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Policy
Will Ferinject be reimbursed this time?
by
Lee, Tak-Sun
Mar 05, 2024 05:48am
Reimbursement for JW Pharmaceutical’s high-dose iron injection ‘Ferinject Inj’ is imminent in Korea. Although the company failed to pass the pricing negotiation stage once in 2020, analysts are seeing a true possibility for its reimbursement this time, as the company's willingness for its reimbursement is stronger than ever. According to industry sources on the 4th, the reimbursement application for Ferinject passed the Health Insurance Review and Assessment Service’s Drug Reimbursement Evaluation Committee meeting in January and is currently in the drug pricing negotiation stage with the National Health Insurance Service. The 60-day drug pricing negotiation period will end at the end of this month. Therefore, depending on the speed of the negotiations, Ferinject can be reimbursed in Korea as early as next month. However, given the short period left to report to the Health Insurance Policy Review Committee this month, it is likely that the drug will be included in the reimbursement list in May. The drug, which was introduced by JW Pharmaceuticals from the Swiss company Vifor and released in Korea in 2011, is a high-dose iron injection that has the advantage of supplementing iron with just a single injection. On January 11, the Ministry of Food and Drug Safety determined that the drug was adequate for reimbursement in treating iron deficiency. This is the 4th time the company attempted reimbursement listing for Ferinject. In 2014 and 2018, the drug failed to pass the DREC review, and in 2020, the drug was recognized as adequate for reimbursement at the DREC level but filed to complete negotiations. Despite such setbacks, the company has been posting strong sales in the non-reimbursement market. In 2022, the company's consolidated annual sales reached KRW 20.5 billion. While conventional intravenous iron injections take more than 40 minutes per dose and require multiple hospital visits, Ferinject can quickly replenish iron in the body with up to 1,000 mg of iron per day in 15 minutes, making it an effective alternative to blood transfusions for surgical patients who need to raise their hemoglobin levels in a short period of time, and for mothers who experience hemorrhage due to childbirth. Its high efficacy and convenience have made it popular in the non-reimbursement market, and its market has been growing strongly every year. However, its cost, which is around KRW250,000 per injection, is posing a financial burden for the patients. According to the company, it needs to be reimbursed to make it more affordable for more patients. The problem is if the drug is reimbursed, its price has to become lower than its non-reimbursed price. Therefore, JW Pharmaceuticals is expected to struggle over the change in profit margin and balance the increased usage and price difference during drug price negotiations. However, as it is the second drug price negotiation, the industry believes that there is a higher chance of the NHIS and the company reaching an agreement than in the last negotiation in 2020. This is because if the negotiations fall through again, it will be difficult to attempt reimbursement again. An industry official said, “The deadline for negotiations is the end of March, but it will take a while for the two to reach an agreement. Depending on the progress, the drug may be listed in April, but I don't think the company will deliberately speed up the process."
Company
Intensifying competition in ulcerative colitis drug market
by
Son, Hyung-Min
Mar 04, 2024 05:53am
New drug development for conquering ulcerative colitis drives competition among global pharmaceutical companies. Competition in the market will likely intensify due to the efficacy shown by new drugs, including JAK inhibitors Rinvoq and Xeljanz, anti-integrin drugs, and S1P receptor modulators, in clinical trials, in addition to biological medicine Omvoh, a recently approved drug. While TNF-alpha inhibitors such as Humira and Remicade currently dominate the market for ulcerative colitis, the market landscape is forecasted to change. Omvoh, Eli Lily’s interleukin (IL)-23 inhibitor, has been approved in Korea, the industry said on the 27th. Omvoh can treat patients with ulcerative colitis who have previously had failed response to corticosteroids or immunomodulators. Omvoh selectively binds to the p19 subunit of IL-23 and offers a targeted treatment mechanism for the disease. The