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MedNess: bite-size biopharma and medtech news

25th August, 2021

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MedNess This Week
HIGHLIGHTS
Onco-I-Analyse
On 16th August, Gracell Biotechnologies and FutureGen Biopharm entered into an exclusive licensing agreement for developing engineered immune cell therapies targeting Claudin 18.2 (CLDN18.2) in solid tumors. Under the agreement, Gracell will gain an exclusive, worldwide sublicensable license to FutureGen’s patent rights in the field of engineered or modified immune cell therapies for solid tumors.
Background: CLDN18.2 is a tight-junction protein. Alterations in claudin expression can impair tight junction function leading to altered signalling pathways, thereby promoting tumor growth events in some cancers. CLDN18.2 is overexpressed in a number of tumors, including aggressive cancers like gastric, esophageal, and pancreatic cancers, and is a promising target for immunotherapy.
Details: As per the terms of the agreement, FutureGen will receive an undisclosed upfront payment and will be eligible for additional milestone payments, including non-clinical validation, clinical development and commercialization, alongside low single-digit royalties.
The collaboration aims to utilize Gracell’s expertise in immune cell therapy and its proprietary Enhanced CAR technology along with FutureGen’s CLDN18.2 antibodies, developed through STEP and CAP technology platforms, to develop, manufacture, and commercialize novel immune cell therapies for CLDN18.2 expressing tumors.
Currently, zolbetuximab, an anti-CLDN18.2 monoclonal antibody from Astellas is in Phase 3 (
GLOW, SPOTLIGHT) development for CLDN18.2+ Gastric/GEJ adenocarcinoma and Phase 2 development for CLDN18.2+ pancreatic adenocarcinoma. Carsgen is also evaluating CT041, autologous CLDN18.2 CAR-T, in Phase 1/2 trial in CLDN18.2+ gastric and pancreatic adenocarcinoma.
Drug Approvals
FDA Approves Opdivo® (nivolumab) for the Adjuvant Treatment of Patients with High-Risk Urothelial Carcinoma
“This approval is a major milestone for patients who have undergone major surgery to remove the bladder or parts of the urinary tract and are in need of additional treatment approaches that can help reduce the risk of their UC returning,” said Matthew D. Galsky,* M.D., a CheckMate -274 primary investigator and Professor of Medicine, Director of Genitourinary Medical Oncology, Co-Director of the Center of Excellence for Bladder Cancer, and Associate Director for Translational Research at The Tisch Cancer Institute and the Icahn School of Medicine at Mount Sinai.3 “Nivolumabprovides a new FDA-approved treatment shown to reduce the risk of disease recurrence or death based on the safety and efficacy findings from CheckMate -274, and has the potential to become a new standard of care option in this setting.”
Dr Hal Barron, Chief Scientific Officer and President R&D, GSK, said: “For patients with tumours expressing the dMMR biomarker, there continues to be a significant need for new and effective treatments. I’m excited about GSK’s second oncology FDA approval this year, and the new treatment option it provides for these patients.”
Regulatory News

FDA granted Fast Track Designation to STRO-002 for Patients with Advanced Ovarian Cancer
“We are pleased with the FDA’s decision to grant Fast Track designation for STRO-002 and welcome the opportunity to have more frequent interactions with the agency,” said Dr. Arturo Molina, Chief Medical Officer of Sutro Biopharma. “We continue to be enthused by the potential of the STRO-002 program, which has shown encouraging preliminary activity and tolerability in our Phase 1 dose-escalation study in ovarian cancer, and plan to continue to work with the FDA to potentially accelerate our clinical and regulatory efforts.”

