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Patient dies in Intellia trial; FDA awards 6 more ‘national priority’ vouchers

Today, a brief rundown of news from Intellia Therapeutics and the Food and Drug Administration, as well as updates from Eli Lilly, Gilead Sciences, Johnson & Johnson and Recursion Pharmaceuticals that you may have missed. A study volunteer who’d received an ex

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Today, a brief rundown of news from Intellia Therapeutics and the Food and Drug Administration, as well as updates from Eli Lilly, Gilead Sciences, Johnson & Johnson and Recursion Pharmaceuticals that you may have missed. A study volunteer who’d received an experimental gene-editing treatment from Intellia Therapeutics in a Phase 3 trial has died, the company said in its Thursday earnings report . Intellia voluntarily paused dosing in that study as well as another late-stage trial in late October, when that patient was hospitalized due to a spike in liver enzyme and bilirubin levels. The Food and Drug Administration formally put the two studies on hold days later. Intellia is now suspending guidance for the program, nexiguran ziclumeran or nex-z , pending alignment with regulators. The incident “clearly” complicates the path forward for nex-z, “heightens the safety overhang” and puts Intellia’s broader transthyretin amyloidosis program “at risk,” wrote Leerink Partners analyst Mani Foroohar. Intellia shares, which have already lost about 40% of their worth in recent weeks, tumbled to less than $10 apiece early Friday. — Gwendolyn Wu The FDA announced the six latest recipients of its new “national priority” review vouchers , which are meant to drastically speed up drug evaluations. The list includes two obesity medications — Eli Lilly’s pill orforglipron and an oral version of Novo Nordisk’s semaglutide — as well as the gene editing therapy Casgevy and the tuberculosis antibiotic Sirturo . Two cancer medicines, Jemperli for rectal tumors and Hernexeo for HER2-positive lung cancers, were awarded vouchers too. The FDA revealed the first nine award winners last month , bringing the total number to 15 so far. Though approvals aren’t guaranteed, reviews for these therapies can take as little as one to two months. — Ben Fidler Eli Lilly ’s experimental amylin-targeting drug eloralintide helped people with obesity and at least one related complication lose between 10% and 20% of their body weight in a 48-week Phase 2 trial, according to trial data disclosed Thursday and published in The Lancet . The study assessed four different doses of eloralintide along with two step-up dosing strategies and compared weight loss for people using those regimens to those who got a placebo — who, by comparison, lost on average 0.4% of their body weight. Lilly will start a Phase 3 trial of eloralintide by the end of 2025 and is considering pairing it with other obesity drugs, like Zepbound , that modulate appetite and metabolism. — Jonathan Gardner Trodelvy , a so-called antibody drug conjugate from Gilead Sciences , failed a late-stage study testing it as an early treatment for a common type of advanced breast cancer. The study enrolled around 650 people with “HR-positive/HER2-negative” metastatic breast cancer, and assessed whether Trodelvy was any better than chemotherapy at slowing the disease when used first following hormone therapy. Gilead said the drug did not meet that measure. The company didn’t release any detailed data, but said its trial will keep going to assess Trodelvy’s effects on “overall survival” — the gold standard in cancer research. In the U.S., Trodelvy is already approved for use in people with HR-positive/HER2-negative breast cancer that continues to advance even after two other systemic therapies. It’s also used against a different, “triple-negative” form of breast cancer. — Jacob Bell The FDA has approved Johnson & Johnson ’s antibody drug Darzalex for people whose early-stage, or “smoldering,” multiple myeloma is at high risk of progressing into active disease. The approval was based on study results showing Darzalex cut the risk of progression to symptomatic disease or death in half when compared to standard of care, which is to actively monitor patients for disease signs. J&J said the approval makes Darzalex the first treatment for high-risk smoldering multiple myeloma, meaning it could help slow disease progression in thousands of people each year. — Jonathan Gardner AI drug discovery specialist Recursion Pharmaceuticals is swapping CEOs, bringing its current chief R&D and commercial officer Najat Khan to the top executive seat starting Jan. 1. In a Wednesday announcement , the company said outgoing CEO and co-founder Chris Gibson will become chairman of the board of directors and stay on as an interim executive advisor. Current chair Rob Hershberg, meanwhile, will transition to vice chairman and lead independent director. Recursion shares have lost most of their value since a big initial public offering in 2021 . The company has been streamlining operations and trimming its research pipeline since merging with Exscientia last year. — Gwendolyn Wu

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01What 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 ↗
02Lifestyle 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 ↗
03How Real Brain Cells Respond to Artificial Neurons

Holla, who completed her PhD in Raman’s lab and is now a postdoctoral researcher studying memory at New York University in New York City, designed and ran experiments in mouse cerebellar slices. She positioned a stimulation electrode on the parallel fibers, the main pathway that excites Purkinje cells, and a recording electrode on the Purkinje cells themselves. She played recordings of the artificial neurons’ waveforms into the tissue through a standard stimulation electrode at four different speeds: 7, 60, 218, and 740 spikes per second. At every speed below 200 spikes per second, the Purkinje cells fired in response. The strongest results came at 60 spikes per second, where each artificial spike lasted 0.7 milliseconds, which is fast enough to trigger the cell but brief enough to avoid flooding the tissue with unnecessary current. Above 200 spikes per second, the cells stopped responding. They simply cannot fire that fast. The team included the 740-spikes-per-second condition on purpose to directly challenge the many engineering groups building artificial neurons that operate at those speeds. “We had to show them [740 spikes] wasn’t sufficient,” Brown said. “You can’t work that fast.” “You can see the living neurons respond to our artificial neuron,” Hersam said. But he is careful to note a caveat: The printed artificial neurons were not touching the brain tissue. The waveforms they generated were recorded and then played back into the slice through standard laboratory stimulation equipment. The next step is to prove the printed device itself can interface with living tissue.

Source: www.medscape.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

Editorial team for Peptide Therapy Guide.

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