Pembrolizumab
Top drugs and pharmaceutical companies of 2019 by revenues
Acquisitions and spin-offs dominated headlines in 2019 and the tone was set very early with Bristol-Myers Squibb acquiring New Jersey-based cancer drug company Celgene in a US$ 74 billion deal announced on January 3, 2019. After factoring in debt, the deal value ballooned to about US$ 95 billion, which according to data compiled by Refinitiv, made it the largest healthcare deal on record. In the summer, AbbVie Inc, which sells the world’s best-selling drug Humira, announced its acquisition of Allergan Plc, known for Botox and other cosmetic treatments, for US$ 63 billion. While the companies are still awaiting regulatory approval for their deal, with US$ 49 billion in combined 2019 revenues, the merged entity would rank amongst the biggest in the industry. View Our Interactive Dashboard on Top drugs by sales in 2019 (Free Excel Available) The big five by pharmaceutical sales — Pfizer, Roche, J&J, Novartis and Merck Pfizer continued to lead companies by pharmaceutical sales by reporting annual 2019 revenues of US$ 51.8 billion, a decrease of US$ 1.9 billion, or 4 percent, compared to 2018. The decline was primarily attributed to the loss of exclusivity of Lyrica in 2019, which witnessed its sales drop from US$ 5 billion in 2018 to US$ 3.3 billion in 2019. In 2018, Pfizer’s then incoming CEO Albert Bourla had mentioned that the company did not see the need for any large-scale M&A activity as Pfizer had “the best pipeline” in its history, which needed the company to focus on deploying its capital to keep its pipeline flowing and execute on its drug launches. Bourla stayed true to his word and barring the acquisition of Array Biopharma for US$ 11.4 billion and a spin-off to merge Upjohn, Pfizer’s off-patent branded and generic established medicines business with Mylan, there weren’t any other big ticket deals which were announced. The Upjohn-Mylan merged entity will be called Viatris and is expected to have 2020 revenues between US$ 19 and US$ 20 billion and could outpace Teva to become the largest generic company in the world, in term of revenues.  Novartis, which had followed Pfizer with the second largest revenues in the pharmaceutical industry in 2018, reported its first full year earnings after spinning off its Alcon eye care devices business division that had US$ 7.15 billion in 2018 sales. In 2019, Novartis slipped two spots in the ranking after reporting total sales of US$ 47.4 billion and its CEO Vas Narasimhan continued his deal-making spree by buying New Jersey-headquartered The Medicines Company (MedCo) for US$ 9.7 billion to acquire a late-stage cholesterol-lowering therapy named inclisiran. As Takeda Pharmaceutical Co was busy in 2019 on working to reduce its debt burden incurred due to its US$ 62 billion purchase of Shire Plc, which was announced in 2018, Novartis also purchased the eye-disease medicine, Xiidra, from the Japanese drugmaker for US$ 5.3 billion. Novartis’ management also spent a considerable part of 2019 dealing with data-integrity concerns which emerged from its 2018 buyout of AveXis, the gene-therapy maker Novartis had acquired for US$ 8.7 billion. The deal gave Novartis rights to Zolgensma, a novel treatment intended for children less than two years of age with the most severe form of spinal muscular atrophy (SMA). Priced at US$ 2.1 million, Zolgensma is currently the world’s most expensive drug. However, in a shocking announcement, a month after approving the drug, the US Food and Drug Administration (FDA) issued a press release on data accuracy issues as the agency was informed by AveXis that its personnel had manipulated data which the FDA used to evaluate product comparability and nonclinical (animal) pharmacology as part of the biologics license application (BLA), which was submitted and reviewed by the FDA. With US$ 50.0 billion (CHF 48.5 billion) in annual pharmaceutical sales, Swiss drugmaker Roche came in at number two position in 2019 as its sales grew 11 percent driven by its multiple sclerosis medicine Ocrevus, haemophilia drug Hemlibra and cancer medicines Tecentriq and Perjeta. Roche’s newly introduced medicines generated US$ 5.53 billion (CHF 5.4 billion) in growth, helping offset the impact of the competition from biosimilars for its three best-selling drugs MabThera/Rituxan, Herceptin and Avastin. In late 2019, after months of increased antitrust scrutiny, Roche completed its US$ 5.1 billion acquisition of Spark Therapeutics to strengthen its presence in gene therapy. Last year, J&J reported almost flat worldwide sales of US$ 82.1 billion. J&J’s pharmaceutical division generated US$ 42.20 billion and its medical devices and consumer health divisions brought in US$ 25.96 billion and US$ 13.89 billion respectively.  