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Amarin Corp PLC

Amarin Corp PLC (AMRN)

0.6864
-0.0186
(-2.64%)
Closed July 04 4:00PM
0.6979
0.0115
(1.68%)
After Hours: 4:59PM

Professional-Grade Tools, for Individual Investors.

Key stats and details

Current Price
0.6864
Bid
0.6949
Ask
0.705
Volume
721,053
0.6814 Day's Range 0.72
0.00 52 Week Range 0.00
Market Cap
Previous Close
0.705
Open
0.71
Last Trade Time
Financial Volume
$ 504,574
VWAP
0.699774
Average Volume (3m)
-
Shares Outstanding
410,868,659
Dividend Yield
-
PE Ratio
-
Earnings Per Share (EPS)
-
Revenue
-
Net Profit
-

About Amarin Corp PLC

Amarin Corp PLC is a biopharmaceutical company. It is focused on the commercialization and development of therapeutics to improve cardiovascular health. Its lead product includes Vascepa. Amarin Corp PLC is a biopharmaceutical company. It is focused on the commercialization and development of therapeutics to improve cardiovascular health. Its lead product includes Vascepa.

Sector
Pharmaceutical Preparations
Industry
Pharmaceutical Preparations
Headquarters
London, Gbr
Founded
1970
Amarin Corp PLC is listed in the Pharmaceutical Preparations sector of the NASDAQ with ticker AMRN. The last closing price for Amarin was $0.71. Over the last year, Amarin shares have traded in a share price range of $ 0.00 to $ 0.00.

Amarin currently has 410,868,659 shares outstanding.

AMRN Latest News

Amarin Board of Directors Announces CEO Transition

-- Board Appoints Aaron Berg as President & CEO -- -- Patrick Holt to Step Down as President & CEO to Pursue Other Opportunities -- DUBLIN and BRIDGEWATER, N.J., June 04, 2024 (GLOBE...

 Amarin Receives National Reimbursement for VAZKEPA® (icosapent ethyl) in Greece and Announces Exclusive Marketing and Commercialization Agreement with Vianex S.A.

-- Greek Ministry of Health approved VAZKEPA® (icosapent ethyl) for national reimbursement to reduce cardiovascular risk in statin-treated adult patients with elevated triglycerides (≥ 150 mg/ml...

Amarin to Present at H.C. Wainwright 2nd Annual BioConnect Investor Conference

DUBLIN, Ireland and BRIDGEWATER, N.J., May 06, 2024 (GLOBE NEWSWIRE) -- Amarin Corporation plc (NASDAQ: AMRN) today announced that Patrick Holt, Amarin’s president and chief executive officer...

 Amarin Reports First Quarter 2024 Business Update and Financial Results

-- New VAZKEPA® Patent Issued by European Patent Office Extends Intellectual Property Protection in Europe Until 2039 -- -- In Europe, ~35% Revenue Growth, ~65% In-Market Sales Growth Q1 ‘24...

Amarin Applauds HealthyWomen’s Citizen’s Petition Urging FDA To Take Further Action On Fenofibrate Prescribing in Patients at Risk of Cardiovascular Event

DUBLIN, Ireland and BRIDGEWATER, N.J., April 24, 2024 (GLOBE NEWSWIRE) -- Amarin Corporation plc (NASDAQ:AMRN) today announced its support for a petition filed with the U.S. Food and Drug...

Amarin Announces Results of Annual General Meeting of Shareholders

DUBLIN, Ireland and BRIDGEWATER, N.J., April 22, 2024 (GLOBE NEWSWIRE) -- Amarin Corporation plc (NASDAQ:AMRN) today announced shareholder approval of all proposed resolutions specified at its...

Amarin to Report First Quarter 2024 Financial Results and Host Conference Call on May 1, 2024

DUBLIN, Ireland and BRIDGEWATER, N.J., April 15, 2024 (GLOBE NEWSWIRE) -- Amarin Corporation plc (NASDAQ:AMRN) today announced that it will host a conference call with Patrick Holt, President...