efficacy of Omvoh was confirmed in Phase 3 LUCENT-1 and 2 clinical trials that included patients with moderately active ulcerative colitis. The clinical trials enrolled patients who had inadequate response to corticosteroids, immunomodulators, or one or more biological medicines. The patients were randomized to receive Omvoh or placebo, starting with a 12-week intravenous administration followed by a 40-week maintenance therapy through subcutaneous injection. The clinical results have shown that the Omvoh group demonstrated a clinical remission rate of 24.2% compared to 13.3% in the placebo group. The Omvoh group achieved 27.1% in histologic-endoscopic mucosal improvement (HEMI), a significant improvement compared to 13.9% in the placebo group. Based on the results after evaluating 544 patients who underwent a 40-week maintenance therapy, 49.9% of patients in the Omvoh group achieved clinical remission, compared to 25.1% of the placebo group, demonstrating Omvoh’s efficacy. Regarding the safety of Omvoh, the most common adverse reactions associated with Omvoh were respiratory infections (7.9%), headaches (3.3%), and rash (1.1%). Omvoh will likely compete with Janssen’s Stelara, an IL-12 and IL-23 inhibitor. Stelara is indicated for Crohn’s disease, besides ulcerative colitis. Eli Lily, the company responsible for developing Omvoh, is currently evaluating Omvoh for Crohn’s disease in clinical trials. Skyrizi, an interleukin-23(IL-23) inhibitor.In addition to Omvoh, the company is also working on securing indications of interleukin inhibitors for treating ulcerative colitis. Abbvie is also developing Skyrizi, an interleukin-23(IL-23) inhibitor like Omvoh, for the treatment of ulcerative colitis. Skyrizi received approval in Korea only for Crohn’s disease. Both the INSPIRE study, which evaluated the effectiveness of induction therapy at 12 weeks, and the Phase 3 COMMAND clinical study, which evaluated maintenance therapy at 52 weeks, demonstrated Skyrizi’s effectiveness compared to the placebo group. Janssen is developing Tremfya, an IL-23 inhibitor, for the treatment of ulcerative colitis. In the Phase 2 clinical study, Tremfya’s clinical response was achieved in 80% of Tremfya-treated patients. Janssen is conducting a multinational Phase 3 clinical study in patients with active ulcerative colitis. S1P receptor modulators have also proven effective, in addition to JAK inhibitors and anti-integrin drugs In addition to interleukin inhibitors, JAK inhibitors, and anti-integrin drugs have secured indications for ulcerative colitis. JAK inhibitors work by blocking the activity of JAK, a kinase that regulates immunity and inflammation. This mechanism of action is effective in reducing inflammation. JAK inhibitors are used to treat autoimmune diseases such as ulcerative colitis, rheumatoid arthritis, atopic dermatitis, and inflammatory bowel disease. Eisai’s Jyseleca, Pfizer’s Xeljanz, and Abbvie’s Rinvoq. Among the JAK inhibitors that have received approval in Korea, the medicines that have secured indications for ulcerative colitis are Abbvie’s Rinvoq, Eisai’s Jyseleca, and Pfizer’s Xeljanz. These drugs are undergoing clinical trials to evaluate their effectiveness as maintenance therapy for ulcerative colitis. Takeda’s Kynteles, an anti-integrin drug, has secured an indication for ulcerative colitis. Kynteles inhibits the migration of lymphocytes, which causes inflammation, into the gastrointestinal tract. Recently, the sphingosine-1-phosphate (S1P) receptor modulator has entered the market. Pfizer’s Velsipity recently received approval in Europe after securing approval in the United States last year. Inhibition of the S1P receptor can reduce the leakage of lymphocytes circulating in the lymph nodes, thereby diminishing inflammatory responses. Velsipity demonstrated efficacy in patients with ulcerative colitis who have previously had a failed response or intolerance to one or more treatments. Velsipity has shown effectiveness in patients who have had an inadequate response to at least one or more biologic or Janus kinase JAK inhibitor therapy compared to the placebo. It has been shown that there are improvements in endoscopic outcomes, alleviation of symptoms, and a restoration of the intestinal barrier. Velsipity aims to compete with BMS’s similar S1P receptor modulator, Zeposia. Zeposia, which received approval in Korea last year, secured reimbursement this year and launched in the market. It has landed in general hospitals, where prescriptions are being actively written.
