Biopharma Catalyst (FDA Approvals & Data Read outs)

Pre-Read: Biopharma/tech Education

I would like to start a overview of Biopharma Catalysts, including FDA approvals and binary data read-outs. Focus will be on small to medium market cap companies. It will exclude FDA approvals that previously have received an CRL (complete response later = “rejection”) and data read outs that are highly controversial in the scientific community (= biopharma meme stocks).

As a reminder, FDA approval have a fix date where the approval can be expected (PDUFA) with typical three outcomes: approved, CRL (rejected, you have re-submit) and additional data request/push out of the PDUFA by max. 3 months. Even if it’s approved the label that the product will receive is very important. The label describes, very simplified, for what patients and with what pre-conditions the product is approved. It includes as well how the product is positioned in the treatment choice (first-line, second line, …) for the disease and any required risk evaluation and mitigation (REMS). In the past there was typical a run-up to the PDUFA, but it’s not guaranteed, especially in this market. The best way to play it as to play the run-up, cover your cost basis and get a free FDA approval ticket. In some cases, we see a heavy “sell the news event” after FDA approval, even worse when its combined with limited label that the product received.

Data read-outs doesn’t have a specific date but understanding when a clinical trial started to recruit patients and when it was closed helps to understand the timeline. In addition, typical the companies share high level timelines (Q1, Q2, …) in their earnings and press release. Often big medical conferences as leveraged as well to publish data.

Please let me know if you came across an interesting catalyst, i am happy to do the DD.

