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Policy
Handok's Imported Monjuvi Licensed
by
Lee, Hye-Kyung
Jun 13, 2023 07:39pm
The Ministry of Food and Drug Safety (Minister Oh Yoo-gyeong) announced on the 9th that it had approved Monjuvi, an orphan drug used to treat diffuse large B-cell lymphoma. For adult patients with relapsed or refractory diffuse large B-cell lymphoma who are unsuitable for autologous hematopoietic stem cell transplantation and who have failed one or more prior therapies, use this drug in combination with lenalidomide, and then use it as monotherapy. Monjuvi provides a new treatment opportunity for diffuse large B-cell lymphoma by binding to CD19, a B-cell surface antigen protein, and inducing direct apoptosis, antibody-dependent phagocytosis, and antibody-dependent cell-mediated cytotoxicity, resulting in B-cell depletion. For reference, this drug is an immunoglobulin (IgG) subtype humanized monoclonal antibody drug that targets CD19, a cell surface antigen protein on the surface of B-cell lymphocytes. Monjuvi was designated for expedited review on January 18 last year as a treatment for life-threatening or serious diseases (improving efficacy). If designated as an expedited review target, the Ministry of Food and Drug Safety shares the overall review schedule, such as prior planning for approval review schedules, along with close consultation on the preparation of data in consideration of item characteristics. The time required to review is shortened to within 75% of the general review period through 'additional accompanying review', in which prepared materials are reviewed. It is approved and used in the US and Europe and was designated as an orphan drug in December 2021 in Korea.
Company
Discussions on expanding benefit for Jakavi's GVHD are slow
by
Eo, Yun-Ho
Jun 13, 2023 05:43am
Discussions on expanding insurance coverage for Jakavi's Graft-versus-Host Disease (GvHD) indication have been sluggish. According to the industry, Novartis Korea Jakavi passed the harmaceutical Reimbursement Criteria Subcommittee of the Health Insurance Review and Assessment Service last February, but it has not been submitted to the Financial Impact Assessment Subcommittee, which is a step before the Pharmaceutical Reimbursement Evaluation Committee. In May 2022, after obtaining indications for graft-versus-host disease in Korea, the drug submitted an application for an extension of coverage. However, after being put on hold for more than 8 months, discussions on salary have begun. GvHD is a serious complication that can occur after an allogeneic hematopoietic stem cell transplant (allo-SCT). The transplanted donor's T cells recognize the patient's normal cells as foreign substances and attack them, affecting various organs such as the skin, gastrointestinal tract, liver, and lungs. As symptoms can appear throughout the body, GvHD poses another challenge to patients who have survived allogeneic hematopoietic stem cell transplantation and affects their quality of life. Steroids are used as the first-line therapy, but about 50% of them fail, and in these cases, standard treatment has not yet been established, so there is an unmet demand for effective treatment options. Jakavi is an option for the treatment of patients with acute or chronic graft-versus-host disease aged 12 years or older who do not respond adequately to prior corticosteroid therapy in these circumstances. Kim Hee-jae, chairman of the Korean Society for Hematopoietic Stem Cell Transplantation (Professor of Hematology at Seoul St. Mary’s Hospital), said, “Jakavi has shown good effects through clinical studies in the treatment of acute and chronic patients, and similar results have been shown in actual practice. “It opens up new possibilities for many patients,” he said. Jakavi has proven its efficacy in GvHD through the phase 3 REACH2 study. As a result, the overall response (OR) on day 28 of the Jakavi-administered group was 62% (96/154), which was higher than that of the control group, Best Available Therapy (BAT)-administered group, 39% (61/155). On the 56th day, the durable overall response was confirmed to be 40% (61/154), about twice as high as 22% (34/155) of the control group. More about this source texture text is required for additional translation information.