Policy
Guideline to be revised to prevent unintentional impurities
by
Lee, Hye-Kyung
Mar 04, 2024 05:52am
Amid the recent recall of sitagliptin combination products due to excess detection of impurities, the Ministry of Food and Drug Safety appears to be busy preparing a system to manage unintentional impurities at all times. The MFDS aims to revise the 'Guideline for Safety Management of Impurities in Drug Products’ within June to establish and advance a permanent pharmaceutical industry-led system for managing unintentional impurities in drugs. The revised guidelines will reflect the latest advances in Korea and abroad such as new impurity tolerance standards, causes, and reduction strategies, and measures such as information collection, risk assessment, testing, and reduction. Unintentional impurities have continued to occur, including those in the hypertension drug valsartan in 2018, gastrointestinal drugs ranitidine and nizatidine in 2019, and the diabetes drug metformin in 2020. In addition, last year, due to the detection of nitrosamine impurities, the government implemented safety measures such as submission of test results and recalls were implemented on domestically distributed drugs such as ‘perindopril,’ ‘tamsulosin,’ ‘nortriptyline,’ and ‘sitagliptin’ based on the evaluation results. In particular, in the case of sitagliptin, a number of sales recalls have recently been carried out by the companies as a precautionary measure due to concerns over the detection of excess impurities (NTTP). In January, Kyung Dong Pharma’s anti-ulcer drug ‘Zanitin Tab 150mg' was recalled due to concern over the detection of impurities, and in February, Alvogen Korea's ‘Genxiga S Tab 10/100mg', Hutecs Korea Pharmaceutical's ‘Nanudangxiga Tablet 10/100mg', KyungBo Pharmaceutical's ‘Janustin Duo Tab 10/100mg', Ahn-Gook Pharm’s ‘Adapasita Duo Tablet 10/100mg', and Nex Pharm Korea's 'Flosita Tab 10/100mg' were also recalled. An MFDS official, said, “We will strengthen drug quality control and contribute to public safety through preemptive management of impurities that may be unintentionally mixed into drugs."
Company
Generics of ‘Opsumit’ face tough competition in KOR
by
Kim, Jin-Gu
Mar 04, 2024 05:52am
The product photos of Opsumit (left) and Masiten (right). In the market for the treatment of pulmonary arterial hypertension (PAH) with the active ingredient macitentan, the period of priority of sale given to the first generic drugs is set to expire on the first of next month. While Janssen’s ‘Opsumit’ competes with Samjin Pharm’s ‘Masiten’ in the market, Daewoong Pharmaceutical’s newly launched ‘Macimit’ is expected to join the competition. As the generic’s market share is insignificant at below 1%, Daewoong’s introduction into the market draws the pharmaceutical industry’s attention related to potential market expansion in the treatment of pulmonary arterial hypertension (PAH) with the active ingredient macitentan. The sales of Opsumit 13%↓ in a year due to drug pricing decreases following the generic launch. The market size for the treatment of pulmonary arterial hypertension (PAH) with the active ingredient macitentan totaled 15.2 billion won last year, according to a pharmaceutical market research company IQVIA on the 29th. This figure represents a 13% decrease from 17.4 billion won in 2022. The market has gradually expanded, with 11.9 billion won in 2019, 16.3 billion won in 202, 16.0 billion won in 2021, and 17.4 billion won in 2022. However, the sales decreased by over 10% last year. The decrease in sales is likely due to the drug pricing decrease of the original medicine following the generic launch. Samjin Pharm filed a claim for passive trials to confirm the scope of a right involving the active ingredient patent of Opsumit against Janssen in May 2022. Samjin Pharm won the first trial in April of the following year. Last May, Samjin Pharm launched Masiten Tab after receiving the trial results. During the same period, the price of Opsumit, Janssen’s original medicine, decreased by 30%. The Ministry of Health and Welfare (MOHW) issued a decrease in Opsumit price following the reimbursement listing of the drugs with the same active ingredient. Janssen has appealed to the patent court in response to the first trial judgement. However, the company did not file a suspension of execution related to the drug pricing reduction. While accepting the government’s measure of drug pricing reduction, Janssen has decided to continue with the patent dispute with Samjin Pharm to protect the patent right. The quarterly sales of the treatments Opsumit, the original drug for treating pulmonary arterial hypertension (PAH) with the active ingredient macitentan, and its generic, Masiten. The quarterly sales of Opsumit steadily recorded 4.0 to 4.6 billion won until the second quarter of last year, then rapidly dropped to around 3 billion won after the third quarter. The decrease is due to a reduction in drug pricing that took effect after the third quarter of last year, following the generic launch in May of last year. Masiten had a market share of 0.5% in Q4 last year. Will Daewoong’s introduction lead to an expansion of the generics market? Samjin received a right for priority of sale after successfully challenging the Opsumit patent. Daewoong also challenged the same patent for Opsumit, but Samjin was a step ahead in obtaining the approval for its generic version. Therefore, Samjin obtained the priority of sale for the Opsumit generic alone. The priority of sale was granted from April 21st of last year until March 1st of this year. Although Samjin sold the generic without competition, Masiten’s impact on the market is insignificant. Last year, Masiten generated cumulative sales of merely over 20 million won. After the priority of sale ends, another generic is expected to enter the market on the 1st of next month. Daewoong Pharmaceutical obtained approval for their Macimit, as a generic version of Opsumit, in May of last year. It is anticipated that Daewoong Pharmaceutical will launch the product after next month. Daewoong’s introduction draws the pharmaceutical industry’s attention regarding the potential market expansion of generics containing the active ingredient macitentan. In the market of the treatment of pulmonary arterial hypertension (PAH) with the active ingredient macitentan, Masiten had a market share of 0.5% in the fourth quarter of last year.
