Drug efficacy is critical

When you look up the drugs that fail due to lack efficacy in a Biotech company database such as this one, there are so many companies that fail because the drug was not efficacious – which means that it did not work as shown by the clinical trial. It is possible that the company is just trying different cancers or indications for their drug but according to us, a good clinical biomarker can help, but wonder if these companies realize it?  It is a lot of resources in time and money that are wasted if the pharmaceutical fails on efficacy in the later stages. Interesting to note that it is a mix of big Pharma and small Biotech and since many of these “drugs” are antibodies they are not failing on toxicity as much.
Here are some failures in 2016/2017:

Acorda
Dalfampridine    Post stroke deficits    Phase 3     Phase 3 data released November 21, 2016 – failed to show efficacy, development to be discontinued.

Aquinox
AQX-1125 KINSHIP    Atopic dermatitis (AD)    Phase 2     Phase 2 failed to demonstrate efficacy November 2015

AstraZeneca PLC
Bydureon     Type 2 Diabetes     Phase 3     Phase 3 Cardiovascular Outcome trial data released September 14, 2017 – primary efficacy objective of a superior reduction in MACE missed statistical significance (p=0.061).

Cidara Therapeutics
CD101 Topical – RADIANT    Vulvovaginal candidiasis (VVC)    Phase 2     Phase 2 data released February 21, 2017 – efficacy not evident, Development to be discontinued.

Celgene
GED-0301 (CD-002)    Crohn’s disease    Phase 3     Phase 3 trial to discontinue due to lack of efficacy – noted October 19, 2017.

Endocyte
vintafolide    Cancer – ovarian    Phase 3     Trial stopped due to poor efficacy

Galena Biopharma
NeuVax (E75) – PRESENT    Low-to-intermediate HER2+ breast cancer    Phase 3     Phase 3 trial terminated due to poor efficacy.

Global Blood Therapeutics
GBT440    Hypoxemia in patients with idiopathic pulmonary fibrosis (IPF) who are on supplemental oxygen at rest    Phase 2a     Phase 2a discontinuation announced October 23, 2017 due to lack of efficacy.

Halozyme Therapeutics
FOLFIRINOX and PEGPH20     Pancreatic and gastric cancers    Phase 1/2     Phase 1/2 enrollment closed due to lack of efficacy.

Immunomedics
Clivatuzumab tetraxetan    Cancer – Pancreatic    Phase 3     Phase 3 trial terminated due to poor efficacy

Incyte
Ruxolitinib    Colorectal cancer    Phase 2     Phase 2 trial stopped January 2016 due to lack of efficacy

Ruxolitinib – JANUS 1 and JANUS 2    Cancer – Pancreatic    Phase 3     Phase 3 trial discontinued due to lack of efficacy

Merrimack
MM-302 HERMIONE    Cancer – HER2-positive locally advanced or metastatic breast cancer    Phase 2     Phase 2 trial discontinued December 21, 2016 due to poor efficacy.

Melinta
Solithromycin    NASH    Phase 2     Phase 2 interim data released September 30, 2016. Noted February 28, 2017 that development has been suspended due to lack of efficacy.

Momenta
Necuparanib (MOM-M402-103)    Advanced metastatic pancreatic cancer    Phase 1/2     Phase 2 development discontinued due to poor efficacy shown

Merck & Co
MK-8931 (017) – Verubecestat    Mild-to-moderate Alzheimer’s    Phase 3     Phase 3 trial stopped due to lack of efficacy – February 14, 2017.

Neothetics
LIPO-202    Reduction of localized fat deposits under the chin (submental fat)    Phase 2     Phase 3 endpoints not met December 2015. Phase 2 trial initiated December 23, 2016 with data released June 26, 2017 – no efficacy shown

Novavax
RSV vaccine – Resolve trial    Respiratory Syncytial Virus (RSV) in older adults    Phase 3     Phase 3 released September 15, 2016 did not demonstrate efficacy.

Sierra Oncology
PNT2258    Relapsed or refractory diffuse large B-cell lymphoma (DLBCL) – cancer    Phase 2     Discontinued following poor efficacy – June 2016

Synthetic Biologics Inc
Trimesta    Relapsing-remitting MS in women    Phase 2     License terminated following lack of efficacy shown February 2016

Verastem
VS-6063    Mesothelioma prior to surgery    Phase 2     Phase 2 interim analysis showed lack of efficacy. Trial stopped. September 2015

XBiotech
Xilonix    Colorectal cancer    Phase 3     Phase 3 interim analysis announced June 9, 2017 – trial to be terminated due to lack of efficacy.


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