Genentech Announces Industry-Leading Brain Health Research Collaborations and Latest Data Across Neuroscience Medicines at AAN 2023 Annual Meeting
Genentech, a member of Roche, announces new partnerships to enhance brain health outcomes. These initiatives aim to assess the complexities and economic impacts of neurological diseases. Key data presented include results showing delayed disability in multiple sclerosis (MS) patients treated with Ocrevus and reduced disease activity with Enspryng in neuromyelitis optica spectrum disorder (NMOSD). Evrysdi also shows significant benefits for spinal muscular atrophy (SMA). Genentech invests over $14.7 billion in R&D, with 20% dedicated to addressing brain health disorders. They will present 33 abstracts at the upcoming American Academy of Neurology meeting, highlighting long-term treatment data and ongoing research initiatives. Genentech aims to build resilient health systems and improve patient outcomes.
- Invested over $14.7 billion in R&D in 2022, with over 20% directed toward brain health initiatives.
- Presented long-term data showing significant efficacy of Ocrevus in delaying disability in MS patients.
- Evrysdi demonstrates improvements in survival and motor milestones in SMA patients, showing broad applicability across ages and severities.
- None.
––
–– Long-term data to be presented demonstrate delayed MS disability with Ocrevus; reduced disease activity with Enspryng in NMOSD and with Evrysdi in SMA
–– Data from late-stage neuroscience pipeline to be presented, including efficacy and safety results from Phase II prasinezumab study in early Parkinson’s Disease
“Diseases affecting the brain and central nervous system are associated with loss of more disability-adjusted life-years than almost any other condition,” said
Commitment to Advancing Understanding of
PicnicHealth “BrainPower”
“Social determinants of health impact quality of life, outcomes and overall health, and we are acutely aware of the disparities and inequities they perpetuate across neurological disorders -- particularly in
Cleveland Clinic Neurology Telehealth Pilot
Telehealth is an accessible option for a variety of patients, including those living in rural areas, facing barriers to healthcare access, who are immunocompromised or could face issues with an in-person setting (e.g., due to financial or mobility challenges). Neurology practices saw one of the highest uptake rates for ambulatory telemedicine (nearly half of total visits) during the early part of the COVID-19 pandemic.
Longer-term data to be presented at AAN to reinforce importance of early treatment and slowing disease activity and progression in MS, NMOSD and SMA
Across neurological disorders the main goal of treatment is to prevent disease progression to ultimately preserve function.
- The Phase III OPERA I/II and Phase IIIb ENSEMBLE trials highlight the importance of early treatment with Ocrevus, with new 8.5- and 9-year follow-up data from the Phase III OPERA I/II trials in relapsing MS (RMS), which significantly slows disease activity and disability progression – an important goal in MS. Also presented for Ocrevus will be new four-year data from the Phase IIIb ENSEMBLE trial demonstrating minimal disease activity in newly diagnosed patients living with relapsing remitting MS (RRMS). Ocrevus is the #1 prescribed MS medicine in the US, and more than 300,000 patients globally have been treated with Ocrevus. See AAN oral session presentation details on Ocrevus sessions here.
- Data from three studies reinforce the longer-term efficacy and safety of Evrysdi for people living with SMA across a broad range of ages, disease severities and treatment histories, including: three-year data from the FIREFISH study in infants with Type 1 SMA showing improvements in survival and reaching motor milestones, four-year data from the SUNFISH study in people aged 2 to 25 years with Types 2 or 3 SMA with sustained motor function and a decreased rate of adverse events, and two-year data from the JEWELFISH study in people with SMA aged 6 months to 60 years who initially received other investigational or approved SMA therapies, which showed maintenance of motor function. Without treatment, children with Type 1 SMA are never able to sit without support and natural history data show that patients with Type 2 or 3 SMA typically show a decline in motor function over time. More than 8,500 people globally — from newborns to those over 60 — have been treated with Evrysdi, which is now approved in more than 95 countries worldwide. See AAN oral session presentation details on Evrysdi sessions here.
Broad Neuroscience Pipeline & Areas of Focus
As global populations continue to grow and age, their impact is set to increase, creating new challenges for families, carers, health systems, employers, and economies. To meet the needs of people living with brain health conditions,
The full range of data from Genentech’s clinical development program in neuroscience being presented at AAN 2023 can be found at https://aan.com/events/annual-meeting.