Since J&J’s consumer health division sells analgesics, digestive health along with beauty and oral care products, the US$ 5.43 billion in consumer health sales from over-the-counter drugs and women’s health products was only used in our assessment of J&J’s total pharmaceutical revenues. With combined pharmaceutical sales of US$ 47.63 billion, J&J made it to number three on our list. While the sales of products like Stelara, Darzalex, Imbruvica, Invega Sustenna drove J&J’s pharmaceutical business to grow by 4 percent over 2018, the firm had to contend with generic competition against key revenue contributors Remicade and Zytiga. US-headquartered Merck, which is known as MSD (short for Merck Sharp & Dohme) outside the United States and Canada, is set to significantly move up the rankings next year fueled by its cancer drug Keytruda, which witnessed a 55 percent increase in sales to US$ 11.1 billion. Merck reported total revenues of US$ 41.75 billion and also announced it will spin off its women’s health drugs, biosimilar drugs and older products to create a new pharmaceutical company with US$ 6.5 billion in annual revenues. The firm had anticipated 2020 sales between US$ 48.8 billion and US$  50.3 billion however this week it announced that the coronavirus  pandemic will reduce 2020 sales by more than $2 billion. View Our Interactive Dashboard on Top drugs by sales in 2019 (Free Excel Available)  Humira holds on to remain world’s best-selling drug AbbVie’s acquisition of Allergan comes as the firm faces the expiration of patent protection for Humira, which brought in a staggering US$ 19.2 billion in sales last year for the company. AbbVie has failed to successfully acquire or develop a major new product to replace the sales generated by its flagship drug. In 2019, Humira’s US revenues increased 8.6 percent to US$ 14.86 billion while internationally, due to biosimilar competition, the sales dropped 31.1 percent to US$ 4.30 billion. Bristol Myers Squibb’s Eliquis, which is also marketed by Pfizer, maintained its number two position and posted total sales of US$ 12.1 billion, a 23 percent increase over 2018. While Bristol Myers Squibb’s immunotherapy treatment Opdivo, sold in partnership with Ono in Japan, saw sales increase from US$ 7.57 billion to US$ 8.0 billion, the growth paled in comparison to the US$ 3.9 billion revenue increase of Opdivo’s key immunotherapy competitor Merck’s Keytruda. Keytruda took the number three spot in drug sales that previously belonged to Celgene’s Revlimid, which witnessed a sales decline from US$ 9.69 billion to US$ 9.4 billion. Cancer treatment Imbruvica, which is marketed by J&J and AbbVie, witnessed a 30 percent increase in sales. With US$ 8.1 billion in 2019 revenues, it took the number five position. View Our Interactive Dashboard on Top drugs by sales in 2019 (Free Excel Available) Vaccines – Covid-19 turns competitors into partners This year has been dominated by the single biggest health emergency in years — the novel coronavirus (Covid-19) pandemic. As drugs continue to fail to meet expectations, vaccine development has received a lot of attention.  GSK reported the highest vaccine sales of all drugmakers with total sales of US$ 8.4 billion (GBP 7.16 billion), a significant portion of its total sales of US$ 41.8 billion (GBP 33.754 billion).   US-based Merck’s vaccine division also reported a significant increase in sales to US$ 8.0 billion and in 2019 received FDA and EU approval to market its Ebola vaccine Ervebo. This is the first FDA-authorized vaccine against the deadly virus which causes hemorrhagic fever and spreads from person to person through direct contact with body fluids. Pfizer and Sanofi also reported an increase in their vaccine sales to US$ 6.4 billion and US$ 6.2 billion respectively and the Covid-19 pandemic has recently pushed drugmakers to move faster than ever before and has also converted competitors into partners. In a rare move, drug behemoths  — Sanofi and GlaxoSmithKline (GSK) —joined hands to develop a vaccine for the novel coronavirus. The two companies plan to start human trials in the second half of this year, and if things go right, they will file for potential approvals by the second half of 2021.  View Our Interactive Dashboard on Top drugs by sales in 2019 (Free Excel Available)  Our view Covid-19 has brought the world economy to a grinding halt and shifted the global attention to the pharmaceutical industry’s capability to deliver solutions to address this pandemic.  Our compilation shows that vaccines and drugs for infectious diseases currently form a tiny fraction of the total sales of pharmaceutical companies and few drugs against infectious diseases rank high on the sales list. This could well explain the limited range of options currently available to fight Covid-19. With the pandemic currently infecting over 3 million people spread across more than 200 countries, we can safely conclude that the scenario in 2020 will change substantially. And so should our compilation of top drugs for the year. View Our Interactive Dashboard on Top drugs by sales in 2019 (Free Excel Available)   