Date Ticker Catalyst Due Diligence Outcome
December 14, 2022 KYMR Data Phase 1: KT-474 Hidradenitis suppurativa / atopic dermatitis KYMR- Upcoming Catalyst - major binary events (Dec 2022) 35%
December 19, 2022 MDGL, VKTX Data Phase 3: MGL-3196 Non-alcoholic steatohepatitis (NASH) Non-alcoholic steatohepatitis (NASH) Catalysts: Viking Therapeutics (VKTX) and Madrigal Pharmaceuticals (MDGL) MDGL +260, VKTX +70%
December 28, 2022 TGTX FDA Approval TG Therapeutics Inc. (TGTX) - Ublituximab FDA Approval 28th Dec (HIGH RISK) 95%
January 12, 2023 ORMP Data Phase: 3 ORA-D-013-1 Type 2 Diabetes Oramed Pharmaceuticals (ORMP) – the Oral company - Data Catalyst (Phase 3) in January -70%
January 05, 2023 NVCR Top-line Data Phase 3: NSCLC NVCR - Novocure Ltd - Q1 2023 LUNAR Readout and JPM Healthcare Conference catalysts 55%
Mid-2023 VCNX Patent Vaccinex (VCNX) – Initial Phase 1b data read out in mid-2023 and topline results in 2024 60%
February 16, 2023 INZY Data Phase 2b: extensive nonsegmental vitiligo Inozyme Pharma (INZY) – Long Term Play with Q1 Catalysts (Thursday, Feb. 16, 2023 at 8 a.m. ET) - #7 by Genti 135%
February 28, 2023 CYBN CYB003 Phase 1/2a interim data Cybin (CYBN) – Long Term Play with key 2023 data catalyst (February 28, 2023) - #7 by Bear_Chyllz 85%
March 22, 2023 VTGN Data Phase 3: PH94B Open-Label Social Anxiety Disorder VistaGen Therapeutics (VTGN) - Phase 2a data read out in Q1 2023 45%
March 09, 2023 NVIV Top-line data expected in Q1-2023 for INSPIRE 2.0 InVivo Therapeutics Holdings (NVIV) - Binary Data Catalyst in Q1 -50%
April, 03, 2023 ENSC Data PF614-MPAR - Novel Opioid Designed to Prevent Abuse and Overdose Ensysce Biosciences - $ENSC - PF614-MPAR - Novel Opioid Designed to Prevent Abuse and Overdose -30%
Q2 2023 RAIN Data Phase 3 MNATRA Trial RAIN Oncology (Therapeutics) – Does it rain money? (Q2)
May 23, 2023 IBRX FDA Approval IBRX - ImmunityBio - FDA Approval (May 23, 2023) / M&A Play
May 19, 2023 KRYS FDA Approval Krystal Biotech (KRYS) FDA Approval - B-VEC (GEM-3) – 2/17/2023 (High Risk)
June 03, 2023 ALLO * Phase 1 ALPHA/ALPHA2 trials of ALLO-501/501A data update to be presented at ASCO 23 Allogene Therapeutic (ALLO) - Phase 1 data update to be presented at ASCO 23 on June 3
Mid-2023 CGEM Initial Clinical Data from CLN-049 (Phase 1) Cullinan Oncology (CGEM) – Phase 1 data due in mid-2023 for two Studies + Long-term Hold Opportunity
June 2-6 CGEM Initial Clinical Data from CLN-619 (Phase 1) Cullinan Oncology (CGEM) – Phase 1 data due in mid-2023 for two Studies + Long-term Hold Opportunity
Q2, 2023 VTGN PH10 (Major depressive disorder) (Phase1): Topline results expected 2Q 2023 VistaGen Therapeutics (VTGN) - Phase 2a data read out in Q1 2023
Q1, 2023 VTGN PH94B (Adjustment Disorder with Anxiety) (Phase 2a): Top-line data due in 1Q 2023 VistaGen Therapeutics (VTGN) - Phase 2a data read out in Q1 2023
Mid-2023 VCNX interim analysis from its Phase 1/2 KEYNOTE-B84 Vaccinex (VCNX) – Initial Phase 1b data read out in mid-2023 and topline results in 2024
1H 2023 ROIV RVT-3101 (Anti-TL1A) UC (Ulcerative Colitis) Phase 2b Data Roivant Sciences (ROIV) – multiple rich data catalysts in 2023 and 2024
Mid-2023 ROIV IMVT-1402 (NextGen Anti-FcRn) Human Data Roivant Sciences (ROIV) – multiple rich data catalysts in 2023 and 2024
Mid-2023 RVPH Phase 3 Topline Results Brilaroxazine - (RECOVER) - Schizophrenia Biopharma Catalyst (FDA Approvals & Data Read outs)
2023 ROIV Brepocitinib (TYK2/JAK1) Pivotal Trial Readout in SLE Roivant Sciences (ROIV) – multiple rich data catalysts in 2023 and 2024
Q2 2023 ASLN Data from its Phase 2b TREK-AD trial of Eblasakimab (ASLAN004) ASLAN Pharmaceuticals (ASLN) - Upcoming Catalyst (early July) - Phase 2b TREK-AD trial to treat atopic dermatitis (AD)
Q2 2023 ACHV Topline results from Cytisinicline (ORCA-3) to treat smoking cessation and nicotine Achieve Life Sciences (ACHV) – Phase 3 Topline results expected 2Q 2023 - smoking cessation and nicotine addiction 50%
August 20, 2023 NBIX FDA Approval Neurocrine Biosciences (NBIX)– FDA Approval (August 20) and data catalyst in 2023 (2h)
Q3 2023 ABOS Phase 1 top-line data Alzheimers disease Acumen Pharmaceuticals (ABOS) - Alzheimer’s disease (AD) Phase 1 top-line data due in 3Q 2023
Q3 2023 CYBN CYB003 top-line efficacy data expected late Q3 2023 Cybin (CYBN) – Long Term Play with key 2023 data catalyst (February 28, 2023) - #7 by Bear_Chyllz
Q3 2023 CING CTx-1301 (fixed dose, pediatric study) - ADHD - Phase 3: data due in 3Q 2023 Cingulate (CING) - I have been told that i have ADHD, but i dont think i - hey look, a squirrel
Q3 2023 CING CTx-1301 (dexmethlyphenidate HCI) - ADHD - Phase 3: initial results expected in 3Q 2023 Cingulate (CING) - I have been told that i have ADHD, but i dont think i - hey look, a squirrel
2024 CGEM zipalertinib (CLN-081/TAS6417) for NSCLC EGFR Cullinan Oncology (CGEM) – Phase 1 data due in mid-2023 for two Studies + Long-term Hold Opportunity
2024 CGEM initial clinical data from CLN-418 Cullinan Oncology (CGEM) – Phase 1 data due in mid-2023 for two Studies + Long-term Hold Opportunity
mid-2024 VCNX Top Line Datra Phase 1/2a SIGNAL-AD Alzheimer’s Vaccinex (VCNX) – Initial Phase 1b data read out in mid-2023 and topline results in 2024
2025 CING * CTx-1302 (dextroamphetamine suffate) - ADHD - Phase 1/2: Data expected before early 2025. 2023 Cingulate (CING) - I have been told that i have ADHD, but i dont think i - hey look, a squirrel

Some other upcoming catalysts on my radar:

  • AADI: Nab-sirolimus initial data for Ph2 pivotal in TSC1/2 tumor in 1H23
  • AFMD: AFM24 combotx (+anti-PD-1 or +NK cells) and monotx dose escalation/expansion updates 2Q (&3Q) 2023
  • FGEN: Phase III data of pamrevlumab in non-ambulatory DMD patients in Q2:23
  • FGEN: Phase III US data of Roxadustat for treatment of anemia in MDS in Q2:23
  • FGEN: Phase III data for pamrevlumab in IPF in mid-2023
  • FUSN: FPI-1434 Phase 1 safety, PK and imaging efficacy data from multi-dose cohorts in 2Q23
  • MGN: ELAHERE/mirvetuximab topline data from Ph3 MIRASOL trial in early ’23
  • KNTE: KIN-2787 Ph1a initial data in BRAF Class II&III tumors in 1H23
  • MLTX: Sonelokimab (IL-17 nanobody) Ph2 data in hidradenitis suppurativa in mid ‘23
  • MORF: Phase IIA ulcerative colitis data in Early Q2:23: +40%
  • RARE: GTX-102 (Angelman) ‘substantial’ data+reg update in 2023 (est mid’23)
  • RETA: Ph.III AYAME data in diabetic CKD pts in JPN in 1H23
  • RLAY: RLY-2608 Initial Clinical Data (1H’23)
  • THRX: Interim '630 ph.I/II GIST data in 2Q23
  • TVTX: Sparsentan ph.III DUPLEX FSGS 2yr eGFR data in 2Q23
  • VERA: Ph.IIb ORIGIN full 36-wk IgAN data in 2Q23

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Krystal Biotech (KRYS) FDA Approval - B-VEC (GEM-3) – 2/17/2023 (High Risk) added

Inozyme Pharma (INZY) – Long Term Play with Q1 Catalysts added

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i may talk to my self, but so far this thread had 2 big wins.