About
Neuroscience is a major focus of research and development at
About Ocrevus® (ocrelizumab)
Ocrevus is the first and only therapy approved for both RMS (including RRMS and active, or relapsing, secondary progressive MS [SPMS], in addition to clinically isolated syndrome [CIS] in the
About Enspryng® (satralizumab-mwge)
Enspryng, which was designed by Chugai, a member of the
Positive Phase III results for Enspryng, as both monotherapy and in combination with baseline immunosuppressive therapy, suggest that IL-6 inhibition is an effective therapeutic approach for NMOSD who are AQP4-IgG seropositive. The Phase III clinical development program for Enspryng includes two studies: SAkuraStar and SAkuraSky.
Enspryng is currently approved in 80 countries, including
Enspryng has been designated as an orphan drug in
About Evrysdi® (risdiplam)
Evrysdi is a survival motor neuron 2 (SMN2) splicing modifier designed to treat SMA caused by mutations in chromosome 5q that lead to survival motor neuron (SMN) protein deficiency. Evrysdi is administered daily at home in liquid form by mouth or by feeding tube.
Evrysdi is designed to treat SMA by increasing and sustaining the production of SMN protein in the central nervous system (CNS) and peripheral tissues as demonstrated in animal models. SMN protein is found throughout the body and is critical for maintaining healthy motor neurons and movement.
Evrysdi was granted PRIME designation by the
Evrysdi is currently being evaluated in five multicenter trials in people with SMA:
-
FIREFISH (NCT02913482) – an open-label, two-part pivotal clinical trial in infants with Type 1 SMA. Part 1 was a dose-escalation study in 21 infants with the primary objective of assessing the safety profile of risdiplam in infants and determining the dose for Part 2. Part 2 is a pivotal, single-arm study of risdiplam in 41 infants with Type 1 SMA treated for two years, followed by an open-label extension. Enrollment for Part 2 was completed in
November 2018 . The primary objective of Part 2 was to assess efficacy as measured by the proportion of infants sitting without support for 5 seconds after 12 months of treatment, as assessed by the Gross Motor Scale of the Bayley Scales of Infant andToddler Development – Third Edition (BSID-III) (defined as sitting without support for 5 seconds). The study met its primary endpoint. - SUNFISH (NCT02908685) – a two-part, double-blind, placebo-controlled pivotal study in people aged 2-25 years with Types 2 or 3 SMA. Part 1 (n=51) determined the dose for the confirmatory Part 2. Part 2 (n=180) evaluated motor function using the total score of Motor Function Measure 32 (MFM-32) at 12 months. MFM-32 is a validated scale used to evaluate fine and gross motor function in people with neurological disorders, including SMA. The study met its primary endpoint.
- JEWELFISH (NCT03032172) – an open-label exploratory trial designed to assess the safety, tolerability, pharmacokinetics and pharmacodynamics in people with SMA aged 6 months to 60 years who received other investigational or approved SMA therapies for at least 90 days prior to receiving Evrysdi. The study has completed recruitment (n=174).
- RAINBOWFISH (NCT03779334) – an open-label, single-arm, multicenter study, investigating the efficacy, safety, pharmacokinetics, and pharmacodynamics of risdiplam in babies (~n=25), from birth to six weeks of age (at first dose) with genetically diagnosed SMA who are not yet presenting with symptoms. The study is fully enrolled.
-
MANATEE (NCT05115110) – a global Phase II/III clinical study to evaluate the safety and efficacy of GYM329 (RG6237), an anti-myostatin molecule targeting muscle growth, in combination with Evrysdi for the treatment of SMA in patients 2-25 years of age.
The FDA Office of Orphan Products Development granted GYM329 Orphan Drug Designation for the treatment of patients with SMA inDecember 2021 . The study is currently recruiting.
About
Founded more than 40 years ago,
Indications and Important Safety Information
What is Ocrevus?
Ocrevus is a prescription medicine used to treat:
- Relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults
- Primary progressive MS, in adults.
It is not known if Ocrevus is safe or effective in children.
Who should not receive Ocrevus?