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#PharmaFlow by PHARMACOMPASS
29 Apr 2020
Sales Forecast of FDA’s Novel Drugs Approvals in 2018
The year 2018 was a landmark year for the US Food and Drug Administration (FDA) as the agency approved a record number of novel drugs. FDA approved 62 novel drugs in 2018, out of which 34 were orphan drugs. FDA’s Center for Drug Evaluation & Research (CDER) approved 59 drugs while the other three were approved by the Center for Biologics Evaluation and Research (CBER). In a speech towards the end of the year, FDA Commissioner Scott Gottlieb said: “Far more important than the overall quantity of approvals however is the quality of the new drugs”. He went on to add that some “of [the] previous records were set in years when there were a lot of drugs that critics bemoaned were me-too medicines,” or novel chemical entities that addressed the same common, therapeutic targets. In 2018, FDA reversed three earlier drug rejections, approved the first cannabis-based drug, allowed the first ever RNA interference drug to market and gave the green light to Loxo Oncology/Bayer’s Vitrakvi (larotrectinib) which became the second anti-cancer drug (after Merck’s Keytruda) to bag an approval that treats cancer based on a biomarker across different types of tumors rather than the location in the body where the tumor originated. Click Here to View the Sales Forecast of FDA's Novel Drug Approvals in 2018 Gilead’s Biktarvy tops our list for sales potential   PharmaCompass compiled the peak sales estimates of the new drugs approved in 2018 and in our compilation, Gilead’s antiretroviral treatment for HIV — Biktarvy — topped the charts with an estimated sales potential of almost US$ 5.3 billion followed by Vertex’s cystic fibrosis drug Symdeko that is expected to bring in US$ 2.75 billion. Alexion’s Ultomiris, Abbvie’s Orilissa, Novartis’ Lutathera and J&J’s Erleada are all expected to bring in more than US$ 2 billion for their companies at their peaks.  Although Loxo’s cancer drug, with an estimated US$ 860 million in peak sales, did not make it to the list of top 15 drugs in 2018 by sales potential, the company got purchased by Eli Lilly earlier this month for US$ 8 billion. Click Here to View the Sales Forecast of FDA's Novel Drug Approvals in 2018 Pfizer won four approvals, Shire won three   For 2018, Pfizer led the approvals with four drugs that got the green light, followed by Shire with three drugs. Companies like AstraZeneca, Array Biopharma, Alynlam and Paratek Pharmaceuticals each won two drug approvals. Merck also had two approvals which were in cooperation with other companies. Amgen, Teva and Eli Lilly got their CGRP inhibitors for migraine prevention approved within a few months of each other. Click Here to View the Sales Forecast of FDA's Novel Drug Approvals in 2018 First cannabis-based drug bagged approval   Last year, FDA also approved Epidiolex (cannabidiol or CBD) oral solution for the treatment of seizures associated with two rare and severe forms of epilepsy — Lennox-Gastaut syndrome and Dravet syndrome.  CBD is a chemical component of the Cannabis sativa plant, more commonly known as marijuana. And Epidiolex is the first marijuana-based drug to be approved in the US for epilepsy. It is produced by GW Pharmaceuticals. Click Here to View the Sales Forecast of FDA's Novel Drug Approvals in 2018 CBD does not cause intoxication. It is one of the hundreds of molecules found in marijuana and has been cited by scientists as a potential treatment for mental health issues. 2018 saw the launch of one-dose flu cure from Shionogi   In March 2018, Shionogi & Co Ltd.’s Xofluza — a pathbreaking drug that cures flu with just one dose — was approved in Japan. The drug is a treatment for influenza A and influenza B.  