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Alvotech Clinical Study Results Demonstrate Therapeutic Equivalence between Biosimilar Candidate AVT06 and Reference Product Eylea® (aflibercept)

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Alvotech (NASDAQ: ALVO) announced positive top-line results from a confirmatory clinical study for AVT06, their proposed biosimilar to Eylea® (aflibercept), meeting its primary endpoint in patients with neovascular (wet) Age-related Macular Degeneration (AMD). This development showcases the advantage of their integrated development and manufacturing platform, allowing the company to pursue a diversified global biosimilar strategy. Eylea is a widely used biologic for the treatment of eye disorders, with cumulative global sales in the last twelve months before September 30, 2023.
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Insights

The recent announcement by Alvotech regarding the positive top-line results for AVT06, a biosimilar to Eylea, signifies a pivotal moment in the treatment of neovascular Age-related Macular Degeneration (AMD). Biosimilars are important in the pharmaceutical industry as they offer a cost-effective alternative to existing biologic therapies, which can be prohibitively expensive. The successful completion of this study suggests that AVT06 could be as safe and effective as the reference product, Eylea, which is crucial for gaining regulatory approval and market acceptance.

For stakeholders, the short-term implications include potential stock price appreciation as the market reacts to the positive news and the prospect of a new revenue stream for Alvotech. In the long term, the introduction of AVT06 could lead to increased competition in the ophthalmology market, potentially driving down the cost of treatment for wet AMD and expanding patient access. However, the company will need to navigate the complex regulatory landscape and potential litigation from the originator company, which are common challenges in the biosimilar market.

The development of biosimilars like AVT06 has significant economic implications within the healthcare sector. Biosimilars can reduce the financial burden on healthcare systems by offering more affordable treatment options without compromising on efficacy or safety. The entry of AVT06 into the market could alleviate some of the economic pressure caused by the high cost of biologics, potentially resulting in substantial savings for both public and private healthcare payers.

Moreover, the successful commercialization of AVT06 could stimulate market competition, encouraging innovation and potentially leading to further cost reductions. It is essential to monitor how the pricing strategy of AVT06 will align with industry norms and what impact it will have on the existing market share of Eylea. The broader availability of effective treatment options could also improve health outcomes for patients suffering from wet AMD and other related eye disorders, contributing to the overall societal benefit.

Alvotech's announcement is a significant development in the biopharmaceutical market, particularly in the biosimilars space. The potential introduction of AVT06 could disrupt the current market dynamics, as Eylea holds a substantial share due to its efficacy in treating serious eye conditions. Market penetration of AVT06 will depend on several factors, including pricing, marketing strategies and the ability to secure favorable reimbursement policies.

Analyzing the historical performance of similar biosimilar launches, one can anticipate challenges in physician acceptance and patient switching. Educational initiatives and evidence dissemination will be critical to overcome any inertia in prescribing patterns. The market response to AVT06 will also provide insights into the viability of biosimilars in high-stakes, specialized treatment areas. Stakeholders should closely observe Alvotech's next steps, as they will set precedents for biosimilar adoption and market behavior in the ophthalmology segment.

The confirmatory clinical, safety and efficacy study for AVT06, biosimilar candidate to Eylea® (aflibercept) met its primary endpoint in patients with neovascular (wet) Age-related Macular Degeneration (AMD)

REYKJAVIK, Iceland, Jan. 03, 2024 (GLOBE NEWSWIRE) -- Alvotech (NASDAQ: ALVO), a global biotech company specializing in the development and manufacture of biosimilar medicines for patients worldwide, today announced positive top-line results from a confirmatory clinical study for AVT06, Alvotech’s proposed biosimilar to Eylea® (aflibercept).

“The progress of our product pipeline clearly illustrates the advantage of our integrated development and manufacturing platform, which allows Alvotech to pursue its diversified global biosimilar strategy,” said Robert Wessman, Chairman and CEO of Alvotech. “Completing this key clinical milestone for AVT06, also demonstrates how our integrated approach enables the rapid advancement of multiple high-quality biosimilar candidates simultaneously.”

Eylea is a widely used biologic for the treatment of eye disorders, including diseases which can lead to vision loss or blindness, such as wet AMD, macular edema, and diabetic retinopathy. In the last twelve months before September 30, 2023, cumulative global sales of Eylea were about US$9.4 billion [1].