Company
Bayer releases 2 new CVD drugs with reimb in KOR
by
Eo, Yun-Ho
Mar 04, 2024 05:52am
Bayer Korea, which has been slow to launch new drugs, is making a comeback, recently succeeding in reimbursing two of its cardiovascular drugs in Korea. According to industry sources, Bayer Korea launched its heart failure drug ‘Verquvo (vericiguat)’ with reimbursement on September 1 last year and its kidney disease drug ‘Kerendia (finerenone)’ on February 1 this year. The addition of the two drugs is expected to revitalize Bayer's cardiovascular division, which did not have a prominent pipeline since the launch of its novel oral anticoagulant (NOAC) ‘Xarelto (rivaroxaban).’ Verquvo, the first sGC stimulator for heart failure Verquvo was approved in December 2021 as a combination therapy in Korea as a treatment to reduce the risk of cardiovascular death and heart failure (HF) hospitalization following a hospitalization for HF or need for outpatient intravenous (iv) diuretics in adults with symptomatic chronic heart failure and ejection fraction less than 45%. Conventional heart failure treatments work by blocking the harmful effects of the natural neurohormonal system that is activated by myocardial and vascular dysfunction. In contrast, Verquvo is a soluble sGC stimulator that has a novel mechanism of action to improve myocardial and vascular function by catalyzing the synthesis of intracellular cyclic guanosine monophosphate (cGMP), which regulates cardiac contractility, vascular tone, and cardiac remodeling. It is the first-in-class sGC stimulator approved for the treatment of chronic heart failure. The Phase III VICTORIA trial, which became the basis for Verquvo’s approval, was shown to reduce the risk of hospitalization in patients with heart failure. A total of 5,050 patients were enrolled in the study, including 1,132 Asian patients. Study results showed that at a median of 10.8 months of follow-up, the risk of death from cardiovascular disease or first hospitalization due to heart failure was about 10% lower in the Verquvo group than that of the placebo group, and the trial met its primary efficacy endpoint with an annual absolute risk reduction of 4.2%. Kerendia, the first kidney failure drug introduced in 20 years Kerendia was approved in Korea in May 2022 by the KFDA for the treatment of adult patients with chronic kidney disease (CKD) and Type 2 diabetes to reduce the risk of end-stage kidney disease (ESKD) and a sustained decline in estimated glomerular filtration rate (eGFR), and cardiovascular death, nonfatal myocardial infarction, and hospitalization for heart failure. Until now, only treatments that target hemodynamic changes and metabolic abnormalities, 2 of the 3 causes that worsen chronic kidney disease in type 2 diabetes, had existed, but the introduction of Kerendia made available a treatment that inhibits inflammation and fibrosis in the kidneys. Kerendia’s reimbursement approval was based on the reduction in kidney disease progression, cardiovascular benefit, and safety that was demonstrated through the Phase III trials FIDELIO-DKD and FIGARO-DKD. In the FIDELIO-DKD study, Kerendia significantly reduced the incidence of a sustained decline in eGFR of ≥ 40%, kidney failure (defined as chronic dialysis, kidney transplantation, or a sustained decrease in eGFR to < 15 mL/min/1.73 m2 ), or renal death by 18% compared with placebo.