Do not receive Ocrevus if you have an active hepatitis B virus (HBV) infection.
Do not receive Ocrevus if you have had a life threatening allergic reaction to Ocrevus. Tell your healthcare provider if you have had an allergic reaction to Ocrevus or any of its ingredients in the past.
What is the most important information I should know about Ocrevus?
Ocrevus can cause serious side effects, including:
-
Infusion reactions: Infusion reactions are a common side effect of Ocrevus, which can be serious and may require you to be hospitalized. You will be monitored during your infusion and for at least 1 hour after each infusion of Ocrevus for signs and symptoms of an infusion reaction. Tell your healthcare provider or nurse if you get any of these symptoms:
- itchy skin
- rash
- hives
- tiredness
- coughing or wheezing
- trouble breathing
- throat irritation or pain
- feeling faint
- fever
- redness on your face (flushing)
- nausea
- headache
- swelling of the throat
- dizziness
- shortness of breath
- fatigue
- fast heart beat
These infusion reactions can happen for up to 24 hours after your infusion. It is important that you call your healthcare provider right away if you get any of the signs or symptoms listed above after each infusion.
If you get infusion reactions, your healthcare provider may need to stop or slow down the rate of your infusion.
-
Infection:
-
Ocrevus increases your risk of getting upper respiratory tract infections, lower respiratory tract infections, skin infections, and herpes infections. Infections are a common side effect, which can be serious. Tell your healthcare provider if you have an infection or have any of the following signs of infection including fever, chills, or a cough that does not go away. Signs of herpes include cold sores, shingles, genital sores, skin rash, pain, and itching. Signs of more serious herpes infection include: changes in vision, eye redness or eye pain, severe or persistent headache, stiff neck, and confusion. Signs of infection can happen during treatment or after you have received your last dose of Ocrevus. Tell your healthcare provider right away if you have an infection. Your healthcare provider should delay your treatment with Ocrevus until your infection is gone.
-
Progressive Multifocal Leukoencephalopathy (PML): Although no cases have been seen with Ocrevus treatment in clinical trials, PML may happen with Ocrevus. PML is a rare brain infection that usually leads to death or severe disability. Tell your healthcare provider right away if you have any new or worsening neurologic signs or symptoms. These may include problems with thinking, balance, eyesight, weakness on 1 side of your body, strength, or using your arms or legs.
-
Hepatitis B virus (HBV) reactivation: Before starting treatment with Ocrevus, your healthcare provider will do blood tests to check for hepatitis B viral infection. If you have ever had hepatitis B virus infection, the hepatitis B virus may become active again during or after treatment with Ocrevus. Hepatitis B virus becoming active again (called reactivation) may cause serious liver problems including liver failure or death. Your healthcare provider will monitor you if you are at risk for hepatitis B virus reactivation during treatment and after you stop receiving Ocrevus.
- Weakened immune system: Ocrevus taken before or after other medicines that weaken the immune system could increase your risk of getting infections.
-
Ocrevus increases your risk of getting upper respiratory tract infections, lower respiratory tract infections, skin infections, and herpes infections. Infections are a common side effect, which can be serious. Tell your healthcare provider if you have an infection or have any of the following signs of infection including fever, chills, or a cough that does not go away. Signs of herpes include cold sores, shingles, genital sores, skin rash, pain, and itching. Signs of more serious herpes infection include: changes in vision, eye redness or eye pain, severe or persistent headache, stiff neck, and confusion. Signs of infection can happen during treatment or after you have received your last dose of Ocrevus. Tell your healthcare provider right away if you have an infection. Your healthcare provider should delay your treatment with Ocrevus until your infection is gone.
- Low Immunoglobulins: Ocrevus may cause a decrease in some types of antibodies. Your healthcare provider will do blood tests to check your blood immunoglobulin levels.
Before receiving Ocrevus, tell your healthcare provider about all of your medical conditions, including if you:
- have ever taken, take, or plan to take medicines that affect your immune system, or other treatments for MS.
- have ever had hepatitis B or are a carrier of the hepatitis B virus.
-
have had a recent vaccination or are scheduled to receive any vaccinations.
