Lilly Reports Strong First-Quarter 2018 Results, Raises EPS Guidance

On April 24, 2018 Eli Lilly and Company (NYSE: LLY) reported financial results for the first quarter of 2018 (Press release, Eli Lilly, APR 24, 2018, View Source [SID1234525624]).

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Certain financial information for 2018 and 2017 is presented on both a reported and a non-GAAP basis. Some numbers in this press release may not add due to rounding. Reported results were prepared in accordance with generally accepted accounting principles (GAAP) and include all revenue and expenses recognized during the periods. Non-GAAP measures exclude the items described in the reconciliation tables later in the release. The company’s 2018 financial guidance is also being provided on both a reported and a non-GAAP basis. The non-GAAP measures are presented to provide additional insights into the underlying trends in the company’s business.

"Lilly delivered strong financial results in the first quarter, fueled by revenue growth of new products and continued productivity gains that together resulted in robust earnings growth and an improved financial outlook for the year," said David A. Ricks, Lilly’s chairman and CEO. "We are in the early stages of a new growth era, driven by the strong uptake of our new products, ongoing margin expansion, and the momentum we are producing in our pipeline. Lilly remains poised to deliver more innovation for patients and increased value for stakeholders."

"While we are pleased that yesterday’s FDA Arthritis Advisory Committee supported the efficacy of both the 2-mg and 4-mg doses of baricitinib, and recommended overall support for 2-mg, we are disappointed that the committee did not recommend approval of the 4-mg dose," said Daniel Skovronsky, M.D., Ph.D., senior vice president for clinical and product development and incoming president of Lilly Research Labs. "We are confident in the benefit-risk profile of both baricitinib 2-mg and 4-mg for the treatment of patients living with rheumatoid arthritis, supported by the clinical data generated to-date, and by the more than 40 countries in which both doses are approved. We’ll continue to work with the FDA on this important application."

Key Events Over the Last Three Months

Regulatory

The U.S. Food and Drug Administration’s (FDA) Arthritis Advisory Committee recommended approval of the 2-mg dose of baricitinib, a once-daily oral medication for the treatment of moderately-to-severely active rheumatoid arthritis for adult patients who have had an inadequate response or intolerance to methotrexate. While the Advisory Committee unanimously supported the efficacy of the 4-mg dose of baricitinib, it did not recommend approval of the 4-mg dose of baricitinib for the proposed indication based on the adequacy of the safety and benefit-risk profiles.
The FDA approved, and the company launched, VerzenioTM (abemaciclib) in combination with an aromatase inhibitor as initial endocrine-based therapy for the treatment of postmenopausal women with hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) advanced or metastatic breast cancer.
Clinical

The company announced additional results from a phase 3 study of Cyramza (ramucirumab) in combination with docetaxel in patients with locally advanced or unresectable or metastatic urothelial carcinoma whose disease progressed on or after platinum-based chemotherapy. A positive trend was seen in the secondary endpoint of overall survival which did not reach statistical significance. The company previously announced that the trial met its primary endpoint of investigator-assessed progression-free survival.
The company announced top-line results from a Phase 3 study of Cyramza as a single agent in the second-line treatment of people with hepatocellular carcinoma, also known as liver cancer. The trial met its primary endpoint of overall survival as well as the secondary endpoint of progression-free survival. The company intends to initiate regulatory submissions in mid-2018.
The company announced that Taltz (ixekizumab) met the primary and all key secondary endpoints in a Phase 3 study evaluating the safety and efficacy of Taltz for the treatment of ankylosing spondylitis (AS), also known as radiographic axial spondyloarthritis (axSpA). The company plans to submit for regulatory approvals pending additional data from the ongoing Taltz development program later this year.
Business Development/Other Developments

The company announced a global collaboration with Sigilon Therapeutics to develop encapsulated cell therapies for the potential treatment of type 1 diabetes. Under the terms of the agreement, Lilly will receive an exclusive worldwide license to Sigilon’s Afibromer technology for islet cell encapsulation. Sigilon will receive an upfront payment of $63 million, and Lilly will make an undisclosed equity investment in Sigilon.
First-Quarter Reported Results

In the first quarter of 2018, worldwide revenue was $5.700 billion, an increase of 9 percent compared with the first quarter of 2017. The revenue increase was driven by a 4 percent increase due to the favorable impact of foreign exchange rates, a 3 percent increase due to higher realized prices, and a 2 percent increase due to volume.

