody technology. The payment was triggered by the installation of the HuCAL technology at a Novartis R&D site in Basel, Switzerland. Last October, MorphoSys exercised its second option to participate in development of a second antibody under the deal to treat an inflammatory disease. MorphoSys said five antibody programs under the deal are currently in clinical testing, including lead compound BHQ880, an antibody against dickkopf homolog 1 (DKK1) in Phase II testing to treat multiple myeloma. The other programs are evaluating antibodies for ophthalmic and musculoskeletal diseases, with three programs in Phase I and one program in Phase II testing (see BioCentury, Oct. 25, 2010). Naviscan Inc., San Diego, Calif. Neoprobe Corp. (NYSE:NEOP), Dublin, Ohio Business: Diagnostic Naviscan granted Neoprobe an exclusive, worldwide license to its gamma imaging technology for surgical applications in cancer. Neoprobe said the technology could lead to new indications for its Lymphoseek and RIGScan CR imaging products. Lymphoseek, a Tc99m-labeled radioactive tracing agent, is in Phase III testing for intraoperative lymph node mapping in patients with melanoma or breast cancer. Neoprobe has a pre-IND meeting with FDA to discuss a BLA for its RIGScan CR technology this quarter. RIGScan is an iodine-labeled mAb fragment targeting TAG72 cancer antigen. Financial terms were not disclosed. Nordion Inc. (TSX:NDN; NYSE:NDZ), Ottawa, Ontario Best Medical International Inc., Springfield, Va. Business: Supply/Service, Cancer, Diagnostic Nordion will divest its MDS Nordion S.A. operation in Fleurus, Belgium, including Nordion’s radiopharmaceutical business, to Best Medical in a stock deal. The parties signed a letter of intent last December. Best Medical will acquire all of Nordion’s Belgian operations except its TheraSphere business, which consists of yttrium-90 glass microspheres used for localized radioembolization therapy. The deal is expected to close within a few months. Nordion said it will resume its plans to restructure operations at the Fleurus site after the divestiture. Further terms were not disclosed (see BioCentury, Dec. 13, 2010). See next page BioCentury Week in Review Deals, from previous page Omeros Corp. (NASDAQ:OMER), Seattle, Wash. Daiichi Sankyo Co. Ltd. (Tokyo:4568; Osaka:4568), Tokyo, Japan Business: Neurology The companies added addiction and compulsive disorders to a 2010 deal under which Daiichi Sankyo’s Asubio Pharma Co. Ltd. subsidiary granted Omeros an exclusive, worldwide license to undisclosed preclinical compounds for use in Omeros’ phosphodiesterase-7 (PDE-7) program to treat movement disorders. Daiichi Sankyo is now eligible for up to $30.2 million in milestones from Omeros, an increase from the $23.5 million it was eligible for under the original deal. Financial terms were not disclosed (see BioCentury, March 15, 2010). Paladin Labs Inc. (TSX:PLB), Montreal, Quebec ProStrakan Group plc (LSE:PSK), Galashiels, U.K. Business: Neurology, Gastrointestinal, Endocrine The companies amended a 2008 deal that was expanded last year after it was announced that Kyowa Hakko Kirin Co. Ltd. (Tokyo:4151, Tokyo, Japan) is acquiring ProStrakan for 130p per share, or about £292 million ($474 million) in cash. Paladin agreed to accept repayment of a secured debt facility of £50 million ($81.2 million) from ProStrakan. Paladin will also receive a payment equivalent to the balance of interest payable for the first year plus a £2 million ($3.2 million) break free. Under the expansion, Paladin received exclusive rights to market ProStrakan’s products in Canada, Latin America, Sub-Saharan Africa and Israel. Paladin also acquired the secured debt facility and rights to license new products acquired or licensed by ProStrakan for the territories. Paladin will retain the rights to the products in Canada and select emerging markets from the original deal (see BioCentury, Jan. 5, 2009 & Dec. 20, 2010). Proacta Inc., La Jolla, Calif. Yakult Honsha Co. Ltd. (Tokyo:2267; Osaka:2267), Tokyo, Japan Business: Cancer Proacta granted Yakult Honsha exclusive rights to cancer candidate PR509 in Japan. The partners will complete preclinical and Phase I trials of the compound in the U.S. after which Yakult can exercise the option to further clinical development and commercialization in Japan. The hypoxia activated irreversible pan-ebrB inhibitor is currently in preclinical testing to treat erlotinib-resistant non-small cell lung cancer (NSCLC). Financial details were not disclosed. Tarceva erlotinib is approved for first-line maintenance and secondline treatment of advanced or metastatic NSCLC and to treat pancreatic cancer. The small molecule inhibitor of EGRF tyrosine kinase activity is marketed in the U.S. by OSI Pharmaceuticals Inc., now part of Astellas Pharma Inc. (Tokyo:4503, Tokyo, Japan), and Genentech Inc., a unit of Roche (SIX:ROG; OTCQX:RHHBY, Basel, Switzerland), and by Roche elsewhere. Pronota N.V., Zwijnaarde, Belgium Mitsubishi Chemical Holdings Corp. (Tokyo:4188), Tokyo, Japan Business: Diagnostic Pronota and Mitsubishi Chemical Holdings’ Molecuence Corp. subsidiary partnered to discover and validate protein biomarkers to diagnose stroke. Pronota will use its MASStermind protein biomarker discovery platform and MASSterclass protein biomarker verification tool. Further terms were not disclosed. ProStrakan Group plc (LSE:PSK), Galashiels, U.K. Kyowa Hakko Kirin Co. Ltd. (Tokyo:4151), Tokyo, Japan Business: Neurology FEBRUARY 28, 2011 PAGE B5 OF 24 Kyowa Hakko Kirin will acquire ProStrakan for 130p per share, or about £292 million ($474 million) in cash. The price is a 20% premium to ProStrakan’s close of 108.90p on Feb. 18, before the deal was announced. Kyowa said the acquisition will provide an established EU and U.S. sales force. It also will gain ProStrakan’s specialty pharmaceutical products, including pain drug Abstral fentanyl. ProStrakan, which has rights to the sublingual mucoadhesive fentanyl in North America and Europe from Orexo AB (SSE:ORX, Uppsala, Sweden), plans to launch the product in the U.S. this quarter. In January, ProStrakan said it expected 2010 revenue of £100 million ($154.9 million). The boards of both companies have approved the offer, which is subject to approval by ProStrakan shareholders at a meeting in April. The deal is expected to close by early June. BofA Merrill Lynch is advising Kyowa Hakko Kirin, while JPMorgan Cazenove and Numis are advising ProStrakan. Quanterix Corp., Cambridge, Mass. Novartis AG (NYSE:NVS; SIX:NOVN), Basel Switzerland Business: Diagnostic Quanterix and Novartis’ Novartis Vaccines and Diagnostics Inc. subsidiary will evaluate the potential use of Quanterix’s single molecule array (SiMoA) technology for developing diagnostics. The evaluation will focus on an undisclosed neuron-specific protein target. Further terms were not disclosed. Quest Diagnostics Inc. (NYSE:DGX), Madison, N.J. Thermo Fisher Scientific Inc. (NYSE:TMO), Waltham, Mass. Business: Diagnostic Thermo Fisher plans to sell its Athena Diagnostics Inc. unit to Quest for $740 million. Athena, which had about $110 million in revenues last year, markets diagnostics for neurological and developmental disorders. Quest said the acquisition would complement its existing diagnostics in cancer, infectious diseases and cardiovascular diseases. Thermo Fisher, which had $10.8 billion in revenues last year, said the unit is not part of the company’s core business. The deal is expected to close next quarter. In 2002, Elan Corp. plc (NYSE:ELN, Dublin, Ireland) sold its 80% stake in Athena to investment group Behrman Capital (New York, N.Y.) for $82 million (see BioCentury, Nov. 25, 2002). Quintiles Transnational Corp., Research Triangle Park, N.C. Samsung Group, Seoul, South Korea Business: Biosimilars Samsung and Quintiles will form a 90/10 JV to manufacture biosimilars in South Korea. Quintiles will contribute about $30 million to the JV, with Samsung contributing the remaining $236 million. The JV plans to begin building a contract manufacturing facility in May. The facility is expected to be operational by April 2013. Samsung said this is the first move under a plan announced last May to invest about $1.8 billion in biopharmaceuticals. Santhera Pharmaceuticals Holding AG (SIX:SANN), Liestal, Switzerland Valeant Pharmaceuticals International Inc. (NYSE:VRX; TSX:VRX), Mississauga, Ontario Business: Neurology Santhera announced the completion of Valeant’s return of U.S. and Canadian rights to fipamezole (JP-1730). Valeant gained rights to the program through its merger with Biovail Corp. last year, but decided not to continue the project after a review of the merged company’s pipelines, according to Santhera (see BioCentury, Nov. 1, 2010). Santhera said it will seek to license U.S. and Canadian rights to fipamezole to a new partner this year. Santhera plans to start Phase III See next page BioCentury Week in Review Deals, from previous page testing for the adrenergic receptor alpha 2 (ADRA2) antagonist to treat dyskinesia in patients with Parkinson’s disease (PD). Fipamezole is partnered with Ipsen Group (Euronext:IPN, Paris, France) outside the U.S., Canada and Japan, where. Santhera retains rights. Stemline Therapeutics Inc., New York, N.Y. University of Pittsburgh, Pittsburgh, Pa. Business: Cancer The university granted Stemline exclusive, worldwide rights to SL701, a cancer vaccine targeting tumor bulk and cancer stem cells. The vaccine is in Phase I/II testing to treat glioblastoma multiforme (GBM). The university will receive an upfront payment and is eligible for milestones and royalties. Further terms were not disclosed. Transgene S.A. (Euronext:TNG), Illkirch, France Roche (SIX:ROG; OTCQX:RHHBY), Basel, Switzerland Business: Infectious Roche terminated the partners’ 2007 deal and returned rights to TG4001 (RG3484) for HPV-mediated diseases. Roche said the decision was strategic and not “data-driven.” The vaccinia virus vector encoding HPV type 16 E6 and E7 antigens and an IL-2 coding sequence is in a Phase IIb trial to treat high grade cervical intraepithelial neoplasia (CIN) lesions (CIN2/3) caused by HPV infection, with data expected by year end or early next year. Transgene said that if data from the ongoing trial are positive, the company plans to begin Phase III testing in late 2012 or early 2013 and look for a co-development partner (see BioCentury, April 16, 2007). Univercell-Biosolutions S.A.S., Toulouse, France Kyoto University, Kyoto, Japan Business: Gene/Cell therapy Univercell received a non-exclusive, worldwide license to an induced pluripotent stem cell (iPSC) patent portfolio from the university’s technology transfer arm, iPS Academia Japan Inc. Univercell plans to use the technology to provide cardiac cells without the use of embryonic stem cells to the pharma industry to aid drug discovery and to reduce drug failure rates in clinical trials. iPS is eligible for royalties. Further terms were not disclosed. Vical Inc. (NASDAQ:VICL), San Diego, Calif. Naval Medical Research Center, Silver Spring, Md. Business: Infectious The biotech and research center will establish systems and procedures to develop Vical’s DNA delivery technology for the rapid development and production of vaccines against emerging infectious diseases for military personnel. Financial terms were not disclosed. The collaboration is an extension of a 2010 deal under which the U.S. Department of Defense’s Defense Threat Reduction Agency (DTRA) and NMRC provided funding to Vical to support development of its Vaxfectin-formulated DNA vaccine to prevent swine influenza A (H1N1). The vaccine is expected to complete Phase I testing this quarter. FEBRUARY 28, 2011 PAGE B6 OF 24 early analysis of compounds to identify the best candidates for development and define the optimal processing conditions. The companies also said they plan to market additional instruments developed by Avacta to help companies bring drugs to market. Further terms were not disclosed. Caliper Life Sciences Inc. (NASDAQ:CALP), Hopkinton, Mass. Covaris Inc., Woburn, Mass. Business: Supply/Service, Microfluidics The companies will co-promote Covaris’ acoustic DNA shearing platforms and Caliper’s sequencing and microfluidics technologies to develop automated workflows for next generation sequencing experiments. Further terms were not disclosed. Celera Corp. (NASDAQ:CRA), Alameda, Calif. Abbott Laboratories (NYSE:ABT), Abbott Park Ill. Business: Diagnostic Abbott launched Celera’s KIF6 Genotyping Assay in Europe as an aid in determining the risk of coronary heart disease (CHD). Abbott will market the test to run on its m2000 lab automation system. The real-time in vitro PCR test detects variants in the 719Arg kinesin-like protein 6 (KIF6) gene and has CE Mark approval in the EU. Celgene Corp. (NASDAQ:CELG), Summit, N.J. Specialised Therapeutics Australia Pty. Ltd., Victoria, Australia Business: Cancer Specialised Therapeutics launched Abraxane nab-paclitaxel in New Zealand to treat metastatic breast cancer. Specialised Therapeutics received exclusive rights to the albumin stabilized nanoparticle formulation of paclitaxel in New Zealand in 2008. Celgene gained rights to Abraxane through its 2010 acquisition of Abraxis BioScience Inc. (see BioCentury, July 5, 2010). Grifols S.A. (Madrid:GRF), Barcelona, Spain Novartis AG (NYSE:NVS; SIX:NOVN), Basel, Switzerland Business: Diagnostic, Hematology Novartis’ Novartis Diagnostics Inc. subsidiary will commercialize select Grifols’ diagnostic products in the U.S. The deal covers semi-automated pre-transfusion diagnostic products from Grifols subsidiaries, immunohematology instruments, assays and other products. Novartis will also commercialize Bloodchip molecular biology products for genotyping blood donors. Grifols has exclusive, worldwide rights to distribute the Bloodchip product line under a 2010 deal with Progenika Biopharma S.A. (Derio, Spain). Financial terms were not disclosed. SALES & MARKETING Ikaria Inc., Clinton, N.J. Business: Pulmonary Ikaria’s Ikaria Canada Inc. subsidiary launched its INOMAX DSIR drug-delivery system for the administration of INOMAX nitric oxide in Canada. Ikaria markets INOMAX to treat term and near-term infants with hypoxic respiratory failure. The system is the next generation of Ikaria’s INOMAX DS drug-delivery system, which was recalled last year due to the potential failure of a pressure switch that may affect the administration of INOMAX. Ikaria plans to launch INOMAX DSIR in Australia and Canada this half (see BioCentury, Aug. 16, 2010). Avacta Group plc (LSE:AVCT), Heslington, U.K. Pall Corp. (NYSE:PLL), Port Washington, N.Y. Business: ADMET Avacta and Pall will co-promote Avacta’s Optim 1000 ultra-low volume biopharmaceutical analysis tool in North America. Optim 1000 was developed to accelerate the speed of drug development through Johnson & Johnson (NYSE:JNJ), New Brunswick, N.J. Business: Autoimmune Johnson & Johnson’s Janssen Biologics B.V. unit recalled 395 Simponi golimumab injector devices, including 230 in Germany and 165 in U.S., due to a potential defect in the injection pens that could result See next page BioCentury Week in Review Sales & Marketing, from previous page in an insufficient dose of the