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1. Makary, Prasad spell out FDA ground rules for future Covid vaccine approvals
2. Trump administration reveals 'most favored nation' drug price country targets
3. Tourmaline Bio's heart drug cuts inflammation as it seeks to compete with Novo, CSL's assets 
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Jaimy Lee
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There’s a ton of breaking news out of Washington this morning. The FDA published a new framework for Covid vaccines, and Trump’s “most favored nation” plan is out. To get an idea about what dozens of biotech execs think about the current administration and its impact on the sector, John Carroll’s got a fascinating piece.

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Jaimy Lee
Deputy Editor, Endpoints News
1
by Max Bayer

FDA chief Mar­ty Makary and new CBER Di­rec­tor Vinay Prasad said that fu­ture Covid-19 vac­cine ap­provals will fo­cus on adults over 65 and high-risk peo­ple 6 months to 64 years old, align­ing US pol­i­cy with what they say is the sta­tus quo in oth­er sim­i­lar na­tions.

The new frame­work, spelled out in an ed­i­to­r­i­al pub­lished in the New Eng­land Jour­nal of Med­i­cine on Tues­day, is the clear­est guid­ance yet from top health of­fi­cials on how they plan to reg­u­late fu­ture Covid-19 shots. The pol­i­cy mir­rors the ap­proval pa­ra­me­ters just grant­ed to No­vavax over the week­end.

“The U.S. pol­i­cy has some­times been jus­ti­fied by ar­gu­ing that the Amer­i­can peo­ple are not so­phis­ti­cat­ed enough to un­der­stand age- and risk-based rec­om­men­da­tions,” Makary and Prasad wrote. “We re­ject this view.”

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President Donald Trump holds his executive order on drug pricing with CMS Administrator Mehmet Oz (L) and HHS Secretary Robert F. Kennedy Jr. (Mark Schiefelbein/AP Images)
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by Max Gelman

The De­part­ment of Health and Hu­man Ser­vices pro­vid­ed the first de­tails for how it plans to tie US drug prices to rates paid in sim­i­lar­ly de­vel­oped coun­tries as part of Pres­i­dent Don­ald Trump’s most fa­vored na­tions ex­ec­u­tive or­der.

Un­der the pro­gram that was first an­nounced by Trump last week, the US would tar­get prices based on bench­marks from oth­er wealthy na­tions that have a per capi­ta GDP of at least 60% of the US, ac­cord­ing to a press re­lease Tues­day.

The Trump ad­min­is­tra­tion has said that it wants drug de­vel­op­ers to of­fer those low­er prices to con­sumers to buy di­rect­ly. If they don't com­ply, the ad­min­is­tra­tion would pur­sue reg­u­la­tion to force the low­er prices. HHS said it ex­pects drug man­u­fac­tur­ers to com­ply with this di­rec­tive for all brand­ed prod­ucts that don’t have gener­ics or biosim­i­lars avail­able.

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3
by Lei Lei Wu

Tour­ma­line Bio's ex­per­i­men­tal drug for ath­er­o­scle­rot­ic heart dis­ease re­duced mark­ers of in­flam­ma­tion in the blood in a mid-stage study.

The com­pa­ny must now show the drug cuts key events such as heart at­tack, stroke and death in a large Phase 3 study. It said Tues­day it plans to dis­cuss such a tri­al with the FDA by the end of the year.

The Phase 2 analy­sis in­clud­ed 126 par­tic­i­pants with el­e­vat­ed lev­els of an in­flam­ma­tion mark­er called high-sen­si­tiv­i­ty C-re­ac­tive pro­tein, or hs-CRP, and stage 3 or 4 chron­ic kid­ney dis­ease. Both are risk fac­tors for ath­er­o­scle­ro­sis, a heart dis­ease char­ac­ter­ized by buildup of plaque in the ar­ter­ies. The par­tic­i­pants were di­vid­ed in­to four arms: 25 mg quar­ter­ly, 50 mg quar­ter­ly, 15 mg month­ly and place­bo.

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News Briefing: Quick hits from the biopharma web
4
by ENDPOINTS

Plus, news about Beck­ley Psytech, Re­genxbio, Blue­print Med­i­cines, Van­tAI, Nov­elMed and Bay­er:

💰 SV Health clos­es sec­ond de­men­tia fund: The Lon­don-based biotech in­vest­ment firm closed its sec­ond De­men­tia Dis­cov­ery Fund with $269 mil­lion in com­mit­ments. The fund, called DDF-2, had a