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AMRN Discussion

View Posts
Number sleven Number sleven 11 hours ago
Sts, Hikma made an advertising mistake. They claimed that their generic was approved for our indication without actually making a CVD label claim. That in combination with portions of the generic label opens them up to litigation. The other generic companies didn't make the same mistake. Rulings that happen as this suit progresses might open up legal action against the other generic companies. Negotiating exclusive agreements with insurance companies or PBM's is probably considered an overt act proving inducement.
Sleven,
👍️0
rosemountbomber rosemountbomber 11 hours ago
STS, I think the reason that it is hard for too many people to get too worked up about this is that it will be a long, long, and winding road for it to run to conclusion if Amarin were to prevail. Years, maybe close to a decade with appeals and such. Some think Amarin won't exist in the form it is now by the time this is settled. Hopefully that is a very pessimistic outlook and something transpires to bring this to the forefront in a much quicker timeframe.
👍️0
sts66 sts66 11 hours ago
Thanks for the info - generic labels being the same is big - if Hikma loses they all have to stop selling GV for CVD use, which is 99% of their sales. I assume the 1st case was to accuse Hikma of potential patent/label violations, and the 2nd one is actual infringement because AMRN had a few years of GV sales to look at to prove infringement? Sort of surprised AMRN didn't issue a PR about the 2nd suit - I don't recall getting an email alert from IR about this, but if it was in an email that just said "new 8-K filed" I could have missed it - I don't read half of those because they're essentially meaningless. But I would think someone would have written about this for Seeking Alpha, or an author who follows AMRN would have said something about it in comments for a different AMRN article. If I don't get an email alert directly from a company or from SA it's like it never happened, I won't know about it. That's one of the big reasons I just left Schwab (damn I miss TDA!) for Fidelity - Schwab won't send you email alerts when one of your stocks go ex-div, or alert you the day before payable date so I didn't know to check the website to download transactions and update Excel and my stock software cost basis. This made the transition to Fido way, way more difficult than it should have been (still ain't over) - I reinvest all divs, and 3 of my stocks/funds paid divs (new shrs to me) after I started the transfer - I would have waited another week to do it had I known divs were coming. You can't transfer fractional shrs for some reason, so I had to adjust the basis for those 3 twice, once for the original stock transfer and then for the DRIP shrs.

After re-reading what I wrote I'm even more flabbergasted that nobody on SA has written about this lawsuit - am I wrong in thinking this is a big deal for AMRN and the generics?
👍️0
Jasbg Jasbg 12 hours ago
liamlinden, Up $128k - did you sell then ? 🙂
👍️0
Monk4444 Monk4444 12 hours ago
BAM
I’ll buy all 10 of your shares for
$2.70 now
👍️ 1
couldbebetter couldbebetter 13 hours ago
Strange that with so much proof that pure EPA is beneficial
for patients with CVD yet Vascepa will remain unknown in the
US. However, I hope Europe will turn out different. With exclusivity
running to 2039 one would think there has to be a BP out there who
could turn Vazkepa into a blockbuster product. With Dr. Bhatt on the
BOD of BMY you have to wonder if he ever puts forward a BO idea
so that at least Vazkepa could have a shot with BP backing in Europe.
What is the point of all these positive studies if nobody is willing and
able to sell the drug?
👍️ 1
CaptBeer CaptBeer 13 hours ago
Yep, It's the EPA Stupid!
Now out in @JAHA_AHA, more data supporting the cardiovascular benefits of EPA. #cardiology #cardiotwitter #cardioX https://t.co/YqnbTmCeMm— Dr. Deepak L. Bhatt (@DLBHATTMD) July 3, 2024
👍️ 1
BAM62 BAM62 14 hours ago
I’d take $2.70.
🤡 2
liamlinden liamlinden 15 hours ago
Rose The CEO Kelly martin told me before the AGM that he found out about the pml when he got off the plane in new york his mobile was beeping ring tones for 15 minutes .Never know a CEO personally to speak 2 it spells disaster.Elan and Amarin had similar journeys but in the end I came out ok with Elan.This day 5 years ago I went from Detroit to Grand Rapids for 4th of July and when we got to Grand Rapids I was up $128k when i got out of the car .
👍️0
Number sleven Number sleven 15 hours ago
Captain, I doubt it. China made Mochida run an independent study in order to apply for the SHTG indication.
Sleven,
👍️ 1
ralphey ralphey 16 hours ago
Sixty Eight pennies and yet hope springs eternal for the desperate housewives of Investors HUb . That CAD AMRN wont even pump you anymore !
👍️0
Monk4444 Monk4444 16 hours ago
I’ll take $27 also
👍️ 1
JRoon71 JRoon71 17 hours ago
Liam, thanks for that backstory. My biggest fear is Sarissa doing something sinister to come out ahead on this. We can only hope that Denner has learned his lesson by being sued for insider trading and violating his fiduciary oath in the Bioverativ lawsuit. This is why I always have a skeptical eye towards hedge fund managers, activist shareholders, etc. And with Sarissa controlling the entire board and company that risk is only magnified.
👍️0
rosemountbomber rosemountbomber 17 hours ago
Liam, I remember well (actually tried to forget) as I was long time invested in Elan as well. Stock had a roller coaster ride a few times. Death spiral. Bapineuzimab was the the AD drug. They also had a situation where their MS drug, Tysabri was found to have caused PML in a few cases. Quite a history.
👍️0
liamlinden liamlinden 17 hours ago
Brave a big negative .I was invested in a stock ELAN Irish company and when a little news was coming out it looked like we hit the jackpot so people mortgaged their houses and results were in Chicago .Every investor/ wall street most of the people from Elan chat room waited and the investigator came on stage and after he spoke 3 words the dirty tabloids had headlines 3DIE from new Elan drug [deaths had nothing to do with the trial they dies falling down stairs and other issues,He then told the room IT FAILED.Small investors lost everything money houses relationships and one guy from elan chat room committed sus .Later it was found out weeks before that I think it was G/SASHS took the investigator out for dinner and paid him $21k so they bought it around $15 and bought up to $36 and before he hit the stage wall street shorted 850 million .Anyway it ended up in court and the investigator got small jail time and G/S just had to pay 350 mil back but was allowed to keep what they invested .Wall Street always wins so lets hope Amrn does not go up as we approach Brave results .I said when holt came in they were going to take this private and I still think they are going to take it private and Denner will make huge money .BO i will take $27
🤡 1
JRoon71 JRoon71 17 hours ago
Although Mochida does have an additional indication for arteriosclerosis obliterans in Japan.
👍️0
JRoon71 JRoon71 17 hours ago
Great question. But I would assume it was from a generics distributor.
👍️0
TalShu TalShu 18 hours ago
I don't know. Good question to lawyers who are the only people making money of Amarin nowadays.
👍️0
TalShu TalShu 18 hours ago
Amarin asserted it has successfully fended off a challenge/threat to its patents in Europe but has never indicateur who posed it.

