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MedNess: bite-size biopharma and medtech news

13th October, 2021

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MedNess This Week
HIGHLIGHTS
Drug Approvals
U.S. FDA Approves Tecartus® for Adults With Relapsed or Refractory B-cell Acute Lymphoblastic Leukemia
“Adults with ALL face a significantly poorer prognosis compared to children, and roughly half of all adults with B-ALL will relapse on currently available therapies,” said Bijal Shah, MD, ZUMA-3 investigator and medical oncologist, Moffitt Cancer Center, Tampa, Florida. “We now have a new meaningful advancement in treatment for these patients. A single infusion of Tecartus has demonstrated durable responses, suggesting the potential for long-term remission and a new approach to care.”
Regulatory News

FDA Granted Breakthrough Therapy Designation for Repotrectinib Treatment in Patients with NTRK-Positive, TKI-Pretreated Advanced Solid Tumors
“We are excited to receive our second Breakthrough Therapy designation and seventh overall regulatory designation for repotrectinib,” said Athena Countouriotis, M.D., president and chief executive officer. “There remains an unmet medical need for NTRK-positive, TKI-pretreated advanced solid tumor patients where there are no targeted therapies currently approved. We look forward to presenting additional clinical data from our TRIDENT-1 study of repotrectinib during the AACR-NCI-EORTC conference later this week, including a late-breaker plenary presentation where early clinical data from the NTRK EXP-5 and EXP-6 cohorts will be discussed.”

FDA places Clinical Hold on AlloCAR-T Trials Based on a Single Patient Case in ALPHA2 Trial
“Patient safety is our highest priority, and we are committed to working closely with the FDA to evaluate any potential clinical implications of this finding, and determine next steps for advancing ALLO-501A and our clinical programs,” said Rafael Amado, M.D., Executive Vice President of Research and Development and Chief Medical Officer. “As a leading developer of allogeneic cell therapies, we recognize our added responsibility to fully assess all aspects of our therapies to advance the field. We are grateful for the partnership with the patient community, clinical investigators, our Scientific Advisory Board, and the FDA as we work diligently toward understanding the clinical significance of this finding and to support the development of allogeneic CAR T therapy for cancer.”
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Trial Results
Margetuximab Achieved Primary Objective in Bridging Study in Advanced HER2+ Breast Cancer in Greater China
“We are pleased to see that the results of our bridging study are consistent with those of the SOPHIA trial that were the basis for the approval of Margenza® in the United States,” said Alan Sandler, M.D., President and Head of Global Development, Oncology. “Both trials support the potential use of margetuximab as another treatment option for a very difficult-to-treat patient population. The successful completion of our bridging study further demonstrates Zai Lab’s capabilities to produce clinical data of global quality to support regulatory approval in China in collaboration with our partners.”
Retrospective Analysis of Pooled Results from Three Studies Shows COSELA™ (Trilaciclib) Reduced Use of Supportive Care Interventions in ES-SCLC Patients Who Receive the Drug Prior to Chemotherapy
“The results from our analysis show clear myeloprotection benefits associated with the administration of trilaciclib prior to chemotherapy in patients with ES-SCLC,” said Renata Ferrarotto, MD, Associate Professor, Department of Thoracic/Head and Neck Medical Oncology at MD Anderson Cancer Center and lead author of the study. “By reducing the need for associated supportive care, trilaciclib has the potential to reduce both the societal and economic burden of chemotherapy-induced myelosuppression.”
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Trial/Program Status
N-803 IL-15 Receptor Agonist to Combine with Keytruda in 700-Site Lung-MAP Clinical Trial of a Chemo-Free Therapy
“While some patients with lung tumors have targetable genetics, the majority do not, and for them there are fewer treatment options,” said John Wrangle, M.D., one of the researchers at the Medical University of South Carolina who developed the study. “The Lung-MAP study aims to change that by combining different therapies such as Anktiva and Keytruda in an effort to discover highly effective and targeted therapies for these patients.”
KHK2375 (Entinostat) program to be discontinued
Yoshifumi Torii, Ph.D., Executive Officer, Vice President, Head of R&D Division of Kyowa Kirin commented, "We are disappointed in this decision, as it was expected to have novel possibilities in breast cancer treatment, especially in endocrine therapy. We would like to express our appreciation to all the patients and investigators who contributed to the clinical studies and our development and continue to push forward to deliver therapies that meet unmet medical needs in oncology.”
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Conference Coverage: AACR-NCI-EORTC, 2021
  1. Amgen Announces New LUMAKRAS™ (sotorasib) Combination Data From Phase 1b CodeBreaK 101 Study In Patients With KRAS G12C-mutated Cancers
  2. Bicycle Therapeutics Announces Interim BT5528 Ph I Clinical Trial Results and Preliminary Results from Ongoing BT8009 Ph I Clinical Trial
  3. Forma Therapeutics’ FT-7051 is Well-tolerated and Demonstrates Evidence of Activity in Initial Results from Ongoing Ph 1 Courage Study in Men with mCRPC
  4. Lava Therapeutics To Present Bispecific Gamma Delta T Cell Engagers For Treatment Of Cancer
  5. Merus Presents Early Clinical Data on MCLA-158
  6. Relay Therapeutics Announces Interim Clinical Data that Support RLY-4008 as a Highly Selective FGFR2 Inhibitor
  7. Turning Point Therapeutics Presents TRIDENT-1 Study Clinical Data for Repotrectinib in NTRK+ Advanced Solid Tumors
Collated by: Richa Tewari, PhD 
Genes and Therapy
PTC-AADC gene therapy shows holistic improvements in children with AADC deficiency
 PTC Therapeutics shows five-year results for its novel gene therapy, PTC-AADC, which leads to profound improvements in children with aromatic L-Amino acid decarboxylase (AADC) deficiency, a previously intractable, fatal and devastating rare disorder of the central nervous system. Children treated with PTC-AADC developed motor function and cognitive skills not previously seen, such as holding up their head, sitting or standing with support and communicating, and these persisted for up to 10 years. PTC-AADC is currently under review by the European Medicines Agency's Committee for Medicinal Products for Human Use. A Biologics License Application is expected to be submitted to the U.S. Food and Drug Administration by the end of 2021.
Voyager Therapeutics and Pfizer enter License Option Agreement for AAV capsids
 Voyager Therapeutics entered an agreement through which Pfizer may exercise options to license novel capsids generated from Voyager’s RNA-driven TRACERTM (Tropism Redirection of AAV by Cell-type-specific Expression of RNA) screening technology as part of Pfizer’s efforts to develop, manufacture, and commercialize gene therapies, utilizing two undisclosed transgenes to treat certain neurologic and cardiovascular diseases.
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MedNess Reviews
UCSF Researchers Report Initial Success With Neuromodulation for Treatment of Treatment-Resistant Depression
Researchers at the University of California, San Francisco (UCSF) have developed a first-of-its-kind neuromodulation treatment for treatment-resistant depression. The treatment makes use of a  small device implanted in the brain of a patient trained to issue electrical pulses to areas of the brain linked to the condition.  The effects of the neurostimulation showed near-immediate effects, according to the study published in Nature Medicine.
The use of neuromodulation for the treatment of other neurological disorders like anxiety, depression, Parkinson’s disease, and other conditions has seen only limited success. The, largely because many neurological illnesses present differently from person to person, especially for difficult-to-treat conditions like depression.
To overcome this limitation, the research team overcame this by personalizing the treatment based on the patient’s specific brain patterns of a patient – producing remarkable, near-immediate relief of the patient’s severe, treatment-resistant depression.
The team’s neuromodulation system dubbed as the “pacemaker for the brain,” includes a small device implanted in the patient’s brain that continuously monitors neurological activity and instructs two leads in separate areas of the brain to emit electrical pulses if abnormal activity is detected.
Not only did the treatment eliminate depression symptoms almost immediately, the improvements lasted for approximately 15 months, according to the researchers. That’s in sharp contrast to other deep brain stimulation devices, which typically offer some relief from depression symptoms after four to eight weeks after continuous stimulation begins.
Although they have shown the success of the neuromodulation treatment in one patient, the researchers plan to continue validating the technology as a treatment for severe depression, with plans to recruit around a dozen subjects for trials.