drug. Janssen said it will be able to resupply the pens to the European market by the end of February, but not all countries in Europe will have regular supplies until May. J&J’s Centocor Ortho Biotech Inc. unit plans to resume distribution in the U.S. at the end of March. The human mAb against tumor necrosis factor (TNF) alpha is approved to treat moderate to severe rheumatoid arthritis (RA), psoriatic arthritis and ankylosing spondylitis. J&J manufactures the pens in Europe and markets the product in the U.S., while Merck & Co. Inc. (NYSE:MRK, Whitehouse Station, N.J), in a partnership with J&J, markets the devices in Europe. MediGene AG (Xetra:MDG), Martinsried, Germany Laboratoires Pierre Fabre S.A., Castres, France Business: Infectious MediGene granted Pierre Fabre’s Pierre Fabre Medicament exclusive marketing rights to Veregen sinecatechins to treat genital warts in Mexico, Central America, Venezuela and Columbia. MediGene will receive an upfront payment and is eligible for milestones. Pierre Fabre will be responsible for approval in the territories. Further terms were not disclosed. The product is already approved in Germany and Austria. The topical formulation of polyphenols extracted from green tea leaves is approved in the U.S. to treat external genital warts and perianal warts in immunocompetent patients ≥18 years of age. MediGene has exclusive, worldwide rights to Veregen for genital warts and hyperplasia caused by papilloma viruses from Epitome Pharmaceuticals Ltd. (Halifax, Nova Scotia), which licensed rights from Mitsui & Co. Ltd. (Tokyo:8031, Tokyo, Japan). NanoString Technologies Inc., Seattle, Wash. Business: Genomics NanoString launched its nCounter Human Karyotype Panel in the U.S. for digital counting of human chromosomes and detection of aneuploidy. The kit runs on the company’s nCounter Analysis System, an automated system for digital gene expression analysis. The nCounter Analysis System and Human Karyotype Panel are available for research use only. Pharmaxis Ltd. (ASX:PXS; Pink:PXSLY), Frenchs Forest, Australia Business: Diagnostic Pharmaxis launched its Aridol mannitol Bronchial Challenge Test Kit in the U.S. to assess bronchial hyperresponsiveness in patients six years of age and older who do not have clinically apparent asthma. The indirect bronchial challenge test comprising dry mannitol powder and inhaler is approved in Australia, the EU, Switzerland and South Korea (see BioCentury, Oct. 11, 2010). Prasco LLC, Mason, Ohio Shire plc (LSE:SHP; NASDAQ:SHPGY), Dublin, Ireland Business: Autoimmune Prasco will market an authorized generic formulation of Pentasa mesalamine capsules to treat ulcerative colitis in the U.S. in a deal with Shire’s Shire US Manufacturing Inc. unit. Prasco is prepared to launch the generic mesalamine at Shire’s request once FDA approves an ANDA for mesalamine. Pentasa had U.S. sales of $235.9 million in 2010. Financial terms were not disclosed. Last year, FDA denied Shire’s request in a Citizen’s Petition that generic formulations of the controlled-release mesalamine be required to conduct studies with clinical endpoints in order to demonstrate bioequivalence. Shire acquired Pentasa under its 1999 acquisition of Roberts Pharmaceutical Corp. (see BioCentury, July 26, 1999 & Aug. 30, 2010). FEBRUARY 28, 2011 PAGE B7 OF 24 PreCision Dermatology, Cumberland, R.I. Business: Dermatology PreCision’s Onset Dermatologics company launched its HylatopicPlus-Aurstat Kit in the U.S. The kit contains HylatopicPlus Emollient Foam to manage and relieve burning, itching and pain of skin dermatoses, and Aurstat Skin and Wound HydroGel to relieve skin irritation, minor abrasions and lacerations. The wholesale acquisition price of the kit is $200 for a one month supply. OTHER NEWS Abbott Laboratories (NYSE:ABT), Abbott Park, Ill. Johnson & Johnson (NYSE:JNJ), New Brunswick, N.J. New York University, New York, N.Y. Business: Autoimmune The U.S. Court of Appeals for the Federal Circuit overturned a 2009 jury verdict that awarded $1.7 billion to Johnson & Johnson’s Centocor Ortho Biotech Inc. unit and the university after finding Abbott liable for patent infringement. A three-judge panel at the CAFC said in its decision that patents co-owned by the university and Ortho Biotech covering the use of antibodies against tumor necrosis factor (TNF) alpha are invalid and therefore not infringed by Abbott’s autoimmune drug Humira adalimumab. Centocor said in a statement it is considering whether to request a reconsideration of the appeal by the three-judge panel or by the full CAFC. Humira, a mAb against TNF alpha, had 2010 sales of $6.5 billion (see BioCentury, July 6, 2009). BioCryst Pharmaceuticals Inc. (NASDAQ:BCRX), Birmingham, Ala. U.S. Department of Health and Human Services, Washington, D.C. Business: Infectious BioCryst said HHS awarded the company a two-year $55 million contract extension through YE13 to fund the completion of Phase III development of influenza candidate peramivir. BioCryst, which is developing peramivir under a contract with HHS, has now received a total of $234.8 million from the agency to fund Phase III development and an NDA submission for the injectable formulation of a viral neuraminidase inhibitor. The biotech was originally awarded a fouryear $102.6 million contract in January 2007 and received a one-year $77.2 million contract extension in September 2009. Late last month, BioCryst said it was seeking permission and additional funding from HHS to expand an ongoing Phase III trial (BCX1812-301) of peramivir (see BioCentury, Sept. 28, 2009 & Jan. 17, 2011). Peramivir is approved as Rapiacta in Japan. Shionogi & Co. Ltd. (Tokyo:4507; Osaka:4507, Osaka, Japan) has Japanese and Taiwanese rights to peramivir from BioCryst, while Green Cross Corp. (YonginSi, South Korea) has South Korean rights. Leo Pharma A/S, Ballerup, Denmark Perrigo Co. (NASDAQ:PRGO), Allegan, Mich. Business: Autoimmune Leo filed suit in the U.S. District Court for the Southern District of New York alleging that Perrigo infringed U.S. patent No. 6,753,013 covering Leo’s psoriasis drug Taclonex calcipotriene/betamethasone dipropionate. Perrigo submitted an ANDA to FDA for a generic version of Taclonex last year. The ANDA contains a Paragraph IV notification that the ‘013 patent is invalid, unenforceable and/or will not be infringed by the approval or sale of Perrigo’s generic. Leo is seeking to prevent the approval and sale of Perrigo’s generic before the ‘013 patent expires on Jan. 27, 2020. Healthcare information company Wolters Kluwer Health said sales of Taclonex were $135 million for the 12-month period ending NovemSee next page BioCentury Week in Review Other News, from previous page ber 2010. Taclonex is a combination of topical calcipotriene plus betamethasone dipropionate. Microbix Biosystems Inc. (TSX:MBS), Toronto, Ontario Business: Infectious Microbix formed a subsidiary in China called Crucible International Biotechnologies Corp. to commercialize Microbix’s VIRUSMAX technology. Microbix transferred to the subsidiary its influenza vaccine assets, including an exclusive, worldwide license to the technology, which increases the yield of viral vaccines manufactured in chicken eggs. Crucible will also receive Microbix’s 50% ownership in its Chinese JV with China’s Hunan Provincial Government. The JV was formed to produce influenza vaccine using the VIRUSMAS technology. Microbix will own about 80% of the subsidiary (see BioCentury, June 30, 2008). NicOx S.A. (Euronext:COX), Sophia-Antipolis, France Business: Autoimmune, Cardiovascular, Endocrine NicOx disclosed in its 2010 earnings that it reduced headcount by 50% at its headquarters in France and by 35% at its Bresso, Italy, subsidiary. The reduction, which represents a decrease in total headcount by 65 (51%) to 63, is part of the company’s global restructuring announced last year under which the company closed its U.S. headquarters in Warren, N.J., last August. The restructuring follows the receipt of a complete response letter from FDA in July for an NDA for naproxcinod, a cyclooxygenase (COX)-inhibiting nitric oxide donator (CINOD) that releases naproxen and nitric oxide, to treat signs and symptoms of osteoarthritis (OA). The company said the restructuring will reduce its FY11 cash burn by about two thirds from 2010 levels. At Dec. 31, the company had €107.3 million ($143.2 million) in cash and a 12-month operating loss of €44 million ($58.7 million) (see BioCentury, Aug. 9, 2010). Novo Nordisk A/S (CSE:NVO; NYSE:NVO), Bagsvaerd, Denmark Business: Endocrine Novo Nordisk received a subpoena from the U.S. Attorney’s Office for the District of Massachusetts requesting documents related to potential criminal offenses by the company’s marketing practices of three diabetes drugs: NovoLog insulin aspart; Levemir insulin detemir; and Victoza liraglutide. Novo Nordisk said it intends to cooperate with the investigation. NovoLog and Levemir are rapid- and long-acting insulin analogs, respectively. Victoza is a long-acting analog of glucagonlike peptide-1 (GLP-1). The company reported 2010 sales of DKK6.9 billion ($1.2 billion) and DKK2.3 billion ($414.5 million) for Levemir and Victoza, respectively. FEBRUARY 28, 2011 PAGE B8 OF 24 ever, the court did rule that MedImmune is not entitled to recoup royalties on sales of Synagis that MedImmune paid to PDL based on European patent rights that were ultimately revoked. In 1998, PDL granted the AstraZeneca subsidiary a non-exclusive license to IP covering humanized antibodies. Synagis, which is a humanized mAb, had worldwide sales of $1 billion in 2010 (see BioCentury, Jan. 17). Pfizer Inc. (NYSE:PFE), New York, N.Y. Business: Infectious The U.S. Supreme Court ruled 6-2 in Bruesewitz v. Wyeth that the National Childhood Vaccine Injury Act of 1986 “preempts all designdefect claims against vaccine manufacturers brought by plaintiffs seeking compensation for injury or death caused by a vaccine’s side effects.” The ruling upholds a 2009 decision by the U.S. Court of Appeals for the Third Circuit. The Bruesewitzs originally filed a petition under the vaccine act in April 1995, alleging that their daughter’s residual seizure disorder and developmental impairment was caused by Wyeth’s Tri Immunol, a diphtheria-pertussis-tetanus (DTP) vaccine. Tri Immunol was removed from the market in 1998 favor of a vaccine with an acellular pertussis component. Wyeth was acquired by Pfizer in 2009. Siga Technologies Inc. (NASDAQ:SIGA), New York, N.Y. Business: Infectious Siga said that the HHS’s Biomedical Advanced Research and Development Authority (BARDA) advised that it is issuing a request for proposal for 1.7 million courses of a smallpox antiviral, with an option to acquire 12 million more. Siga said it plans to respond to the request. Responses are due Feb. 28. Earlier this month, Siga announced that the U.S. Small Business Administration Office of Hearings and Appeals affirmed a November ruling that Siga was not a small business and therefore would not be eligible for an HHS small business contract for a smallpox antiviral that would have been worth up to $2.8 billion. Siga’s antiviral, ST-246, is in Phase II testing (see BioCentury, Feb. 21). Stallergenes S.A. (Euronext:GENP), Antony, France Ares Life Sciences, Geneva, Switzerland Business: Inflammation Investment firm Ares re-opened its mandated offer in compliance with European law for the remaining stake of Stallergenes it does not own for €59 per share, or €424.5 million ($581.5 million). The price is a premium to Stallergenes’ close of €58.79 on Jan. 7, the day before the tender was announced. As of Feb. 21, Ares had increased its stake in Stallergenes to about 68%. Ares acquired a 45.86% stake in Stallergenes from investment firm Wendel (Paris, France) for €358.8 million ($491.5 million), or €59 per share in November. The tender offer will close on March 11 (see BioCentury, Jan. 17). MANAGEMENT TRACKS PDL BioPharma Inc. (NASDAQ:PDLI), Incline Village, Nev. AstraZeneca plc (LSE:AZN; NYSE:AZN), London, U.K. Business: Infectious PDL paid $92.5 million to AstraZeneca’s MedImmune LLC subsidiary to settle a patent dispute related to MedImmune’s respiratory syncytial virus drug Synagis palivizumab. As part of the settlement, MedImmune will not make any more payments to PDL for past or future sales of Synagis, and has agreed not to challenge PDL’s patents. In January, the U.S. District Court for the Northern District of California ruled that Synagis did not infringe a PDL patent. The court said MedImmune did not breach its obligations under a deal with PDL by failing to pay royalties on sales of Synagis by MedImmune’s ex-U.S. distributor, Abbott Laboratories (NYSE:ABT, Abbott Park, Ill.). How- BioCentury Extra: Online every business day. Boards of Directors Royal DSM N.V. (Euronext:DSM), Heerlen, the Netherlands Business: Pharmaceuticals, Biomanufacturing, Supply/Service Appointed: Rob Routs as chairman, effective after an April 28 general meeting, formerly a director at Royal Dutch Shell plc; he succeeds Cor Herkstroter ViiV Healthcare, Brentford, U.K. Business: Infectious Appointed: David Redfern, chief strategy officer at GlaxoSmithKline plc, as chairman, effective April 1; he replaces Julian Heslop, who is retiring; ViiV is a HIV-focused JV between GSK and Pfizer Inc. See next page BioCentury Week in Review FEBRUARY 28, 2011 PAGE B9 OF 24 CLINICAL NEWS Clinical activities and selected announcements for the week ended February 25. REGULATORY Abbott Laboratories (NYSE:ABT), Abbott Park, Ill. Product: Humira adalimumab Business: Autoimmune EMA’s CHMP issued a positive opinion to extend the label of Humira adalimumab to include the treatment of juvenile idiopathic arthritis in patients aged 4-12 years. The human mAb against tumor necrosis factor (TNF) alpha is already approved in the EU to treat polyarticular juvenile idiopathic arthritis in patients aged 13-17 years, ankylosing spondylitis, moderate to severe active rheumatoid arthritis (RA), active and progressive psoriatic arthritis, severe active Crohn’s disease (CD) and psoriasis in adults. Bristol-Myers Squibb Co. (NYSE:BMY), New York, N.Y. Product: Zerit stavudine Business: Infectious EMA’s CHMP recommended renewal of marketing authorization for Bristol-Myers’ HIV drug Zerit stavudine but with restrictions due to severe side effects. The restrictions include that the product should be used for as short a time as possible and only when there are no appropriate alternatives. The agency noted that the side effects, which include lipoatrophy, lactic acidosis and peripheral neuropathy, were more commonly seen with Zerit than with other nucleoside analog reverse transcriptase inhibitors (NRTIs). BSD Medical Corp. (NASDAQ:BSDM), Salt Lake City, Utah Product: BSD-2000 Hyperthermia System Business: Cancer The National Comprehensive Cancer Network (NCCN) updated Management Tracks, from previous page its clinical practice guidelines in oncology to include hyperthermia and chemotherapy as a recommended treatment for high-risk soft tissue sarcoma (STS) based on data from BSD’s Phase III trial of its BSD-2000 Hyperthermia System (see BioCentury, May 10, 2010). A Humanitarian Device Exemption (HDE) application is under FDA review for the