Whalatane
10 hours ago
JR. the fastest / easiest way is to work with NVS on the trial they are currently running for Inclisiran in Germany
Other then that ...read my response to N7
Good luck tomorrow
I think this is may be the trial
VICTORION-(NCT05030428)
Full Title: A Randomized, Double-blind, Placebo-controlled, Multicenter Study to Evaluate the Effect of Inclisiran on Preventing Major Adverse Cardiovascular Events in Patients With Established Atherosclerotic Cardiovascular Disease
Description: This Phase III trial investigates whether inclisiran, a small interfering RNA (siRNA) therapy targeting PCSK9 to lower LDL-cholesterol (LDL-C), reduces major adverse cardiovascular events (MACE) such as cardiovascular death, non-fatal myocardial infarction, and non-fatal ischemic stroke. Participants receive 300 mg inclisiran sodium (or placebo) subcutaneously on Day 1, Day 90, and every 6 months thereafter.
Status: Actively recruiting, with an estimated primary completion date of December 2027.
Relevance to Germany: This is a global trial with sites in multiple countries. Germany, a key player in European cardiovascular research, is highly likely to be involved, especially given its participation in prior inclisiran trials (e.g., ORION-11). Specific German sites aren’t always publicly detailed mid-trial, but Munich, Berlin, or Leipzig are plausible locations based on past patterns.
May not be the trial I was thinking off . They are running one exclusively in Germany ...20 mth on drug
Kiwi
Whalatane
10 hours ago
Sure ...this is the easiest / fastest way ...but they may not qualify if as Capt says ..its bypass's the liver
The 505(b)(2) pathway is a type of New Drug Application (NDA) in the United States, defined under Section 505(b)(2) of the Federal Food, Drug, and Cosmetic Act. It’s a hybrid approval process overseen by the FDA that allows a drug sponsor to rely, at least in part, on existing data not developed by the applicant—such as data from a previously approved drug—while supplementing it with their own studies. This distinguishes it from a full 505(b)(1) NDA, which requires all original data, and from a 505(j) generic drug application, which relies entirely on bioequivalence to an existing drug.
The pathway is often used for drugs that are variations of already-approved products. Examples include new formulations (e.g., extended-release versions), new indications, new dosage forms, or combinations of previously approved drugs. It’s a cost- and time-efficient route because it avoids duplicating studies already conducted, like some preclinical or safety trials, but it still requires the applicant to provide evidence of safety and efficacy for the proposed changes.
A key feature is that the referenced drug (the "listed drug") must be an FDA-approved product, and the applicant can cite publicly available data, like published studies, or data from the listed drug’s NDA, though they may need a right of reference if the data isn’t public. The 505(b)(2) also triggers a review of potential patent or exclusivity issues tied to the listed drug, which can lead to delays if there’s a 30-month stay due to litigation or a period of market exclusivity (typically 3 to 7 years, depending on the change).
It’s a strategic option for companies looking to innovate without starting from scratch. Think of it like remixing a song—you use the original track but add your own spin, and you still need to prove it works.
Kiwi
JRoon71
11 hours ago
Kiwi, I do not know enough about drug trial requirements to know if this is the case. But even if it is, it does not mean that a BP is not willing to buy Amarin and assume the responsibility of running the trials themselves, post-acquisition. If there is a strong enough case for the new formulation, then a BP may be willing to pay good money for it.
The fact is, if Amarin was not planning to leverage the R&D they are doing on the new formulation, they wouldn't be wasting the money and resources on its development.
rosemountbomber
12 hours ago
I am guessing the new formulation would be the additional kicker to coax a BP into a deal. Don't know how many hoops or how long it would be that tge FDA would require but it is doubtful a current standalone Amarin could do it. Here is an AI take on this:
"AI Overview
+1
Yes, the FDA generally requires new studies if a drug's absorption route relies on the lymphatic system, rather than the conventional portal vein, because the lymphatic system offers a unique pathway that can bypass the liver's first-pass metabolism. Here's a more detailed explanation:Lymphatic System as an Alternative:The lymphatic system provides an alternative pathway for drug transport, enabling a bypass of the liver's first-pass metabolism. Significance of First-Pass Metabolism:Drugs absorbed into the portal vein (the conventional route) undergo first-pass metabolism in the liver, which can significantly reduce their bioavailability (the amount of drug that reaches systemic circulation). Lymphatic Absorption Benefits:Drug transport via the intestinal lymph circumvents this first-pass metabolism, potentially enhancing oral bioavailability, especially for drugs that are highly metabolized in the liver. FDA Requirements:While the FDA doesn't have specific requirements, researchers must conduct adequate studies to demonstrate the safety and efficacy of drugs absorbed via the lymphatic route, and they must also address any concerns related to the unique characteristics of lymphatic absorption. Examples:Some examples of drugs that have shown improved bioavailability when delivered via the lymphatic system include methotrexate, paclitaxel, and cyclosporine. Focus of Research:More research and innovative technologies are being explored to exploit the lymphatic system for targeted drug delivery. "
couldbebetter
13 hours ago
CPT, Would be great to see some confirmation of this
from AMRN, along with the game plan for the development
of this new EPA formulation. I would also like to see what
Dr. Bhatt has to say about this new formulation. Your excellent
graphic on this would make it possible for the concept to be
explained to a BP in just a few minutes. (My fantasy would
be for Alex Denner & Dr. Bhatt use the graphic to explain this
to NVS.) As always, my POV is that the sooner a BP gets behind
this, either through a JV, BO, or partnership arrangement, the better
the legal, financial, and political protection that could accrue to this.
north40000
13 hours ago
I currently don't know if the CEOs of Dr. Reddy or Hikma were in the room to hear this, but CNBC-TV today reported that the FTC Chairman just promised those CEOs that were in a meeting with him that the FTC will take their companies to Court if it finds any conduct events or merger activity that hurts/harms the American population.
Sounds to me that the FTC is very ready to investigate the fraudulent, culpable, inequitable conduct/activity of those 2 miscreants in their post-trial court brief in a Nevada District Court a few years ago. What the FTC/DOJ/FBI now need are the facts and law related in our Amarin stockholder/EPA Drug Initiative II Petition for Writ of Certiorari, on which facts/law no court or federal agency has expressed a rationale opinion. The cardiovascular and monetary health of the United States has been compromised/harmed by their post-trial actions, deliberately imposed on the Courts.