-
You should receive any required ‘live’ or ‘live-attenuated’ vaccines at least 4 weeks before you start treatment with Ocrevus. You should not receive ‘live’ or ‘live-attenuated’ vaccines while you are being treated with Ocrevus and until your healthcare provider tells you that your immune system is no longer weakened.
-
When possible, you should receive any ‘non-live’ vaccines at least 2 weeks before you start treatment with Ocrevus. If you would like to receive any non-live (inactivated) vaccines, including the seasonal flu vaccine, while you are being treated with Ocrevus, talk to your healthcare provider.
- If you are pregnant or planning to become pregnant talk to your doctor about vaccinations for your baby, as some precautions may be needed.
-
You should receive any required ‘live’ or ‘live-attenuated’ vaccines at least 4 weeks before you start treatment with Ocrevus. You should not receive ‘live’ or ‘live-attenuated’ vaccines while you are being treated with Ocrevus and until your healthcare provider tells you that your immune system is no longer weakened.
-
are pregnant, think that you might be pregnant, or plan to become pregnant. It is not known if Ocrevus will harm your unborn baby. You should use birth control (contraception) during treatment with Ocrevus and for 6 months after your last infusion of Ocrevus. Talk with your healthcare provider about what birth control method is right for you during this time.
- If you become pregnant while taking Ocrevus, talk to your doctor about enrolling in the Ocrevus Pregnancy Registry. You can enroll in this registry by calling 1-833-872-4370 or visiting http://www.Ocrevuspregnancyregistry.com. The purpose of this registry is to monitor the health of you and your baby.
- are breastfeeding or plan to breastfeed. It is not known if Ocrevus passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby if you take Ocrevus.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
What are the possible side effects of Ocrevus?
Ocrevus may cause serious side effects, including:
- Risk of cancers (malignancies) including breast cancer. Follow your healthcare provider’s instructions about standard screening guidelines for breast cancer.
Most common side effects include infusion reactions and infections.
These are not all the possible side effects of Ocrevus.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
For more information, go to http://www.Ocrevus.com or call 1-844-627-3887.
For additional safety information, please see the full Prescribing Information and Medication Guide.
What is Evrysdi?
Evrysdi is a prescription medicine used to treat spinal muscular atrophy (SMA) in children and adults.
Important Safety Information
-
Before taking Evrysdi, tell your healthcare provider about all of your medical conditions, including if you:
- are pregnant or plan to become pregnant, as Evrysdi may harm your unborn baby. Ask your healthcare provider for advice before taking this medicine
-
are a woman who can become pregnant:
- Before you start your treatment with Evrysdi, your healthcare provider may test you for pregnancy
- Talk to your healthcare provider about birth control methods that may be right for you. Use birth control while on treatment and for at least 1 month after stopping Evrysdi
- Pregnancy Registry. Talk to your healthcare provider right away if you become pregnant while taking Evrysdi. Ask about registering with the Evrysdi Pregnancy Registry, which was created to collect information about your health and your baby's health. Your healthcare provider can enroll you in this registry by calling 1-833-760-1098 or visiting http://www.evrysdipregnancyregistry.com
- are an adult male. Evrysdi may affect a man’s ability to have children (fertility). Ask a healthcare provider for advice before taking this medicine
- are breastfeeding or plan to breastfeed. It is not known if Evrysdi passes into breast milk and may harm your baby
- Tell your healthcare provider about all the medicines you take
- You should receive Evrysdi from the pharmacy as a liquid. If the medicine in the bottle is a powder, do not use it. Contact your pharmacist for a replacement
- Avoid getting Evrysdi on your skin or in your eyes. If Evrysdi gets on your skin, wash the area with soap and water. If Evrysdi gets in your eyes, rinse your eyes with water
-
The most common side effects of Evrysdi include:
-
For later-onset SMA:
- fever
- diarrhea
- rash
-
For infantile-onset SMA:
- fever
- diarrhea
- rash
- runny nose, sneezing and sore throat (upper respiratory infection)
- lung infection (lower respiratory infection)
- constipation
- vomiting
- cough
-
For later-onset SMA:
These are not all of the possible side effects of Evrysdi. For more information on the risk and benefits profile of Evrysdi, ask your healthcare provider or pharmacist.
