Communications Lessons from the FDAs Approval of Biogens Aduhelm

Colin Bristow, MD, managing director, biotechnology at UBS, has projected sales for Aduhelm more than twice as high as SVB’s best-case number, estimating about $13 billion in the United States alone. Bristow upgraded UBS’ rating on Biogen to Buy from Neutral with an increased $463 price target following the FDA’s approval of Aduhelm. Biogen’s efforts succeeded on June 7, when the FDAgranted accelerated approvalsubject to a new clinical trial for Aduhelm as the first novel therapy indicated for Alzheimer’s since 2003, despite limited and controversial efficacy data generated using a surrogate endpoint. Michael J. Yee, equity analyst with Jefferies, called the FDA’s review request a positive development. Simufilam’s mechanism of action appears to only vary slightly from acetylcholinesterase inhibitors. If that is the case, then, its impact should start to decline at 18 months.

  • If the .2 point decline is reflective of the effects of simufilam for mild Alzheimer’s disease, this would put it right in line with acetylcholinesterase inhibitors for mild Alzheimer’s disease .
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  • The decision sparked a 40% surge in the price of Biogen shares.
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  • Javier Barrientos, senior director of global diversity and inclusion at Biogen, recently spoke to reporter Katie Johnston about the company’s outspoken stance on transgender rights.

House of Representatives Committee on Oversight and Reform, which is examining Aduhelm’s approval and list pricing—up to $56,000 annually. Biogen and Eisai have responded to criticism over the list price by committing to no price hikes for four years, and promoting various access programs. I/we have no stock, option or similar derivative position in any of the companies mentioned, and no plans to initiate any such positions within the next 72 hours. The second group of patients on simufilam on average experienced a .2 point decline in ADAS-Cog scores after one year.

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Paul Matteis, co-head of the biotechnology research team and a managing director with Stifel, dismissed the HHS review of FDA actions in a research note quoted by Seeking Alpha as “more noise and stress” for Biogen shareholders, whose effect on the stock would not be tangible. In her letter laughing at wall street to Grimm, Woodcock alluded to a reported “‘off-the-books’ meeting” in May 2019 between Biogen’s CSO, Alfred Sandrock Jr., MD, PhD, and Billy Dunn, MD, director of the FDA’s Office of Neuroscience. Woodcock acted three days after Rep. Katie Porter (D-CA)called fora review by Grimm’s office.

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It does not take a very small amount of amyloid to contribute to Alzheimer’s disease, it requires a lot . In non-APOE4 carriers who have less amyloid, anti-amyloid drugs don’t work at all . Now, weeks after the announcement, as patients are already receiving treatment, the controversy continues to swirl. With accelerated approval on the table, other pharma companies have already announced their plans to resume research programs and file for approval. Will this sudden flurry of activity lead to meaningful advances in care?

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Critics have asserted that at least some of those in the first group did not have Alzheimer’s disease. Cassava Sciences advocates apparently taking their cue from the company now have tried to flip the script by arguing that some in the second group did not have Alzheimer’s disease but instead had some other form of dementia or mixed dementia, such as Alzheimer’s disease and vascular dementia. Black News Hour presented by The Boston Globe Run by Black journalists at The Boston Globe, “Black News Hour,” a new radio program, delivers reliable news that connects with our community and expands on deeper issues impacting our city. If they to want a single occupancy bathroom for a while, that is their option. I don’t know if anybody has asked for a specific bathroom assignment, neither the employee nor the co-workers.

This advice is informed by a background in biology and seventeen years of a very in depth review of the research on Alzheimer’s disease. Not only the results but probably the mechanism of action of simufilam is in need of adjustment. Cassava Sciences has always presented itself outside the realm of various other anti-amyloid treatments, but it too is an amyloid-centric approach. The company’s stated mechanism of action is that by restoring filamin A to its normal configuration, it reduces amyloid toxicity by “disabling its signalling” via nicotinic acetylcholine and toll-like receptors . Yet, in trials where nearly all amyloid was removed, Alzheimer’s disease continues to progress.

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Material, especially carbohydrates, fats, and proteins, that an organism uses for energy, growth, and maintaining the processes of life. Plants, algae, and some bacteria make their own food through photosynthesis, while animals and most other organisms obtain food by consuming other organisms or organic matter. Aduhelm’s efficacy was assessed in three trials that recruited a total of 3,482 patients.

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About 20 percent of the population does not have a functioning sigma-1 receptor, so they do not benefit from this form of treatment. Sigma-1 receptor activity declines with the progression of Alzheimer’s disease, job description for database developer so this type of treatment does not work nearly as well for moderate Alzheimer’s disease as it does for mild Alzheimer’s disease. This may explain why some participants responded better to simufilam than others.

The decision sparked a 40% surge in the price of Biogen shares. In approving Aduhelm, the FDA took the unusual step of overriding concerns that prompted an advisory committee last year torecommend against approvalof the drug—rejecting arguments by Biogen and Dunn, who sided with the company in recommending approval legacyfx reviews of Aduhelm. I wrote this article myself, and it expresses my own opinions. I have no business relationship with any company whose stock is mentioned in this article. Alzheimer’s disease researcher for the past decade.My goal is to give investors solid advice based on the mechanisms of action of Alzheimer’s drugs.

In the three, Aduhelm showed a dose- and time-dependent effect on the lowering of amyloid beta plaques—by 59% in ENGAGE, 71% in EMERGE, and 61% in a Phase I proof of concept trial known as Study 103 or PRIME . The partial rewrite of the label was the latest about-face related to Aduhelm. In October 2019—five months after the Dunn-Sandrock meeting, which was first reported by STAT on June 29—Biogen surprised analysts byplanning to file for FDA approval of aducanumabdespite saying earlier that its Phase III trials had failed.

The results from Cassava Sciences’ 18-month cognitive maintenance study are therefore critical. If the .2 point decline is reflective of the effects of simufilam for mild Alzheimer’s disease, this would put it right in line with acetylcholinesterase inhibitors for mild Alzheimer’s disease . Acetylcholinesterase inhibitors such as Aricept inhibit oxidative stress as sigma-1 agonists and are peroxynitrite decomposition catalysts (a nitro-oxidant that probably plays a key role in Alzheimer’s disease).

Truly empowering patients to make informed decisions also requires helping them understand complex information. For non-professional audiences, the FDA can create explainer materials to help regular people connect these dots. Fact sheets, diagrams, animations—all of these are powerful tools for conveying complicated narratives in a health-literate manner. The only ones that I know of are very positive letters of support from employees and patients and random people who felt that it was the right thing for Biogen to do, to stand up. In the most recent webcast that George did, the employees had an opportunity to ask him about it, and when he addressed this issue, he got a resounding round of applause.

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Will it waste resources and disappoint patients’ new glimmers of hope? Whatever happens, the FDA will remain in the spotlight—with ample opportunity to clarify its position. Had these explanatory materials been available sooner, they may have helped the FDA get ahead of the backlash. Those who are already familiar with complicated concepts like “accelerated approval” and “surrogate endpoints” can glean the above, longer story from the FDA’s press releases and memos.

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