Revenue in the U.S. increased 8 percent, to $3.155 billion, due to increased volume for new pharmaceutical products, including Trulicity, Basaglar, Jardiance, Verzenio, and Taltz, as well as higher realized prices, primarily for Cialis, Humalog , Strattera, Basaglar, and companion animal products. The increase in revenue was partially offset by decreased volume due to loss of exclusivity for Strattera and Effient, as well as decreased demand for Cialis and food animal products.

Revenue outside the U.S. increased 11 percent, to $2.545 billion, largely due to the favorable impact of foreign exchange rates and increased volume for new pharmaceutical products, including Trulicity, Olumiant, Taltz, Jardiance, and LartruvoTM. The increase in revenue was partially offset by lower realized prices for several pharmaceutical products, as well as decreased volume for Cialis.

Gross margin increased 6 percent, to $4.129 billion, in the first quarter of 2018 compared with the first quarter of 2017. Gross margin as a percent of revenue was 72.4 percent, a decrease of 1.8 percentage points compared with the first quarter of 2017. The decrease in gross margin percent was primarily due to the effect of foreign exchange rates on international inventories sold and, to a lesser extent, product mix, partially offset by higher realized prices and manufacturing efficiencies.

Operating expenses in the first quarter of 2018, defined as the sum of research and development and marketing, selling, and administrative expenses, decreased 5 percent to $2.677 billion. Research and development expenses decreased 6 percent, to $1.177 billion, or 20.6 percent of revenue. This decrease was driven primarily by a $50.0 million charge in the first quarter of 2017 related to a collaboration with DEKA Research & Development Corp. Marketing, selling, and administrative expenses decreased 4 percent, to $1.500 billion, due to decreased expenses related to late life-cycle products, partially offset by increased expenses related to new pharmaceutical products.

There were no acquired in-process research and development charges in the first quarter of 2018. In the first quarter of 2017, the company recognized an acquired in-process research and development charge of $857.6 million associated with the acquisition of CoLucid Pharmaceuticals.

In the first quarter of 2018, the company recognized asset impairment, restructuring, and other special charges of $78.3 million. The charges are primarily associated with asset impairment and restructuring charges related to the decision to end Posilac (rbST) production at the Augusta, Georgia manufacturing site. The company is continuing to explore options related to exiting the site. The company also incurred expenses associated with the ongoing review of strategic alternatives for the Elanco animal health business. In the first quarter of 2017, the company recognized asset impairment, restructuring, and other special charges of $213.9 million, primarily related to severance costs incurred as a result of actions taken to reduce the company’s cost structure, as well as integration costs related to the acquisition of Novartis Animal Health.

Operating income in the first quarter of 2018 was $1.374 billion, compared to a loss of $17.1 million in the first quarter of 2017 that was primarily driven by the in-process research and development charge associated with the acquisition of CoLucid Pharmaceuticals. Higher operating income in the first quarter of 2018 was also driven by higher gross margin, lower operating expenses, and lower asset impairment, restructuring and other special charges.

Other income (expense) was income of $67.5 million in the first quarter of 2018, compared with income of $78.3 million in the first quarter of 2017.

The effective tax rate was 15.5 percent in the first quarter of 2018. During the first quarter of 2017, the company incurred $172.0 million of income tax expense, despite earning $61.2 million of income before income taxes, as a result of the nondeductible $857.6 million acquired in-process research and development charge for the acquisition of CoLucid Pharmaceuticals.

