Biotech

Coherus BioSciences Q4 and FY16 Highlights

 

On 13th March, 2017, Coherus BioSciences, Inc. (NASDAQ:CHRS) reported Q4 and full year financial results.

Operations highlights for Q4

Oncology therapeutic franchise:

  • CHS-1701, the biosimilar candidate of pegfilgrastim (Amgen’s Neulasta ®) was confirmed that FDA has accepted the filing of 351 (k) Biologics License Application (BLA) for it.
  • Confirmation of acceptance of Marketing Authorization Application (MAA) to European Medicines Agency (EMA) for CHS-1701. This marked as a first EMA submission and acceptance for Coherus.
  • Management expects to use cash towards commercial activities of CHS-1701

Immunology (anti-TNF) therapeutic franchise:

  • CHS-1420, the biosimilar candidate of adalimumab (Humira®), received decision from the PTAB (Patent Trial and Appeal Board) of the US Patent and Trademark office denying institution of petition for Inter Partes Review (IPR) of AbbVie’s U.S Patent 9,114,166 (“166 Patent) releated to AbbVie’s Humira formulation.
  • CHS-0214, the biosimilar of Amgen’s Enbrel ® (etanercept), released results from two PK studies.
  • The trial CHS-0214-06 trial compared CHS-0214 vs EU Enbrel, which resulted in achieving the primary PK BE endpoint. The trial, CHS-0214-07 provided additional relative bioavailability data for CHS-0214 candidate. Anticipate filing of Marketing Authorization Application (MAA) in 2H of 2017.
  • Partnering discussions for the immunology (anti-TNF) therapeutic franchise are underway, targeting agreement in place in the first half of 2017, subject to a favorable “135 patent IPR decision.

Others:

  • CHS-131; completion of additional animal studies on the candidate to validate its mechanism of action, with licensing agreement locked down for 2H of 2017

 

Financial Summary for Q4:

  • On 28th October  2016, Coherus BioSciences Inc (NASDAQ:CHRS) entered into a Sales Agreement with Cowen and Company LLC to act as a sales agent for executing the sale of CHRS’s common stock with aggregate gross sales proceeds of up to $100,000,000 from time to time, through an “at the market” equity offering program.
  • During the Q4 and in January 2017, CHRS issues 2.2 million shares, which raised $60.8 million in gross proceeds under the “at the market” program, with an average price of $28.10 per share price.

Q4 and FY’16 Financial Results:

Research and Development (R&D):

  • Expenses for Q4:16 were $59.0million v $51.4million for Q4:15.
    • The jump in the Q4:16 compare to Q4:15 was largely due to analytical studies for early stage programs (phase I studies) and CHS-0214 programs, on-going CHS-1420 PK and Phase 3 trials for the biosims. This was offset by completion of CHS-1701 BLA-enabling and CHS-0214 phase 3 clinical program.
  • R&D for FY’16 were $254.4million v $213.1million for FY’15.
    • The surge in FY’16 expense compare to FY’15 was mainly because of proceedings on clinical programs associated with Phase 3 clinical study in psoriasis for CHS-1420, along with hiring of additional personnel to support both early-stage and late-developments programs. This increase was partially offset by a decrease in costs related to BLA-enabling studies for CHS-1701 and a decrease in costs associated with the CHS-0214 phase 3 trials that were completed in 1H of 2016.

General and administration (G&A):

  • Q4:16 expenses were $15.3m v $11m from Q4:15 (Q/Q 39.9% increase).
  • G&A expense for FY’16 were $51.6m v FY’15 $36.0m (Y/Y 43.33%)
    • The surge in these expenses were mainly contributed by hiring of personnel to support pre-commercial and accounting activities, stock options costs- which was granted since Q3:15 and legal fees to support the IP strategy.

Net loss:

  • Q4:16 ($75.9)m (or $1.71 per share) v ($52.4)m or ($1.35 per share) during Q4:15.
  • FY’16 ($127.3)m (or $3.04 per share) v FY’15 ($223.3)m (or $6.01 per share)

Cash and Cash equivalents:

  • $124.9m cash total for Q4:16 v $159.7m Q3:16 along with additional raise of $120milion in net proceeds from equity offerings in February and March 2017.