Policy
Will the novel anticancer drug Enhertu be reimb in April?
by
Lee, Tak-Sun
Mar 04, 2024 05:52am
After going through two Cancer Disease Deliberation Committee meetings and two Drug Reimbursement Evaluation Committee meetings, the anticancer drug ‘Enhertu’ has finally started drug pricing negotiations with the National Health Insurance Service. As the drug has passed drug evaluations after repeated revisions, the negotiations are expected to go smoothly. In particular, it will be interesting to see if the government grants reimbursement within April, as there are analysts who believe that the government is using the scenario of coverage before the parliamentary election. According to the industry on the 28th, the Health and Welfare Ministry recently issued a drug pricing negotiation order to the NHIS for Enhertu, after which the NHIS has begun full-scale negotiations. Enhertu 100mg Inj (fam-trastuzumab deruxtecan-nxki, Daiichi Sankyo Korea) was granted marketing approval in Korea in September 2022. The company applied for reimbursement coverage in December of the same year. In Korea, Enhertu is indicated to treat ▲ unresectable or metastatic HER2-positive breast cancer who have received two or more prior anti-HER2-based regimens in the metastatic setting and ▲ locally advanced or metastatic HER2-positive gastric or gastroesophageal junction adenocarcinoma who have received a prior trastuzumab-based regimen. .As a HER2-targeted antibody-drug conjugate (ADC), Enhertu demonstrated clinical efficacy over existing agents .HER2-targeted antibody-drug conjugate (ADC) Enhertu reduced the risk of disease progression or death by nearly 50% compared with conventional chemotherapy, with an mOS of 23.4 months, which was a 6.6-month extension from the 16.8 months in the chemotherapy group .However, this high effect rather posed a hurdle during drug pricing evaluations .Due to the high survival rate, the duration of its use was expected to increase, making it difficult for the drug to pass the economic evaluation threshold .If the ICER value (incremental cost-effectiveness ratio) of a drug, which is used as an indicator for economic evaluation, exceeds the threshold, it makes it difficult for reviewers to recognize the adequacy of the drug’s reimbursement .Due to this, the Cancer Disease Deliberation Committee was held twice last year to set the reimbursement standard for the drug, and the Drug Reimbursement Evaluation Committee meeting, which makes the final judgment on the adequacy of reimbursements appropriateness of drugs, was held twice in January and February this year .Although the ICER value of Enhertu exceeded the threshold of KRW 50 million set for anticancer drugs, the threshold was reportedly lowered to a reasonable level after discussion with the authorities .The company is analyzed to have conceded a lot in terms of drug price .As the drug price and financial sharing have been somewhat clarified during the evaluation process, negotiations are expected to go more smoothly .This raises the possibility that the deal could be finalized earlier than the 60-day negotiation period and listed in April .As there is talk that the government may list Enhertu and promote it as an innovative new drug listing achievement before the general elections, this is expected to speed up the negotiation process .However, there is also an analysis that the MOHW’s negotiation order came later than expected, leaving insufficient physical time to complete negotiations before the Health Insurance Policy Review Committee meeting commences in March.