The AVT06-GL-C01 confirmatory clinical study is a randomized, double-masked, parallel-group, multicenter, therapeutic equivalence study evaluating the efficacy, safety, and immunogenicity of AVT06 compared with Eylea in patients with neovascular (wet) AMD. The primary outcome measure was change from baseline to Week 8 in Best-Corrected Visual Acuity (BCVA). The study met its primary endpoint, with results demonstrating therapeutic equivalence between Alvotech’s biosimilar candidate and Eylea.

About AVT06
AVT06 is a recombinant fusion protein and a biosimilar candidate to Eylea® (aflibercept), which binds vascular endothelial growth factors (VEGF), inhibiting the binding and activation of VEGF receptors, neovascularization, and vascular permeability [2]. AVT06 is an investigational product and has not received regulatory approval in any country. Biosimilarity has not been established by regulatory authorities and is not claimed.

[1] Regeneron Pharmaceutical Inc., quarterly filings
[2] Prescribing information https://www.regeneron.com/downloads/eylea_fpi.pdf

Use of Trademarks
Eylea is a registered trademark of Regeneron Pharmaceuticals Inc.

About Alvotech
Alvotech is a biotech company, founded by Robert Wessman, focused solely on the development and manufacture of biosimilar medicines for patients worldwide. Alvotech seeks to be a global leader in the biosimilar space by delivering high quality, cost-effective products, and services, enabled by a fully integrated approach and broad in-house capabilities. Alvotech’s current pipeline includes eight disclosed biosimilar candidates aimed at treating autoimmune disorders, eye disorders, osteoporosis, respiratory disease, and cancer. Alvotech has formed a network of strategic commercial partnerships to provide global reach and leverage local expertise in markets that include the United States, Europe, Japan, China, and other Asian countries and large parts of South America, Africa and the Middle East. Alvotech’s commercial partners include Teva Pharmaceuticals, a US affiliate of Teva Pharmaceutical Industries Ltd. (US), STADA Arzneimittel AG (EU), Fuji Pharma Co., Ltd (Japan), Advanz Pharma (EEA, UK, Switzerland, Canada, Australia and New Zealand), Cipla/Cipla Gulf/Cipla Med Pro (Australia, New Zealand, South Africa/Africa), JAMP Pharma Corporation (Canada), Yangtze River Pharmaceutical (Group) Co., Ltd. (China), DKSH (Taiwan, Hong Kong, Cambodia, Malaysia, Singapore, Indonesia, India, Bangladesh and Pakistan), YAS Holding LLC (Middle East and North Africa), Abdi Ibrahim (Turkey), Kamada Ltd. (Israel), Mega Labs, Stein, Libbs, Tuteur and Saval (Latin America) and Lotus Pharmaceuticals Co., Ltd. (Thailand, Vietnam, Philippines, and South Korea). Each commercial partnership covers a unique set of product(s) and territories. Except as specifically set forth therein, Alvotech disclaims responsibility for the content of periodic filings, disclosures and other reports made available by its partners. For more information, please visit www.alvotech.com. None of the information on the Alvotech website shall be deemed part of this press release.