Total Revenue:

  • Q4:16 figures stood at $844 thousand, as compared to $10.2m in Q4:15. While the total revenue for FY’16 was $190.1m v $30.0m in FY’15.
    • The increase over the same period was due to increased recognition of collaboration revenue as a result of regaining the full development & commercial rights of CHS-0214 from shire in Europe, Canada, Brazil, the Middle East and other territories.

 

 

Conference Call InformationWhen: Monday, March 13, 2017 at 4:30 p.m. ETDial-in: (844) 452-6826 (toll free) or (765) 507-2587 (International) Conference ID: 66529524Webcast:  http://investors.coherus.com The webcast will be archived on the Coherus website.

Coherus BioSciences Inc- Analysis

The biotechnology industry is constantly reinventing itself, but one of the biggest noises over the last couple of years has been the introduction of biosimilar drugs to the U.S markets.

Biosimilar: Background
Biosimilar drugs are derived from Biologic drugs that are made by a living cell, typically an engineered bacterium or yeast, with collection of compounds from animals such as cows, mice, rabbits, goats and even humans, according to Mary Wahl, who works at Microsoft. This makes them substantially more difficult to manufacture and impossible to make an exact replica unless a company follows the exact same manufacturing procedure as the company that makes the brand-name drug. Meanwhile, small-molecule drugs (which generics mimic) can be easily synthesized by chemicals in a consistent process  by the manufacturers as to make sure that drug has same effective profile every time. One expert told Fortune, if small-molecule drugs are a tricycle, biologics are space ship. Biologic drug, despite its complexity can help with lots of various conditions in the body, like monoclonal antibodies to fight cancer or Neupogen to enhance white cells during chemotherapy treatment.

Therefore, “Biosimilar” term is coined because changes in cell lines, growing conditions, expression times, purification process and several other variables can have minor changes on the drug being developed. Hence, biosimilar candidate is similar but not identical to the brand-name drug it is trying to copy cat.

Due to the complex process, FDA had previously been reluctant in allowing these to be marketed or sold in the USA- giving biotech companies free pass in stacking up billions in profits from the clinical drugs even after their drugs lost patent protection, as there was no clear competitor.  However, that all changed in 2010 after passing of the Affordable Care Act, known as Obamacare, as the bill cleared the pathway for biologics to finally reach U.S. consumers. Ultimately, last year, the FDA gave the green light to the first biosimilar drug, and that opened the flood gates for more biosim candidates.

One small-cap company that is looking to cash on the Biosimilar trend is Coherus BioSciences Inc (NASDAQ: CHRS). That engages in the development and commercializition of biosimilar therapeutics worldwide.Its clinical-stage pipeline consists of two anti-inflammatory agents targeting tumor necrosis factor, a substance in the body that is involved in the inflammatory response; and a long-acting form of granulocyte colony-stimulating factor, a beneficial substance in the body that stimulates production of granulocytes (a type of white blood cell) in order to promote the body’s ability to fight infections.The company was founded by Dennis M. Lanfear and Stuart E. Builder in September 2010 and is headquartered in Redwood City, CA.

While there are several companies focused on creating biosimilar drugs, Coherus BioSciences Inc (NASDAQ:CHRS) is a dark horse, that demands attention from the investors. The company has three crucial biosimilar product candidates, which are CHS-1701, a biosimilar version of Amgen’s (NASDAQ: AMGN) white blood cell boosting drug Neulasta® (Sales of Neulasta® were more than $4.5B in 2015, so even if Coherus could capture a portion of that market away from Amgen, that will be enough to turn this small-cap biotech company into profitable flight). CHS-0214 the copy-cat version of Enbrel as well as CHS-1420 that is targeting AbbVie’s Humira.

At the J.P. Morgan Healthcare Conference in January 2017, Coherus presented its key milestones for 2016 and ensured that it is on track to submit all three of its biosimilar candidates (mentioned above) for regulatory approval during this year. Subsequently, confirming CHS-0214 submission for regulatory approval in the 2H of 2017, along with FDA decision date of June 9th 2017 for biosimilar candidate of Neulasta and BLA acceptance for Humira’s biosim later this year. Henceforth, these developments at Coherus indicates that the company could be less than a year away from generating powerful revenues if they  could successfully navigate the products through the regulatory process and market their copy-cat Biosimilar versions effectively.

In regard to the execution/marketing of the products, Coherus has wisely aligned itself with deep-pocketed players such as Baxatla and Daiichi-Sanyo, which should make it easier for it to launch the products if they to find their way to market.

