Sept 2 (Reuters) - Sanofi's most advanced
multiple sclerosis drug candidate has missed the main goal of
two late-stage trials to treat relapsing forms of the disease,
but in a positive surprise succeeded in a study on a less common
form of progressive MS.
Investors focused on the good news, with analysts saying the
trial failure for tolebrutinib in the common relapsing form of
the disease, where isolated flare-ups temporarily subside, had
been widely expected as a similar compound had fallen short.
The shares jumped as much as 4.5% on Monday and were 3%
higher at 0731 GMT, reaching a ten-month high.
"Despite mixed news, tolebrutinib now appears a largely
de-risked perhaps $1-2 billion opportunity," Jefferies analysts
said in a research note.
The French drugmaker said on Monday that two Phase III
trials showed that experimental daily pill tolebrutinib was not
better than its established MS drug Aubagio in reducing relapse
rates in the common relapsing type of MS.
In a mitigation of the setback, Sanofi said a separate third
late-stage trial showed that tolebrutinib met the main goal to
treat a progressive - or steadily worsening - form of MS, which
is less common, and which currently cannot be treated.
In that trial, the Sanofi drug candidate slowed disability
progression when compared with a placebo, an ineffective dummy
drug.
"Tolebrutinib represents an unprecedented breakthrough as a
potential first-in-disease treatment option with clinically
meaningful benefit in disability accumulation," said Houman
Ashrafian, Sanofi's head of research & development.
The company added it would discuss those results with
regulators, aiming to file for approval by the end of 2024.
Sanofi is pursuing several opportunities in MS, a
debilitating nerve disease, to offset revenue losses after the
recent end of the Aubagio pill's patent protection, part of a
push to become a powerhouse in anti-inflammatory drugs.
CEO Paul Hudson has been trying to regain investor
confidence in the pharma pipeline since he unexpectedly
abandoned 2025 margin targets last October to boost drug
development spending.
Shares have bounced back somewhat over recent months on the
strength of drug launches including Beyfortus to protect infants
against a common respiratory infection.
Tolebrutinib, from the $3.7 billion takeover of Principia in
2020, belongs to a class of compounds known as Bruton's tyrosine
kinase (BTK) inhibitors, which has also attracted Novartis
, Roche and Merck.
They are designed to selectively block the harmful
autoimmune reaction behind MS for a more targeted approach than
standard immunosuppressant drugs.
Investors however have been kept on edge over revenue
prospects because of a possible link to liver damage and
uncertain efficacy.
In 2022, concerns over liver damage led to a halt in the
enrolment of new patients in three of Sanofi's tolebrutinib
studies that were still recruiting volunteers at the time.
On Monday, Sanofi only said liver safety was consistent with
previous studies, with more data to be disclosed on Sept. 20.
Merck's BTK inhibitor last December failed to beat
off-patent Aubagio on efficacy in MS trials, hitting confidence
in the wider drug class.
Roche subsidiary Genentech is still in the race, but safety
concerns also emerged last November. Rival Novartis has said its
BTK drug candidate had shown no signs of liver damage.
Sanofi on Monday only provided a brief summary of the
trials, holding off details for a medical conference in
Copenhagen on Sept. 20.
Another Phase III study known as PERSEUS in another
progressive form of MS is still ongoing, with results expected
in 2025, Sanofi added. The French group is also working on MS
candidate frexalimab in earlier development stages.