Bird Rock Bio Nears Pivotal Trial of New Biologic Drug for RA

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San Diego’s Bird Rock Bio says it is within a few months of submitting its plans in Brazil for a pivotal trial of gerilimzumab, a biologic drug for inflammatory diseases like rheumatoid arthritis (RA).

If the drug can win regulatory approval, Bird Rock Bio said gerilimzumab is expected to be priced at just a fraction of the prices set for leading biologic drugs like adalimumab (Humira) and etanercept (Enbrel), which are frequently prescribed to relieve pain and inflammation in a number of autoimmune diseases.

In a statement this morning, Bird Rock Bio says two recently completed clinical studies showed that its lead drug candidate, a novel monoclonal antibody, is both safe and effective at very low doses—less than 50 milligrams annually. The company says gerilimzumab also would require only one injection every eight weeks, instead of daily or multi-injection regimens.

The dosage is so small (yet still potent) that Bird Rock Bio CEO Paul Grayson says the annual price for gerilimzumab might end up as low as $2,000 per patient—in stark contrast to the $20,000 to $40,000 that RA patients currently pay annually for a biologic drug like adalimuab or tocilizumab (Actemra).

“That’s the real punch to the data set we just generated,” Grayson says. He contends that Bird Rock Bio is addressing one of the most significant issues of our generation by making innovative healthcare therapies more affordable.

“It’s a much bigger healthcare issue than an oncology drug that may extend life by six months,” Grayson adds. “We’re talking about patients who are taking drugs priced at $30,000 to $40,000 a year for 30 or 40 years.”

Grayson says his pricing projections for gerilimzumab are based on a significantly lower cost of production. He estimates that one RA patient would require 30 to 60 milligrams of gerilimzumab annually. Compared with leading biologics for RA, such as Roche’s Actemra or Abbvie’s Humira, Bird Rock Bio says it represents from 1/10th to 1/100th the amount of drug product.

“That means our cost of goods [would be] very, very low,” Grayson says. He estimates that gerilimzumab’s cost of goods would even fall well below the cost of generic versions of leading biologic drugs like Humira.

With about 20 million RA patients worldwide, including more than 1.1 million in the United States, Bird Rock Bio says $35 billion is spent annually on drug therapies for RA.

In the five years since Grayson became CEO, Bird Rock Bio (previously known as RuiYi, and before that, Anaphore) has focused on developing monoclonal antibodies that target G-protein coupled receptors. The company describes gerilimzumab as a novel anti-IL-6 antibody. According to Grayson, Bird Rock Bio has raised about $50 million in venture capital funding from Versant Ventures, 5AM Ventures, GlaxoSmithKline’s SR One venture group, and other investors.

Bird Rock Bio has advanced the development of gerilimzumab through clinical trials in China, under a global collaboration with Belgium’s argenx and Shanghai-based Genor BioPharma. The San Diego company anticipates submitting its plans for a pivotal trial of gerilimzumab to health regulators in Brazil within the first half of this year.

Brazil represents the world’s third-largest RA market, with about 1.3 million RA patients, according to Grayson.

RA Gerilimzumab Infographic (Credit: Bird Rock Bio)
RA Gerilimzumab Infographic (Credit: Bird Rock Bio)

Author: Bruce V. Bigelow

In Memoriam: Our dear friend Bruce V. Bigelow passed away on June 29, 2018. He was the editor of Xconomy San Diego from 2008 to 2018. Read more about his life and work here. Bruce Bigelow joined Xconomy from the business desk of the San Diego Union-Tribune. He was a member of the team of reporters who were awarded the 2006 Pulitzer Prize in National Reporting for uncovering bribes paid to San Diego Republican Rep. Randy “Duke” Cunningham in exchange for special legislation earmarks. He also shared a 2006 award for enterprise reporting from the Society of Business Editors and Writers for “In Harm’s Way,” an article about the extraordinary casualty rate among employees working in Iraq for San Diego’s Titan Corp. He has written extensively about the 2002 corporate accounting scandal at software goliath Peregrine Systems. He also was a Gerald Loeb Award finalist and National Headline Award winner for “The Toymaker,” a 14-part chronicle of a San Diego start-up company. He takes special satisfaction, though, that the series was included in the library for nonfiction narrative journalism at the Nieman Foundation for Journalism at Harvard University. Bigelow graduated from U.C. Berkeley in 1977 with a degree in English Literature and from the Columbia University Graduate School of Journalism in 1979. Before joining the Union-Tribune in 1990, he worked for the Associated Press in Los Angeles and The Kansas City Times.