Company
Severe asthma Tx Tezpire to soon be commercialized in Korea
by
Eo, Yun-Ho
Jun 13, 2023 05:43am
The new drug for severe asthma, ‘Tezpire' is soon to enter the Korean market. According to industry sources, AstraZeneca Korea has submitted an application for the approval of ‘Tezspire (tezepelumab)’ in Q2 to the Ministry of Food and Drug Safety and is receiving review. At this pace, Tezspire is expected to be commercialized in the second half of the year. As a viable competitor to Sanofi’s ‘Dupixent (dupilumab),’ Tezspire inhibits the action of the thymic stromal lymphopoietin (TSLP), a key epithelial cytokine that sits at the top of multiple inflammatory cascades, to block the inflammatory chain reaction. The drug was approved by the US FDA in 2021 as a treatment for adult and pediatric patients aged 12 years and older with severe asthma., and added a self-injection formulation to its approval in February this year. Tezspire demonstrated a significant reduction in asthma exacerbation in the Phase II PATHWAY trial and Phase III NAVIGATOR trial, which included a broad population of severe asthma patients irrespective of key biomarkers, including blood eosinophil counts, allergic status, and fractional exhaled nitric oxide (FeNO). The most common adverse reactions shown in those that received Tezspire in the trials were pharyngitis, rash, arthralgia, and injection site reactions. The findings from the NAVIGATOR study were previously published in The New England Journal of Medicine. The Korea National Enterprise for Clinical Trials had selected Tezspire as the No.1 drug in need of an urgent introduction to Korea in its report on the ‘List of foreign new unintroduced drugs that should be promptly Introduced to Korea.’
Opinion
[Reporter's view] It's time to share the achievements
by
Lee, Seok-Jun
Jun 13, 2023 05:43am
Biopharmaceutical companies attend major overseas conferences in late May and early June. ASCO, EULAR, and BioUSA. During this period, it is said that key workers in the R&D and BD fields are not in Korea. Looking at BIO USA alone, more than 500 Korean companies participated in the event, second only to the US. It is truly a global conference. The purpose is to promote its own pipeline. Through this, it promotes achievements such as partnering and technology transfer. Intangible assets such as building a human network for future partnerships are also obtained. Numerous companies announce their participation through press releases before overseas conferences. content is similar. They were 'invited' to the world's largest academic conference for related diseases, 'selected as a presenter', 'there are plans to meet with a number of multinational pharmaceutical companies', and 'we will promote technology transfer for our own pipeline'. Some attend posters but do not hesitate to advertise extensively. Occasionally, the name of a global pharmaceutical company scheduled for a meeting is also mentioned. The stock price also shines before publicity. Many companies are different before and after attending the conference. It is difficult to make an accurate count, but looking at the annual trend, half of the public relations companies before attending did not release additional data as if nothing had happened. Suddenly, a certain biotech CFO Ha So-Yeon comes to mind. After going public in 2015, the company regularly attends overseas conferences every year. It does not discriminate between large and small conferences. However, it is not producing any significant results. The reason was simple. This is because the company did not have global meeting capabilities. Just because you're good at English doesn't mean you're good at it. To get results, you need to know the global pharma process. Even if clinical results are shared at meetings with foreign pharmaceutical companies, there is no way to transfer technology. The head of the research center discusses the technology transfer contract, and the CFO discusses clinical trials. There are many times when communication is difficult because attendees do not understand the value of their company. Foreign pharmaceutical companies have the property of not moving to the next stage even if the clinical results are good if the communication is not professional. This is the reason why our company has not achieved results despite participating in overseas conferences for several years. Meetings do not bring out the needs of global pharmaceutical companies. From a certain point on, the significance of participation is placed on it. It is safe to see it as a way to raise domestic stock prices. This may be an example of some ventures. There is a way to clear up the misunderstanding. to share achievements. Of course, contracts such as technology transfer are made secretly and can be broken even a few hours in advance, so it is right to keep them confidential. However, the part that can be disclosed should share the achievements. Only then can the objective corporate value be judged. Clinical progress updates, conference attendees' roles, main track presentations, booth grades, number of meetings, and scale of participation can be objective indicators. Now that most of them have returned to Korea after completing overseas conferences, it is necessary to share their achievements. There are already places that share feedback from overseas academic societies through press releases. However, most of them are limited to a few, including large domestic pharmaceutical companies. In addition to this, it is necessary to make efforts to publicize the results. The data that can be disclosed can be limitless, depending on what the company thinks. Investors can judge the value of a company only when there is a lot of information that can be shared. It may be part of it, but it should be part of it, but there should be no more one-time publicity press releases before attending conferences to raise stock prices. Now is the time when it is important to share even small achievements and have their value objectively recognized in the market.
