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The Weekly Pill

05/13/24-05/19/24

May 18, 2024
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Hi everyone,

Welcome to all our new subscribers who joined us this week! We're thrilled to have you as part of The Weekly Pill community. Your readership means the world to us. If you could kindly share this newsletter with your friends or coworkers, we would greatly appreciate your support! This resource holds value for a wide range of individuals, including venture capitalists, students, professionals at all levels within pharmaceutical companies, and anyone with a curious mindset eager to learn. Your assistance in this endeavor is greatly appreciated.

I sincerely hope you enjoy reading our newsletter and that it adds value to your understanding of the biotech world. Wishing each of you a blessed week ahead, and I look forward to connecting with you all again next week for another update.

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Table of contents

  • How the market performed this week

  • Licenses / Partnerships

  • Clinical trials

  • Financing

  • RIF

  • Disease of the week

  • What I’ve read this week

Paid Content Section

  • Upcoming Catalysts Next Week

  • Reminders

  • Biotech Valuation

  • Most Shorted Biotech Stock as of This Week

  • Market

  • Notes from analysts

  • Venture Capital Market

  • M&A

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How the market performed this week

ETFs

Gene Therapy

RNA Therapy

Big Pharma

Gainers / Decliners this week in biotech

News of the week

Licenses/Partnerships

  • Astellas Pharma, Inc.

    • Symbol: 4503:JP

    • Event Phase: Approved

    • Drug: Cresemba

    • Indication: Aspergillosis

    • Target: Cytochrome p450

    • LOA: 100%

    • Source Link: GlobeNewswire

  • Sol-Gel Technologies, Ltd.

    • Symbol: SLGL

    • Event Phase: Approved

    • Drug: Twyneo

    • Indication: Acne

    • Target: Retinoic acid receptor (RARs)

    • LOA: 100%

    • Source Link: GlobeNewswire

  • Anika Therapeutics, Inc.

    • Symbol: ANIK

    • Event Phase: III

    • Drug: Cingal

    • Indication: Osteoarthritis Pain

    • Target: Glucocorticoid Receptor (GR)

    • LOA: 52%

    • Source Link: Newswire

  • Erasca, Inc.

    • Symbol: ERAS

    • Event Phase: Preclinical

    • Drug: ERAS-0015

    • Indication: Solid Tumors

    • Target: Ras

    • LOA: N/A

    • Source Link: GlobeNewswire

  • NeuroSense Therapeutics Ltd.

    • Symbol: NRSN

    • Event Phase: I

    • Drug: PrimeC

    • Indication: Amyotrophic Lateral Sclerosis (ALS)

    • Target: Cyclooxygenase 2 (COX2) / Prostaglandin-Endoperoxide Synthase 2 (PTGS2), Topoisomerase II (DNA gyrase) and IV

    • LOA: 6%

    • Source Link: PRNewswire

  • AC Immune SA

    • Symbol: ACIU

    • Event Phase: II

    • Drug: ACI-24

    • Indication: Alzheimer's Disease (AD)

    • Target: Amyloid Beta/Amyloid Plaques, Immune System

    • LOA: 13%

    • Source Link: BusinessWire

  • AC Immune SA

    • Symbol: ACIU

    • Event Phase: I

    • Drug: ACI-24

    • Indication: Down Syndrome

    • Target: Amyloid Beta/Amyloid Plaques, Immune System

    • LOA: 6%

    • Source Link: BusinessWire

  • Fulcrum Therapeutics Inc.

    • Symbol: FULC

    • Event Phase: III

    • Drug: Losmapimod

    • Indication: Facioscapulohumeral Muscular Dystrophy (FSHD)

    • Target: p38 MAP kinase (MAPK)

    • LOA: 55%

    • Source Link: GlobeNewswire

Clinical trials (LOA=likelihood of approval)

  • Roche Holding AG

    • Symbol: RHHBY

    • Event Type: Trial Data - Updated Results

    • Event Phase: II

    • Drug: CT-388

    • Indication: Obesity

    • Target: GIP Receptor (GIPR)/Glucose-Dependent Insulinotropic Polypeptide Receptor, GLP-1 Receptor

