Volume 23 No 03 20 January 2014 dapagliflozin AstraZeneca, Bristol-Myers Squibb registered, USA (diabetes) AstraZeneca and Bristol-Myers Squibb announced on 8 January 2014 that the US FDA has approved dapagliflozin as a treatment for type II diabetes in adult patients. Dapagliflozin (FORXIGA; FARXIGA) is a sodium-glucose cotransporter 2 Approvals Licensing Pipeline News from BiOncoTech Products & Biotechnology Newly Reported Drugs in R&D Focus (SGLT2) inhibitor. The agent is available in Europe, including in the UK and Germany, and is also approved in Australia, Brazil, New Zealand and Mexico for the treatment of type II diabetes. Bristol-Myers Squibb and AstraZeneca entered into an agreement in January 2007 for the worldwide development and commercialization of dapagliflozin. Approvals or V600K mutation. The decision was based on the response rate and median dabrafenib & trametinib announced on with dabrafenib and trametinib in 202 patients with BRAF V600E and V600K mutation-positive metastatic melanoma. 8 January 2014 that the US FDA has approved trametinib (MEKINIST) for use in combination with dabrafenib (TAFINLAR) for the treatment phase I/II study comparing dabrafenib monotherapy to combination therapy GlaxoSmithKline supplemental approval, USA (melanoma) GlaxoSmithKline duration of response observed in a The combination was granted accelerated approval, depending on results from the ongoing phase III COMBI-D trial. The PDUFA target date for the dabrafenib filing is 9 January 2014. of unresectable or metastatic melanoma Trametinib is a selective allosteric MEK1/2 in adult patients with a BRAF V600E (MAP kinase) inhibitor being developed Product Phase Changes Reported in R&D Focus 20 January 2014 R &D FO C US dr ugne w s R&D Focus Drug News IMS HEALTH 210 Pentonville Road, London N1 9JY, UK Telephone: +44 (0)20 3075 5000 Facsimile: +44 (0)20 3075 5900 Email: [email protected] Web: http://www.imshealth.com Executive Editor: Carolyn Hughes Deputy Executive Editor: Delphine Kaczmarek Senior Editor: Harin Mahadeva Editors: Patricia Fonseca, Sam Riches Contributing Editors: Sunitha K Anandan, Gulam A Khan, Marta Swirski, Priyanka Srivastava, Pratibha Thammanabhatla, Suhasini M Venkataram Patent Editor: Antonia Lestner Production Analyst: Ramya Ravikumar Offering Manager: Olatz Fruniz Subscriber Service For any subscription information or queries, please contact: Olatz Fruniz at [email protected] Subscriber Rates: £610.00 for weekly deliveries for a 12 month period (1-5 users). 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ASK FOR A DEMO For more information, a demonstration and a trial, please contact IMS at [email protected] or on + 44203 075 4444. ©2014 IMS Health Incorporated or its affiliates. All Rights Reserved. 2 Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. 20 January 2014 Approvals1 Products & Biotechnology dabrafenib & trametinib. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 daclatasvir . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 edoxaban. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 indacaterol + glycopyrronium bromide. . . . . . . . . . . . . . . . . . . . . . . 4 lambrolizumab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 raltegravir. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 REXTORO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 RIXUBIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 tiotropium bromide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 umeclidinium bromide + vilanterol. . . . . . . . . . . . . . . . . . . . . . . . . 6 ADX N05. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 ALN AS1 & ALN AT3 & patisiran. . . . . . . . . . . . . . . . . . . . . . . . . . . 6 antibody-drug conjugates, cancer, Endo/Mersana . . . . . . . . . . . . . . . 7 APN 311 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 BL 9020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 BOW 015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 BPZE 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 cancer therapy, ImmTAC, MedImmune/Immunocore & drug design technology, ImmTAC, Immunocore . . . . . . . . . . . . . . . . . . . . . . . . . 8 drisapersen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 drug design technology, zinc finger proteins, Sangamo BioSciences & gene therapy, hemoglobinopathies, Sangamo BioSciences/ Biogen Idec . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 LNA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 LY 2951742. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 MAb, PDGFR-beta, Regeneron/Bayer. . . . . . . . . . . . . . . . . . . . . . . . 9 MAbs, cancer, Adimab/FivePrime . . . . . . . . . . . . . . . . . . . . . . . . . 10 microRNAs, neurodegenerative diseases, InteRNA/UCB/ Bonn University. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 mPGES-1 inhibitors, NovaSAID/Cadila. . . . . . . . . . . . . . . . . . . . . . 10 niche activators, TGF-beta 1, Scholar Rock/Johnson & Johnson. . . . . 10 OPT 302 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 paclitaxel poliglumex. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 palovarotene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 pegloticase. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 phosphoinositide-dependent kinase-1 inhibitors, Sunesis . . . . . . . . . 11 pixantrone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 PROBODY-drug conjugates, cancer, CytomX/ImmunoGen. . . . . . . . . . 12 SNS 062 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Xib 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 ACI 35. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 ALS 8176. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 amifampridine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 AMPION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ANAVEX 2-73 + donepezil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ANB 020. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 AP 611074. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 APL 130277 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 AR 13324 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 ARGX 110 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 BMN 270 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 BRABAFEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 CARBAVANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 CB 618 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 collagenase clostridium histolyticum. . . . . . . . . . . . . . . . . . . . . . . 16 CRLX 101 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 dabrafenib . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 delafloxacin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 dexpramipexole. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 DM 199 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 DP b99 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 EB 1020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 EDP 788 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 ENMD 2076. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 GOVX B11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 LBR 101 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 NKTR 171. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 ornithine phenylacetate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 pracinostat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 PRO 140 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 PRT 201. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 PXVX 0200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 RX 3117 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 samatasvir & simeprevir . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 selective inhibitors of nuclear export, Karyopharm . . . . . . . . . . . . . 21 SGK1 inhibitors, Visionary Pharmaceuticals/BioBlocks. . . . . . . . . . . 21 TG 4010. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 TRV 027. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 vaccine, H1N1 influenza, Vaxart . . . . . . . . . . . . . . . . . . . . . . . . . . 22 VX 135 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 WTX 101 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 yttrium Y 90 clivatuzumab tetraxetan. . . . . . . . . . . . . . . . . . . . . . 23 Pipeline Newly Reported Drugs in R&D Focus 24 Product Phase Changes Reported in R&D Focus 25 Licensing 6 12 BO 011. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 BO 110. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. 13 3 R &D FO C US dr ugne w s Contents 20 January 2014 R &D FO C US dr ugne w s for the treatment of cancer. The product is available in the previously-treated patients. Additional phase III trials of USA for the treatment of unresectable or metastatic melanoma daclatasvir are expected to start in early 2014. in adult patients with a BRAF V600E or V600K mutation and has been approved in Canada for the same indication; an MAA seeking approval of the agent as monotherapy and in combination with dabrafenib for the treatment of adult patients with unresectable or metastatic melanoma with a BRAF V600 mutation has been submitted in the EU. Phase II evaluation of trametinib is ongoing in patients with nonsmall cell lung cancer (NSCLC) as a second-line therapy, and in combination with dabrafenib in patients with colorectal cancer. Several studies have been conducted in pancreatic cancer, leukemia, multiple myeloma and solid tumors. edoxaban Daiichi Sankyo submitted for approval, USA (stroke, thrombosis) Daiichi Sankyo reported on 8 January 2014 that it has submitted an NDA to the US FDA for edoxaban in the reduction in risk of stroke and systemic embolic events in patients with non-valvular atrial fibrillation (NVAF), and as a therapy for deep vein thrombosis Dabrafenib (TAFINLAR), a BRAF kinase inhibitor, is also (DVT) or pulmonary embolism (PE) and prevention of being developed as a treatment for cancer. The agent has symptomatic venous thromboembolism (VTE) recurrence. been launched in the USA, Canada, Australia and in the EU The proposed trade name is SAVAYSA. The NDA is based for the treatment of unresectable or metastatic melanoma in on data from the ENGAGE AF-TIMI 48 and Hokusai-VTE adult patients with a BRAF V600E mutation. An MAA seeking phase III trials. approval of dabrafenib in combination with trametinib for the treatment of patients with unresectable or metastatic melanoma with a BRAF V600 mutation has been submitted to the EMA. A phase II trial in NSCLC is ongoing. daclatasvir Bristol-Myers Squibb Accelerated Assessment, EU (hepatitis C) Bristol-Myers Squibb reported on 8 January 2014 that the EMA has validated for accelerated assessment an MAA for daclatasvir, in combination with other drugs (including sofosbuvir), as a therapy for adults with chronic hepatitis Edoxaban, an oral, once-daily factor Xa inhibitor, is available in Japan (under the trade name LIXIANA) for the prevention of VTE after major orthopedic surgery. In December 2013, a regulatory filing was submitted in Japan for the agent as a therapy for symptomatic VTE in patients with DVT and/or PE, and for use in patients with NVAF. In January 2014, an MAA was submitted to the EMA for edoxaban in the prevention of stroke