Candidate Developments:

Product 1: CHS-0214

Coherus and Baxalta (NYSE:BXLT) announced at the Conference that CHS-0214, the biosimilar version for Amgen’s Enbrel met its primary endpoint in phase 3 trial- confirming no clinically significant difference between CHS-0214 and Enbrel. Previously, CHS-0214 has successfully completed two phase 3 studies, one in chronic plaque psoriasis,with data being released in November 2015, and the other one in rheumatoid arthritis,data released in January 2016. The data from phase 3 studies along with two pivotal clinical pharmacokinetic studies focused on supporting the MMA.

Product 2: CHS-1420

In another recent Phase 3 trial readout, Coherus’ biosimilar CHS-1420 showed similarity to AbbVie’s Humira in psoriasis patients. Start of this month, Coherus announced that CHS-1420, (a therapy candidate for plaque psoriasis) the biosimilar candidate of adalimumab (AbbVie’s Humira ®), met the primary endpoint in a clinical pharmacokinetic (PK) bioequivalence study that compared CHS-1420 to Humira in healthy subjects. Previously, the phase 3 trial illustrated that CHS-1420 showed similarity to AbbVie’s Humira in psoriasis patients along with similar safety profile as both drugs were well-tolerated.  Management anticipates filing of Biologics License Application (BLA) for CHA-1420 to be accepted by FDA this year.

Product 3: CHS-1701

Last year, Coherus reported top-line results, indicating that the study met all of its co-primary endpoints from its follow-on Pharmacokinetic and pharmacodynamic (PK/PD) clinical study of CHS-1701, a pegfilgrastim (Amgen’s Neulasta ®) biosimilar candidate. Moreover, the safety profiles of CHS-1701 and Neulasta were also considered similar, with no serious adverse event during the study or clinical testing. And recently the commercial plans along with preparations have began, with FDA approval expected.

But it would be wrong to conclude that Coherus BioSciences wholly depend upon those three biosims, just because these products cover large market opportunity. Coherus is much more when we add in the potential Coherus phase 1 product candidates. These include biosimilar versions of in-demand chemotherapy drug, Avastin (GENENTECH INC) and wet age related macular degeneration drug Lucentis (GENENTECH INC), each of which currently generating billion in annual sales.

However, the small biotech faces challenges as it is involved in legal litigation with not only AbbVie for Humira but recently Amgen also took Coherus to court over Neulasta’s biosim. These lawsuits could potentially delay the products from reaching the market within the timeline Coherus has anticipated. Plus, making biosimilar is still significantly expensive and complicate procedure, meaning copycat biosim players only undercut their branded counterparts by 15%-30% along with the lengthy timeframe of actually availing the benefits. For example, in 2009, Novartis launched a Neupogen biosim, and it took four years for that product to overtake the sales of original drug. Therefore, it is essential to investigate the cash in hand held by such biosim companies before investing. And in Coherus case it is well financed right now, with more than $155million as of Sep. 2016 and previously in March 2016, it raised additional $72million from a common share offering. Meaning plenty of capital to advance its candidates along the regulatory phase and be able to stay firm during any upcoming potential setbacks (i.e lawsuits or clinical data failures).

 

How big is the Biosimilar trend?

The biosimilar wave, according to Citigroup is around $110Billion opportunity over the coming decade. And one might speculate on dumping brand name producing drug companies like Amgen or Celgene as this wave will crush their prospects. But even these biotech companies, specifically Amgen has been heavily investing in creating its own biosimilar pipelines in an effort to capture & capitalize with nine biosmis in development phase. According to the Amgen, the worldwide sales of branded drugs copy-cat biosim version currently exceeds more than $52billion. Three other household names that are heavily investing in this space are Pfizer (with purchase of Hospira), Novartis’s Sandoz unit and Biogen, who has a partnership with Samsung to develop biosimilars.

Investment analysis:

Coherus BioSciences shares fell -2.291% to close the day at $23.45 on 9th march 2017. And as of September 2016 earnings report, the Enterprise Value (EV) stood at $1,110.9million with EBITDA at $87million along with $1.93 EPS. The highest price CHRS shares have touched in last 12 month was $31.98 and the lowest price hit in that time frame was $14. Price target is an essential factor while computing the analysis of a stock.

 

 Technical analysis glimpse:

Moving averages are used as a strong indicator for technical stock analysis and it helps investors in reflecting where the stock be heading. Using this tool for CHRS, the 200-day moving average price is $27.78 and 50-day moving average is $25.23.

