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STAT+: Pharmalittle: We’re reading about Medicare’s obesity drug pilot, an experimental Roche MS drug, and more

Good morning, everyone, and welcome to the middle of the week. Congratulations on making it this far, and remember there are only a few more days until the weekend arrives. So keep plugging away. After all, what are the alternatives? While you ponder the possibilities, we invite you to join us for a delightful cup of stimulation. Our choice today is maple cinnamon French toast. Remember that no prescription is required — so no co-pay or rebate is involved. Meanwhile, here is the latest menu of tidbits to help you on your way. Have a wonderful day and please do stay in touch. …

The Trump administration had planned for insurers to provide cheap weight loss drugs to seniors through a Medicare pilot program, but insurers said no, so the government will instead cover the drugs outside of the Medicare Part D drug benefit, STAT explains. Last year, the Trump administration struck a deal with Eli Lilly and Novo Nordisk to lower the prices of their popular obesity drugs in exchange for expanding access to those drugs in Medicare and Medicaid. The hitch was that insurers had to agree to participate in the pilot, called BALANCE, even though they would likely have faced a financial strain by doing so. The drugmakers agreed to sell the treatments for $245 a month in Medicare and Medicaid, but Medicare promised that  beneficiaries would only pay $50 each month. And the pilot could only proceed if Medicare Part D drug plans covering at least 80% of enrollees agreed to participate.

Amazon is launching a program that provides access to GLP-1 treatments through its One Medical primary care arm, The Wall Street Journal notes. The program is designed to provide continuing medical supervision — allowing clinicians to monitor progress, adjust treatments, and address related health conditions — compared with one-off weight-management solutions from other providers. With the program, customers can get Novo Nordisk’s Wegovy and Eli Lilly’s Foundayo weight loss pills starting at $25 a month with insurance coverage, or $149 a month for cash-pay options. The cash-pay price for a starter dose aligns with those offered through programs from Hims & Hers Health, Walgreens, and Weight Watchers. Several companies in the weight loss market saw their stocks pull back after Amazon’s announcement. Shares of Hims & Hers closed down 4% at $29.76 on Tuesday. Weight Watchers declined 8.8%, and Novo Nordisk fell 2.6%.

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Good morning, everyone, and welcome to the middle of the week. Congratulations on making it this far, and remember there are only a few more days until the weekend arrives. So keep plugging away. After all, what are the alternatives? While you ponder the possibilities, we invite you to join us for a delightful cup of stimulation. Our choice today is maple cinnamon French toast. Remember that no prescription is required — so no co-pay or rebate is involved. Meanwhile, here is the latest menu of tidbits to help you on your way. Have a wonderful day and please do stay in touch. …

The Trump administration had planned for insurers to provide cheap weight loss drugs to seniors through a Medicare pilot program, but insurers said no, so the government will instead cover the drugs outside of the Medicare Part D drug benefit, STAT explains. Last year, the Trump administration struck a deal with Eli Lilly and Novo Nordisk to lower the prices of their popular obesity drugs in exchange for expanding access to those drugs in Medicare and Medicaid. The hitch was that insurers had to agree to participate in the pilot, called BALANCE, even though they would likely have faced a financial strain by doing so. The drugmakers agreed to sell the treatments for $245 a month in Medicare and Medicaid, but Medicare promised that  beneficiaries would only pay $50 each month. And the pilot could only proceed if Medicare Part D drug plans covering at least 80% of enrollees agreed to participate.

Amazon is launching a program that provides access to GLP-1 treatments through its One Medical primary care arm, The Wall Street Journal notes. The program is designed to provide continuing medical supervision — allowing clinicians to monitor progress, adjust treatments, and address related health conditions — compared with one-off weight-management solutions from other providers. With the program, customers can get Novo Nordisk’s Wegovy and Eli Lilly’s Foundayo weight loss pills starting at $25 a month with insurance coverage, or $149 a month for cash-pay options. The cash-pay price for a starter dose aligns with those offered through programs from Hims & Hers Health, Walgreens, and Weight Watchers. Several companies in the weight loss market saw their stocks pull back after Amazon’s announcement. Shares of Hims & Hers closed down 4% at $29.76 on Tuesday. Weight Watchers declined 8.8%, and Novo Nordisk fell 2.6%.

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Pharma-backed petition calls on FDA to reform release of drug rejection letters

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The FDA for the first time is facing pharma-backed criticism of its new practice of publicly releasing partially redacted drug rejection letters.

The law firm Covington & Burling, on behalf of an unnamed pharmaceutical company …

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Viral Contamination Still a Challenge for CGT Industry

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Raw material testing will remain the foundation of cell and gene therapy (CGT) sector quality control strategies for the foreseeable future, according to new analysis, which shows the industry still lacks suitable virus detection and inactivation methods.

Biopharmaceutical raw materials—the culture media ingredients, the reagents, and even the production cell lines themselves—are the biggest source of viral contamination in drug manufacturing.

To mitigate the risks, the protein drug industry has developed downstream virus detection, inactivation, and removal strategies to make sure products do not pose an infection risk.

For CGT firms, ensuring products are virus safe is more of a challenge, says Yoshiaki Maruyama, PhD, from the office of cellular and tissue-based products at Japan’s Pharmaceuticals and Medical Devices Agency (PMDA).

“Viral contamination of CGT products may arise from virus-contaminated raw materials or ancillary materials of human or animal origin or from the inadvertent introduction of viruses during the manufacturing process.

“Appropriate raw material controls and robust quality control parameters must be established and maintained throughout the manufacturing process to effectively manage the risk of viral contamination,” he tells GEN.

Inactivation and removal challenges

The big problem is that cell and gene therapies are too sensitive to survive current viral inactivation methods, most of which were developed with protein therapeutics in mind.

Maruyama says, “Most conventional virus inactivation or removal processes inevitably result in cell damage or loss in cell therapy and tissue-engineered products or adversely affect viral vectors in gene therapy products.”

As a result, CGT sector quality control efforts have focused on screening raw materials and finished products, according to Maruyama, who looked at current regulations and common approaches in a recent study.

“In the CGT sector, viral safety is achieved by implementing a comprehensive viral testing program. The use of inactivation and removal processes is challenging for CGT products and raw materials, so quality control strategies relying on screening are generally used,” he says.

Technological solutions?

In future, technologies may play a greater role, according to Maruyama, who says, “

“NGS technologies are expected to be applicable to the detection of adventitious viruses in human or animal cells. NGS offers a powerful, unbiased approach for detecting known and unknown viral contaminants,” they write.

However, as the authors point out, further development will be required as NGS systems detect nucleic acids rather than viable, infectious virus particles.

“Currently, there are no globally accepted NGS-based procedures or validated analytical methods that have reached a consensus on their use as substitutes for conventional viral tests. Therefore, the use of NGS as an alternative to conventional viral tests, including reducing the use of experimental animals, requires further evaluation depending on the specific test to be replaced,” they write.

And in the future, artificial intelligence (AI) systems may also play a role.

“This is largely speculative, and there are currently no concrete examples, but AI-based tools have been applied to manufacturing control for deviation prediction and similar approaches might also be useful for controlling viral contamination risks in CGT products and raw materials,” he says.

The post Viral Contamination Still a Challenge for CGT Industry appeared first on GEN – Genetic Engineering and Biotechnology News.

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Revolution drug shows promise in early pancreatic cancer

The findings build on data suggesting Revolution’s therapy could upend treatment for a notoriously tough-to-treat tumor and generate billions in sales.

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The findings build on data suggesting Revolution’s therapy could upend treatment for a notoriously tough-to-treat tumor and generate billions in sales.

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