    • LOA: 25%

    • Source Link: Business Wire

  • Roche Holding AG

    • Symbol: RHHBY

    • Event Type: Trial Data - Updated Results

    • Event Phase: II

    • Drug: CT-388

    • Indication: Diabetes Mellitus, Type II

    • Target: GIP Receptor (GIPR)/Glucose-Dependent Insulinotropic Polypeptide Receptor, GLP-1 Receptor

    • LOA: 15%

    • Source Link: Business Wire

  • AstraZeneca PLC

    • Symbol: AZN

    • Event Type: Trial Data - Updated Results

    • Event Phase: III

    • Drug: Sipavibart

    • Indication: COVID-19 Prevention

    • Target: SARS-CoV-2

    • LOA: 59%

    • Source Link: AstraZeneca

  • Arvinas, Inc.

    • Symbol: ARVN

    • Event Type: Trial Data - Updated Results

    • Event Phase: III

    • Drug: Vepdegestrant

    • Indication: HR+/HER2- Breast Cancer

    • Target: Estrogen Receptor Alpha (ER1 or ER alpha), Estrogen Receptor Beta (ER2 or ER beta)

    • LOA: 49%

    • Source Link: GlobeNewswire

  • Biogen, Inc.

    • Symbol: BIIB

    • Event Type: Trial Data - Suspension

    • Event Phase: Suspended

    • Drug: BIIB105

    • Indication: Amyotrophic Lateral Sclerosis (ALS)

    • Target: Ataxin-2

    • LOA:

    • Source Link: GlobeNewswire

  • Ionis Pharmaceuticals, Inc.

    • Symbol: IONS

    • Event Type: Trial Data - Updated Results

    • Event Phase: II

    • Drug: ION-581

    • Indication: Angelman Syndrome

    • Target: E3 ubiquitin ligase

    • LOA: 12%

    • Source Link: PR Newswire

  • Eli Lilly and Company

    • Symbol: LLY

    • Event Type: Trial Data - Top-Line Results

    • Event Phase: III

    • Drug: Efsitora alfa

    • Indication: Diabetes Mellitus, Type II

    • Target: Insulin Receptor

    • LOA: 58%

    • Source Link: PR Newswire

  • Avenue Therapeutics Inc.

    • Symbol: ATXI

    • Event Type: Trial Announcement - Trial Completed

    • Event Phase: II

    • Drug: AJ201

    • Indication: Spinal Muscular Atrophy

    • Target: NRF2

    • LOA: 25%

    • Source Link: GlobeNewswire

  • Amgen, Inc.

    • Symbol: AMGN

    • Event Type: Regulatory - Accelerated/Conditional Approval (U.S.)

    • Event Phase: Approved

    • Drug: Imdelltra

    • Indication: Small Cell Lung Cancer (SCLC)

    • Target: Cluster of Differentiation 3 (CD3), Delta-like 3 (DLL3)

    • LOA: 100%

    • Source Link: PR Newswire

  • Bristol Myers Squibb Company

    • Symbol: BMY

    • Event Type: Trial Data - Updated Results

    • Event Phase: Approved

    • Drug: Sotyktu

    • Indication: Psoriasis

    • Target: JAK/STAT , Tyrosine kinase 2 (TYK2)

    • LOA: 100%

    • Source Link: Business Wire

  • Nuvalent, Inc.

    • Symbol: NUVL

    • Event Type: Regulatory - Breakthrough Therapy Designation (U.S.)

    • Event Phase: II

    • Drug: NVL-655

    • Indication: Non-Small Cell Lung Cancer (NSCLC)

    • Target: Anaplastic lymphoma kinase (ALK)

    • LOA: 11%

    • Source Link: PR Newswire

  • Bayer AG

    • Symbol: BAYN

    • Event Type: Trial Data - Updated Results

    • Event Phase: III

    • Drug: Elinzanetant

    • Indication: Menopause (including Hormone Replacement Therapy [HRT])

    • Target: Neurokinin Receptor

    • LOA: 63%

    • Source Link: Business Wire

  • Olema Pharmaceuticals, Inc.

    • Symbol: OLMA

    • Event Type: Trial Data - Updated Results

    • Event Phase: III

    • Drug: Palazestrant

    • Indication: HR+/HER2- Breast Cancer

    • Target: Estrogen Receptor Alpha (ER1 or ER alpha), Selective Estrogen Receptor Degrader (SERD)

    • LOA: 46%

    • Source Link: GlobeNewswire

  • Travere Therapeutics, Inc.