In the first quarter of 2018, net income (loss) and earnings (loss) per share were $1.217 billion and $1.16, respectively, compared with $(110.8) million and $(0.10), respectively, in the first quarter of 2017. The increases in net income (loss) and earnings (loss) per share were primarily driven by higher operating income.

First-Quarter Non-GAAP Measures

On a non-GAAP basis, first-quarter 2018 gross margin increased 5 percent, to $4.280 billion. Gross margin as a percent of revenue was 75.1 percent, a decrease of 2.7 percentage points compared with the first quarter of 2017. The decrease in gross margin percent was primarily due to the effect of foreign exchange rates on international inventories sold and, to a lesser extent, product mix, partially offset by higher realized prices and manufacturing efficiencies.

Reflecting the company’s continued effort to reduce its cost structure, operating expenses were 46.9 percent of revenue in the first quarter of 2018, a reduction of 7.1 percentage points compared with the first quarter of 2017.

Operating income increased $363.3 million, or 29 percent, to $1.604 billion in the first quarter of 2018, due to higher gross margin and lower operating expenses.

The effective tax rate was 15.9 percent in the first quarter of 2018, compared with 21.2 percent in the first quarter of 2017. The lower effective tax rate for the first quarter of 2018 was primarily due to U.S. tax reform enacted in December 2017, and, to a lesser extent, a net discrete tax benefit of approximately $23.0 million in the first quarter of 2018.

In the first quarter of 2018, net income increased 35 percent, to $1.406 billion, and earnings per share increased 37 percent, to $1.34, compared with $1.040 billion and $0.98, respectively, in the first quarter of 2017. The increases in net income and earnings per share were primarily driven by higher operating income.

For further detail of non-GAAP measures, see the reconciliation below as well as the Reconciliation of GAAP Reported to Selected Non-GAAP Adjusted Information table later in this press releas

For the first quarter of 2018, worldwide Humalog revenue increased 12 percent compared with the first quarter of 2017, to $791.7 million. Revenue in the U.S. increased 12 percent, to $504.1 million driven by higher realized prices due to changes in estimates to rebates and discounts and changes in payer segment mix, and, to a lesser extent, increased volume. Revenue outside the U.S. increased 11 percent, to $287.6 million, driven by the favorable impact of foreign exchange rates and, to a lesser extent, increased volume.

Alimta

For the first quarter of 2018, Alimta generated worldwide revenue of $499.6 million, which increased 2 percent compared with the first quarter of 2017. U.S. Alimta revenue increased 8 percent, to $245.3 million, driven by increased volume and, to a lesser extent, higher realized prices. Alimta revenue outside the U.S. decreased 3 percent, to $254.3 million, driven by competitive pressure and loss of exclusivity in several countries, partially offset by the favorable impact of foreign exchange rates.

Cialis

For the first quarter of 2018, worldwide Cialis revenue decreased 7 percent to $495.4 million. U.S. Cialis revenue was $313.4 million in the first quarter, a 6 percent increase compared with the first quarter of 2017, driven by higher realized prices, largely offset by decreased demand due to the entry of generic sildenafil. Cialis revenue outside the U.S. decreased 23 percent to $182.0 million, driven by the loss of exclusivity in Europe, partially offset by the favorable impact of foreign exchange rates.

Humulin

For the first quarter of 2018, worldwide Humulin revenue increased 4 percent compared with the first quarter of 2017, to $325.9 million. U.S. revenue increased 8 percent, to $221.6 million, driven by increased demand, partially offset by lower realized prices. Revenue outside the U.S. decreased 4 percent, to $104.3 million, driven by decreased volume, primarily due to buying patterns in China and, to a lesser extent, lower realized prices, partially offset by the favorable impact of foreign exchange rates.

