Gilead Sciences Announces First Quarter 2015 Financial Results

On April 30, 2015 Gilead Sciences, Inc. (Nasdaq: GILD) reported its results of operations for the first quarter ended March 31, 2015 (Filing, Q1, Gilead Sciences, APR 30, 2015, View Source [SID:1234506608]). The financial results that follow represent a year over year comparison of first quarter 2015 to the first quarter 2014. Total revenues were $7.6 billion in 2015 compared to $5.0 billion in 2014. Product sales were $7.4 billion in 2015 compared to $4.9 billion in 2014. Net income was $4.3 billion, or $2.76 per diluted share in 2015 compared to $2.2 billion or $1.33 per diluted share in 2014. Non-GAAP net income, which excludes amounts related to acquisition, restructuring, stock-based compensation and other, was $4.6 billion, or $2.94 per diluted share in 2015 compared to $2.5 billion or $1.48 per diluted share in 2014.

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Product Sales

Total product sales for the first quarter of 2015 were $7.4 billion compared to $4.9 billion for the first quarter of 2014. In the first quarter, product sales in the U.S. were $5.2 billion compared to $3.6 billion for the first quarter of 2014, and in Europe, product sales for the first quarter of 2015 were $1.8 billion compared to $1.0 billion for the same period in 2014.

Antiviral Product Sales

Antiviral product sales increased to $7.0 billion for the first quarter of 2015, up from $4.5 billion for the first quarter of 2014 primarily due to sales of Harvoni (ledipasvir 90 mg/sofosbuvir 400 mg), which was approved in the U.S. and Europe in the fourth quarter of 2014, partially offset by a decrease in sales of Sovaldi (sofosbuvir).

Other Product Sales

Other product sales, which include Letairis, Ranexa and AmBisome, were $417 million for the first quarter of 2015 compared to $362 million for the first quarter of 2014.

Operating Expenses

During the first quarter of 2015, compared to the same period in 2014:

Non-GAAP research and development (R&D) expenses increased primarily due to the continued progression and expansion of Gilead’s clinical studies, particularly phase 3 studies in the liver disease and oncology areas.
Non-GAAP selling, general and administrative (SG&A) expenses increased primarily due to growth in our business including commercial expansion for our hepatitis C virus (HCV) products.

As of March 31, 2015, Gilead had $14.5 billion of cash, cash equivalents and marketable securities compared to $11.7 billion as of December 31, 2014. During the first quarter of 2015, Gilead generated $5.7 billion in operating cash flow and utilized $3.0 billion to repurchase shares, which completes our May 2014 stock repurchase program.

Revised 2015 Full Year Guidance

Gilead updated its full year 2015 guidance, which it initially provided on February 3, 2015.

Product & Pipeline Updates Announced by Gilead During the First Quarter of 2015 Include:

Antiviral Program

Announced that the Japanese Ministry of Health, Labour and Welfare approved Sovaldi for the suppression of viremia in patients with genotype 2 chronic HCV infection with or without compensated cirrhosis. Sovaldi is indicated for use in combination with ribavirin (RBV) for 12 weeks. Sovaldi (in combination with RBV) is the first all-oral, interferon-free treatment regimen for genotype 2 HCV infection.

Presentation of data at the 22nd Conference on Retroviruses and Opportunistic Infections included announcement of:
Positive results from a Phase 3 clinical trial evaluating the once-daily single tablet regimen Harvoni for the treatment of genotypes 1 or 4 chronic HCV infection among patients co-infected with HIV. In the trial, 96 percent of HCV patients achieved a sustained virologic response 12 weeks after completing therapy (SVR12). Patients who achieve SVR12 are considered cured of HCV infection.

Positive 48-week results from two Phase 3 studies (Studies 104 and 111) evaluating an investigational once-daily single tablet regimen containing tenofovir alafenamide (TAF) for the treatment of HIV-1 infection in treatment-naïve adults. TAF is a novel nucleotide reverse transcriptase inhibitor that has demonstrated high antiviral efficacy at a dose 10 times lower than Gilead’s Viread, as well as improved renal and bone laboratory parameters, in clinical trials.

Positive results from a preclinical study conducted in collaboration with researchers at Beth Israel Deaconess Medical Center evaluating a proprietary investigational oral TLR7 agonist and analogue of GS-9620 as part of an HIV eradication strategy. Data demonstrated that treatment with the TLR7 agonist induced transient plasma Simian Immunodeficiency Virus (SIV) RNA, as well as reduced SIV DNA in virally suppressed rhesus macaques given antiretroviral therapy (ART). In addition, the study found that after discontinuation of ART, SIV viral loads were lower among macaques that received the proprietary TLR7 agonist compared to the placebo group.