In October, the US Food and Drug Administration (FDA) also approved Xofluza (baloxavir marboxil). Xofluza is the first new antiviral flu treatment with a novel mechanism of action approved by the FDA in nearly 20 years. Click Here to View the Sales Forecast of FDA's Novel Drug Approvals in 2018 The single dose feature gives Xofluza an edge over other neuraminidase inhibitors like Tamiflu and Relenza. For example, Tamiflu typically requires two doses each day for five days. Therefore, there are nine more doses of Tamiflu required, as compared to the single-dose Xofluza. Shionogi aims to double the global market for flu treatment with Xofluza. “While the global market of flu drug is said to be about US$ 1 billion to US$ 1.5 billion, we want to expand it to around US$ 3 billion,” Shionogi CEO Isao Teshirogi said last year. Click Here to View the Sales Forecast of FDA's Novel Drug Approvals in 2018 Though the FDA approval for Xofluza has been granted to Shionogi, Genentech (a member of the Roche Group which marketed Tamiflu, which is now a generic) will be marketing the medication in the US. Industry gets far lower returns from its drug launches   Gottlieb used Twitter to promote the progress of FDA’s review cycle. “In 2018, CDER met its PDUFA goal for 100 percent of the novel drugs approved – 95 percent of which on the first cycle – reflecting our efficiency in getting new therapies to patients quickly,” he tweeted. Click Here to View the Sales Forecast of FDA's Novel Drug Approvals in 2018 A ‘cycle’ is the time from when CDER accepts an application for a new drug until the agency decides whether to approve it or not. However, the record number of approvals doesn’t present the complete picture for the pharmaceutical industry. A study published in December by Deloitte highlighted that the industry is getting far lower average returns from its drug launches than ever before. While the costs to bring a drug to market have almost doubled in eight years to over US$ 2 billion, peak sales forecasts have halved to a little over US$ 400 million, the study said. Drug discovery reviews in the scientific publication Nature reached a similar conclusion. “Projected peak annual sales for new therapeutic drugs (NTDs) approved in 2018 total US$ 45 billion — lower than 2017’s US$ 58 billion — and the value of the average peak sales per product has continued to trend down to only US$ 720 million per drug in 2018, the lowest figure in almost a decade,” the publication said. “The decline is driven both by fewer blockbusters at the top end, as well as a proliferation of very small products at the bottom end. We believe the underlying driver of both these trends — more approvals but smaller markets per approval — is better understanding of biology fostering precision medicine,” it added. Click Here to View the Sales Forecast of FDA's Novel Drug Approvals in 2018 Our view   After suffering brutal losses towards the end of 2018, wherein biotech was among the US stock market’s most oversold sectors and saw a decline of nearly 10 percent, this year the biotech sector has got off to the best start since 2012. Drug companies are continuing to innovate more targeted therapies, and Chinese companies are investing in developing new drugs. While the industry expects to see a lot more mergers and acquisitions in 2019, where smaller biotech companies get acquired by major pharmaceutical corporations, it is unlikely that the general trend of companies bagging more approvals for targeted therapies with a smaller peak sales potential is going to reverse anytime soon.  Click Here to View the Sales Forecast of FDA's Novel Drug Approvals in 2018  

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#PharmaFlow by PHARMACOMPASS
17 Jan 2019
Top Pharma & Biotech Deals, Investments, M&As in August 2018
In August, the biotech boom of 2018 continued unabated and the Wall Street Journal reported that investment banks have lured top biotech analysts with guaranteed pay packages of US$ 3 million or more. At this time of the year, equity analysts who assess companies and write reports that help investors gauge prospects and interpret news will certainly have their hands full as investments into pharma and biotech companies continue to grow at a rapid pace. Leading the pack in August was US-based Emergent BioSolutions which made two acquisitions to stay on track of its growth plan to achieve US$ 1 billion in revenue by 2020.  While European businesses have had a long-established practice of taking off during the months of July or August, last month two German startups — Affimed NV and Mologen AG — announced big ticket deals which could result in multi-billion dollar payouts. And Hong Kong continued its efforts to lure overseas-listed firms to conduct secondary share offerings in the financial hub. Click here to view the major deals in August 2018 (FREE Excel version available) Emergent BioSolutions’ billion-dollar shopping spree   In a deal valued up to US$ 735 million, consisting of an upfront payment of US$ 635 million and up to US$ 100 million in cash for potential sales-based milestones, Emergent Biosolutions acquired Adapt Pharma