    • Symbol: TVTX

    • Event Type: Trial Data - Updated Results

    • Event Phase: Approved

    • Drug: Filspari

    • Indication: Immunoglobulin A (IgA) Nephropathy (Berger's Disease)

    • Target: Angiotensin II Receptor Type 1 (AT1), Endothelin Receptor Type A (EDNRA)

    • LOA: 100%

    • Source Link: PR Newswire

    • Kymera Therapeutics, Inc. (KYMR)

      • Trial Data: Updated Results

      • Phase: I

      • Drug: KT-333

      • Indication: Solid Tumors

      • Target: STAT3 Transcription Factor

      • Response Rate: 5%

      • Source

    • BioInvent International AB (BINV)

      • Trial Data: Updated Results

      • Phase: II

      • Drug: BI-1206

      • Indication: Non-Hodgkin's Lymphoma (NHL)

      • Target: Fc receptors, Immune System

      • Response Rate: 11%

      • Source

    • Actinium Pharmaceuticals, Inc. (ATNM)

      • Trial Data: Updated Results

      • Phase: III

      • Drug: Iomab-B

      • Indication: Acute Myelogenous Leukemia (AML)

      • Target: Cluster of Differentiation 45 (CD45)/Lymphocyte Common Antigen (LCA)

      • Response Rate: 49%

      • Source

    • NanoViricides, Inc. (NNVC)

      • Trial Data: Preclinical Results

      • Phase: Preclinical

      • Drug: NV-CoV-2

      • Indication: Antiviral - Other Treatments

      • Target: SARS-CoV-2

      • Source

    • Pliant Therapeutics, Inc. (PLRX)

      • Trial Data: Top-Line Results

      • Phase: II

      • Drug: Bexotegrast

      • Indication: Idiopathic Pulmonary Fibrosis (IPF)

      • Target: Integrin Alpha-V Family, Integrin beta-1/CD29

      • Response Rate: 13%

      • Source

    • Unicycive Therapeutics, Inc. (UNCY)

      • Trial Data: Updated Results

      • Phase: II

      • Drug: Renazorb

      • Indication: Hyperphosphatemia

      • Target: Phosphate

      • Response Rate: 15%

      • Source

    • Novo Nordisk A/S (NVO)

      • Trial Data: Top-Line Results

      • Phase: III

      • Drug: Mim8

      • Indication: Hemophilia A

      • Target: Coagulation Factor IX, Coagulation Factor X

      • Response Rate: 78%

    • Merus N.V. (MRUS)

      • Regulatory: Breakthrough Therapy Designation (U.S.)

      • Phase: II

      • Drug: Petosemtamab

      • Indication: Head and Neck Cancer

      • Target: EGFR (Epidermal Growth Factor Receptor), LGR5 (Leucine-rich repeat-containing G-protein coupled receptor 5)

      • Response Rate: 11%

      • Source

    • Valneva SE (VLA)

      • Trial Data: Updated Results

      • Phase: Approved

      • Drug: Ixchiq

      • Indication: Chikungunya Virus

      • Target: Immune System

      • Response Rate: 100%

      • Source

Financing events

  • AATec Medical

    • Description: Developer of a multi-product platform for treating inflammatory diseases and viral infections.

    • Verticals: HealthTech, Life Sciences

    • Deal Date: 14-May-2024

    • Deal Type: Early Stage VC

    • Deal Synopsis: Raising EUR 15 million of Series A venture funding.

    • Deal Size: EUR 16.07 million

  • Ajax Therapeutics

    • Description: Developer of novel therapies targeting cytokine signaling pathways for hematologic malignancies.

    • Verticals: Life Sciences, Oncology

    • Deal Date: 13-May-2024

    • Deal Type: Later Stage VC

    • Deal Synopsis: Raised $95 million of Series C venture funding led by Goldman Sachs Asset Management.

    • Investors: Eli Lilly, Goldman Sachs, RA Capital Management, Schrodinger

    • Deal Size: $95 million

  • Allogene Therapeutics (NAS: ALLO)

    • Description: Clinical-stage biotech specializing in immuno-oncology and allogeneic T-cell products.