Could it be from Meiji Seika Pharma Co.?
👍️0
CaptBeer CaptBeer 18 hours ago
This I know. However, can they piggy-back the CVD indication off of VAZKEPA, or is China too hard-nosed for that?
👍️0
TalShu TalShu 18 hours ago
Mochida has never applied for a CVD indication for Epadel anywhere. Neither has it ever pretended Epadel has has such a potential.
👍️0
JRoon71 JRoon71 18 hours ago
Ah, got it. I think part of the issue (from what I read in an old article) was that Mochida did not have the money to run additional trials in the U.S. or for additional indications, which is why they seeked out a partnership in the U.S. (with Amarin). They gave the IP to Amarin to develop Vascepa in the U.S., in exchange for milestone payments and future royalties. They partnered with Sumitomo Pharma in China to conduct SHTG trials. Meiji Seika Pharma Co. will be the distributor.
👍️0
CaptBeer CaptBeer 18 hours ago
SHTG is not the indication in Japan, yet their Phase III study in China was for SHTG. That's why I asked the question.
👍️0
JRoon71 JRoon71 18 hours ago
Severe hypertriglyceridemia, from what I can see.

The product is available in Epadel Capsules, Epadel S, and Epadel EM Capsules forms (EM is the self-emulsifying form - MND-2119).

It does not indicate whether they will apply for CVD indication.
👍️0
CaptBeer CaptBeer 18 hours ago
So, is this new China NDA indicated for hyperlipidemia or severe hypertriglyceridemia, or both? Will they later go for the CVD indication?
👍️0
TalShu TalShu 19 hours ago
Post# of 426409 Go
The Amarin-Mochida Collaboration

1. Seen from Amarin’s viewpoint:

a. Amarin’s 10-K 2018 states:

“In June 2018, we entered into a collaboration with Mochida Pharmaceutical Co., Ltd., or Mochida, related to development and potential subsequent commercialization of drug products and indications based on the active pharmaceutical ingredient in Vascepa, the omega-3 acid, EPA (eicosapentaenoic acid). The potential new product and indication opportunities contemplated under this agreement are currently in early stages of development.”

b. From 2019 till 2023 all Amarin’s 10-K have reported the following INVARIABLE text:

“In June 2018, we entered into a multi-faceted collaboration with Mochida Pharmaceutical Co., Ltd., or Mochida, related to the development and commercialization of drug products and indications based on the active pharmaceutical ingredient in Vascepa, the omega-3 acid, EPA. Among other terms in the agreement, we obtained an exclusive license to certain Mochida intellectual property to advance our interests in the United States and certain other territories. In addition, the parties will collaborate to research and develop new products and indications based on EPA for our commercialization in the United States and certain other territories. The potential new product and indication opportunities contemplated under this agreement are currently in early stages of development. Upon closing of the collaboration agreement, we made a non-refundable, non-creditable upfront payment of approximately $2.7 million. In addition, the agreement provides for milestone payments from us upon the achievement of certain product development milestones and royalties on net sales of future products arising from the collaboration, if any.”

c. Nota Bene: Amarin 10-K 2019 also confirmed at the end of the above statement: “In January 2020, we achieved certain milestones under the agreement, resulting in payment of $1.0 million to Mochida.’

2. Seen from Mochida’s viewpoint:

a. Mochida Annual Review 2018 stated:
“In June 2018, Mochida also entered an agreement with Amarin Corporation Plc Group to develop and
commercialize high-purity EPA products in the US and certain other countries under Mochida’s intellectual properties, including new EPA formulation.”

b. Mochida’s Annual Review 2019 affirmed:
“Mochida also entered into an agreement with Amarin Corporation Plc for the development and commercialization of EPA-based drug products in the United States and certain other territories by Amarin Corporation Plc.”
c. Nota Bene: Mochida’s 2019 wording replaced:
- “high-purity EPA products” by “EPA-based drug products” and,
- “under Mochida’s intellectual properties, including new EPA formulation” by “certain other territories by Amarin Corporation Plc.”

d. Mochida Annual review 2020 specified:

“Mochida also entered into an agreement with Amarin Corporation Plc for the development and commercialization of high-purity EPA formulations in the United States and certain other territories by Amarin Corporation Plc.”

It also listed Amarin as part of its “alliance partner” group.

e. Nota Bene: Mochida went back to using “high-purity EPA formulations” in lieu of “EPA-based drug products” but continued to ignore “under Mochida’s intellectual properties, including new EPA formulation.”

f. Strangely, the Mochida Integrated Report for 2021, 2022, and 2023 NO LONGER MENTIONS Amarin in any way.

3. In summary:

a. It is clear that Mochida had had second thoughts as early as 2019 regarding Amarin’s ability to fulfill its part of the 2018 Agreement “to develop and commercialize high-purity EPA products in the US and certain other countries under Mochida’s intellectual properties, including new EPA formulation.”

b. Mochida has been concerned by Amarin’s inability to promote Vascepa in the U.S. and avoid the erosion of its market share in the face of generics. Cutting off its nascent advertising spending, completely eliminating its sales force, and offering rebates to maintain 75% of the market at the expense of margins only corroborate this assessment. Moreover, declarations by Karim Mikhaïl and Per Wold Olsen that the U.S. market is lost could hardly have reassured the Japanese partner. To the contrary, these will back up future attempts by Mochida to have the 2018 Agreement declared legally void and nil.

c. What concerns Mochida most is the reference to the terms “intellectual property” which were erased in its Integrated reports for 2019 and 2020. Worse, Mochida no longer mentions a word about Amarin altogether since 2021. Gone are the short days when it was looked at as a collaborator and ally.

d. In this perspective, Mochida reasserted its attachment to and defense of its “intellectual property” rights by applying for U.S. patent protection for its MND-2119 (Epadel EM) product on July 17, 2020. The latter was granted on February 27, 2024.

e. Amarin, for its part, insists yearly on stating: “Among other terms in the agreement, we obtained an exclusive license to certain Mochida intellectual property to advance our interests in the United States and certain other territories.”

f. Questions impose themselves here:

- What is the state of relationship obtaining between Amarin and Mochida and where is it heading?

- Can the “exclusive license to certain Mochida intellectual property to advance our interests in the United States and certain other territories” be valid if Amarin is unable to put them to good use as well as promote its only product in terms of publicity/awareness (educating doctors, pharmacists, insurers and patients), and sales?

- To what extent is Amarin dependent on Mochida’s R&D capabilities? Does this reliance in a deteriorating relationship explain why Amarin scraped its Fixed Dose Combination program which KM and Executive Vice President, President R&D, Chief Scientific Officer Steve Ketchum had touted so much before?

- To what extent is LR-EtEPA’s development linked to Mochida’s R&D capabilities, and hence affected by this blurred and strained relationship?

- As Mochida obtained U.S. patent approval for Epadel EM who will eventually commercialize this product in the U.S. and “certain other territories”? And with what sales force?