You may report side effects to the FDA at 1-800-FDA-1088 or http://www.fda.gov/medwatch. You may also report side effects to
Please see full Prescribing Information for additional Important Safety Information or visit http://www.evrysdi.com/.
Indications and Important Safety Information
Patients should not take Enspryng if they:
- are allergic to satralizumab-mwge or any of the ingredients in Enspryng
- have an active hepatitis B infection
- have active or untreated inactive (latent) tuberculosis (TB)
Enspryng may cause serious side effects including:
-
Infections. Enspryng can increase risk of serious infections some of which can be life-threatening. Patients should speak with their healthcare provider if they are being treated for an infection and call right away if there are signs of an infection, with or without a fever, such as:
- chills, feeling tired, muscle aches, cough that will not go away or a sore throat
- skin redness, swelling, tenderness, pain or sores on the body
- diarrhea, belly pain, or feeling sick
- burning when urinating or urinating more often than usual
- A healthcare provider will check for infection and treat it if needed before starting or continuing to take Enspryng
- A healthcare provider should test for hepatitis and TB before initiating Enspryng
- All required vaccinations should be completed before starting Enspryng. People using Enspryng should not be given 'live' or 'live-attenuated' vaccines. ‘Live’ or ‘live-attenuated’ vaccines should be given at least 4 weeks before a patient starts Enspryng. A healthcare provider may recommend that a patient receive a ‘non-live’ (inactivated) vaccine, such as some of the seasonal flu vaccines. If a patient plans to get a ‘non-live’ (inactivated) vaccine it should be given, whenever possible, at least 2 weeks before starting Enspryng
- Increased liver enzymes. A healthcare provider should order blood tests to check patient liver enzymes before and while taking Enspryng. A healthcare provider will dictate how often these blood tests are needed. Patients should complete all follow-up blood tests as ordered by a healthcare provider. A healthcare provider may wait to start Enspryng if liver enzymes are increased
- Low neutrophil count. Enspryng can cause a decrease in neutrophil counts in the blood. Neutrophils are white blood cells that help the body fight off bacterial infections. A healthcare provider should order blood tests to check neutrophil counts while a patient is taking Enspryng.
-
Serious allergic reactions that may be life-threatening have happened with other medicines like Enspryng. Patients should call their healthcare provider right away if they have any of these symptoms of an allergic reaction:
- shortness of breath or trouble breathing
- swelling of lips, face, or tongue
- dizziness or feeling faint
- moderate or severe stomach (abdominal) pain or vomiting
- chest pain
Before taking Enspryng, patients should tell their healthcare provider about all of their medical conditions, including if they:
- have or think they have an infection
- have liver problems
- have ever had hepatitis B or are a carrier of the hepatitis B virus
- have had or have been in contact with someone with TB
- have had a recent vaccination or are scheduled to receive any vaccination
- are pregnant, think they might be pregnant, or plan to become pregnant. It is not known if Enspryng will harm one’s unborn baby
- are breastfeeding or plan to breastfeed. It is not known if Enspryng passes into breast milk. Patients should speak with their healthcare provider about the best way to feed one’s baby while on treatment with Enspryng
Patients should tell their healthcare provider about all the medicines they take, including prescription and over-the-counter medicines, vitamins and herbal supplements.
The most common side effects of Enspryng include:
- sore throat, runny nose (nasopharyngitis)
- headache
- upper respiratory tract infection
- rash
- fatigue
- nausea
- extremity pain
- inflammation of the stomach lining
- joint pain
For more information about the risk and benefit profile of Enspryng, patients should ask their healthcare provider.
Patients may report side effects to the FDA at 1-800-FDA-1088 or http://www.fda.gov/medwatch. Patients may also report side effects to
Please see the full Prescribing Information for additional Important Safety Information.
References
[1] Brain Health Atlas. https://brainhealthatlas.org/. Accessed
View source version on businesswire.com: https://www.businesswire.com/news/home/20230424005241/en/
Media Contact:
Advocacy Contact:
Investor Contact:
Source:
FAQ
What are Genentech's new partnerships focused on brain health outcomes?
What key data will be presented at the American Academy of Neurology meeting?
What was Genentech's R&D investment in 2022?
How does Ocrevus impact multiple sclerosis patients?