FDA Requests Belviq Be Pulled from the US Market Due to Cancer Risk
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No. 3992 February 21, 2020 Belviq has not been a big commercial seller in the US, but Eisai had been hoping the positive cardiovascular outcomes trial could mark a new chapter for the troubled weight loss pill. The company reported nine-month revenues of ¥4.61bn ($42m) for Belviq in January. NAIL IN COFFIN Now, the FDA’s request to remove the drug from the market feels like anoth- er nail in the coffin for a trio of obesity drugs that launched in the early part of the last decade with a lot of fanfare but failed commercially. (Also see “10 Drug Launch Flops Of The Decade “ - Scrip, The last of a trio of obesity drugs that 8 Jan, 2020.) The big problem for the launched early in the last decade to crash drugs was around the perceived modest efficacy and uncertain risks. Belviq was the first of those drugs to reach the market in 2012. It was ini- FDA Requests Belviq Be Pulled From tially developed by Arena Pharmaceu- ticals and partnered with Eisai in 2010. The US Market Due To Cancer Risk (Also see “Arena Scores Hefty Obesity Drug Deal With Eisai Ahead Of PDUFA JESSICA MERRILL [email protected] Date” - Pink Sheet, 1 Jul, 2010.) Arena handed over full commercial rights to he US Food and Drug Adminis- did not improve cardiovascular outcomes the product to Eisai in 2017 to focus on tration has requested that Eisai either. At the time the data was first re- other drugs. T Co. Ltd. voluntarily withdraw the leased in mid-2018, Eisai did not highlight Two other drugs followed behind Bel- obesity pills Belviq and Belviq XR (lorca- cancer as a safety signal. (Also see “Eisai’s viq: Vivus Inc.’s Qysmia (phentermine/ serin) from the US market because of an Obesity Drug Belviq Passes Cardiovascu- topiramate) and Takeda Pharmaceuti- increased risk of cancer. The announce- lar Outcomes Test” - Scrip, 17 Jul, 2018.) cal Co. Ltd../Orexigen Therapeutics Inc.’s ment on 13 February comes after Eisai The FDA had required the cardiovascular Contrave (naltrexone/bupropion). Orex- demonstrated the cardiovascular safety of outcomes trial (CVOT) as a post-approval igen eventually filed for bankruptcy, and Belviq in an outcomes trial, but that same commitment. while Vivus continues to market Qysmia, trial showed an increased risk of cancer “Patients should stop using the medi- it only generated $9.5m in the third occurrence. cation Belviq and Belviq XR and talk to quarter of 2019. The FDA issued an alert in January no- their health care professionals about Published online 13 February 2020 tifying the public that it was assessing the other treatment options for weight loss,” safety of Belviq for a potential increased Center for Drug Evaluation and Research As Belviq Goes Off risk of cancer. In the 12,000-patient CA- Janet Woodcock said in a statement. The India Market, Patent Case MELLIA-TIMI 61 trial, Eisai showed Belviq agency did not recommend special can- May Fizzle: did not increase major cardiovascular cer screening for patients who have taken https://bit.ly/2SSaZgw events compared to placebo, but the drug Belviq outside of routine tests. FOR THE LATEST BUSINESS INSIGHT ON THE BIOPHARMA INDUSTRY VISIT: SCRIP.PHARMAINTELLIGENCE.INFORMA.COM Deal Making Move Over CAR-T Pharma On Coronavirus A good year expected, despite Takeda’s Off-The-Shelf CAR-NK A passing nuisance or a real worry? US election uncertainty (p10) data excite (p14) (p18) IN THIS ISSUE from the executive editor [email protected] How worried are you about coronavirus? And if you squarely during the Q4 reporting season and concerns at do have any fears, do they relate more to your per- present are largely confined to China. With the obvious sonal safety, or that of your business? I’m firmly in the caveats firmly in place, most said the disruption was man- not-worried-yet camp; a quick Amazon search for face ageable and expected the outbreak to be relatively short- masks ended with a closed laptop as soon as I saw their lived. And many are joining in efforts to tackle the disease. price, although I do admit to having upped the hand- Still, the arrival of an unknown infectious disease washing (both frequency and thoroughness). evokes deep-seated fears. Just today in the UK press, Three years