to access its flagship product Narcan (naloxone Hydrochlroride) Nasal Spray — the first and only US Food and Drug Administration (FDA) approved nasal form of naloxone for the emergency treatment of a known or suspected opioid overdose. The acquisition is designed to help Emergent expand its presence within the public health threats market to respond to the opioid crisis, which has been declared a public health emergency by the US government. Click here to view the major deals in August 2018 (FREE Excel version available) Narcan is often carried by police officers and medical teams and was approved in 2015. Earlier this year, the US Surgeon General released a public health advisory urging more Americans to carry naloxone. The purchase of Adapt Pharma is expected to generate revenues of US$ 200 million to US$ 220 million and to be accretive to adjusted net income and EBITDA in 2019. Just weeks earlier, Emergent announced an all-cash US$ 270 million acquisition of specialty vaccines company PaxVax. The acquisition will add two revenue-generating FDA-licensed vaccines that protect against cholera and typhoid fever to Emergent’s vaccine portfolio. These vaccines are expected to generate revenues of US$ 70 million to US$ 90 million in 2019. Click here to view the major deals in August 2018 (FREE Excel version available) Novo bags new diabetes technology by acquiring Bristol univ spinout — Ziylo   Novo Nordisk acquired full rights to Ziylo’s early-stage glucose binding molecules in a staged acquisition with a potential deal value that could exceed US$ 800 million. The acquisition will give Novo Nordisk full rights to Ziylo’s glucose binding molecule platform to develop glucose responsive insulin molecules. Ziylo is a University of Bristol spin-out company based out of the Unit DX science incubator in Bristol, UK. Ziylo has been pioneering the use of its platform technology — synthetic glucose binding molecules — for therapeutic and diagnostic applications.  Click here to view the major deals in August 2018 (FREE Excel version available) Ziylo’s glucose binding molecules are synthetic molecules that exhibit an unprecedented selectivity to glucose in complex environments such as blood. The development of glucose responsive insulin molecules is a key strategic area for Novo Nordisk, as it wants to develop this safer and more effective (next generation of insulin) therapy. A glucose responsive insulin would help eliminate the risk of hypoglycaemia (deficiency of glucose in the blood stream), which is the main risk associated with insulin therapy and one of the main barriers to achieving optimal glucose control. Such an insulin molecule could also lead to better metabolic control. Just before selling itself to Novo, Ziylo spun out a new company dubbed Carbometrics to develop the diagnostics and glucose monitoring applications of its technology. Carbometrics is now the new home for all Ziylo researchers. Through a research collaboration with Novo Nordisk, Carbometrics will assist with ongoing optimization of glucose binding molecules for use in glucose responsive insulin molecules. Click here to view the major deals in August 2018 (FREE Excel version available) Novo Nordisk has a strong presence in the diabetes care market with a global value market share of 27 percent. In the total insulin market, Novo’s global value market share is 46 percent; and in the modern and new-generation insulin market, it is 45 percent. The European discovery outfit at Evotec also announced a tie up with Novo Nordisk to build early-stage pipeline drugs for diabetes, obesity drugs, and also diseases like NASH (non-alcoholic fatty liver disease), cardiovascular diseases and diabetic kidney disease. The scientists at Evotec will build a preclinical pipeline of small molecules primarily concentrating on diabetes and obesity. While the financial details of the alliance are not known, it is clear that Evotec is adding a major partnership on top of a string of deals with companies like Celgene, Bayer and Sanofi, as well as a number of smaller biotech firms. Click here to view the major deals in August 2018 (FREE Excel version available) German cancer startups announce big ticket deals   Last month, Genentech, a member of the Roche group, announced it will pay German clinical stage biopharmaceutical company — Affimed — US$ 96 million upfront. It also committed to funding, thereby making Affimed eligible for up to an additional US$ 5.0 billion in revenues which includes milestone payments, and royalties on sales. The German start up is focused on discovering and developing highly targeted cancer immunotherapies that harness the power of innate and adaptive immunity (NK and T cells). Affimed will