It is the gold standard of success in biotech, but not many
Australian companies can boast it – approval from the United States
Food & Drug Administration (FDA) of a medicine you have
researched and developed.
Sydney based Pharmaxis (ASX: PXS) has reached the top biotech
echelon with the US agency’s approval of its cystic fibrosis
treatment Bronchitol® (mannitol).
Bronchitol is now cleared for sale in the US as an add‐on
maintenance therapy to improve pulmonary function in cystic
fibrosis (CF) patients 18 years of age and older. The product – an
inhaled dry powder – is already sold in Europe, Russia and
Australia, and now will be available to patients in one of the
world’s largest markets.
Pharmaxis will manufacture, package and export the product to
the USA from its purpose‐built Sydney factory where high tech
equipment transforms a powder into tiny particles that can be
inhaled via a hand‐held device.
FDA approval is a “transformational step” for Pharmaxis, says
Gary Phillips, chief executive officer of Pharmaxis. “We’re very
pleased that Bronchitol, an Australian drug discovery, will now be
available for patients in the USA. FDA approval is a testament to
the capability of our team, who conducted the three large‐scale
Phase 3 clinical trials that established Bronchitol’s safety and
efficacy.”
Bronchitol joins Pharmaxis' first commercial product from its
mannitol platform, Aridol, as being FDA‐approved. Aridol is a lung
function test designed to help doctors diagnose and manage asthma
by detecting active airway inflammation through measuring airway
hyper‐responsiveness. Patients inhale increasing doses of Aridol
through a simple hand‐held device: respiratory clinicians
administering the test measure the patient's lung function to
identify airway inflammation, which can help doctors in providing
appropriate asthma treatment.
What makes Bronchitol’s FDA approval so transformational for the
company and its shareholders, says Phillips, is that it triggers
cash flows that bankroll the company to take its PXS‐5505 drug
candidate, aimed at myelofibrosis in adults, through its planned
Phase 1c/2 trials. The ultimate aim of the transformation, he says,
is to make Pharmaxis a global leader in myelofibrosis, and flowing
from that, to develop PXS‐5505’s potential in several other
cancers, including liver and pancreatic cancers.
“With the two mannitol products in the marketplace and
generating revenue, we can shift the focus to our pipeline of
small‐molecule drugs for big diseases. It’s already enabling us to
put the most promising of those, PXS‐5505 into Phase 1c/2 trials,”
he says.
PXS‐5505 inhibits all the lysyl oxidase (LOX) family of enzymes,
which play a crucial role in the development of severe fibrosis, as
well as cancers to which fibrosis contributes. The drug is being
aimed in the first instance at myelofibrosis, a rare cancer in
which normal bone marrow tissue is gradually replaced with a
fibrous scar‐like material; over time, this leads to progressive
bone marrow failure preventing the production of adequate numbers
of red cells, white cells and platelets. Myelofibrosis has a poor
prognosis and limited therapeutic options.
Because there is no effective treatment, earlier this year the
FDA granted Pharmaxis “orphan drug” designation for PXS‐5505 for
treatment of myelofibrosis. This is a special status granted to a
drug to treat a rare disease or condition; the designation means
that PXS‐5505 can potentially be fast‐ tracked, and receive tax and
other concessions to help it get to market. The FDA has also given
Pharmaxis Investigational New Drug (IND) approval to proceed to
Phase 1c/2 trials with PXS‐5505.
“All the building blocks are in place now for the Phase 2 trial,
and we expect to start recruiting for the study in the first
quarter of 2021, and conclude it by the end of 2022,” says
Phillips. “The aim is to show that our drug is disease‐modifying,
and will make a real difference to patients with myelofibrosis.
That is an attractive market, at more than US$1 billion ($1.4
billion) a year.
“While our primary focus is the development of PXS‐5505 for
myelofibrosis, the drug also has potential in several other cancers
including liver and pancreatic cancers, where it aims to breakdown
the fibrotic tissue in the tumour and enhance the effect of
existing chemotherapy,” adds Phillips. “We already have a lot of
interest in the drug from other clinicians, and they’re proposing
to do studies of the drug in other cancers. Naturally, we’re very
keen to supply the drug to any such trials.”
Importantly, Bronchitol’s approval by the FDA gives Pharmaxis
the financial runway to see PXS‐5505 fully through the clinical
trial process, starting with milestone payments from development
and commercialisation partner Chiesi USA, the American affiliate of
Italian global pharmaceutical company Chiesi Farmaceutici S.p.A,
which is responsible for the regulatory approval and
commercialisation of Bronchitol. With FDA approval, Chiesi will now
pay a US$7 million ($9.9 million) milestone to Pharmaxis, with a
further US$3 million ($4.2 million) payable on shipment by
Pharmaxis of commercial launch stock, scheduled for the first
quarter of 2021.
“With the milestone payments that we will get from Chiesi, plus
the existing cash in the company, plus ongoing sales revenue from
Bronchitol and Aridol, our funding situation for PXS‐5505 is
assured,” says Phillips. “Our long term supply contracts with
Bronchitol and Aridol distribution partners minimises our exposure
to the commercial risks and secures a steady revenue stream. The
focus for investors becomes PXS‐5505 and the rest of our
anti‐fibrotic LOX program.
“PXS‐5505 has a unique mechanism of action that has the
potential for disease modification, and we’re looking forward to
seeing the effect of this drug in clinical trials,” adds
Phillips.
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Forward‐Looking Statements
Forward‐looking statements in this media release include
statements regarding our expectations, beliefs, hopes, goals,
intentions, initiatives or strategies, including statements
regarding the potential of products and drug candidates. All
forward‐looking statements included in this media release are based
upon information available to us as of the date hereof. Actual
results, performance or achievements could be significantly
different from those expressed in, or implied by, these
forward‐looking statements. These forward‐looking statements are
not guarantees or predictions of future results, levels of
performance, and involve known and unknown risks, uncertainties and
other factors, many of which are beyond our control, and which may
cause actual results to differ materially from those expressed in
the statements contained in this document. For example, despite our
efforts there is no certainty that we will be successful in
partnering our LOXL2 program or any of the other products in our
pipeline on commercially acceptable terms, in a timely fashion or
at all. Except as required by law we undertake no obligation to
update these forward‐looking statements as a result of new
information, future events or otherwise.
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version on businesswire.com: https://www.businesswire.com/news/home/20201102005343/en/
Media: Felicity Moffatt T +61 418 677 701 E
felicity.moffatt@pharmaxis.com.au
Investor relations: Rudi Michelson (Monsoon
Communications) T +61 411 402 737 E rudim@monsoon.com.au
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