Home JunLian Healthcare Global Drug Development Newsletter · Issue 14

JunLian Healthcare Global Drug Development Newsletter · Issue 14

Jul 23, 2019 21:43 CST Updated 21:43

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July 5–21, 2019: A total of eight new drug data entries were recorded this week, including five in oncology, two in immunology, and one in metabolism.


Weekly Highlights


The Center for Drug Evaluation (CDE) has accepted the clinical trial application for Poziotinib, a drug targeting EGFR exon 20 insertion mutations in lung cancer, submitted by Hanmi Pharmaceutical Co., Ltd. Exon 20 insertion mutations have long been considered a "therapeutic desert," with even Osimertinib, the leading EGFR inhibitor, failing to achieve significant success in this area. Currently, both Hanmi’s Poziotinib and Takeda’s TAK-788 have demonstrated favorable objective response rates (ORR) and disease control rates; however, both are associated with notable adverse effects. Notably, nearly 40% of patients discontinued treatment due to side effects in the case of TAK-788. Many domestic companies in China are now entering this field, aiming to provide more comprehensive therapeutic solutions for patients in the future.


Hengrui Announces Patient Assistance Program for Camrelizumab. Previously, Hengrui set the domestic price at RMB 19,800 per 200 mg, the highest in China. However, with the implementation of the patient assistance program, the annual treatment cost for camrelizumab is approximately RMB 120,000, slightly higher than Junshi’s RMB 100,000 per year, but significantly lower than those of BMS (RMB 280,000 per year) and Merck (RMB 320,000 per year). With this announcement, all five domestic companies marketing PD-1 inhibitors have disclosed their detailed pricing, officially ushering in the “Warring States” era of PD-1 competition in China.


RemeGen Releases Pivotal Clinical Trial Results of Its Self-Developed Biologic Drug RC18 for the Treatment of Systemic Lupus ErythematosusSystemic lupus erythematosus (SLE) is often regarded as another form of “cancer” due to its high prevalence. However, treatment options have primarily been limited to glucocorticoids, cyclophosphamide, and antimalarial drugs, which are associated with significant side effects. No new drugs had been approved for SLE in the past 60 years. Belimumab was approved in China one month ago, but its weekly subcutaneous injection costs approximately $940, raising concerns that it may face a predicament similar to that of adalimumab in the Chinese market. Whether RemeGen can emerge as a white knight akin to Etanercept remains to be seen.



Drug R&D Updates


BeautyU.S. FDA Approves Celgene’s Otezla for the Treatment of Oral Ulcers Associated with Behçet’s Disease


Company


Celgene Announces U.S. FDA Approval of Otezla (apremilast) 30 mg Twice Daily (BID) for the Treatment of Oral Ulcers Associated with Behçet’s Disease, Marking the First and Only FDA-Approved Therapy for This Condition


Mechanism of Action


Otezla is an oral, selective phosphodiesterase 4 (PDE4) inhibitor


Inclusion Criteria and Study Design


In the randomized, placebo-controlled, double-blind Phase 3 clinical trial RELIEFTM, 207 adult patients with Behçet’s disease and active oral ulcers were enrolled; these patients had previously received treatment with at least one non-biologic agent and were candidates for systemic therapy.


Results


At Week 12, Otezla 30 mg twice daily (BID) resulted in a 42.7-point greater reduction from baseline in oral ulcer pain, as measured by the Visual Analog Scale (VAS), compared with placebo. At Week 12, the proportion of patients achieving complete resolution of oral ulcers (i.e., absence of oral ulcers) was 52.9% in the Otezla group versus 22.3% in the placebo group.



SurgiMab Announces That Its Investigational Fluorescent Tumor-Specific Antibody SGM-101 Has Entered Pivotal Phase 3 Clinical Trials


Company


SurgiMab Announces That Its Investigational Fluorescent Tumor-Specific Antibody SGM-101 Has Entered Pivotal Phase 3 Clinical Trials. The Antibody Has Been Used to Improve Surgical Outcomes in Patients with Colorectal Cancer (CRC) and Has Yielded Positive Results


Drug Mechanism


SGM-101 is a tumor-specific antibody conjugated to a fluorescent dye.


Inclusion Criteria and Study Design


Phase II trial: SGM-101 for detecting residual tumor tissue, with conventional surgery as the control


Results


As an intraoperative imaging agent, SGM-101 can detect residual tumor tissues that are undetectable by other methods. In 35% of patients with recurrent or peritoneal metastatic colorectal cancer (CRC), the use of SGM-101 improved surgical procedures, enabling the resection of more tumor tissue or less healthy tissue.