Forteo

For the first quarter of 2018, worldwide revenue for Forteo was $313.2 million, a 10 percent decrease compared with the first quarter of 2017. U.S. revenue decreased 31 percent, to $122.1 million, primarily due to decreased volume from wholesale and retail buying patterns, and, to a lesser extent, lower realized prices. Revenue outside the U.S. increased 13 percent, to $191.1 million, driven by the favorable impact of foreign exchange rates and, to a lesser extent, increased volume.

Selected Products Launched Since 2014

Trulicity

First-quarter 2018 worldwide Trulicity revenue was $678.3 million, an increase of 82 percent compared with the first quarter of 2017. U.S. revenue increased 78 percent, to $528.2 million, primarily driven by higher demand as a result of growth in the GLP-1 class and increased share of market for Trulicity. Revenue outside the U.S. was $150.1 million, an increase of 96 percent, primarily driven by increased volume and, to a lesser extent, the favorable impact of foreign exchange rates.

Cyramza

For the first quarter of 2018, worldwide Cyramza revenue was $183.6 million, an increase of 7 percent compared with the first quarter of 2017. U.S. revenue was $68.3 million, an increase of 3 percent, driven by increased volume and higher realized prices. Revenue outside the U.S. was $115.3 million, an increase of 10 percent, driven by the favorable impact of foreign exchange rates and increased volume, partially offset by lower realized prices.

Basaglar

For the first quarter of 2018, Basaglar generated worldwide revenue of $166.0 million. U.S. revenue was $126.7 million, an increase of $12.3 million compared with the fourth quarter of 2017, driven by increased demand due to Medicare Part D formulary access, partially offset by lower realized prices due to changes in estimates of rebates and discounts. Revenue outside the U.S. was $39.3 million, which was essentially flat compared with the fourth quarter of 2017. Basaglar is part of the company’s alliance with Boehringer Ingelheim, and Lilly reports total sales as revenue, with payments made to Boehringer Ingelheim for its portion of the gross margin reported as cost of sales.

Jardiance

The company’s worldwide Jardiance revenue during the first quarter of 2018 was $151.0 million, an increase of 104 percent compared with the first quarter of 2017. U.S. revenue increased 99 percent, to $95.0 million, driven by increased share of market for Jardiance and growth in the SGLT2 class. Revenue outside the U.S. was $56.0 million, an increase of 113 percent, primarily driven by increased volume and, to a lesser extent, the favorable impact of foreign exchange rates. Jardiance is part of the company’s alliance with Boehringer Ingelheim, and Lilly reports as revenue a portion of Jardiance’s gross margin.

Taltz

For the first quarter of 2018, Taltz generated worldwide revenue of $146.5 million. U.S. revenue was $111.2 million, a decrease of $31.3 million compared with the fourth quarter of 2017, driven by lower volume due to specialty pharmacy buying patterns, partially offset by higher demand, including an increase in new patient starts. Revenue outside the U.S. was $35.3 million, an increase of $5.3 million compared with the fourth quarter of 2017 due to continued uptake from new launches.

Lartruvo

For the first quarter of 2018, Lartruvo generated worldwide revenue of $64.4 million. U.S. revenue was $43.0 million, an increase of $1.5 million compared with the fourth quarter of 2017. Revenue outside the U.S. was $21.4 million, an increase of $3.9 million compared with the fourth quarter of 2017.

Olumiant

For the first quarter of 2018, Olumiant generated worldwide revenue of $32.2 million, an increase of $9.2 million compared with the fourth quarter of 2017, reflecting strong launch uptake in Germany.

Verzenio

For the first quarter of 2018, Verzenio, a treatment for women with HR+, HER2- advanced breast cancer, generated U.S. revenue of $29.7 million, an increase of $8.7 million compared with the fourth quarter of 2017.

Animal Health

In the first quarter of 2018, worldwide animal health revenue totaled $761.3 million, a decrease of 1 percent compared with the first quarter of 2017. Worldwide food animal revenue decreased 7 percent, to $474.3 million, primarily driven by market access pressures. Worldwide companion animal revenue increased 10 percent, to $287.0 million, primarily driven by higher realized prices for several products, and, to a lesser extent, the favorable impact of foreign exchange rates.

