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GSK, Google form first bioelectronics firm; 11 generic companies benefit from the Teva Allergan deal
This week, Phispers brings to you the details of the bioelectronics firm formed by GSK and Google. There is also news on companies like Teva, Takeda, Jinan Jinda and Eli Lilly, besides two other news snippets pertaining to the FDA -- while the first one pertains to generic approvals, the other one relates to an additional black box warning on a few antibiotics.   GSK and Google join hands to form first bioelectronics startupGlaxoSmithKline and Google’s parent company – Alphabet – have joined hands to create a new company that is focused on fighting diseases by targeting electrical signals in the human body. This way, GSK and Alphabet’s life sciences unit – known as Verily Life Sciences – will be jump-starting a new field of medicine known as bioelectronics.Verily Life Sciences and GSK will together contribute US $ 715.12 million over seven years to the startup Galvani Bioelectronics. The startup will develop miniature electronic implants for the treatment of asthma, diabetes and other chronic conditions. The implantable devices developed by Galvani, which is owned 55 percent by GSK and 45 percent by Verily, can modify electrical nerve signals. The aim is to modulate irregular or altered impulses that occur in many illnesses.The new company will be based at GSK’s Stevenage research center north of London, with a second research hub in South San Francisco.The announcement comes just weeks after GSK had said it was going to use Apple’s HealthKit to conduct clinical trials.Three years ago, GSK had first unveiled its ambitions in bioelectronics in the journal – Nature. Bioelectronic remedies attach battery-powered implants the size of a grain of rice (or even smaller) to individual nerves to correct faulty electrical signals between the nervous system and the body’s organs.GSK believes altering these nerve signals could open up the airways of asthma patients, reduce inflammation in the gut from Crohn’s disease and treat patients with a range of other chronic ailments such as arthritis. So far, the implants have only been tested on animals but the aim is to produce treatments that will supplement or replace drugs that often come with side-effects.GSK has been working on bioelectronic medicines since 2012 in a push to develop new patentable treatments, since its Advair respiratory treatment faces competition from generic versions. It has invested US $50 million in a venture capital fund for bioelectronics and provided funding to scientists working in the field.  Teva divests 79 products to 11 generic players to close Allergan dealTeva Pharmaceutical Industries – the world’s largest generics drug company – won a US anti-trust approval to purchase Allergan's generics business, after agreeing to divest 79 generic drugs to rival firms. This was arrived at to settle Federal Trade Commission (FTC) charges that its proposed US $ 40.5 billion acquisition of Allergan’s generic pharmaceutical business would be anti-competitive. The remedy requires Teva to divest the drug portfolio to 11 firms, and marks the largest drug divestiture order in a FTC pharmaceutical merger case.The Teva-Allergan deal, which was announced in July 2015, solidifies Teva’s position as the world's largest maker of generics while freeing Allergan to focus on branded drugs.The companies that have acquired the divested products are Mayne Pharma Group, Impax Laboratories, Dr Reddy’s Laboratories, Sagent Pharmaceuticals, Cipla Limited, Zydus Worldwide DMCC, Mikah Pharma, Perrigo Pharma International, Aurobindo Pharma USA, Prasco and 3M Company. Eli Lilly CEO steps down; company under probe by US Justice Department Eli Lilly CEO John Lechleiter has stepped down after steering the pharma company through long R&D droughts. The company’s president David Ricks will move up to the top spot. And after a brief spell as executive chairman, Lechleiter will leave the company next spring.Lechleiter has been the company's CEO since April 1, 2008, and the chairman of its board of directors since January 1, 2009.The announcement has come at a time when Eli Lilly has been asked by the Justice Department to disclose information on relationships with pharmacy benefits managers (PBMs), the companies that negotiate prices and set reimbursement conditions.It has not been clear what exactly the department of justice is looking for. In the past, drug makers such as Novartis and AstraZeneca have agreed to pay fines and penalties to settle allegations pertaining to PBMs.  