and systemic embolic events in patients with NVAF, and as a therapy for DVT or PE and prevention of symptomatic VTE recurrence. indacaterol + glycopyrronium bromide C virus (HCV) infection with compensated liver disease, including genotypes 1, 2, 3 and 4. The filing includes use Novartis registered, Canada (COPD) of the agent as part of an all-oral, ribavirin-free regimen in treatment-naive HCV genotypes 1, 2, 3 patients and those Novartis reported on 13 January 2014 that Health who have failed protease inhibitor treatment. Canada approved QVA 149 (ULTIBRO BREEZHALER) on 23 Daclatasvir is an orally available HCV non-structural 5A (NS5A) protein inhibitor. A regulatory filing is under review in Japan for a daclatasvir-based regimen as a therapy for patients with chronic HCV genotype 1b infection. A phase III program, designated UNITY, is ongoing; daclatasvir is being assessed as part of an all-oral three direct-acting antiviral December 2013 for long-term, once-daily, maintenance bronchodilator treatment of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD), including emphysema and bronchitis. This approval was based on data from the SHINE, ILLUMINATE, SPARK, BRIGHT and ENLIGHTEN phase III trials. regimen in different HCV-infected patient populations, QVA 149 is a once-daily fixed-dose combination including non-cirrhotic and cirrhotic treatment-naive, and of indacaterol, a beta2 adrenoceptor agonist, and 4 Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. lambrolizumab Merck & Co submitted for approval, USA (melanoma) Merck & Co announced on 13 January 2014 that it has initiated the rolling submission of a Biologics License Application for the use of lambrolizumab in ipilimumabexperienced patients with advanced melanoma in the USA; the submission is expected to be completed during first half 2014. Lambrolizumab (MK 3475), a monoclonal antibody targeting PD-1 being developed for the treatment of advanced or metastatic cancer, is undergoing phase III evaluation in advanced melanoma. A phase II/III trial of the agent as monotherapy and a phase I/II trial in combination with pazopanib are being conducted in patients with nonsmall cell lung cancer (NSCLC) and advanced renal cell carcinoma, respectively. raltegravir Merck & Co supplemental approval, USA (HIV infection) On 8 January 2014 Merck & Co announced that the US FDA has granted supplemental approval for use of raltegravir (ISENTRESS) oral suspension with other antiretroviral drugs for the treatment of HIV-1 infection in patients four weeks of age and older. Raltegravir, a dihydroxypyridopyrazine1,6-dione HIV-1 integrase inhibitor, is available in many regions worldwide in combination with other anti-HIV medications for the treatment of HIV-1 infection in children and adolescents, and in treatment-naive and treatmentexperienced adult patients. Merck & Co anticipates the launch of raltegravir oral suspension in the USA during third quarter 2014. Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. 20 January 2014 REXTORO Clarus submitted for approval, USA (hormone deficiency) Clarus reported on 13 January 2014 that it has filed an NDA with the US FDA for REXTORO as a testosterone replacement therapy for patients with low testosterone levels. In two phase III trials, at least 75% of men treated with REXTORO achieved average serum testosterone levels in the normal range of 100-1000 ng/dL. REXTORO is an oral formulation of testosterone undecanoate, a prodrug of testosterone. RIXUBIS Baxter submitted for approval, Japan (hemophilia) On 8 January 2014 Baxter announced that, on 26 December 2013, it filed an NDA in Japan for the use of RIXUBIS in the prophylaxis of bleeding in patients of all ages with hemophilia B. Data from the phase II/III and phase III trials of the agent were included in this application. RIXUBIS, a recombinant factor IX, is available in the USA for the treatment of acute bleeding episodes in adults with hemophilia B. A regulatory filing was submitted in the EU for this indication in November 2013 and a supplemental filing was submitted in the USA in December 2013 for use in pediatric patients. tiotropium bromide Boehringer Ingelheim submitted for approval, Japan (asthma) On 6 January 2014 Nippon Boehringer Ingelheim (a subsidiary of Boehringer Ingelheim) announced that it has submitted a regulatory filing in Japan seeking approval of tiotropium bromide (SPIRIVA) administered via a RESPIMAT inhaler for the treatment of adults with asthma. Tiotropium bromide, a long-acting, inhaled cholinergic antagonist, is available in most major markets worldwide as an inhaled therapy for chronic obstructive pulmonary disease. Boehringer Ingelheim has filed MAAs in Europe for the treatment of adults with asthma. 5 R &D FO C US dr ugne w s glycopyrronium bromide, a long-acting muscarinic antagonist, being developed for the treatment of COPD; the combination is administered via a BREEZHALER device. The product was approved in the EU for once-daily maintenance treatment of COPD in September 2013 and has subsequently been launched in Germany and the Netherlands. In November 2013, the product was launched in Japan for the treatment of COPD. 20 January 2014 R &D FO C US dr ugne w s umeclidinium bromide + vilanterol ALN AS1 & ALN AT3 & patisiran GlaxoSmithKline, Theravance registered, Canada (COPD) Genzyme, Alnylam expansion of alliance On 9 January 2014 GlaxoSmithKline and Theravance announced that a fixed-dose combination of umeclidinium bromide and vilanterol was approved in Canada on 23 December 2013, under the trade name ANORO ELLIPTA, for the long-term, once-daily maintenance treatment of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. The fixed-dose combination of umeclidinium bromide, a long-acting muscarinic antagonist, and vilanterol, a long-acting beta adrenoceptor agonist (LABA), administered using SkyePharma's ELLIPTA dry powder inhalation device, has been approved in the USA and is awaiting approval in the EU and Japan for the treatment of COPD. Theravance and GlaxoSmithKline entered into an agreement in November 2002 for the development and commercialization of once-daily LABA products for the treatment of COPD and asthma. Licensing ADX N05 Aerial BioPharma, Jazz Pharmaceuticals licensing agreement Jazz Pharmaceuticals and Aerial BioPharma announced on 14 January 2014 that they have entered into an agreement, granting Jazz Pharmaceuticals worldwide rights to ADX N05, except in certain Asian countries where SK biopharmaceuticals retains rights to the agent. Under the terms of the agreement, Aerial BioPharma will receive a US$125 million upfront payment. Aerial BioPharma and SK biopharmaceuticals are eligible to receive development-, regulatory- and sales-based milestone payments, as well as tiered royalties on sales. Aerial BioPharma previously acquired rights to ADX N05 from SK biopharmaceuticals. Genzyme and Alnylam reported on 13 January 2014 that they have signed an agreement for the development and commercialization of Alnylam’s therapies for rare genetic diseases, including the ‘5x15’ programs patisiran (ALN TTR02), ALN TTRsc, ALN AT3 and ALN AS1. The agreement provides Genzyme with rights to commercialize patisiran worldwide excluding North America and Western Europe; this is an expansion of an agreement signed in October 2012 under which Genzyme acquired rights in Japan and other Asia-Pacific countries. In addition, Alnylam and Genzyme will jointly develop and commercialize ALN TTRsc in North America and Western Europe and Genzyme will commercialize the product outside these regions. Genzyme has an option to either co-develop/copromote ALN AT3 for the treatment of hemophilia and other rare bleeding disorders in Alnylam’s region, or acquire a worldwide license to ALN AS1 for the treatment of hepatic porphyrias; a decision on exercise of the option will be made when clinical proof-of-concept trials of the drugs have been completed. Genzyme has an option until 2020, for the development and commercialization, worldwide excluding North America and Western Europe, of all Alnylam’s therapies for rare genetic diseases; the option may be extended to 2021. Alnylam retains rights to co-develop and co-commercialize its genetic medicine pipeline in North America and Western Europe. Genzyme has an option to acquire rights to a global license to one of Alnylam’s future genetic medicine programs not currently defined as a ‘5x15’ program. Genzyme will acquire a 12% stake in Alnylam by buying US$700 million of its stock. Genzyme will provide Alnylam with funding for research and development, starting on 1 January 2015, for programs in which Genzyme has exercised its options. Genzyme will pay global development expenses to the proportion of 20% in programs (such as patisiran) in which it will develop and commercialize in its rest of the world regions, 50% in programs that are being co-developed/co-promoted (ALN TTRsc and potentially ALN AT3), and 100% in programs for which Genzyme has an option for global rights (the future non‘5x15’ program and potentially ALN AS1). Alnylam is entitled to receive milestone payments of up to US$75 million per product for regional and co-development/co-promotion programs, and ADX N05, an adrenergic regulator, is being developed for the treatment of narcolepsy. A phase IIb trial has been completed. up to US$200 million per product for global programs. Alnylam 6 Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. is entitled to receive tiered double-digit royalties up to 20% on net sales of products commercialized by Genzyme in its regions. Patisiran and ALN TTRsc are iv and sc RNAi-based transthyretin (TTR)-targeting therapeutics that use Tekmira’s lipid nanoparticle technology. Patisiran is being evaluated in a phase III trial in TTR-mediated amyloidosis (ATTR) patients with familial amyloidotic polyneuropathy (FAP). ALN TTRsc is being evaluated in a pilot phase II trial in TTR cardiac amyloidosis patients with familial amyloidotic cardiomyopathy (FAC). ALN AT3, an sc RNAi therapeutic targeting antithrombin (AT), utilizes Alnylam’s proprietary GalNAc-siRNA conjugate delivery approach; a phase I trial in the treatment of hemophilia is expected to start in early 2014. ALN AS1, an aminolevulinate synthase 1 (ALAS-1)-targeted RNAibased therapy, is under preclinical evaluation in the treatment of hepatic porphyrias. antibody-drug conjugates, cancer, Endo/Mersana Endo, Mersana milestone payment Mersana announced on 9 January 2014 that it has received a second milestone payment from Endo for completing pilot toxicology studies of a FLEXIMER-based antibodydrug conjugate (ADC), under an agreement signed by the two companies in March 2012. The companies are developing ADCs for the treatment of cancer that comprise Endo’s monoclonal antibodies linked to Mersana’s FLEXIMER biodegradable and bio-inert polymer loaded with a cytotoxic agent. Preclinical evaluation is under way. APN 311 Medison Pharma, Apeiron licensing agreement Apeiron, Gen Ilac licensing agreement On 9 January 2014 Apeiron reported that it has entered into licensing agreements with Medison Pharma and Gen Ilac, whereby Medison Pharma has acquired exclusive rights to market and sell APN 311 in Israel and Gen Ilac has acquired exclusive rights to these activities in Turkey. Further details of the agreements