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DEP™ Docetaxel Trial Dose Exceeds Common Taxotere® Dose Level

On April 30, 2015 Starpharma Holdings Ltd (ASX: SPL, OTCQX: SPHRY) reported an update to the progress of its phase 1 clinical trial of DEP docetaxel for advanced solid cancers (Press release, Starpharma, APR 30, 2015, View Source [SID:1234506578]). The DEP docetaxel dose level now exceeds the most commonly used dose for Taxotere of 75mg/m2, with no dose limiting toxicities (DLT), including neutropenia, having been observed to date.

Approximately 50% of the anticipated number of patients have been recruited into the study and dosed with DEP docetaxel. Several patients have received multiple (up to 6) cycles of DEP docetaxel.

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Available data show that DEP docetaxel has been very well-tolerated, with no observations of neutropenia to date. According to the available product information for Taxotere (currently marketed docetaxel formulation), neutropenia occurs in virtually all patients given 60mg/m2 to 100mg/m2 of Taxotere, and the most severe (grade 4) neutropenia occurs in 75% of patients given 60mg/m2 of the product. The clinical data for DEP docetaxel are in line with preclinical studies in animals that showed that DEP docetaxel eliminated the neutropenia seen with equivalent doses of docetaxel alone whilst enhancing anticancer efficacy.

There have also been no reports in the trial of vomiting or hair loss related to the DEP docetaxel treatment. By comparison these events occur in a significant proportion of patients receiving Taxotere as monotherapy.

In contrast to therapy with Taxotere, which is formulated in polysorbate-80, a detergent that can cause significant hypersensitivity reactions, patients receiving DEP docetaxel therapy do not need to receive pre-treatment with corticosteroids (cortisone) because DEP docetaxel is detergent free. Additionally, patients receiving DEP docetaxel therapy have not required prophylactic treatment with anti-emetics (to stop nausea/vomiting).

Available pharmacokinetic data show, as previously reported, that DEP docetaxel also has the benefits of longer half-life and reduced peak concentrations of docetaxel compared to when the drug is given in its native form.

Starpharma CEO, Dr Jackie Fairley, commented: "We are very pleased that the study is progressing so well. The fact that a number of patients have exhibited potential anti-cancer activity, across a range of tumor types, despite the absence of dose limiting toxicities (DLTs) and the maximum tolerated dose (MTD) for DEP docetaxel not yet being reached, is very encouraging."

Taxotere is approved for treatment of breast cancer, non-small cell lung cancer, prostate cancer, gastric cancer and head and neck cancer. Patients with a range of advanced solid tumour types are enrolled in the current study. The study is being conducted across four Australian sites – Nucleus Network/Alfred Hospital, Austin Health/Olivia Newton John Cancer Centre, Liverpool Hospital and Royal Brisbane & Women’s Hospital.

Quarterly Cashflow Report

On April 30, 2015 Starpharma Holdings Ltd (ASX: SPL, OTCQX: SPHRY) reported its Appendix 4C – Quarterly Cashflow report for the period ended 31 March 2015 (Press release, Starpharma, APR 30, 2015, View Source [SID:1234506577]).

Highlights
DEPTM docetaxel dosage levels exceeds the most commonly used Taxotere dose
Majority of sites in phase 3 clinical trials for VivaGel to prevent recurrent bacterial vaginosis (R-BV) recruiting participants
Regulatory submissions for VivaGel Symptomatic Relief of bacterial vaginosis
Continued Australian rollout of VivaGel condom
Increased activity in partnered drug delivery and agrochemical programs
Solid cash balance of A$34.7 million

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During the quarter, activities have progressed across all of Starpharma’s programs for VivaGel, drug delivery and agrochemicals. These include the two active clinical programs – the two phase 3 clinical trials for VivaGel to prevent recurrent bacterial vaginosis (R-BV) and the phase 1 clinical trial of DEP docetaxel. The reported cash balance at 31 March 2015 of A$34.7 million supports these activities.

In drug delivery, the phase 1 clinical trial of DEP docetaxel continues to show very encouraging clinical data, with the drug remaining very well-tolerated and no neutropenia or hair loss observed to date with a number of patients having received multiple (up to 6) cycles of DEP docetaxel. Approximately 50% of the anticipated number of patients have now been recruited across four Australian sites with dose levels now above the most commonly used dose for Taxotere, a dose at which a vast majority of patients typically experience neutropenia and hair loss. A number of patients being treated with DEP docetaxel have exhibited potential anti-cancer activity, across a range of tumor types. This has been achieved despite the absence of dose limiting toxicities (DLTs) and the maximum tolerated dose (MTD) for DEP docetaxel not yet being reached.