Company
Hanmi Pharm ‘confirms the effect of SERM+Vitamin D combo’
by
Son, Hyung-Min
Feb 29, 2024 06:03am
Hanmi Pharmaceutical announced on the 27th that the results of big data-based research on 'SERM+Vitamin D combination drugs', including its own ‘RaboneD’, were published in the SCI-level international journal, 'Osteoporosis International'. RaboneD is an osteoporosis treatment developed by Hanmi Pharmaceutical that combines vitamin D with the SERM class raloxifene. The study compared the efficacy of selective estrogen receptor modulator (SERM) + vitamin D combination and SERM alone in 2,885 patients diagnosed with osteoporosis using insurance claims data from the National Health Insurance Service from 2017 to 2019. Sang-Min Kim, Professor of Orthopedic Surgery at Korea University College of Medicine Guro Hospital, Seong-Eun Byun, Professor of Orthopaedic Surgery, CHA Bundang Medical Center, and Hanmi Pharm’s data science team participated in the study. Study results showed that the SERM+Vitamin D combination significantly lowered the risk of osteoporotic fractures by approximately 23% compared with SERM alone, and the combination reduced the risk of hip fracture by approximately 75% compared with SERM alone. This is the first real-world, data-driven study to analyze the fracture reduction effect of a SERM+vitamin D combination compared with SERM alone. The results showed that the SERM+Vitamin D combination was effective in reducing the risk of hip fracture as well as osteoporotic fractures compared to SERM alone. Professor Sang-Min Kim, said, "We found that the risk of osteoporotic fracture was significantly lower in the SERM+Vitamin D administered group compared with the monotherapy group in women with osteoporosis aged 50 years and older in Korea. The results suggest that the SERM+Vitamin D combination may be a viable option for postmenopausal women with a relatively low fracture risk.” Professor Seong-Eun Byun, said, “SERM class osteoporosis treatments not only improve bone density and lipid profiles, but also act like antiestrogen in the uterus and breast, so there is less concern about the risk of endometrial and breast cancer. As Vitamin D is an important factor that controls the whole body calcium homeostasis and is known to be necessary for bone health, several guidelines recommend adequate intake of vitamin D for patients with osteoporosis." An Hanmi Pharmaceutical official said, "As a typical chronic disease, the number of osteoporotic fractures has been continuously increasing with Korea’s entry into a super-aged society. Therefore, we expect the results of this study to broaden the treatment options for doctors and patients.”
Product
NA Opp party in unison say ‘it's time for INN prescribing'
by
Kim JiEun
Feb 29, 2024 06:03am
Opposition lawmakers unanimously voiced the need to introduce International Nonproprietary Names (INN) prescribing and the resolution of the unstable drug supply and demand. The National Assembly representatives who attended the 70th Regular General Assembly of the Korean Pharmaceutical Association Delegates that was held at The K Hotel in Seoul on the 28th pledged their active support in resolving the pending issues and policies that remain in Korea’s pharmaceutical affairs. Rep. Ihk-pyo Hong (floor leader, Democratic Party of Korea), Rep. Min-seok Kim (member, Democratic Party of Korea), Rep Sang-hee Kim (member, Democratic Party of Korea) Speaking at the event, Rep. Ihk-pyo Hong, the floor leader of the Democratic Party of Korea, said, "International conflicts are even affecting the medicines I take. They have disrupted the global supply chain and affected the supply of medicines. The government needs to come up with a solution to resolve the issue of this unstable drug supply." Rep. Ihk-pyo Hong added, “We need to institutionalize and legislate INN prescribing. The concerns in health insurance finances caused by original drugs is an international issue. We need to make efforts to institutionalize INN prescribing." "The pilot project for non-face-to-face medical treatment is a major topic these days. A public electronic prescription system should be established in the process of institutionalizing non-face-to-face treatment to minimize side effects related to the current prescription transmission. Rep. Min-Seok Kim, a Democratic Party lawmaker (member of the Health and Welfare Committee), said, "It is problematic that the pilot project for non-face-to-face treatment was implemented in the name of deregulation. It is urgent to institutionalize a public electronic prescription delivery system. I have INN prescribing written down an agenda that needs legislation. We all know that it is a main issue that needs resolution for medical order and publicity in our society.” Rep. Min-seok Kim added, “INN prescribing is an issue that should be approached through a social agreement, and I hope the issue is presented for the first time in the next National Assembly. We need to discuss the working environment and grounds for young pharmacists. They would also want to work under a fair order. We will work to create that fair order with pharmacists who have served on the side of the people." Rep Sang-hee Kim, another member of the Democratic Party of Korea, said, "In no case should the public have difficulty buying medicine at pharmacies due to a lack of medicine. It is so difficult to restore medical school admissions to the number that was reduced after negotiation with doctors during the separation of prescribing and dispensing. Also, the Korean medicine pharmacist system was created as a result of the Korean medicine dispute. Such side effects of wrong policies are difficult to resolve and lead to public burden. I am grateful to the pharmacists for their participation in putting the people first."