apply its proprietary Redirected Optimized Cell Killing (ROCK®) platform, which enables the generation of both NK cell and T cell-engaging antibodies, to discover and advance innate immune cell engager-based immunotherapeutics of interest to Genentech. Click here to view the major deals in August 2018 (FREE Excel version available) In June, at the European Hematology Association, Affimed shared data of its lead candidate AFM13 in combination with Keytruda (Pembrolizumab) in patients with Relapsed/Refractory Hodgkin Lymphoma. Assessment of 18 patients treated at the highest AFM13 dose showed best overall response rate (ORR) of 89 percent (16/18 patients). Another German company Mologen AG announced a deal with Oncologie which could generate payouts of over US$ 1.16 billion (€1 billion) towards the development of its lead compound — lefitolimod. In the near-term, Mologen would receive US$ 26.63 million (€23 million) to conduct the phase III Impala trial and build on the promising data from a phase II trial as a maintenance therapy after first-line induction chemotherapy in patients with metastatic colorectal cancer. Impala is a randomized phase III study in patients with metastatic colorectal carcinoma. In the field of active immunotherapies, great hopes are riding on substances that bind to very specific receptors, known as toll-like receptors (TLR). These receptors are part of the innate defense system. Through activation of the immune system, they are able to facilitate the recognition of tumor-associated antigens. Click here to view the major deals in August 2018 (FREE Excel version available) Many years of research work have shown that toll-like receptor 9 (TLR9) plays a particularly important role in the fight against cancer. Substances that activate TLR9 are referred to as TLR9 agonists and form the main focus of global research and development activities. Lefitolimod is regarded as the best-in-class TLR9 agonist. Under new listing rules, Hong Kong stages second biotech IPO   Chinese cancer drug developer BeiGene, which debuted to a US$ 158 million public offering on the Nasdaq back in 2016, had its secondary IPO on the Hong Kong stock exchange last month. As part of an effort to attract secondary listings, Hong Kong is implementing new and more lenient rules for drugmakers that are still in the earliest stages of the clinical trial process without any products on the market. BeiGene is only the second to launch an IPO under the new regime and the US$ 903 million raised during the dual listing improves its exposure to investors in Asia while being close to the mainland China market. Click here to view the major deals in August 2018 (FREE Excel version available) BeiGene intends to use net proceeds from the offering for clinical trials, preparation for registration filings, and for the launch and commercialization of its core product candidates — zanubrutinib, tislelizumab, and pamiparib. Under the revised rules, Ascletis Pharma was the first early-stage biotechnology company to be listed on the Hong Kong Stock Exchange (HKEX) in July 2018. After the new rules were put in place in Hong Kong, more than 10 biotech companies, mostly Chinese, announced plans to list in Hong Kong. Some have also dropped plans to launch IPOs in the US in favor of the Hong Kong exchange. Click here to view the major deals in August 2018 (FREE Excel version available) The overall IPO range sought by BeiGene was reportedly between US$ 908 million and US$ 1.07 billion and one of the reasons given for the biotech falling short of its target was the vaccine scandal in China which has been making headlines and may have hurt investor confidence. Currently New York-based Nasdaq is the biggest center for biotech listings, with US$ 2.4 billion worth of such shares sold last year, according to the data provided by Thomson Reuters. Click here to view the major deals in August 2018 (FREE Excel version available) Our view   The first half of 2018 witnessed a spate of M&A activity in the pharmaceutical and biotech space with the industry witnessing some of the biggest deals from companies like Takeda, Celgene and Sanofi. In addition, healthcare startup funding from venture capital firms reached US$ 15 billion, which is 70 percent higher than the corresponding figure for last year. Click here to view the major deals in August 2018 (FREE Excel version available) While July and August were comparatively slow months for activity, we expect a significant ramp up of deal-making in the coming months. Keep track of all that is happening with PharmaCompass’ compilation of Top Pharma & Biotech Deals — PharmaFlow. Click here to view the major deals in August 2018 (FREE Excel version available)  

