Pharmaceutical Market Europe • December 2023 • 6-7

NEWS

AstraZeneca and Cellectis partner in deal worth over $2.2bn

Image

AstraZeneca (AZ) has announced a collaboration and investment agreement with Cellectis aimed at accelerating the development of therapeutics in areas including oncology, immunology and rare diseases, with the deal potentially worth over $2.2bn.

AZ said the deal gives it access to the French biotech’s proprietary gene-editing technologies and manufacturing capabilities to design novel cell and gene therapy products.

The Anglo-Swedish drugmaker added that it had exclusive rights to 25 genetic targets, from which up to ten candidate products could be explored for development.

Marc Dunoyer, chief strategy officer at AZ and chief executive officer of Alexion, AZ’s rare disease unit, said: “The differentiated capabilities Cellectis has in gene editing and manufacturing complement our in-house expertise and investments made in the past year.”

Under the terms of the agreement, AZ will pay Cellectis $105m by the end of the year, consisting of a $25m upfront payment and an $80m equity investment. A further $140m equity investment is expected in early 2024, which will give AZ a stake of approximately 44% in Cellectis.

Cellectis will also be eligible to receive an investigational new drug option fee and development, regulatory and sales-related milestone payments ranging from $70m up to $220m per each of the ten candidate products, plus tiered royalties.


GSK to acquire Janssen’s hepatitis B therapy in $1bn deal

Image

GSK and Arrowhead Pharmaceuticals have announced that they have reached an agreement with Janssen Pharmaceuticals to receive exclusive rights to its hepatitis B therapy, JNJ-3989.

The Johnson & Johnson company’s investigational hepatitis B virus-targeted small interfering ribonucleic acid (siRNA) therapeutic was initially licensed by Janssen from Arrowhead in 2018.

Exclusive rights to the liver-targeted siRNA antiviral therapy will accelerate the expansion of GSK’s own hepatitis B treatment, bepirovirsen, which is currently in late-stage development, the company said.

Under the terms of the deal, GSK will pay upfront and potential milestone-based payments totalling $1bn to Janssen and Arrowhead to acquire exclusive rights and obligations under the current licence agreement between both companies.

Janssen will continue to be responsible for the ongoing clinical trials of JNJ-3989 at its own expense and GSK will be responsible for future development and commercialisation activities.

Additionally, tiered royalties on net dates pursuant to the original agreement will go to Arrowhead.

GSK intends to evaluate JNJ-3989 in combination with its investigational antisense oligonucleotide, bepirovirsen, for the treatment of adult non-cirrhotic patients with chronic hepatitis B on nucleos(t)ide analogue therapy.

JNJ-3839 has the potential to move into a phase 2 sequential regimen trial with GSK’s bepirovirsen in 2024.


Merck to acquire Caraway in $610m deal

Image

Merck & Co – known as MSD outside the US and Canada – has entered into a definitive agreement to acquire Caraway Therapeutics, with the deal being worth up to $610m.

The acquisition gives Merck access to the preclinical biopharma’s pipeline of small-molecule therapeutics for genetically defined neurodegenerative and rare diseases.

Mutations that impair cellular clearance pathways are associated with multiple neurodegenerative and rare diseases, including neurodegenerative disorders characterised by cognitive dysfunction, according to Caraway.

The company focuses on discovering small molecules that activate cellular recycling processes to clear toxic materials and defective cellular components by modulating lysosomal function.

George Addona, senior vice president, discovery, preclinical development and translational medicine at Merck Research Laboratories, said: “Caraway’s multidisciplinary approach has yielded important progress in evaluating novel mechanisms of modulation of lysosomal function with potential for the treatment of progressive neurodegenerative diseases.”

Though exact financial details of the transaction have not been disclosed, Merck will make an upfront payment and contingent milestone payments to Caraway.