Company
Roche Korea appoints Ezat Azem as new CEO
by
Eo, Yun-Ho
Feb 29, 2024 06:03am
Roche Korea is welcoming its new CEO, who will take up the position after a two-month vacancy. According to an interview, Roche Korea recently appointed Ezat Azem as new CEO. Before his appointment in Korea, Ezat Azem was a General Manager in Roche’s Greece subsidiary. Ezat Azem joined Roche’s Israel subsidiary in 1997 and worked in the marketing business unit. Later, he headed the subsidiaries in Slovenia and Greece. Ezat Azem has a background in medical training, having graduated from The Hebrew University of Jerusalem Medical School. Later, he completed an executive MBA from Tel Aviv University. Meanwhile, former Roche Korea CEO Nic Horridge retired in 2023 and has been appointed head of the Australian subsidiary. Nic Horridge was appointed as the head of Roche Korea in October 2018 and led the corporation for approximately five years. While he was in office, Nic Horridge’s significant achievements included the expansion of the anticancer immunotherapy ‘Tecentriq (atezolizumab)’ to include first-line treatment of lung cancer. Additionally, he facilitated new listings of ‘Evrysdi (risdiplam)‘ for spinal muscular atrophy, ‘Vabysmo (faricimab)’ for eye diseases, and ‘Rozlytrek (entrectinib),’ a tumor-agnostic drug.
Company
K-Bio’s potential rises in targeted anticancer therapy
by
Son, Hyung-Min
Feb 29, 2024 06:03am
The achievements made by the pharmaceutical and bio-industry companies in Korea in developing targeted antitumor therapies are being introduced at academic conferences overseas. iLeadBMS and PharosiBio have announced positive preclinical study results, and have received the green light to enter main clinical trials. The ESMO Targeted Anticancer Therapies Congress 2024 was held in Paris, France, for 3 days from February 26. The European Society for Medical Oncology, one of the world's three major oncology societies, organizes the congress every year to showcase promising new targets and candidates. On the 26th, iLeadBMS, a drug developer subsidiary of Ildong Pharmaceutical, presented clinical trial results on its IL2106, a molecular glue (targeted protein degradation, TPD), through a poster presentation. Founded in December 2020, iLeadBMS is a bioventure that develops new drugs in the field of small molecules. Ildong Pharmaceutical became the company’s largest shareholder in July 2021. The TPD molecule being developed by iLeadBMS has a mechanism of action that degrades proteins that cause cancer and eliminates the target itself. Targeted anticancer drugs inhibit tumor growth by acting on the target protein, but TPDs offer an advantage as they target the cause of the disease. Although no TPD product has been commercialized yet, pharmaceutical companies that have seen the promise of the technology have been continuously joining in on the challenge. In addition to Ildong Pharmaceutical, Novo Nordisk and Daewoong Pharmaceutical have entered the development stage. iLeadBMS targets CDK12, a protein that regulates the expression of genes related to cancer. The CDK12 protein is known to be expressed in several solid tumors, including breast and gastric cancers. In a preclinical trial, IL2106 potently inhibited cells expressing triple-negative breast cancer and HER2-negative gastric cancer through targeted protein degradation. IL6-110 was particularly successful in significantly reducing cyclin K levels in HCC70 cells that cause triple-negative breast cancer. In a study conducted on mouse models, IL2106 demonstrated a favorable pharmacodynamic (PK) profile using a single oral dose. The team concluded, "These findings can serve as evidence that molecular glues could serve as a novel CDK12/13 inhibitor.” On the 26th, PharosiBio also announced through a poster presentation that it had confirmed the efficacy of its colorectal cancer drug candidate, PHI-501, in a preclinical trial. PHI-501 is a bispecific antibody that targets pan-RAF and DDR1 (Discoidin Domain Receptor 1). By targeting the two biomarkers, PharosiBio expects its candidate to show efficacy in inhibiting cancer cell growth and metastasis. The preclinical trial was conducted on the mouse in vivo model to confirm PHI-501’s mechanism of action as monotherapy, on whether it can overcome resistance to BRAF inhibitors while showing antitumor effects. Results showed that PHI-501 suppressed tumor growth in a colon cancer xenograft model with BRAF or KRAS mutations. More specifically, PHI-501 showed 96% tumor suppression in the BRAF xenograft model and 83.3% tumor suppression in the KRAS xenograft model. PHI-501 also suppressed tumor growth by 76.1% in a model that showed resistance to the recently approved colorectal cancer drug Vitrakvi by Ono Pharmaceutical. Based on the positive results found in preclinical trial results, PharosiBio plans to initiate clinical trials to confirm the efficacy of PHI-501.
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