Wednesday, October 29, 2014

FDA URGED TO REVEAL BIOSIMILAR NAMING GUIDELINES
by Ed Silverman


One week after the FDA received its first request to approve a biosimilar medicine, a handful of U.S. senators has asked the U.S. Department of Health and Human services when a formal policy will be adopted for naming these medications.

Their missive was sent just as the World Health Organization suggested a new proposal for naming biosimilars, which are designed to emulate brand-name biologics and are forecast to save billions of dollars in health care costs.

At issue is whether biosimilars should be given the same International Non-Proprietary Name, or INN, as brand-name biologics. The WHO oversees the global INN system, but individual regulatory agencies in each country are not bound by the latest WHO proposal.

As we have noted previously, the naming debate is particularly contentious and has divided the pharmaceutical industry, which has been lobbying the FDA to chart a course. A central focus of the debate is whether different INNs would hamper substitution needed for lowering health care costs.

Brand-name drug makers and biotechs want biosimlars to have unique or generic names to distinguish the medicines from the original biologics. They argue that different names would make it easier to track adverse events.

Generic drug makers believe a new naming standard may confuse health care providers as they sort out whether the medicines are really the same and attempt to verify dosing and regiments. And they maintain side effects can be traced through national drug codes and lot numbers.

They also argue that brand-name drug makers and biotechs are maneuvering to blunt competition before biosimilars are widely used in the U.S. Drug makers from on both sides of the debate have petitioned the FDA to adopt their respective positions.

For its part, the FDA has remained silent on its plans, although in their letter, five Republican members of the U.S. Senate Committee on Health, Education, Labor & Pensions, wrote that they believe the FDA has sent its naming guidance to the HHS for approval.

An FDA spokeswoman would only say that the agency is “currently considering the appropriate naming convention. We will take into consideration all comments we’ve received as we move forward in developing future policies, including naming.”

We asked the HHS for comment and will update you with any reply.

The senators are concerned the FDA has already begun the process of reviewing biosimilar applications and holding talks with drug makers before allowing its planned guidance to be vetted publicly. Typically, an FDA draft guidance is disclosed and comment can be made before anything is finalized.

Two weeks ago, the Sandoz unit of Novartis that sells generic medicines, sought FDA approval to sell a biosimilar version of Neupogen, an Amgen medication that is used to reduce the risk of infection in cancer patients under chemotherapy. This is believed to be the first such application to the FDA.

This is not the first time that FDA policy toward biosimilar naming has drawn attention from members of the Senate. Last fall, the agency had removed a policy from its web site that discussed biosimilar naming and the senators believed this signaled an unpublicized shift by FDA officials.

At the time, the six U.S. senators – which included five Democrats and one Republican – argued against any requirement that biosimilars carry unique INNs that would distinguish them from the brand-name biologics. The most recent letter did not articulate a position.

Fuente: BIO SmartBrief - THE WALL STREET JOURNAL

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Monday, October 27, 2014

IT'S ALL ABOUT CONSOLIDATION THESE DAYS IN PHARMA, MEDTECH AND BIOTECH M&A
by Meghana Keshavan

This year’s been a big deal for big deals in pharma, biotech and medtech: There have been 869 deals worth $354.3 billion, according to a new Mergermarket report – the most the firm’s seen since 2001 by value. This is attributed, of course, to the eight megadeals this year – representative of the mass consolidation going on (cough, inversion, cough) in the industry – which alone accounted for $220.3 billion.
Though Mergermarket predicts the market for mergers to remain strong in Q4 2014 and beyond, the IPO market is predicted to be bleak. Here are some standout observations from the report:
  • This infographic:

  • Despite inversion being a driver for M&A deals, deals like the potential AstraZeneca-Pfizer merge went moot thanks to “too strong a tax inversion strategy rhetoric,” the report said. By contrast, the $54 billion Shire-Abbvie merge remains notable because it “carries with it all the benefits of transatlantic deal-making coupled with the assurance of a cash generating pipeline.”
  • The Eli Lilly deal in which it bought Novartis’ Animal Health portfolio stood out perhaps for the wrong reasons this year – the $5.4 billion buyout was valued nearly five times the 2013 revenues – “desperation to be a leader in one segment has a price to pay,” the report said.
  • Consolidation isn’t just left to the big guys. Thanks to next year’s round of Medicare competitive bidding, there’s going to be lots of merging among small suppliers of durable medical equipment. “In the best case scenario, a successful bid will saddle a company with drastically reduced Medicare reimbursement,” the report said, “while in the worst case, operators could lose out on contracts entirely.” Smaller players in the device supplier sector may have to merge to survive – while larger players can don a more acquisitive strategy to gain size and scale.

Fuente: MEDCITY News

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¿Cómo INCORPORAR y APLICAR Modelos de
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(aplicado al Sector Salud y Farma, con resolución de casos reales en tiempo real)

http://msg-latam-meic.blogspot.com.ar/2014/06/capacitacion-in-company-programa_6246.html

¿Cómo GERENCIAR EFICAZMENTE a partir del
MANAGEMENT ESTRATÉGICO?
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http://msg-latam-meic.blogspot.com.ar/2014/06/capacitacion-in-company-programa_3.html

¿Cómo GERENCIAR PROCESOS DE CAMBIO
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Wednesday, October 22, 2014

PHARMA DEALS DURING SEPTEMBER 2014
(Part 3 out of 3)
by Medius Associates


This table lists all the major pharma collaborations, acquisitions and mergers agreed during September 2014
Licensor acquired / licensee acquirer
Deal type

Product / technology
Headline ($m)
Sigma Aldrich /  Merck KGaACompany acquisitionLaboratory supplies17,000
Alios / J&JCompany acquisitionAnti-viral therapies, lead compound AL-8176 an oral antiviral in phase II for infant RSV1,750
Lumara Health / Amag

Lumara Health / Perrigo
Company acquisition (excluding Perrigo products)Maternal health business including orphan drug to reduce risk of preterm birth Makena

Three women's health products  
1,025

82 
Merrimack / BaxterLicence to commercialise1MM-398 a nanoliposomal irinotecan injection of for metastatic pancreatic cancer in phase III970
Infinity / AbbVieLicence and collaborationIPI-145 an oral PI3K-delta, gamma inhibitor in Phase III for chronic lymphocytic leukaemia  805
Curevac / Boehringer IngelheimLicence and collaborationMessenger RNA vaccine (CV9202) in combination with afatininib and chemo-radiation for lung cancer 601
Civitas / AcordaCompany acquisitionCVT-301 - Levodopa dry powder inhaler.  Phase IIb for treatment of Parkinsons + pulmonary delivery technology525
AstraZeneca / LillyLicence and collaborationOral BACE inhibitor in phase I for Alzheimer's disease500
Ambit Biosciences / Daiichi SankyoCompany acquisitionKinase inhibitor pipeline, lead compound quizartinib for AML in phase III410
Aesica Pharmaceutical / ConsortCompany acquisitionAesica is a UK contract development and manufacturing company374
Aspen / MylanProduct acquisition2Arixtra anticoagulant plus authorised generic version300
Sutro / Merck KGaALicence and collaborationSutro's antibody drug conjugate technology for oncology298
Rhizen / TG TherapeuticsLicence and collaboration3(exercise of option)TGR-1202 an oral P13K-delta inhibitor in phase II for haematological malignancies244
Seattle Genetics / GenmabLicence and collaborationAdditional deal to use Seattle's antibody drug conjugate technology211
Altor / Shenzhen BeikeLicence and collaboration4ALT-803 an interleukin-15-based agonist in Phase I/II for treatment of various cancers209
MyoKardia/ SanofiLicence and collaboration5Three programmes for treatment of genetic forms of cardiomyopathy200
Shasun / Strides ArcolabCompany acquisitionShasun is an Indian API and generic company 200
Innovus / Sothema Labs