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#PharmaFlow by PHARMACOMPASS
13 Sep 2018
Pharma & Biotech Deals, Investments and M&As in May 2018
As April 2018 breezed past with news of Novartis’ US$ 8.7 billion buyout of AveXis, May set the temperatures soaring with one of the largest pharma acquisitions in recent years.  Japanese drugmaker Takeda Pharmaceutical agreed to buy British drugmaker Shire for US$ 62 billion (£45.3 billion) in the biggest pharma M&A deal of the year.  In a month that witnessed extensive deal making, Eli Lilly announced its commitment to spend over US$ 2.2 billion to acquire immuno-oncology companies — ARMO Biosciences and AurKa Pharma, while Genentech signed a deal worth US$ 969 million with Lodo Therapeutics to discover novel molecules with therapeutic potential against multiple disease-related targets of interest to Genentech.  AstraZeneca was also busy last month as it expanded its collaboration with the UK-based Bicycle Therapeutics by signing a wide-ranging deal to develop novel small molecule medicines for respiratory, cardiovascular and metabolic diseases. Will Takeda-Shire’s US$ 62 billion deal go through?    Japanese drug maker Takeda Pharmaceutical Limited clinched Ireland-based Shire for a hefty price tag of US$ 62 billion (£46 billion). Together, they have almost made it to the league of the 10 largest drug companies. Takeda’s first non-Japanese CEO, Christophe Weber, envisions the new entity as a global pharmaceutical giant with its roots in Japan, along with becoming a leader in gastroenterology, neuroscience, oncology and rare diseases. The transaction has been approved by the boards of both the companies. It is expected to close in the first half of 2019. Click here to view the major deals in May 2018 (FREE Excel version available) Upon closing of the transaction, Takeda shareholders will own approximately 50 percent of the combined group. However, Takeda’s board faces stiff opposition from a group of shareholders who say the buyout will shrink the value of Takeda’s shares. The small groupof Takeda shareholders comprising the drug maker’s ex-employees has achieved sizable support in its opposition to the company’s deal. This 130-member group comprising ex-Takeda employees holds one percent of the drug maker’s shares and needs to secure a third of shareholder votes. The group also includes members of the founding Takeda family which holds about 10 percent of Takeda shares, as reported on Nikkan Yakugyo, a Japanese daily. Click here to view the major deals in May 2018 (FREE Excel version available) Reuters reported earlier this week that Takeda “will hold the shareholder meeting later this year or early next year to approve an issue of new stock to help fund the Shire deal, making it a de facto vote on the deal itself.”   This rebel group of shareholders is “working steadily to increase support” for blocking the deal among domestic retail investors and overseas institutional investors who own 25 percent and 35 percent of Takeda shares respectively, Reuters noted. Last year, this shareholder group had tried preventing the appointment of outgoing Chairman Yasuchika Hasegawa to an advisory position at the company. The proposal stood defeated at the company’s annual general meeting then, since it had gained only 30.5 percent of votes. Click here to view the major deals in May 2018 (FREE Excel version available) After discovering drugs from soil, Lodo rakes in almost US$ 1 billion from Genentech  Lodo Therapeutics Corporation, a drug discovery and development company focused on identifying bioactive natural compounds directly from soil bacteria, announced it had formed a strategic drug discovery collaboration with Genentech, a member of the Roche Group. The Genentech collaboration has Lodo receiving an undisclosed upfront payment and becoming eligible to receive research, development and commercialization milestone payments of up to US$ 969 million. In addition, Lodo is eligible to receive tiered-royalties on sales of certain products resulting from the collaboration. Click here to view the major deals in May 2018 (FREE Excel version available) Two months before the Genentech deal was announced, Lodo published its discovery of a new class of antibiotics called “malacidins” in the journal Nature Microbiology. Malacidins, discovered from soil, attack an essential part of the bacterial cell wall in a unique way compared to other existing calcium-dependent antibiotics. They annihilate several bacterial diseases that are resistant to most existing antibiotics, including the superbug MRSA. Click here to view the major deals in May 2018 (FREE Excel version available) Experts say this approach offers fresh hope in the