were not disclosed. APN 311 is a chimeric monoclonal antibody produced in CHO cells that targets the Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. BL 9020 BioLineRx, JHL Biotech licensing agreement On 8 January 2014 BioLineRx announced that it has signed a collaboration agreement with JHL Biotech regarding the development and commercialization of BL 9020 for the treatment of type I diabetes. Under the terms of the agreement, JHL Biotech will have global manufacturing rights to BL 9020 as well as development and commercialization rights in China and Southeast Asia. BioLineRx will hold development and commercialization rights in the rest of the world. Both companies will have rights to all development and regulatory data generated under the agreement in order to commercialize BL 9020 in their respective territories. In addition, each company will be entitled to single-digit royalties on sales of BL 9020 in the other’s respective territories. BL 9020, a monoclonal antibody targeting the NKp46 receptor, is being developed for the treatment of type I diabetes. The agent was identified under BioLineRx’s Early Development Program. Preclinical evaluation is ongoing. BOW 015 Ranbaxy, EPIRUS licensing agreement On 8 January 2014 EPIRUS and Ranbaxy announced that they have signed a licensing agreement under which Ranbaxy acquires exclusive commercialization rights to BOW 015 in various regions including India, South-East Asia and North Africa. Under the terms of the agreement, EPIRUS and Ranbaxy will first commercialize BOW 015 in India and then Ranbaxy will pursue registration and commercialization of the product in other regions. EPIRUS is eligible to receive upfront, milestone and royalty payments over the term of the agreement. BOW 015 is a potential biosimilar version of the chimeric humanized tumor necrosis factor (TNF)-alpha targeted 7 20 January 2014 GD2 antigen on neuroblastoma cells. The antibody is being developed for the treatment of children with high-risk neuroblastoma. A European phase III trial of the agent in patients with neuroblastoma was initiated in 2012. R &D FO C US dr ugne w s Profits will be shared equally for Genzyme's co-development/ co-promotion products in Alnylam’s regions; Alnylam will book net sales revenues. 20 January 2014 R &D FO C US dr ugne w s monoclonal antibody infliximab (REMICADE), being developed for the treatment of inflammatory diseases, including rheumatoid arthritis. EPIRUS submitted a regulatory filing seeking approval of BOW 015 in India in November 2013 and plans to submit regulatory filings in other key emerging markets in 2014. BPZE 1 INSERM, Institut Pasteur, ILiAD Biotechnologies licensing agreement INSERM clinical data (Phase I) ILiAD Biotechnologies, INSERM (France) and Institut Pasteur (France) announced on 8 January 2014 that they have signed collaboration and worldwide licensing agreements regarding live attenuated Bordetella pertussis vaccine technology, including BPZE 1. The licenses cover patent rights from the National University of Singapore and National University of Ireland Maynooth. The three parties in the agreement will each provide expertise and resources; financial details were not disclosed. Data from a phase I trial of BPZE 1 conducted by INSERM in Sweden demonstrated that the vaccine was safe and induced immune responses targeting B pertussis in healthy males. BPZE 1 is a live attenuated B pertussis vaccine strain designed to colonize the respiratory tract after intranasal administration. cancer therapy, ImmTAC, MedImmune/Immunocore & drug design technology, ImmTAC, Immunocore Immunocore’s ImmTAC (immune mobilizing monoclonal T-cell receptor against cancer) technology enables the production of ImmTAC reagents, which are comprised of monoclonal T-cell receptors (mTCRs) with high affinity for specific intracellular antigens, fused to anti-CD3 antibodies. ImmTAC reagents bind to and reside on target cells for extended periods of time, covering the cell surface with anti-CD3 scFv moieties which recruit T cells and result in cell death. drisapersen GlaxoSmithKline, Prosensa licensing termination On 13 January 2014 Prosensa and GlaxoSmithKline announced that Prosensa has regained rights to drisapersen from GlaxoSmithKline and retains rights to all other programs for the treatment of Duchenne muscular dystrophy (DMD) included in an agreement between the two companies. This research and exclusive license option agreement between Prosensa and GlaxoSmithKline, entered into in October 2009, has thus been terminated. Drisapersen is a 2-O-methyl phosphorothioate modified antisense oligonucleotide being developed for the treatment of DMD. Phase III evaluation has been completed. drug design technology, zinc finger proteins, Sangamo BioSciences & gene therapy, hemoglobinopathies, Sangamo BioSciences/Biogen Idec MedImmune, Immunocore licensing agreement Sangamo BioSciences, Biogen Idec licensing agreement AstraZeneca announced on 8 January 2014 that its subsidiary MedImmune and Immunocore have entered into an agreement to develop ImmTAC drugs against selected cancer targets, using Immunocore’s ImmTAC technology. MedImmune and AstraZeneca will have rights to develop and commercialize ImmTAC products issued from this collaboration. For each target program, Immunocore will receive a US$20 million upfront payment and is eligible to receive up to US$300 million in development and commercial milestone payments, as well as tiered royalties. On 9 January 2014 Sangamo BioSciences and Biogen Idec reported that they have entered into a collaboration and licensing agreement to develop a treatment for sickle cell disease and beta thalassemia using Sangamo BioSciences' proprietary zinc finger nuclease (ZFP) genome editing technology. Under the terms of the agreement, Sangamo BioSciences has responsibility for research and development through the first proof-of-concept-trial for beta thalassemia while both companies will conduct IND-enabling research for sickle cell disease. Biogen Idec 8 Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. LNA Santaris Pharma, Isarna Therapeutics licensing agreement Roche, Santaris Pharma licensing agreement Santaris Pharma announced on 8 January 2014 that it has granted Isarna Therapeutics rights to access its Locked Nucleic Acid (LNA) technology to develop immunotherapeutics targeted against the cytokines transforming growth factor (TGF) beta1, beta2 and beta3. Under the terms of the agreement, Santaris Pharma will receive an upfront payment and is eligible for development, regulatory and sales milestones. In addition, Santaris Pharma will receive a share of any sub-licensing revenues and royalties on worldwide sales of alliance products. On 9 January 2014 Santaris Pharma announced that it has signed an agreement with Roche regarding the use of the LNA technology for the discovery and development of RNA-targeted agents against disease targets in several different areas. The development and commercialization of the products discovered will be conducted by Roche. Santaris Pharma is to receive an upfront US$10 million cash payment and up to US$138 million in milestones, as well as funding of ongoing R&D activities. Santaris Pharma is also eligible for royalties on worldwide sales of products arising from the collaboration. Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. LY 2951742 Lilly reacquires rights from Arteaus Lilly reported on 13 January 2014 that it has acquired all rights to develop LY 2951742 from Arteaus. Financial terms of the deal were not disclosed. LY 2951742, which was discovered by Lilly, had been licensed to Arteaus which was formed in 2011. LY 2951742, a monoclonal antibody directed against calcitonin gene related peptide (CGRP), is being developed for the prevention of frequent, recurrent migraine. The antibody has been evaluated in a phase II trial by Arteaus. MAb, PDGFR-beta, Regeneron/ Bayer Bayer, Regeneron licensing agreement Bayer and Regeneron reported on 13 January 2014 that they have signed an agreement for the joint development of an antibody directed against platelet derived growth factor receptor beta (PDGFR-beta), for use in combination with aflibercept (EYLEA), as a therapy for wet age-related macular degeneration (AMD). The terms of the deal stipulate that Regeneron will receive a US$25.5 million upfront payment, and is eligible to receive option and milestone payments totalling up to US$40 million through regulatory approval. The companies will share costs for worldwide development of the antibody. Bayer will have exclusive rights to commercialize the product in regions outside the USA; sales profits from these ex-US regions will be shared jointly between the companies. Bayer has responsibility for various payments to a third party, including royalties on product sales outside the USA and a share of development-based milestone payments. Regeneron 9 20 January 2014 LNA technology is based on synthetic analogues of ribonucleic acid (RNA) in which the normally flexible ribose sugar ring is fixed in a more rigid conformation through a molecular bridge between two carbon atoms in the sugar ring. LNA-containing drugs use the antisense principle to block the function of specific RNAs within cells and tissues, show high specificity and provide improved efficacy at lower doses compared with drugs based on other technologies, such as siRNA. R &D FO C US dr ugne w s will have responsibility for global clinical development and commercialization of products resulting from the collaboration and will provide Sangamo BioSciences with an upfront payment of US$20 million and reimbursement for both internal and external research and development costs. Sangamo BioSciences is also eligible to receive development, regulatory, commercialization and sales milestone payments, up to a total of approximately US$300 million, and double-digit royalties on sales, and will retain an option to co-promote any licensed products for beta thalassemia and sickle cell disease in the USA. The companies will utilize ZFP technology to revert expression of adult beta-globin to fetal gamma-globin in hematopoietic stem cells (HSCs) isolated from patients, allowing for an autologous HSC transplant. 