- Mochida’s products being limited to the VHTG indication, can Vascepa’s 4mg compete against Epadel EM one-a-day in this market segment in the U.S., Europe, China and ROW?

- What do “certain other territories” cover?

- Is/are litigation(s) next to clarify the Mochida-Amarin collaboration?

g. For information:

- Mochida has 17,000+ employees.

- Mochida declared in its Integrated Report 2023: “We are also leveraging our alliances to globally expand our EPA drug with high purity in China, Thailand, Vietnam and the United States. In Thailand, the subsidiary of Meiji Seika Pharma Co., Ltd. obtained approval to import and market our EPA drug for the treatment of hypertriglyceridemia in October 2020 and commenced sales in April 2021. In Vietnam, an alliance partner of Meiji Seika Pharma is in the process of applying for approval to import and market our EPA drug.” It is worthwhile noting here Mochida does not identify who are its high-purity EPA drug marketing partners in the U.S. and China.

- Meiji Seika Pharma Co., Ltd (Japan) promotes and sells, inter alia, Mochida’s products overseas through a network of consolidated subsidiaries that cover India, most of the Far East (4 in China), Oceania (Australia & New Zealand), Europe and Africa. Production facilities are also found in India, Thailand and Spain.

- Amarin made the following payments to Mochida:

• “a non-refundable, non-creditable upfront payment of approximately $2.7 million” “upon closing the collaboration agreement” in June 2018.
• $1.0 million for “certain product development milestones achieved under the Agreement” in January 2020.
• $1.0 million for “exercising certain rights under the agreement” in December 2020.

- Amarin filed 9 U.S. provisional patent applications for LR-EtEPA during the period January 26 – June 2, 2022. It could not have done so if LR-EtEPA were the same product as MND-2119 for which Mochida had applied on July 17, 2020 – both priority claim and prior art would have impeded this.

- We do not know the status of these applications. After one year the United States Patent and Trade Mark Office (USPTO) must inform Amarin as quickly as possible if it is allowed, or not, to pursue the process. If allowed, Amarin must file a “final” so-called ‘regular” non-provisional application.

- Once the regular application is examined by a patent examiner, it is typical for the patent examiner to issue at least one Office Action. An examiner’s Office Action is a detailed report that outlines objections to the form of the application or the form or substance of the patent claims. It usually includes citations of prior art, often prior patents and published patent applications, that the examiner alleges to be relevant to the patentability of what’s claimed in the subject patent application.

- An Office Action is usually received by the applicant within 17 months of filing a regular patent application in the United States. The USPTO may request a new cycle of argumentations that would lead to a second final Office Action stating allowance or rejection of the patent application.

- Noteworthy, it took 43 months for Mochida to be granted USPTO protection for its MND-2119.

- As regards the rest of the world, Amarin used the PCT process on January 26, 2023 to ensure worldwide priority claim for LR-EtEPA based on the 9 non-provisional U.S. applications. This became effective with WIPO’s international publication of Amarin’s application on August 3, 2023.

- It is up to Amarin to move forward with applications for patent protection in certain individual countries and/or regional groupings as recognized by the PCT. Unfortunately, we lack total information regarding Amarin’s moves and intentions in this regard.
👍️ 1
ziploc_1 ziploc_1 20 hours ago
Rose, Vascepa is approved for sales in China for the HTG indication but not yet accompanied by any current reimbursement by the Chinese national health service.

The present prices for Vascepa are far too high for many Chinese patients to afford...The prices in China will have to be lowered when the Chinese national health service approves reimbursement for Vascepa...If approved for the CVD indication, as it is in the U.S., the volume of sales would be large enough to make the lowered prices worthwhile for Amarin and worthwhile for China to save the large amounts of cash that they currently spend on patients with CVD.
👍️0
JRoon71 JRoon71 20 hours ago
RMB, one reason that I think they might possibly already be buying is based on trading patterns. I believe that part of the requirement for buybacks is that Cantor may not place trades in the first 30 minutes of open, or the last 30 minutes before close. They may also not buy on upticks (I forget the exact verbiage, but basically, the SEC wants to prevent momentum trades by the company buying their own shares).

I have been watching the daily trading patterns the past few weeks, and though maybe I am just seeing ghosts, it appears that there is always a bump in volume, or a block, around 10-10:30. And then often see the same thing around 3:00-3:30. Again, maybe I am just seeing things I want to see (and this is just normal trading), but it certainly seems to make sense.

