The biotechnology sector ended in the green for the third month in a row in July, significantly outperforming the broader market. The Nasdaq Biotechnology Index (NBI) climbed by a robust 6.6 percent, closing at 4,843.6, up from a close of 4,545.28 in June. Similarly, the SPDR S&P Biotech ETF (XBI) index surged by 6.8 percent, reaching 99.06, up from June’s closing of 92.71. The S&P Biotechnology Select Industry Index (SPSIBI) followed suit, jumping 6.8 percent to 7,716.95 compared to a 4.25 percent rise in June, when it closed at 7,225.07.The month saw a few significant deals. Eli Lilly announced the acquisition of Massachusetts-based Morphic
Holding for approximately US$ 3.2 billion in cash, bolstering its
presence in the US$ 26.65 billion inflammatory bowel disease
(IBD) market. Lilly also signed a strategic deal with radiopharmaceutical
company Radionetics Oncology for US$ 140 million, with an option to purchase
the entire company for US$ 1 billion. As the month drew to a close, Boehringer Ingelheim said it is acquiring Nerio Therapeutics for up to US$ 1.3 billion, in order to expand its immuno-oncology
portfolio.Access the Pipeline Prospector Dashboard for July 2024 Newsmakers (Free Excel)Lilly’s donanemab finally gets approved; Dupixent okayed as add-on therapy for COPDWith the Alzheimer's Association International Conference (AAIC) taking place in Philadelphia (in the US), the spotlight was firmly on Alzheimer’s disease. In the last week of July, the US Food and Drug Administration (FDA) approved Alpha Cognition’s Zunveyl (benzgalantamine) to treat mild-to-moderate Alzheimer’s disease. In early July, and weeks prior to the conference, the FDA had
granted a long-awaited approval to Eli Lilly’s donanemab, to be marketed as Kisunla, for the treatment of early symptomatic Alzheimer’s disease.In other approvals, European regulators became the first in the world to approve Sanofi and Regeneron’s Dupixent as an add-on therapy for chronic obstructive pulmonary disease (COPD) patients with high levels of certain white blood cells.In May, FDA had extended its target action date of its
priority review of Dupixent as an add-on maintenance treatment for COPD by
three months. The revised target action date is now September 27, 2024.Access the Pipeline Prospector Dashboard for July 2024 Newsmakers (Free Excel) Merck’s RSV jab shows efficacy in infants; GSK’s Dovato measures up to Gilead’s BiktarvyMerck said its monoclonal antibody jab to protect infants against RSV-related
infections has met the main goals of a mid-to-late-stage
trial. Clesrovimab reduced medically attended lower respiratory infections
caused by RSV through day 150. Merck plans to submit the data to global
regulators. Currently, Sanofi and Astra’s Beyfortus is approved by the FDA to prevent RSV in
children up to 24 months.In the largest study of its kind, GSK’s HIV drug Dovato was found to be non-inferior to Gilead Sciences’ Biktarvy, which is seen
as the benchmark for HIV treatment. Significantly,
Dovato did so with lesser weight gain in a 48-week head-to-head study of
virologically suppressed HIV-1 patients. Both Dovato and Biktarvy are single
pill treatments for HIV given once a day. Biktarvy raked in US$ 11.9 billion in 2023.Pfizer’s gene therapy for hemophilia A, giroctocogene fitelparvovec, showed promising results in
a late-stage trial by significantly reducing the number of annual bleeding
episodes. This brings Pfizer closer to securing FDA approval, competing with BioMarin’s Roctavian. Pfizer also said it is moving ahead to mid-stage trials with a once-daily version of its glucagon-like peptide
1 (GLP-1) drug danuglipron for weight loss. In December, Pfizer had discontinued a twice-daily version of danuglipron on account of side effects. Pfizer’s stock also benefited from