Company
Sales of Soliris and Ultomiris rise despite changes
by
Kim, Jin-Gu
Jun 13, 2023 05:43am
Soliris(left) and Ultromiris Quarterly sales of the rare disease treatments ‘Soliris (eculizumab)’ and ‘Ultomiris (ravulizumab)’ had risen significantly in Q1 this year. Although sales of Soliris remained similar to last year, sales of Ultomiris, its follow-on drug, soared in the same period. The analysis is that the generation change between the two drugs has neared completion. According to the market research institution IQVIA on the 12th, sales of Ultomiris in Q1 were KRW 13 billion, up 35% from KRW 9.6 billion in Q1 last year. During the same period, Soliris’s sales slightly fell from KRW 2.8 billion to KRW 2.4 billion. Soliris is a rare disease treatment indicated for the treatment of ▲ paroxysmal nocturnal hemoglobinuria, ▲ atypical hemolytic uremic syndrome (aHUS), ▲generalized myasthenia gravis, and ▲ neuromyelitis optica spectrum disease. Ultomiris is a follow-on of Soliris. As it has a half-life that is 4 times longer than that of Soliris, the drug may be administered every 8 weeks. However, the indication for the drug is limited to paroxysmal nocturnal hemoglobinuria/ Both drugs were introduced to Korea by Handok from Alexion. Soliris was approved in January 2010 and applied for reimbursement in 2018. Ultomiris was approved in May 2020 and its reimbursement was applied from June 2021. The combined sales of the two drugs peaked at KRW 15.9 billion in Q3 2021 and then was on a gradual decline. In Q4 last year, its sales decreased to KRW 12.9 billion. However, sales showed a rebound in Q1 this year, recording combined sales of KRW 15.4 billion. Quarterly Sales of Soliris·Ultromiris (Unit: KRW 100 mil, Data: IQVIA) The sales rebound received more attention because the domestic sales rights for the two drugs were transferred from Handok to AstraZeneca in Q1 last year. AstraZeneca acquired Alexion in 2020 for USD 39 billion (approximately KRW 42 trillion). After the sales rights agreement between Handok and Alexion expired in January this year, AstraZeneca Korea retrieved the sales rights to sell the two rare disease drugs directly in Korea. However, the prevailing opinion in the industry is that the sales right transfer had little or limited effect on the sales rebound. AstraZeneca established a rare disease Business Unit at the end of last year and completed the composition of the business unit in February of this year in time for the retrieval of Soliris and Ultomiris’s sales rights. The company was able to start full-scale marketing activities only in March. Therefore, the sales rebound could be rather interpreted as performance derived under the strong influence of Handok. Industry experts believe that the impact of the sales right transfer would only be measurable after Q2.