    • Verticals: Life Sciences, Oncology

    • Deal Date: 14-May-2024

    • Deal Type: Public Investment 2nd Offering

    • Deal Synopsis: Raised $110 million in a public offering on Nasdaq.

    • Deal Size: $110 million

  • ArgusEye

    • Description: Developer of sensor technology for real-time detection of biological systems and processes.

    • Verticals: Life Sciences

    • Deal Date: 13-May-2024

    • Deal Type: Later Stage VC

    • Deal Synopsis: Raised EUR 2.8 million led by Eir Ventures and Voima Ventures.

    • Investors: Eir Ventures, Voima Ventures

    • Deal Size: EUR 3 million

  • BriaCell Therapeutics (TSE: BCT)

    • Description: Immuno-oncology-focused biotech company developing treatments for cancer.

    • Verticals: Life Sciences, Manufacturing, Oncology

    • Deal Date: 15-May-2024

    • Deal Type: PIPE

    • Deal Synopsis: In talks to receive CAD 5 million for a private placement.

    • Deal Size: CAD 3.65 million

  • Brixton Biosciences

    • Description: Developer of therapies for chronic and acute pain.

    • Verticals: Life Sciences

    • Deal Date: 14-May-2024

    • Deal Type: Later Stage VC

    • Deal Synopsis: Raised $33 million of Series B venture funding led by Schooner Capital.

    • Investors: Catalyst Health Ventures, Excelestar Ventures, PV Capital Management, Schooner Capital, Sparta Group, SV Health Investors

    • Deal Size: $33 million

  • Cellbox Labs

    • Description: Developer of miniature organ replicas for pharmaceutical preclinical tests.

    • Verticals: Life Sciences, Oncology

    • Deal Date: 13-May-2024

    • Deal Type: Seed Round

    • Deal Synopsis: Raised EUR 935,000 led by Buildit.

    • Investors: ASP Asset Management, Buildit, LatBan

    • Deal Size: EUR 1 million

  • Elegen

    • Description: Developer of microfluidics technology for synthetic biology.

    • Verticals: Life Sciences

    • Deal Date: 14-May-2024

    • Deal Type: Later Stage VC

    • Deal Synopsis: Raised $35 million through Series B, B-1, and B-2 funding led by Triatomic Capital.

    • Investors: 8VC, ACVC Partners, Agilent Technologies, AME Cloud Ventures, Andreessen Horowitz, Digitalis Ventures, GSK, John Ballantyne, KdT Ventures, Triatomic Capital

    • Deal Size: $35 million

  • Entactbio

    • Description: Biotechnology research company enhancing beneficial proteins.

    • Verticals: Life Sciences

    • Deal Date: 15-May-2024

    • Deal Type: Later Stage VC

    • Deal Synopsis: Raised $40.32 million of Series A venture funding.

    • Deal Size: $40.32 million

Reduction in force (RIF)

May 16 - Akari Therapeutics: The biotech is implementing a 67% workforce reduction in efforts to reduce operating costs. Part of the restructuring plan includes eliminating certain undisclosed senior management positions. Release

May 15 - BioMarin: After sharing plans to slash several pipeline programs, BioMarin has confirmed that 170 employees are also leaving as part of the R&D restructure. The job cuts represent around 5% of the company’s workforce, a BioMarin spokesperson told Fierce Biotech via email. The layoffs are slated to be complete by the end of July. Story

May 15 - Tenaya Therapeutics: Heart disease-focused Tenaya is implementing “cost-containment measures” designed to fund clinical readouts for two lead gene therapies. As a result, the biotech is cutting down its workforce by 22%, with the changes due to be completed in the coming weeks. Story

May 15 - Bolt Biotherapeutics: The oncology biotech is laying off around 50% of staff tied to a “strategic refocusing” that will also see the company halt development of its phase 2 immune-stimulating antibody conjugate. The changes reach all the way to the top, with CEO Randall Schatzman and Chief Medical Officer Edith Perez, M.D., being moved to “advisory roles.” Story

May 15 - Trevena: The CNS disorder-focused biotech has implemented a 35% workforce reduction since the end of 2023. The company is also continuing a strategic review of options for Olinvyk, an opioid agonist injection approved for adults with acute pain. Release

May 14 - Bayer: German pharma Bayer is cutting 1,500 jobs across the company. Trickles of layoffs began earlier this year after CEO Bill Anderson looked to slash managerial roles to lessen bureaucracy. Story

May 13 - Takeda: Amid a multi-year reorganization program, Takeda has told employees it will be shuttering a research site in San Diego, a company spokesperson told Fierce Biotech via email. About 340 full-time employees currently work at the San Diego center, though some roles may also be moved to other Takeda research locations, including in Cambridge, Massachusetts. The spokesperson said the pharma is encouraging employees to apply for these positions, which would include relocation support.  