FDA continues to race ahead with generic approvals  The American regulator has reduced its pile of ANDA (abbreviated new drug applications) by about 500 applications in the first six months of 2016. The FDA has also approved 315 more ANDAs over the same time period and has sent 66 more complete response letters — or rejections — to drug makers.This news comes after Bloomberg reported last month that the FDA has become ‘something of a bogeyman’ for India’s stock markets by approving generic drug applications from India at a record place. Similarly, PharmaCompass had reported last week that Indian companies have been fixing compliance issues. China’s Jinan Jinda fails another EDQM inspection; compliance troubles in Denmark  In regulatory news from across the world, Jinan Jinda, a Chinese API manufacturer that had failed an inspection by Italian regulators in June 2015, had more bad news awaiting it a year on. In a June 2016 re-inspection, this time by the Spanish Health Authority, the regulator maintained the ‘facilities non-compliance standing’ since two critical observations were made and the corrections from the previous inspection “were found as not having been implemented in a satisfactory way”. And critical deficiencies were found on raw data.In the June 2015 inspection, the critical observation was related to an unofficial and non-controlled storage area containing mainly raw materials and finished products which had been made inaccessible to inspectors as the door had been removed and replaced with a panel fixed with screws to the wall.Meanwhile, the FDA issued an untitled letter (dated July 15, 2016) to Danish allergy immunotherapy company ALK-Abelló (ALK) over manufacturing and quality control issues at its Horsholm, Denmark facility. The letter comes after a 12-day inspection of the facility in March 2016. During the inspection, the FDA had cited ALK for four “significant deviations” from cGMP requirements.  Another black box warning added to antibiotics like Cipro and LevaquinThe FDA has upgraded warnings on certain antibiotics, such as Johnson & Johnson’s Levaquin, Bayer’s Cipro extended-release tablets and Merck’s Avelox. The FDA had added a black box warning in 2008 about the increased risk of tendinitis in which the tissue connecting muscle to bone becomes inflamed. In May this year, the FDA had advised restricting the use of fluoroquinolone antibiotic for certain uncomplicated infections and had warned about the disabling side-effects of the drug.The new warning talks about long-term risks to the drugs’ current black box warning. The agency also advised using the drugs only for serious infections. Manufacturers of fluoroquinolone have faced thousands of lawsuits from patients who claim that their injuries were caused by the drugs. J&J alone faced 3,400 lawsuits over Levaquin’s links to tendon problems and has also settled many of those cases. Takeda to overhaul R&D, downsize operations in the UKTakeda Pharmaceutical of Japan has said it plans to build a new pipeline of drugs. It plans to revamp its research operations at the cost of around US $ 727 million..  The company also plans to close some of its R&D operations in the UK. Takeda is beginning the first ‘consultation stage’ of the layoff process in the UK, which hosts a pre-clinical R&D operation in Cambridge as well as a development center headquarter with facilities in the UK, Switzerland and Denmark.Under the revamp, Takeda’s R&D activities will be concentrated in Japan and the US, the 235-year old drug company said in a statement. Takeda plans to now focus on the three therapeutic areas of oncology, gastroenterology and the central nervous system.“We need to first build new capabilities and embrace new ways of working,” Andy Plump, Takeda’s chief medical and scientific officer, said in the statement. 