2018 Financial Guidance

The company has revised certain elements of its 2018 financial guidance on a reported and non-GAAP basis. Earnings per share estimates for 2018 are being increased to be in the range of $4.52 to $4.62 on a reported basis and $5.10 to $5.20 on a non-GAAP basis, to reflect company expectations of higher operating income and a lower effective tax rate.

The company now anticipates 2018 revenue between $23.7 billion and $24.2 billion. The increase from prior guidance is due to lower anticipated rebates and discounts in the U.S. as a result of lower expected Medicaid utilization and favorable payer mix for several products, as well as the impact of foreign exchange rates. Revenue growth is still expected to be driven by new products including Trulicity, Taltz, Basaglar, Jardiance, Verzenio, Cyramza, Olumiant and Lartruvo.

The company now anticipates marketing, selling and administrative expenses in 2018 to be between $6.2 billion and $6.5 billion. The increase from prior guidance is primarily due to the impact of foreign exchange rates.

The company now anticipates research and development expenses in 2018 to be between $5.2 billion and $5.4 billion. The increase from prior guidance is due to increased funding of pipeline opportunities and the impact of foreign exchange rates.

The company now anticipates other income/expense in 2018 to be income between $75 million and $200 million.

The 2018 effective tax rate is now expected to be approximately 17 percent on both a reported and a non-GAAP basis. The lower rate reflects a more favorable jurisdictional mix of earnings. The 2018 effective tax rate benefits from a lower corporate income tax rate, partially offset by the changes to certain business exclusions, deductions, credits and international tax provisions. The 2018 effective tax rate is subject to change based upon changes in the company’s interpretations of the tax laws, along with subsequent regulations, interpretations, guidance, and accounting policy elections that the company continues to evaluate.

Webcast of Conference Call

As previously announced, investors and the general public can access a live webcast of the first-quarter 2018 financial results conference call through a link on Lilly’s website at www.lilly.com. The conference call will be held today from 9 a.m. to 10:30 a.m. Eastern time (ET) and will be available for replay via the website.

Lilly is a global healthcare leader that unites caring with discovery to make life better for people around the world. We were founded more than a century ago by a man committed to creating high-quality medicines that meet real needs, and today we remain true to that mission in all our work. Across the globe, Lilly employees work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to communities through philanthropy and voluntarism. To learn more about Lilly, please visit us at www.lilly.com and View Source F-LLY

This press release contains management’s current intentions and expectations for the future, all of which are forward- looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. The words "estimate", "project", "intend", "expect", "believe", "target", "anticipate" and similar expressions are intended to identify forward-looking statements. Actual results may differ materially due to various factors. There are significant risks and uncertainties in pharmaceutical research and development. There can be no guarantees that pipeline products will receive the necessary clinical and manufacturing regulatory approvals or that they will prove to be commercially successful. With respect to the review of and any potential initial public offering, merger, sale, or retention of the Elanco animal health business, there can be no guarantee that the company will realize the expected benefits of the review or other strategic efforts or that the review or other strategic efforts will be completed on the anticipated timeline, if at all. The company’s results may also be affected by such factors as the timing of anticipated regulatory approvals and launches of new products; market uptake of recently launched products; competitive developments affecting current products; the expiration of intellectual property protection for certain of the company’s products; the company’s ability to protect and enforce patents and other intellectual property; the impact of governmental actions regarding pricing, importation, and reimbursement for pharmaceuticals, including U.S. health care reform; regulatory compliance problems or government investigations; regulatory actions regarding currently marketed products; unexpected safety or efficacy concerns associated with the company’s products; issues with product supply stemming from manufacturing difficulties or disruptions; regulatory changes or other developments; changes in patent law or regulations related to data-package exclusivity; litigation involving current or future products; the extent to which third-party indemnification obligations relating to product liability litigation and similar matters will be performed; unauthorized disclosure of trade secrets or other confidential data stored in the company’s information systems and networks; changes in tax law and regulations, including the impact of tax reform legislation enacted in December 2017 and related guidance; changes in inflation, interest rates, and foreign currency exchange rates; asset impairments and restructuring charges; changes in accounting standards promulgated by the Financial Accounting Standards Board and the Securities and Exchange Commission (SEC); acquisitions and business development transactions and related integration costs; and the impact of exchange rates and global macroeconomic conditions. For additional information about the factors that could cause actual results to differ materially from forward-looking statements, please see the company’s latest Form 10-K filed with the SEC. You should not place undue reliance on forward-looking statements, which speak only as of the date of this release. Except as is required by law, the company expressly disclaims any obligation to publicly release any revisions to forward-looking statements to reflect events after the date of this release.

