Novartis announced on Jan. 6 that it had reached an option agreement with two small pharmaceutical companies to license two investigational cardiovascular medications.
Ionis Pharmaceuticals and Akcea Therapeutics have developed AKCEA-APO(a)-LRX and AKCEA-APOCIII-LRX to reduce cardiovascular risk in patients with high levels of lipoproteins. Neither of the drugs is FDA-approved.
Ionis and Akcea said in a news release that they are eligible to receive $225 million in near-term payments, including an immediate $75 million up-front option payment and a $100 million equity investment in Ionis.
The agreement provides Novartis with the option to license and commercialize both medications before phase 3 studies begin. Ionia and Akcea plan on conducting phase 2 dose-ranging studies for each drug.
If Novartis exercises the option, the company will pay Ionis and Akcea a $150 million license fee, launch a phase 3 cardiovascular outcomes study in high-risk patients and be responsible for developing and commercializing both products throughout the world.
Ionis and Akcea said the companies would also be eligible to receive up to $315 million and $265 million, respectively, in development and regulatory milestone payments for APO(a)-LRX and AKCEA-APOCIII-LRX, as well as up to $285 million and $265 million in commercialization milestone payments for each drug. The companies said they would be eligible for tiered royalties in the mid-teens to low 20 percent range on the net sales of each drug.
In addition, Novartis is obligated to make a $50 million equity investment in the next 18 months in either company.
In a phase 1/2a study, healthy patients with elevated lipoprotein(a) who received AKCEA-APO(a)-LRX had a mean 79 percent reduction in lipoprotein(a) after only one dose and a mean 92 percent reduction in lipoprotein(a) after multiple doses.
By midday on Jan. 6, Ionis’s stock price was up 2.38 percent to $48.21 per share, while Novartis’s stock price was down 0.65 percent to $73.59 per share.