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Corporate Strategies - Pharma Intelligence
Corporate Strategies
Corporate Strategies - Pharma Intelligence
Fact File: Coronavirus Pipeline And Corporate Updates
Executive Summary                                   confirmed cases of COVID-19, the newly named
The coronavirus outbreak is at a tipping point,     disease caused by the coronavirus outbreak that
after which its development into a global           originated in Wuhan, China, at the end of 2019.
pandemic may be unstoppable. Companies large        According to the World Health Organization, there
and small have mobilized in the fight against the   have been more than 3,190 deaths from the virus
disease bringing new and repurposed treatment       and there are now cases recorded in 76 countries.
options into development and preparing their
business for the unsteady months ahead.             While more than 80,000 of the coronavirus
                                                    infections are in China, substantial outbreaks have
                                                    occurred in South Korea, Italy and Iran (see exhibit
                                                    1a & 1b).
As of March 4, 2020, there were more than 93,000

Exhibit 1a: The Five Worst Hit Countries

                                                                            Data correct as of 4 March 2020
                                                                                          Source: WHO Data

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Corporate Strategies - Pharma Intelligence
Exhibit 1b: Virus Spread Outside Of China

                                                                              Data correct as of 4 March 2020
                                                                                            Source: WHO Data

R&D Progress                                          have been launched in China to determine
Research efforts are now underway to investigate      the safety and efficacy of two existing antiviral
a range of novel and established drug platforms,      therapies: AbbVie Inc.’s HIV combination Kaletra
including repurposed medicines, prophylactic          (lopinavir and ritonavir) and Gilead Sciences
vaccines and therapeutic treatments against the       Inc.’s nucleotide analogue remdesivir, which was
virus, known as SARS-CoV-2 (see Exhibit 2).           already under development for Ebola.

The World Health Organization is leading the          According to data from Pharmaprojects there
charge by working with Chinese researchers to         are 35 vaccines and therapies in development
conduct rapid clinical trials of existing antiviral   against COVID-19, though the majority of recent
treatments to treat patients infected with SARS-      R&D efforts have been directed towards vaccine
CoV-2. It announced on 20 February that trials        approaches.

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Corporate Strategies - Pharma Intelligence
Exhibit 2: COVID-19 Development Pipeline In March 2020

                                                                        Data correct as of 4 March 2020
                                                   Source: Pharmaprojects | Informa Pharma Intelligence

4 / March 2020                                           © Informa UK Ltd 2020 (Unauthorized photocopying prohibited.)
A vaccine from US biotech firm Moderna Inc.           their programs for SARS-CoV-2. US biotech Inovio
for COVID-19 has been readied for a Phase I           Pharmaceuticals Inc. has said it is preparing its
trial, moving from the lab to ready for testing       vaccine INO-4700 for clinical studies as early as
in humans in a remarkable 42 days. It uses            this summer. The Nasdaq-listed firm recently
messenger RNA (mRNA) technology. The                  partnered with Beijing Advaccine for tests on
Cambridge, MA-based company shipped its               patients with COVID-19 disease in China.
mRNA-1273 vaccine to the National Institute
of Allergy and Infectious Diseases (NIAID) on         UK-based GlaxoSmithKline PLC is also partnering
24 February for use in a US Phase I study. It         with Chinese firm Clover Corp. Ltd. to develop a
targets a pre-fusion stabilized form of the Spike     novel protein-based COVID-19 S-Trimer vaccine,
protein, selected by the firm in collaboration with   developed by Clover. GSK will provide the
investigators at the NIAID’s Vaccine Research         company with its pandemic adjuvant system to
Center. (Also see “Moderna Marches First              evaluate the candidate in preclinical studies, and
Coronavirus Vaccine To US Test “ - Scrip, 25 Feb,     Clover is readying its cGMP facilities in China for
2020.)                                                scale-up and mass production.

