LSD hit a 14.2 Δ in MDD at Week 1, and Δ remained in the high single-digit range to week 12 - in a Phase 3.
Pretty incredible. I had my doubts whether LSD could ever be a block buster, but 100% were able to be discharged at hour 8 (at least, on paper). https://t.co/s7cz7EDSAI
@RNAiAnalyst Well to be fair, they aren’t great drugs at all. Multiple review studies question to risk and rewards benefits when considering ARIA rates
@cremieuxrecueil The reason in a lot of cases is that cures have sometimes flopped dramatically. Hemgenix for hemophilia B works quite well as a cure, yet was unable to be sold. Pfizer discontinued their own approved one for hemophilia A as well because it didn’t sell.
Why wouldn’t you run a placebo arm? Seems weird to enroll 13 patients just to keep an eye to compare to the drug, when it’s not that much more work to have a placebo
@masonat7 I think you are right. I think the bigger question mark is how much the market will value even if "successful" and safe. Ranges from very little at the moment, to a lot.
Monlunabant indeed had a much better brain:plasma ratio than rimonabant. But here's the problem: at the doses tested in phase 2, brain concentration for monlunabant would be expected to match the levels seen with rimonabant (also with significantly higher plasma levels).
Realistically you have to heavily discount given large amounts of future dilution due to phase 3 and the fact that at best oral would be comparable to other current avaliable ones. One would hope AEs aren't terrible and there is value in different MoA.
$CRBP let's pretend they do hit in CB1 obesity, what is the upside? 3x 5x 10x+? Remember, NVO lost $30B market cap. Downside would be maybe $1 from here? Have to have a floor value given cash/CRB-701. Has there even been such an asymmetric opportunity on risk/reward in biotech?
@Craigster771 I never said zero. I was just pushing back on against 10x thought process. I hope I'm proving wrong, but I think the market will still question the AEs and want to see proof via Phase 3, but I think if the data comes in good a 2x-5x is possible.
@AaronRosenblum5 Conservatitive assumptions generally. I think it's possible they have a good oral drug, but I think Ph3 will cost most than $150 million personally. I don't think it's a 0, so thus r/r is good. I'm just thinking that the market will stay want to proven via phase 3.