its healthy second quarter (Q2) results.Swiss drugmaker Roche is reintroducing Susvimo in the US after voluntarily recalling it in October 2022. The implant used to treat patients with neovascular age-related macular degeneration (wet AMD) requires a one-time surgery to be inserted into the eye.Roche also revealed that a second drug candidate from its up to US$ 3.1 billion buyout of Carmot Therapeutics — an obesity drug — has delivered promising results in an early-stage trial. This once-daily weight-loss pill CT-996 reduced on average 6.1 percent of participants’ starting weight after four weeks. CT-996 works in a similar manner as other blockbuster weight loss drugs, such as Wegovy and Zepbound.Access the Pipeline Prospector Dashboard for July 2024 Newsmakers (Free Excel) Biogen-Sage’s essential tremor drug rejected; Novo’s weekly insulin hit with FDA’s CRLSeveral drugmakers faced setbacks last month. Novo Nordisk received a complete response letter (CRL) from the FDA, declining approval for its weekly insulin
Awiqli. The agency requested additional information related to the
manufacturing process, as well as on the type 1 diabetes
indication. In May, an FDA panel had voted seven to four
against the benefits of Awiqli outweighing its risks.Sage and Biogen’s partnership experienced another setback after the failure of their
drug SAGE-324 in a phase 2 trial for essential tremor, a disorder that causes
uncontrollable shaking of hands, arms and other parts of the body. This follows
the previous failure of Zurzuvae to secure an FDA approval for clinical depression. Meanwhile, Eisai and Biogen’s Alzheimer’s drug Leqembi, faced a setback in Europe when the EU drugs
regulator rejected its approval. The European Medicines Agency said the drug’s meager benefit on slowing cognitive decline in early Alzheimer’s did not outweigh the risk it brings of serious brain swelling. Leqembi is approved in the US market, where it has a new competitor — Lilly’s Kisunla.Also, BMS walked away from its rights
to the ADC farletuzumab ecteribulin after having paid Japanese drugmaker Eisai US$ 650 million. As part of its portfolio
reprioritization, BMS decided to end the co-development agreement.Access the Pipeline Prospector Dashboard for July 2024 Newsmakers (Free Excel) Our viewAs
July drew to a close, several pharma majors announced their second quarter (Q2) earnings,
including Pfizer, Merck, AbbVie and, AstraZeneca. Most of these drugmakers
ended up beating Wall Street expectations. For instance, Pfizer saw revenue
growth in Q2 after shrinking for five quarters. It posted revenues of US$ 13.3 billion in the second quarter of 2024, compared to US$ 13 billion in the corresponding quarter last year. It has subsequently raised its 2024 guidance by US$ 1 billion. This means it’s not just the indices and share prices, but even the brass tacks — the top line and the bottomline of drugmakers — are looking up. And that may bring more cheer to the markets in August.Access the Pipeline Prospector Dashboard for July 2024 Newsmakers (Free Excel)
Impressions: 1547
Our January 2022 update of the Pipeline Prospector highlighted how the Omicron variant of the novel coronavirus drove the pharma and biotech stocks down. In February too, the bearish trend continued. The ongoing Russia-Ukraine war further spooked the global markets.
The Nasdaq Biotechnology Index (NBI) sank by 5.5 percent
to US$ 3,996 last month. In January, NBI had dropped 11 percent to US$
4,187.
Similarly, the S&P Biotechnology Select Industry Index (SPSIBI) sank
by 5.4 percent to US$ 6,992. In comparison, the S&P 500 Index (SPX) fell
3.8 percent to US$ 4,373.94.
On the earnings side, several drug companies have already reported their
fourth quarter (Q4) results.
Broadly, the medical sector posted mixed results, with Q4 earnings expected to
rise 25.8 percent on a sales increase of 13.9 percent.
Access the Pipeline Prospector Dashboard for February 2022 Newsmakers
Biotechs’ hopes to raise fresh funds hampered by market rout
Over the
last two years, several loss-making biotechs raised a record US$ 32.7 billion
in initial public offerings (IPOs). Today, 83 percent of the recently listed US
biotech and pharma stocks are trading below their IPO price, says a report
published in Financial Times.