hyperthermia system using focused electromagnetic energy radiated at about 100 MHz (radio frequency). The system has CE Mark approval in Europe and is also approved in China. Cephalon Inc. (NASDAQ:CEPH), Frazer, Pa. InnoPharmax Inc., Taipei, Taiwan SymBio Pharmaceuticals Ltd., Tokyo, Japan Astellas Pharma Inc. (Tokyo:4503), Tokyo, Japan Eisai Co. Ltd. (Tokyo:4523; Osaka:4523), Tokyo, Japan Mundipharma International Ltd., Cambridge, Mass. Product: Levact (Ribomustin, Treanda) bendamustine (SDX-105) Business: Cancer The U.K.’s NICE issued final guidance recommending the use of Levact bendamustine from Mundipharma as a first-line treatment for patients with chronic lymphocytic leukemia (CLL) for whom fludarabine combination chemotherapy is not appropriate — its approved indication. The guidance is in line with the agency’s December final appraisal determination (see BioCentury, Jan. 3). The agency did not issue a preliminary appraisal and said it proceeded straight to the final stage of guidance development due to the strength of evidence presented for the drug. The alkylating agent is also approved in the U.K. to treat nonHodgkin’s lymphoma (NHL), CLL and multiple myeloma (MM). Astellas granted rights for bendamustine to Cephalon in the U.S., to Mundipharma in Europe and to SymBio in Japan and certain Asian countries. Symbio then partnered the compound with Eisai in Japan, South Korea and Singapore. Cephalon markets bendamustine as Treanda See next page Management regional CFO for Europe and the Middle East at the Fresenius Kabi AG subsidiary of Fresenius SE and managing director of Fresenius’ Fresenius Kabi Deutschland GmbH subsidiary; he succeeds Dave Lemus, who is departing Allon Therapeutics Inc. (TSX:NPC), Vancouver, B.C. Business: Neurology Hired: Michael Gold as VP of clinical development and CMO, formerly VP of neuroscience medicines at GlaxoSmithKline plc Nexus Dx Inc., San Diego, Calif. Business: Diagnostic Hired: Gordon Sangster as VP of finance and CFO, formerly CFO of Micrus Endovascular Corp., which was acquired by Johnson & Johnson Amicus Therapeutics Inc. (NASDAQ:FOLD), Cranbury, N.J. Business: Metabolic Transitioned: Matthew Patterson to president, while remaining COO Omni Bio Pharmaceutical Inc. (OTCBB:OMBP), Greenwood Village, Colo. Business: Infectious, Endocrine, Transplant Hired: James Crapo as CEO, formerly CEO of Aeolous Pharmaceuticals Inc.; he replaces acting CEO Charles Dinarello, who will become CSO and CMO Cantargia AB, Lund, Sweden Business: Cancer Hired: Agneta Svedberg as CEO, formerly a senior advisor at Semcon AB Fate Therapeutics Inc., San Diego, Calif. Business: Gene/Cell therapy, Cancer, Musculoskeletal Departing: Paul Grayson as president and CEO to form a newco MorphoSys AG (Xetra:MOR), Martinsried, Germany Business: Antibodies, Autoimmune, Cancer Hired: Jens Holstein as CFO and a director, effective May 1, currently Pearl Therapeutics Inc., Redwood City, Calif. Business: Pulmonary, Inflammation Hired: Chuck Bramlage as president, CEO and a director, formerly president of pharmaceutical products of Covidien plc; he replaces interim CEO Howie Rose, who will remain a director QLT Inc. (TSX:QLT; NASDAQ:QLTI), Vancouver, B.C. Business: Ophthalmic, Dermatology, Cancer BioCentury Week in Review Regulatory, from previous page in the U.S. to treat CLL and indolent B cell NHL. Mundipharma markets it as Ribomustin in Germany to treat CLL, NHL and MM. CSL Ltd. (ASX:CSL), Melbourne, Australia Product: Hizentra human immune globulin (IgPro20) Business: Hematology FDA approved an sBLA from CSL to extend the shelf life of Hizentra human immune globulin (Ig) to 30 months from 24 months. The onceweekly, subcutaneous Ig replacement therapy is stable at room temperature and marketed to treat primary humoral immunodeficiency. Delcath Systems Inc. (NASDAQ:DCTH), New York, N.Y. Product: Melphalan delivered via Delcath’s PHP system Business: Cancer Delcath said FDA refused to file an NDA for melphalan delivered using the Delcath Percutaneous Hepatic Perfusion (PHP) System to treat melanoma metastatic to the liver. According to the company, the agency requested information about the timing of manufacturing plant inspections and product and sterilization validations, as well as additional safety information and statistical analyses. Delcath said it had already planned to submit the requested safety information to the agency in April. The biotech plans to request a formal meeting with FDA, and expects to resubmit the NDA by Sept. 30. The NDA was submitted under section 505(b)(2) of the Food, Drug and Cosmetic Act, which allows sponsors to reference data on safety and efficacy from the scientific literature or from previously approved products. Genentech Inc., South San Francisco, Calif. Roche (SIX:ROG; OTCQX:RHHBY), Basel, Switzerland Product: Avastin bevacizumab (RG435) Business: Cancer FDA granted a hearing on June 28-29 to allow Genentech to present arguments for maintaining accelerated approval of Avastin bevacizumab for first-line treatment of HER2-negative metastatic breast cancer. The Roche unit requested a hearing in December after FDA proposed to remove the indication (see BioCentury, Jan. 3). In a letter to the company, CBER Director Karen Midthun, who will be the presiding officer at the hearing, said FDA’s Oncologic Drugs Advisory Committee will be present at the hearing to review the issues and provide advice and recommendations to the commissioner’s office. ODAC has twice voted against Avastin in breast cancer. In 2007, the panel voted 5-4 against accelerated approval for the indication; the agency granted accelerated approval in 2008 despite the panel’s recommendations. FDA did, however, heed a 12-1 vote last year from ODAC BioCentury Week in Review (formerly BioCentury Part II) BioCentury Week in Review is published by BIOCENTURY PUBLICATIONS INC., PO Box 1246 San Carlos CA 94070-1246. Phone 650-595-5333. Fax 650-595-5589. David Flores, President & CEO; Karen Bernstein, Ph.D., Chairman & Editor-in-Chief BioCentury®; The Bernstein Report on BioBusiness™; The BioCentury 100™ ; and The Clear Route to ROI™ are trademarks of BIOCENTURY PUBLICATIONS INC. All contents © Copyright 2011, BIOCENTURY PUBLICATIONS INC. ALL RIGHTS RESERVED. No part of this publication may be photocopied or reproduced in any form, retransmitted, or stored in a retrieval system without prior written consent of the publisher. FEBRUARY 28, 2011 P AGE B10 OF 24 recommending removal of the breast cancer indication from Avastin’s label (see BioCentury, Dec. 10, 2007; Feb. 25, 2008 & July 26, 2010). Midthun also said the commissioner’s office has decided to observe a “separation of function” for the proceedings even though such separation is not required under the applicable regulations. This means representatives of CDER may not participate or advise in any decision except as witnesses in the hearing, unless the commissioner designates such representatives as advisors in writing. Genentech and CDER must submit a joint statement by March 23 outlining the facts that are not in dispute and the issues that are disputed. Each party has until April 20 to submit a summary of arguments it plans to make and its expectations of what the evidence will show. The U.K.’s NICE issued final guidance recommending against the use of Avastin bevacizumab from Roche in combination with a taxane for first-line treatment of metastatic breast cancer. The guidance is in line with a December final appraisal determination (FAD) (see BioCentury, Dec. 13, 2010). NICE said the evidence for the effectiveness of Avastin in prolonging survival was not robust and overall did not show enough of a demonstrable benefit. The mAb against VEGF is approved in the EU and U.S. for metastatic colorectal cancer (mCRC), unresectable or metastatic non-small cell lung cancer (NSCLC) and renal cell carcinoma (RCC), as well as for glioblastoma multiforme (GBM) in the U.S. Avastin is also approved in the EU to treat metastatic breast cancer, while FDA has proposed to withdraw the indication in the U.S. (see BioCentury, Jan. 24). EMA’s CHMP began reviewing the benefit-risk profile of Avastin for the indication in September (see BioCentury, Sept. 27, 2010). Roche’s Genentech Inc. unit markets Avastin in the U.S., while Roche markets it elsewhere. GlaxoSmithKline plc (LSE:GSK; NYSE:GSK), London, U.K. Product: Votrient pazopanib Business: Cancer The U.K.’s NICE issued final guidance recommending the use of Votrient pazopanib from GlaxoSmithKline as a first-line treatment for patients with advanced renal cell carcinoma (RCC) who have not received prior cytokine therapy. The guidance is in line with the agency’s December final appraisal determination (FAD) (see BioCentury, Jan. 3). The agency proceeded straight to the final stage of guidance development and did not issue a preliminary appraisal for the broadspectrum inhibitor of VEGF and other tyrosine kinases, which has conditional approval for the first-line treatment of RCC and for patients who received prior cytokine therapy for advanced disease. GSK agreed to a 2-part patient access scheme under which the pharma will offer Votrient at a 12.5% discount along with a possible undisclosed rebate linked to the outcome of the head-to-head Phase III COMPARZ trial comparing Votrient with Sutent sunitinib from Pfizer Inc. (NYSE:PFE, New York, N.Y.). NICE said the 2-part scheme makes Votrient a cost-effective option for the NHS. HRA Pharma S.A., Paris, France Product: NorLevo levonorgestrel (SOH-075) Business: Endocrine Japan’s Ministry of Health, Labor and Welfare (MHLW) approved NorLevo levonorgestrel as an emergency contraceptive. Aska Pharmaceutical Co. Ltd. (Tokyo:4514, Tokyo, Japan) is expected to launch the contraceptive in Japan in mid-May. Aska has Japanese marketing rights under a November 2009 deal with Sosei Group Corp. (Tokyo:4565, Tokyo, Japan), which has exclusive distribution rights in Japan and Australia from HRA Pharma under a 2001 deal (see BioCentury, Oct. 27, 2008). NorLevo was launched in Europe in 1999 and is approved in about 50 countries. See next page BioCentury Week in Review Regulatory, from previous page Ligand Pharmaceuticals Inc. (NASDAQ:LGND), San Diego, Calif. GlaxoSmithKline plc (LSE:GSK; NYSE:GSK), London, U.K. Product: Promacta eltrombopag Business: Autoimmune FDA granted full approval to Promacta eltrombopag from GlaxoSmithKline to treat chronic idiopathic thrombocytopenic purpura (ITP). In 2008, FDA granted accelerated approval to the small molecule thrombopoietin (TPO) receptor agonist. Promacta is approved in Europe, Japan, Venezuela, Kuwait, Chile and Russia. GSK has worldwide rights to the drug from Ligand. NicOx S.A. (Euronext:COX), Sophia-Antipolis, France Product: Naproxcinod (HCT 3012) Business: Autoimmune NicOx said it plans to start the formal dispute resolution process this quarter to appeal a July complete response letter for an NDA for naproxcinod to treat signs and symptoms of osteoarthritis (OA). Further details were not disclosed. In the letter, FDA recommended NicOx conduct 1 or more long-term controlled studies to assess cardiovascular and gastrointestinal safety of the compound. The agency also recommended additional studies to demonstrate a clinically meaningful therapeutic benefit attributable to nitric oxide donation (see BioCentury, July 26, 2010). Last May, a joint FDA panel voted 16-1, with 1 abstention, against approval of naproxcinod (see BioCentury, May 17). Naproxcinod is a cyclooxygenase (COX)-inhibiting nitric oxide donator (CINOD) that releases naproxen and nitric oxide. Novartis AG (NYSE:NVS; SIX:NOVN), Basel, Switzerland Product: Rasilamlo (Tekamlo - U.S.) aliskiren/amlodipene Business: Cardiovascular EMA’s CHMP issued a positive opinion recommending approval of an MAA from Novartis for Rasilamlo aliskiren/amlodipine to treat hypertension in patients not adequately controlled with Novartis’ Tekturna aliskiren or amlodipine alone. Rasilamlo is a single-pill combination of Tekturna, a renin inhibitor, and amlodipine, a calcium channel blocker. Rasilamlo is approved as Tekamlo in U.S. for the same indication. Tekturna is approved in over 80 countries, including the U.S. and countries of the EU. Novo Nordisk A/S (CSE:NVO; NYSE:NVO), Bagsvaerd, Denmark Bristol-Myers Squibb Co. (NYSE:BMY), New York, N.Y. Product: RFXIII (NN1814) Business: Hematology Novo Nordisk submitted a BLA to FDA for rFXIII to treat congenital Factor XIII deficiency, a bleeding disorder. Novo plans to submit an MAA for the recombinant Factor XIII in Europe next quarter. Novo has rights to rFXIII from ZymoGenetics Inc., which was acquired by BristolMyers in October (see BioCentury, Oct. 18, 2010). Orexo AB (SSE:ORX), Uppsala, Sweden Paladin Labs Inc. (TSX:PLB), Montreal, Quebec ProStrakan Group plc (LSE:PSK), Galashiels, U.K. Kyowa Hakko Kirin Co. Ltd. (Tokyo:4151), Tokyo, Japan Product: Abstral fentanyl (EN 3267, KW-2246) Business: Neurology Paladin said Health Canada approved Abstral fentanyl to treat breakthrough pain in patients receiving opioid analgesics for underlying chronic cancer pain. The company plans to launch the sublingual mucoadhesive fentanyl next quarter. Orexo granted Paladin rights to FEBRUARY 28, 2011 P AGE B11 OF 24 Abstral in Canada, ProStrakan rights in Europe and the U.S., and Kyowa rights in Japan. Abstral is already marketed in Europe and was approved in the U.S. last month. Otsuka Pharmaceutical Co. Ltd., Tokyo, Japan Bristol-Myers Squibb Co. (NYSE:BMY), New York, N.Y. Product: Abilify aripiprazole Business: Neurology FDA approved Abilify aripiprazole as an adjunct to lithium or valproate for the maintenance treatment of bipolar I disorder. Abilify is already approved in the U.S to treat schizophrenia, irritability associated with autistic disorder, manic and mixed episodes associated with bipolar I disorder as monotherapy or as an adjunct to lithium or valproate, as maintenance treatment of bipolar I disorder, and as adjunctive treatment of major depressive disorder (MDD). Abilify is a small molecule partial agonist of the dopamine D2 and serotonin (5HT1A) receptors and antagonist of the serotonin (5-HT2A) receptor. Bristol-Myers co-promotes the drug in the U.S. and EU. Pfizer Inc. (NYSE:PFE), New York, N.Y. Product: Tygacil tigecycline Business: Infectious EMA’s CHMP recommended updating the label for Pfizer’s Tygacil tigecycline to include a warning that the glycylcycline antibiotic has been associated with an increased mortality in clinical studies. CHMP said Tygacil’s benefits continue to outweigh its risk, but that it should only be used for its approved indications — complicated skin and skin structure infections (cSSSIs) and complicated intra-abdominal infections — and only when other antibiotics are not suitable. Protalix Biotherapeutics Inc. (NYSE-A:PLX; Tel Aviv:PLX), Carmiel, Israel Pfizer Inc. (NYSE:PFE), New York, N.Y. Product: Taliglucerase alfa (formerly prGCD) Business: Metabolic FDA issued a complete response letter for an NDA from Protalix for Gaucher’s disease candidate taliglucerase alfa. According to the company, the agency requested CMC information about testing specifications and assay validation, as well as additional data from ongoing switchover and extension