And as for volume, keep in mind that Cantor is limited to buying about 350,000 shares per day (25% of average 30-day volume). There is an exception to that rule once a week (you can place an uncapped block trade once a week), but this is the daily limitation. So it is very easy to bury 350,000 shares (or less) each day.
👍️ 2
rosemountbomber rosemountbomber 21 hours ago
No authoritative answer for you Could, but looking at the trading volume it is hard to believe that it has.
👍️0
JRoon71 JRoon71 21 hours ago
At some point, I thought somebody on here stated that the Mochida/Amarin partnership was no longer a thing. Maybe I'm not remembering that correctly.

But keep in mind, Mochida was the one that developed the IPE technology and shared it with Amarin. Epadel has been around for a few decades.
👍️0
couldbebetter couldbebetter 21 hours ago
Anyone here know definitively if the share
buybacks have begun yet?
👍️0
couldbebetter couldbebetter 21 hours ago
Rose, Yes, Edding has sales of Vascepa in China but they
are very small so far.
👍️0
couldbebetter couldbebetter 21 hours ago
The CVD indication approval is expected sometime this year.
The problem may be with which partners will be able to grab
(and keep) the greatest market share. Also, who will be able
to get reimbursements (not sure how that works.) I still hope
that AMRN would be acquired by a BP that has gravitas not
only in Europe, but in China as well. In other words I would
hope that an acquirer of AMRN would be able to really help
Edding in gaining market share in China. When you see who
Mochida has as their partner(s) for China...that may be a big
problem for Edding. (Again, we are speculating on very limited
information here.) If Mochida is in a war with Edding I wonder
if Mochida would go forward with Amarin as a partner for drug
development.
👍️0
rosemountbomber rosemountbomber 21 hours ago
Please correct if I am wrong. We are approved for high trigs in China but not yet for CVD. Do we have any sales there yet?
👍️0
ramfan60 ramfan60 21 hours ago
Yes, for the high Trig indication...... I was thinking for CVD but Epadel doesn't have an indication for that. I guess we are good for now.
👍️0
FlyFishingStocks FlyFishingStocks 21 hours ago
Most newcomers discount all the “potential for a blockbuster drug” when the see the long, medium, and short term trend on the charts.
TA is the go-no-go determinate for an investment for someone who practices risk management. Why? Because Price is King
👍️0
Bouf Bouf 22 hours ago
They may petition for cert., but very low chance SCOTUS takes the case.
👍️ 1
JRoon71 JRoon71 22 hours ago
Correct. And hopefully China is stricter than the U.S. about infringing on indications that they don't have.
👍️0
Number sleven Number sleven 22 hours ago
JRoon, We will be when they receive approval. They will not get a CV indication.
Sleven,
👍️ 1
JRoon71 JRoon71 22 hours ago
Correct. And now we are competing with Epadel.
👍️0
Number sleven Number sleven 22 hours ago
Ram, Vascepa is already approved in China.
Sleven,
👍️0
ramfan60 ramfan60 22 hours ago
Well now it becomes a race for approval and palm greasing.
👍️0
JRoon71 JRoon71 22 hours ago
Announcement of Submission of New Drug Application for Epadel in China

https://firstwordpharma.com/story/5872291

July 2, 2024 Mochida Pharmaceutical Co., Ltd.

Mochida Pharmaceutical Co., Ltd. (Head office: Tokyo, Japan, President: Naoyuki Mochida, hereinafter: Mochida) announced that Mochida submitted a New Drug Application to the China National Medical Products Administration (NMPA) for Epadel S (development code: MND-21), a highly purified eicosapentaenoic acid (EPA) ethyl ester formulation that is being jointly developed in China by Mochida and Sumitomo Pharma (Suzhou) Co., Ltd., a Chinese subsidiary of Sumitomo Pharma Co., Ltd. As the clinical phase III trial conducted in patients with severe hypertriglyceridemia in China has shown positive results, Mochida has submitted a New Drug Application for Epadel S. Additionally, Mochida has entered into a distribution agreement for Epadel S in China with Meiji Seika Pharma Co., Ltd. (hereinafter: Meiji) in 2024. After approval, Mochida will supply the product to Meiji, which will distribute it through its affiliated partner in China, MAXMIND Bio-Technology (Hainan) Co., Ltd. Mochida is committed to contributing to the improvement of the quality of life for Chinese patients with hypertriglyceridemia through Epadel S. About Epadel Epadel (generic name: icosapent) is a highly purified EPA ethyl ester formulation developed by Mochida as the world's first medical drug. The product is available in Epadel Capsules, Epadel S, and Epadel EM Capsules forms. Epadel S is indicated for "Hyperlipidemia" and "Ulcer, pain and chilliness associated with arteriosclerosis obliterans" in Japan. The active pharmaceutical ingredient is supplied by Nissui Corporation, which has advanced EPA purification technology and mass production capability. Since its launch in 1990, it has been taken by many patients.
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JRoon71 JRoon71 22 hours ago
DT, just posted. See my previous post.
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JRoon71 JRoon71 22 hours ago
SC, here's the meaningful one. This was on January 3rd (in response to my follow-up question about whether they actually presented at CTAD, and if the trial met its primary endpoints):