In the two phase 3 clinical trials for VivaGel to prevent recurrent bacterial vaginosis (R-BV), the majority of sites are now recruiting across the US, Canada, Europe, Asia and Mexico. Each trial is anticipated to enrol approximately 600 women. The phase 3 study design was agreed with the US Food and Drug Administration (FDA) under a Special Protocol Assessment (SPA), which reduces Starpharma’s regulatory risk through achieving a binding agreement from FDA on the acceptability of the trial design and planned analyses. Starpharma has also received agreement on the trial design from the European regulatory authority.

The VivaGel condom, marketed by Ansell as LifeStyles Dual ProtectTM, represents the first marketed product for Starpharma’s VivaGel portfolio. The condom is currently available in Woolworths stores and online directly from Ansell, with new retail channels including pharmacies and other supermarket chains expected to be added in the near future. In addition, the VivaGel condom is expected to be launched in New Zealand following regulatory approval in late 2014, and regulatory activities continue in a number of other markets including Japan.

Another focus during the quarter was the preparation and filing of a marketing application with relevant regulatory authorities for VivaGel vaginal gel for the symptomatic relief of bacterial vaginosis (BV). This opportunity for certain non-US markets utilises existing data for VivaGel, including from previously completed clinical trials which showed excellent and rapid relief from BV symptoms.

The quarter has also seen momentum and escalation in the level of activity in Starpharma’s partnered programs for drug delivery and agrochemicals as candidates are advanced in development.

As these clinical and commercial opportunities in VivaGel and drug delivery advance towards important inflection points, the solid cash balance positions Starpharma well for creating significant additional value. The above activities are further supported by Starpharma’s strategy in agrochemicals, which provides broader application of Starpharma’s dendrimer technology.

Operating and investing cash outflows were A$4.9 million for the quarter. This expenditure relates to all Starpharma programs, including the two phase 3 clinical trials for VivaGel R-BV, the phase 1 clinical trial of DEP docetaxel, and regulatory activities.

"This quarter has been another period of substantial progress for Starpharma. With two exciting clinical programs underway, a high level of activity with our partnered drug delivery programs, the VivaGel condom in market and other applications underway, and a strong cash position the company is very well placed to capitalise on," said Starpharma Chief Executive Officer Dr Jackie Fairley.

OncoGenex Announces Custirsen Phase 3 “ENSPIRIT” Trial Update

On April 30, 2015 OncoGenex Pharmaceuticals reported it has filed an amendment with the U.S. Food and Drug Administration, as well as initiated filing with regulatory agencies in other countries, to amend the statistical design and analysis plan of its pivotal, international Phase 3 ENSPIRIT trial evaluating custirsen in the treatment of non-small cell lung cancer (NSCLC) (Press release, OncoGenex Pharmaceuticals, APR 30, 2015, View Source [SID:1234503226]). OncoGenex recently regained the rights to the investigational compound from Teva Pharmaceuticals Ltd. and is currently in the process of assuming sponsorship for all clinical development related to custirsen.

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The protocol amendment is designed to reduce the number of required patients enrolled in the trial and include an earlier, more rigorous second interim futility analysis. The protocol will now also include additional analyses, specifically an evaluation of overall survival (OS) by patient histology, as well as the effect of custirsen’s efficacy among patients with poor prognostic risk factors. These changes do not affect the criteria for enrollment or conduct of the study, which continues to accrue patients. Enrollment is expected to be completed in the second half of 2016.

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"The majority of people with NSCLC do not have specific genetic mutations that will respond to targeted therapy. New treatment options like custirsen, added to standard of care chemotherapy, are urgently needed for patients to control their cancer once it has progressed," said Cindy Jacobs, PhD, MD, Chief Medical Officer and Executive Vice President of OncoGenex. "We believe these rigorous protocol changes reflect the most responsible course of action for these patients, who unfortunately do not have the gift of time. These changes will provide the critical information we need to more quickly understand custirsen’s activity and guide future development plans."

Under the revised protocol, the following changes include:

A reduced sample size: Changes to trial sample size were based on revising the hypothesized hazard ratio to 0.75 instead of 0.80, resulting in a sample size of 700 patients instead of 1,100. This change maintains a power of 90% while assessing for a more clinically meaningful difference.

Revised timing of second survival futility analysis: The second analysis will now take place when 40% of events occur, instead of the original 50%. As previously reported, OncoGenex expects this to occur in mid-2015. An Independent Data Monitoring Committee recommended the ENSPIRIT trial continue based on the outcome of the first interim futility analysis in August 2014. Trial results will remain blinded to the Independent Data Monitoring Committee and OncoGenex, as the sponsor, unless futility is observed.

Additional analyses: An evaluation of OS by patient histology, and the effect of custirsen’s efficacy among patients with varying risk factors and disease parameters, will now be conducted.