antibiotics arms race and may be able to reduce the time and cost of drug discovery. Dr Sean Brady's team at New York’s Rockefeller University — the researcher whose vision inspired the founding of Lodo Therapeutics — has devised a gene sequencing technique that can analyze more than 1,000 soil samples which became the basis for the company’s genome mining platform. Click here to view the major deals in May 2018 (FREE Excel version available) Eli Lilly strengthens its oncology portfolio as it goes on a buying spree   Eli Lilly announced it was bolstering its immuno-oncology portfolio by acquiring ARMO BioSciences for US$ 1.6 billion in cash — just a few months after ARMO’s successful IPO debut on Nasdaq. This US$ 1.6 billion transaction brings to Lilly’s table ARMO’s lead immuno-oncology asset, pegilodecakin, which is being studied in multiple tumor types. Click here to view the major deals in May 2018 (FREE Excel version available) While pegilodecakin is a valuable phase 3 asset, the reason for the billion-dollar price tag is its potential use in combination treatments with Merck’s Keytruda and BMS’ Opdivo. The successful combination of pegilodecakin with Keytruda and Opdivo can potentially expand the blockbuster market for the drugs by turning non-responders into responders. ARMO has tested pegilodecakin in combination with both Keytruda and Opdivo, but could combine it with its own anti-PD-1 antibody in the long term. Click here to view the major deals in May 2018 (FREE Excel version available) The biotech bagged US$ 67 million in August to bankroll the pegilodecakin program, and to move its anti-PD-1 antibody into the clinic. An Evaluate Pharma report, published a year ago, examined the explosion in the number of clinical trials using anti-PD-1 and anti-PD-L1 antibodies combined with other therapeutic approaches. The report states that the number of combined use clinical trials had shot up from 215 to 765. Just four days after the US$ 1.6 billion all-cash transaction, Lilly announced it is paying US$ 110 million upfront and another US$ 465 million in milestones to buy Montreal-based AurKa Pharma.  Click here to view the major deals in May 2018 (FREE Excel version available) At the center of this deal is AK-01, an Aurora kinase A inhibitor that Lilly discovered years ago, which was sold off to TVM Capital Life Science in 2016. Aurora A kinase is a master regulator of mitotic progression, and disrupting it can play a role in preventing tumor progression through various pathways. As such it now fits Lilly’s sweet spot and the cancer team wants it back in their pipeline. Click here to view the major deals in May 2018 (FREE Excel version available) AstraZeneca expands collaboration with UK-based Bicycle Therapeutics    Last month, AstraZeneca and Cambridge-based Bicycle Therapeutics announced they have expanded their 2016 collaboration to develop a novel class of small molecule medicines for treating respiratory, cardiovascular and metabolic diseases. The companies said the alliance could be worth more than US$ 1 billion for Bicycle, if all planned programs reach the market. Bicycle Therapeutics is focused on identifying Bicycles, the company’s proprietary bicyclic peptides that resemble injectable antibody drugs. These are essentially small molecules that possibly can be given as pills. Click here to view the major deals in May 2018 (FREE Excel version available) The company states on its website — ‘Bicycles address therapeutic needs unreachable with any other existing modality’. Their small size and exquisite tumor targeting quality delivers rapid tumor penetration and retention while clearance rates and routes can be tuned to minimize exposure of healthy tissue and toxicities. Our view   While the drug pricing debate continues to rage on in the United States, Evaluate Pharma recently published its World Drug Forecast report which predicts that prescription drug sales will grow to US$ 1.2 trillion in 2024 at a compound annual growth rate of 6.4 percent over the next seven years. Recently, the Gates Foundation opened its not-for-profit venture and French companies like Servier and Ipsen announced the launch of their operations in Boston. Being a pharma hub with small startups, large drug makers, incubator sites and large-biotech focused research institutes, we expect more deals to take place in Boston over the coming months, especially post the BIO convention. PharmaCompass’ compilation of Top Pharma & Biotech Deals — PharmaFlow — is your way of keeping track of all that is happening. Click here to view the major deals in May 2018 (FREE Excel version available)  

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#PharmaFlow by PHARMACOMPASS
14 Jun 2018