 

Zaki syndrome: the newly uncovered condition and its potential cure

Researchers at the University of California (UC) San Diego and Rady Children’s Institute for Genomic Medicine, along with an international team, have identified and described the cause for a previously unknown rare genetic condition that affects children. They have also identified a potential method to prevent the disease-causing gene mutation by administering a drug during pregnancy.
The researchers identified the condition, dubbed Zaki syndrome, after doctors from around the world compared notes that showed children born with it all had DNA mutations in the Wnt-less or WLS  gene. The syndrome affects the prenatal development of several organs of the body, including the eyes, brain, hands, kidneys, and heart. As a result, children suffer from lifelong disabilities. Although the condition appears to be rare, future studies are required to determine prevalence. The team started by scouring databases of 20,248 families who had children with neurodevelopmental disorders. By whole-genome sequencing, they zeroed in on mutations in the WLS gene, which controls signaling levels for Wnt, a hormone-like protein involved in embryonic development. The researchers administered CHIR99021 in mouse models of Zaki syndrome, in a bid to boost Wnt signaling and observed promising results. Signaling was increased as intended, and the mouse embryos grew body parts that had failed to develop and their organs resumed normal growth, the scientists report. The researchers hope that the drug or other similar drugs can be eventually used to prevent birth defects.
MedNess Business
  Onco-News
Mirati Therapeutics and Sanofi plan Ph 1/2 Study Evaluating Combination of adagrasib with a SHP2 Inhibitor in KRAS G12C-mutated Lung Cancer
"Mirati is aggressively advancing a broad adagrasib development program, which includes pursuing novel combination approaches including through this collaboration with Sanofi," said Charles M. Baum, M.D., Ph.D., president, founder and head of research and development, Mirati Therapeutics, Inc. "There is strong scientific rationale for combining a SHP2 inhibitor with adagrasib, which may help optimize clinical outcomes for patients with KRASG12C-dependent tumors."
Xencor Enters Global Collaboration and License Agreement With Janssen to Advance Plamotamab and XmAb CD28 Bispecific Antibody Combinations for the Treatment of Patients With B-Cell Malignancies
“The treatment landscape in B-cell lymphoma will potentially be redefined by CD20 x CD3 bispecific antibodies, such as plamotamab, and the best outcomes for patients will require creative combination approaches using complementary mechanisms of action. We are delighted to collaborate with Janssen’s leading scientists to expand the scope of the plamotamab program, particularly as we explore opportunities to combine with novel B-cell targeted CD28 bispecific antibodies that can potentially selectively enhance T-cell cytotoxic activity,” said Bassil Dahiyat, Ph.D., president and chief executive officer at Xencor. “This collaboration complements our plans to initiate combination clinical trials of plamotamab with tafasitamab and lenalidomide, and it expands our strategy to develop multiple highly active chemotherapy-free regimens for B-cell cancers.”
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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Content Editors: Richa Tewari , Esha SehanobishRinki Saha ,  Shilpa Rawal, PhD ,  Debarati Banik  , Divyaanka Iyer , Arundithi Ananthanarayanan and Abhinav Dey 
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