Monday, July 29, 2019

5 Things to Watch in ADCs this week - July 26th, 2019


This is the second article in my series of updates about the goings on in the world of ADCs over the last two weeks. Thank you all for the likes and comments on the first article. Here is what I have been watching this week.

1.     Seattle Genetics Wins

Clearly the past two weeks were a good stretch for them. So, I've put together the simple SeaGen 3 step plan for ADC success:
Step 1: File a press release where you say that your leading commercial ADC has increased sales by 30%, you have filed a BLA for your second leading candidate, and your third ADC candidate is looking good and expected to be just six months until the release of pivotal Phase II data.

Step 2 : Tell the newly eager investors that you are going to do a round of public financing and that they have the opportunity to give you $500M.

Step 3 : Close said round of funding 3 days later with an extra $575 million in your pocket.

Bravo guys, Bravo.

2. CapEx approval for ADC manufacturing at CDMOs is on the rise

In a very subtle move Lonza is announcing their plan to expand their commercial conjugation facility upon approval of their third commercial ADC (cough...cough...Polivy) with the first two being Kadcyla and my guess is they are the secondary supplier for Adcetris. Now clearly this puts Lonza as the unquestioned leader in ADC conjugation CDMO work, but that doesn't mean they are the only people at the CapEx party.

ADC Bio is just getting their $11M cGMP facility on-line to enable full production of ADCs up to small scale commercial production. This goes along with the WuXi news that we talked about in the last article and Aji Bio who got into the fray at the end of 2018.
Now the question becomes, how much capacity is needed in the ADC Conjugation space, and does their become a point where commercial demand moves beyond the current picture of Lonza having all ADCs not owned by Pfizer, and Pfizer making the other two internally.

3. Antibodies are important, but not the whole story

There were a bunch of stories this week looking at how ADC structure beyond the epitope binding region can affect efficacy. With each one adding a bit to the complex ADC world that we find ourselves in.

If you thought that linker chemistry didn't have an effect on therapeutic index, guess again. By building and testing stereoisomers of linkers with an IGN payload the team at ImmunoGen is showing that linkers are an active participant in ADC therapeutic index.
Now whenever we talk about biologics complexity, there is a legal obligation to give the post-translational modification guys a shout out.


So a team at Oxford developed a native mass spec method to test the structure and function of glycosylation heterogeneity. The answer is always, "Its complex", but a more accurate method is always valuable.
I always find myself wondering what a dinner conversation would look like between groups like this and companies like Sutro or Synaffix who both do away with glycosylation (albeit by very different methods)

4. Targeted Bacteria for Tumor Regression

This is not about ADCs at all but I can't help but share this story because it is just too cool.

Researchers a Columbia have managed to take the "smart bomb" approach of ADCs and apply it to living bacterial cells. The bacterial selectively bind to a CD47 antigen within the tumor which then allows for the body to fight off the "infection" which results in both bacterial cell death along with tumor regression. I'm sure this is a long way from a real treatment, but this is still amazing research

5. A couple links that you shouldn't miss

Sometime last year PBDs stopped being the cool kid at the party. And just like junior high, that may or may not have been fair. But when the FDA feels the need to write up a summary, it is most defintely worth a read.

TL:DR alert. However, if you want a riveting and well-told tale about the history and possible future of CAR-T, then check out this story

A new book has been published covering all aspects of ADC Payloads. Plan on having this sitting on your desk shelf as the definitive guide to ADC payloads for the next 5-10 years.

Justin's Thoughts:

Thanks again for taking the time to read these things. It takes quite a while to mine through all of the different websites, filter through the articles that are actually interesting, and then put something together that summarizes the main points. Hopefully it is useful for you all.
If there is anything that you find interesting in particular or would like to see more of, let me know in the comments and I can tailor these articles to cover those areas.