Company
Beova can be prescribed at general hospitals
by
Eo, Yun-Ho
Jun 12, 2023 05:42am
Beova, a new drug introduced by Jeil Pharmaceutical, will be available for Rx at general hospitals. According to related industries, Beova, an overactive bladder treatment, is currently available at 22 medical institutions nationwide, including SMC and AMC, as well as advanced general hospitals, Gangnam Severance Hospital, Sangnam Sacred Heart Hospital, Dongtan Sacred Heart Hospital, Chungnam National University Hospital, and Hanyang University Hospital (headquarters, Guri). Beova is a new drug introduced by Jeil Pharm from Japan's Kyorin Pharmaceuticals in November 2019. It obtained domestic development, manufacturing, and sales rights, and imported raw materials to produce finished products in domestic factories. In order to obtain domestic approval, Jeil Pharmaceutical conducted a phase 3 bridging clinical trial to compare and evaluate the safety and effectiveness of Beova in 210 overactive bladder patients at 20 domestic institutions, including Seoul Asan Medical Center, from May 2020 to this year. As a result, it was confirmed that the change in average urination frequency per day at 12 weeks from baseline as the primary efficacy evaluation variable was improved by -2.38 times compared to -1.22 times with a placebo. In the secondary endpoints, the average number of urinary urgency per day, the number of urge incontinence, the change in the number of urinary incontinence, and the change in the average voiding volume per time, there was a significant improvement compared to the placebo. Beova is a new β3-adrenergic receptor agonist that selectively acts on sympathetic nerve receptors to relax the bladder detrusor muscle, helping to treat symptoms such as frequent urination, urgency, and urgency urinary incontinence. Mirabegron was the only β3-adrenergic receptor agonist currently on the market, but the launch of Beova is expected to form a competitive landscape. Vibegron is known to be more than 9000 times more selective for β3 receptors than β1 and β2 receptors. In addition, Vibegron's maximum response rate for β3 receptors is 99.2%, which is higher than 80.4% for Mirabegron, the same β3 agonist. It is an ingredient that has the advantage of having a low risk of cardiovascular side effects because it does not stimulate receptors. It is known that there is very little concern about interactions with drugs that pass through the CYP2D6 metabolic pathway and that it can be administered in normal doses even to patients with hepatic or renal impairment. Lee Gyu-seong, professor of urology at SMC, said, "Beova is a new drug that is introduced in Korea. It will help provide high-quality treatment effects to overactive bladder patients in Korea with excellent symptom improvement and low adverse reaction rates."
Company
Eisai applies for approval of its AD drug lecanemab in KOR
by
Jung, Sae-Im
Jun 12, 2023 05:42am
Pic of lecanemab The drug that is being considered the next blockbuster candidate, Eisai and Biogen’s Alzheimer’s treatment ‘lecanemab,’ is set to enter the Korean market. Eisai announced on the 8th that it had submitted an application for the marketing authorization of lecanemab to the Ministry of Food and Drug Safety to treat mild cognitive impairment or mild dementia stage of disease arising from Alzheimer’s disease (AD). This is the third application the company had filed in Asia after Japan and China. Lecanemab was jointly developed by the two companies. Lecanemab selectively binds to neutralize and eliminate soluble, toxic amyloid-beta (Aβ) aggregates (protofibrils) that are thought to contribute to the neurodegenerative process in AD. The drug received accelerated approval from the U.S. Food and Drug Administration in January. As Eisai applied for formal approval, the FDA plans to hold an advisory committee on the 9th (US local time) and decide whether to grant approval next month. Unlike 'Aduhelm (ingredient: aducanumab)', which failed commercialization, high expectations are in place for lecanemab’s growth into a blockbuster drug. Clarivate, a global academic information service company, predicted that lecanemab’s sales would reach USD 1.02 billion (KRW 1.32 trillion) in 2027 in its ‘Drugs to Watch’ report that it released earlier this year. Eisai’s application to the MFDS is based on the Clarity AD Phase III and Phase IIb clinical studies that confirmed that lecanemab reduced clinical cognitive decline in early Alzheimer's disease. The Phase III Clarity AD compared lecanemab with placebo in 1.705 patients aged between 50 to 90 with early AD. The primary efficacy endpoint was the change in clinical decline on the global cognitive and functional scale, CDR-SB, compared with placebo at 18 months. Key secondary endpoints were ▲the AD Assessment Scale-cognitive subscale14 (ADAS-cog14), ▲change from baseline at 18 months compared with placebo of treatment in amyloid levels in the brain measured by amyloid positron emission tomography (PET), ▲AD Composite Score (ADCOMS), etc. Change in CDR-SB score with lecanemab -placebo (primary endpoint) (data: Biogen) Results showed that the lecanemab arm recorded a CDR-SB score of 1.21 at 18 months, which is a 27% reduction in clinical decline compared with the 1.66 recorded in the placebo arm. This delay started as early as six months. The drug also achieved statistically significant in its key secondary endpoints compared with placebo. In the amyloid PET subgroup analysis, the lecanemab arm showed a statistically significant reduction in brain amyloid accumulation from 3 months. The ADAS-Cog14 evaluation results showed that cognitive decline was delayed by 26% with lecanemab. ADCOMS results also showed a 24% delay in disease progression at 18 months with lecanemab.