20 January 2014 R &D FO C US dr ugne w s has rights to commercialize the product in the USA, where it will retain all sales profits. Clinical evaluation is expected to start in early 2014. MAbs, cancer, Adimab/FivePrime FivePrime, Adimab licensing agreement FivePrime reported on 9 January 2014 that it has entered into a sponsored research collaboration agreement with Adimab to develop fully-human monoclonal antibodies, initially for the treatment of cancer. Under the terms of the agreement, Adimab will use its proprietary discovery and optimization technology to identify antibodies against a selection of targets specified by FivePrime. Adimab will be eligible for potential research funding, option and milestone payments, and royalties; further financial details were not disclosed. FivePrime will hold rights for the development and commercialization of antibodies identified by this collaboration. microRNAs, neurodegenerative diseases, InteRNA/UCB/Bonn University Collaboration agreement between InteRNA and Neuroallianz Consortium On 10 January 2014 InteRNA announced that it has entered into a collaboration agreement with the Neuroallianz Consortium, an academic-industry partnership of which Bonn University (Germany) and UCB are two members, to investigate microRNAs (miRNAs) in neurodegenerative diseases. Under the terms of the agreement, InteRNA will utilize its multiparametric, high-throughput functional screening assay technology for the identification and validation of the role of miRNAs and novel targets in neurodegenerative diseases. mPGES-1 inhibitors, NovaSAID/ Cadila Cadila, NovaSAID licensing agreement NovaSAID and Cadila reported on 10 January 2014 that they have established a collaboration for the preclinical 10 and clinical development of NovaSAID's microsomal prostaglandin synthase-1 (mPGES-1) inhibitors for the treatment of inflammation and pain in diseases such as rheumatoid arthritis. Under the terms of the agreement, Cadila has responsibility for all costs relating to the program. Cadila will receive all revenue from the sale and marketing of products in India, the Middle East and Africa; the companies will share net sales in other regions. niche activators, TGF-beta 1, Scholar Rock/Johnson & Johnson Johnson & Johnson, Janssen Biotech, Scholar Rock collaboration agreement On 8 January 2014 Scholar Rock reported that it has entered into a research collaboration with Johnson & Johnson and its subsidiary, Janssen Biotech, to discover and develop niche activators targeting TGF-beta 1, utilizing Scholar Rock's proprietary technology platform, for the treatment of autoimmune diseases and cancers. Under the terms of the agreement, Janssen Biotech has an exclusive worldwide option to license, develop and commercialize biologics generated by this collaboration. Scholar Rock will be provided with research support and is also eligible to receive option payments and preclinical, clinical, regulatory and commercial milestone payments, in addition to royalties on sales of each product marketed. Niche activators are biologics which specifically regulate growth factor signaling. OPT 302 Opthea, Selexis licensing agreement On 13 January 2014 Selexis announced that it has entered into a commercial licensing agreement with Opthea, a wholly-owned subsidiary of Circadian Technologies, regarding the use of Selexis' CHO-M cell line and related technologies for production of OPT 302. Further details of the agreement were not disclosed. Opthea is developing OPT 302 for the treatment of wet agerelated macular degeneration (wet AMD). OPT 302 is a soluble form of human VEGF receptor 3 (VEGFR-3) which blocks the Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. 20 January 2014 pegloticase paclitaxel poliglumex On 10 January 2014 Crealta Pharmaceuticals announced that it has acquired all of the assets of the company formerly known as Savient from the bankruptcy court of the district of Delaware (USA). The acquisition includes Savient’s pegloticase (KRYSTEXXA), a PEGylated form of recombinant porcine uricase, which is available in the USA for the treatment of chronic gout in adult patients who are refractory to conventional therapy and approved in the EU for the treatment of severe debilitating chronic tophaceous gout. Savient filed for bankruptcy in October 2013. Novartis, Cell Therapeutics licensing termination On 13 January 2014 Cell Therapeutics announced that it has regained all rights to paclitaxel poliglumex (OPAXIO) from Novartis, following the termination of an agreement between the two companies. Novartis is eligible to receive sales-based payments, as well as payments based on any sublicense and certain other amounts payable to Cell Therapeutics. The initial agreement, entered into in 2006, granted Novartis worldwide exclusive development and commercialization rights to paclitaxel poliglumex. Paclitaxel poliglumex, a water-soluble cancer therapy that links paclitaxel to a polyglutamate polymer, is undergoing a phase III trial as maintenance therapy in patients with ovarian cancer and phase II evaluation in patients with malignant brain cancer. palovarotene Savient, Crealta Pharmaceuticals transfer of rights phosphoinositide-dependent kinase-1 inhibitors, Sunesis Millennium, Sunesis licensing agreement On 9 January 2014 Sunesis announced that it has entered into an agreement with Millennium, granting Sunesis rights to a program to develop phosphoinositide-dependent kinase-1 (PDK1) inhibitors for the treatment of cancer. Sunesis expects to select a lead development candidate to take into IND-enabling studies in 2014. Roche, Clementia licensing agreement pixantrone Clementia reported on 9 January 2014 that it signed a licensing agreement with Roche under which Clementia has acquired exclusive global rights to palovarotene. The terms of the deal stipulate that Clementia has responsibility for further development of the agent in any indication. Roche has received an upfront fee, and is eligible to receive clinical- and regulatorybased milestone payments, and product sales-based royalties. All regulatory, clinical and chemistry, manufacturing and controls (CMC) materials have been transferred to Clementia. Novartis, Cell Therapeutics licensing termination Palovarotene, a retinoic acid receptor-gamma (RARgamma) agonist, is being developed by Clementia as a potential treatment for fibrodysplasia ossificans progressiva. Roche had conducted phase II trials of the agent in the treatment of emphysema in chronic obstructive pulmonary disease (COPD) patients; however, further development in this indication was discontinued. Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. Cell Therapeutics announced on 13 January 2014 that its agreement with Novartis relating to pixantrone (PIXUVRI) has been terminated. The agreement between the two companies, entered into in 2006, granted Novartis an option to acquire development and commercialization rights to pixantrone. Under the termination, Cell Therapeutics regains all rights to pixantrone and Novartis is eligible to receive sales-based payments, as well as payments based on any sublicense and certain other amounts payable to Cell Therapeutics. Pixantrone (PIXUVRI), a topoisomerase II inhibitor which alkylates DNA, was granted conditional marketing authorization in the EU for the treatment of adults with 11 R &D FO C US dr ugne w s activity of VEGF-C and VEGF-D; the agent comprises three extracellular domains of VEGFR-3 linked to the IgG1 Fc region. Phase I evaluation is expected to begin early 2015. 20 January 2014 R &D FO C US dr ugne w s multiple relapsed or refractory aggressive non-Hodgkin's lymphoma (NHL) in May 2012 and has subsequently been launched in several EU countries, including Germany. PROBODY-drug conjugates, cancer, CytomX/ImmunoGen ImmunoGen, CytomX licensing agreement CytomX and ImmunoGen reported on 9 January 2014 that they have entered into a collaboration agreement to develop PROBODY-drug conjugates (PDCs), using CytomX's PROBODY platform and ImmunoGen's antibody-drug conjugate technology, against a defined number of targets for the treatment of cancer. Under the terms of the agreement, each company will retain full control of PDCs developed from its own target selection and will have responsibility for preclinical and clinical evaluation, manufacture and commercialization. The companies will each be entitled to clinical and post-approval milestone payments from the other, in addition to royalties on sales of all marketed products generated through the collaboration. A PROBODY is a masked monoclonal antibody that is inert in healthy tissue but activated specifically in the tumor microenvironment. SNS 062 Sunesis, Biogen Idec licensing agreement that normalizes barrier function, was identified utilizing the company's proprietary High Content Screen for endothelial and epithelial membrane integrity. In a rat model of acute lung injury undergoing allo-transplantation, treatment with Xib 13 prevented graft failure at 28 days post-transplantation and reduced lung edema by 61%. Toxicology studies showed no major toxicities, and the agent was well tolerated up to a dose of 1080 mg/kg daily. At BIO-Europe 2013, 4-6 November 2013, Vienna, Austria, Sonja Reingruber, CEO of Xiber Science, informed R&D Focus that the company is looking for partners to advance clinical development of Xib 13 for phase I/IIa. Xiber Science plans to apply for Orphan Drug designation for Xib 13 and estimates to complete phase I evaluation by beginning 2016. Preclinical evaluation is ongoing. For further information on the opportunities available, contact: Sonja Reingruber CEO Xiber Science GmbH Josefigasse 24 2353 Guntramsdorf Austria Tel: +43 699 170 540 86 Email: [email protected] Sunesis announced on 9 January 2014 that it has entered into an agreement with Biogen Idec, granting Sunesis exclusive rights to SNS 062. The agent is an oral Bruton’s tyrosine kinase (Btk) inhibitor being developed for the treatment of hematological cancers, including B-cell malignancies. Preclinical evaluation is under way; Sunesis plans to submit an IND application to the US FDA to start clinical evaluation of SNS 062 beginning 2015. Pipeline Xib 13 At BIO-Europe 2013, 4-6 November 2013, Vienna, Austria, Marisol Quintero, CEO of BiOncoTech, informed R&D Focus that the company is developing BO 011, a human antibody that targets pro-angiogenic protein Ephrin-B2, for the treatment of cancer. In vitro assays showed that BO 011 inhibited endothelial cell migration and tubular structure formation and altered cell motility and the actin cytoskeleton in single endothelial cells. The anti-Ephrin-B2 antibody reduced VEGF-induced neovascularization in Xiber Science partnering opportunity, Worldwide Xiber Science is developing Xib 13, part of a family of peptide analogues of cingulin (a key protein in tight junctions), for the treatment of primary lung graft dysfunction, acute lung injury and severe burns. Xib 13, an 11-amino acid peptide 12 News from BiOncoTech BO 011 BiOncoTech preclinical data Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. BO 110 ALS 8176 BiOncoTech partnering opportunity, Worldwide Alios phase change II, USA (respiratory syncytial virus) BiOncoTech is developing BO 110, an agonist of melanoma differentiation-associated protein-5 (MDA-5), for the treatment of aggressive cancers such as metastatic melanoma, glioblastoma and pancreatic and bladder carcinomas. Preclinical evaluation is under way. BiOncoTech plans to submit an IND application and initiate clinical trials of BO 110 during second half 2014. The company is interested in establishing partnerships for the clinical development of the agent, Marisol Quintero, CEO of BiOncoTech, informed R&D Focus at BIO-Europe 2013, 4-6 November 2013, Vienna, Austria. For further information on the opportunities available, contact: Marisol Quintero CEO On 13 January 2014 Alios announced the initiation of a randomized, double-blind, placebo-controlled phase IIa trial (AL-8176-502) to assess the safety, pharmacokinetics and antiviral activity of ALS 8176 against respiratory syncytial virus (RSV) infection in a virus challenge model. This trial will enroll approximately 66 healthy volunteers who will be inoculated with RSV and given multiple oral doses of either ALS 8176 or placebo for five days. Alios expects to complete this trial by mid 2014. In a phase I trial evaluating the safety and pharmacokinetics of single and multiple ascending oral doses of ALS 8176 in adult healthy volunteers, no serious adverse events or discontinuations due to adverse events were reported. ALS 8176 was well tolerated. Alios is developing ALS 8176, a nucleoside analogue targeting respiratory syncytial virus (RSV) polymerase, for the oral treatment of acute RSV infection. BiOncoTech Therapeutics Science Park of Valencia University Catedrático Augustín Escardino 9 46980 Paterna Valencia amifampridine BioMarin, Catalyst Pharmaceutical Partners clinical data Spain AC Immune phase change I, Europe (Alzheimer disease) On 8 January 2014 Catalyst Pharmaceutical Partners reported data from a cardiac safety trial comparing the effects of amifampridine (FIRDAPSE) to those of placebo on the QT interval in 59 healthy volunteers. This study met the prespecified primary endpoint; amifampridine did not affect heart rate or cardiac depolarization at and above therapeutic levels. None of the participants receiving amifampridine developed new, clinically relevant electrocardiographic/ morphological alterations. In addition, there was no significant effect of amifampridine on cardiac repolarization as assessed using the QT interval. AC Immune reported on 9 January 2014 the start of a randomized, double-blind, placebo-controlled phase I trial to evaluate two different doses of ACI 35 in patients with Amifampridine, a potassium channel blocker that enhances the release of acetylcholine, is available in several European countries, including the UK, Germany, France and Italy; it Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. 