Innovus / Orimed 
Licence to commercialise6

Licence to commercialise
Natural oils to treat female sexual desire disorder (Zestra) and various penile disorders (EjectDelay, Sensum)171

86 
Isopure / GlanbiaCompany acquisitionGlanbia, US company selling premium branded sports nutrition powders and drinks153
NeuroVive / OnCoreLicence and collaborationNVP018 an oral sangamide-based  2nd generation cyclophilin inhibitor for hepatitis B150 
All deals are worldwide unless otherwise noted
1: Global excluding US and Taiwan
2: US only
3: Excludes India 
4: China only 
5: Excluding commercialisation in US
6: Middle East and Africa
7: Canada
Fuente: PMLiVE

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Monday, October 20, 2014

PHARMA DEALS DURING SEPTEMBER 2014
(Part 2 out of 3)
by Roger Davies


This year there have been two major strategic initiatives by big pharma companies: rationalisation of portfolios by trading business areas with one another to consolidate and strengthen market share in specific sectors; and M&A of large companies driven by the need to bolster sales and profits by synergy and tax savings
If you can't stand the heat…

While the uncertainty about tax inversion is causing some big pharma companies to sweat in the political limelight, others are staying cool by engaging in more run-of-the-mill company and asset (product) acquisition deals. The deals can be grouped into:
  1. Acquisition of biotech companies by big pharma to build pipeline and late stage products. The highest value deal this month was J&J's acquisition of Alios for $1.75 bn. Alios has an oral anti-viral in phase 2 for treatment of infant respiratory syncytial virus (RSV) which complements J&J's early stage programmes in RSV. Similarly Daiichi Sankyo has supplemented its oncology pipeline by acquiring Ambit Biosciences for $400 m. Ambit develops kinase inhibitors and has quizartinib in phase 3 for acute myeloid leukaemia.
  2. Acquisition of product assets or companies with marketed products by speciality and generic companies.  KV Pharmaceuticals emerged from Chapter 11 bankruptcy in September 2013 with the new name Lumara Health and two divisions: maternal health for the orphan drug Makena; and women's health for three other products. This structure was probably set up with the objective of maximising the sale value of the company. Perrigo who manufactures two of the three women's health products is acquiring the products for $82 m. The current annual sales multiple is 5.5, but the products had sales of $78 m prior to production problems. Amag is buying the remaining company for up to $1.025 bn. It contains Makena, a progesterone injection with US orphan status to reduce the risk of preterm birth with annual sales of $110 m (+72%).  The upfront payment of $675 m represents 6 x sales and there are sales milestones totalling $350 m. The potential maximum sales multiple of 9 for Makena reflects its high margin and growth rate.  In contrast, the lower growth and margin Arixtra plus its authorised generic version in the US being bought by Mylan from Aspen for $400 m has a sales multiple of 2.6.
  3. Acquisition of complementary and competitor companies. The acquisition of Civitas for $525 m provides Acorda with a product for Parkinson's disease in phase IIb that complements its CNS portfolio. The UK acquisition of the UK contract manufacturing company Aesica Pharmaceuticals which has 6 sites in Europe for $374 m (1.2 x sales) complements the medical device manufacturing of Consort Medical.  The contract manufacturing sector is in a state of flux with the acquisition of Patheon last year by DSM and Akorn's acquisition of the ophthalmic manufacturer Excelvision in July this year.  In India this month, Strides Arcolab has acquired another Indian generic and API supplier Shasun in an all stock deal worth $200 m to add products to its portfolio. Glanbia based in Ireland has bolstered its US presence with the acquisition of Isopure the US sports nutrition product company for $150 m (2 x sales).
Licensing rumbles along in the background with creative deals for the US

Big pharma M&A and rationalisation of portfolios may be the headline topic at the moment but licensing deals continue in the background. Often these deals are just as important to the licensee's business as M&A and probably are a lot less costly than acquiring a licensor's company. In recent months there seems to have been an increasing number of licensing deals with more flexible financial terms not just to deal with risk but also to change the reward structure at a later date. In addition many more deals include carve outs for specific countries and activities such as manufacturing and also include co-promotion.