In the meantime, as I collect these articles, I put them on my blog:
If you want to see all of the articles that were at least tangentially related to the ADC world you can check them out here. It has been noted that the title is more of a dream than a reflection on reality. A more accurate title might be www.adcweekly-ish.com but I have a day job too.
And speaking of the day job. I clearly love to geek out about ADCs all the time, and if you want to chat about what your needs might be and whether or not Novasep might be able to help please don't hesitate to reach out to me directly. My email is Justin.Sweeley@novasep.com, or you can reach out through LinkedIn

In the meantime- check out our ADC offer at the following link:

Have a great weekend everybody.

Justin.


Friday, July 26, 2019

Update - July 26th, 2019

Webinars -

Designing Next-Gen Oncology Clinical Trials
Endpoints News
- Clinical trials in oncology are changing fast.  Don't get left behind

End-to-End Analytical Technology for Process and Quality Improvements in Biologic Drug Production
FiercePharma
- To the analytical folks out there.  Maybe this will be interesting

Regulatory -

Biosimilars Struggle to Gain Market Share in the U.S., Analysis Shows
Biospace News
- A really nice article discussing the reasons that US Biosimilars have not come to market at the same rate as they have around the world.  *Spoiler Alert* It all comes down to money

Seattle Genetics and Astellas Announce Submission of Biologics License Application to FDA for Enfortumab Vedotin for Patients with Locally Advanced or Metastatic Urothelial Cancer
Seattle Genetics
- SeaGen has just announced that they have filed a BLA for Enfortumab Vedotin based on their successful Pivotal Phase II Trial results.  Is this the potential 6th ADC to come to market?  I think we all hope so

Industry-

How Are Service Companies Responding to the Increased Interest in New Modalities, and What Regulatory and Market Hurdles Still Exist?
Bioprocess International
- Here a video from a panel discussion at CPhI about how CDMOs are handling the increased interest in new biologics technologies

The Promise and Price of Cellular Therapies
The New Yorker
- TL:DR alert.  However, if you want a riveting and well-told tale about the history and possible future of CAR-T, then click this link

Genmab Partners on Cancer Antibodies with BliNK Biomedical, Launches $503M U.S. IPO
GenEngNews
- Genmab is the latest ADC company to file an IPO and was able to increase their bank accounts to the tune of $503M.  They are working two different ADCs, Enapotamab vedotin and tisotumab vedotin which are both in Phase I/II development

Going inside cells, Sung Joo Lee has sketched some big goals for his small — but global — team of drug hunters
Endpoints News
- Orum therapeutics is a tiny team looking at doing some incredible work.  Will they be able to compete in the ADC space with a conjugation specific staff less than that of the Starbucks you went to on your way to work this morning?  Time will tell

CDMOs driving drug conjugate innovation, says ADC Bio
Bioprocess International
- ADC Bio is about to complete their $11M investment into their cGMP Bioconjugation facility.  With 80% of ADC manufacturing being outsourced, there a lot of companies trying to vie for that work, but with WuXi, Aji Bio and Lonza all announcing large CapEx projects in the past couple of weeks, is the market getting saturated with capacity

Seattle Genetics Reports Second Quarter 2019 Financial Results
Seattle Genetics
- Adcetris sales are up 30%, Enfortumab vedotin has BLA filed, Tisotumab vedotin pivotal data expected first half of next year.  Even for a pillar of the ADC industry, this is a very impressive report
Here is The Motley Fool's take on it

Seattle Genetics Announces Pricing of Public Offering of Common Stock
Seattle Genetics
- What do you do with a spectacular quarterly report.  Open your arms and let the money flow in.  Approximately $500M to be exact.  That will help with funding the commercialization of Enfortumab vedotin

Seattle Genetics Announces Completion of Public Offering of Common Stock and Exercise in Full of Underwriters' Option to Purchase Additional Shares
BusinessWire
- And boom, that was fast.  Three days later and their wallets are $575M heavier

Roche doomsday is here: Long-feared Herceptin, Avastin biosims bust into U.S. market
FiercePharma
- The biosimilar march is starting slowly, but starting all the same.  Surprisingly, there is only a 15% discount on the biosimilar over the originator drug which is a major departure from the 80-90% reduction in small molecule generic drugs

