Pharmaceutical Market Europe • January 2023 • 6-7
NEWS
Amgen has announced its plans to acquire biopharmaceutical company, Horizon Therapeutics (Horizon), in a deal worth around $27.8bn, making it the biggest planned pharma buyout for 2022.
The agreement, first reported by The Wall Street Journal, marks the largest transaction of its kind since Alexion’s buyout by AstraZeneca for $39bn in 2021.
In November last year it was revealed that Horizon had been in takeover discussions with Amgen, Johnson & Johnson and Sanofi.
In a press release issued on 11 December, Sanofi disclosed that it did not intend to make an offer for Horizon, as ‘transaction price expectations do not meet [its] value creation criteria’.
Amgen is set to pay $116.50 for each Horizon share in cash, a premium of around 19.7% to the closing price on 9 December 2022.
Amgen will benefit from gaining several approved therapies as part of the deal, with Horizon’s pipeline of rare autoimmune and inflammatory disease drugs bolstering Amgen’s offering.
Included in this is Horizon’s largest selling drug, Tepezza, a prescription treatment for patients with thyroid eye disease, also known as Graves’ orbitopathy. Sales of the drug doubled to $1.66bn in 2021 from the year before and sales of the drug are projected to reach $3.85bn in 2028.
Gilead and EVOQ Therapeutics (EVOQ) have entered into a collaboration and licensing agreement to advance immunotherapies to treat rheumatoid arthritis (RA) and lupus.
Gilead will receive rights to exclusively license EVOG’s NanoDisc technology, which is designed to enable lymph-targeted delivery of disease-specific antigens and said to have the potential to ‘change the paradigm’ for the treatment of autoimmune diseases.
There are more than 100 chronic autoimmune diseases, many of which are severely debilitating, and some life-threatening. According to the National Institutes of Health, up to 23.5 million people are living with an autoimmune disease in the US alone, and the prevalence is rising.
Under the terms of the agreement, EVOQ could potentially receive up to $658.5m in upfront, option exercise and milestone payments across all programmes, as well as tiered royalties on product sales.
Preclinical development will be split between the two companies, with Gilead responsible for all clinical development and potential commercialisation activities relating to any resulting products.
The collaboration follows the announcement of EVOQ’s partnership with JDRF last month to develop its novel platform technology to treat type 1 diabetes.
EVOQ also partnered with Amgen in January 2021 to discover and develop novel drugs for autoimmune disorders.
Takeda has announced it will acquire Nimbus Therapeutics’ NDI-034858 in a deal worth $6bn. NDI-034858 is an oral, selective allosteric tyrosine kinase 2 (TYK2) inhibitor that is currently being evaluated for the treatment of multiple autoimmune diseases.
Under the terms of the agreement, Takeda will make an upfront payment of $4bn to Nimbus, and Nimbus will also be eligible for two $1bn milestone payments upon achieving annual net sales of $4bn and $5bn.
Nimbus recently announced positive top-line results from a phase 2b study evaluating NDI-034858, which will be known as TAK-279 upon completion of the transaction, for patients with moderate-to-severe plaque psoriasis.
Data from the 259 patients participating in the study showed that NDI-034858 achieved the primary efficacy endpoint, with a statistically significant greater proportion of patients achieving a 75% improvement in skin lesions compared to placebo at 12 weeks.
Takeda said it intends to present results from the study early in 2023, with NDI-034858 also expected to move to a phase 3 study in psoriasis in 2023.
The drug candidate is also part of an ongoing phase 2b study in active psoriatic arthritis, and Takeda has outlined its plans to investigate it for the treatment of inflammatory bowel disease and other autoimmune diseases.
Novartis’ Pluvicto has been approved by the European Commission to treat adult patients with prostate cancer who have previously been treated with AR pathway inhibition and taxane-based chemotherapy.
The approval is specifically for adult patients with prostate-specific membrane antigen (PSMA)-positive metastatic castration-resistant prostate cancer (mCRPC). It follows a recommendation from the European Medicines Agency’s Committee for Medicinal Products for Human Use in October 2022.
The company’s application was supported by results from the pivotal phase 3 VISION trial in which these patients receiving Pluvicto plus best standard of care had a 38% reduction in the risk of death and a 60% reduction in the risk of radiographic disease progression or death compared to best standard of care alone.
Prostate cancer is the most frequently diagnosed cancer in 112 countries, with more than 1.4 million new cases and 375,000 deaths recorded in 2020 alone.
The majority of patients with CRPC already present with metastases at the time of their diagnosis. Despite recent advances, however, patients with metastatic prostate have approximately a three in ten chance of surviving for five years, emphasising the need for new targeted treatment options to help improve long-term outcomes.
AstraZeneca and Daiichi Sankyo’s Enhertu (trastuzumab) has been approved by the European Commission (EC) for adults who have advanced HER2-positive gastric or gastro-oesophageal junction adenocarcinoma.
The EC based its decision on results from the DESTINY-Gastric02 and the DESTINY-Gastric01 phase 2 trials and the drug is specifically approved as a monotherapy for adults who have received a prior trastuzumab-based regimen.
The decision, which follows a recommendation from the European Medicines Agency’s Committee for Medicinal Products for Human Use, makes Enhertu the first HER2-directed medicine to be approved for gastric cancer in the EU in more than a decade.
Most cases of gastric cancer are diagnosed in the advanced stage, with a five-year global survival rate of 5-10% for advanced or metastatic disease, but survival remains low even when diagnosed in the earlier stages of the disease.
Recommended first-line treatment in the EU for HER2-positive advanced or metastatic gastric cancer, which represents approximately one in five cases, is combination chemotherapy plus trastuzumab, an anti-HER2 medicine shown to improve survival outcomes when added to chemotherapy.
Prior to this latest approval of Enhertu, there were previously no other approved HER2-directed medicines in the EU for patients with metastatic gastric cancer that progresses following initial treatment with a trastuzumab-based regimen.
Pfizer’s Biologics License Application for its respiratory syncytial virus (RSV) vaccine candidate, PF-06928316 or RSVpreF, for the prevention of lower respiratory tract disease caused by RSV in adults aged 60 years and over has been accepted by the US Food and Drug Administration (FDA) for priority review.
RSV is a contagious virus characterised by several mild, cold-like symptoms. Although most people recover within a week or two, the virus can be dangerous, especially for infants and older adults.
In the US alone, it is estimated that RSV infections in older adults account for approximately 60,000 to 120,000 hospitalisations and 6,000 to 14,000 deaths each year.
Pfizer’s application was supported by results from the phase 3 RENOIR trial, a global, randomised, double-blind, placebo-controlled study designed to assess the efficacy, immunogenicity and safety of a single dose of RSVpreF in adults aged 60 years and over.
The study showed the vaccine was 85.7% effective among participants with three or more symptoms, and 66.7% for two or more symptoms, according to an interim analysis carried out by an external data monitoring panel in August 2022. During the study, the vaccine was also shown to be well tolerated and no safety concerns were observed.