InvestorsHub Logo
icon url

laker9029

09/07/10 8:07 AM

#103576 RE: DewDiligence #103574

"[This is one of the risks of running a combination trial of two unapproved drugs........]"

It appears that this was a high risk action that could have been avoided. What was the reasoning for doing this particular trial (2 unapproved drugs) at this point in time?
icon url

DewDiligence

09/07/10 11:00 AM

#103585 RE: DewDiligence #103574

IDIX CC post-mortem: One of the three observed SAE’s appears to be explainable by gallstones, but two of the three SAE’s cannot be explained by any hypothesis other than an intracellular drug-drug interaction between IDX184 and IDX320. (The completed DDI study showed no drug-drug interaction between IDX184 and IDX320 in terms of PK and plasma concentrations.)

Both individual drugs have had clean safety profiles in humans and animals as monotherapy, and IDX184 has had a clean safety profile in combination with SoC in HCV patients. (IDX320 has not yet been tested with SoC.) Thus, it appears likely that the individual programs for IDX320 and especially IDX184 will be able to move forward when the clinical hold is lifted.

However, the IDX184+IDX320 combination program is probably dead, IMO, even if the combination animal-tox study IDIX is now starting turns up nothing untoward. I don’t think the FDA will allow these two drugs to be given together when there are many other combinations of DAA’s that can be tested instead. Since IDIX has made all-oral combinations its raison d’etre, a lot of IDIX’s intrinsic value may have evaporated today.

Inasmuch as partnership discussions for IDX184 and IDX320—either individually or jointly—are now on hold, it’s unlikely that IDIX will have any news of great consequence until the FDA renders a decision on lifting the clinical hold, and this probably won’t happen until very late 2010 or early 2011. Thus, IDIX is probably dead money for at least a few months, IMO.
icon url

DewDiligence

09/07/10 6:30 PM

#103671 RE: DewDiligence #103574

IDIX 2010-2011 News Flow

[Updated for clinical hold on IDX184 and IDX320 programs and
release of data in today’s PR on the IDX184, IDX320, and IDX375
programs; removed entry for IDX184 and/or IDX320 partnerships
insofar as this must now await the lifting of clinical hold.]



HCV

Oct 2010/AASLD: Present complete datasets from IDX184, IDX320, and IDX375 studies for which top-line data was reported in IDIX’s 9/7/10 PR (#msg-54120531).

4Q10: Start IDX375 phase-1b 3-day monotherapy trial.

Late 2010/early 2011: Possible lifting of clinical hold on IDX184 and/or IDX320 programs following FDA review of combination animal-tox study and all clinical data to date.

Late 2010: Select lead NS5A compound. Start phase-1 trial in 1H11.


HIV

Sep 2010/ICAAC: Three poster presentations for IDX899.

Late 2010: Start IDX899 phase-2b trial in first-line settings, testing IDX899+Truvada vs Sustiva+Truvada.* (IDIX will receive a sizable milestone payment from GSK when the first patient is dosed in a phase-2b study—see #msg-49743057.)

Late 2010: Start IDX899 phase-2b trial in second-line setting, testing IDX899+Truvada vs Intelence+Truvada.*

1H11: Start IDX899 phase-2b “nuke sparing” trial, testing IDX899 + GSK1349572 (GSK’s integrase inhibitor) vs a comparator to be determined.* (The DDI study described in #msg-48915175 is a prerequisite for starting this trial.)

*These trials will be conducted by IDIX’s partner, GSK.
icon url

turtlepower

09/27/10 8:57 PM

#105188 RE: DewDiligence #103574

The FDA was supposed to send an official letter notifying idenix of the clinical hold and there hasn't been any word regarding one yet from idenix. Will the receipt of an official letter be material enough to inform the public given that idenix has already notified investors of the clinical hold?