Impressions: 2757

https://www.pharmacompass.com/radio-compass-blog/gsk-google-form-first-bioelectronics-firm-11-generic-companies-benefit-from-the-teva-allergan-deal

#PharmaFlow by PHARMACOMPASS
04 Aug 2016
Does speedy action by European agencies suggest revival of API production in the West?
Recently announced regulatory action against Indian and Chinese companies is creating a significant imbalance in the global supply chains of APIs. This imbalance is likely to open opportunities for other companies in Asia, and may also drive manufacturing back to Europe and the US.Last week, three companies – one in India and two in China – ran into problems with European regulatory agencies due to inspections conducted at their facilities. Data falsification, a problem recurring in Asia for the past few years, raised its ugly head yet again. The three companies that received non-compliance reports were plagued with problems similar to those seen in the past at the Asian operations of Ranbaxy, Wockhardt, Zhejiang Hisun, Novacyl etc. The European regulatory actionTake the case of Jinan Jinda Pharmaceutical Chemistry, China, where an inspection was conducted on June 26, 2015, by the Italian Ministry of Health. An unofficial and non-controlled storage area containing mainly raw materials and finished products was made inaccessible to the inspectors. Since the door of the area had been removed and replaced with a panel fixed with screws to the wall, the inspection team concluded that there was a serious risk of data falsification. At Parabolic Drugs, India, where an inspection was conducted by the Italian Ministry of Health on June 17, 2015, the inspectors found the quality management system to be seriously uncontrolled and deficient in almost all “principles” mentioned in the EU’s Good Manufacturing Practices (EU-GMP) guidelines. Falsification of data and documents along with integrity and security of data in the quality control laboratory were among the observations listed in the non-compliance report.Similarly, at Wuxi Jida Pharmaceuticals, China, inconsistent and conflicting answers were received from the personnel and the management.  The fact that answers were modified according to the inspectors’ requests and that documentation was shown in an ambiguous way led the Italian inspection team to conclude that the company did not comply with the requirements of EU-GMP.The Certificates of Suitability (CEP/COS), given to certify that the material complies with the requirements laid down in the relevant monograph of the European Pharmacopoeia, of these three companies were suspended.  A sense of urgency in EuropeThe time between the Italian inspections and issuance of the non-compliance report was less than six weeks. This turnaround is quite remarkable, considering this is peak holiday season in Europe.Last week also witnessed the US FDA, which has historically been more active compared to the Europeans, issue a warning letter to Mahendra Chemicals in India. During a May 2014 inspection, the US FDA inspectors found employees had completed batch production record entries days after operations had ended. Moreover, they released lots before proper approvals, and failed to maintain original manufacturing data for critical steps. Investigators found backdated batch production records, signed by the Technical Director, who stated he was not in the facility on the dates when the records were signed. Even though such glaring concerns related to data integrity were observed, it still took the US FDA over a year to issue the warning letter; substantially longer than the six weeks taken by the European regulatory agencies.However, the speed of the issuance by the Italian Ministry of Health is not drastically different to the Romanian Health Authority, which issued a non-compliance report (NCR) to Zhuhai United, China, in June 2015, for an inspection held in April. Similarly, the Slovenian Health Authority issued an NCR to Polydrug Laboratories, India, within three months (the inspection was held in March this year). In the case of Huzhou Sunflower, China, the French health agency issued an NCR in March, while the inspection was held in January this year.The recent EU ban on 700 generic medicines due to manipulation of clinical trials at Indian GVK Biosciences, is yet another case which highlights the recent action taken by the European regulatory agencies (read our previous analysis: Will data integrity concerns on clinical trials done at GVK Biosciences go beyond Europe?).  New market opportunities in an imbalanced supply chainThe outcome of these inspections create market opportunities for other competing firms. Jinan Jinda’s inspection was focused on an antibiotic used to treat urinary tract infections – known as Nitrofurantoin. Post the inspection, Jinan is prohibited from supplying Nitrofurantoin to the European market.As per the PharmaCompass database, Jinan Jinda is one of the three holders of a COS/CEP for Nitrofurantoin and the recommended suspension of their COS/CEP is an opportunity for the other two COS/CEP holders – global generic major Mylan Laboratories and Indian company, Unimark Remedies. In addition to these companies, FIS Fabbrica Italaina Sintetici and Cambrex Profarmaco, both based in Italy, are also active in the business of supplying this API. Unlike Jinan Jinda, which only had one CEP filing, India’s Parabolic Drugs produces multiple antibiotics, although not at the scale of global majors Sandoz, Fresenius Kabi and DSM. A suspension of 11 active CEPs, which had been granted to Parabolic, does seem to indicate an apparent shift in the supply chain of APIs. However, the suspension of Parabolic’s CEPs means that for antibiotics like Pivampicillin, there are no suppliers left who have a valid CEP. Parabolic’s inability to supply the market with products like Dicloxacillin Sodium, for which the inspection was conducted, is an opportunity for Sandoz, Aurobindo Pharma and the Italian operations of Fresenius Kabi – all of whom are integrated manufacturers and are not specialized API suppliers. For another antibiotic Bacampicillin, following the suspension of Parabolic Drugs, Fresenius Kabi’s Italian operations will be the only supplier left with a valid CEP.With Sandoz’s recent announcement of their plant shut down in India and the fate of Ranbaxy’s manufacturing operations being uncertain, under the new management of Sun Pharma, the supply options for CEP grade Cefopodoxime Proxetil get reduced substantially and are now dependent on just two plants -- Hanmi Fine Chemical in Korea and Sandoz’s Austrian operations. The situation thus created is not drastically different to the one resulting from the inspection failure of North China Pharmaceutical Group Semisyntech, which left Sandoz as the only manufacturer of Benzylpenicillin Procaine (this was before Novartis announced the shutdown of their Frankfurt facility).PharmaCompass has summarized a list of all CEPs for the 12 products (11 of Parabolic and 1 of Jinan Jinda), in case our readers want to assess the status of their overall supply chain in view of the recent inspection outcomes (please click here to send us a request). Our viewWhile the US FDA inspectors have historically been more active, the recent months have shown a sense of urgency on the European side as well. The era where companies were securing their supply of APIs by looking for low-cost players in Asia appears to be waning away.In our view, inspection outcomes like these may well drive manufacturing back to Europe and other countries where the cost of manufacturing has historically been high. The devaluation of the Euro, coupled with the speed with which regulatory action has been taken on these Indian and Chinese firms, seem to suggest that trade protection conversations may well get started in the not-so-distant future. 

Impressions: 3586

https://www.pharmacompass.com/radio-compass-blog/does-speedy-action-by-european-agencies-suggest-revival-of-api-production-in-the-west

#PharmaFlow by PHARMACOMPASS
06 Aug 2015