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FDA scientists question Capricor data; Legend CEO steps down

Today, a brief rundown of news involving Capricor Therapeutics and Legend Biotech, as well as updates from AstraZeneca, Outlook Therapeutics and Otsuka Pharmaceutical that you may have missed. Capricor Therapeutics shares lost nearly two-thirds of their value

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Today, a brief rundown of news involving Capricor Therapeutics and Legend Biotech, as well as updates from AstraZeneca, Outlook Therapeutics and Otsuka Pharmaceutical that you may have missed. Capricor Therapeutics shares lost nearly two-thirds of their value on Monday after briefing documents indicated that Food and Drug Administration staff reviewers are highly critical of the data supporting the company’s experimental cell therapy for Duchenne muscular dystrophy. The FDA previously turned back that cell therapy , deramiocel , but accepted a new application and scheduled a July 29 advisory committee meeting after the company accumulated new data. In documents filed ahead of the panel, FDA scientists noted that Capricor’s therapy missed its initial Phase 3 study goals, and that its final application included statistical analyses the agency hadn’t agreed to. Those changes were “unwarranted based on the study’s design, powering, and original statistical assumptions,” agency reviewers wrote. Capricor’s findings may have also been compromised by “functional unblinding” given a distinctive difference in the adverse events observed among drug and placebo recipients, they added. Legend Biotech CEO Ying Huang has stepped down as part of a leadership transition, the cell therapy developer said Friday. Huang has led Legend over the last seven years, during which time the company helped bring the Johnson & Johnson -partnered multiple myeloma treatment Carvykti to market and established a competitive position in “in vivo” cell therapy development . Still, company shares have lost about half their value over the last year amid crowding competition in multiple myeloma. Alan Bash , the head of Legend’s Carvykti business unit, will serve as interim CEO while the board searches for a full-time replacement. The incoming CEO, “and their interactions/board alignment, will be critical to turning the story around,” wrote Oppenheimer analyst Kostas Biliouris , in a Monday note to clients. A few weeks after disclosing a major research setback , AstraZeneca has reported mixed results in two more late-stage readouts. In one Monday announcement, the company revealed its rare disease drug Ultomiris failed a Phase 3 trial in a rare complication related to stem cell transplants. AstraZeneca also said that its antibody-drug conjugate sonesitatug vedotin meaningfully improved survival when compared to standard treatment options in patients with certain gastric cancers, but missed statistical significance on a measure of tumor progression. The former readout erases a potential expansion opportunity for a drug AstraZeneca acquired from Alexion Pharmaceutical and that generated about $2.6 billion in sales between January and June. The latter could still give AstraZeneca a chance to gain an approval for an ADC it licensed in a 2023 deal . It’ll share the results with global health authorities. The FDA on Friday finally cleared for use a treatment Outlook Therapeutics developed for a form of age-related vision loss. That medicine, Lytenava , is a version of bevacizumab — the active ingredient in Avastin — Outlook formulated as an eye drop for the “wet” form of age-related macular degeneration. Injectable Avastin is widely used off-label to treat wet AMD along with other drugs like Eylea and Vabysmo . Outlook said Lytenava is the first “purpose-built” ophthalmic formulation of bevacizumab and, while it’s been approved in Europe and the U.K. for multiple years, it was previously rejected by U.S. regulators three times . Outlook appealed the last rejection and was able to convince the agency earlier this year to change its position . The FDA on Friday also approved a new medicine for attention deficit hyperactive disorder , or ADHD. Called Simtriyo and developed by Otsuka Pharmaceutical , the drug is the first marketed medicine of its kind, targeting three brain chemicals — norepinephrine, dopamine and serotonin — instead of two, like Adderall or Ritalin. Otsuka said the therapy should be available later this year.

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01What the Artificial Neuron Cannot Do

Hersam’s next goal is a small circuit — perhaps 10 artificial neurons — where each one fires differently, and together they accomplish what would require thousands of conventional transistors. “ Silicon achieves complexity by having billions of identical devices,” Hersam said. “The brain is the opposite. It’s heterogeneous. The complexity is at the device level.” But Gaudet sees a gap no circuit design can yet fill: Biological neurons grow new connections and prune old ones, strengthening pathways that are used and weakening those that aren’t. Hersam’s lab’s printed neurons — or any other neuromorphic technology that mimics neuronal dynamics — can’t achieve that level of complexity yet. Brown is careful about the distance remaining between these printed neurons and the real thing. “Neurons are just so flexible,” he said. “They can totally change what they’re doing based on whether they’ve learned something and based on your emotional state. There’s a lot of hidden mysteries.” Sangwan suspects the device has more to reveal. “It’s a nonlinear dynamical system,” he said. “We don’t fully know how many different variables you need to explain it. It’s just the beginning.” Hersam, Sangwan, Brown, Holla, and Gaudet reported having no relevant financial disclosures. Disclosure information for study authors is available in the original study publication.

