RE: Cobenfy Trial Results23 Apr 2025 10:54
The market is way over reacting to the disappointing read out from the adjunct schizophrenia trial for Cobenfy. The 7% Bristol Myers share price drop seems steep given that adjunctive therapy was a high-risk, high-reward trial with a historically low success rate, as acknowledged in BMY’s Q4 2024 earnings call:
Akash Tewari, Jefferies.
"Hey, thanks so much. So what's the risk around the adjunct schizophrenia trial for Cobenfy? Because we haven't seen a lot of companies run that specific trial. And if they have, they've often failed. So why wouldn't the probability of success for this trial be more like a 50-50 coin flip?"
Answer From Samit Hirawat (BMY)
"Sure. Thank you for the question. On the adjective schizophrenia, I remember where we started off and how patients are treated in the real world. So we obviously have developed the drug as a monotherapy, but these patients were primarily before they got onto the trial, we're receiving the D2 agonist and thereafter, there was a washout period, patients came on the drug and then, of course, the trial evaluated the primary endpoint in emerging one, two and three at a shorter window.But remember, merging four and five have now read out with a 52-week follow-up. Many of those patients obviously, are also taking concomitant medications in the background. So, and we've seen that efficacy continued to be maintained within, as we look towards the 52-week data point as well. So overall, from that perspective, we are confident on the overall safety profile that is emerging on that. And then, of course, from a blinded data perspective, the study has continued at this point. So now we are only a few months away from the readout for that trial. And, of course, on top of that, we'll look at ADAPT trials also reading out beginning at the back end of this year."
Lets not forget that Cobenfy’s primary schizophrenia approval remains intact, the adjunctive indication was a smaller market opportunity, and the drug’s pipeline for Alzheimer’s and other indications offers future potential. I guess the bears would counter me by saying the adjunctive failure reduces the TAM, impacting peack sales estimates. It also highlights the challenges of adjunctive studies, which have a high failure rate, and could raise concerns about Cobenfy’s broader efficacy profile.