Biotech
groups that listed in 2021 are trading on average 37 percent below their IPO
price, as compared to a 22 percent fall for all newly US-listed companies. Many
of these companies were hoping to raise fresh funds from their investors
through a subsequent share sale with their drugs marching ahead on the R&D
cycle. But their ability to do so has been hampered by a market rout for
biotech stocks. Retail investors and generalist money managers have turned sour towards the industry.
There is a “complete bloodbath across the board,” says Geraldine O’Keeffe, a partner at healthcare
investment firm LSP. As a result, dozens of biotech companies are running low on cash and face an uphill task to
raise fresh funds. However, experts feel biotech
stocks still hold plenty of attraction, because the
right ones can make investors wealthy.
Access the Pipeline Prospector Dashboard for February 2022 Newsmakers
Covid
drug, vaccine makers continue to see drop in stock prices
Covid-19 vaccine and drugmakers — such as Pfizer, BioNTech, Merck, Moderna Therapeutics, J&J and Roche — continued to see a drop in their stock prices last month. With Covid cases plummeting from all-time highs, experts have been questioning whether vaccines will
be a sustainable revenue stream in the years to come.
On February 14, shares of Moderna touched its lowest level in nearly a year. The reason — a slew of regulatory filings revealed four Moderna executives — including billionaire CEO Stéphane
Bancel — had sold 23,281 shares for about US$ 3.6 million in early February. Out of this, Bancel had offloaded 19,000
shares. Bancel had reportedly been selling shares of Moderna since late
2019. However, suspicions of insider
trading were raised when he cancelled his Twitter account without prior
warning.
Similarly, Pfizer and BioNTech saw a drop in their
shares by 2 percent and over 9 percent respectively around mid-February as the
duo delayed
their FDA application for an emergency use authorization (EUA) of their
Covid-19 vaccine in children aged between six months and four years.
Late last year, Johnson & Johnson
had temporarily halted the production of its Covid-19 vaccine at its Leiden facility in the Netherlands. More negative news last month on J&J’s Covid vaccine led to a further 1.07 percent drop in its shares. According to a paper
published in the New England Journal of Medicine, final analysis of a
phase 3 study revealed that the vaccine
provided only 52.9 percent protection against moderate to
severe-critical Covid-19, and may be even less effective in the longer term.
In the case of Merck, FDA’s revision of the EUA for Merck’s Covid-19 pill
molnupiravir
sent its shares down by 0.42
percent. The agency said it should only be used as a last line of defense if
other treatments are available.
Access the Pipeline Prospector Dashboard for February 2022 Newsmakers
AbbVie, Astra, BMS, Lilly, Sanofi, Regeneron score wins
When we look at mega cap gainers, AbbVie emerges as one of the top performers. AbbVie’s fortunes have hinged on Humira, and this autoimmune-disease drug is slated to face competition from biosimilars in the US market soon. However, experts are of the view that Humira won’t lose its mega-blockbuster tag anytime soon.
Moreover, Humira’s successors — Rinvoq and Skyrizi — brought in sales of nearly US$ 4.6 billion in 2021. AbbVie projects combined global sales
of US$ 15 billion from the two drugs in 2025, and the net increase could be
enough to offset sales declines for Humira.
Moreover,
analysts see a lot of promise in its anti-psychotic drug Vraylar, which is awaiting add-on FDA approval for patients with
major depressive disorder (MDD) who are already on antidepressants. Such an
approval could take Vraylar beyond the expected US$ 4 billion in peak sales. In
2021, Vraylar generated just
over US$ 1.7 billion in sales.
Similarly, there was positive news from AstraZeneca,
as the British-Swedish drugmaker and its Japanese partner Daiichi Sankyo scored a crucial win
for their breast cancer drug Enhertu. Results from a phase 3 trial showed
Enhertu boosted survival in patients with a type of tumor called HER2-low that
had spread widely or couldn't be removed surgically. It’s the first time such a therapy has shown mortality benefit in patients with this kind of relatively common breast cancer.
Riding on the success of its Covid vaccine, Astra reported 41 percent growth in its 2021 revenues. Its Covid-19 vaccine
generated US$ 4 billion in 2021.
