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    "headline": "Novartis suspends eight autoimmune trials after three patient deaths",
    "dek": "Swiss pharma Novartis halted eight clinical trials following the death of three patients due to severe immune responses.",
    "prose": "Novartis suspended eight clinical trials for an experimental therapy targeting autoimmune and neurological disorders at the end of August after the death of three patients. [^1]\n\nAlteogen Inc. signed an option and licensing agreement with Novartis AG worth up to 4.4 trillion won (US$3.2 billion) to develop and commercialize subcutaneous formulations using its ALT-B4 technology. [^2]\n\nA Novartis spokesperson stated that the trials were suspended temporarily following the registration of severe immune responses in the three cases. [^3]\n\nNovartis is conducting a thorough review of the observed safety events. [^4]\n\nThe company identified the fatal immune response as a known safety risk in CAR-T therapies, which modify patient immune cells to recognize and destroy cancer cells. [^5]\n\nAlteogen will receive royalties on net sales after commercialization in addition to the upfront potential value. [^6]\n\nNovartis AG will have exclusive rights, through multiple options, to develop and commercialize SC formulations for multiple products using ALT-B4. [^7]\n\nA March 19, 2027 CHF110/CHF140 put spread of 4,000 contracts indicates institutional hedging, buying protection against a drop to CHF110 while selling CHF140 puts to offset cost. [^8]\n\nNovartis AG may experience increased price swings as these large options positions play out, especially as September and October expiries approach, potentially triggering a gamma squeeze if the stock moves sharply toward key strikes. [^9]\n\nThe largest single options trade was over 4,300 contracts of the September 18, 2026 CHF130 call, amounting to 4,334 contracts traded with open interest of 9,743. [^10]\n\nTotal options volume for Novartis AG rose to 26,086 contracts by 10:10 a.m., with puts at 13,209 and calls at 12,877. [^11]\n\nThe deal marks Alteogen's fourth ALT-B4 licensing agreement with a global pharmaceutical company this year. [^12]",
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