of studying microbiology at university may amid all the coronavirus updates, was news of the dis- have left me with a healthy respect for viruses, but 20 years covery in rural Lincolnshire of a mass grave of 14th of covering pharma has engendered some faith, at least, in century victims of the Black Death – the findings prov- its ability to Do Something about the current outbreak. ing that it was not just the populous towns where the Fears over SARS, MERS and H1N1 waxed then waned, af- normal systems for burial broke down under the sheer ter all, and hopefully COVID-19 will be no different. volume of bodies as half the population of Europe was Such sanguinity appears shared by pharma heads. As wiped out. A reminder, if any were needed, not to get we report in p18, only a few firms addressed the issue too complacent. 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ISSN 0143 7690. 2 | Scrip | February 21, 2020 © Informa UK Ltd 2020 GlycoMimetics Dr Reddy’s Alzheimer’s Defeats Deal Off New Move Pharma Again Balance 20 6 9 15 exclusive online content inside: COVER / FDA Requests Belviq Be Pulled From The US Market Due 89Bio’s NASH Hopes Hang On To Cancer Risk Demonstrating Best-In-Class FGF21 Profile 4 AstraZeneca Returns To Growth, But Coronavirus Likely To Hit JOSEPH HAAS [email protected] China Revenues 5 Teva Edges Closer To Growth, But With A Big Overhang 6 Ipsen Upbeat Despite Palovarotene Program Pain 8 Pfizer Ends Pact With GlycoMimetics After SCD Failure 8 It’s A Deal, Finally: Dr Reddy’s Snaps Up Wockhardt’s Branded Gx Business 10 A Positive Outlook For Deals, With Election Year Caveats 11 Sandoz Optimistic On Biosimilars As It Reprioritizes US Portfolio 13 Novartis And UK Launch Partnership On Groundbreaking Recent entrants, including some big pharma players, Cardiovascular Prevention Trial threaten to make the fibroblast growth factor (FGF) ana- log class another crowded field of clinical development 14 Strong Early Promise For Takeda ‘Off The Shelf’ CAR-NK for non-alcoholic steatohepatitis, but 89bio Inc. thinks its Therapy mid-stage FGF21 analog could prove best in class with less frequent dosing than a Phase II FGF21 candidate at Bris- 15 Another Alzheimer’s Setback As Roche And Lilly Drugs Fail tol-Myers Squibb Co. and offer a better safety profile than 17 Fennec Nears Market For Chemo-Induced Hearing Loss NGM Biopharmaceuticals Inc.’s Phase IIb FGF19 analog. In Children Founded in Israel in May 2018 with the licensing of BIO89-100 (then called TEVA47948) from Teva, 89Bio now 18 Keytruda Closing In On First-Line Metastatic Triple-Negative operates mainly out of San Francisco. It anticipates report- Breast Cancer ing out Phase IIa data for BIO89-100 in NASH during the second half of 2020 – the ongoing Phase Ib/IIa study is 18 Global Catastrophe Or Passing Nuisance? Pharma’s testing once-weekly and twice-weekly injectable dosing Coronavirus Views of the glycopegylated FGF21 analog. The firm also plans to soon initiate a Phase II study of the candidate in severe 21 Stockwatch: Coronavirus Takes A Bite Out Of AstraZeneca’s Guidance, GSK and AbbVie Get Spinning hypertriglyceridemia with data expected during the first half of 2020. 22 Pipeline Watch Published online 11 February 2020 To read the rest of this story go to: https://bit.ly/2uIEBVG 23 Appointments @PharmaScrip /scripintelligence /scripintelligence /scripintelligence scrip.pharmaintelligence.informa.com February 21, 2020 | Scrip | 3 Q4 RESULTS AstraZeneca Returns To Growth, But Coronavirus Likely To Hit China Revenues ANDREW MCCONAGHIE [email protected] straZeneca PLC has recorded its (benralizumab), though these were offset Calquence (acalabrutinib) in leukemia, as first full year of revenue growth in by a better-than-expected showing from well as several approvals in China at the Aeight years, bouncing back thanks aging respiratory blockbuster Symbicort end of the year, including Lynparza in first- to its fast-growing new cancer drug portfo- (budesonide/formoterol). line ovarian cancer. (Also see “AZ Closer To lio and expansion in China. But CEO Pascal For 2020, the company is forecasting Second Enhertu OK After Gastric Cancer Soriot warned the Covid-19 virus outbreak revenue growth in the high-single to Success” - Scrip, 27 Jan, 2020.) could have an impact on 2020’s numbers.