Tourmaline drug cuts inflammation tied to heart disease

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Adam Feuerstein , 2025-05-20 11:30:00

Adam Feuerstein is a senior writer and biotech columnist, reporting on the crossroads of drug development, business, Wall Street, and biotechnology. He is also a co-host of the weekly biotech podcast The Readout Loud and author of the newsletter Adam’s Biotech Scorecard. You can reach Adam on Signal at stataf.54.

Tourmaline Bio said Tuesday that its experimental antibody treatment demonstrated deep reductions in a measure of inflammation often tied to heart disease, although a high placebo response in the mid-stage study may muddy interpretation of the outcome.  

In the Phase 2 study called TRANQUILITY, the highest dose of the Tourmaline drug lowered by 86% the levels of high-sensitivity C-reactive protein (hs-CRP), a measure of inflammation, through 90 days. Study participants treated with a placebo showed hs-CRP reductions of 15%. 

On an absolute basis, the inflammation-lowering efficacy of the Tourmaline drug, called pacibekitug, was comparable to the results shown previously by Novo Nordisk for its similar heart-disease antibody. But when adjusted for placebo, pacibekitug cut hs-CRP levels by 71% compared to a 84% reduction for the Novo Nordisk drug in its own study. 

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