Ligand to Report First Quarter 2018 Results on May 8th

On April 24, 2018 Ligand Pharmaceuticals Incorporated (NASDAQ: LGND) reported that plans to report first quarter 2018 financial results on May 8, 2018 (Press release, Ligand, APR 24, 2018, View Source [SID1234525642]). Ligand’s CEO John Higgins, President and COO Matt Foehr and Executive Vice President and CFO Matt Korenberg will host the conference call.

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First Quarter 2018 Earnings Call

What: Ligand conference call to discuss financial results and provide general business updates

When: Tuesday, May 8, 2018

Time: 4:30 p.m. Eastern time (1:30 p.m. Pacific time)

Conference Call: (833) 591-4752 within the U.S.
(720) 405-1612 outside the U.S.
Conference ID – 2259939

Webcast:
Live conference call webcast and replay accessible at www.ligand.com.

Alder BioPharmaceuticals® Appoints Eric Carter, Ph.D., M.D., as Interim Chief Medical Officer

On April 23, 2018 Alder Biopharmaceuticals, Inc., (NASDAQ:ALDR), a biopharmaceutical company focused on developing novel therapeutic antibodies for the treatment of migraine, reported that Eric Carter, Ph.D., M.D., has been named Interim Chief Medical Officer, effective immediately (Press release, Alder Biopharmaceuticals, 23 23, 2018, View Source [SID1234525596]). His primary responsibilities will include leading the Company through its ongoing Biologics License Application (BLA) submission process for eptinezumab, Alder’s lead investigational product candidate for migraine prevention, and facilitating other clinical and commercial advancement activities. He will report to Paul B. Cleveland, Interim President and Chief Executive Officer. Dr. Carter has served as a consultant to the Company since March 2018.

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Dr. Carter served as Senior Vice President, Chief Medical Officer and Global Head of Clinical & Non-Clinical Development of Allergan Inc. from 2011 to 2015, where he led the organization through 11 domestic and international drug candidate approvals and managed an annual budget of approximately $700 million. With more than 20 years of experience as a physician and as an executive in the pharmaceutical industry, Dr. Carter has overseen the introduction of new drug candidates into clinical development and practice, managed complex processes and global teams and provided support around key commercialization activities for numerous organizations. Dr. Carter currently serves as Chairman of the Scientific Advisory Board of Bioniz Therapeutics, a clinical-stage biopharmaceutical company, and serves on the Board of Directors of Adverum Biotechnologies, a public gene therapy company focused on rare diseases. Dr. Carter received his M.D. from the University of Miami School of Medicine and his Ph.D. in Biochemistry from the University of Cambridge in Cambridge, England.

"Our planned BLA submission for eptinezumab remains our top priority, and we are pleased to welcome Eric to the team as we advance towards commercialization," said Paul B. Cleveland. "Eric has a proven record of success with the clinical development and approval of major drug candidates, and we are confident Alder will benefit from his expertise and leadership during this important time."