Lonza Expands Bioconjugation Facility and Announces Approval of Third Commercial ADC
ThomasNet
- In a very subtle move Lonza is announcing their plan to expand their commercial conjugation facility upon approval of their third commercial ADC (cough...cough...Polivy) with the first two being Kadcyla and my guess is they are the secondary supplier for Adcetris

Manuscripts -

Programmable bacteria induce durable tumor regression and systemic antitumor immunity
Nature Medicine
- Ok, this is just plain cool.  Researchers a Columbia have managed to take the "smart bomb" approach of ADCs and apply it to living bacterial cells.  The bacterial selectively bind to a CD47 antigen within the tumor which then allows for the body to fight off the "infection" which results in both bacterial cell death along with tumor regression.  I'm sure this is a long way from a real treatment, but this is still amazing research

Relating glycoprotein structural heterogeneity to function – insights from native mass spectrometry
Current Opinion in Structural Biology
- A very thorough review on glycoprotein heterogeneity out of a team from Oxford.  Including a interesting discussion about function of glycosylation.  Seems particularly interesting considering many ADC companies are looking at doing away with glycosylation entirely.  I'm looking at you Sutro and Synaffix

Cytotoxic Payloads for Antibody–Drug Conjugates
Royal Society of Chemistry
- A new book has been published covering all aspects of ADC Payloads.  Plan on having this sitting on your desk shelf as the definitive guide to ADC payloads for the next 5-10 years

Effect of Linker Stereochemistry on the Activity of Indolinobenzodiazepine Containing Antibody–Drug Conjugates (ADCs)
ACS Medicinal Chemistry Letters
- If you thought that linker chemistry didn't have an effect on therapeutic index, guess again.  By building and testing stereoisomers of linkers with and IGN payload the team at ImmunoGen is showing that linkers are an active participant in ADC TI

An FDA oncology analysis of toxicities associated with PBD-containing antibody-drug conjugates
Regulatory Toxicology and Pharmacology
- When the FDA puts out a paper talking about PBD toxicity in ADCs it is probably worth a read.  This one is no exception with trial summaries, recommendations, and target dosings

Toward point-of-care assessment of patient response: a portable tool for rapidly assessing cancer drug efficacy using multifrequency impedance cytometry and supervised machine learning
Microsystems and Nanoengineering
- I'm not going to lie. Statements like, "phase change spectra obtained from multi-frequency impedance cytometry" are making my head spin.  But this looks it could be a very novel way to test ADC efficacy in vivo, but no guarantees because this paper is over my head

Reports -

Indoco caught in maelstrom of FDA concerns as plant hit with warning letter
FiercePharma
- Do you know what is happening with your CDMO?  cGMP is hard, and the FDA is relentless.  This is probably why you see most of the ADC world staying with manufacturing in the US and EU

FDA investigators discover key Strides Pharma quality records in shredding room
FiercePharma
- Don't be surprised if you are getting deja vu.  This article is almost identical to the one above, but worse and with more examples of malfeasance.  Never take your CDMO for granted, and always audit thoroughly

Clinical Results -

New Trastuzumab Combo Therapy Shows Potential in HER2-Expressing Breast Cancers
Specialty Pharmacy Times
- Synthon's herceptin based HER2 ADC is humming along with some good Phase I results showing a 33% ORR

HER2 Heterogeneity Impacts Response Rates in HER2-Positive Breast Cancer
CancerNetwork
- Intratumor heterogeneity of HER2 expression shows differential efficacy in patients.  Meaning that on top of all of the other challenges now we have data that show the system to be even more complicated.  Very interesting read

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Thats it for today. There are always more coming down the pike. Is there something I missed? Contact me. Justin@ADCDaily.com
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Friday, July 12, 2019

Update - July 12th 2019

Regulatory -

Fast-Track Drug Approval, Designed for Emergencies, Is Now Routine
Wall Street Journal
- Don't look now, but as we reported earlier, the Wall Street Journal has noticed that Fast-Track designation doesn't mean all that its cracked up to