According to 7 analysts, Price Target for CHRS is $46 highest, $38 lowest and $41.14 being the average floating stock price.

The data below illustrates the recommendation trends:-

CHRS performance during the last 12 months improved by 65.78%, while it’s YTD performance was hit by a negative trend of -11.55%, with stock falling -14.87% over last 6 months along with significant drop in the stock price in the January. The financials suggest a strong long term outlook for the CHRS with Sales Q/Q at 2172%, EPS Q/Q 187.70%, ROE 414.30%, ROI 3533.30% and ROA -47.10%.

Investors who succeed in the small-cap biotech market have learned to temper their expectations. Only a small number of these companies succeed, and the constant chance of a big drop is tough on the stomach lining. The San Francisco-based Coherus Biosciences (NASDAQ:CHRS) is a good play for those who believe the biosimilar industry should start breaking out in the next 12 months. Coherus’ stock has been on the rise since reporting positive data for its biosimilar for Amgen’s Neulasta in July 2016. Coherus submitted a biologics license application (BLA) for its Neulasta copycat in August. Since Amgen’s drug generated almost $4.8 billion in sales last year, it’s reasonable to assume that this biosimilar could achieve at least $1 billion in annual sales along with 2 other blockbuster biosims ready to be launched in the USA market.

Coherus Biosciences Inc (NASDAQ:CHRS) is scheduled to be posting its quarterly earnings results after the market closes on Monday, March 13th. Analysts expect Coherus Biosciences to post earnings of ($1.11) per share for the quarter.

Amgen accuses Coherus of stealing its Neulasta secrets

Coherus BioSciences, Inc (NASDAQ: CHRS) had been waiting  anxiously to get a chance for launching their bio-similar of Neulasta, Amgen (NASDAQ: AMGN)- the drug that is used to stimulate white blood cell production after cancer treatment and brought in more than $4.6B last year for Thousand Oaks, California based Amgen. But before Coherus could get any approvals, Amgen is dragging Coherus into a court battle, filling a trade secret action, alleging trade secret misappropriation & other claims against Coherus. According to Amgen, Coherus poached Amgen employees to get at their proprietary knowledge.

In its new lawsuit, Amgen claims Coherus engineered a “massive conspiracy” to steal its information, according to analysts at Barclays. That conspiracy, Amgen says, included recruiting its employees, who then siphoned off secrets and passed them to Coherus.

Coherus allegedly received information on “stolen” USB drives, including “sensitive Amgen standard operating procedures, laboratory notebook pages, validated analytical methods, method development reports, specifications, documents reflecting process optimization work, cost calculators and pricing and contracting strategies,” the analysts say.

But Coherus CEO Denny Lanfear “categorically” rejected the allegation & stated that action is without merit, while suggesting that Amgen’s lawsuit represents baseless litigation to delay Coherus from entering the pegfilgrastim market as a serious competitor.

Coherus’ Neulasta biosimilar, now known as CHS-1701, is scheduled for FDA decision on 9th of June. Meanwhile, in the lawsuit, Amgen seeks several injections against Coherus, plus restitution and damages. One of the Barclays analysts wrote that this suit could have negative impact on Coherus as its regulatory approval date gets closer.

Dan Lanfear also added that Coherus is keen on introducing competition & offering biosimilar products at competitive prices with and lower than those sustained by Amgen and other large pharma companies. And according to the data, bio-similar have reached the U.S market with 15% discount to the brands from large Pharmaceutical companies.

Amgen is also locked in a court battle over Sandoz’ biosimilar version of its Neulasta predecessor, Neupogen, with case scheduled for arguments before the U.S Supreme court next month, and it is certain that high court’s decision is expected to influence future bio-similar patent fights & launch dates.

About Coherus BioSciences, Inc.

Coherus is a leading pure-play, global biosimilar company that develops and commercializes high-quality therapeutics for major regulated markets. Biosimilars are intended for use in place of existing, branded biologics to treat a range of chronic and often life-threatening diseases, with the potential to reduce costs and expand patient access. Composed of a team of proven industry veterans with world-class expertise in process science, analytical characterization, protein production, sales & marketing and clinical-regulatory development, Coherus is positioned as a leader in the global biosimilar marketplace. Coherus is advancing three late-stage clinical products towards commercialization, CHS-1701 (pegfilgrastim biosimilar), CHS-0214 (etanercept biosimilar) and CHS-1420 (adalimumab biosimilar), as well as developing a robust pipeline of future products in four therapeutic areas, oncology, immunology (anti-TNF), ophthalmology and multiple sclerosis. For additional information, please visit www.coherus.com.