"I’m excited to join Alder and lead eptinezumab’s clinical development program in support of the Company’s planned BLA submission," said Dr. Carter. "I look forward to working closely with the Alder team and the physician community as we progress eptinezumab towards approval, with an opportunity to provide a treatment option for millions of migraine sufferers debilitated by their disease."

FDA Advisory Committee Recommends the Approval of Baricitinib 2mg, but not 4mg, for the Treatment of Moderately-to-Severely Active Rheumatoid Arthritis

On April 23, 2018 Eli Lilly and Company (LLY) and Incyte Corporation (INCY) reported that the U.S. Food and Drug Administration’s (FDA) Arthritis Advisory Committee recommended approval of the 2-mg dose of baricitinib, a once-daily oral medication for the treatment of moderately-to-severely active rheumatoid arthritis (RA) for adult patients who have had an inadequate response or intolerance to methotrexate (Press release, Incyte, APR 23, 2018, View Source [SID1234525686]). While the Advisory Committee unanimously supported the efficacy of the 4-mg dose of baricitinib, it did not recommend approval of the 4-mg dose of baricitinib for the proposed indication based on the adequacy of the safety and benefit-risk profiles.

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"We are confident that baricitinib, if approved, can help people in the U.S. manage the challenges of living with RA," said Christi Shaw, president of Lilly Bio-Medicines. "While we are disappointed with the Advisory Committee’s assessment of the data for the 4-mg dose, we are confident in the positive benefit-risk profile of both the 2-mg and the 4-mg doses. We look forward to continuing our work with the FDA on our New Drug Application (NDA) and are hopeful that baricitinib will receive approval in the coming months."

Baricitinib 2-mg and 4-mg doses are approved in more than 40 countries, including the member states of the European Union and Japan.

For both doses, the Advisory Committee voted to support the assessment that baricitinib’s data provide substantial evidence of efficacy. For the 2-mg dose, the Advisory Committee voted in favor of the assessment that baricitinib’s safety data adequately support its approval. For the 4-mg dose, the Advisory Committee voted against the assessment that baricitinib’s safety data was adequate to support its approval based on the proposed indication.

The Advisory Committee’s recommendation was based on baricitinib’s global development program, which included four completed Phase 3 studies. In total, 3,492 patients, who represented a range of treatment experiences, received baricitinib in the global RA development program. The Phase 3 studies evaluated baricitinib’s treatment impact related to RA signs and symptoms, physical function, joint damage progression and other patient-reported outcomes. The Phase 3 program also evaluated recognized risks for RA patients, including serious infection, malignancy, major adverse cardiovascular events (MACE), venous thromboembolism (VTE), and gastrointestinal perforations, along with key laboratory changes. The safety profile of baricitinib is based on 7,860 patient-years of exposure.

"Despite advances in the management of RA over the last 20 years, which include early treatment, optimized use of traditional therapies for rheumatic disease and the advent of newer medications such as biologics, many patients are still struggling to meet treatment targets, and live with debilitating pain, fatigue and other symptoms of RA," said Peter Taylor, MA, PhD, professor, University of Oxford, an expert who attended the Advisory Committee Meeting. "Baricitinib could be a promising option for RA patients in the U.S. who are not achieving adequate disease control with currently available treatments."

The FDA is not required to follow the Advisory Committee’s recommendation, but will consider it during its review of the NDA for baricitinib.

About Baricitinib
Baricitinib is a once-daily oral JAK inhibitor currently in clinical studies for inflammatory and autoimmune diseases. There are four known JAK enzymes: JAK1, JAK2, JAK3 and TYK2. JAK-dependent cytokines have been implicated in the pathogenesis of a number of inflammatory and autoimmune diseases, suggesting that JAK inhibitors may be useful for the treatment of a broad range of inflammatory conditions, including rheumatoid arthritis.

