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Expert Interview

Slingshot members are talking to an expert! The topic is:

A Third Opinion: Discussing Tepezza's launch and remaining unmet medical need in treating Thyroid Eye Disease (TED)

Ticker(s): HZNP, VRDN, ValenzaBio, VasaraGen

Who's the expert?

Institution: Mayo Clinic

  • Chair of the Thyroid Core Group for the Division of Endocrinology at Mayo Clinic
  • Treats 150 patients with Graves' Disease every year
  • Clinical interest in the area of autoimmune thyroid diseases, with a specific interest in Graves' disease and Graves' ophthalmopathy; Research aims to identify novel treatments as well as methods of prevention for these condition, in both retrospective reviews of cases and clinical trials

Interview Questions
Q1.

From member: If you can have the host ask what attributes for a next-generation TED IGFR drug would be ideal, can Tepezza/the space be improved upon? Injectable? Shorter dosing regimen? Room for better efficacy or safety?

Added By: joe_mccann
Q2.

Are you aware of any of the other players?

  • Viridian has both an IV and subQ option. Thoughts?
  • VasaraGen? Thoughts on an oral IGF-1R + insulin inhibitor option?

Added By: joe_mccann
Q3.

Thoughts on IMVT’s batoclimab?

  • Showed early positive data but halted due to LDLs. Thoughts on initial efficacy?
    • LDL levels concern you?
    • Thoughts generally on anti-FcRns in TED?

Added By: joe_mccann
Q4.

What are your thoughts on a drug like secukinumab which is approved and well-understood inother indications?

Added By: joe_mccann
Q5.

This is IV. Thoughts on subQ options?

  • HZNP is doing subQ, too. What would a subQ option in TED mean for you? For patients?

Added By: joe_mccann
Q6.

Safety

  • What are your thoughts on the AE profile based on your experience?
  • And safety in your experience v. label?
  • Any difference in AE profile in different groups of patients?
    • Elderly v. young?
    • Chronic v. acute?

Added By: joe_mccann
Q7.

Efficacy details:

  • Do most patients complete the full 8 infusion tx cycle?
  • Have you ever had patients stop early and get full benefit?
  • When do you start to see full benefit?
  • Anything you wished the drug was better at in term of efficacy?

Added By: joe_mccann
Q8.

What are your thoughts on Tepezza?

  • Efficacy? In Chronic? Acute?
  • Safety? Different in chronic? Acute?
  • Do you believe it will be equally effective in chronic patients?
  • Thoughts on the Ph4 chronic study expected 2H22?

Added By: joe_mccann
Q9.

Do you see chronic (inactive) TED patients or acute (active) or both?

  • How do you differentiate between the two?

Added By: joe_mccann

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