Source: www.medscape.com ↗
02What Comes Next

With data expected in the fourth quarter of 2026, we are prioritizing histology alongside patient-reported outcomes using the Celiac Disease Symptom Diary, one of only two instruments developed in line with U.S. Food and Drug Administration (FDA) guidance, to capture changes in symptoms such as abdominal pain and nausea. Ultimately, the broader aim is to give gastroenterologists and patients a therapeutic option for a disease that has long been managed without one. The future of drug development will not be defined by statistical significance alone, but by whether new therapies also improve the daily burden of living with celiac disease. “The first therapy to cross the line could change the field,” Geller concluded. “It would help establish celiac as a serious medical condition with options beyond a restrictive diet and open the door for what comes next.” Dr. Paul Lizzul is chief medical officer at First Tracks Biotherapeutics, a clinical ‑ stage biotechnology company advancing antibody therapeutics that modulate immune pathways implicated in autoimmune and inflammatory diseases. Marilyn Geller serves as an advisor to First Tracks Bio. Footnotes Abadie V, Jabri B. IL-15: a central regulator of celiac disease immunopathology. Immunol Rev . 2014;260(1):221-234. https://doi.org/10.1111/imr.12191. Yokoyama S, Watanabe N, Sato N, et al. Antibody-mediated blockade of IL-15 reverses the autoimmune intestinal damage in transgenic mice that overexpress IL-15 in enterocytes. Proc Natl Acad Sci U S A . 2009;106(37):15849-15854. https://doi/full/10.1073/pnas.0908834106. Anthony S, Schluns KS. Emerging roles for IL-15 in the activation and function of T-cells during immune stimulation. Research and Reports in Biology . 2015;6:25-37. https://doi.org/10.2147/RRB.S57685.

Source: www.biopharmadive.com ↗
03Lifestyle Matters: How do environmental and lifestyle factors influence Alzheimer’s disease?

Dr. Harrison and Finnish neuroscientist Dr. Miia Kivipelto explore the complex interplay between genetics and lifestyle in Alzheimer's development. Learn how the groundbreaking FINGER study demonstrates potential prevention strategies, and discover the latest evidence on how environmental factors, diet, and chronic conditions influence Alzheimer's risk.

Source: www.biopharmadive.com ↗
04China: Threat or opportunity?

One of the biggest biotech news stories of recent years is China’s continued rise as a biotech and life sciences powerhouse. China conducts a quarter of all clinical trials and drug development and has almost 1,500 new drugs in development.¹ Many China-based biotechs have benefitted from government funds, out-licencing deals with large pharmas and venture capital funding. However, policymakers in the US and EU have concerns about the possible threat to their region’s biosecurity and competitiveness as centres for health and life science research. Given China’s increased importance, ICON Biotech conducted the same biotech sector survey with 100 China-based biotech leaders. The results show that Chinese biotechs face many of the same challenges as biotechs located elsewhere. They share the same funding challenges and burdens associated with increasingly complex clinical trials and regulations.

Source: www.biopharmadive.com ↗
05Why Muscle Cells Might Do Some Heavy Lifting

Brown was studying gene therapy in the 1990s when he designed a technology to turn mRNA expression on or off in different cells. For the new mouse study, published in Nature Biotechnology , he adapted the technology to turn off mRNA expression in dendritic cells, muscle cells, or liver cells. The researchers then vaccinated the mice with each version, delivering the vaccines both intravenously and intramuscularly. “The results were pretty stunning,” Brown said. When mRNA expression was turned off in muscle cells, T-cell response went down, suggesting muscle cells play a role in immunity. When expression was turned off in liver cells, T-cell expression tripled — indicating liver cells dampen immunity. Turning off expression in dendritic cells had no effect on T-cell activation, though it did reduce the number of killer T cells by as much as half. (Interestingly, no such reduction occurred when the antigen was SARS-CoV-2 spike. Brown is now investigating why different antigens had varying effects.) Knowing all this is crucial for designing effective mRNA vaccines and therapies. That’s because different mRNA therapies require different strategies. Cancer vaccines must boost tumor-fighting killer (CD8+) T cells. For genetic disease treatments, scientists want to avoid triggering the immune system to prevent killing the very cells the mRNA is meant to modify. “Understanding the immunology is extremely important for this class of drug,” Brown said. The finding doesn’t mean dendritic cells aren’t important for mRNA vaccines to work. “It just means that the mRNA doesn’t have to get into those cells to induce an immune response,” Brown said. Instead, the antigen can be transferred to those dendritic cells.

Source: www.medscape.com ↗
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Peptide Therapy Guide Editorial Team

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