I presented preliminary results in addition to the overall trial design. The preliminary results suggest that the trial may not meet its primary endpoint, which was an improvement in blood flow in the brain. However, that may change with the final analyses.

Regards, Carol

---------------------------

Dr. Carol Van Hulle, Pronouns: She, her, hers
Department of Medicine
School of Medicine and Public Health
University of Wisconsin-Madison
cavanhulle@wisc.edu
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Downtownguy Downtownguy 22 hours ago
Yes that would be great, if you have them and would share again.
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scxj scxj 1 day ago
Jroon, I don't recall those emails being posted, can you please share them again?
Thank you
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caddiedad caddiedad 1 day ago
Dancing, if someone completely new to Amarin and the EPA molecule were to read all the positive comments from your post below there would be tripping over one another and a mad rush to invest in this potential blockbuster drug with all sorts of medical benefits, yet here we are under cash value. Beyond mind bending
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Dancing in the dark Dancing in the dark 1 day ago
Brain Amyloid and Vascular Effects of Eicosapentaenoic Acid (BRAVE-EPA)
ClinicalTrials.gov ID NCT02719327

Claude can make mistakes. Please double-check responses.

Assessing the likelihood of success for a clinical trial like BRAVE-EPA is complex and involves considering multiple factors. While I can't provide a definitive prediction, I can offer some insights based on the study design and current knowledge in the field:

Factors that may increase the likelihood of success:
1. Strong scientific rationale: Omega-3 fatty acids, particularly EPA, have shown promise in cardiovascular and neurological health in previous studies.
2. Well-defined target population: The study focuses on a specific group (Veterans) with known risk factors for Alzheimer's disease.
3. Comprehensive outcome measures: Using multiple biomarkers (MRI, CSF, cognitive tests) increases the chances of detecting meaningful changes.
4. Appropriate duration: 18 months is a reasonable timeframe to observe potential effects on brain health markers.
5. Use of a purified, pharmaceutical-grade compound (icosapent ethyl) rather than over-the-counter fish oil supplements.

Factors that may decrease the likelihood of success:
1. Complex nature of Alzheimer's disease: AD is multifactorial, and a single intervention may have limited impact.
2. Previous mixed results: While some studies on omega-3s have shown promise, others have had inconclusive or negative results in cognitive health.
3. Relatively small sample size: 150 participants may limit the power to detect subtle effects.
4. Focus on prevention in healthy individuals: It can be challenging to demonstrate preventive effects in cognitively healthy people over a relatively short timeframe.
5. Potential for confounding factors: Despite careful exclusion criteria, there may be unforeseen variables affecting the results.

Overall, I would characterize the likelihood of success as moderate. The study is well-designed and based on solid scientific reasoning, but the complexity of Alzheimer's disease and the challenges of preventive studies make success not guaranteed. Even if the primary endpoints are not met, the study is likely to provide valuable data for future research directions.

It's important to note that in medical research, even studies that don't meet their primary endpoints often provide crucial information that guides future investigations and ultimately contributes to medical progress.