"These protocol changes will provide us with a more expedient path to assess custirsen’s potential survival benefit," said Scott Cormack, President and CEO of OncoGenex. "Reducing the sample size of the trial will enable us to evaluate the potential of custirsen in an earlier timeframe, hopefully accelerating the path to regulatory review and potential availability. We believe these are important steps in our efforts to give patients with advanced NSCLC more choices when their initial treatments fail."

Conference Call Details

OncoGenex will host a conference call at 4:30 p.m. Eastern Time today, Thursday, April 30, 2015, to provide an overview of today’s announcement. A live event will be available on the Investor Relations section of the OncoGenex website at www.OncoGenex.com. Alternatively, you may access the live conference call by dialing (877) 606-1416 (U.S. & Canada) or (707) 287-9313 (International). A webcast replay will be available approximately two hours after the call and will be archived on www.OncoGenex.com for 90 days.

About the Phase 3 ENSPIRIT Trial

The Phase 3 ENSPIRIT trial is an international, randomized, open-label trial designed to evaluate custirsen for the treatment of advanced or metastatic non-small cell lung cancer (NSCLC) in 700 patients who have progressed after initial chemotherapy treatment. The trial will investigate if combining custirsen with docetaxel, a standard second-line NSCLC chemotherapy, has the potential to improve survival outcomes compared to docetaxel alone in these patients. The trial is expected to enroll patients at approximately 50 sites globally. For more information on the ENSPIRIT trial, please visit View Source

Custirsen is also being evaluated in the ongoing Phase 3 AFFINITY trial with second-line chemotherapy in men with metastatic castrate-resistant prostate cancer. After regaining development control of custirsen, and based on the improved survival benefit observed in poor prognostic patients treated with custirsen in the completed Phase 3 SYNERGY trial, OncoGenex plans to seek regulatory guidance regarding amendments to the AFFINITY protocol.

About Custirsen

Custirsen is an experimental drug that is designed to block the production of the protein clusterin, which may play a fundamental role in cancer cell survival and treatment resistance. Clusterin is upregulated in tumor cells in response to treatment interventions such as chemotherapy, hormone ablation and radiation therapy and has been found to be overexpressed in a number of cancers, including prostate, lung, breast and bladder. Increased clusterin production has been linked to faster rates of cancer progression, treatment resistance and shorter survival duration. By inhibiting clusterin, custirsen is designed to alter tumor dynamics, slowing tumor growth and resistance to partner treatments, so that the benefits of therapy, including survival, may be extended.

Custirsen has Fast Track designation by the U.S. Food and Drug Administration for NSCLC and metastatic castrate-resistant prostate cancer.

Samsung Pharm received an approval of RIAVAX™’s marketing and manufacturing in Korea, new opportunities for domestic patients

On April 29, 2015 GemVax reported that its pancreatic cancer immunity drug, Liabax (codename GV1001), received final marketing approval from the Ministry of Food and Drug Safety from Samsung Pharmaceutical (Press release, Karmanos Cancer Institute, AUG 14, 2020, View Source [SID1234563669]).

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In September last year, Liabax was approved for the 21st new drug as an anticancer drug for pancreatic cancer from the Ministry of Food and Drug Safety. As a result, the world’s first pancreatic cancer immune anticancer drug was first released in Korea, and new treatment opportunities were created for Korean pancreatic cancer patients.

Ria Bax weeks ‘ destroy cancer cells by maximizing the autoimmune pancreatic cancer patients , a new concept anticancer drugs to prolong the survival of existing chemotherapeutic agents when administered in combination with a cancer patient . Liabax has proven its safety and efficacy by conducting more than 10 clinical trials in 10 European regions including the UK and Norway, as well as Australia and the United States, which could be a breakthrough alternative to the treatment of pancreatic cancer with a low survival rate of 8% . It is expected .

Leah is a gem backstage backstage with Samsung constraints are expected to rush to the hospital full distribution procedures for careful prescribing , revenue this year, three are expected to be in earnest quarter .

In recent years, the development of immunological drugs in anticancer treatment is becoming the mainstream worldwide . Experts predict that immunotherapy offers the possibility of chronic treatment in chemotherapy , and pharmaceutical companies are also taking the development of anticancer drugs using the immune system as an important task .

Geumbeon attention as Patria backstage backstage GEM domestic market was the first to naedinge the first step in cancer immunotherapy market , Liao backstage CAUTION expanded indications is of course also enter motivation accelerate global expansion .

Gem gimsangjae Diamondbacks CEO " Ria Bax is expected to be helpful for domestic patients suffering from pancreatic cancer as the primary market very pleased ." He said , " Ria Bax national attention as one to achieve the first objective of market , the next step Ria Bax care abroad, even accelerating , in addition to be able to perform well in overseas areas of the existing product lineup of Samsung Pharmaceuticals I will try ." Said.