Phase II Success Positions Ra For Potential Blockbuster Opportunity In Myasthenia Gravis

Ra hopes to launch a Phase III program for zilucoplan next year, with a goal of bringing an alternative therapy for MG patients into competition with Alexion’s Soliris.

Medic staff at work in the laboratory. Background

Ra Pharmaceuticals Inc.’s successful top-line Phase IIb data with complement 5 (C5) inhibitor zilucoplan in generalized myasthenia gravis (gMG), unveiled on Dec. 10, gives the biotech an opportunity toward blockbuster sales with a self-administered therapy that offers several points of differentiation compared to Alexion Pharmaceuticals Inc.’s Soliris (eculizumab).

One of the highest-priced drugs in the world, Soliris became the only drug approved specifically to treat myasthenia gravis (MG) in the US in late 2017, but the drug used primarily in its initial indication of paroxysmal nocturnal hemoglobinuria (PNH) is limited to last-line therapy in MG. (Also see "Alexion Seizes On New Soliris Indication, Business Development For Growth" - Scrip, 26 October, 2017

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