studies, but did not request additional trials. Protalix said at the time of the NDA submission full data from those ongoing trials were not available. Protalix, which plans to request a meeting with the agency, said it has preliminary data from the trials that it believes will satisfy FDA’s request. Pfizer has exclusive, worldwide rights to the plant cell-expressed recombinant form of human glucocerebrosidase (GCase) outside of Israel. Provepharm S.A.S., Marseille, France Product: Proveblue methylthioninium chloride Business: Hematology EMA’s CHMP issued a positive opinion recommending approval of an MAA from Provepharm for Proveblue methlythioninium chloride for the acute symptomatic treatment of methemoglobinemia induced by medicinal and chemical products. R-Biopharm AG, Darmstadt, Germany Product: Ridascreen Novovirus ELISA Business: Diagnostic FDA approved R-Biopharm’s Ridascreen Norovirus ELISA for the preliminary detection of norovirus in multiple subjects with simultaneously-contracted gastroenteritis when there is a clear avenue of virus transmission. The third generation, stool-based, anti-norovirus See next page BioCentury Week in Review Regulatory, from previous page mAb ELISA diagnostic was reviewed under a de novo pathway, an alternative path to market for devices that are lower risk and may not require a PMA, but are of a new type and would not be cleared in a 510(k) premarket notification. The agency said that the test is not sensitive enough for use when only a single person has symptoms and should not be used for individual diagnoses. Regeneron Pharmaceuticals Inc. (NASDAQ:REGN), Tarrytown, N.Y. Bayer AG (Xetra:BAY), Leverkusen, Germany Product: VEGF Trap-Eye Business: Ophthalmic Regeneron submitted a BLA to FDA for VEGF Trap-Eye to treat wet age-related macular degeneration (AMD). The biotech requested Priority Review for the human fusion protein that binds all forms of VEGF-A and placental growth factor (PIGF). Bayer plans to submit a regulatory application in Europe this half. Regeneron and Bayer share commercialization rights to VEGF Trap-Eye outside the U.S., while Regeneron has exclusive U.S. rights (see BioCentury, Oct. 23, 2006). Salix Pharmaceuticals Ltd. (NASDAQ:SLXP), Morrisville, N.C. Product: Xifaxan rifaximin Business: Gastrointestinal Salix said it expects to receive a complete response letter for Xifaxan rifaximin 550 mg tablets based on a telephone conversation with the agency about the irritable bowel syndrome (IBS) candidate. Salix attributed the expected setback to FDA’s “newly expressed need for retreatment information;” however, the company said it only has limited information about the letter’s content at this time. The sNDA is under review to treat non-constipation IBS and IBS-related bloating with a March 7 PDUFA date. The non-absorbed broad-spectrum antibiotic is already marketed in the U.S. to reduce the risk of overt hepatic encephalopathy (HE) recurrence in patients with advanced liver disease. Salix markets a 200 mg formulation of Xifaxan in the U.S. to treat travelers’ diarrhea. sanofi-aventis Group (Euronext:SAN; NYSE:SNY), Paris, France Product: Apidra insulin glulisine Business: Endocrine sanofi-aventis received 2 warning letters from FDA regarding the company’s failure to adequately address cGMP deficiencies and postmarketing reporting violations identified during FDA inspections last year. The pharma has 15 days from the receipt of the letters to respond with specific steps to correct the violations. FDA said sanofi failed to submit adverse event reports within 15 days of receiving the initial report for several drugs, including atrial fibrillation (AF) drug Multaq dronedarone. The agency said the cGMP violations, which include concerns about environmental contaminants associated with marketed diabetes drug Apidra insulin glulisine, were identified at the company’s manufacturing facility in Frankfurt am Main, Germany. Multaq is a multichannel blocker with properties of antiarrhythmics in Vaughan-Williams classes IIV and Apidra is a human insulin analog produced by recombinant DNA technology. Product: Multaq dronedarone Business: Cardiovascular sanofi-aventis received 2 warning letters from FDA regarding the company’s failure to adequately address cGMP deficiencies and FEBRUARY 28, 2011 P AGE B12 OF 24 postmarketing reporting violations identified during FDA inspections last year. The pharma has 15 days from the receipt of the letters to respond with specific steps to correct the violations. FDA said sanofi failed to submit adverse event reports within 15 days of receiving the initial report for several drugs, including atrial fibrillation (AF) drug Multaq dronedarone. The agency said the cGMP violations, which include concerns about environmental contaminants associated with marketed diabetes drug Apidra insulin glulisine, were identified at the company’s manufacturing facility in Frankfurt am Main, Germany. Multaq is a multichannel blocker with properties of antiarrhythmics in VaughanWilliams classes I-IV and Apidra is a human insulin analog produced by recombinant DNA technology. Sunesis Pharmaceuticals Inc. (NASDAQ:SNSSD), South San Francisco, Calif. Product: Vosaroxin (formerly SNS-595, voreloxin) Business: Cancer FDA granted Fast Track designation for Sunesis’ vosaroxin to treat relapsed or refractory acute myelogenous leukemia (AML) in combination with cytarabine. The quinolone derivative that intercalates DNA and inhibits topoisomerase II (TOP2) is in Phase III testing for the indication and has Orphan Drug designation in the U.S. Takeda Pharmaceutical Co. Ltd. (Tokyo:4502), Osaka, Japan Product: Azilsartan medoxomil/chlorthalidone Business: Cardiovascular Takeda submitted an NDA to FDA for a fixed-dose combination of azilsartan medoxomil (TAK-491) plus chlorthalidone to treat hypertension. Azilsartan is an angiotensin II type 1 (AT1) receptor blocker and chlorthalidone is a long-acting oral thiazide-like diuretic. Azilsartan as a single agent is approved by FDA and under review by EMA for hypertension. Product: Edarbi azilsartan medoxomil (TAK-491) Business: Cardiovascular FDA approved an NDA from Takeda for Edarbi azilsartan medoxomil to treat hypertension. The angiotensin II type 1 (AT1) receptor blocker is also under EMA review. ViroPharma Inc. (NASDAQ:VPHM), Exton, Pa. Product: Cinryze (formerly C1-INH) Business: Cardiovascular ViroPharma said it plans to submit a response next quarter to an October 2010 complete response letter from FDA about the expansion of industrial scale manufacturing for Cinryze. In the letter, ViroPharma said FDA requested responses to quality observations during a pre-approval inspection, as well as additional information and supporting documentation about the technical processes (see BioCentury, Oct. 25, 2010). The complement 1 (C1) esterase inhibitor is approved in the U.S. to prevent angioedema attacks in patients with hereditary angioedema (HAE). An MAA is under review in the EU for the indication. ViroPharma expects an opinion from EMA’s CHMP on the application in March. ViroPharma submitted responses to Day 180 questions from EMA’s CHMP related to an MAA for Cinryze to prevent angioedema attacks in patients with hereditary angioedema (HAE). The company expects an opinion from CHMP on the application for the complement 1 (C1) esterase inhibitor in March. Cinryze has Orphan designation in the EU to treat angioedema caused by C1 inhibitor deficiency and is approved in the U.S. to prevent angioedema attacks in patients with HAE. See next page BioCentury Week in Review Clinical News, from previous page CLINICAL RESULTS Advancell Advanced In Vitro Cell Technologies S.A., Barcelona, Spain Product: Acadra acadesine (ATH001) Business: Cancer Molecular target: NA Description: Small molecule that induces apoptosis independent of p53 status Indication: Treat chronic lymphocytic leukemia (CLL) Endpoint: Safety Status: Phase I/IIa data Milestone: NA An open-label, dose-escalation, European Phase I/IIa trial in 24 patients with relapsed or refractory CLL showed that Acadra was well tolerated and led to reductions in leukemic tumor burden. Additionally, 7 of 9 patients treated with the optimal biologic dose of Acadra had a reduction in absolute B cell count, a reduction of clinically palpable lymphadenopathies or both. No grade 3 or 4 adverse events occurred at the optimal biologic dose of Acadra. Amgen Inc. (NASDAQ:AMGN), Thousand Oaks, Calif. Daiichi Sankyo Co. Ltd. (Tokyo:4568; Osaka:4568), Tokyo, Japan Product: Denosumab (Prolia, Xgeva) (AMG 162) Business: Cancer Molecular target: Receptor activator of NF-kappa B ligand (RANKL) (TNFSF11) Description: Human mAb targeting receptor activator of NF-kappa B ligand (RANKL) Indication: Treat bone metastases in patients with advanced prostate cancer Endpoint: Time to first on-study Skeletal Related Event (SRE); delay in time to first SRE, time to first and subsequent on-study SREs and safety Status: Additional Phase III data Milestone: NA Additional data from a double-blind, head-to-head, international Phase III trial in 1,901 patients with advanced prostate cancer showed that the median time to first on-study SRE, the primary endpoint, was 20.7 months for denosumab vs. 17.1 months for Zometa (p=0.0002 for non-inferiority and p=0.008 for superiority). Patients received 120 mg subcutaneous denosumab or 4 mg Zometa as a 15-minute infusion every 4 weeks. Data were published in The Lancet. Amgen previously reported that denosumab met the primary endpoint of non-inferiority to Zometa in time to the first on-study SRE, and also met the secondary endpoints of superiority to Zometa in time to first SRE and time to the first and subsequent on-study SREs (see BioCentury, Feb. 15, 2010). Last November, FDA approved an sBLA from Amgen for denosumab as Xgeva to prevent SREs in patients with bone metastases from solid tumors. Denosumab is also approved in the U.S. and EU as Prolia to treat osteoporosis in postmenopausal women and in the EU to treat bone loss associated with hormone ablation in men with prostate cancer. GlaxoSmithKline plc (LSE:GSK; NYSE:GSK, London, U.K.) has rights to cocommercialize denosumab for postmenopausal osteoporosis in Europe, Australia, New Zealand and Mexico (see BioCentury, Aug. 3, 2009). Daiichi Sankyo has Japanese rights to denosumab to treat postmenopausal osteoporosis and bone-metastatic cancers. Novartis AG (NYSE:NVS; SIX:NOVN, Basel, Switzerland) markets Zometa in the U.S. and EU to treat bone metastases and bone complications in cancer patients. FEBRUARY 28, 2011 P AGE B13 OF 24 Aoxing Pharmaceutical Co. Inc. (NYSE-A:AXN), Shijiazhuang, China QRxPharma Ltd. (ASX:QRX; OTCQX:QRXPY), Sydney, Australia Product: MoxDuo IR morphine/oxycodone (Q8003IR) Business: Neurology Molecular target: Mu opioid receptor (OPRM1) (MOR) Description: Immediate-release combination of oxycodone and morphine Indication: Treat moderate to severe post-operative pain following total knee replacement surgery Endpoint: Summed pain intensity difference (SPID) from baseline over 48 hours; safety Status: Phase III data Milestone: Submit NDA (1H11) The double-blind, U.S. Phase III Study 009 trial in 142 patients undergoing total knee replacement surgery showed that a flexible-dose regimen of MoxDuo IR met the primary endpoint of significantly improving SPID scores from baseline over 48 hours vs. a fixed, lowdose regimen of MoxDuo IR (p<0.02). The flexible-dose regimen of MoxDuo IR consisted of 6 mg morphine/4 mg oxycodone up to 24 mg morphine/16 mg oxycodone every 4 to 6 hours for 48 hours, while the fixed-dose regimen started with a loading dose of 6 mg morphine/4 mg oxycodone and was followed by 3 mg morphine/2 mg oxycodone every 4 to 6 hours for 48 hours. All patients received IV morphine for up to 24 hours following surgery. Patients were eligible to continue dosing after the initial treatment period as an outpatient for up to 10 days. QRxPharma said a pre-NDA meeting with FDA is scheduled for March 22. Aoxing Pharmaceutical has exclusive rights from QRxPharma to develop and commercialize MoxDuo IR in China (see BioCentury, March 1, 2010). Aprea AB, Stockholm, Sweden Product: PRIMA-1MET (APR-246) Business: Cancer Molecular target: p53 Description: Small molecule quinuclidinone that promotes correct folding of p53 Indication: Treat refractory hematologic malignancies or prostate cancer Endpoint: Dose-limiting toxicities (DLTs); safety and pharmacokinetics Status: Phase I/II data Milestone: NA An open-label, dose-escalation, Swedish Phase I/II trial in 22 patients showed that 2-hour infusions of IV APR-246 were safe and only produced DLTs at plasma levels above predicted therapeutic levels. Axcan Pharma Inc., Mont St. Hilaire, Quebec Product: Pylera Business: Infectious Molecular target: Ribosomal 30S subunit Description: Triple therapy capsule containing bismuth subcitrate potassium, metronidazole and tetracycline Indication: Treat Helicobacter pylori infection Endpoint: H. Pylori eradication as confirmed by urea breath test at weeks 6 and 10; safety Status: Phase III data Milestone: NA An open-label, European Phase III trial in 440 patients showed that Pylera plus omeprazole for 10 days was superior to standard of care (SOC; omeprazole, amoxicillin and clarithromycin) for 7 days on the primary endpoint of H. Pylori eradication rate as confirmed by a urea breath test at weeks 6 and 10 (80% vs. 55%, p<0.0001). The safety profiles for both treatment arms were similar, with gastrointestinal and See next page BioCentury Week in Review Clinical Results, from previous page CNS disorders reported as the main adverse events. Data were published in The Lancet. Axcan markets Pylera in the U.S. for the indication. Bellicum Pharmaceuticals Inc., Houston, Texas Product: BPX-101 (formerly BP-GMAX-CD1) Business: Cancer Molecular target: NA Description: Genetically-modified autologous dendritic cell-based cancer vaccine Indication: Treat metastatic castration-resistant prostate cancer (CRPC) Endpoint: Safety and maximum tolerated dose (MTD); pharmacokinetics, immune response, clinical response, prostate specific antigen (PSA) response, circulating tumor cells (CTC), cancer-related pain, pain medication usage and preliminary antitumor activity Status: Additional Phase I/II data Milestone: Start Phase II (2011) Additional data from an open-label, dose-escalation, U.S. Phase I/ II trial in 12 patients showed that low-, mid- and high-doses of intradermal BPX-101 given every other week in combination with AP1903 for 6 doses produced a partial or complete response in 3 patients. Additionally, 2 patients experienced a PSA decline approaching 50% within the first 12 weeks of treatment. Data were presented at the American Society of Clinical Oncology Genitourinary Cancers Symposium in Orlando. Bellicum previously reported interim data from 6 evaluable patients showing that low- and mid-dose BPX-101 plus AP1903 produced 4 cases of stable disease at 12 weeks (see BioCentury, April 26, 2010). Ariad Pharmaceuticals Inc. (NASDAQ:ARIA, Cambridge, Mass.) granted Bellicum a non-exclusive license to AP1903, a homodimerizing compound that activates genetically engineered receptors on cell therapies, for use in cancer vaccines in 2006 (see