After setbacks and delays, the Swiss biotech Santhera is looking to have its treatment for Duchenne muscular dystrophy get past the FDA.
Santhera, along with ReveraGen BioPharma, announced it has completed the rolling submission for an NDA to US regulators and is seeking a priority review for vamorolone to treat Duchenne. Santhera states that the “core” of its NDA is the positive data from a Phase IIb trial that show the safety and effectiveness of the drug.
The results, which were posted last year, examined dosage levels of 2 mg/kg per day and 6 mg/kg per day, looking at how 121 patients’ time to stand from lying flat was shortened after 24 weeks of treatment. In the high dose arm, patients reduced their time to stand from 6 seconds to 4.6 seconds, while the placebo group went from 5.4 to 5.5 seconds. That equated to a p-value of p=0.002. Santhera didn’t reveal the time difference for the lower dose but reported a p-value of p=0.02.
So far, the news of Santhera’s march toward the NDA has slightly perked up the ears of investors, but the stock price $SANN.SW is still well down in the penny stock range as it faces a price falloff of over 50% since last October.
“Completion of the vamorolone NDA submission is a major step towards our goal of bringing this investigational therapy to patients living with DMD, and represents a vital milestone for Santhera,” Santhera CEO Dario Eklund said in a statement.
With Santhera applying for priority review, it expects the process to take 60 days if the review is granted and is anticipating an approval date for some time in the middle of next year. Santhera also submitted its pitch to the EMA in September, seeking approval for vamorolone in the EU, Norway, Liechtenstein and Iceland.
Santhera has had a wild couple of years, as it was forced to halt a Phase III study in 2020 for its now-defunct idebenone program after it failed an interim analysis. The company had been gearing up for a potential commercial launch throughout Europe and had to withdraw its marketing authorization application from the EMA. This led to most of its staff being laid off in the subsequent restructuring.
After the Phase IIb wins for vamorolone in Duchenne, Santhera was extended a lifeline as it opened up some liquidity to get into the next year. However, Santhera was hoping that the FDA would consider the filing complete and accepted for review by the end of August or early September.
Digital medicine has become a major component in an ever-evolving healthcare environment. You’re likely already familiar with digital technologies such as telehealth platforms and electronic health records. Plus, there are hundreds of thousands of wellness apps available to anyone on smartphone app stores.
But there’s a reason digital medicine and even more specifically, digital therapeutics exist in a subcategory of their own. A digital therapeutic is typically described as an evidenced-based software solution, which are held to the same standards of regulatory oversight as more traditional medical devices. Digital Therapeutics can positively impact the trajectory of a patient’s disease and are approved to deliver specific clinical outcomes. In other words, Digital Therapeutics are viewed as clinically validated software solutions used by clinicians to treat, manage, and prevent a broad spectrum of diseases and disorders. This differs significantly from consumer health apps that track health or aid in the care process in some way.
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On Friday afternoon, the FDA’s oncology drug advisory committee unanimously voted 16-0 against the approval of Y-mAbs’ experimental drug for CNS metastases in pediatric neuroblastoma patients. The key issue the FDA pointed to was that the external control group for Y-mAbs’ pivotal study was very different from the treatment group at baseline, an issue it highlighted in briefing docs released yesterday.
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One of the key programs that inspired Sanofi’s $2.5 billion buyout of Synthorx in late 2019 is now the subject of a $1.6 billion writedown.
Sanofi disclosed in its Q3 earnings that it’s closing down Phase II platform trials for SAR444245, an IL-2 candidate that it had hoped would serve as a next-gen foundation of the oncology franchise. An early look at the data, it said, suggests efficacy that’s “lower than projected.”
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Alnylam Pharmaceuticals, the pharma market’s leader in RNAi therapies, reported its third quarter earnings Thursday, updating shareholders on its pipeline progress and initial sales figures for the recently approved vutrisiran (marketed as Amvuttra).
But tucked away near the bottom of its report, the company revealed it would scrap plans to launch a Phase III trial for vutrisiran in the rare Stargardt disease, appearing to blame President Joe Biden’s Inflation Reduction Act in the process.
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Following the US’ lead, the EMA is cutting back on the use of JAK inhibitors for some patients over a suite of safety concerns.
The EMA’s safety committee issued new guidance on Friday, recommending that a group of JAK inhibitors used for chronic inflammatory disorders are only used in certain at-risk patients if no alternatives are available.
That includes patients 65 years and older, those at risk of major heart problems, those who smoke or who have extensively in the past and those at risk of cancer. Patients at risk of blood clots in the lungs and deep veins (VTE) should take caution, the committee says, while recommending lower doses for some patients at risk of VTE, cancer or major heart problems.
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Ahead of a key meeting of the FDA’s Oncologic Drugs Advisory Committee tomorrow, the FDA is raising serious concerns regarding the efficacy of Y-mAbs Therapeutics’ potential pediatric neuroblastoma treatment.
Part of the problem for FDA is that the entire application for 131I-omburtamab is based on a small, single-arm trial from New York’s Memorial Sloan Kettering Cancer Center that found the three-year overall survival rate after CNS/LM relapse in the efficacy population of 94 patients was 54%.
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Gilead was following German biotech Myr and its hepatitis delta virus candidate for “quite some time” before finally pulling the trigger on a $1.7 billion buyout deal. With an EU authorization already under its belt, an OK in the US was all but a done deal — or so it thought.
The company reported an FDA rejection during its Q3 earnings call on Thursday, leaving CMO Merdad Parsey “disappointed” and spoiling the $360 million milestone that Myr would have reaped on an FDA approval. So what happened?
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RNA editing biotechs pitch impermanence. Instead of making lasting changes to the DNA, RNA editors rewrite the intermediate message before it is translated into proteins. And many RNA editing biotechs, such as Shape Therapeutics, Wave Life Sciences, Korro Bio, and appropriately named ADARx Pharmaceuticals, take advantage of machinery already found in the body — ADAR editing.
ADAR editing converts the RNA code from A to I, which is interpreted as a G. While found in humans, it’s a method used much more actively by octopi and squid to drastically change the code of their nervous system proteins.
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