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This Founder Could­n't Find His Own Clin­i­cal Tri­al. Now He's En­rolling Hun­dreds of Pa­tients for Phar­ma's Biggest Names
top stories
1. Sanofi’s new CEO faces a reckoning on immunology-focused R&D strategy
2. Rigel loses Lilly alliance in pharma industry's latest RIPK exit
3.
news briefing
Nektar's $325M offering; Maze stock rises; Merck deal rumors; BMS layoffs
4. Roche’s multiple sclerosis pill delays relapse, but liver toxicity could need monitoring
5. FDA approves once-daily HIV pill from Merck
6. Medicare indefinitely delays pilot plan to cover weight loss drugs
7. RFK Jr. says China is 'eating our lunch' in biotech advances
8. Merck's Welireg combo fails in first-line kidney cancer
9. UnitedHealth breaks down how it plans to spend $1.5B on AI
more stories
 
Karen Weintraub
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When Paul Hudson took over at Sanofi, he promised the pharma’s future would depend heavily on treating immune diseases. Now, as his successor prepares to move in, Max Gelman assesses how that play has panned out and what the future might hold.

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Karen Weintraub
Deputy Editor, Endpoints News
Belén Garijo (L) and Paul Hudson (Diego Radamés/Europa Press via AP Images; Jeremy Paoloni/Abaca/Sipa USA/Sipa via AP Images)
1
by Max Gelman

Sanofi CEO Paul Hud­son bet big on im­munol­o­gy. When Belén Gar­i­jo takes over as CEO next week, she will have to de­cide whether to con­tin­ue that wa­ger.

The di­rec­tion Gar­i­jo elects to pur­sue will like­ly have ram­i­fi­ca­tions not just for Sanofi’s R&D fu­ture, but for the com­pa­ny’s iden­ti­ty. Un­der Hud­son, Sanofi went all-in on im­munol­o­gy, try­ing to tack­le a wide range of dis­eases, from eczema and asth­ma to mul­ti­ple scle­ro­sis and rare neu­roin­flam­ma­to­ry con­di­tions.

But Hud­son’s ef­forts left a mixed track record in the clin­ic, and it prob­a­bly doesn’t make sense for Gar­i­jo to con­tin­ue down the same path, Jef­feries man­ag­ing di­rec­tor Michael Leucht­en said in an in­ter­view.

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2
by Kyle LaHucik

RIPK1 is be­com­ing a rel­a­tive desert for large drug­mak­ers.

Eli Lil­ly has joined the ex­o­dus, rip­ping apart the re­main­der of its up to $960 mil­lion part­ner­ship with Rigel Phar­ma­ceu­ti­cals. The move comes af­ter Genen­tech, Sanofi, Bris­tol My­ers Squibb and GSK have pared back re­search in the sig­nal­ing path­way over the years.

The phar­ma gi­ant gave no­tice to Rigel of the of­fi­cial ter­mi­na­tion of their 2021 agree­ment ear­li­er this month, ac­cord­ing to a Rigel SEC fil­ing on Tues­day.

Lil­ly had al­ready toned down the tie-up in the fall, when it told Rigel it would scrap work on a pre­clin­i­cal CNS dis­ease pro­gram. Now, the In­di­anapo­lis phar­ma is al­so call­ing it quits on a Phase 2-stage RIPK1 in­hibitor called ocadusert­ib (al­so known as LY3871801 and R552). Lil­ly had com­plet­ed a Phase 2a tri­al of the ex­per­i­men­tal med­i­cine in cer­tain pa­tients with rheuma­toid arthri­tis.

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TOP R&D TRENDS IN 2026:
The R&D 15 is John Carroll’s annual reckoning with where biopharma’s biggest players are really investing — and where they’re not. This year he’s back at the table with some of the industry’s top research chiefs for a frank, one-hour conversation on the trends shaping drug development in 2026 and beyond. Join us.
News Briefing: Quick hits from the biopharma web
3
by ENDPOINTS

Nek­tar Ther­a­peu­tics prices $325 mil­lion pub­lic of­fer­ing: The Bay Area biotech is sell­ing about 3.5 mil­lion shares of stock at $92 per share. The pro­ceeds will fund “gen­er­al cor­po­rate pur­pos­es,” in­clud­ing Phase 3 tri­als for its can­di­date rezpe­galdesleukin in atopic der­mati­tis and alope­cia area­ta. The drug, al­so known as rezpeg, failed a Phase 2b tri­al in alope­cia area­ta last year. But da­ta from the ex­ten­sion por­tion more or less met Wall Street an­a­lysts’ ex­pec­ta­tions, fu­el­ing Nek­tar’s am­bi­tions. — Nicole De­Feud­is

Maze Ther­a­peu­tics’ $150M of­fer­ing: The San Fran­cis­co biotech now has enough cash to fu­el its R&D in­to 2029, sup­port­ing treat­ment can­di­dates for APOL1-me­di­at­ed kid­ney dis­ease, phenylke­tonuria and chron­ic kid­ney dis­ease. The biotech’s shares MAZE were up near­ly 9% in ear­ly Wednes­day trad­ing. — Kyle LaHu­cik

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