BioCentury, Oct. 16, 2006). Biogen Idec Inc. (NASDAQ:BIIB), Weston, Mass. Elan Corp. plc (NYSE:ELN), Dublin, Ireland Product: Tysabri natalizumab Business: Autoimmune Molecular target: Integrin alpha(4) (VLA-4 ) (CD49D) Description: Humanized mAb against integrin alpha(4) Indication: Treat multiple sclerosis (MS) Endpoint: NA Status: Postmarketing study data Milestone: NA As of Feb. 2, Biogen Idec said that there have been 95 confirmed cases of progressive multifocal leukoencephalopathy (PML) in patients receiving Tysabri monotherapy for MS since the drug was relaunched in the U.S. and its first international approval in 2006. As of Dec. 31, 2010, Biogen Idec reported that approximately 78,800 patients have been treated with Tysabri in the post-marketing setting. In December, Biogen Idec and partner Elan submitted an sBLA to FDA and a Type II variation to the EMA to update the label of Tysabri to include anti-JCV antibody status as 1 potential factor to help stratify the risk of PML. The anti-JCV antibodies are believed to be a risk factor for developing PML (see BioCentury, Jan. 3). Last year, FDA updated the label and medication guide for Tysabri to warn that the risk of developing PML increases with the number of infusions received (see BioCentury, Feb. 15, 2010). Last July, Biogen Idec updated the U.S. label for Tysabri to warn that the risk of PML increases in patients with prior immunosuppressant use and that the increased risk appears to be independent of Tysabri treatment duration (see FEBRUARY 28, 2011 P AGE B14 OF 24 BioCentury, July 26, 2010). The companies originally withdrew the drug in February 2005 because its use was associated with PML. Elan and Biogen Idec market Tysabri to treat MS in the EU and to treat MS and Crohn’s disease in the U.S. Chimerix Inc., Durham, N.C. Product: CMX001 Business: Infectious Molecular target: NA Description: Oral phospholipid intramembrane microfluidization (PIM)conjugate chemical modification of cidofovir, a dsDNA viral synthesis inhibitor Indication: Treat adenovirus infection in immunocompromised transplant patients Endpoint: NA Status: NA data Milestone: NA Chimerix reported data from a 12-year old severely immunocompromised bone marrow transplant patient with adenovirus infection showing that treatment with oral CMX001 under emergency-use IND provisions reduced viral load to undetectable levels and improved renal and hepatic function within 5 weeks of starting treatment. Within 8 weeks, the patient was transferred out of intensive care, hemodialysis was discontinued, and the patient’s GI bleeding and renal impairment were resolved. CMX001 was well tolerated with no serious adverse events reported. Data were published in the Journal of Clinical Virology. CMX001 is in Phase II testing to treat or prevent cytomegalovirus (CMV) infection in hematopoietic stem cell transplant recipients. Dynavax Technologies Corp. (NASDAQ:DVAX), Berkeley, Calif. Product: N8295 (formerly M2e/NP-ISS) Business: Infectious Molecular target: Matrix protein 2 extracellular domain (M2e) Description: Immunostimulatory sequence linked to a nucleoprotein (NP) and the matrix protein 2 extracellular domain (M2e) Indication: Vaccinate against influenza virus infection Endpoint: Safety Status: Phase Ib data Milestone: NA An open-label, U.S. Phase Ib trial in 15 healthy volunteers showed that 3 doses of N8295 given a month apart plus an undisclosed investigational H5N1 avian influenza vaccine from Novartis AG (NYSE:NVS; SIX:NOVN, Basel, Switzerland) were well tolerated with no serious adverse events reported. Additionally, all N8295 dose groups produced antibody and cellular immune responses to NP and antibody responses to M2e. Data were presented at the Evaluation of Pandemic Influenza Vaccines in Clinical Trials meeting in Geneva. N8295 is a component of Dynavax’s Universal Flu vaccine. Novartis has an option to negotiate an agreement to develop and commercialize the universal vaccine (see BioCentury, July 28, 2008). Fate Therapeutics Inc., San Diego, Calif. Product: FT1050 Business: Hematology Molecular target: Prostaglandin E2 (PGE2) receptor Description: Small molecule prostaglandin E2 analog Indication: Hematopoietic stem cell (HSC) support in patients undergoing non-myeloablative therapy Endpoint: Safety; time to engraftment, rates of acute and chronic graftversus-host disease (GvHD), 30- and 100-day treatment-related mortality, measures of immune reconstitution, and relapse-free and overall survival (OS) at 1 and 2 years post-transplantation See next page BioCentury Week in Review Clinical Results, from previous page Status: Preliminary Phase Ib data Milestone: NA Preliminary data from an open-label, U.S. Phase Ib trial in 15 evaluable patients with hematologic malignancies who have undergone non-myeloablative conditioning therapy showed that dual umbilical cord blood transplantation with hematopoietic stem cells treated ex vivo with FT1050 had a similar safety profile to that of a standard double umbilical cord blood transplant. In 6 evaluable patients who received an umbilical cord blood unit using an FT1050-treatment protocol designed to enhance activity, the average time to engraftment was 18.5 days vs. 21 days for a historical average, and 5 of 6 patients engrafted with the FT1050-treated cord blood unit. The other 9 patients received an umbilical cord blood unit using an earlier version of the FT1050treatment protocol that the company said was designed to assess safety. There was 1 case of ≥grade 2 acute GvHD. Patients received 2 umbilical cord blood units for hematopoietic reconstitution — 1 treated ex vivo at the point-of-care with FT1050 and 1 untreated. The trial is enrolling 21 patients. Data were presented at the BMT Tandem Meetings in Honolulu. FT1050 has Orphan Drug designation in the U.S. for the ex vivo treatment of human allogeneic stem cells to enhance stem cell engraftment by treating neutropenia, thrombocytopenia, lymphopenia and anemia. Genzyme Corp. (NASDAQ:GENZ), Cambridge, Mass. Product: Eliglustat tartrate (formerly Genz-112638) Business: Metabolic Molecular target: Glucosylceramide synthase (GCS) Description: Ceramide analog that inhibits glucosylceramide synthase (GCS) Indication: Treat Type I Gaucher’s disease Endpoint: Change in hemoglobin levels, platelet levels and spleen volume; change in liver volume, biomarkers and quality of life Status: Additional Phase II data Milestone: NA Three-year data from an open-label, international Phase II trial in 19 evaluable patients showed that oral eliglustat decreased spleen and liver volumes from baseline by 61% and 29%, respectively, increased mean hemoglobin levels by 2.6 g/dL and increased platelet counts by 91%. Data were presented at the Lysosomal Disease Network World Symposium in Las Vegas. Genzyme previously reported that eliglustat met the composite primary endpoint of a clinically meaningful response at 12 months in at least 2 of 3 endpoints: change in hemoglobin levels, platelet levels and spleen volume (see BioCentury, Feb. 23, 2009). The company also previously reported 6- and 12-month and 2-year data from the trial (see BioCentury, May 12, 2008 & Feb. 15, 2010). The Phase III ENGAGE, EDGE and ENCORE trials of eliglustat for the indication are ongoing. Iris International Inc. (NASDAQ:IRIS), Chatsworth, Calif. Product: NADiA ProsVue Business: Diagnostic Molecular target: NA Description: Assay designed to detect prostate specific antigen (PSA) levels using nucleic acid-labeled antibodies and PCR Indication: Predict risk of prostate cancer recurrence following radical prostatectomy Endpoint: Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) Status: Pivotal trial data Milestone: NA FEBRUARY 28, 2011 P AGE B15 OF 24 A retrospective U.S. pivotal trial in 392 post-radical prostatectomy patients with PSA levels <100 pg/mL showed that Iris’ NADiA ProsVue test had 75% sensitivity and 96.6% specificity for detecting patients with a low risk of cancer recurrence. The PPV and NPV were 81.4% and 95.2%, respectively. Data were presented at the American Society of Clinical Oncology Genitourinary Cancers Symposium in Orlando. Last April, Iris submitted a 510(k) application to FDA for the assay to identify patients at low risk of cancer recurrence post-radical prostatectomy. Isis Pharmaceuticals Inc. (NASDAQ:ISIS), Carlsbad, Calif. Product: ISIS-CRPRx (ISIS 353512) Business: Inflammation Molecular target: C-reactive protein (CRP) Description: Second-generation antisense inhibitor that targets Creactive protein (CRP) Indication: Treat inflammatory diseases Endpoint: Safety; pharmacokinetics and pharmacodynamics Status: Phase I data Milestone: NA Data from the cohort of 8 subjects with elevated baseline CRP levels (3 mg/L) in a double-blind, dose-escalation Phase I trial showed that weekly 600 mg ISIS-CRPRx significantly reduced CRP levels by >70% vs. placebo after only 3 weeks. Specifically, CRP levels in subjects receiving ISIS-CRPRx were reduced to a mean of 0.76 mg/L at week 3, whereas CRP levels in subjects receiving placebo remained elevated above 3 mg/L (p<0.05). Single and multiple ascending-doses of weekly 50-600 mg ISIS-CRPRx were well tolerated in all 80 healthy volunteers, and no serious adverse events were reported. The remaining 72 subjects had normal levels of CRP (<2 mg/L). Isis said it plans to initially evaluate the compound for use in multiple myeloma (MM) and rheumatoid arthritis (RA). Medivir AB (SSE:MVIR B), Huddinge, Sweden Johnson & Johnson (NYSE:JNJ), New Brunswick, N.J. Product: TMC435 (formerly TMC435350) Business: Infectious Molecular target: HCV NS3 protease; Non-structural protein 4A (NS4A) Description: HCV NS3/4A protease inhibitor Indication: Treat HCV infection in treatment-naïve patients Endpoint: Proportion of patients achieving a sustained virologic response (SVR) defined as undetectable HCV RNA levels (<25 IU/mL) 24 weeks after the end of treatment; antiviral activity and safety Status: Additional Phase IIb data Milestone: Additional Phase IIb data (2Q11) Additional data from the ongoing, double-blind, placebo-controlled, international Phase IIb PILLAR (TMC435-C205) trial in 386 treatmentnaïve patients with chronic HCV genotype 1 infection showed that 83.6%, 76.1%, 83.1% and 84.4% of patients in each of the 4 TMC435 regimens - 75 mg TMC435 for 12 weeks, 75 mg TMC435 for 24 weeks, 150 mg TMC435 for 12 weeks and 150 mg TMC435 for 24 weeks -, respectively, achieved an SVR defined as undetectable HCV RNA levels (<25 IU/mL) 24 weeks after the end of treatment (n=288). Patients in the placebo arm are continuing to receive standard of care (SOC; Pegasys peginterferon alfa-2a and Copegus ribavirin) until week 48 and SVR data from 24 weeks are not yet available. Additionally, 87.2%, 86.5%, 84.9% and 88.5% in each of the 4 TMC435 regimens, respectively, achieved an SVR 4 weeks after the end of treatment (n=303) vs. 71.2% for placebo (n=59). Patients received 75 or 150 mg once-daily TMC435 for 12 or 24 weeks in combination with SOC for 24 weeks, or placebo plus SOC for See next page BioCentury Week in Review Clinical Results, from previous page 24 weeks followed by SOC for an additional 24 weeks. TMC435-treated patients who did not meet the predefined stopping criteria at week 24 continued with SOC for an additional 24 weeks. The partners previously reported that 79-86% of patients receiving TMC435 were able to stop all therapy at week 24 after meeting predefined response criteria of achieving undetectable HCV RNA levels at week 4 and at weeks 12, 16 and 20 (see BioCentury, Nov. 8, 2010). Additional data from the Phase IIb ASPIRE (C206) trial of TMC435 in 462 treatment-experienced patients with HCV genotype 1 infection are expected in 2Q11. The Phase III QUEST-1, QUEST-2 and PROMISE trials of TMC435 are also ongoing. J&J’s Tibotec Pharmaceuticals Ltd. unit has ex-Nordic rights to develop and commercialize TMC435 from Medivir. Roche (SIX:ROG; OTCQX:RHHBY, Basel, Switzerland) markets Pegasys and Copegus. Mitsubishi Tanabe Pharma Corp. (Tokyo:4508; Osaka:4508), Osaka, Japan Novartis AG (NYSE:NVS; SIX:NOVN), Basel, Switzerland Product: Gilenya fingolimod (FTY720) Business: Autoimmune Molecular target: Sphingosine 1-phosphate (S1P) receptor Description: Sphingosine 1-phosphate (S1P) receptor agonist Indication: Treat relapsing multiple sclerosis (MS) Endpoint: Safety; incidence of macular edema, incidence of bradyarrhythmic electrocardiograms and patient-reported outcomes Status: Phase III data Milestone: NA Novartis reported that a potential case of toxoplasmosis occurred in 1 patient receiving Gilenya at a German site in an ongoing, open-label, international Phase III trial to treat relapsing MS. The pharma said that laboratory testing has not confirmed the toxoplasmosis infection, nor has a role for Gilenya been confirmed or excluded. Novartis said it does not plan to issue a “Dear Healthcare Professional” letter regarding the adverse event at this time, and is currently gathering all of the details of the case. Last month, EMA’s CHMP issued a positive opinion recommending approval of an MAA for Gilenya to treat relapsing-remitting multiple sclerosis (RRMS). The product is already approved in the U.S. for the indication. Novartis has rights to Gilenya from Mitsubishi Tanabe. Neovacs S.A. (Euronext:ALNEV), Paris, France Product: TNF-Kinoid (formerly TNFalpha kinoid) Business: Autoimmune Molecular target: Tumor necrosis factor (TNF) alpha Description: Immunotherapy against tumor necrosis factor (TNF) alpha Indication: Treat Crohn’s disease (CD) Endpoint: Safety and immunogenicity; disease remission as measured by Crohn’s Disease Activity Index (CDAI) score Status: Additional Phase I/II data Milestone: NA Additional data from the open-label, dose-escalation, South African and Swiss Phase I/II TNF-K-001 trial in 21 patients showed that the presence of TNF antibodies at week 8 that were induced by treatment with intramuscular TNF-Kinoid was associated with an increased probability of clinical remission at week 12. Specifically, patients with TNF antibodies at week 8 (n=14) had a >50% chance of being in clinical remission at week 12, whereas patients without TNF antibodies at week 8 (n=7) had a 14% chance of clinical remission at week 12. Neovacs previously reported that that 60 (n=3), 180 (n=9) and 360 ug (n=9) doses of TNF-Kinoid on days 0, 7 and 28 induced an anti-TNF antibody response in 1, 8 and 8 patients, respectively (see BioCentury, Jan. 3). FEBRUARY 28, 2011 P AGE B16 OF 24 Novavax Inc. (NASDAQ:NVAX), Rockville, Md. Product: H1N1 VLP influenza vaccine Business: Infectious Molecular target: NA Description: Swine influenza A (H1N1) virus-like particle (VLP) vaccine Indication: Vaccinate against swine influenza A (H1N1) infection Endpoint: Safety and immunogenicity as measured by serum hemagglutinin inhibition (HAI) antibody titer response Status: Final Phase II data Milestone: NA Final data from 1,013 healthy volunteers ages 18-64 in the first stage of a double-blind, placebo-controlled, Mexican pivotal Phase II trial showed that 5, 15 and 45 µg doses of Novavax’s 2009 swine influenza A (H1N1) VLP vaccine produced seroconversion rates, defined as a ≥4fold increase in HAI titer from baseline, of 48.3%, 65% and 