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CHMP calls to reject Anavex's Alzheimer’s pill over impurities Read in browser
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1. Covid vaccine deaths review sent to top of FDA, but with far less certain conclusions, sources say
2. CHMP calls to reject Anavex's Alzheimer’s pill over impurities, side effects and weak efficacy
3. 340B sales grew 23% last year, and court battle over pilot program intensifies 
4. Updated: Gonorrhea antibiotics from GSK and Innoviva gain approval
5. GSK spins out corporate VC fund focused on bioelectronic tech
6. Arcus, Gilead report Phase 3 TIGIT failure in upper GI cancers
7. #SABCS25: Celcuity further details Phase 3 win; Relay’s PI3Kα inhibitor’s consistent performance; and more
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Centessa CEO to step down; John Maraganore, Clive Meanwell find CMO for their new cardio bet
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Drew Armstrong
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I'm finishing up our annual "Winners & Losers" column for next week ... You'll find out soon who made our naughty and nice lists, and if you've got (great) suggestions, send me a note. We're also planning a very fun edition of Post-Hoc Live to reveal the list on Thursday ...

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Drew Armstrong
Executive Editor, Endpoints News
@ArmstrongDrew
1
by Max Bayer, Zachary Brennan

An FDA staff analy­sis of the safe­ty of pe­di­atric Covid-19 shots has been fi­nal­ized and sent to the agency’s vac­cine and bi­o­log­ics head Vinay Prasad. But the re­port comes to many few­er firm con­clu­sions than two of the agency’s biggest crit­ics of the vac­cines have sug­gest­ed it would.

End­points News spoke to two peo­ple with knowl­edge of the analy­sis, who said that a re­view of ad­verse event re­ports found sev­en deaths in chil­dren that are “pos­si­bly” or “prob­a­bly” re­lat­ed to the Covid-19 vac­cines. The de­scrip­tion of the deaths as pos­si­bly or prob­a­bly linked rep­re­sents an in­ter­me­di­ate lev­el of cer­tain­ty, short of a de­fin­i­tive as­sess­ment that the shots caused the deaths.

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2
by Anna Brown

As part of a batch of rec­om­men­da­tions is­sued Fri­day, the Eu­ro­pean Med­i­cines Agency’s hu­man med­i­cines com­mit­tee (CHMP) rec­om­mend­ed re­ject­ing Anavex’s Alzheimer’s dis­ease drug, is­su­ing a scathing re­view of the pil­l's safe­ty and ef­fi­ca­cy is­sues.

The com­mit­tee said it was con­cerned that the pill, called blar­came­sine, could con­tain can­cer-caus­ing im­pu­ri­ties. In ad­di­tion, its main clin­i­cal study failed to meet its ob­jec­tive, and a “high pro­por­tion of pa­tients” stopped tak­ing the drug be­cause of cen­tral ner­vous sys­tem side ef­fects.

Last month Anavex said it planned to re­quest a re­ex­am­i­na­tion of blar­came­sine from the Eu­ro­pean reg­u­la­tors, af­ter CHMP warned a neg­a­tive opin­ion was like­ly. Anavex has 15 days to file for re­ex­am­i­na­tion.

As part of Fri­day's pack­age of ac­tions, the com­mit­tee al­so rec­om­mend­ed five new med­i­cines and 10 la­bel ex­pan­sions.

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3
by Nicole DeFeudis

El­i­gi­ble health cen­ters pur­chased $81.4 bil­lion in dis­count­ed drugs un­der the fed­er­al 340B pro­gram in 2024, an in­crease of 23% from the pre­vi­ous year as the pro­gram con­tin­ues to ex­pand — and face le­gal chal­lenges.

The da­ta re­leased on Thurs­day cap­ture “the vast ma­jor­i­ty but not all 340B trans­ac­tions,” ac­cord­ing to the US Health Re­sources and Ser­vices Ad­min­is­tra­tion, which over­sees the 340B pro­gram.

The 340B pro­gram re­quires drug com­pa­nies to pro­vide dis­count­ed prices to health cen­ters that qual­i­fy, such as those serv­ing low-in­come or rur­al com­mu­ni­ties. Hos­pi­tals de­scribe it as a vi­tal fi­nan­cial life­line, while the phar­ma in­dus­try ar­gues that it is rife with fraud and abuse. Their fight has in­ten­si­fied in re­cent weeks as the gov­ern­ment pre­pares to im­ple­ment a con­tro­ver­sial pi­lot on Jan. 1 that would change how the pro­gram has op­er­at­ed for decades.

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4
by Nicole DeFeudis

GSK and In­no­vi­va both won ap­provals from the FDA for their an­tibi­otics to treat gon­or­rhea, adding new tools to doc­tors' ar­se­nal amid a rise in re­sis­tance to cer­tain drugs used to treat the sex­u­al­ly trans­mit­ted bac­te­ria.

GSK's an­tibi­ot­ic, Blu­jepa, is a twice-dai­ly pill that's now ap­proved for adults and chil­dren 12 years and old­er who weigh at least 45 kg and have lim­it­ed or no oth­er op­tions to treat their dis­ease. The UK drug­mak­er said there is a “sig­nif­i­cant need” for new an­tibi­otics to fight gon­or­rhea, one of the most preva­lent sex­u­al­ly trans­mit­ted dis­eases in the US.

"The avail­abil­i­ty of ad­di­tion­al treat­ment op­tions is of par­tic­u­lar im­por­tance giv­en the glob­al rise in gono­coc­cal drug re­sis­tance,” Pe­ter Kim, who leads FDA's in­fec­tious dis­eases group in the drug di­vi­sion, said in a state­ment.

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5
by Kyle LaHucik

GSK has of­floaded a cor­po­rate ven­ture unit that in­vests in bio­elec­tron­ic star­tups work­ing on neu­ro­mod­u­la­tion, wear­ables, im­plant­ed de­vices and oth­er tech­nol­o­gy, End­points News has learned.

The VC unit, Ac­tion Po­ten­tial Ven­ture Cap­i­tal (APVC), launched with $50 mil­lion from GSK in 2013, when it made its first in­vest­ment in Set­Point Med­ical, cre­ator of an im­plantable de­vice to as­suage in­flam­ma­to­ry dis­eases.

“We can con­firm we have en­tered in­to an agree­ment to spin out cer­tain ven­ture cap­i­tal in­vest­ments his­tor­i­cal­ly held by GSK,” a spokesper­son for GSK said in an emailed state­ment to End­points on Thurs­day.

It's the sec­ond time GSK has sep­a­rat­ed from a cor­po­rate ven­ture cap­i­tal unit. The drug­mak­er al­so spun out its bio­phar­ma-fo­cused ven­ture unit, SR One, in No­vem­ber 2020. SR One has since raised hun­dreds of mil­lions of dol­lars, and GSK still main­tains a stake.

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