13 Tel: +34 682 544 814 Email: [email protected] Products & Biotechnology ACI 35 20 January 2014 mild-to-moderate Alzheimer's disease. The primary objectives of the trial are to assess the safety, tolerability of the vaccine, and its immunogenicity. Secondary objectives are assessment of biomarkers, and functional and clinical measures. R &D FO C US dr ugne w s Matrigel plug assays in athymic nude mice. In mice bearing subcutaneous human tumor cell xenografts, inhibition of Ephrin-B2 resulted in inhibition of tumor growth and tumor lymphatic vasculature. Preclinical evaluation is under way. 20 January 2014 R &D FO C US dr ugne w s was granted approval as an oral therapy for Lambert-Eaton myasthenic syndrome (LEMS) in the EU in December 2009. A global phase III registration trial of amifampridine in patients with LEMS is ongoing. In October 2012, BioMarin granted Catalyst Pharmaceutical Partners exclusive rights to amifampridine in North America. pharmacokinetics and clinical benefits of the combination in patients with Alzheimer’s disease and other diseases associated with dementia and cognitive impairment. In animal models of Alzheimer’s disease, ANAVEX 2-73 in combination with donepezil improved memory by up to 80% compared with ANAVEX 2-73 and donepezil alone. AMPION ANB 020 Ampio starts second phase III trial in osteoarthritis AnaptysBio preclinical data On 13 January 2014 Ampio announced that it has initiated a second randomized, placebo-controlled, double-blind phase III trial, designated STEP, evaluating AMPION for the treatment of osteoarthritis of the knee. The company aims to enroll approximately 500 participants, who will receive either 4 mL of AMPION via intra-articular injection or 4 mL of saline vehicle. The clinical effects of AMPION will be evaluated using The Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Patient’s Global Assessment (PGA) of disease severity. In addition, cartilage regeneration will be assessed in a subpopulation of the patients using MRI and serum biomarkers. AMPION, a nonsteroidal anti-inflammatory biologic, has potential in a range of inflammatory and autoimmune diseases. One of the active ingredients of the drug is aspartyl-alanyl diketopiperazine (DA-DKP), which is derived from the two amino acids from the terminal end of human albumin and is thought to have a key role in the homeostasis of inflammation. The first phase III trial (SPRING) evaluating AMPION for the treatment of osteoarthritis of the knee is ongoing. ANAVEX 2-73 + donepezil Anavex Life Sciences trial planned, Switzerland, USA (Alzheimer disease) Anavex Life Sciences announced on 13 January 2014 that it has entered into an agreement with the Roskamp Institute (USA) for the clinical development of ANAVEX PLUS for the treatment of Alzheimer’s disease. ANAVEX PLUS is a combination of ANAVEX 2-73, a tetrahydrofuranic compound and sigma-1 receptor agonist, and donepezil (ARICEPT), a reversible acetylcholinesterase inhibitor. The planned clinical trial will evaluate the safety, tolerability, 14 On 10 January 2014 AnaptysBio announced that it has initiated development of ANB 020, a lead candidate antibody that targets IL-33, for the treatment of inflammatory diseases mediated by Type 2 helper T (Th2) cells, including atopic dermatitis, severe asthma, allergic rhinitis and food allergies. The agent also has potential for the treatment of chronic obstructive pulmonary disease (COPD) and tissue fibrosis. ANB 020 was discovered using AnaptysBio’s proprietary SHM-XEL platform. AP 611074 Anaconda clinical data (Phase I/II) (genital warts) On 8 January 2014 Anaconda reported data from a phase I/IIa trial of AP 611074 in patients with condyloma (anogenital warts). Topical treatment with AP 611074 gel for six weeks resulted in complete or partial regression of anogenital warts. The agent showed a favorable safety profile, with no cases of treatment discontinuation or withdrawal from the trial, and the compliance rate was high. AP 611074 is an inhibitor of human papillomavirus (HPV) DNA replication being developed for the treatment of condyloma, which is caused by HPV subtypes 6 and 11. APL 130277 Cynapsus clinical data (Phase I) On 13 January 2014 Cynapsus announced positive top-line data from pilot crossover phase I trial (CTH-103) comparing APL 130277, a sublingual thin film strip formulation of apomorphine, to a commercially available injectable formulation of apomorphine in 29 healthy volunteers. Tmax Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. APL 130277 is being developed as a once-to-three times a day rescue therapy to be used as an adjunct to levodopa combination therapies for the treatment of moderate-tosevere Parkinson’s disease. AR 13324 Aerie clinical data (Phase I) On 9 January 2014 Aerie announced top-line results from an open-label phase I trial assessing the ocular and systemic safety and systemic absorption of 0.02% AR 13324 ophthalmic solution in healthy volunteers. A total of 18 participants received once-daily AR 13324 for eight days. The pharmacokinetic results demonstrated very low systemic exposure to AR 13324, with blood levels at or below the limit of detection of 0.1 ng/mL at all time points. There were no drug-related effects on systemic safety parameters, including blood pressure and heart rate. All subjects had intraocular pressure (IOP) in the normotensive range of 12 to 21 mmHg. The average diurnal IOP before dosing was approximately 16 mmHg and after dosing it reduced to approximately 11 mmHg. Aerie is developing AR 13324 for the treatment of glaucoma. The agent has a double mechanism of action, lowering IOP by enhancing fluid outflow through the trabecular pathway while decreasing fluid inflow to the eye. AR 13324 has Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. ARGX 110 arGEN-X provides update on development On 13 January 2014 arGEN-X announced that it has initiated the open-label, safety and efficacy expansion portion of its phase Ib trial of ARGX 110 in up to 75 participants. The company aims to assess the safety of ARGX 110 in CD70positive cancer patients with either hematological or solid tumors as well as to evaluate efficacy in order to select indications to be studied in future phase II trials. Top-line data are expected to be released in first quarter 2015. ARGX 110 is a fully human monoclonal antibody targeting CD70, being developed for the treatment of cancer, autoimmune diseases and inflammation. The antibody was generated using arGEN-X’s SIMPLE Antibody proprietary platform. BMN 270 BioMarin selects clinical candidate (hemophilia A) On 13 January 2014 BioMarin announced that it has selected BMN 270, an adeno-associated virus (AAV)-factor VIII vector, as a clinical candidate for the treatment of hemophilia A and has initiated IND-enabling studies. In mouse models of factor VIII deficiency, BMN 270 restored plasma factor VIII levels to those adequate for normal clotting in humans. BioMarin plans to initiate clinical trials of BMN 270 in early 2015. In February 2013 BioMarin licensed its gene therapy program for hemophilia from University College London (UK) and St Jude Children’s Research Hospital (USA). BRABAFEN Brabant Orphan Drug, USA, EU (Dravet syndrome) Brabant announced on 9 January 2014 that BRABAFEN, a low-dose formulation of fenfluramine, has received Orphan 15 20 January 2014 been shown to inhibit activity of Rho-kinase (ROCK) and the norepinephrine transporter. Aerie expects to start two phase III registration trials of AR 13324 by mid 2014. R &D FO C US dr ugne w s was 31 and 40 min for 10 and 15 mg doses of APL 130277, respectively, and 27 and 24 min for subcutaneous injections of 2 and 3 mg apomorphine, respectively. An average minimum threshold plasma exposure of approximately 3 ng/ml was achieved with the sublingual thin film strip delivery system. The uptake of apomorphine was rapid and similar to that of APOKYN (between ten and 60 min). The mean time to reach a plasma concentration of apomorphine associated with therapeutic benefit was ten to 13 min for the two doses of APL 130277 and four to five min for subcutaneous injection. The sublingual thin film strips also demonstrated proportionality between the doses and were better tolerated with fewer and less intense adverse events than the subcutaneous injection. The side effects observed with 15 mg APL 130277 were mild-to-moderate but not dose limiting. Cynapsus expects to complete initial efficacy trials of APL 130277 by end 2014 and a safety trial by end 2015, with an NDA filing expected in first half 2016. 