Information on Bio-similar Products:

A biosimilar product is a biological product that is approved based on a showing that it is highly similar to an FDA-approved biological product, known as a reference product, and has no clinically meaningful differences in terms of safety and effectiveness from the reference product. Only minor differences in clinically inactive components are allowable in biosimilar products.
Please visit for more: www.fda.gov/Drugs

Cowen and Company 37th Annual Health Care Conference

Cowen and Company 37th Annual Health Care Conference

37th Annual Health Care Conference
Monday, March 6 through Wednesday, March 8, 2017
The Boston Marriott Copley Place, Boston, Massachusetts

Webcast

http://www.cowen.com/conferences/conferences-overview/

 

Below are the several big biotechnology names that presented at the event and following slide deck link are attached by the companies in conjunction with this event.

Amgen Inc. (NASDAQ: AMGN)

Amgen Cowen HCC Presentation

Allergan, Plc (NYSE: AGN)

PDF Link

Bristol-Myers Squibb (NYSE: BMY)

Bristol-Myers Squibb Cowen HCC

Stemline Therapeutics, Inc. (NASDAQ: STML)

STML Cowen HCC 2017

Pfizer Inc.  (NYSE: PFE)

PFE Cowen HCC 2017

GlaxoSmithKline plc (GSK) (LSE: GSK, NYSE:GSK)

GSK Cowen HCC 2017

Ozanimod and Gilenya in MS

Multiple sclerosis has become an increasingly competitive and crowded market for big drug companies- putting them in a vulnerable position to pricing pressures. And currently, GILENYA, Novartis (SIX: NOVN, NYSE: NVS) is leading the way with Celgene (NASDAQ: CELG) Ozanimod recently passed the Phase III “SUNBEAM” trial to put itself for the launch by end of this year. Henceforth, we look at how GILENYA stands once Ozanimod enters this market.

GILENYA Background:

Gilenya (Fingolimod) is a S1P receptor modulator, which is indicated for treatment of relapsing-remitting multiple sclerosis in patients, whose disease has failed to respond to beta-interferon or is severe and getting worse rapidly. The drug is used to reduce the frequency of clinical exacerbation as well as to delay the accumulation of physical disability.

Safety concerns:

According to the various specialists, Gilenya has tolerability issues; most notably a slowing heart rate (bradycardia or bradyarrhythmia) which forces doctors to monitor patients after the first dose is taken. Adding to that, the risk of serious heart rate effects increases when Gilenya is taken with certain drugs (Methadone, Citalopram, Ketaconazole) or when patient has low potassium/magnesium. Subsequently, it is certain that taking more than the 0.56mg dose won’t trigger any further benefits/improvement, but will only cause more side effects. Moreover, according to the researchers in Japan, it can remain in your blood for up to 2 months after completion of the course- this is risky for the immune system as it will not be as responsive as it should be during the standard drug withdrawal period. Gilenya can also trigger the risk of serious infections and diminish the way vaccines work in our body as to prevent certain diseases, notably, the chicken pox vaccine. It can lower the number of white blood cells (lymphocytes) in the body before it goes back to the standard levels within 2 months of stopping the treatment. Lastly, Gilenya have chances of causing Progressive multifocal leukoencephalopathy (PML), which is a rare brain infection that usually leads to death or severe disability. PML usually happens in people with weakened immune systems.

Drug Verdict:

Gilenya is an oral medication that has a lot of side effects, but it reduces the number of flare-ups, slows physical changes, and decreases the number of new brain lesions in relapsing MS.

Ozanimod Background:

Ozanimod is a selective S1P receptor modulator. It is developed to act by retaining certain white blood cells in the body’s lymph nodes, preventing them from entering the central nervous system by keeping them out of circulation.

Upsides from successful trails:

Ozanimod was found to reduce the frequency of MS relapse in SUNBEAM (phase III trial), and meeting its primary endpoint in reducing ARR, while keeping the overall safety and tolerability profile stable with the previous phase II trials. And in contrast to GILENYA, Ozanimod was well tolerated with no cardiac effects were observed and liver toxicity was minimal. With Celgene conducting a second phase III study of ozanimod in MS patients (results expected in Q2). From the investor’s perspective, Celgene’s Ozanimod puts the project on track for approval in MS, which gives some justification to the $7.2B paid to acquire Ozanimod’s originator, Receptos.