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Great call! Wish i saw it earlier

TG Therapeutics Inc. (TGTX) - Ublituximab FDA Approval 28th Dec (HIGH RISK) added

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Continue to add missed plays such as ICCM, VRNA , … to improve the screening because i had both not on the radar.

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Cybin (CYBN) – Long Term Play with key 2023 data catalyst (likely Q1) added

Oramed Pharmaceuticals (ORMP) – the Oral company - Data Catalyst (Phase 3) in January added

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Some reflections and what could we do better in 2023

  • To my surprise so far the plays have a 100% win rate. I believe the continued focus on science and research will help to keep the win-rate positive. Obviously the risk of biopharma plays remains very high, so expect some big red plays as part of this thread.
  • Data read outs, binary or not, will have a strong focus for me in 2023. The reason is that it requires more research and at the same time provides a higher reward. Given the complexity of data read outs it provides as well more opportunities in terms of how to play it while FDA approvals are limited in their direction.
  • FDA approval plays seems to be less profitable vs. years ago but remain a good scalping opportunity. Looking at TGTX play I made more profit in the run-up vs. if I would have kept through the approval thanks to IV. I guess that data read outs doesn’t have a specific date, requires more knowledge and are “less public” plays in our favor.
  • Talking about profitable, even with a high win rate I believe there is an opportunity to make sure the trades are more profitable by having a better trading strategy (@The_Ni thanks for your thoughts on TGTX)
  • An additional focus for 2023 will be the catalyst of a application submission as we missed some highly profitable plays (see missed plays list)
  • We missed as well 4 highly profitable data read outs (ICCM, VRNA, ALT, ATNX) that were not on my radar. So please let me know if you have data sources you are levering or if you came across an interesting play.
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This is a good example of why understanding the study design and the results are important. The company announced positive results and highlighted that they achieved statistical significance by demonstrating a 33% proteinuria reduction. At the same time analysts expected a 40%, best case 50% reduction, to allow for future commercialization. So, high likelihood that it will never make it to the market.

As a result of these positive data, Vera plans to advance atacicept into pivotal Phase 3 development in the first half of 2023, subject to and following discussions with the U.S. Food and Drug Administration. The full data sets from the ORIGIN clinical trial will be presented at a future medical meeting.

I guess the FDA will have a similar perspective.

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today announced that the U.S. Food and Drug Administration (FDA) has notified the Company that no action will be taken on the Company’s new drug application (NDA) for vonoprazan on or prior to the current Prescription Drug User Fee Act (PDUFA) target action date of January 11, 2023.

the FDA has requested additional stability data demonstrating that levels of NVP remain below that limit throughout the proposed shelf life of the pr

Phathom no longer expects product launches for H. pylori or erosive esophagitis in the first quarter of 2023.

Down 25% after hours

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RAIN Oncology (Therapeutics) – Does it rain money? (Q2) added, keep in mind that the catalyst doesn’t need to happen in q1, RAIN committed 1st half of the year.

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Q1 means anytime in the first 3 months of the year?

Correct, but keep in mind that data read outs do not have specific date and can be pushed out, so take always a position longer out.

(sorry for the spam) Please be patient with entries on open plays such as RAIN, INZY, CYBN, KRYS and ORMP. They all had a decent run up the last 2 weeks between 10-30%, so do not rush into a position. For example @Fllwoman and i covered already our cost basis on ORMP.

Thank you very good plays

The positive upward trend continues today for some of the open plays: INZY up 17%, CYBN up 12%, RAIN up 13%.

ORMP dropped 12% in the last hour, three theories: 1. (bad) news leak, 2. profit taking of a 40% run up the last month, 3. fear of a bad Friday after hours news, there is some history with biopharma companies.

IBRX is on a downtrend due to lack of news, there wassome expectations that IBRX would share a high level outcome of their meetings with the FDA from late December.

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Don’t think this needs a separate thread but AMLX got a 50$ price target from BofA last week.
OI on their calls increased and IV as well.

Only catalyst I could find for January was an adverse effect study for their already approved drug for ALS, AMX0035.
For February, they’re waiting on the approval for their MAA from the EMA so that I think will be the most important short term catalyst.

I’ll keep this on my watchlist and create a new thread if needed.

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https://www.streetinsider.com/dr/news.php?id=21046981&gfv=1

CinCor Pharma, Inc. (NASDAQ: CINC) today announced that it has entered into a definitive agreement with AstraZeneca (NASDAQ: AZN) under which AstraZeneca has agreed to acquire CinCor.