To date, Moderna has produced and released            Johnson & Johnson and Sanofi Pasteur meanwhile
more than 100 batches of the vaccine candidate        are partnering with the US Department of Health
from its Norwood manufacturing site for human         and Human Services to develop vaccines against
clinical trials.                                      the outbreak. Sanofi Pasteur, the vaccines division
                                                      of Paris-based Sanofi, has confirmed a new
Messenger RNA is increasingly becoming a              research effort being funded by the US agency
leading technology in fighting virus outbreaks and    BARDA, which will focus on bringing a new vaccine
Moderna is developing six vaccines: a respiratory     into in vitro testing within six months and into
syncytial virus (RSV) vaccine for older adults,       initial clinical trials within 12-18 months.
an RSV vaccine for young children, a meta-
pneumovirus vaccine, influenza H7N9 vaccine and       Despite the rapidity of the response from vaccine
the COVID-19 vaccine.                                 companies, these 12-18 month timelines will not
                                                      see the vaccines distributed on a mass scale,
Meanwhile, on 4 March, Vir Biotechnology Inc.         which could take at least another 12 months.
and Alnylam Pharmaceuticals Inc. announced            By this time, the coronavirus threat may have
that they would move forward with one or more         receded or, alternatively, grown. Experts say the
RNAi (RNA interference) therapeutics targeting        profile of the disease – less frequently deadly
SARS-CoV-2. The companies are expanding on a          than the SARS outbreak of 2002-03, but more
2017 alliance to utilize Alnylam’s recent advances    easily transmitted – suggests it could become a
in lung delivery of novel conjugates of siRNA –       permanent background threat similar to seasonal
the molecules that mediate RNAi – together with       influenza.
Vir’s infectious disease expertise. They expect to
progress one or more siRNAs to treat SARS-CoV-2       Biopharma Market Worries
and potentially other coronaviruses as well. Vir      Major events worldwide, such as Facebook’s
will lead all development and commercialization       annual F8 Conference in San Jose, CA, and the
of any selected candidates.                           World Indoor Championships in Nanjing, China,
                                                      have been cancelled – with rumors that the
Multiple other vaccine developers are accelerating    Olympics games, due to begin on July 24 in Tokyo,

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could also be postponed. In the biopharma            Anxiety about the continuing spread of
sector, two conferences scheduled to take place in   coronavirus is also evidenced by companies
Amsterdam in March – the Medicines for Europe        cutting back on appearances at investor
conference on biosimilars and the World Pharma       conferences and advising employees to eliminate
Pricing Congress – have been postponed until         unnecessary travel.
September.

Global Reach Of Coronavirus

For the moment, Vertex and Seattle Genetics          The global outbreak and its disruption of travel
represent the most cautious response, as many        and business has had an immediate impact on the
other companies carried on plans for the Cowen       economic outlook: $1.7tn was wiped off US stock
conference – including Merck & Co. Inc. and          market values last week, with pharma majors
Alnylam Pharmaceuticals Inc..                        such as Pfizer Inc. and Merck & Co. Inc. as badly
                                                     affected as any another blue chip company.

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Medtech Ups And Downs
Investor fears are at an all-time high over the       And market leader Medtronic PLC has also
impact of coronavirus and companies are having        reported that it will be impacted financially by the
to act now on decision-making to protect overall      reduction in elective surgeries in China related
performances in 2020. The outbreak has been           to the outbreak. The country accounts for 7% of
likened to the SARS epidemic in 2002-03, but          the company’s global business, generating about
China’s economy is seven times larger now             $2.14bn for Medtronic in 2019. China is also the
that it was then, making up 16% of global GDP,        location of Medtronic’s largest manufacturing and
compared with 4% in 2003.                             research facilities outside of the US.

In the medtech sector, supply chain disruption        But it is not all doom and gloom for every
and a decrease in elective surgeries are having       medtech company. Manufacturers of syringes
the biggest impact on the industry. Medtech           and sets for blood collection could be one of
multinationals with manufacturing plants              the biggest financial winners in the outbreak, so
clustered in China are expecting disruption to        Becton Dickinson & Co. could see a financial boost
supply chains due to travel bans and quarantine       from the crisis.
measures. Boston Scientific Corp. management
announced that it expects the outbreak to lead        The pandemic has also increased demand for
to a $10-40m loss in first-quarter sales with lower   respiratory masks and protective gear. The share
procedures volumes and disrupted supply chains        price for conglomerate 3M Co. has risen since
in China. Travel limitations are also expected to     the outbreak as a result of an increase in sales of
hinder exports from China to the US and Europe        the company’s face masks. 3M announced it had
for finishing product assembly.                       increased production to meet demand.

The virus has caused uncertainty for Smith &          Medtech companies in the race to produce a
Nephew PLC’s 2020 outlook. China accounts for         diagnostic test for COVID-19 may also begin first
7% of the orthopedics company’s revenues and          sales this month. French company Novacyt SA
has been a key growth driver to its business. The     announced it has signed its first major agreement
company’s annual results showed that emerging         with a distributor to supply a COVID-19 test to two
markets, including China, helped boost revenues       Asian territories outside mainland China. Initial
in 2019 with sales in the region up 16.6% in the      sales, which are subject to local emergency-use
fourth quarter. During its 20 February sales and      approval, are anticipated to be £2.1m during the
earnings call, Smith & Nephew executives said         first six months of the agreement. It is anticipated
the company expects a considerable impact             that the first sales under this agreement will take
on business in February as a result of a lack of      place in March 2020.
elective surgeries taking place in China.
                                                      Utah-based diagnostics company Co-Diagnostics
Philips Healthcare echoed those concerns in its       has also announced a CE mark for its Logix Smart
2019 annual results call, saying overall demand in    Coronavirus COVID-19 Test to be sold as an in
China had suffered.                                   vitro diagnostic.

For full coverage on Coronavirus from In Vivo,
please click here

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