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MedNess: bite-size biopharma and medtech news

29th September, 2021

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MedNess This Week
HIGHLIGHTS
Onco-I-Analyse
FDA grants accelerated approval to Seagen’s and Genmab’s Tivdak in Cervical Cancer
On 20th September, Seagen announced that Tivdak (tisotumab vedotin-tftv), tissue factor (TF) ADC has received accelerated approval from the US FDA for recurrent or metastatic cervical cancer following progression on prior chemotherapy treatment. The approval followed priority review granted in April 2021 and was based on ORR and duration of the response data from the Phase 2 innovaTV 204 clinical trial.
Background: Cervical cancer is one of the leading causes of death in women globally. Recurrent or metastatic cervical cancer has a poor prognosis, with 5-yea
r survival rate of approximately 17%. Limited treatment options, with minimal clinical benefit, exist after progression on 1L therapy showing an ORR of <15% and median survival of 6-9.4 months.
Details: The
innovaTV 204 study evaluated tisotumab in a single-arm trial in 101 patients with metastatic or recurrent cervical cancer after disease progression on maximum two prior systemic treatment including platinum-based chemotherapy in combination with bevacizumab (if eligible). The confirmed ORR was 24% (CR: 7%), an IRC assessment, with a median duration of response (mDOR) of 8.3 months.
Tivdak was approved with a black box warning for ocular toxicity in its
label. Grade ≥3 AEs occurred in 28% patients with 1 death due to septic shock considered therapy related.
Implications: The approval makes Tivdak as the first and only approved ADC in this patient segment. Seagen and Genmab are collaborating on a Phase 3
innovaTV 301 confirmatory trial of tisotumab vedotin monotherapy compared to chemotherapy.
Tivdak will have a WAC price of $5,885 per 40mg single dose vial and an average WAC estimate of $34,000 per patient per month, before discounts or rebates.
In 2L+, it will compete with Merck’s Keytruda which received accelerated approval in June 2018 in 2L, PD-L1+ or MSI-H/dMMR cervival cancer with an ORR of 14.3%. However, a Phase 1b/2
innovaTV 205 trial is evaluating tisotumab + pembrolizumab combination therapy in 1L+ cervical cancer.
Data presented during
ESMO 2021 for the combination therapy showed an encouraging ORR of 38% and mDOR of 13.8 months in 2L/3L cervical cancer leading to a possibility of combination regimen.
Collated by: Shilpa Rawal, PhD
Drug Approvals
FDA Approves CABOMETYX® (cabozantinib) for Patients with Previously Treated Radioactive Iodine-Refractory Differentiated Thyroid Cancer
“Before today, patients with radioactive iodine-refractory differentiated thyroid cancer who have progressed following prior VEGFR-targeted therapy were facing aggressive disease and no standard treatment option,” said Marcia S. Brose, M.D., Ph.D., Chief, Cancer Center Operation Sidney Kimmel Cancer Center at Jefferson Torresdale Hospital, Co-Director, Community Based Clinical Trials, Sidney Kimmel Cancer Center at Thomas Jefferson University, and principal investigator of COSMIC-311. “In the COSMIC-311 pivotal phase 3 trial, CABOMETYX extended the time patients live without progression of their cancer. The FDA approval of CABOMETYX is an important advancement for these patients who are badly in need of new treatment options.”
Regulatory News

FDA accepts for Priority Review BLA for Relatlimab and Nivolumab Fixed-Dose Combination as Treatment for Patients with Unresectable or Metastatic Melanoma
“Although we’ve seen significant advances in the treatment of melanoma since the introduction of immune checkpoint inhibitors, there continue to be patients who could benefit from a novel dual immunotherapy approach,” said Jonathan Cheng, senior vice president and head of oncology development, Bristol Myers Squibb. “Based on the results of the RELATIVITY-047 trial, we believe that the relatlimab and nivolumab fixed-dose combination has the potential to improve outcomes for patients with metastatic or unresectable melanoma. We look forward to potentially introducing the first LAG-3-blocking antibody, and Bristol Myers Squibb’s third distinct checkpoint inhibitor, to help patients in need.”

Trial Results
Lynparza + abiraterone combination significantly delayed disease progression in all-comers in PROpel Ph 3 trial in 1L mCRPC
Susan Galbraith, Executive Vice President, Oncology R&D, said: “Today, men with metastatic castration-resistant prostate cancer have limited options in the 1st-line setting, and sadly often the disease progresses after initial treatment with current standards of care. These exciting results demonstrate the potential for Lynparza with abiraterone to become a new 1st-line option for patients regardless of their biomarker status and reach a broad population of patients living with this aggressive disease. We look forward to discussing the results with global health authorities as soon as possible.”
Update on INVICTUS Trial Shows Improved Overall Median Survival in GIST Patients Using Ripretinib
“This study was essentially a follow-up on the initial phase 1 study to see if ripretinib can control disease better than the standard of care, which when there’s no effective therapy, means many patients will go on to hospice and not receive therapy,” said Margaret von Mehren, MD, first author on the study, chief of the Division of Sarcoma Medical Oncology, and physician director of the Office of Clinical Research at Fox Chase Cancer Center.
Click here for more Trial Results
Trial/Program Status