74.9%, respectively, at day 14 vs. 5.9% for placebo. Additionally, low-, mid- and high-doses of the vaccine produced seroprotection rates, defined as the proportion of patients who achieved HAI titers ≥1:40 postvaccination, of 81.6%, 90.5% and 91.6%, respectively, at day 14. Data were presented at the Evaluation of Pandemic Influenza Vaccines in Clinical Trials meeting in Geneva. The second stage of the trial enrolled 3,547 healthy volunteers to evaluate the safety of a single 15 ug dose of the vaccine. Novavax previously reported preliminary data from the first stage of the trial showing that single doses of 15 and 45 µg of the vaccine met seroconversion and seroprotection criteria recommended by U.S. and European regulatory authorities at 14 days post-dose (see BioCentury, Dec. 7, 2009 & March 29, 2010). PolyMedix Inc. (OTCBB:PYMX), Radnor, Pa. Product: PMX-30063 Business: Infectious Molecular target: Not available Description: Synthetic defensin mimetic bactericidal antibiotic Indication: Treat bacterial infection Endpoint: Safety and pharmacokinetics Status: Phase I data Milestone: NA A double-blind, U.S. Phase I trial in 20 healthy volunteers showed that high-dose IV PMX-30063 was safe when administered for >5 days, with paraesthesia of the lips, face and fingers reported as the most common side effects. Additionally, the company said “several” subjects were discontinued by the investigator after 9-13 days of dosing due to increased blood pressure and heart rate. After 9 days of dosing, there was 1 case of atrial fibrillation (AF) that was fully reversed within a few hours following treatment. Patients received an initial IV loading dose of PMX-30063 followed by a daily maintenance dose for up to 14 days. A Phase II trial of PMX-30063 to treat acute bacterial skin and skin structure infections (ABSSSI) caused by Staphylococcus aureus is ongoing. Progenics Pharmaceuticals Inc. (NASDAQ:PGNX), Tarrytown, N.Y. Product: PSMA ADC Business: Cancer Molecular target: Prostate-specific membrane antigen (PSMA) (FOLH1) (GCPII) Description: Auristatin-conjugated human mAb against prostate-specific membrane antigen (PSMA) Indication: Treat metastatic hormone-refractory prostate cancer (HRPC) Endpoint: Safety; maximum tolerated dose (MTD), pharmacokinetics, pharmacodynamics and antitumor activity Status: Preliminary Phase I data Milestone: NA See next page BioCentury Week in Review Clinical Results, from previous page Preliminary data from an ongoing, open-label, dose-escalation, U.S. Phase I trial in 21 patients with metastatic HRPC previously treated with taxane-based chemotherapy regimens showed that 4 doses of 0.4-1.8 mg/ kg IV PSMA ADC every 3 weeks for 12 weeks were well tolerated. The most common adverse events were fatigue, reversible neutropenia and elevations in liver enzymes. One patient experienced an acute, fatal case of pancreatitis that was deemed possibly related to treatment. Additionally, 4 of 9 patients receiving 1.8 mg/kg PSMA ADC showed antitumor activity as measured by a reduction in prostate specific antigen (PSA) levels, circulating tumor cells (CTC) counts and/or bone pain. The MTD has not yet been reached and patients are currently being enrolled in the 2 mg/kg dose cohort. Data were presented at the American Society of Clinical Oncology Genitourinary Cancers Symposium in Orlando. PSMA ADC uses antibody-drug conjugate (ADC) technology from Seattle Genetics Inc. (NASDAQ:SGEN, Bothell, Wash.). TransPharma Medical Ltd., Lod, Israel Product: ViaDor-GLP1 agonist (formerly ViaDerm-GLP1 agonist) Business: Endocrine Molecular target: Glucagon-like peptide-1 (GLP-1) Description: Glucagon-like peptide-1 (GLP-1) agonist delivered using ViaDor transdermal delivery system Indication: Treat Type II diabetes Endpoint: Safety and pharmacokinetics Status: Phase Ib data Milestone: NA Data from a 4-way crossover Phase Ib trial in 14 Type II diabetics showed that single doses of 3 patch formulations of once-daily ViaDorGLP1 agonist were well tolerated, with an extended PK profile compared to that of twice-daily subcutaneous Byetta exenatide. Specifically, transdermal ViaDor-GLP1 agonist resulted in therapeutic GLP-1 blood levels for about 20 hours vs. 6 hours for Byetta. Amylin Pharmaceuticals Inc. (NASDAQ:AMLN, San Diego, Calif.) and Eli Lilly and Co. (NYSE:LLY, Indianapolis, Ind.) market Byetta. Verona Pharma plc (LSE:VRP), London, U.K. Product: RPL554 Business: Inflammation Molecular target: Phosphodiesterase-3 (PDE-3); Phosphodiesterase-4 (PDE-4) Description: Long-acting phosphodiesterase-3 (PDE-3) and phosphodiesterase-4 (PDE-4) inhibitor Indication: Treat mild asthma Endpoint: Safety and recommended dose Status: NA data Milestone: NA A double-blind, placebo-controlled, Dutch trial in 20 patients with mild asthma showed that single doses of nebulized RPL554 led to positive bronchodilation as measured by forced expiratory volume at 1 second (FEV1). RPL554 produced no gastrointestinal symptoms and there were no withdrawals due to adverse events. The trial evaluated doses that were 2 and 4 times higher than the highest dose tested in a previous safety study of the RPL554. Vertex Pharmaceuticals Inc. (NASDAQ:VRTX), Cambridge, Mass. Product: VX-770 Business: Pulmonary Molecular target: Cystic fibrosis transmembrane conductance regulator (CFTR) Description: Small molecule potentiator of cystic fibrosis transmem- FEBRUARY 28, 2011 P AGE B17 OF 24 brane conductance regulator (CFTR) Indication: Treat cystic fibrosis (CF) Endpoint: Absolute change from baseline in percent predicted forced expiratory volume in 1 second (FEV1) at week 24; sweat chloride levels, absolute change from baseline in percent predicted FEV1 at week 48, Cystic Fibrosis Questionnaire-Revised (CFQ-R), rate of weight change, time to first pulmonary exacerbation and pharmacokinetics Status: Phase III data Milestone: Submit MAA (2H11); submit NDA (2H11); Phase III data (mid-2011) The double-blind, international Phase III STRIVE trial in 161 patients ages 12 and up carrying the G551D mutation in CFTR on at least 1 allele showed that twice-daily 150 mg oral VX-770 met the primary endpoint of significantly improving the mean absolute change in FEV1 from baseline to week 24 vs. placebo. Specifically, the mean absolute improvement in FEV1 at week 24 compared to placebo was 10.6% (p<0.0001). VX-770 also met the secondary endpoints of significantly improving the mean absolute change in FEV1 from baseline to week 48 vs. placebo (10.5%, p<0.0001), and of a significantly greater proportion of patients that were exacerbation-free at week 48 (67% vs. 41%). Additionally, patients receiving VX-770 gained an average of 6.8 lbs from baseline to week 48 vs. 0.9 lbs for placebo. Compared to placebo, VX-770 also led to significant reductions in sweat chloride levels, which Vertex said are a direct result of defective CFTR activity in epithelial cells in the sweat duct. Furthermore, patients receiving VX-770 reported significant improvements in respiratory symptoms on the CFQ-R vs. placebo. The most common reported serious adverse events were pulmonary exacerbation and hemoptysis. All patients who completed 48 weeks of treatment (n=144) were eligible to receive VX-770 in the PERSIST extension study for up to an additional 96 weeks. Data from the Phase III ENVISION trial of VX-770 in patients ages 6-11 carrying the G551D mutation in CFTR on at least 1 allele are expected by mid-2011. Vertex plans to submit regulatory applications in the U.S. and Europe for VX-770 in 2H11. VX-770 has Fast Track designation for the indication in the U.S. Indication: Treat cystic fibrosis (CF) Endpoint: Safety and absolute change from baseline in forced expiratory volume in 1 second (FEV1) at week 16; sweat chloride levels, Cystic Fibrosis Questionnaire-Revised (CFQ-R), rate of weight change and pharmacokinetics Status: Phase II data Milestone: Submit NDA (2H11); submit MAA (2H11); Phase III data (mid-2011) The double-blind, U.S. Phase II DISCOVER trial in 140 patients with 2 copies of the delta F508 CFTR mutation showed that twice-daily 150 mg oral VX-770 missed the co-primary endpoint of significantly improving the mean absolute change in FEV1 from baseline to week 16 vs. placebo. Specifically, the mean absolute improvement in FEV1 at week 16 compared to placebo was 1.6% (p=0.25). On the co-primary safety endpoint, adverse events that occurred more frequently (≥5%) in the VX-770 arm compared to placebo were cough, nausea, rash and contact dermatitis, and none of the events were serious or led to discontinuation of treatment. Additionally, VX-770 significantly reduced mean sweat chloride levels by 2.9 mmol/ L compared to placebo at week 16 (p<0.04). Data from the Phase III ENVISION trial of VX-770 in patients ages 6-11 carrying the G551D mutation in CFTR on at least 1 allele are expected by mid-2011. Vertex plans to submit regulatory applications in the U.S. and Europe for VX-770 in 2H11. VX-770 has Fast Track designation for the indication in the U.S. See next page BioCentury Week in Review Clinical News, from previous page PRECLINICAL RESULTS Harbor BioSciences Inc. (OTCBB:HRBR), San Diego, Calif. Product: Triolex (HE3286) Business: Neurology Indication: Treat Parkinson’s disease (PD) In mice, >50% of levels of Triolex measured in plasma were found in the brains of mice after oral administration, which indicates that the compound is capable of crossing the blood-brain barrier (BBB). Triolex, a synthetic analog of an endogenous adrenal steroid hormone, has completed Phase IIa testing for Type II diabetes. Marina Biotech Inc. (NASDAQ:MRNA), Bothell, Wash. Product: CEQ508 Business: Cancer Indication: Treat familial adenomatous polyposis (FAP) In cynomolgus monkeys, daily oral CEQ508 led to no treatmentrelated adverse effects after 281 days of treatment. Additionally, monthly biopsies of colonic mucosa showed no evidence of local immune activation. The oral RNAi targeting beta-catenin (CTNNB1) delivered using transKingdom RNAi (tkRNAi) technology is in Phase Ib/IIa testing to treat FAP, for which it has Orphan Drug designation in the U.S. Otonomy Inc., San Diego, Calif. Product: OTO-104 Business: Other Indication: Treat acute hearing loss In guinea pigs, single intratympanic injections of OTO-104 provided significant protection against both noise-induced and cisplatin-induced hearing loss when administered 24 hours prior to trauma vs. an inactive control. Additionally, OTO-104 promoted recovery from noise-induced hearing loss when administered 2 days post-trauma. Data were presented at the Association for Research in Otolaryngology meeting in Baltimore. The sustained-release dexamethasone gel is in Phase Ib testing to treat Meniere’s disease, a disorder of the inner ear affecting balance and hearing. CLINICAL STATUS Acacia Pharma Ltd., Cambridge, U.K. Product: APD421 (formerly ACA1421) Business: Gastrointestinal Molecular target: Dopamine D2 receptor Description: IV formulation of an undisclosed marketed dopamine D2 receptor antagonist Indication: Prevent cisplatin-induced vomiting Endpoint: Incidence of vomiting and requirement for anti-emetic rescue medication during the first 24 hours after dosing with cisplatin Status: Phase IIa started Milestone: Phase IIa data (mid-2011); start Phase II (2H11) Acacia began a Danish and U.K. Phase IIa trial to evaluate single ascending-doses of APD421 in up to 54 cancer patients. Following the trial, the company plans to begin a Phase II trial of APD421 to prevent post-operative nausea and vomiting (PONV). Active Biotech AB (SSE:ACTI), Lund, Sweden Product: Tasquinimod (TASQ) (ABR-215050) Business: Cancer Molecular target: Thrombospondin-1 (TSP-1) (THBS1) FEBRUARY 28, 2011 P AGE B18 OF 24 Description: Second generation linomide Indication: Treat metastatic castration-resistant prostate cancer (CRPC) Endpoint: Progression-free survival (PFS) Status: Phase III start Milestone: Start Phase III (1Q11) This quarter, Active Biotech will begin a double-blind, placebocontrolled, international Phase III trial to evaluate daily 0.25, 0.5 and 1 mg oral TASQ in about 1,200 patients. Aestus Therapeutics Inc., North Brunswick, N.J. Astellas Pharma Inc. (Tokyo:4503), Tokyo, Japan Product: ATx08-001 (formerly FK614) Business: Neurology Molecular target: Peroxisome proliferation activated receptor (PPAR) gamma Description: Peroxisome proliferation activated receptor (PPAR) gamma agonist Indication: Treat post-herpetic neuralgia (PHN) Endpoint: Safety and analgesic efficacy Status: Phase II started Milestone: Phase II data (10/2011) Aestus began a double-blind, placebo-controlled Phase II trial to evaluate low- and high-doses of oral ATx08-001 in about 60 patients. Aestus has exclusive, worldwide rights to ATx08-001 from Astellas (see BioCentury, July 5, 2010). Antares Pharma Inc. (NYSE-A:AIS), Ewing, N.J. BioSante Pharmaceuticals Inc. (NASDAQ:BPAX), Lincolnshire, Ill. Product: LibiGel testosterone Business: Genitourinary Molecular target: Androgen receptor Description: Transdermal testosterone gel Indication: Treat hypoactive sexual desire disorder (HSDD) in menopausal women Endpoint: Increase in the number of satisfying sexual events and increase in sexual desire; decrease in sexual distress Status: Completed Phase III enrollment Milestone: Complete Phase III enrollment (2011) BioSante completed enrollment of over 500 surgically menopausal women in the first of 2 double-blind, placebo-controlled, U.S. and Canadian Phase III trials evaluating transdermal LibiGel. BioSante expects to complete enrollment of about 500 patients in the second Phase III trial this year. The company is also conducting a Phase III safety trial for the product in 2,869 women and has an SPA from FDA for all 3 trials. In 2000, Antares granted BioSante rights to the product in North America, Australia, China and certain other countries. BioCryst Pharmaceuticals Inc. (NASDAQ:BCRX), Birmingham, Ala. Green Cross Corp., Yongin-Si, South Korea Shionogi & Co. Ltd. (Tokyo:4507; Osaka:4507), Osaka, Japan Product: Rapiacta (PeramiFlu) peramivir Business: Infectious Molecular target: Neuraminidase (NEU1) (SIAL1) Description: Injectable formulation of viral neuraminidase inhibitor Indication: Treat influenza infection Endpoint: Time to clinical resolution in a subset of patients not treated with neuraminidase inhibitors as standard of care; reduction in influenza virus titer as measured by log10 tissue culture infective dose (TCID50)/mL and by RT-PCR Status: Phase III amended Milestone: NA BioCryst amended the primary efficacy endpoint of the ongoing, double-blind, placebo-controlled Phase III BCX1812-301 trial to evaluate See next page BioCentury Week in Review Clinical Status, from previous page time to clinical resolution in a subset of about 160 patients not treated with neuraminidase inhibitors as standard of care. According to the biotech, the endpoint was changed to provide the best opportunity to show a statistically significant peramivir treatment effect. Total enrollment in the trial was also increased to up to 600 patients from 445, and the number of clinical sites was expanded by about 45. The trial was amended as part of a two-year $55 million contract extension BioCryst received from HHS to fund the completion of Phase