Safety Confirmation pending:

Despite shining in the Phase III trial, safety data still thin on the ground, as it is unclear whether ozanimod will get a favourable label than rival S1P modulator Gilenya (Novartis). According to Mark Schoenebaum, Evercore ISI analyst, there was a single incidence of bradycardia in a patient (phase II RADIANCE MS data) with a history of issue and patients average overall reducation in heart rate was less than 2bpm compare to 8.1bpm for Gilenya.

Henceforth, Celgene will need to confirm detailed safety data from both SUNBEAM and phase III portion of RADIANCE as to prove that there is a safety competitive advantage over Gilenya, if ozanimod is to hit the peak $4-6B in sales in the MS + ulcerative colitis combined, which was projected by CELG at time of Receptos purchase.

Another  advantage would be when studies confirms that ozanimod does not require first-dose monitoring, allowing CELG to grab shares from Gilenya- ultimately challenging Gilenya generics, which could be in the market by 2019 latest.

Celgene in the S1P modulator market:

Once ozanimod get approved within the projected time-frame, it will have a head start on several other S1P selective modulators. Such as Ponesimod from J&J is due to report data from the Optimum phase II trial in RMS by 2019, while Novartis’s siponimod is in phase III trial in another form of MS- with completion date of December 2020.

Project Company Mechanism Status 2020e sales ($m)
Gilenya Novartis Pan S1P modulator Marketed 1,375
Ozanimod Celgene S1P 1 & 5 modulator Phase III 2,127
Siponimod/ BAF 312 Novartis S1P 1 & 5 modulator Phase III 865
Ponesimod Actelion/J&J S1P agonist Phase III 88
Amiselimod/MT-1303 Mitsubishi Tanabe S1P 1 antagonist Phase II 1

Source: EvaluatePharma.

Therefore, for now things are looking to outperform as expected by the street and investors will hope that further positive results in MS could push towards achieving its 2020 sales guidance of $21B.

Bruce Cree, Associate Professor of Neurology, Multiple Sclerosis Center, University of California stated that safety and efficacy results from SUNBEAM are consistent with the long-term results from the phase II trial (RADIANCE). The data add to the growing body of evidence supporting the use of Ozanimod as disease modifying therapy for relapsing forms of multiple sclerosis.

To me, this drug looks like the safest in the class,” Dr Jeffrey A. Cohen, MD, Director, Mellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic, OH

Resources:

Click to access gilenya.pdf

http://www.ms-uk.org/celegen%E2%80%99s-ozanimod-successful-reducing-relapse-rates-020317

SUNBEAM Trial: Ozanimod outperforming

In 2015, Celgene (NASDAQ: CELG) acquired Receptos, taking full control of Receptos next-generation immune modulating blockbuster drug; Ozanimod. Since, the acquisition, it has shown promising results in multiple sclerosis and inflammatory bowel disease. Looking at from the financial stance, Celgene purchase price for Receptos was $7.6B and taking into account the interest costs and clinical trial costs, the total investment hits $8B figure.

And on 17th Feb 2017, Celgene released top-line data along with brief commentary on what’s the key study of two Phase 3 studies in MS.

According to the top-line data, both ozanimod 1 mg and 0.5 mg treatments illustrated statistically significant & clinically meaningful improvement compared with Avonex ® for the primary endpoint of ARR and the measured secondary endpoints of the number of gadolinium-enhancing magnetic resonance imaging (MRI) lesions and the number of new or enlarging T2 MRI lesions at month 12. As per agreement in the Special Protocol Assessment with the FDA, a pre-specified analysis on the time to onset of disability progression will be conducted using collective results from both the SUNBEAM and RADIANCE phase 3 trials.

The press release also elaborated why Ozanimod may be improvement from current in-market MS drugs, such as Aubagio from Genzyme, Sanofi (NYSE: SNY) and Gilenya from Novartis (NYSE: NVS), which works by a similar mechanism.