First Patient Dosed in Randomized Study Evaluating TPST-1120/atezolizumab/ bevacizumab triplet in First-Line Regimen for HCC
“The initiation of this randomized TPST-1120 study in collaboration with Roche marks significant progress in the advancement of the Tempest clinical pipeline,” said Sam Whiting, MD, Ph.D., chief medical officer of Tempest. “We continue to be excited about TPST-1120’s mechanism of action and are encouraged by its safety profile and early signals of clinical benefit seen in both monotherapy and combination studies. The Tempest team looks forward to further evaluation of TPST-1120 in this randomized combination in the first-line treatment of patients with HCC.”
First Patient Dosed in HERKULES-3, a Ph 1b/2 Gastrointestinal Cancer Master Protocol Evaluating ERAS-007 in Multiple Combinations
“A major barrier to durable responses with current treatment regimens for GI cancers is the emergence of resistance mechanisms, which are often associated with reactivation of the MAPK pathway,” said Jonathan E. Lim, M.D., Erasca’s chairman, CEO, and co-founder. “We have developed HERKULES-3, our GI master protocol, to evaluate ERAS-007 in rational combinations to assess the possibility of reducing susceptibility to resistance and increasing durability of treatment. Initially focused on CRC subtypes with BRAF V600E, KRAS, or NRAS mutations, HERKULES-3 has the potential to address over half of patients with CRC and could be further expanded into other GI cancers with additional combinations.”
Click here for more Trial Statuses
Collated by: Richa Tewari, PhD 
Genes and Therapy
Beam Therapeutics targets chronic Hepatitis B infection with base editors
Beam Therapeutics’ cytosine base editors (CBEs)  reduce viral markers, including hepatitis B surface antigen (HBsAg) expression, and prevent viral rebound of hepatitis B virus (HBV) in in vitro models, according to preclinical data. In HBV infected cells, CBEs can target the covalently closed circular DNA (cccDNA) minichromosome at multiple locations, introducing precise and permanent stop codons in the viral genome, which are intended to silence the viral genes without the risk of the chromosomal rearrangements. In the study, infected human hepatoma HepG2-NTCP cells, which are susceptible to HBV infection, and long-term primary human hepatocyte co-cultures, were multiplex edited with selected HBV-targeting gRNAs and mRNA-encoding CBEs. Editing efficiency of 30%-60% was observed with no viral rebound in long-term infected primary hepatocytes.
Capricor Therapeutics announces positive results for Duchenne Muscular Dystrophy patients treated with CAP-1002
Capricor Therapeutics announced in their final data from the HOPE-2 clinical trial that their investigational cell therapy CAP-1002 significantly improved arm and heart function in non-ambulant boys and young men at advanced stages of Duchenne muscular dystrophy (DMD). CAP-1002 consists of allogeneic cardiosphere-derived cells, a type of progenitor cell that has been shown in pre-clinical and clinical studies to exert potent immunomodulatory activity and is being investigated for its potential to modify the immune system’s activity to encourage cellular regeneration.
Click here for more Genes and Therapy
MedNess Business
  Onco-News
Boehringer Ingelheim Acquires Abexxa Biologics to Further Expand its Research Efforts in Cancer Immunology and Novel Immunotherapeutic Approaches
“The acquisition of Abexxa bolsters our commitment to tumor-antigen discovery and new ways of targeting intracellular antigens. Their cutting-edge know-how and technologies for antigen discovery and novel antibody generation strongly complement the current approaches we have been applying successfully to enable immune-targeting of cancer cells,” said Clive R. Wood, Ph.D., corporate senior vice president and global head of discovery research, Boehringer Ingelheim.  “By expanding our portfolio of antibodies binding novel intracellular tumor antigens, we are striving to develop unique and broadly applicable new immunotherapeutic approaches for cancer patients,” added Wood.

Nektar Announces New Clinical Collaboration with Merck and Pfizer to Combine NKTR-255 with Avelumab in the JAVELIN Bladder Medley Study
"We are excited to partner with Merck KGaA, Darmstadt, Germany and Pfizer Inc. to evaluate the combination of NKTR-255 with avelumab in urothelial carcinoma," said Jonathan Zalevsky, Ph.D., Chief Research & Development Officer at Nektar. "Preclinical studies suggest that avelumab may induce lysis of tumor cells via antibody-dependent cell-mediated cytotoxicity, or ADCC, indicating an additional mechanism of action, and providing an opportunity for potential synergy when combined with an NK cell stimulator, such as NKTR-255."
Click here for more on mergers, acquisition and business news
Collated by: Richa Tewari, PhD 
Editors' Desk
Richa Tewari, PhD
Oncology News
Shilpa Rawal, PhD
Onco I-Analyse
Arundithi Ananthanarayanan
MedNess Reviews
Debarati Banik
HealthIT
Darpan Chakraborty
Social Media Manager
IP & BioPharma News
 
Nisha Peter, PhD
Consulting Editor


 
Rinki Saha
BioPharma News
Managing Editor
Shalini Roy Choudhury
Genes and Therapy
Managing Editor
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The sponsors do not have any influence on the nature or kind of the news/analysis reported in MedNess. The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of Medness. Examples of analysis performed within this article are only examples. They should not be utilized in real-world analytic products as they are based only on very limited and dated open source information. Assumptions made within the analysis are not reflective of the position of anyone volunteering or working for Medness. This blog is strictly for news and information. It does not provide medical advice, diagnosis or treatment nor investment suggestions. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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Content Editors: Richa Tewari , Esha SehanobishRinki Saha ,  Shilpa Rawal, PhD ,  Debarati Banik  , Divyaanka Iyer , Arundithi Ananthanarayanan and Abhinav Dey 
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