Trial Results
Sintilimab + Chemotherapy Meets Primary Endpoint of OS in Ph 3 ORIENT-16 Study in 1L Advanced/Metastatic Gastric/GEJ Adenocarcinoma patients
The principal investigator of the ORIENT-16 study, Prof. Jianming Xu from the Fifth Medical Center of People's Liberation Army General Hospital, stated, “ORIENT-16 is the first Phase 3 clinical trial in China to demonstrate an anti-PD-1 antibody in combination with chemotherapy significantly prolonged overall survival in the first-line treatment of advanced gastric cancer. Gastric cancer is one of the most common malignant tumor types globally and nearly half of all cases are diagnosed in China. The prognosis of advanced gastric cancer is very poor. Currently, chemotherapy is the primary treatment option and targeted agents have offered limited benefit. The results of the ORIENT-16 study have the potential to bring a new and more effective treatment option to people with gastric cancer.”
Positive Interim Clinical Data announced from FT596 and FT516 Off-the-shelf, iPSC-derived NK Cell Programs for B-cell Lymphoma
“We are very pleased with the interim safety, response rates, and durability of responses observed in our ongoing clinical studies of FT516 and FT596 for the treatment of patients with relapsed / refractory B-cell lymphomas. These data continue to demonstrate that our off-the-shelf, iPSC-derived NK cell product candidates can uniquely deliver substantial therapeutic benefit and expand patient access to cell-based cancer immunotherapies,” said Scott Wolchko, President and Chief Executive Officer of Fate Therapeutics. “At this time, we are initiating multiple indication-specific, dose-expansion cohorts to broadly assess FT516 in combination with CD20-targeted monoclonal antibody regimens, including in patients that have experienced disease progression following autologous CD19-targeted CAR T-cell therapy. In addition, early clinical data with the single-dose FT596 treatment schedule have shown robust 30-day response rates and we look forward to further assessing both single-dose and multi-dose treatment regimens to validate its potential best-in-class therapeutic profile.”
     Click here for more Trial Results
Trial/Program Status
Enrollment completed in Ph 2 ELAINE 1 Trial of Oral Lasofoxifene Versus Intramuscular Fulvestrant ER+/HER2- breast cancer
“Combination therapy in the metastatic setting is becoming quite commonplace and the potential to pair a well-tolerated endocrine therapy with a CDK 4/6 inhibitor in women with an ESR1 mutation is important from a clinical perspective, thus it is vital to assess safety and tolerability of these agents used concomitantly to optimize progression-free survival,” said Dr. David Portman, Sermonix founder and chief executive officer. “We are delighted to have promptly completed enrollment and thank our participants, their families and clinical centers for supporting our efforts.”
Ph 1b/2 TRIDENT-2 Clinical Study of Repotrectinib-Trametinib Combination initiated in KRAS G12D Mutated Advanced Solid Tumors
“We are pleased to initiate the TRIDENT-2 study and explore a potential new treatment option for patients with KRAS-driven solid tumors,” said Mohammad Hirmand, executive vice president and chief medical officer. “With preclinical studies demonstrating repotrectinib’s ability to inhibit JAK2, SRC and FAK, our goal is to help improve the effectiveness of KRAS-targeting agents by suppressing known pathways of tumor resistance.”
     Click here for more Trial/Program Statuses
MedNess Reviews
Mustang Bio Licenses Novel CAR T Technology from Mayo Clinic
Clinical stage biopharmaceutical company Mustang Bio focused on translating today’s medical breakthroughs in cell and gene therapies into potential cures for hematologic cancers, solid tumors, and rare genetic diseases have signed an exclusive license agreement with Mayo Clinic for a novel technology that could potentially transform the administration of  CAR T therapies.
The technology, developed by Mayo Clinic researcher Larry R. Pease, uses a new two-step approach to administer CAR T therapy. The patient first is given a peptide to help boost his or her resident T cells, which is followed by the administration of a viral CAR construct directly into the patient’s lymph nodes. The injected viral CAR construct infects CAR T cells and effectively forms CAR T cells in vivo in the patient. Successful implementation of the technology may lead to an off-the-shelf product that eliminates the need to isolate and expand patient T cells ex vivo. Preclinical proof-of-concept has been established and further development will take place at Mayo Clinic. Mustang plans to file an Investigational New Drug (“IND”) application for a multicenter Phase clinical trial once a lead construct has been identified.
Calidi Biotherapeutics, a clinical-stage biotech company with novel stem cell platforms for delivery of oncolytic viruses has entered into an exclusive license with the University of Chicago and City of Hope (COH) for patents covering cutting edge therapies using an oncolytic adenovirus in combination with a clinical-grade allogeneic neural stem cell line.
This license to Calidi is a culmination of efforts by COH and University of Chicago scientists, who used COH’s exclusive GMP grade immortalized, clonal human neural stem cell line, to selectively deliver an oncolytic adenovirus to tumor sites. The scientist spent 13 years to translate promising pre-clinical results into the clinic, attaining FDA approval for commencing a first-in-human Phase-1 trial in recurrent glioma patients.
The exclusive license agreement was executed by the University of Chicago’s Polsky Center for Entrepreneurship and Innovation. The license transferred the COH/University of Chicago Investigational New Drug Application (IND) to Calidi for the commercial development of a licensed product. The agreement grants to Calidi commercial exclusivity in using neural stem cells with the adenovirus known as CRAd-pk-S-7 for oncolytic virotherapy. The IND is planned for patient trials in the first quarter of 2022.
MedNess Business
Onco-News
Adagene and Merck to Advance Anti-CD137 Agonist, ADG106, in Combination Therapy with KEYTRUDA® (pembrolizumab)
“We are excited to continue our partnership with Merck in a third clinical collaboration that now combines our anti-CD137 agonist, ADG106, with KEYTRUDA,” said Peter Luo, Ph.D., Co-founder, Chief Executive Officer, and Chairman of Adagene. “While PD-1 drugs have advanced the cancer treatment paradigm, there are still a substantial number of patients with advanced metastatic solid and hematological malignancies who either relapse or are unresponsive, highlighting the need for new approaches. ADG106 targets a unique and highly conserved epitope with a novel mechanism of action and broad species cross-reactivity, which enables testing in immunocompetent hosts. In multiple syngeneic models, we have shown a strong additive effect between ADG106 and anti-PD-1/PD-L1 agents.”
Collated by: Richa Tewari, PhD
Editors' Desk
Richa Tewari, PhD
Oncology News
Shilpa Rawal, PhD
Onco I-Analyse
Arundithi Ananthanarayanan
MedNess Reviews
Divyaanka Iyer
BioPharma News
Debarati Banik
HealthIT
Darpan Chakraborty
Social Media Manager
Nisha Peter, PhD
Consulting Editor
Abhi Dey
Consulting Editor
Rinki Saha
BioPharma News
Managing Editor
Shalini Roy Choudhury
Genes and Therapy
Managing Editor
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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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