Company
Fidanacogene Elaparvovec designated as an orphan drug
by
Eo, Yun-Ho
Jun 12, 2023 05:42am
Fidanacogene Elaparvovec, a one-shot hemophilia treatment, has been designated an orphan drug. The Ministry of Food and Drug Safety recently announced that it has selected Fidanacogene Elaparvovec, Pfizer's hemophilia B gene therapy, as an orphan drug. Fidanacogene Elaparvovec is a method that combines adenoviral vector (AVV) capsid and highly active coagulation factor IX gene and is characterized by producing coagulation factor IX in one cycle instead of regular injection am. The drug has been designated as a Breakthrough Therapy, Advanced Regenerative Medicine and Therapeutics (RMAT), and Orphan Drug by the US FDA, and PRIority MEdicines and Orphan Drug by the European EMA. The phase 3 BENEGENE-2 study confirming the effectiveness of Fidanacogene Elaparvovec also received significant attention. The study evaluated the efficacy and safety of Fidanacogene Elaparvovec in patients with a factor 9 of 2% or less, and the participating patients were evaluated for 6 years based on a single intravenous injection. The main purpose of this study is to determine how much gene therapy reduces ABR compared to SOC. According to the topline results released recently, the Fidanacogene Elaparvovec group met the primary endpoint by demonstrating non-inferiority and superiority compared to standard therapy in ABR. From 12 weeks to 15 months, the average ABR of the Fidanacogene Elaparvovec group was 1.3, whereas that of the standard therapy group was 4.43. Gene therapy reduced ABR by 71%, confirming its superiority over standard therapy. The main secondary endpoint was the ABR measured based on treatment. The Fidanacogene Elaparvovec group reduced treatment-based ABRs by 78% and annual infusions by 92% compared to the standard-of-care group. The Ministry of Food and Drug Safety is operating an orphan drug designation system to support the development of treatments for rare and incurable diseases. Among drugs used for the purpose of diagnosing or treating rare diseases, drugs that cannot be replaced or that are significantly improved over drugs that can be replaced may be designated as orphan drugs. If designated as an orphan drug, you can receive benefits such as being subject to expedited review at the time of product approval.
Company
Chong Kun Dang hastens way into diabetes Tx market
by
Kim, Jin-Gu
Jun 12, 2023 05:42am
Chong Kun Dang is working to accelerate the expansion of its diabetes treatment portfolio. In addition to its own ‘Duvie (lobeglitazone),’ the company received approval for diabetes combination drugs that contain 'Januvia (sitagliptin),’ which it had acquired rights for in Korea. The release of such combination drugs is considered the company’s strategy to preoccupy the market before the patent expiry of Januvia. According to industry sources on the 12th, Chong Kung Dang received approval for its Duvie Tab from the Ministry of Food and Drug Safety on the 9th. The drug is a combination between sitagliptin and lobeglitazone. The company had received approval for Duvie, a TZD-class diabetes treatment in 2013 as the 20th new new homegrown drug in Korea. In May, it acquired the license for MSD's DPP-4 inhibitor class diabetes treatment, Januvia. It acquired all rights, including domestic sales, distribution, licensing, trademark, and manufacturing, for not only Januvia but also Janumet and Janumet XR. As a result, Chong Kun Dang now owns 2 original drugs in the diabetes market. Immediately after acquiring Januvia, Chong Kun Dang obtained approval for a series of combination drugs that contain lobeglitazone and sitagliptin. On the 2nd of last month, Chong Kun Dang obtained approval for DuviMet-S XR, a three-drug combination for diabetes consisting of lobeglitazone, sitagliptin, and metformin. With the addition of Duvie-S to the lot, Chong Kun Dang's Duvie-based diabetes lineup has increased to amount to a total of 4: Duvie Tab which was approved in 2013, DuviMet XR Tab that was approved in 2016 (lobeglitazone + metformin), and DuviMet-S SR Tab and Duvie S Tab that were added this year. The company is expected to continue expanding its diabetes treatment portfolio for some time. Chong Kun Dang is currently conducting 4 clinical trials to treat diabetes: Phase III clinical trials for CKD-383, CKD-398, and CKD-371 and Phase I clinical trials for CKD-379. Among them, CKD-383 and CKD-379 are three-drug combination drugs for diabetes, presumably a combination product based on Duvie or Januvia. Chong Kun Dang The industry predicted that the imminent expiry of Januvia's patent was behind Chong Kun Dang's rapid expansion of its diabetes portfolio. Januvia's patent is set to expire in September. About 100 companies, excluding