In December 2009, Lilly and Incyte announced an exclusive worldwide license and collaboration agreement for the development and commercialization of baricitinib and certain follow-on compounds for patients with inflammatory and autoimmune diseases. Baricitinib was submitted for regulatory review seeking marketing approval for the treatment of rheumatoid arthritis in the U.S., the European Union and Japan in 2016. Baricitinib was approved in the EU in February 2017 and in Japan in July 2017. In April 2017, the U.S. Food and Drug Administration issued a Complete Response Letter on the New Drug Application for baricitinib. To date, baricitinib has been approved in more than 40 countries and remains under review in several other markets.

Astellas Submits New Drug Applications for Approval of Gilteritinib for the Treatment of FLT3mut+ Relapsed or Refractory Acute Myeloid Leukemia

On April 23, 2018 Astellas Pharma Inc. (TSE: 4503, President and CEO: Kenji Yasukawa, Ph.D., "Astellas" ) reported that it submitted on March 23, 2018, a new drug application (NDA) for marketing approval of gilteritinib (generic name) in Japan for the treatment of adult patients with FLT3 mutation-positive (FLT3mut+) relapsed or refractory acute myeloid leukemia (AML) (Press release, Astellas Pharma US, APR 23, 2018, View Source [SID1234525608]). Astellas also submitted a NDA for approval of gilteritinib in the same patient population to the U.S. Food and Drug Administration (FDA) on March 29, 2018 (U.S. time) following the submission in Japan. The applications for marketing approval for gilteritinib are based on data from the ongoing pivotal Phase 3 ADMIRAL study investigating gilteritinib in adult patients with FLT3mut+ relapsed or refractory AML.

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Astellas is a pharmaceutical company dedicated to improving the health of people around the world. (PRNewsFoto/Astellas Pharma Inc.)

AML is a cancer that impacts the blood and bone marrow, and its incidence increases with age. In Japan, approximately 5,500 patients are diagnosed with AML each year1. Gilteritinib is an investigational compound that has demonstrated inhibitory activity against both internal tandem duplication (ITD) and tyrosine kinase domain (TKD), FLT3 mutations that are seen in approximately one-third of patients with AML.

In October 2015, the Japanese Ministry of Health, Labor and Welfare (MHLW) announced the selection of gilteritinib as one of the first products designated for SAKIGAKE2.

(1)

KantarHealth. TREATMENT ARCHITECTURE: JAPAN LEUKEMIA, ACUTE MYELOID. CancerMPact Japan, February 2017.

(2)

SAKIGAKE: SAKIGAKE designation system can shorten the review period with the following 3 approaches: 1) Prioritized Consultation, 2) Substantial Pre-application Consultation and 3) Prioritized Review.

And also, the system will help promote the development with the following 2 approaches: 4) Review Partner System (to be conducted by the Pharmaceuticals and Medical Devices Agency) and 5) Substantial Post-Marketing Safety Measures.

About Gilteritinib
Astellas is currently investigating gilteritinib in various FLT3 mutation-positive AML patient populations through several Phase 3 trials. Visit View Source to learn more about ongoing gilteritinib clinical trials.

Gilteritinib was discovered through a research collaboration with Kotobuki Pharmaceutical Co., Ltd., and Astellas has exclusive global rights to develop, manufacture and potentially commercialize gilteritinib. Gilteritinib has been granted Orphan Drug and Fast Track designation by the U.S. FDA, Orphan Drug Designation by the European Commission, and SAKIGAKE Designation and Orphan Drug Designation by the Japan Ministry of Health, Labor and Welfare.

About the ADMIRAL Study
The Phase 3 ADMIRAL trial is an open-label, multicenter, randomized study of gilteritinib versus salvage chemotherapy in adult patients with FLT3 mutations who are refractory to or have relapsed after first-line AML therapy. The co-primary endpoints of the trial are OS (Overall Survival) and CR (complete remission) / CRh (CR with partial hematological recovery) rate and the study is still ongoing. The study enrolled 371 patients with FLT3 mutations present in bone marrow or whole blood, as determined by central lab. Subjects have been randomized in a 2:1 ratio to receive gilteritinib (120 mg) or salvage chemotherapy.