Thursday, 5 November 2020

FDA set to approve a new Alzheimer's drug - a first in nearly 20 years - by March after Biogen showed its treatment may slow the progress of the memory disease

 The U.S. Food and Drug Administration (FDA) is poised to approve a new drug to treat Alzheimer's for the first time in nearly 20 years, regulators said Wednesday.

Biogen has shown 'exceptionally persuasive' evidence that its experimental Alzheimer's disease drug is effective, FDA staff said, elevating its chances of a swift approval and sending company shares soaring.

The drug, called aducanumab appears to reduce the presence of a harmful protein called tau that builds up in tangles seen in the brains of Alzheimer's patients. 

An FDA approval could come by March, which would make aducanumab the first new treatment for the disease in decades and the first that appears to be able to slow the progression of the fatal, mind-wasting condition that affects millions of people.

Shares of Biogen and its partner Eisai both jumped 40 percent. The FDA staff comments also buoyed shares of other Alzheimer's drug developers, including a 15 percent rise in shares of Eli Lily and Co.

Biogen's drug, aducanumab, is set to get FDA approval after it reduced the 'tangles' of harmful tau proteins (red) in the brains of Alzheimer's patients

Biogen's drug, aducanumab, is set to get FDA approval after it reduced the 'tangles' of harmful tau proteins (red) in the brains of Alzheimer's patients 

The agency's documents were released ahead of a meeting on Friday of outside experts who will review, and decide whether to recommend approval of, aducanumab, an antibody designed to remove amyloid plaques from the brain.

'Briefing documents suggests a positive Advisory Committee vote, which bodes well for approval,' Guggenheim analyst Yatin Suneja said in a research note. Mizuho Securities analyst Salim Syed called it 'almost a best-case scenario' for Biogen.


FDA drug reviewers said results from one pivotal trial of aducanumab were persuasive and strongly positive. They acknowledged that a second large trial did not succeed, but maintained it did not detract from the findings of the positive study. The FDA is not obligated to abide by its expert panel recommendations, but typically does.

One statistical reviewer at the FDA said another study is needed to confirm whether aducanumab is effective. 'There is no compelling substantial evidence of treatment effect or disease slowing,' FDA staffer Tristan Massie wrote in the review.

Alzheimer's disease afflicts nearly six million Americans and millions more worldwide. Biogen estimates about 1.5 million people with early Alzheimer's in the United States could be candidates for its drug.

Shares for Biogen shot up by nearly 40% after FDA regulators said the firm had shown 'exceptionally persuasive' evidence their Alzheimer's drug works

Shares for Biogen shot up by nearly 40% after FDA regulators said the firm had shown 'exceptionally persuasive' evidence their Alzheimer's drug works 

Patient advocacy groups have argued that aducanumab needs to be approved due to that large unmet medical need.

'If a third trial is recommended then years could go by...while people aren't granted access to the drug,' said Dr. Howard Fillit, chief science officer at the Alzheimer´s Drug Discovery Foundation.

Biogen and its investors also need an aducanumab approval after the company recently lost a patent fight over its big-selling multiple sclerosis drug Tecfidera. 

If approved, annual sales are forecast to reach $5.3 billion by 2025, according to Refinitiv.

Cambridge, Massachusetts-based Biogen in October last year revived its plans to seek approval for aducanumab, months after it had said that an independent futility analysis of its two pivotal studies showed they were unlikely to succeed.

Biogen said it changed course after a new analysis showed a high dose of the drug could slow disease progression.

The FDA staff said data from one of the trials 'provides the primary evidence of effectiveness as a robust and exceptionally persuasive study demonstrating' a clinically meaningful treatment effect.

Shares of Biogen were up $99.57 at $346.58, and shares of Eisai were up $30.82 at $110.12.

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