Lp(a)HORIZON Fails at AHA, FDA's Big November | Pharma and Biotech Daily
Full Lp(a)HORIZON results at AHA show Novartis' pelacarsen cut Lp(a) by 78 percent with no cardiovascular benefit, as the FDA heads into a crowded month of decisions on ivonescimab, deramiocel and povetacicept. Also: Mineralys' lorundrostat holds its effect at 48 weeks, Sarepta's new CEO faces falling Elevidys sales, and Moderna raises guidance. Good morning from Pharma and Biotech Daily, the briefing on what matters in pharma and biotech. It's Monday, November 9. Since Friday, a large outcomes trial of a drug that lowers lipoprotein little a has delivered its full results with no benefit for the heart, and the FDA is heading into a crowded month of decisions. We open at the American Heart Association meeting in Chicago. Novartis presented the full results of the L P little a HORIZON trial for pelacarsen, a monthly injection. The study enrolled eight thousand three hundred and twenty three people with established heart disease and high levels of the particle, and followed them for about seven years. Pelacarsen cut those levels by seventy eight percent, yet the rate of heart attack, stroke, urgent revascularization or cardiovascular death did not change compared with placebo. Patients with the highest levels saw no benefit either, and there were nineteen cases of anaphylaxis on the drug against none on placebo, according to the American Heart Association. For every company developing drugs against this target, a lower number in the blood now looks like weak evidence on its own. BioSpace counts at least eleven FDA action dates in the coming weeks, and three stand out. By November fourteenth, the agency is due to rule on ivonescimab from Summit Therapeutics and Akeso with chemotherapy in E G F R mutated lung cancer. It would be the first P D one and V E G F bispecific antibody approved in the United States. The HARMONi trial met its progression free survival goal, while overall survival reached only nominal significance in a later analysis. Capricor faces a November twenty second date for its cell therapy deramiocel in Duchenne muscular dystrophy, after an advisory committee voted nine to three against it in July. Vertex expects a decision on povetacicept in I g A nephropathy by November thirtieth, which would launch its kidney business. Also from Chicago, Mineralys Therapeutics presented long term data for lorundrostat, an oral aldosterone synthase inhibitor for high blood pressure, taken on top of other medicines. In the Transform H T N extension study, office systolic blood pressure fell by seventeen point eight millimeters of mercury from baseline after forty eight weeks of treatment, and fifty six percent of participants reached a reading below one hundred thirty. High potassium led to a dose change or a stop in about five percent of patients. The company release, carried by BioSpace, notes that the extension had no placebo group. The FDA decision is set for December twenty second, so the durability data arrives at a useful moment. At Sarepta, new chief executive Michael Severino used the quarterly call to defend the company's clinical playbook. BioSpace reports that Elevidys, the Duchenne gene therapy, brought in eighty three point five million dollars in the third quarter, down from one hundred thirty one point five million a year earlier. Deaths linked to Sarepta's gene therapy programs in twenty twenty five led to non ambulatory patients being removed from the label. A decision on Dyne's exon skipping drug z rostudirsen is due by January twenty first, and Severino expects Dyne could take share in the second half of twenty twenty seven. Sarepta is counting on two s i R N A programs from its Arrowhead partnership that are preparing for pivotal studies. Moderna, meanwhile, reported third quarter revenue of about one point three billion dollars, up twenty nine percent, according to BioSpace. Vaccine sales came in well above analyst expectations, helped by global COVID uptake, and the company raised its full year growth guidance to between fifteen and twenty five percent, from ten percent. Sales of its newer COVID shot are falling in the United States, so international markets are carrying the growth. Moderna still plans to file its personalized melanoma vaccine with Merck by the end of this year, with an FDA decision expected in twenty twenty seven. The thread today is the distance between a promising signal and a proven outcome, from a biomarker that fell without protecting hearts to approvals that will hinge on survival and function. That's the briefing for today. Pharma and Biotech Daily is produced by OWITH.ai. See you tomorrow. Sources: https://newsroom.heart.org/news/lp-a-horizon-trial-lp-a-fell-by-78-but-cardiovascular-outcomes-unexpectedly-neutral https://www.biospace.com/fda/verdicts-for-summit-akeso-capricor-vertex-mark-fdas-stacked-november https://www.biospace.com/press-releases/mineralys-therapeutics-presents-new-late-breaking-data-from-transform-htn-open-label-extension-trial-of-lorundrostat-in-hypertension-at-aha-scientific-sessions-2026 https://www.biospace.com/business/sareptas-new-ceo-confident-in-clinical-execution-as-dmd-competitors-close-in https://www.biospace.com/business/moderna-enjoys-stable-vaccine-sales-thanks-to-global-covid-uptake Pharma and Biotech Daily is produced by OWITH.ai. Script and voice are AI generated from the public sources listed above. Not medical or investment advice. Support the show