The FDA's Janet Woodcock talks about some big changes she's pushing for in drug development, and agency reviews
Endpoints News
- When the FDA speaks we should listen.  Janet Woodcock speaks with SVB Leerink about regulatory changes that are coming down the pike.  Well worth a read

The hits keep coming: Apotex loses 31 drug approvals after FDA cites plants for 'inadequate' controls
FiercePharma
- I am reminded of the phrase, "if you think you own your house, try not paying your property taxes and see what happens."  CDMO choice matters, and a thorough, and regular QA review is mandatory for the continued success of your operation.  Need more proof, here is another eerily similar story:
Warning letter faults Akorn management for plant failures
-Metal shavings in your lidocaine?  That can't be good

Industry -

WuXi AppTec raising U.S. profile to counter political attacks
Biocentury
- In the wake of a lot of bad press about Chinese companies, WuXi is trying to fight back

A TRANSGLUTAMINE TAG FOR EFFICIENT SITE - SPECIFIC BIOCONJUGATION
US Patent Application
- Merck has a significant ADC portfolio growing in their European group, and clearly they are also interested in building a suite of patented conjugation technologies for further optimize these constructs

ADC Therapeutics has raised $550M-plus in its quest for their first BLA — and here’s why that’s important
Endpoints News
- Looking at clinical results is an important but lagging indicator.  If you want to know who is going to make waves in the near future, look at who is raising money.  And time and again, that seems to be ADC T

Manuscripts -

Synthesis and evaluation of pyrrolobenzodiazepine dimer antibody-drug conjugates with dual β-glucuronide and dipeptide triggers
European Journal of Medicinal Chemistry
- If the therapeutic window of PBDs is too small, then masking could be a viable option to move forward with

Abstract 4743: Using genome-wide CRISPR screen to understand resistance mechanisms to PCA062, a P-cadherin targeting antibody-drug conjugate
AACR Cancer Research
- This is a pretty cool approach to use CRISPR in order to understand the mechanism behind differential effectiveness of ADC therapies.  They were able to identify a drug resistance pathway contributing to ADC resistance

IMGC936, a first in-class ADAM9-targeting antibody-drug conjugate, demonstrates promising anti-tumor activity
Immunogen
- Here is a new target that Immunogen and Macrogenics are looking at.  The question is, how will this be affected by the shakeup currently going on at Immunogen


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Thats it for today. There are always more coming down the pike. Is there something I missed? Contact me. Justin@ADCDaily.com
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Thursday, July 11, 2019

Update - July 11th, 2019

Webinars -

Dr. Ready on Promising Treatment Approaches in SCLC
OncLive
- Dr. Ready talks about the failure of Rova-T and how it still demonstrates the feasibility of DLL3 as a target antigen for future therapeutics

Regulatory -

Bluebird Bio delays Zynteglo launch as manufacturing trips up another gene therapy
FiercePharma
- The FDA is tightening the screws on their GMP Biologics expectations.  This isn't directly related to ADCs but make no mistake, this is a precendent that we all must follow

Manuscripts -

Antibody-Drug Conjugate-Based Therapeutics: State of the Science
Journal of the National Cancer Institute
- A nice and recent update on the state of ADCs

Clinical Results -

MEN1309/OBT076, a first-in-class Antibody-drug Conjugate (ADC) targeting CD205 in solid tumors.
AACR - Molecular Cancer Therapeutics
- Oxford Bio is showing some good preclinical results about CD205 in TNBC grafts

Industry-

Seducing Pfizer: How Array’s team patiently worked up the ladder to win an $11.4B bid from Albert Bourla
Endpoints News
- Maybe its just me, but seeing behind the curtain about how these big M&A deals goes down is fascinating

BioAtla Appoints Eric Sievers, M.D., As Chief Medical Officer
Yahoo News
- BioAtla is bringing in some SeaGen muscle to help with their clinical trial platform

