Agios Announces FDA Orphan Drug Designation Granted to Tebapivat (AG-946) for Treatment of Myelodysplastic Syndromes (MDS)
Written by Emily J. Thompson, Senior Investment Analyst
Updated: Sep 11 2024
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Source: Newsfilter
FDA Orphan Drug Designation: Agios Pharmaceuticals has received FDA orphan drug designation for its novel pyruvate kinase activator, tebapivat (AG-946), aimed at treating myelodysplastic syndromes (MDS), a rare disease affecting approximately 75,000-80,000 patients in the U.S. and EU5.
Clinical Development Plans: Following a completed Phase 2a study, Agios is initiating a Phase 2b study for tebapivat in lower-risk MDS, while also advancing other investigational medicines targeting various rare hematologic diseases.
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Analyst Views on AGIO
Wall Street analysts forecast AGIO stock price to rise
9 Analyst Rating
6 Buy
3 Hold
0 Sell
Moderate Buy
Current: 27.440
Low
25.00
Averages
36.14
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62.00
Current: 27.440
Low
25.00
Averages
36.14
High
62.00
About AGIO
Agios Pharmaceuticals, Inc. is a biopharmaceutical company. The Company is focused on developing and delivering transformative therapies for patients living with rare diseases. It markets a first-in-class pyruvate kinase (PK) activator for adults with PK deficiency, the first disease-modifying therapy for debilitating hemolytic anemia. Its lead product candidate in its portfolio, PYRUKYND (mitapivat), is an activator of both wild-type and mutant pyruvate kinase, or PK, enzymes for the potential treatment of hemolytic anemias. It is also developing tebapivat, a novel PK activator, for the potential treatment of lower-risk myelodysplastic syndromes, or LR MDS, and hemolytic anemias; AG-181, its phenylalanine hydroxylase, or PAH, stabilizer for the potential treatment of phenylketonuria, or PKU; and AG-236, an siRNA in-licensed from Alnylam Pharmaceuticals, Inc., targeting the transmembrane serine protease 6, or TMPRSS6 gene for the potential treatment of polycythemia vera, or PV.
About the author

Emily J. Thompson
Emily J. Thompson, a Chartered Financial Analyst (CFA) with 12 years in investment research, graduated with honors from the Wharton School. Specializing in industrial and technology stocks, she provides in-depth analysis for Intellectia’s earnings and market brief reports.

- Exclusive License Agreement: Agios Pharmaceuticals has entered into a worldwide exclusive license agreement with Oscotec to develop and commercialize Cevidoplenib, a next-generation SYK inhibitor aimed at blocking signaling pathways in immune-mediated diseases, particularly immune thrombocytopenia (ITP).
- Clinical Data Support: Cevidoplenib has demonstrated clinically meaningful results in Phase 2 trials, successfully improving platelet counts while maintaining a manageable safety profile, positioning it as a potential best-in-class treatment for ITP.
- Financial Terms: Under the agreement, Oscotec will receive an upfront payment of $25 million, along with up to $140 million in development, regulatory, and commercial milestone payments, plus tiered royalties on net sales, which will support Agios's capital allocation strategy.
- Future Development Plans: Agios plans to advance Cevidoplenib into Phase 3 development for ITP in the first half of 2028, further expanding its rare hematology portfolio, reflecting the company's strategic focus on rare diseases.
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- Exclusive Global Rights: Agios has entered into an agreement with Oscotec to obtain exclusive global rights to develop and commercialize cevidoplenib, a novel oral SYK inhibitor, which is expected to unlock up to $1 billion in peak U.S. sales potential, significantly enhancing its rare hematology portfolio.
- Upfront and Milestone Payments: Oscotec will receive a $25 million upfront payment and is eligible for up to $140 million in future payments tied to development, regulatory, and commercial milestones, incentivizing collaboration in the drug development process.
- Clinical Trial Progress: Cevidoplenib demonstrated good tolerability in a global 12-week Phase 2 trial, where, despite not achieving statistical significance on the primary endpoint, clinically meaningful platelet responses were observed on multiple secondary endpoints, with plans to advance to Phase 3 development in the first half of 2028.
- Strategic Focus and Investment: Agios' CEO noted that this licensing agreement is a natural extension of their therapeutic focus and expertise, aiming to address the urgent need for new treatment options for ITP patients while maintaining a strong focus on executing their 2026 strategic priorities.
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- Study Discontinuation: Agios Pharmaceuticals announced the discontinuation of studies for a treatment targeting myelodysplastic syndromes, resulting in a ~6% drop in premarket trading, indicating a strategic shift in the company's focus.
- Disappointing Trial Results: The 24-week dose-finding trial did not meet the predefined target for transfusion independence, reflecting insufficient efficacy of the treatment and impacting the company's future research direction.
- Safety Profile Maintained: Despite the unsatisfactory trial outcomes, Agios reported that the oral pyruvate kinase activator was well-tolerated across multiple dose levels with no new safety signals, suggesting potential for use in other indications.
- Future Research Plans: Agios is conducting another Phase 2 trial for sickle cell disease, with topline data expected in H2 2026, demonstrating the company's ongoing commitment to exploring alternative treatment avenues for growth.
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- Clinical Trial Results: Agios announced that its drug tebapivat for lower-risk myelodysplastic syndromes (LR-MDS) did not meet the predefined clinical advancement threshold in the Phase 2b trial, which, while showing biological activity, failed to demonstrate clinical benefit in a sufficient proportion of patients, leading to the decision to halt further development.
- Patient Population Characteristics: The trial enrolled 65 patients with LR-MDS, evaluating different doses (10mg, 15mg, 20mg) of tebapivat in a heavily pretreated and heterogeneous population, highlighting the biological complexity of the disease and the challenges in identifying patients likely to benefit.
- Safety Assessment: Although tebapivat was well tolerated across all dose levels with no new safety signals identified, the lack of observed clinical benefit necessitated Agios's decision to discontinue further development in LR-MDS.
- Future Outlook: Agios remains optimistic about tebapivat's potential in sickle cell disease, with topline data from the Phase 2 trial expected in the second half of 2026, continuing to explore its applications in other rare hematologic diseases.
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- Drug Approval: Agios Pharmaceuticals and its partner Avanzanite Bioscience announced that the European Commission has granted marketing authorization for their lead product PYRUKYND to treat transfusion-dependent and non-transfusion-dependent alpha or beta-thalassemia, marking the second indication for the drug in the EU.
- Clinical Trial Support: The approval is based on a positive opinion from the European Medicines Agency (EMA) and relies on results from the ENERGIZE and ENERGIZE-T Phase 3 trials, which evaluated the efficacy and safety of Mitapivat in adults with thalassemia.
- Market Launch Plan: Under an exclusive agreement with Agios, Avanzanite Bioscience will commercialize and distribute PYRUKYND across the European Economic Area, the UK, and Switzerland, with CEO Adam Plich stating their commitment to collaborate with local authorities to drive a successful launch and ensure broad access.
- Stock Price Dynamics: AGIO's stock has traded between $22.24 and $46.00 over the past year, closing at $28.14, down 2.26%, and falling to $27.60 in after-hours trading, indicating a cautious market reaction to the new drug approval.
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