The two highest value licensing deals this month are for oncology products in phase 3 and both have carve outs and other creative terms. Baxter is licensing Merrimack's nanoliposomal injection of irinotecan which has orphan status in the US and the EU for metastatic pancreatic cancer, but does not have US rights.  In contrast, AbbVie has US rights but is required to co-commercialise and equally share profits with Infinity who book the sales. Outside the US, AbbVie exclusively commercialise duvelisib but pay a heroic royalty of 23.5% to 30.5%. The royalties are high because Infinity has to share the proceeds with Mundipharma and Millenium. One can't escape one's past.

Another creative deal also with a US theme is the early stage deal between MyoKardia, a company based in California, and Sanofi.  Myokardia will develop two HCM (hypertrophic cardiomyopathy) programmes where it retains US commercialisation rights and Sanofi has ex-US rights; and a third DCM (dilated cardiomyopathy) programme will be developed by Sanofi with global commercialisation rights. Sanofi has the right to co-promote new HCM indications in the US and MyoKardia can co-promote the DCM product in the US. It certainly would have been simpler, but probably more expensive, if Sanofi had acquired MyoKardia!  That may still be on the cards as Sanofi has made an equity investment in MyoKardia as part of the upfront.

There are two other big pharma / biotech deals this month that appear to be more typical of traditional licensing deals. Boehringer Ingelheim has taken a licence to Curevac's messenger RNA vaccine for one of its compounds and the Californian company, Sutro, has signed an early stage deal with Merck KGaA to license its antibody drug conjugate (ADC) technology.  With the growth of antibody products, there is increasing interest in ADC technologies. Four years ago Genmab started working with Seattle Genetics' ADC technology and has now signed a new deal using a Genmab antibody.  The creative aspect of this deal is that Seattle has retained an option to increase the Genmab royalties to double digit levels in exchange for a reduction in milestone payments. The key unanswered question is when does the option expire?  Expiry of the option is no longer an issue for TG Therapeutics now that it has exercised early its option with Rhizen to change their deal from a 50/50 joint venture to a global (excluding India) licence.  The product, an oral PK13 delta inhibitor appears to have completed phase 2 the stage when most options would expire.

Finally it is interesting to see yet another big pharma / big pharma development and commercialisation collaboration. These have become increasingly popular as big pharma seeks to reduce risk by sharing costs and revenues particularly in uneconomic therapeutic areas, for example, antibiotics and in therapeutic areas such as degenerative neurological diseases where there is a high risk of development failure. AstraZeneca and Lilly have announced a joint development and commercialisation deal for AstraZeneca's BACE inhibitor in phase I for Alzheimer's disease.  Lilly will lead the development effort and both companies will share costs and revenues with AstraZeneca getting $50 m in 2015 and a further potential $450 m in milestones.  AstraZeneca estimated that the product has potential peak sales of $5 bn and a 9% chance of success.  This is why big pharma companies are working together. Perhaps “a problem shared is a problem halved?”
Fuente: PMLiVE

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accederán a los Contenidos de nuestros 
TALLERES DE CAPACITACIÓN IN COMPANY A MEDIDA:
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¿Cómo INCORPORAR y APLICAR Modelos de
PENSAMIENTO ESTRATÉGICO?
(aplicado al Sector Salud y Farma, con resolución de casos reales en tiempo real)

http://msg-latam-meic.blogspot.com.ar/2014/06/capacitacion-in-company-programa_6246.html

¿Cómo GERENCIAR EFICAZMENTE a partir del
MANAGEMENT ESTRATÉGICO?
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¿Cómo GERENCIAR PROCESOS DE CAMBIO
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Recetas para Escenarios Turbulentos
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