WUXI BIOLOGICS TO EXPAND INTEGRATED BIOLOGICS CONJUGATION SOLUTION CENTER TO INCLUDE COMMERCIAL MANUFACTURING
WuXi Press Release
- And WuXi continues on its path to world domination with a $10M expansion of their integrated biologics facility to include commercial product production

SpringWorks Therapeutics Announces Global Clinical Collaboration with GlaxoSmithKline to Evaluate Nirogacestat in Combination with Belantamab Mafodotin in Patients with Relapsed or Refractory Multiple Myeloma
Yahoo Finance
- SpringWorks Therapeutics is entering into a clinical colab with GSK for their Belantamab Mafodotin ADC.  GSK has not gone commercial with their ADC yet, but with that fast approaching, expect more of these coming in the future

Who's the next Big Pharma takeout target? Biogen, uniQure, AZ top the list: report
FiercePharma
- With all of the M&A activity, asking the industry insiders who's next isn't a bad plan.  And AZ pops out pretty high on the list.  Could this be the next step in their line of major shakeups

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Thats it for today. There are always more coming down the pike. Is there something I missed? Contact me. Justin@ADCDaily.com
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Wednesday, July 3, 2019

Update - July 3rd, 2019

Webinars -

Regulatory -

Partnerships -

Lilly taps Avidity's antibody-oligonucleotide conjugate tech in $35M deal
FiercePharma
- In an extension of ADC technology, Lilly is looking use Avidity's AOC tech to bring ADC concepts beyond oncology and into RNA specific diseases

SpringWorks Therapeutics Announces Global Clinical Collaboration with GlaxoSmithKline to Evaluate Nirogacestat in Combination with Belantamab Mafodotin in Patients with Relapsed or Refractory Multiple Myeloma
Yahoo News
- SpringWorks is looking to collaborate with GSK and their belantamab mafodotin BCMA targeting ADC in combination with their gamma secretase inhibitor

Manuscripts -

Reports -

Clinical Results -

ADC Therapeutics Presents Clinical Data on ADCT-402 and ADCT-301 in Subtypes of Relapsed or Refractory Lymphoma at the 15th International Conference on Malignant Lymphoma
Yahoo News
- ADC T continues their stellar run with clinical results.  Pay attention to these guys

Analyst offers Amgen a boost for its rival anti-BCMA BiTE, blemishing GSK as well as CAR-T rivals Celgene and bluebird
Endpoints News
- Lookout GSK, Amgen is looking at a small molecule approach to come after BCMA.  And incredibly, their first clinical indication is showing 5 out of 22 patients had a stringent complete response which beats out all of the other BCMA targeting therapies in the clinic right now

Industry - 

Bluebird Bio delays Zynteglo launch as manufacturing trips up another gene therapy
FiercePharma
- To all of us ADC researchers, there is a tendency to see gene therapy as the cool kid in class.  But like in the early days of ADC development, the concept is much simpler than the execution.  And gene therapy will have some serious questions to answer as it develops further

Piramal Invests $10 million in Riverview Expansion
Contract Pharma
- Piramal is expanding their HPAPI production suite in the Riverview, Michigan facility to add two kilo labs as well as a new QC suite

Immunomedics: Our take on this battleground stock
Seeking Alpha
- A nice overview of Immunomedics from a stock investor perspective.  Conclusion : future outlook is risky at best

Zymeworks Announces Closing of Public Offering and Exercise in Full of the Underwriters’ Over-Allotment Option to Purchase Additional Shares
Biospace
- Zymeworks continues to build the war chest.  With a nice combination of in-house assets and out-licensing opportunities, these guys are looking to become big players in the ADC world

WuXi invests in ADCs again to prep for commercial products
Bioprocess International
- WuXi continues their steady march towards ADC world domination by adding fill/finish onto their $20M mAb and conjugation facility.  Plans are to complete construction by the end of the year.  But will they be ready from a regulatory standpoint



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Thats it for today. There are always more coming down the pike. Is there something I missed? Contact me. Justin@ADCDaily.com
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