20 January 2014 R &D FO C US dr ugne w s Drug designation for the treatment of Dravet syndrome in the USA and the EU. Brabant plans to initiate phase III trials of BRABAFEN in the same indication during second half 2014. The agent has been evaluated in a long-term observational study conducted in Belgium. CARBAVANCE The Medicines Company QIDP designation, USA (bacterial infection) The Medicines Company announced on 13 January 2014 that the US FDA has granted CARBAVANCE QIDP designation for the treatment of bacterial infection. CARBAVANCE, a fixed combination of a carbapenem (RPX 2003) and a betalactamase inhibitor (RPX 7009), is being developed for the treatment of infections caused by multi-drug resistant Gram negative bacteria. Phase I dose-escalation trials of CARBAVANCE in normal subjects have been completed and the company plans to initiate registration studies in 2014. CB 618 Cubist CTA submission, Netherlands (bacterial infection) Cubist announced on 10 January 2014 that it has submitted a CTA to the Dutch Competent Authority and Ethics Committee, seeking approval to initiate a first-in-human trial of CB 618. Upon approval, a first study is expected to start in first half 2014. CB 618 is a broad-spectrum beta-lactamase inhibitor being developed to overcome beta-lactam antibiotic resistance. collagenase clostridium histolyticum BioSpecifics Technologies clinical data (Phase II) (lipoma) On 8 January 2014 BioSpecifics Technologies reported topline data from a phase II trial of collagenase clostridium histolyticum (XIAFLEX; XIAPEX) in patients with lipoma. A total of 14 patients received collagenase clostridium histolyticum injections in four ascending doses, ranging 16 from 0.058 to 0.44 mg. The primary efficacy endpoint of reduction in the visible surface area of the target lipoma, determined at six months post injection, was met (p less than 0.0001). Patients in the highest dose cohort (0.44 mg) had an average reduction of 67% in the targeted lipoma visible surface area, with 75% of the patients attaining a reduction in lipoma size of at least 50%. No serious adverse events (AEs) or treatmentrelated serious AEs were reported during the trial. The most common treatment-related AEs included localized bruising, swelling and pain at injection site. This trial further supported the safety and efficacy profile of the drug, which was consistent with that of prior collagenase clostridium histolyticum trials. Based on these data, BioSpecifics Technologies plans to initiate a placebocontrolled trial to further assess the efficacy and safety of collagenase clostridium histolyticum for the treatment of lipoma during first half 2014. Collagenase clostridium histolyticum, an injectable formulation of clostridial collagenase, is available in the USA, Canada and several European countries, including the UK, Germany, Spain and Switzerland, for the treatment of Dupuytren’s contracture in adults with a palpable cord. The agent has been approved in the USA for the treatment of Peyronie's disease and phase II evaluation is ongoing for the treatment of frozen shoulder syndrome and edematous fibrosclerotic panniculopathy. CRLX 101 Cerulean clinical data (Phase II) (ovarian cancer) On 13 January 2014 Cerulean reported interim data from its ongoing, single-arm, open-label phase II trial evaluating CRLX 101 for the treatment of ovarian cancer. The primary efficacy endpoint for the trial has been met; four of 29 patients achieved six months of progression-free survival. All 29 patients had received between one and three lines of cytotoxic chemotherapy prior to treatment with CRLX 101. To date, adverse events have generally been low grade and manageable. Final data are expected to be released during 2014. CRLX 101 is a nanopharmaceutical, comprising the water-insoluble alkaloid camptothecin conjugated to cyclodextrin-polyethylene glycol (CD-PEG), for the Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. dabrafenib GlaxoSmithKline Breakthrough Therapy, USA (BRAF V600E mutation-positive NSCLC) On 13 January 2014 GlaxoSmithKline announced that dabrafenib (TAFINLAR) has been granted Breakthrough Therapy designation by the US FDA for the treatment of metastatic BRAF V600E mutation-positive nonsmall cell lung cancer (NSCLC) in patients who have received one prior line of platinum-containing chemotherapy. This designation was based on interim data from a phase II trial of the agent in this indication. Dabrafenib, a BRAF kinase inhibitor, has been launched in the USA, Canada and in certain EU countries for the treatment of unresectable or metastatic melanoma in adult patients with a BRAF V600E mutation. The agent is approved in Australia and Canada for this indication. delafloxacin 20 January 2014 dexpramipexole National Institute of Allergy and Infectious Diseases, Knopp trial planned (Phase II), USA (hypereosinophilic syndrome) Knopp announced on 8 January 2014 that it has signed a Cooperative Research and Development Agreement (CRADA) with the National Institute of Allergy and Infectious Diseases, part of the National Institutes of Health (NIH; USA), to conduct a proof-of-concept phase II trial of dexpramipexole in patients with hypereosinophilic syndrome (HES) receiving corticosteroids. Enrollment in this 24-week, open-label trial is planned to initiate in first quarter 2014 in the USA. The main objective of the trial is to evaluate the efficacy of dexpramipexole in reducing long-term and acute corticosteroid treatment in HES patients while maintaining or reducing eosinophil count. Dexpramipexole, an optical enantiomer of the selective dopamine D2/D3 receptor agonist pramipexole, has been evaluated in a phase III trial in patients with amyotrophic lateral sclerosis; however, development in this indication was discontinued in January 2013. In this trial, dexpramipexole reduced blood eosiniphil counts by approximately 70% in patients with amyotrophic lateral sclerosis. DM 199 DiaMedica clinical data (Phase I) (diabetes) Melinta phase change III, USA (gonorrhea) On 9 January 2014 Melinta announced that it has initiated a registration phase III trial, designated PROCEEDING, comparing the safety and efficacy of a single oral dose of delafloxacin with a single intramuscular injection of ceftriaxone for the treatment of uncomplicated gonorrhea. Melinta is developing delafloxacin, an acidic fluoroquinolone, for the treatment of bacterial infections, including bacterial skin and skin structure infections (ABSSSI), pneumonia and intra-abdominal infections. A phase III trial (PROCEED) evaluating the agent for the treatment of ABSSSI caused by Gram positive (including MRSA) and Gram negative bacteria is ongoing. Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. On 9 January 2014 DiaMedica announced results from a 16-day, phase I multiple ascending dose (MAD) trial of DM 199 in 18 healthy volunteers. The trial has been completed and the primary endpoints of safety and tolerability were met. DM 199 showed a favorable pharmacokinetic profile supporting the potential for weekly dosing and was well tolerated at all three dose levels. Dosing of the first type II diabetic patients in the one-month phase II trial has been initiated. DM 199, a recombinant protein and a next generation form of DiaMedica's DM 99 (a recombinant version of an undisclosed generic biologic drug which has been used for several years), is being developed for the treatment of type I and type II diabetes. 17 R &D FO C US dr ugne w s treatment of cancer. CRLX 101, which inhibits both topoisomerase I and hypoxia inducible factor-1 alpha, is selectively targeted to tumors through leaky vasculature, whilst showing low systemic distribution. Phase II evaluation is also being conducted for the treatment of gastric cancer, small cell lung cancer and nonsmall cell lung cancer (NSCLC). A phase I/II trial is also ongoing in patients with renal cell carcinoma. 20 January 2014 R &D FO C US dr ugne w s DP b99 D-Pharm phase change II, Europe (pancreatitis) D-Pharm announced on 14 January 2014 that it has initiated enrollment into a multicenter, double-blind, placebocontrolled phase II trial evaluating DP b99 for the treatment of acute pancreatitis in approximately 30 patients. Followup will involve clinical assessment scales, monitoring of inflammatory biomarkers and abdominal imaging. Neurovance is developing EB 1020, a triple monoamine reuptake inhibitor acting on norepinephrine, dopamine and serotonin (5-HT), for the oral treatment of ADHD. EDP 788 Enanta phase change I, USA (bacterial infection) DP b99, a membrane-activated divalent metal ion chelating agent derived from BAPTA (a calcium-specific polyamino carboxylic acid), is being developed for the treatment of acute stroke, traumatic brain injury, malaria and trypanosomiasis, as well as for the prophylactic treatment of neurological damage associated with coronary artery bypass graft. A phase II trial in patients with acute ischemic stroke has been conducted. On 13 January 2014 Enanta announced that it has initiated a randomized, double-blind, placebo-controlled phase I trial to evaluate the safety and pharmacokinetics of a single oral dose of EDP 788 in up to 64 healthy subjects. EDP 788, a bicyclolide antibiotic, is a prodrug of EDP 322 being developed for the treatment of infections caused by meticillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus and drug-resistant streptococci. The bicyclolides are a family of macrolide antibiotics created by Enanta. EDP 788 is being developed in both intravenous and oral formulations. EB 1020 ENMD 2076 Neurovance clinical data (Phase II) (attention deficit disorder) EntreMed CTA submission, China (ovarian cancer) Neurovance on 9 January 2014 reported interim data from a pilot phase IIa trial of a sustained-release formulation of EB 1020 (EB 1020 SR) in adult patients with attention deficit hyperactivity disorder (ADHD). The primary outcome measure of change in ADHD symptoms at week 4 from baseline was statistically significant (p less than 0.0001) after treatment with EB 1020 SR. There was a 21.5 point improvement in the ADHD symptoms at week 4 as measured by the ADHD Rating Scale IV (ADHD-RS-IV) with 80% of the peak benefit observed by the second week of treatment. The level of reduction in ADHD symptoms with EB 1020 SR was comparable to that observed in other adult ADHD trials investigating standard stimulant medications under similar trial conditions. A responder analysis by the Clinical Global Impression of Improvement (CGI-I) and the ADHD-RS scales showed that 72% of all patients met the responder definition by week 4. EB 1020 SR was safe and well tolerated and patients reported mild and transient adverse events. Neurovance expects to release complete data from this trial by end first quarter 2014. On 13 January 2014 EntreMed announced that it has submitted a CTA to China’s Food and Drug Administration seeking approval to initiate a phase II trial evaluating ENMD 2076 for the treatment of advanced ovarian clear cell carcinoma; this trial is ongoing in Canada and the USA. EntreMed is developing ENMD 2076, an angiogenesis inhibitor and dual-acting aurora A and tyrosine kinase inhibitor, for the oral treatment of cancer. Phase II evaluation is ongoing in North America for the treatment of breast cancer and soft tissue sarcoma. 18 Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. GOVX B11 GeoVax clinical data (Phase I) (HIV infection) On 13 January 2014 GeoVax reported interim data from an open-label, treatment-interruption phase I trial assessing the safety and immunogenicity of GOVX B11 in nine HIV-infected patients who commenced drug treatment GOVX B11, a vaccine for the prevention and treatment of clade B HIV infection, employs a prime-boost approach: a DNA priming dose is followed by the delivery of a recombinant modified vaccinia Ankara (rMVA) booster. Both components of GOVX B11 express the HIV proteins Gag, Pol and Env and produce virus-like particles; the vaccine is designed to stimulate anti-HIV T-cell and antiHIV antibody immune responses. A phase II trial of the vaccine in the prevention of HIV infection in the USA and Peru has been completed. LBR 101 Labrys phase change II, USA (chronic and high frequency episodic migraine) On 8 January 2014 Labrys announced that patient enrollment has been initiated in two separate phase IIb trials of LBR 101 (formerly RN 307), a recombinant, humanized monoclonal antibody targeting calcitonin generelated peptide, for the prevention of chronic and high frequency episodic migraine. In both trials, patients will receive placebo or a low-dose or high-dose treatment with subcutaneous LBR 101 once monthly for three months. In the chronic migraine trial, approximately 225 patients are expected to be enrolled and the primary efficacy endpoint will be the mean change from baseline in the number of hours with headache after 12 weeks of treatment. In the episodic migraine trial, an estimated 270 patients will be enrolled and the primary efficacy endpoint will be the mean change from baseline in the number of migraine days after 12 weeks of treatment. Top-line data from these trials are expected in late 2014 or early 2015. Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. 20 January 2014 NKTR 171 Nektar phase change I, USA Nektar announced on 14 January 2014 that dosing has begun in a single-ascending dose phase I trial evaluating the safety, tolerability and pharmacokinetics of NKTR 171 in up to 50 healthy volunteers. NKTR 171 is a sodium channel blocker being developed for the treatment of neuropathic pain. ornithine phenylacetate Ocera phase change II, Canada, USA (hepatic encephalopathy) On 8 January 2014 Ocera announced that it has initiated enrollment into its phase IIb trial, designated STOP-HE, comparing the safety, efficacy and pharmacokinetics of ornithine phenylacetate (OCR 002) plus standard of care with standard of care alone for the treatment of acute hepatic encephalopathy (HE) in hospitalized patients with liver cirrhosis. The company aims to enroll approximately 200 participants and will assess time to achievement of meaningful improvement in HE symptoms. The study is expected to complete in early 2015. Ornithine phenylacetate, an ammonia scavenger, is being developed for the treatment of hyperammonemia and HE in patients with advanced liver cirrhosis and acute liver failure. Phase II evaluation of the agent is ongoing in patients with acute liver injury, liver cirrhosis and upper gastrointestinal bleeding. pracinostat MEI Pharma starts phase II trial in refractory MDS On 14 January 2014 MEI Pharma announced that it has initiated patient dosing in an open-label, two-stage phase II trial evaluating pracinostat for the treatment of patients with myelodysplastic syndrome (MDS) who either failed to respond or maintain a response to a hypomethylating agent (HMA) alone. The primary objective of this trial is to determine if the addition of pracinostat to azacitidine or decitabine therapy can improve clinical responses or rescue previous responses 19 R &D FO C US dr ugne w s within 18 months of seroconversion and exhibited stablycontrolled virus for six months. GOVX B11 had a good safety profile, with no patients requiring reinstatement of drug therapy during the treatment-interruption part of the trial. The agent elicited enhanced CD8+ T cells in eight patients and enhanced CD4+ T cell and antibody responses in four patients during vaccination; a trend towards enhanced viral control was observed in patients with the best CD4+ and CD8+ T cell responses. Expanded antibody and T cell responses associated with re-emergent HIV were demonstrated in preliminary analyses of the first seven patients to undergo treatment interruption. 20 January 2014 R &D FO C US dr ugne w s achieved with a HMA alone. The primary endpoint of clinical improvement rate will be defined by the proportion of patients with complete remission, partial remission and hematologic improvement. Secondary endpoints include overall response rate, complete remission rate, hematologic improvement rate, duration of response, progression-free survival, time to progression and overall survival. The company aims to enroll up to 76 patients. Preliminary data are expected to be released in December 2014. Pracinostat, an oral inhibitor of histone deacetylase (HDAC) 1, 2 and 4, is being developed for the treatment of solid tumors and hematological cancers. A phase II trial evaluating pacrinostat in combination with azacitidine for the treatment of MDS is ongoing. Phase II evaluation of pracinostat in combination with azacitide for the treatment of elderly patients with newly diagnosed acute myeloid leukemia is also ongoing. Data from these trials are expected to be released by December 2014. PRO 140 CytoDyn provides update on development CytoDyn announced on 7 January 2014 that it has received approval from the US FDA to start screening patients with human immunodeficiency virus type 1 (HIV-1) infection in a phase IIb trial of PRO 140 as an adjunct to antiretroviral therapy. Patients with viral rebound and documented poor adherence to prior antiretroviral regimens will receive a subcutaneous injection of PRO 140, or placebo, once a week for 24 weeks in combination with oral antiretroviral agents. The trial will evaluate antiviral activity, as well as tolerability and patient adherence. CytoDyn is developing PRO 140, a humanized monoclonal antibody targeting HIV co-receptor CCR5, as a potential anti-HIV agent. PRT 201, a long acting human recombinant elastase, is being developed to improve both the immediate and long-term success of hemodialysis access, bypass graft and angioplasty procedures. The agent can be applied topically to exposed vessels during surgery, or injected through angioplasty catheters. PRT 201 has been evaluated in a phase II trial in patients with chronic kidney disease undergoing surgery for arteriovenous fistula creation in preparation for hemodialysis. A phase I trial of PRT 201 as a treatment for patients with symptomatic peripheral artery disease is ongoing. PXVX 0200 PaxVax clinical data (Phase III) (cholera) PaxVax on 9 January 2014 announced interim data from an ongoing phase III trial to assess the protection offered by a single PXVX 0200 dose against Vibrio cholerae at ten days and 90 days after vaccination. PXVX 0200 was well tolerated. At ten days post vaccination, two of 35 participants in the PXVX 0200 group had moderate-tosevere diarrhea compared to 20 of 33 participants in the placebo group. PaxVax is developing PXVX 0200, a single dose, oral, live attenuated vaccine, for the prevention of cholera. The vaccine, originally developed by Berna (now Crucell) in collaboration with the University of Maryland (USA), was first launched in Switzerland in May 1994 and subsequently made available in five other countries, including Canada, under the trade names OROCHOL and MUTACOL BERNA; however, production of the vaccine ceased in 2004 owing to business considerations. RX 3117 PRT 201 Rexahn phase change I, USA (solid tumor) Proteon Orphan Drug, EU (prevention of arteriovenous access dysfunction) On 8 January 2014 Rexahn announced that it has initiated a multicenter, dose-escalation phase Ib trial to evaluate the safety, tolerability, dose-limiting toxicities and maximum tolerated dose of oral RX 3117 in patients with solid tumors in the USA. Up to 30 patients will receive RX 3117 thrice weekly for three weeks followed by one week off treatment for up to eight cycles. The secondary endpoints will be On 8 January 2014 Proteon announced that PRT 201 has been granted Orphan Drug designation in the EU for the prevention of arteriovenous access dysfunction in hemodialysis patients. 20 Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. samatasvir & simeprevir Idenix clinical data (Phase II) (hepatitis C) On 13 January 2014 Idenix announced interim data from an ongoing, 12-week, phase II trial (HELIX-1) of a combination of samatasvir (IDX 719), a hepatitis C virus (HCV) NS5A inhibitor, and simeprevir, a HCV protease NS3/4A inhibitor, in treatment-naive, non-cirrhotic patients with genotype 1b or 4 HCV infection. The trial consists of two parts. In part A, 63 patients received once-daily samatasvir (50, 100 or 150 mg) in combination with simeprevir (150 mg) plus ribavirin for 12 weeks. In part B, exploratory cohorts of patients were added to evaluate the safety and antiviral activity of simeprevir and ribavirin in combination with samatasvir 25 mg in patients with genotype 1b HCV infection and samatasvir 100 mg in patients with genotype 6 HCV infection. Results from part A showed that the combination regimen was well tolerated. No treatment-related serious adverse events were reported. Fatigue, pruritus, anemia, nausea and insomnia were the most frequently reported adverse events. After four weeks of treatment, rapid virologic response was seen in 20 of 20 patients, 20 of 21 patients and 18 of 19 patients in the samatasvir 50, 100 and 150 mg groups, respectively; sustained virologic response was seen in 17, 16 and ten patients in the samatasvir 50, 100 and 150 mg groups, respectively. At the end of 12-week treatment period, response was seen in 18, 19 and 11 patients in the samatasvir 50, 100 and 150 mg groups, respectively. Samatasvir 50 mg was selected for evaluation in an ongoing phase II trial designated HELIX-2. Simeprevir is available in Japan, the USA and Canada for use in combination with PEGylated interferon and ribavirin for the treatment of genotype 1 chronic HCV infection, and is pending approval in the EU for this indication. The HELIX-2 phase II trial is evaluating samatasvir in combination with simeprevir and TMC 647055 in treatment-naive or relapsed patients with HCV genotype 1 infections. Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. 20 January 2014 SDP 051 Adheron clinical data (Phase I) On 8 January 2014 Adheron reported results from a placebocontrolled phase I trial of SDP 051 in healthy volunteers. SDP 051 was safe and well tolerated at doses up to 10 mg/kg per day with no significant side effects. SDP 051, a humanized monoclonal antibody targeting cadherin-11, is being developed for the treatment of various diseases, including rheumatoid arthritis and fibrosis. Adheron expects to start a phase II trial to evaluate once monthly dosing of the antibody in 2015. selective inhibitors of nuclear export, Karyopharm Karyopharm provides update on development Karyopharm announced on 8 January 2014 that it has been awarded a grant from the National Multiple Sclerosis Society (USA) to evaluate its selective inhibitors of nuclear export (SINE) compounds in the treatment of multiple sclerosis. The SINE compounds inhibit exportin-1 (XPO1, also known as CRM1), a nuclear export protein that mediates the export of approximately 285 different cargo proteins, including the vast majority of tumor suppressor proteins. Discovery stage research is under way. SGK1 inhibitors, Visionary Pharmaceuticals/BioBlocks Visionary Pharmaceuticals and BioBlocks sign collaboration agreement Visionary Pharmaceuticals and BioBlocks announced on 8 January 2014 that they have signed a collaboration agreement for the development of small molecule inhibitors of serum and glucocorticoid-regulated kinase 1 (SGK1), a serine/threonine protein kinase that plays an important role in the cellular stress response and ion channel activation, for the treatment of cancers, including triple-negative breast cancer. The inhibitors are being identified using BioBlocks' Leap-to-Lead small molecule lead discovery platform and Visionary Pharmaceuticals' BindingSIGHTS technology platform, and target the 21 R &D FO C US dr ugne w s to assess the pharmacokinetic profile and preliminary antitumor effects of RX 3117. Rexahn expects to complete patient enrollment in this trial by end 2014 and to release data in first half 2015. RX 3117, a cytotoxic antimetabolite nucleoside, is being developed for the treatment of solid tumors, including colon, lung and pancreatic cancers. 