III testing of the influenza candidate. The extension brings the total amount BioCryst has received from the agency to $234.8 million. Last month, BioCryst said it was seeking permission and additional funding from HHS to expand the trial (see BioCentury, Jan. 17). Peramivir is approved as Rapiacta in Japan. Shionogi has Japanese and Taiwanese rights to peramivir from BioCryst, while Green Cross has South Korean rights. Biomoda Inc. (OTCBB:BMOD), Albuquerque, N.M. Product: CyPath, Tetrakis Carboxy Phenyl Porphine (TCPP) Business: Cancer Molecular target: Undisclosed Description: Porphyrin-based cytology assay that binds to cancer cells and fluoresces red under ultraviolet light Indication: Diagnose early lung cancer Endpoint: Sensitivity and specificity Status: Completed Phase II enrollment Milestone: NA Biomoda completed enrollment in a single-blind, U.S Phase II trial of CyPath. In October, the company amended the trial to enroll additional patients after determining that it did not secure sufficient samples in the control group (see BioCentury, Oct. 25, 2010). The study includes a larger cohort of high-risk, heavy military veteran smokers and a smaller, control cohort of patients already diagnosed with lung cancer but who have not yet begun treatment. Bristol-Myers Squibb Co. (NYSE:BMY), New York, N.Y. Eli Lilly and Co. (NYSE:LLY), Indianapolis, Ind. Merck KGaA (Xetra:MRK), Darmstadt, Germany Product: Erbitux cetuximab Business: Cancer Molecular target: Epidermal growth factor receptor 1 (EGFR1) (HER1) (ErbB1) Description: Chimeric IgG1 mAb targeting epidermal growth factor (EGF) receptor Indication: Treat advanced or metastatic gastric adenocarcinoma Endpoint: Progression-free survival (PFS); overall survival (OS), overall response and quality of life Status: Completed Phase III enrollment Milestone: NA Merck KGaA disclosed in its 4Q10 earnings that it completed enrollment of 870 patients in the open-label, international Phase III EXPAND trial evaluating Erbitux in combination with cisplatin and Xeloda capecitabine. Erbitux is marketed to treat metastatic colorectal cancer (mCRC) and squamous cell carcinoma of the head and neck (SCCHN) by ImClone Systems Inc., a subsidiary of Eli Lilly, and BristolMyers Squibb in North America. Merck markets the drug elsewhere, except in Japan where the 3 companies market the drug. Roche (SIX:ROG; OTCQX:RHHBY, Basel, Switzerland) markets Xeloda. Dynavax Technologies Corp. (NASDAQ:DVAX), Berkeley, Calif. Product: Heplisav (V270) Business: Infectious FEBRUARY 28, 2011 P AGE B19 OF 24 Molecular target: Toll-like receptor 9 (TLR9) Description: Hepatitis B surface antigen (HBsAg) given with immunostimulatory DNA sequences (ISS) that target toll-like receptor 9 (TLR9) Indication: Prevent HBV infection in chronic kidney disease (CKD) patients Endpoint: Seroprotection rate at 7 months; safety Status: Phase III ongoing Milestone: Submit BLA (year end 2011) Dynavax said an independent DSMB recommended continuation of a pair of Phase III trials of Heplisav after reviewing safety data from patients. In September 2009, the company said FDA lifted a clinical hold that was in place since March 2008 after a single case of Wegener’s granulomatosis was observed in the Phase III PHAST trial (see BioCentury, March 24, 2008). The hold was only lifted for patients with CKD, and not for healthy adults and children. This is the third review by the DSMB (see BioCentury, June 7). DynPort Vaccine Co. LLC, Frederick, Md. Product: Recombinant botulism vaccine, rBV A/B Business: Infectious Molecular target: Not applicable Description: Recombinant botulinum neurotoxin serotypes A and B vaccine Indication: Prevent botulism Endpoint: Safety and immunogenicity Status: Completed Phase II enrollment Milestone: Phase II data (2012) DynPort completed enrollment of about 440 healthy volunteers in a double-blind, placebo-controlled, U.S. Phase II trial evaluating intramuscular 0.5 mL recombinant botulism vaccine on days 0, 28 and 182 or days 0, 56 and 182. The vaccine, which has Fast Track designation from FDA, is being developed under the agency’s Animal Rule, which allows marketing approval to be granted based on efficacy in relevant animal models and an acceptable safety risk profile in humans. DynPort is developing the vaccine under a U.S. Department of Defense contract. Global Health Ventures Inc. (OTCBB:GHLV), Vancouver, B.C. Product: X-Excite (GLV-0902) Business: Genitourinary Molecular target: NA Description: Sublingual formulation of sildenafil citrate Indication: Treat erectile dysfunction (ED) Endpoint: Bioavailability and efficacy Status: Phase I started Milestone: Phase I data (04/2011) Global Health began an open-label, European Phase I to compare X-Excite vs. Viagra sildenafil in 24 patients. Pfizer Inc. (NYSE:PFE, New York, N.Y.) markets Viagra. Halozyme Therapeutics Inc. (NASDAQ:HALO), San Diego, Calif. Roche (SIX:ROG; OTCQX:RHHBY), Basel, Switzerland Product: Subcutaneous rituximab (Subcutaneous MabThera) Business: Cancer Molecular target: CD20 Description: Subcutaneous formulation of rituximab, a chimeric mAb against CD20 antigen Indication: Treat follicular non-Hodgkin’s lymphoma (NHL) Endpoint: Overall response rate (ORR) and pharmacokinetics; complete response rates, progression-free survival (PFS), event-free survival, overall survival (OS), immunogenicity and safety Status: Phase III started See next page BioCentury Week in Review Clinical Status, from previous page Milestone: NA Roche began an open-label, international Phase III trial to evaluate 1,400 mg subcutaneous MabThera vs. 375 mg/m2 IV Rituxan rituximab in about 530 patients for 24 weeks. The trial start triggered a $5 million milestone payment to Halozyme under a 2006 deal to use Halozyme’s Enhanze recombinant human hyaluronidase (rHuPH20) drug delivery technology with Roche targets (see BioCentury, Dec. 11, 2006). Biogen Idec Inc. (NASDAQ:BIIB, Weston, Mass.) and Roche’s Genentech Inc. unit co-market IV rituximab as Rituxan in the U.S., while Roche markets it as MabThera elsewhere. In Japan, IV rituximab is comarketed as Rituxan by Chugai Pharmaceutical Co. Ltd. (Tokyo:4519, Tokyo, Japan), which is majority owned by Roche, and Zenyaku Kogyo Co. Ltd. (Tokyo, Japan). Further details on the partnership status of subcutaneous rituximab were not disclosed. Infinity Pharmaceuticals Inc. (NASDAQ:INFI), Cambridge, Mass. Mundipharma International Ltd., Cambridge, U.K. Product: IPI-926 Business: Cancer Molecular target: Smoothened (SMO) Description: Hedgehog pathway inhibitor derived from cyclopamine Indication: Treat pancreatic cancer Endpoint: Overall survival (OS); progression free survival (PFS), time to progression and overall response rate (ORR) Status: Phase II started Milestone: Phase Ib data (2011) Infinity began the double-blind, placebo-controlled Phase II portion of an international Phase Ib/II trial to evaluate oral IPI-926 in combination with Gemzar gemcitabine. The Phase II portion will evaluate oncedaily 160 mg IPI-926, which was the selected dose from the doseescalation Phase Ib portion, in about 120 patients with previously untreated metastatic pancreatic cancer. Mundipharma partnered with Infinity to co-develop and commercialize IPI-926 in a 2008 cancer deal. Infinity has rights to commercialize IPI-926 in the U.S., while Mundipharma has rights elsewhere (see BioCentury, Nov. 24, 2008). Eli Lilly and Co. (NYSE:LLY, Indianapolis, Ind.) markets Gemzar. IQ Therapeutics B.V., Groningen, the Netherlands Product: Dual Antibody Approach (IQ-DAA) Business: Infectious Molecular target: Bacillus anthracis lethal factor; Bacillus anthracis protective antigen Description: Combination of human antibodies against Bacillus anthracis lethal factor and Bacillus anthracis protective antigen Indication: Treat inhalation anthrax Endpoint: Safety and pharmacokinetics Status: Phase I started Milestone: NA IQ began a double-blind, placebo-controlled, dose-escalation Phase I trial to evaluate IQ-DAA in up to 32 healthy volunteers. KemPharm Inc., North Liberty, Iowa Product: KP201 Business: Neurology Molecular target: NA Description: Hydrocodone combined with a ligand Indication: Treat pain Endpoint: Safety; pharmacokinetics Status: Phase I started Milestone: NA FEBRUARY 28, 2011 P AGE B20 OF 24 KemPharm began a crossover Phase I trial to evaluate KP201 in 24 healthy volunteers. Subjects will receive a single dose of 5 mg KP201, 10 mg KP201 and 10/325 mg hydrocodone bitartrate/acetaminophen, each separated by a 7-day washout period. Medivir AB (SSE:MVIR B), Huddinge, Sweden Johnson & Johnson (NYSE:JNJ), New Brunswick, N.J. Product: TMC435 (formerly TMC435350) Business: Infectious Molecular target: HCV NS3 protease; Non-structural protein 4A (NS4A) Description: HCV NS3/4A protease inhibitor Indication: Treat chronic HCV infection Endpoint: Proportion of patients with a sustained virologic response (SVR) after 24 weeks Status: Phase III started Milestone: NA Medivir said Johnson & Johnson’s Tibotec Pharmaceuticals Ltd. unit began the double-blind, placebo-controlled, international Phase III QUEST-2 trial in 375 treatment-naïve patients with HCV genotype 1 to evaluate 150 mg oral TMC435 daily for 12 weeks in combination with either Pegasys peginterferon alfa-2a and Copegus ribavirin or Pegintron peginterferon alfa-2b and Rebetol ribavirin. Tibotec has ex-Nordic rights to develop and commercialize TMC435 from Medivir. Merck & Co. Inc. (NYSE:MRK, Whitehouse Station, N.J) markets Pegintron and Rebetol, while Roche (SIX:ROG; OTCQX:RHHBY, Basel, Switzerland) markets Pegasys and Copegus. Indication: Treat chronic HCV infection Endpoint: Proportion of patients with a sustained virologic response (SVR) after 24 weeks Status: Phase III started Milestone: NA Medivir said Johnson & Johnson’s Tibotec Pharmaceuticals Ltd. unit began the double-blind, placebo-controlled, international Phase III QUEST1 trial in 375 treatment-naïve patients with HCV genotype 1 to evaluate 150 mg oral TMC435 daily for 12 weeks plus Pegasys peginterferon alfa2a and Copegus ribavirin. Tibotec has ex-Nordic rights to develop and commercialize TMC435 from Medivir. Roche (SIX:ROG; OTCQX:RHHBY, Basel, Switzerland) markets Pegasys and Copegus. Micell Technologies Inc., Raleigh, N.C. Product: MiStent Business: Cardiovascular Molecular target: NA Description: Sirolimus-eluting coronary stent system with a bioabsorbable polymer coating Indication: Treat coronary artery disease (CAD) Endpoint: In-stent late lumen loss at 9 months; major adverse cardiac events (MACE), revascularization rates, stent coverage and reendothelialization via optical coherence tomography (OCT) and endothelial function Status: Phase II started Milestone: NA Micell began the single-blind, international Phase II DESSOLVE II trial to compare MiStent sirolimus-eluting coronary stent vs. Endeavor zotarolimus-eluting stent in about 270 patients with stable or unstable angina pectoris or ischemia. Medtronic Inc. (NYSE:MDT, Minneapolis, Minn.) markets Endeavor. Neovacs S.A. (Euronext:ALNEV), Paris, France Product: IFN-alpha kinoid (IFN-K) Business: Autoimmune See next page BioCentury Week in Review Clinical Status, from previous page Molecular target: Interferon (IFN) alpha Description: Immunotherapy against interferon (IFN) alpha Indication: Treat systemic lupus erythematosus (SLE) Endpoint: Safety; immune response, measures of disease, including disease activity indices and markers for IFN-alpha activity Status: Completed Phase I/II enrollment Milestone: Preliminary Phase I/II data (04/08/2011) Neovacs completed enrollment of 28 patients in the double-blind, placebo-controlled, dose-escalation, European Phase I/II IFN-K-001 trial evaluating intramuscular IFN-K over 3 months. Data will be presented at the European Lupus Meeting in Porto in April. NicOx S.A. (Euronext:COX), Sophia-Antipolis, France Grupo Ferrer Internacional S.A., Barcelona, Spain Product: NCX 1047 Business: Dermatology Molecular target: NA Description: Nitric oxide (NO)-donating anti-inflammatory compound Indication: Treat dermatology disorders Endpoint: NA Status: Phase I delayed Milestone: NA NicOx disclosed in its 2010 earnings that partner Grupo Ferrer will delay the start of a Phase I trial evaluating NCX 1047. A timeline for the trial start, which was delayed for internal reasons, has not been disclosed. Grupo Ferrer had planned to start the trial early this year. Oncolytics Biotech Inc. (TSX:ONC; NASDAQ:ONCY), Calgary, Alberta Product: Reolysin Business: Cancer Molecular target: Not applicable Description: Formulation of human reovirus type 3 Indication: Treat metastatic colorectal cancer (mCRC) prior to surgical resection of liver metastases Endpoint: Presence, replication and anti-cancer effects of reovirus within liver metastases; anti-tumor activity, safety, and humoral and cellular immune responses Status: Completed enrollment Milestone: data (2011) Oncolytics completed enrollment of 10 patients in the open-label, U.K. REO 013 trial evaluating IV Reolysin for 5 consecutive days. Last year, the company reported data from a histological analysis of 6 evaluable patients treated with Reolysin in the trial showing evidence of tumor cell death in 4 patients, 2 of which had confirmed K-Ras mutations in codon 12 (see BioCentury, Nov. 15, 2010). Onyx Pharmaceuticals Inc. (NASDAQ:ONXX), Emeryville, Calif. Bayer AG (Xetra:BAY), Leverkusen, Germany Product: Nexavar sorafenib Business: Cancer Molecular target: CRAF (RAF1); Vascular endothelial growth factor (VEGF) receptor Description: Inhibitor of RAF1 and multiple receptor tyrosine kinases Indication: Treat locally advanced or metastatic breast cancer Endpoint: Progression-free survival (PFS); overall survival (OS), time to progression, overall response rate (ORR), duration of response and safety Status: Phase III started Milestone: Complete Phase III (08/2012) FEBRUARY 28, 2011 P AGE B21 OF 24 Bayer and Onyx began the double-blind, placebo-controlled, international Phase III RESILIENCE trial to compare twice-daily oral Nexavar plus Xeloda capecitabine vs. placebo plus Xeloda in 21-day cycles in 519 patients with locally advanced or metastatic HER2-negative breast cancer. Nexavar is approved in more than 90 countries to treat liver cancer and in more than 95 countries to treat advanced kidney cancer. Bayer and Onyx have a worldwide co-development agreement for Nexavar outside of Japan, where Bayer owns rights. Roche (SIX:ROG; OTCQX:RHHBY, Basel, Switzerland) markets Xeloda. Pharming Group N.V. (Euronext:PHARM), Leiden, the Netherlands Product: Rhucin (Ruconest - EU) conestat alfa (rhC1INH) Business: Cardiovascular Molecular target: Complement 1 (C1) esterase Description: Recombinant human complement 1 (C1) esterase inhibitor Indication: Treat acute attacks of hereditary angioedema (HAE) Endpoint: Time to beginning of relief based on the visual analog scale (VAS); minimal important difference (MID) of the overall VAS score, time to beginning of relief based on MID and on the investigator score, and safety Status: Phase IIIb started Milestone: Complete Phase IIIb (2012) Pharming began a double-blind, placebo-controlled, international Phase IIIb trial in 50 HAE patients to evaluate IV Rhucin. Patients weighing <84 kg and ≥84 