Pharma, BioPharma

Neurocrine Commits $175M to Voyager in New Neuro Gene Therapy Alliance

Neurocrine Biosciences is paying $175 million up front for rights to a preclinical Voyager Therapeutics gene therapy that could put the biotech in competition with Eli Lilly among other companies. Voyager could earn up to $4.2 billion in milestone payments.

Two years after Neurocrine Biosciences walked away from a Parkinson’s disease gene therapy partnered with Voyager Therapeutics, the neurosciences company has returned to begin a new multi-therapy pact covering Parkinson’s and other central nervous system (CNS) disorders.

Neurocrine is starting the alliance with a $175 million payment, a sum that gives the San Diego-based biotech global rights to a preclinical gene therapy that addresses a certain genetic signature. The deal also encompasses three additional Voyager gene therapy programs for rare CNS targets. Neurocrine has agreed to fund all of the costs under the collaboration.

The genetic target for the lead program is GBA1. Mutations to this gene are a known risk factor for neurodegenerative disorders driven by misfolded forms of a protein called alpha synuclein. Cambridge, Massachusetts-based Voyager aims to treat such diseases by replacing the mutated gene.

An estimated 10% of Parkinson’s patients have GBA1 mutations, according to Voyager. These mutations reduce the expression of an enzyme important for regulating lipid metabolism in cells. Insufficient levels of that enzyme lead to buildup of alpha synuclein, which is thought to be toxic to neurons. Treating Parkinson’s patients with GBA1 mutations is the lead indication for the Voyager gene therapy. Other GBA1 mutation-driven disorders that can affect the CNS include Lewy body dementia and Gaucher’s disease.

Voyager’s gene therapies come from the company’s proprietary TRACER technology. This platform discovers novel capsids, protein shells encapsulating a gene therapy’s genetic cargo. These shells are used to delivery a therapy to particular types of tissue. The alliance with Neurocrine is focused on getting gene therapies into the brain. Pharma industry partners that are using the Voyager technology to bring gene therapy to the brain include Pfizer and Novartis.

Voyager and Neurocrine began working together in 2019, an alliance that spanned four programs. The most advanced of them, a Parkinson’s gene therapy called NBlb-1817, reached Phase 2 testing. But safety concerns led the FDA to place a clinical hold on that gene therapy. In early 2021, Neurocrine gave notice it would terminate its alliance on that program.

[Following two paragraphs updated 1/10/2023 to clarify Voyager milestone payments, add analyst comment.] The upfront payment to Voyager for the new alliance breaks down to $136 million in cash and the purchase of about $39 million worth of the biotech’s shares. The $8.88 purchase price for the Voyager shares represents a 50% premium to the average price of Voyager stock over the past 30 days. Voyager could earn up to $1.5 billion in development milestones (up to $985 million for the GBA1 program and up to $175 million for each of the three additional CNS gene therapies), according to an investor presentation. Commercialization milestones could bring Voyager up to $2.7 billion. The company would also receive royalties from sales of any products that reach the market.

In a note sent to investors Tuesday, William Blair analyst Myles Minter wrote that for Neurocrine, the deal reopens the door for CNS gene therapies, but comes with some clinical risk. “We will be looking for clinical evidence in future studies that TRACER AAV capsids can optimize target tissue distribution and can reduce the immunogenicity risk of viral-based gene therapy,” he said.

The new Neurocrine deal gives Voyager the option to share in the costs and potential profits of the GBA1 program. Voyager may exercise that option after the readout of Phase 1 data. Expect the company to provide more details about the deal later this week. Voyager has a presentation scheduled for Thursday during the annual J.P. Morgan Healthcare Conference in San Francisco.

Voyager and Neurocrine aren’t the only companies pursuing therapies that address GBA1. Eli Lilly subsidiary Prevail Therapeutics has advanced its GBA1 gene therapy to separate mid-stage tests in Parkinson’s and Gaucher. Startup Vanqua Bio is developing a small molecule drug that treats Parkinson’s patients who have GBA1 mutations.

Photo credit: nambitomo, Getty Images 

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