Martin Williams, chief executive officer of Caraway Therapeutics, described the buyout as a “testament to the hard work and dedication of the Caraway team and [its] mission to develop therapeutics with the potential to alter the progression of devastating neurodegenerative diseases and help patients”.


MHRA authorises
world-first gene therapy

Image

The Medicines and Healthcare products Regulatory Agency (MHRA) has granted authorisation to a ‘world-first’ gene therapy that aims to cure sickle cell disease (SCD) and transfusion-dependent beta-thalassaemia (TDT) in patients aged 12 and over.

Vertex Pharmaceuticals and CRISPR Therapeutics’ Casgevy (exagamglogene autotemcel) is now the first licensed treatment that uses the gene-editing tool CRISPR, for which its inventors were awarded the Nobel Prize in 2020.

SCD and beta-thalassaemia are both genetic conditions caused by errors in the genes for haemoglobin, which is used by red blood cells to carry oxygen around the body.

For those with SCD, this can lead to attacks of very severe pain known as vaso-occlusive crises (VOCs), serious and life-threatening infections and anaemia, while in beta-thalassaemia, it can lead to severe anaemia, and patients often require regular blood transfusions throughout their lives.

Casgevy has been specifically authorised for use in SCD patients with recurrent VOCs or those with TDT for whom a human leukocyte antigen matched related haematopoietic stem cell donor is not available.

The UK regulator’s decision was supported by two global clinical trials of Casgevy in SCD and TDT, which met their respective primary outcomes of becoming free from severe VOCs or transfusion independent for at least 12 consecutive months.


FDA grants fast track to AviadoBio’s dementia gene therapy

Image

The US Food and Drug Administration (FDA) has granted fast track designation to AviadoBio’s experiential dementia gene therapy and given clearance for the candidate to be studied in a subset of frontotemporal dementia (FTD) patients.

AVB-101 will now benefit from the FDA’s fast track process, which is designed to improve the efficiency of product development and accelerate the review of treatments for serious conditions.

FTD, a form of early-onset dementia, is the leading cause of dementia in people aged under 65 years and typically leads to death within seven to 13 years of symptom onset.

Genetic FTD cases account for about one-third of cases and are most frequently associated with autosomal dominant mutations in three genes, including the progranulin (GRN) gene.

The potential one-time therapy AVB-101 has been designed to halt disease progression by delivering a functional copy of GRN to restore levels of progranulin to areas of the brain affected by FTD.

The FDA and the European Commission both granted orphan designation to the candidate as a treatment for FTD in 2022, and AviadoBio recently announced that enrolment to its phase 1/2 of the candidate in patients with FTD-GRN had begun in Europe.


Pfizer and Astellas’ Xtandi approved by FDA

Image

Pfizer and Astellas’ Xtandi (enzalutamide) has been approved by the US Food and Drug Administration (FDA) to treat non-metastatic castration-sensitive prostate cancer (nmCSPC) patients with biochemical recurrence (BCR) and a high risk of metastasis.

The regulator’s decision makes Xtandi, which has been authorised for use with or without a gonadotropin-releasing hormone (GnRH) analog therapy, the first androgen receptor signalling inhibitor approved for use in this subset of patients.

The treatment is already approved in the US for castration-resistant prostate cancer and metastatic castration-sensitive prostate cancer.

Compared with those indications, nmCSPC represents an earlier stage of disease, in which there is no detectable evidence of the cancer spreading to distant parts of the body (metastases) and it still responds to testosterone-lowering treatments.

However, between 20% and 40% of patients who have undergone prostate cancer treatment will experience BCR within ten years, and about nine out of ten of those with high-risk BCR will develop metastatic disease.

The companies’ supplemental new drug application was supported by positive results from the phase 3 EMBARK trial, which demonstrated a statistically significant and clinically meaningful improvement in metastasis-free survival for high BCR-risk nmCSPC patients treated daily with Xtandi plus the GnRH agonist leuprolide versus placebo plus leuprolide.