kg will receive 50 units/kg and 4,200 units of Rhucin, respectively. The product is approved as Ruconest in the EU to treat acute attacks of HAE. Last December, Pharming submitted a BLA to FDA for Rhucin in the indication. Swedish Orphan Biovitrum AB (SSE:SOBI, Stockholm, Sweden) has rights to distribute Ruconest in 24 countries in the EU plus Norway, Iceland and Switzerland, while Santarus Inc. (NASDAQ:SNTS, San Diego, Calif.) has exclusive commercialization rights in North America. Regeneron Pharmaceuticals Inc. (NASDAQ:REGN), Tarrytown, N.Y. Product: Rilonacept (Arcalyst) (formerly IL-1 Trap) Business: Metabolic Molecular target: Interleukin-1 (IL-1) Description: Recombinant protein with the heterodimeric IL-1 receptor linked to the Fc portion of human IgG Indication: Prevent gout flares Endpoint: Safety; number of gout flares at week 16 Status: Completed Phase III enrollment Milestone: Phase III data (1Q11) Regeneron disclosed in its 4Q10 earnings that it completed enrollment of about 1,200 patients taking urate-lowering drugs in the doubleblind, international Phase III RE-SURGE trial evaluating an initial 320 mg subcutaneous injection of Arcalyst followed by once-weekly 160 mg Arcalyst. Indication: Prevent gout flares Endpoint: Number of gout flares; number of modified gout flares, proportion of patients with ≥1 gout flare during treatment, proportion of patients with ≥2 gout flares during treatment, mean number of gout flares days per patient and mean number of days with pain score ≥5 Status: Completed Phase III enrollment Milestone: Phase III data (1Q11) Regeneron disclosed in its 4Q10 earnings that it completed enrollment of about 240 patients in the double-blind, international Phase III PRE-SURGE 2 trial evaluating subcutaneous Arcalyst when given during the first 16 weeks of allopurinol therapy. Patients will receive either an initial 160 mg injection of Arcalyst followed by once-weekly 80 mg See next page BioCentury Week in Review FEBRUARY 28, 2011 P AGE B22 OF 24 OFFERINGS & SECURITIES TRANSACTIONS Week ended 2/25/11. Shares after offering refers to shares outstanding. Proceeds are gross, not net. Shares offered don’t include overallotments. Currency rates used in the week: C$=US$1.0154; €=$1.3699; SEK=$0.1563; ¥=$0.012 Completed Offerings 4SC AG (Xetra:VSC), PlaneggMartinsried, Germany Business: Autoimmune, Cancer Date completed: 2/24/11 Type: Placing Raised: €11.7 million ($16.1 million) Shares: 3.5 million Price: €3.40 Shares after offering: 42 million Placement agent: Donner & Reuschel Privatbank Acetylon Pharmaceuticals Inc., Winchester, Mass. Business: Cancer, Autoimmune Date completed: 2/22/11 Type: Venture financing Raised: $12.4 million Investors: Not disclosed Note: Acetylon raised $12.4 million in a first tranche of a series B round. Clinical Status, from previous page Arcalyst, an initial 320 mg injection of Arcalyst followed by once-weekly 160 mg Arcalyst, or placebo. Regeneron Pharmaceuticals Inc. (NASDAQ:REGN), Tarrytown, N.Y. sanofi-aventis Group (Euronext:SAN; NYSE:SNY), Paris, France Product: Aflibercept (VEGF Trap) Business: Cancer Molecular target: Vascular endothelial growth factor (VEGF); Placental growth factor (PGF) (PlGF) Description: Fusion protein containing the extracellular domains from 2 VEGF receptors linked to the Fc portion of human IgG Indication: First-line treatment of metastatic colorectal cancer (mCRC) Endpoint: Progression-free survival (PFS) at 12 months; overall response rate (ORR) and overall survival (OS) Status: Completed Phase II enrollment Milestone: Interim Phase II data (2H11) Regeneron disclosed in its 4Q10 earnings that partner sanofiaventis completed enrollment of about 230 patients in the open-label Phase II AFFIRM trial comparing aflibercept in combination with leucovorin, 5-fluorouracil (5-FU) and oxaliplatin (FOLFOX6) vs. FOLFOX6 alone. The companies are co-developing aflibercept to treat cancer under a 2003 deal. Tarix Pharmaceuticals Ltd., Brookline, Mass. Product: TXA127 Business: Hematology Molecular target: NA Description: Peptide that stimulates early hematopoietic precursor cells in the bone marrow Indication: Improve engraftment following autologous peripheral blood stem cell transplant Endpoint: Platelet recovery; initial neutrophil recovery Status: Phase II started Milestone: Complete Phase II (01/2012) Tarix began a double-blind, placebo-controlled, U.S. Phase II trial to evaluate daily 300 µg/kg subcutaneous TXA127 for up to 28 days following autologous peripheral blood stem cell transplant in 74 patients with Hodgkin’s lymphoma, non-Hodgkin’s lymphoma (NHL) Biofrontera AG (Xetra:B8F), Leverkusen, Germany Business: Dermatology Date completed: 2/22/11 Type: Private placement Raised: €1.8 million ($2.5 million) Shares: 880,000 Price: €2.05 Shares after offering: 10.9 million Cantargia AB, Lund, Sweden Business: Cancer Date completed: 1/3/11 Type: Venture financing Raised: SEK4.3 million ($638,981) Investor: Lund University Bio- science AB Note: The financing was conducted during 4Q10 and 1Q11. FluGen Inc., Madison, Wis. Business: Infectious Date completed: 2/22/11 Type: Venture financing Raised: $7.8 million Investors: Knox; and other undisclosed investors High Throughput Genomics Inc., Tucson, Ariz Business: Genomics, Supply/SerSee next page or multiple myeloma (MM) undergoing limited reinfusion of CD34+ cells. TXA127 has Orphan Drug designation in the U.S. to enhance engraftment in patients receiving a stem cell transplant and to treat myelodysplastic syndromes (MDS). TcLand Expression S.A., Nantes, France Product: RA-INF-Dx blood test Business: Diagnostic Molecular target: NA Description: Multigene molecular diagnostic Indication: Identify rheumatoid arthritis (RA) patients who are unlikely to respond to infliximab and methotrexate combination therapy Endpoint: Performance as measured by the relationship of test result and non-response according to European League Against Rheumatism (EULAR) criteria to combination therapy; non-response to combination therapy based on American College of Rheumatology (ACR) criteria Status: NA started Milestone: Market launch (2012) TcLand began the open-label, European PRINT trial to evaluate the performance of its RA-INF-Dx blood test in 200 RA patients who are unlikely to show an initial response to infliximab and methotrexate combination therapy. Johnson & Johnson (NYSE:JNJ, New Brunswick, N.J.) and Merck & Co. Inc. (NYSE:MRK, Whitehouse Station, N.J.) market Remicade infliximab. Trevena Inc., King of Prussia, Pa. Product: TRV120027 Business: Cardiovascular Molecular target: Angiotensin II type 1 (AT1) receptor (AGTR1) Description: Dual-acting ligand that inhibits angiotensin-mediated Gprotein signaling and stimulates beta arrestin signaling via the angiotensin II type I (ATI) receptor (AGTR1) Indication: Treat acute heart failure (AHF) Endpoint: Safety and pulmonary capillary wedge pressure (PCWP); effects on hemodynamic parameters, neurohormonal activation and renal markers Status: Phase IIa started Milestone: NA Trevena began a double-blind, placebo-controlled, dose-ranging Phase IIa trial to evaluate IV TRV120027 in about 32 patients with stable heart failure. BioCentury Week in Review FEBRUARY 28, 2011 Completed Offerings, from previous page chase 0.913 of a share, with each whole warrant exercisable at $1. (Euronext:TIG, Leuven, Belgium), which is expected to close by June. vice, Diagnostic Date completed: 2/24/11 Type: Venture financing Raised: $15.7 million Investors: Novo A/S; Fletcher Spaght Ventures; Merck Capital Ventures; Solstice Capital; Valley Ventures Note: High Throughput Genomics raised $15.7 million in a first tranche of a series D round. Pharmaron Inc., Irvine, Calif. Business: Supply/Service Date completed: 2/24/11 Type: Venture financing Raised: $40 million Investors: DCM; Legend Capital; GL Capital Management Note: The company said it raised “more than $40 million.” Cell Therapeutics Inc. (NASDAQ: CTIC; Milan:CTIC), Seattle, Wash. Business: Cancer Date announced: 2/18/11 Type: Private placement of preferred stock To be raised: Up to $25 million Shares: 24,957 Price prior: $0.34 Shares outstanding prior: 900.8 million Investors: Institutional investor Note: The series 10 preferred stock bears a 10% dividend. The investor will also receive twoyear warrants to purchase up to 25.9 million common shares at $0.34. The investor also has a right to purchase up to $25 million in convertible series 11 preferred stock. The series 11 stock converts at $0.34. ImmunoCellular Therapeutics Ltd. (OTCBB:IMUC), Woodland Hills, Calif. Business: Cancer, Neurology Date completed: 2/23/11 Type: Private placement of units Raised: $8.1 million Units: 5.2 million Price: $1.55 (unit) Shares after offering: 26.9 million Placement agents: Summer Street Research Partners; Dawson James Securities Investors: Institutional investors Note: Each unit comprises a share and a five-year warrant to purchase 0.5 shares, with each whole warrant exercisable at $2.25. Intercell AG (VSE:ICLL; OTCQX: INRLY), Vienna, Austria Business: Infectious Date completed: 2/23/11 Type: Private placement of senior notes Raised: €33 million ($45.2 million) Underwriter: Erste Bank Investors: Institutional investors Note: The unsecured notes bear 6% interest, mature on March 15, 2014, and convert at €11.43. Palatin Technologies Inc. (NYSE-A:PTN), Princeton, N.J. Business: Genitourinary, Cardiovascular, Endocrine Date completed: 2/24/11 Type: Follow-on Raised: $23 million Units: 23 million Price: $1 (unit) Shares after offering: 34.9 million Underwriters: Roth Capital Partners; Madison Williams and Co. Note: Each unit consists of a share, a five-year series A warrant to purchase 0.087 of a share and a five-year series B warrant to pur- SymBio Pharmaceuticals Ltd., Tokyo, Japan Business: Cancer Date completed: 2/25/11 Type: Venture financing Raised: ¥2 billion ($24 million) Investors: Cephalon Inc.; JAFCO Proposed Offerings Accentia Biopharmaceuticals Inc. (OTCQB:ABPI), Tampa, Fla. Business: Inflammation, Cancer, Infectious Date announced: 2/18/11 Type: Best efforts offering To be raised: Up to $5 million Shares: TBD Price prior: $0.61 Shares outstanding prior: 68.6 million Note: The offering is a units financing with each unit consisting of a share and a five-year warrant to purchase 0.5 of a share. Advanced BioHealing Inc., Westport, Conn. Business: Dermatology Date announced: 2/25/11 Type: IPO To be raised: Up to $200 million Shares: TBD Price: TBD Underwriters: BofA Merrill Lynch; JPMorgan; Wells Fargo; William Blair; Oppenheimer Cellerix S.A., Madrid, Spain Business: Autoimmune, Dermatology, Gene/Cell therapy Date announced: 2/25/11 Type: Venture financing To be raised: Up to €18 milllion ($24.7 million) Investors: Existing investors Note: Cellerix plans to raise €18 million ($24.7 million) prior to its acquisition by TiGenix N.V. RaQualia Pharma Inc., Aichi, Japan Business: Infectious, Neurology, Gastrointestinal Date announced: 2/21/11 Type: IPO To be raised: TBD Shares: 3.7 million Price: TBD Underwriter: Daiwa Securities Capital Markets Note: The offering is also being underwritten by 11 other securities firms. RaQualia plans to list the shares on the JASDAQ Growth Market of the Osaka Securities Exchange. The shares are expected to start trading on March 25. Theratechnologies Inc. (TSX: TH), Montreal, Quebec Business: Endocrine, Pulmonary Date announced: 2/22/11 Type: Follow-on To be raised: TBD Shares: 11 million Price prior: C$4.81 Underwriters: Jefferies; Stifel Nicolaus Weisel; RBC Capital Markets; BMO Capital Markets; Desjardins; NBF Securities Corp. Overallotment: 1.7 million Note: Theratechnologies plans to sell the shares in an initial listing on NASDAQ. TiGenix N.V. (Euronext:TIG), Leuven, Belgium P AGE B23 OF 24 Business: Musculoskeletal, Gene/ Cell therapy Date announced: 2/25/11 Type: Rights offering To be raised: About €15 million ($20.5 million) Shares: 15 million Price: €1 Underwriters: Kempen & Co.; KBC Shares outstanding prior: 31.1 million Investors: Existing investors; institutional investors Note: TiGenix plans to close the offering prior to its acquisition of Cellerix S.A. (Madrid, Spain), which is expected to close by June. TiGenix said it already received commitments for €10 million ($13.7 million) from certain existing and new institutional investors. Other Financial News Aeterna Zentaris Inc. (TSX: AEZ; NASDAQ:AEZS), Quebec City, Quebec Business: Endocrine, Infectious, Cancer Date announced: 2/22/11 Aeterna established a 2-year, at-the-market program to sell up to 12.5 million of its common stock. McNicoll, Lewis & Vlak is the sales agent. Aeterna, which closed Friday at $1.81 has 83.1 million shares outstanding. Ardea Biosciences Inc. (NASDAQ:RDEA), San Diego, Calif. Business: Metabolic, Infectious, Cancer Date announced: 2/23/11 Ardea raised $10.7 million through the sale of 412,500 shares at $26 to cover overallotments from its Jan. 20 follow-on, bringing the total raised to $82.2 million. Ardea, which closed Friday at $27.09, has 26.5 million shares outstanding. Chelsea Therapeutics International Ltd. (NASDAQ:CHTP), Charlotte, N.C. Business: Cardiovascular, Autoimmune, Neurology Date announced: 2/24/11 Chelsea Therapeutics raised $5.3 million through the sale of 1.3 million shares at $4 to cover See next page BioCentury Week in Review Other Financial News, from previous page overallotments from its Feb. 18 follow-on, bringing the total raised to $40.3 million. Chelsea Therapeutics, which closed Friday at $4.32, has 61.8 million shares outstanding. Genta Inc. (OTCBB:GNTAD), Berkeley Heights, N.J. Business: Cancer Date announced: 2/18/11 Genta implemented a 1-for50 reverse stock split and began trading under the symbol “GNTAD.” Following the split, the company has about 13.3 million shares outstanding. Osage University Partners, Bala Cynwyd, Pa. Business: Finance Date announced: 2/24/11 Osage University Partners closed its Osage University Partners I fund at $100 million. The fund will invest in early- and late-stage companies in a broad range of sectors, including therapeutics and medical diagnostics, that have licensed technology from universities affiliated with Osage. The fund FEBRUARY 28, 2011 has already invested in nine companies, including diagnostics company Avid Radiopharmaceuticals Inc., which Eli Lilly & Co. (NYSE:LLY, Indianapolis, Ind.) acquired last year. Paladin Labs Inc. (TSX:PLB), Montreal, Quebec Business: Genitourinary, Dermatology, Endocrine Date announced: 2/24/11 Paladin Labs raised C$5.3 million ($5.3 million) through the sale of 150,000 shares at C$35 to cover overallotments from its Feb. 3 follow-on, bringing the total raised to C$40.3 million ($40.3 P AGE B24 OF 24 million). Paladin, which closed Friday at C$34.09, has 19.7 million shares outstanding. Thermo Fisher Scientific Inc. (NYSE:TMO), Waltham, Mass. Business: Supply/Service Date announced: 2/24/11 Thermo Fisher said its board authorized a new, one-year, $750 million share repurchase program. The company has $385 million remaining under an existing share repurchase plan, which expires in September. Thermo Fisher, which closed Friday at $55.56, has 390.6 million shares outstanding.
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