Disease of the week

Myasthenia Gravis (MG) is a chronic autoimmune neuromuscular disorder characterized by muscle weakness and fatigue, particularly during physical activity. It primarily affects the voluntary muscles, those that are under conscious control, such as those involved in movement, breathing, swallowing, and speaking.

Causes:

  • Autoimmune Disorder: Myasthenia Gravis occurs when the immune system mistakenly attacks healthy cells, specifically the receptors for acetylcholine, a neurotransmitter that signals muscle contractions. This results in impaired communication between nerves and muscles, leading to muscle weakness.

Symptoms:

  • Muscle Weakness: The hallmark symptom of MG is muscle weakness that worsens with activity and improves with rest. This weakness can vary in severity and can affect different muscles in the body.

  • Drooping Eyelids (Ptosis): Weakness in the muscles that control the eyelids can cause one or both eyelids to droop.

  • Double Vision (Diplopia): Weakness in the muscles that control eye movement can lead to double vision.

  • Difficulty Swallowing (Dysphagia): Weakness in the muscles involved in swallowing can cause difficulty swallowing food and liquids.

  • Difficulty Speaking (Dysarthria): Weakness in the muscles involved in speech production can cause slurred speech.

  • Fatigue: Muscle fatigue is a common symptom, particularly after sustained use of muscles.

Diagnosis:

  • Physical Examination: A thorough physical examination, including a neurological examination, is usually the first step in diagnosing MG. The characteristic symptoms, such as muscle weakness and fatigue, are often evident during the examination.

  • Blood Tests: Blood tests may be conducted to check for the presence of antibodies associated with MG, such as anti-acetylcholine receptor antibodies (AChR) or anti-muscle-specific kinase antibodies (MuSK).

  • Electrodiagnostic Tests: Electromyography (EMG) and nerve conduction studies may be performed to assess nerve and muscle function.

  • Edrophonium Test: In this test, a short-acting acetylcholinesterase inhibitor called edrophonium is injected, temporarily improving muscle strength in individuals with MG.

Treatment:

  • Medications: Medications that enhance the transmission of nerve impulses to muscles, such as acetylcholinesterase inhibitors (e.g., pyridostigmine), are commonly prescribed to improve muscle strength and reduce symptoms.

  • Immunosuppressive Therapy: Immunosuppressive medications, such as corticosteroids, azathioprine, or mycophenolate mofetil, may be used to suppress the immune system and reduce the production of antibodies that attack healthy cells.

  • Plasma Exchange (Plasmapheresis): This procedure involves removing antibodies from the blood plasma and replacing it with donor plasma.

  • Intravenous Immunoglobulin (IVIG) Therapy: IVIG involves administering high doses of antibodies obtained from healthy donors to temporarily modify the immune response.

  • Thymectomy: Surgical removal of the thymus gland (thymectomy) may be recommended, particularly in individuals with thymoma or those under the age of 60, as the thymus is often abnormal in individuals with MG.

Prognosis:

  • The prognosis for individuals with Myasthenia Gravis varies depending on the severity of symptoms and the individual's response to treatment. With appropriate management, many individuals with MG can lead relatively normal lives.

  • In some cases, symptoms may go into remission spontaneously or with treatment. However, periods of exacerbation (flare-ups) may occur, requiring adjustments to treatment.

Lifestyle and Coping:

  • Conserving Energy: Managing activities to conserve energy and minimize fatigue is important for individuals with MG.

  • Assistive Devices: The use of assistive devices, such as glasses with prism lenses to correct double vision or eating utensils designed for individuals with hand weakness, can help improve quality of life.

  • Support Groups: Joining support groups or seeking counseling can provide emotional support and practical tips for coping with the challenges of living with MG.

What I’ve read this week
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