stem cells
Policing the ethics of embryo models
An influential U.K. bioethics group says policymakers and scientific groups need clear guidelines and legal reforms to regulate the growing field of stem cell-based embryo models. It emphasized in a report that ethical boundaries are critical to prevent these models from being used to start pregnacies, or to allow them to develop to a stage where these embryo models might feel pain or awareness.
The current models are still too primitive for these sorts of concerns, but the advances are moving lightning quick — which highlights the need for governance in this space, STAT's Andrew Joseph writes. The report, written by the U.K.'s Nuffield Council on Bioethics, could ultimately influence global policy on the ethical use of embryo models.
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rna therapy
Sarepta's deal with Arrowhead expands pipeline
Sarepta Therapeutics is paying Arrowhead Pharmaceuticals $500 million upfront and possibly many millions more in milestone payments to gain access to a series of experimental RNA-based drugs. This expands Sarepta's pipeline to include RNA-based drugs that target rare diseases like muscular dystrophy, idiopathic pulmonary fibrosis, and spinocerebellar ataxia. The announcement prompted a 25% stock surge.
Arrowhead's technologies improve RNA delivery to hard-to-reach tissues, STAT's Jason Mast writes, which helps address some of the limitations of Sarepta's earlier RNA therapies, such as Exondys. These medicines only reached muscle cells at very low levels, which cast their efficacy into doubt. Four of Arrowhead's programs are already in trials.
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obesity
Investors debate the Amgen MariTide obesity data
Expectations going into the Phase 2 study readout were high, so once Amgen reported the results yesterday morning, arguments erupted all over Wall Street over MariTide's future.
With weight loss and tolerability that looks in-line, perhaps slightly worse, compared to rival drugs, the MariTide debate centered mostly around the advantage (or not) of a once-monthly injection schedule, possibly even less frequent, compared to current once-weekly offerings. Others questioned whether Amgen was being fully transparent about the rates of nausea and vomiting seen in the study — since tolerability has emerged as a major issue for patients.
At one point yesterday, Amgen shares were down 11%, erasing $18 billion in market value. But the stock rallied at the end of the day and closed down just under 5%.
Meanwhile, Lilly's stock jumped 5% and Novo's by 1.5%, though this may be linked to news yesterday that the Biden administration proposed to expand Medicare and Medicaid coverage of obesity drugs.
"While MariTide is clearly effective and will offer less frequent dosing, the bar for efficacy in the class continues to move higher and tolerability for the drug will likely remain a question until more data at the lower titration doses is available," said J.P. Morgan pharma analyst Chris Schott, in a research note.
In his own research note, Piper Sandler analyst Chris Raymond said, "We do think Amgen has a differentiated offering in this massive and growing category."
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