Ozanimod is a novel, investigational oral, selective, sphingosine phosphate receptor 1 (S1P1) and 5 (S1P5) modulator in development for immune-inflammatory indications including relapsing multiple sclerosis (RMS), ulcerative colitis and Crohn’s disease. Selective binding with S1PR1 receptors is believed to inhibit a specific sub set of activated lymphocytes from migrating to sites of inflammation. The result is a reduction of circulating T and B lymphocytes that leads to anti-inflammatory activity. Importantly, immune surveillance is maintained.

SUNBEAM Trial:

What is SUNBEAM:

SUNBEAM is a phase III multicenter, randomized, double-blind, double dummy, active-controlled study assessing the efficacy, safety and tolerability of two orally administrated doses (0.5 mg + 1 mg) against weekly intramuscular interferon beta-1a (Avonex®) over minimum of a 12-month treatment period.

 

SUNBEAM Trial Outcome (summarized version of Celgene press release):

The phase 3 SUNBEAM trial, which evaluated the efficacy & safety of ozanimod (Celgene), an investigational oral, selective, sphingosine phosphate receptor 1 (S1P1) and S1P5 modulator, in patients with relapsing multiple sclerosis (RMS) met its primary endpoint in reducing the annualized relapse rate (ARR) compared with weekly interferon (IFN) beta-1s (Avonex- Biogen (NASDAQ: BIIB)

The Trial (SUNBEAM) evaluated Ozanimod with two orally administrated treatment doses of 0.5 mg and 1 mg on patients for at least one year. The randomized phase III trial enrolled 1,346 RMS patients in 20 countries.

The Phase 2 RADIANCE study is in a phase III extension study, with results due soon. Hence, with current turn of events and projected approvals, the drug could come to market in the US next year. And CELG has not issued any statement on the note as how Ozanimod will be marketed, could be either a direct drug for MS (following FDA approval) or out-license it.

 

Celgene noted that ozanimod’s overall safety and tolerability profile was consistent with results from previously reported phase-II RMS (RADIANCE) and phase-II ulcerative colitis (TOUCHSTONE) trials.

 

People living with multiple sclerosis need additional therapies and we are pleased that oral ozanimod showed meaningful improvements across primary and measured secondary endpoints in this study,” said Scott Smith, President of Celgene Inflammation and Immunology. “We look forward to data from the confirmatory phase-III RADIANCE trial in the second quarter as we advance toward planned regulatory submissions by year-end.

 

Stock performance following positive trial outcome:

On Friday, 17th Feb 2017, after the announcement, CELG’s shares upped 2.11%, closing the trading session at $121.16. A total vol. of 4.85million shares were executed by end of the day, which marked the highest against the 3-month average volume of 4.28miliion shares. The company also was restated a Buy by several different analyst firms. Price target range from $130 a share at Mizuho Securities to maximum at Cantor Fitzgerald of $159.

Ozanimod: Future game changer in Multiple Sclerosis Therapy?

Since start of 2017, Celgene (NASDAQ: CELG) had been occupied in strengthening its I&I (inflammation and immunology) portfolio by providing submissions for an NDA (New Drug Application) to the FDA, which includes one of the most crucial upcoming approval dates that Celgene is eager to seek from NDA – ozanimod in multiple sclerosis.

Multiple Sclerosis, this therapeutic segment continues to showcase significant growth opportunity for several biotechnology giants such as Celgene, Biogen (BIIB), AbbVie (ABBV), and Novartis (NVS), with global incidence close to 1.0 million.

If Ozanimod manages to capture large chunk of the market share in the rising multiple sclerosis market, it will have a powerful impact on the stock price of the Celgene and help many constructive diversified portfolios as well as ETFs (i.e Vanguard Growth ETF) to gain positive gains.

Annualized Relapse Rate

Clinical trials for Ozaminod:

With above chart highlighting the relapse rates (annualized) from the phase II trial for ozanimod for patients suffering with relapsing forms of multiples sclerosis.

Moreover, currently, Ozanimod is considered the leading drug in next-generation sphingosine-1-phosphate receptor 1 (or S1P1) modulators. And the phase 3 SUNBEAM & RADIANCE trials are fully enrolled for evaluating the drug (ozanimod) for multiple sclerosis indication with results expected to be released in 1H of 2017.

Also in 2017, Celgene expects to release data from its phase 2 trial STEPSTONE, which was enrolled for evaluating ozanimod in Crohn’s disease. Plus, the Company has projected that it will complete enrollment of human subjects in its Phase 3 TRUE NORTH trial, which will explore ozanimod’s potential as an ulcerative colitis therapy.