Forward Looking Statements
Certain statements in this communication may be considered “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements generally relate to future events or the future financial operating performance of Alvotech and may include, for example, Alvotech’s expectations regarding competitive advantages, business prospects and opportunities including pipeline product development, future plans and intentions, results, level of activities, performance, goals or achievements or other future events, regulatory submissions, review and interactions, including the resubmission of BLAs for AVT02 and AVT04, a potential reinspection of Alvotech’s manufacturing facility, the satisfactory responses to the FDA’s inspection findings and resolution of other deficiencies conveyed following the inspection of Alvotech’s manufacturing site, the potential approval and commercial launch of its product candidates, the timing of regulatory approval, including for AVT04, and market launches. In some cases, you can identify forward-looking statements by terminology such as “may”, “should”, “expect”, “intend”, “will”, “estimate”, “anticipate”, “believe”, “predict”, “potential”, “aim” or “continue”, or the negatives of these terms or variations of them or similar terminology. Such forward-looking statements are subject to risks, uncertainties, and other factors which could cause actual results to differ materially from those expressed or implied by such forward-looking statements. These forward-looking statements are based upon estimates and assumptions that, while considered reasonable by Alvotech and its management, are inherently uncertain and are inherently subject to risks, variability, and contingencies, many of which are beyond Alvotech’s control. Factors that may cause actual results to differ materially from current expectations include, but are not limited to: (1) the outcome of any legal proceedings that may be instituted against Alvotech or others following the business combination between Alvotech Holdings S.A., Oaktree Acquisition Corp. II and Alvotech; (2) the ability to raise substantial additional funding, which may not be available on acceptable terms or at all; (3) the ability to maintain stock exchange listing standards; (4) changes in applicable laws or regulations; (5) the possibility that Alvotech may be adversely affected by other economic, business, and/or competitive factors; (6) Alvotech’s estimates of expenses and profitability; (7) Alvotech’s ability to develop, manufacture and commercialize the products and product candidates in its pipeline; (8) actions of regulatory authorities, which may affect the initiation, timing and progress of clinical studies or future regulatory approvals or marketing authorizations; (9) the ability of Alvotech or its partners to respond to inspection findings and resolve deficiencies to the satisfaction of the regulators; (10) the ability of Alvotech or its partners to enroll and retain patients in clinical studies; (11) the ability of Alvotech or its partners to gain approval from regulators for planned clinical studies, study plans or sites; (12) the ability of Alvotech’s partners to conduct, supervise and monitor existing and potential future clinical studies, which may impact development timelines and plans; (13) Alvotech’s ability to obtain and maintain regulatory approval or authorizations of its products, including the timing or likelihood of expansion into additional markets or geographies; (14) the success of Alvotech’s current and future collaborations, joint ventures, partnerships or licensing arrangements; (15) Alvotech’s ability, and that of its commercial partners, to execute their commercialization strategy for approved products; (16) Alvotech’s ability to manufacture sufficient commercial supply of its approved products; (17) the outcome of ongoing and future litigation regarding Alvotech’s products and product candidates; (18) the potential impact of the ongoing COVID-19 pandemic on the FDA’s review timelines, including its ability to complete timely inspection of manufacturing sites; (19) the impact of worsening macroeconomic conditions, including rising inflation and interest rates and general market conditions, war in Ukraine and global geopolitical tension, and the ongoing and evolving COVID-19 pandemic on the Company’s business, financial position, strategy and anticipated milestones; and (20) other risks and uncertainties set forth in the sections entitled “Risk Factors” and “Cautionary Note Regarding Forward-Looking Statements” in documents that Alvotech may from time to time file or furnish with the SEC. There may be additional risks that Alvotech does not presently know or that Alvotech currently believes are immaterial that could also cause actual results to differ from those contained in the forward-looking statements. Nothing in this communication should be regarded as a representation by any person that the forward-looking statements set forth herein will be achieved or that any of the contemplated results of such forward-looking statements will be achieved. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made. Alvotech does not undertake any duty to update these forward-looking statements or to inform the recipient of any matters of which any of them becomes aware of which may affect any matter referred to in this communication. Alvotech disclaims any and all liability for any loss or damage (whether foreseeable or not) suffered or incurred by any person or entity as a result of anything contained or omitted from this communication and such liability is expressly disclaimed. The recipient agrees that it shall not seek to sue or otherwise hold Alvotech or any of its directors, officers, employees, affiliates, agents, advisors, or representatives liable in any respect for the provision of this communication, the information contained in this communication, or the omission of any information from this communication.

CONTACTS
Investor Relations and Press Contact:
Benedikt Stefansson, Senior Director of IR and Global Communications
alvotech.ir@alvotech.com


FAQ

What is the latest update from Alvotech regarding their biosimilar candidate AVT06 to Eylea® (aflibercept)?

Alvotech (NASDAQ: ALVO) announced positive top-line results from a confirmatory clinical study for AVT06, their proposed biosimilar to Eylea® (aflibercept), meeting its primary endpoint in patients with neovascular (wet) Age-related Macular Degeneration (AMD).

Who is the Chairman and CEO of Alvotech?

Robert Wessman is the Chairman and CEO of Alvotech.

What is Eylea® (aflibercept) used for?

Eylea is a widely used biologic for the treatment of eye disorders, including diseases which can lead to vision loss or blindness, such as wet AMD, macular edema, and diabetic retinopathy.

What are the global sales figures for Eylea in the last twelve months before September 30, 2023?

Cumulative global sales of Eylea were reported in the last twelve months before September 30, 2023.

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