Despite the FDA showing its unwillingness
to approve Eli Lilly
and its partner Innovent Biologics’ cancer treatment — Tyvyt — as the drug’s clinical data
is solely from China, Lilly posted gains in February. The reasons were
three-fold. One, the
FDA issued an EUA for Eli Lilly’s
antibody bebtelovimab to treat mild-to-moderate Covid-19 in patients above the
age of 12. The company has claimed that bebtelovimab can neutralize the Omicron
variant of coronavirus. Two, Lilly entered into an agreement with the US
government to supply 600,000 doses of bebtelovimab for US$ 720 million. And three, the FDA approved Lilly and its partner Boehringer Ingelheim's
drug, Jardiance, for expanded use in
reducing the risk of death and hospitalization for all patients with heart
failure.
Other major gainers were Bristol Myers Squibb,
Sanofi
and Regeneron.
While BMS
announced a US$ 5 billion accelerated share buyback program, Sanofi bagged FDA approval for cold agglutinin
disease (CAD) drug Enjaymo (sutimlimab).
The disease affects around 5,000 people in the US. The French drugmaker also
unveiled a new corporate identity. And Regeneron
announced encouraging phase 2 results for high-dose aflibercept
8 mg in wet age-related
macular degeneration (wet AMD).
Among mid cap companies, Maravai LifeSciences’ stocks gained
30 percent after sources claimed that Germany-headquartered
Sartorius has placed a
US$ 11 billion bid for the Covid vaccine reagent vendor. Both the companies
refused to comment about the bid.
Access the Pipeline Prospector Dashboard for February 2022 Newsmakers
Biocon acquires Viatris’ biosimilars business
The biggest deal of the month was Biocon Biologics’ acquisition of Viatris’
biosimilars business for up to US$ 3.3 billion. The deal will
be funded through a debt of US$ 1.2 billion, apart from stocks and cash. Biocon Biologics will acquire Viatris’ global commercial infrastructure in developed and emerging markets, its global biosimilars business and rights to Viatris’ biosimilar assets.
Massachusetts-based Collegium Pharmaceutical
acquired
specialty pharmaceutical company BioDelivery Sciences International (BDSI) in a US$ 604 million all-cash transaction.
BDSI has a portfolio of pain and neurology products that address serious and
debilitating conditions.
Other deals
of February include Mersana Therapeutics’ research collaboration and license agreement worth US$ 1.04 billion with Janssen
to advance antibody-drug conjugates (ADCs) targeting cancers, and Remix Therapeutics’ US$ 1.045 billion strategic collaboration with Janssen for the
discovery and development of small molecule therapeutics.
Similarly, ImmunoGen, a leader in ADCs for the
treatment of cancer, announced a global, multi-year definitive licensing
agreement with Eli Lilly.
Under the deal, ImmunoGen is eligible to receive up to US$ 1.7 billion in
potential target program exercise fees and milestone payments. And Takeda signed a US$ 2 billion biobucks deal with Code Biotherapeutics across four programs.
In other major developments, Gilead
reached a US$ 1.25 billion settlement with ViiV Healthcare
to resolve a litigation pertaining to Biktarvy
and ViiV’s Dolutegravir
patents.
In IPOs, Nuvectis Pharma,
an oncology-focused biopharmaceutical company, announced the closing of its IPO of 3.2 million
shares.
Access the Pipeline Prospector Dashboard for February 2022 Newsmakers
Our view
The year 2022 began on a muted note, with bearish trends being witnessed due to the Omicron variant of the coronavirus. While there is hope that Covid-19 won’t play more havoc with our lives, the ongoing war between
Russia and Ukraine has taken oil prices to record highs
and sent stock markets into a
tizzy. The war will have an impact on clinical trials — according to the FDA, 251 clinical trials for drugs and devices are underway in
Ukraine. The war is also likely to impact the financial performance of drug
companies across the world.
The earlier the war ends, the better it is for everyone. For now, we can safely assume that next month’s Pipeline Prospector is
unlikely to bring much cheer from the bourses. Though we certainly hope we are
proved wrong.
Access the Pipeline Prospector Dashboard for February 2022 Newsmakers
Impressions: 3232