20 January 2014 R &D FO C US dr ugne w s abnormal glycosylation and metabolite production that occur in tumor cells. Discovery stage research is under way. TG 4010 Transgene clinical data (Phase II/III) (NSCLC) On 8 January 2014 Transgene announced top-line preliminary results from the phase IIb part of a phase IIb/ III trial (TIME) evaluating the safety and efficacy of TG 4010 (MVA-MUC1-IL2) in combination with chemotherapy versus chemotherapy alone in the first-line treatment of MUC-1 positive patients with advanced nonsmall cell lung cancer (NSCLC). 210 patients were enrolled in total in the phase IIb part of the trial and the primary objective was to determine the patient's triple-positive activated lymphocytes (TrPAL) level using an upper limit of normal (ULN) threshold based on TrPAL levels in healthy individuals. Results showed that the trial did not meet its primary endpoint when the ULN threshold was used. However, a pre-planned progression-free survival (PFS) analysis using a quartile approach (refined threshold) showed an improvement in PFS in the 75% of TG 4010-treated patients with lower TrPAL levels and no improvement in PFS in the 25% of TG 4010-treated patients with higher TrPAL levels. TG 4010 was well tolerated and the nature and incidence of adverse events were consistent with the previous phase II trials. Transgene plans to advance the trial into the phase III part, in which the patient population will be selected based on TrPAL levels. Detailed results from this trial are expected in 2014. TG 4010, a MUC-1 targeted immunotherapy, is being developed as an adjunct to chemotherapy for the treatment of NSCLC. TRV 027 Trevena initiates phase IIb trial Trevena reported on 9 January 2014 that it has initiated a randomized, active-controlled, double-blind, multicenter phase IIb trial (BLAST-AHF) of TRV 027 in patients with acute heart failure. About 500 patients will receive TRV 027 at doses of 1.0, 5.0 or 25 mg/h, or placebo, plus standard heart failure therapy for a minimum of 48 h and up to 96 h. The primary objective of this trial is to evaluate the effects of the three dose levels of the agent 22 on mortality, worsening heart failure, hospital readmission rate, dyspnea, and length of hospital stay. TRV 027, a beta-arrestin biased angiotensin II type 1 receptor (AT1R) ligand, is being developed as a titratable iv agent for the treatment of acute decompensated heart failure. vaccine, H1N1 influenza, Vaxart Vaxart clinical data (Phase I) (influenza) On 9 January 2014 Vaxart reported data from a phase Ib trial evaluating the safety and immunogenicity of its oral vaccine for seasonal influenza. A total of 88% of the participants in this trial had anti-hemagglutinin antibody responses, with 45% and 55% of them showing four-fold increases in neutralizing antibodies in the hemagglutination inhibition assay and microneutralization assay, respectively. Vaxart’s vaccine is being developed for protection against H1N1 influenza (swine flu). It comprises a non-replicating chimeric adenovirus-5 vector, which has been engineered to express H1N1 influenza hemagglutinin, and a Toll-like receptor 3 (TLR3) ligand vaccine adjuvant. VX 135 Vertex reports clinical data (Phase II) (hepatitis C) On 9 January 2014 Vertex announced data from the first two cohorts of an open-label phase IIa trial of VX 135 in combination with Bristol-Myers Squibb’s daclatasvir in non-cirrhotic, treatment-naive patients with genotype 1 hepatitis C virus (HCV) infection. Patients received 100 or 200 mg of VX 135 in combination with 60 mg daclatasvir once daily for 12 weeks. In an intent-to-treat analysis, 58% of the patients in the 200 mg dose cohort and 73% of the patients in the 100 mg dose cohort had undetectable HCV RNA after four weeks of treatment. The sustained viral response rate four weeks after the completion of treatment (SVR4) was 83% and 73% in the 200 and 100 mg dose cohorts, respectively. In the 200 mg dose cohort (n=12), one patient who discontinued treatment after the first dose due to a serious adverse event of vomiting/nausea did not achieve SVR4. The remaining 11 patients completed 12 weeks of treatment, and 91% achieved SVR4. In the 100 mg Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. VX 135, an oral uridine nucleotide analogue prodrug, is undergoing phase II evaluation in combination with ribavirin in treatment-naive patients with HCV infection. In April 2013, Vertex and Bristol-Myers Squibb have entered into a non-exclusive agreement to conduct two phase II trials of VX 135 in combination with daclatasvir for the treatment of HCV infections. Immunomedics phase change III (pancreatic cancer) WTX 101 Wilson Therapeutics IND approved, USA (Wilson disease) Wilson Therapeutics reported on 13 January 2014 that the US FDA has accepted an IND application to begin a phase I trial of WTX 101 in the treatment of Wilson's disease. WTX 101 is a bis-choline formulation of tetrathiomolybdate (TTM), a decoppering agent that has shown evidence of an ability to stabilize neurological function and reduce the risk of neurological deterioration in Wilson's disease patients with neurological disease. WTX 101 has been tested in clinical trials in cancer patients; the Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. yttrium Y 90 clivatuzumab tetraxetan On 9 January 2014 Immunomedics announced that it has initiated a randomized, double-blind phase III trial, designated PANCRIT-1, evaluating the safety and efficacy of yttrium Y 90 clivatuzumab tetraxetan, in combination with low-dose gemcitabine and best supportive care, in patients with metastatic pancreatic cancer who have received at least two prior therapies (of which one must have contained gemcitabine). The company aims to enroll approximately 440 participants who will be randomized 2 to 1 to the treatment arm of three doses of yttrium Y 90 clivatuzumab tetraxetan plus four doses of gemcitabine at 200 mg/m2 per cycle or placebo plus low-dose gemcitabine. Treatments will be administered during the first four weeks of each sevenweek cycle, and repeated up to a maximum of six cycles. The primary endpoint is overall survival. Enrollment is expected to be completed during first half 2015. Immunomedics is developing yttrium Y 90 clivatuzumab tetraxetan, a humanized monoclonal antibody targeted against an epitope in the MUC1 antigen expressed in most pancreatic cancers. 23 20 January 2014 agent showed a favorable safety and tolerability profile, effectively reducing copper levels when administered once daily. WTX 101 has been granted Orphan Drug designation for treating Wilson's disease in the EU and the USA. R &D FO C US dr ugne w s dose cohort (n=11), two patients had viral breakthrough. One patient in each dose cohort relapsed during the followup period. Overall, the adverse events were mild in severity across the trial. The most common adverse events reported in at least 10% of patients included fatigue, headache and nausea. Based on this data, Vertex and Bristol-Myers Squibb plan to enroll additional patients with both genotype 1 and 3 HCV infection. R&D FO C US dr ugne w s 24 Newly Reported Drugs in R&D Focus Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. Company Product Therapeutic Class Indication Phase AC Immune Adheron Adimab Anaconda ACI 35 SDP 051 MAbs, cancer, Adimab/FivePrime AP 611074 J7C; N7D9 M1C; V3X L1X3 J5B9 Phase I Phase I Discovery Phase I/II AnaptysBio ANB 020 L4X Anavex Life Sciences Biogen Idec BioMarin BiOncoTech BiOncoTech Brabant Circadian Technologies Cubist CytomX ANAVEX 2-73 + donepezil SNS 062 BMN 270 BO 011 BO 110 BRABAFEN OPT 302 CB 618 PROBODY-drug conjugates, cancer, CytomX/ImmunoGen microRNAs, neurodegenerative diseases, InteRNA/ UCB/Bonn University cancer therapy, ImmTAC, MedImmune/Immunocore phosphoinositide-dependent kinase-1 inhibitors, Sunesis mPGES-1 inhibitors, NovaSAID/Cadila MAb, PDGFR-beta, Regeneron/Bayer ANAVEX 2-73 + donepezil gene therapy, hemoglobinopathies, Sangamo BioSciences/Biogen Idec niche activators, TGF-beta 1, Scholar Rock/Johnson & Johnson OPT 302 phosphoinositide-dependent kinase-1 inhibitors, Sunesis SNS 062 N7D9 L1X4 B6C L1X3 L1X9 N3A; V7A S1P J1X9 L1X3 Alzheimer disease fibrosis; rheumatoid arthritis cancer genital warts allergic rhinitis; allergy; asthma; COPD; dermatitis; fibrosis Alzheimer disease hematological cancer hemophilia cancer cancer epilepsy wet AMD bacterial infection cancer Preclinical Preclinical Preclinical Preclinical Preclinical Clinicals Preclinical Preclinical Discovery N7X neurodegeneration Discovery L1X3 L1X4 L4X; N2B S1P N7D9 cancer cancer inflammation; pain AMD Alzheimer disease Discovery Discovery Discovery Preclinical Preclinical B6C sickle cell anemia; thalassemia Discovery L4X autoimmune disease; cancer Discovery S1P L1X4 L1X4 wet AMD cancer hematological cancer Preclinical Discovery Preclinical Visionary Pharmaceuticals SGK1 inhibitors, Visionary Pharmaceuticals/BioBlocks L1X4 cancer Discovery Wilson Therapeutics WTX 101 N7X; V7A Wilson disease Preclinical Xiber Science Xib 13 D3A9; L4X burn; transplant rejection Preclinical InteRNA MedImmune Millennium NovaSAID Regeneron Roskamp Institute Sangamo BioSciences Scholar Rock Selexis Sunesis Sunesis Preclinical 20 January 2014 Sourced from IMS LifeCycle R&D Focus. © 2014 IMS Health Incorporated or its affiliates. All rights reserved. Product Phase Changes Reported in R&D Focus Company Product Therapeutic Class* Indication New Phase Region of Phase Change Highest Phase AstraZeneca dapagliflozin A10X9 diabetes Registered USA Marketed Novartis indacaterol + R3G4 glycopyrronium bromide COPD Registered Canada Marketed GlaxoSmithKline umeclidinium bromide + R3G4 vilanterol COPD Registered Canada Registered Daiichi Sankyo edoxaban B1F stroke; thrombosis Pre-registration USA Marketed Merck & Co lambrolizumab L1X3 melanoma Pre-registration USA Pre-registration Clarus REXTORO G3B; V7A hormone deficiency Pre-registration USA Pre-registration Baxter RIXUBIS B2D2 hemophilia Pre-registration Japan Marketed Boehringer Ingelheim tiotropium bromide R3G3 asthma Pre-registration Japan Marketed Melinta delafloxacin J1G gonorrhea Phase III USA Phase III Immunomedics yttrium Y 90 L1X3; V3C clivatuzumab tetraxetan pancreatic cancer Phase III Canada; Europe; Israel; USA Phase III Alios ALS 8176 J5B5 respiratory syncytial virus Phase II USA Phase II D-Pharm DP b99 A16A; N7X; P1D1; P1G pancreatitis Phase II Europe Phase III Labrys LBR 101 N2C9 migraine Phase II USA Phase II Ocera ornithine phenylacetate A16A hepatic encephalopathy Phase II Canada; USA Phase II AC Immune ACI 35 J7C; N7D9 Alzheimer disease Phase I Europe Phase I Enanta EDP 788 J1F bacterial infection Phase I USA Phase I Nektar NKTR 171 N7X neuropathic pain Phase I USA Phase I Rexahn RX 3117 L1B solid tumor Phase I USA Phase I BioMarin BMN 270 B6C hemophilia Preclinical USA Preclinical * A change in phase may not apply to all therapeutic classes 25 R&D FO C US dr ugne w s 20 January 2014
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