+Let's delve deeper into the scientific rationale behind omega-3 fatty acids, particularly EPA (eicosapentaenoic acid), and their potential benefits for
neurological health:
1. Anti-inflammatory properties: EPA has potent anti-inflammatory effects in the brain. Neuroinflammation is a key factor in the development and progression of various neurodegenerative diseases, including Alzheimer's disease (AD). EPA can help reduce the production of pro-inflammatory cytokines and promote the resolution of inflammation.
2. Neuroprotection: EPA has been shown to protect neurons from oxidative stress and apoptosis (programmed cell death). This neuroprotective effect may help preserve brain function and structure over time.
3. Synaptic plasticity: Omega-3 fatty acids, including EPA, are crucial components of neuronal membranes. They play a role in maintaining synaptic plasticity, which is essential for learning, memory, and overall cognitive function.
4. Cerebral blood flow: EPA has been associated with improved cerebrovascular function. It can enhance endothelial function and reduce arterial stiffness, potentially leading to better brain perfusion. This is particularly relevant to the BRAVE-EPA study, which is measuring cerebral blood flow as one of its primary outcomes.
5. Amyloid-ß reduction: Some studies have suggested that EPA might help reduce the accumulation of amyloid-ß plaques, a hallmark of Alzheimer's disease pathology. This could potentially slow down the progression of AD.
6. Neurotrophic effects: EPA may promote the production of brain-derived neurotrophic factor (BDNF), which supports the survival of existing neurons and encourages the growth and differentiation of new neurons and synapses.
7. Mitochondrial function: EPA has been shown to improve mitochondrial function in neurons. Mitochondrial dysfunction is increasingly recognized as a factor in neurodegenerative diseases.
8. White matter integrity: Some research suggests that omega-3 fatty acids, including EPA, may help maintain white matter integrity in the brain, which is crucial for efficient neural communication.
9. Neurogenesis: While more research is needed, there's some evidence that EPA might support adult neurogenesis, particularly in the hippocampus, a region critical for memory formation and often affected early in AD.
10. Interaction with genetic risk factors: EPA may have a protective effect against cognitive decline in individuals carrying the APOE e4 allele, a major genetic risk factor for AD.

It's important to note that while these mechanisms have been observed in various studies (including cell cultures, animal models, and some human trials), the overall picture is complex. The BRAVE-EPA study is valuable because it aims to investigate several of these potential benefits in a well-defined human population using rigorous methods.

The use of icosapent ethyl, a purified form of EPA, allows for a more controlled investigation of EPA's specific effects, as opposed to the mixed omega-3 supplements used in some previous studies. This approach could provide clearer insights into EPA's role in neurological health and its potential as a preventive strategy for Alzheimer's disease.

+The blood-brain barrier (BBB) is indeed a crucial consideration when discussing the neurological effects of any compound, including EPA. Here's an overview of how EPA relates to the blood-brain barrier:
1. BBB Permeability:
o EPA can cross the blood-brain barrier, although the efficiency of this process is still a subject of research.
o The lipophilic nature of EPA allows it to pass through the BBB more easily than some other nutrients.
2. Mechanisms of Transport:
o EPA can enter the brain through passive diffusion due to its lipid-soluble nature.
o There's also evidence of active transport mechanisms, including specific fatty acid transport proteins that can facilitate EPA's passage across the BBB.
3. Incorporation into Brain Tissue:
o Once across the BBB, EPA can be incorporated into brain cell membranes, particularly in the gray matter.
o It can also be metabolized into various bioactive compounds within the brain.
4. Effects on BBB Integrity:
o EPA may actually help maintain and improve BBB integrity.
o It has been shown to reduce BBB permeability in some studies, which could be protective against neuroinflammation and the entry of harmful substances.
5. Indirect Effects:
o Even if only a small amount of EPA crosses the BBB, it can have significant effects by modulating systemic inflammation and vascular health, which indirectly impact brain health.
6. Chronic vs. Acute Administration:
o Long-term supplementation with EPA (as in the BRAVE-EPA study) may lead to gradual accumulation in brain tissue over time.
7. Individual Variability:
o The efficiency of EPA crossing the BBB can vary between individuals due to factors like age, overall health, and genetic differences.
8. BBB in Alzheimer's Disease:
o It's worth noting that BBB integrity is often compromised in Alzheimer's disease, which could potentially alter the brain's exposure to EPA in at-risk individuals.
9. Metabolites and Derivatives:
o Some of EPA's neuroprotective effects may be mediated by its metabolites or derivatives, some of which may cross the BBB more readily than EPA itself.
10. Dosage Considerations:
o The dose used in the BRAVE-EPA study (likely high-dose icosapent ethyl) is important, as higher plasma concentrations of EPA could potentially increase its penetration across the BBB.

The BRAVE-EPA study's focus on CSF biomarkers is particularly relevant here. By analyzing cerebrospinal fluid, researchers can get a more direct measure of how EPA supplementation affects the brain environment, providing insights into its ability to cross the BBB and influence brain biochemistry.
While EPA can cross the BBB, the extent and efficiency of this process, as well as its direct versus indirect effects on brain health, are areas of ongoing research. The BRAVE-EPA study may provide valuable data on these questions in the context of Alzheimer's disease prevention.
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JRoon71 JRoon71 1 day ago
I have emails with her. She explicitly stated that BRAVE did not meet its primary endpoints, but upon further analysis, it is possible that some results may change.

I’m happy to share the exact emails I received (I have shared them previously).
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