Chong Kun Dang and MSD, are expected to simultaneously release single and combination drugs that contain sitagliptin at the time of patent expiry. With such fierce competition being expected, Chong Kun Dang’s move is interpreted as a strategy to preoccupy the market by releasing a combination drug based on sitagliptin and lobeglitazone 2-3 months in advance. In particular, in a situation where the growth of both its Duvie series and the Januvia series are have been slowing down, attention is focused on how much synergy the combination of the two drugs will bring to the market. According to the market research institution UBIST, Duvie and Duvimet recorded a combined prescription amount of KRW 25.4 billion last year. This was a slight increase from the KRW 25.1 billion it made in 2021. In Q1 this year, the drugs recorded KRW 6.1 billion, down KRW 100 million from the previous year. The Januvia series recorded prescription sales of KRW 162.5 billion last year. The amount decreased by 8% compared to the KRW 176.3 billion the series had made in 2021. In Q1 this year, prescription sales were KRW 37.9 billion, down 9% from the previous year.
Policy
When will the innovative generic price system be improved?
by
Lee, Tak-Sun
Jun 12, 2023 05:42am
As announced, the government-pharmaceutical working group for PVA improvement plans started on the 1st with the first meeting and got on track. The industry is complaining of frustration as there is no news about the plan for preferential drug prices for innovative new drugs whose working group has already ended or the reorganization of the generic drug price system that is being pursued together. According to the industry on the 7th, the PVA improvement plan working group will be held from the first meeting on the 1st to November. Originally, this working group was scheduled to run from May to August, but instead of being delayed by one month, the entire period was extended. The government plans to promote institutional improvement next year through a working group. The external research service, which is the basis for the improvement plan of the usage-drug price linkage system, has already been disclosed. The 'PVA Performance Evaluation and Improvement Study' participated by Bae Seung-jin, professor at Ewha Womans University Pharmacy, was also disclosed to the outside world in April. Looking at the main content, in the case of type Ka, currently, only cases where the billing amount increases by 30% or more are included in the negotiation target, but like Na and Da types, a plan to include items with a 10% increase in billing amount & 5 billion won or more presented. It also proposed a plan increase the efficiency of negotiations and system acceptance by raising the exclusion standard from the current claim amount of 2 billion won to 3 to 5 billion won. The core of the study results is to include more expensive drugs with high claims in the PVA negotiation target and to expand the exclusion of low-priced drugs. In the industry, different opinions are expressed depending on the size of the company. Rumor has it that the one-day meeting ended with sharing the results of the research service and simply listening to the opinions of the industry. The NHIS plans to have its staff members travel abroad to France, Japan, and Taiwan to come up with improvement plans. It has already been brought to Taiwan and is known to be planning to visit France and Japan this month. The industry is calmly participating in the fact that the PVA improvement plan has already been disclosed and the operation of the working group was scheduled. Rather, they are looking forward to a meeting to discuss the government's final plan for improving innovative new drugs, which ended in the first half of this year, and plans to improve the generic drug price system. The public-private consultative body to improve innovative new drugs ended after the 5th meeting in March, and the government is waiting for the final draft. The government never met with the industry in a situation where only the media reported that the government was promoting a plan to improve the generic drug price system. Some predict that there will be a face-to-face meeting with the industry after the government plans to prepare an internal draft for improving the generic drug price system by June. An official from the industry said, "This year, not only PVA but also various consultative bodies such as measures to improve the actual transaction price system are scheduled." He said, "The industry is interested in preferential treatment for innovative new drugs and reform of the generic drug price system, but the government's plan is not clear, so the industry is in a frustrating situation."
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