 

Dicerna Announces FDA Grants Breakthrough Therapy Designation to Its Investigational RNAi Therapy for the Treatment of Primary Hyperoxaluria Type 1 (PH1)


Company


Dicerna Pharmaceuticals Announces That the U.S. FDA Has Granted Breakthrough Therapy Designation to Its Investigational RNAi Therapy DCR-PHXC for the Treatment of Primary Hyperoxaluria Type 1 (PH1)


Mechanism of Action


DCR-PHXC is currently the only RNAi therapeutic approved for the treatment of all types of primary hyperoxaluria (PH).


Inclusion Criteria and Study Design


Phase I Clinical Trial in Patients with PH1 and PH2: A Comparison with Standard Therapy


Results


Urinary oxalate levels were substantially reduced 24 hours after dosing in patients with PH1 and PH2. A single dose of DCR-PHXC enabled most patients to achieve normal or near-normal urinary oxalate levels.


 

Astellas Submits Biologics License Application (BLA) for Antibody-Drug Conjugate (ADC) Co-Developed with Seattle Genetics to the U.S. FDA


Company


Astellas Pharma and Seattle Genetics jointly announced the submission of a Biologics License Application (BLA) to the U.S. FDA for enfortumab vedotin, an antibody-drug conjugate (ADC) co-developed by the two companies.


Mechanism of Action


Enfortumab vedotin is an antibody-drug conjugate (ADC) that links an anti-Nectin-4 monoclonal antibody to the microtubule-disrupting agent MMAE.


Inclusion Criteria and Study Design


Inclusion Criteria and Study Design: In the pivotal Phase 2 clinical trial, 125 patients received enfortumab vedotin. These patients included those who were refractory to PD-1/L1 inhibitors and those who had received more than three prior lines of therapy.


Results


Enfortumab vedotin achieved an objective response rate of 44% in these patients. The duration of response was 7.6 months. The median overall survival was 11.7 months, and the median progression-free survival was 5.8 months.


Mechanism of Action of Enfortumab Vedotin

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Data source: Seattle Genetics


 

Neon announced that its personalized neoantigen cancer vaccine significantly prolonged progression-free survival (PFS) in patients with melanoma, non-small cell lung cancer (NSCLC), and bladder cancer.


Company


Neon Therapeutics Announces That Its Personalized Neoantigen Cancer Vaccine Prolonged Progression-Free Survival in Patients with Melanoma, Non-Small Cell Lung Cancer (NSCLC), and Bladder Cancer in Early-Stage Clinical Trials


Drug Mechanism


Mechanism of Action: NEO-PV-01 is a “tailor-made” personalized neoantigen vaccine


Inclusion Criteria and Study Design


Inclusion Criteria and Study Design: In a multicenter Phase 1b clinical trial, patients with advanced or metastatic melanoma, smoking-related non-small cell lung cancer (NSCLC), and bladder cancer received combination therapy consisting of NEO-PV-01 and Opdivo (nivolumab).


Results


Compared with historical data for Opdivo monotherapy, the combination therapy prolonged progression-free survival (PFS) in patients with all three types of cancer. At a median follow-up of 13.4 months, the median PFS had not been reached in patients with melanoma, whereas the median PFS was 5.6 months in patients with non-small cell lung cancer (NSCLC) and bladder cancer.


 

GlaxoSmithKline (GSK) Announces Positive Results from Phase 3 Clinical Trial of PARP Inhibitor Zejula


Company


GlaxoSmithKline (GSK) announced that its PARP inhibitor Zejula (niraparib) achieved positive results in the Phase 3 PRIMA clinical trial.


Mechanism of Action


Zejula is a key PARP inhibitor acquired by GSK following its $5.1 billion purchase of TESARO last year.


Inclusion Criteria and Study Design


In the Phase II clinical trial, treatment was administered to patients with BRCA gene mutations and homologous recombination deficiency.


Results


Efficacy was observed in ovarian cancer patients with BRCA mutations (overall response rate, 29%) and in those without BRCA mutations but with homologous recombination deficiency (overall response rate, 15%).


 

RemeGen Announces Key Clinical Study Results of Its Self-Developed Biologic Drug RC18 for the Treatment of Systemic Lupus Erythematosus (SLE)


Company


RemeGen Co., Ltd. (Yantai) Releases Key Clinical Study Results of Its Self-Developed Biologic New Drug RC18 (Generic Name: Telitacicept; Brand Name: Taiai) for the Treatment of Systemic Lupus Erythematosus (SLE)


Mechanism of Action


Telitacicept can simultaneously inhibit the two cytokines BLyS and APRIL.


Subject Enrollment Labeling and Experimental Design


In a multicenter, randomized, double-blind, placebo-controlled study, 249 patients with systemic lupus erythematosus (SLE) were enrolled to evaluate the efficacy and safety of telitacicept in treating SLE subjects.


Results


The difference in clinical response rates between the telitacicept treatment group and the placebo control group was statistically significant, thereby meeting the primary endpoint of the clinical trial. Specifically, the 48-week response rate in the high-dose telitacicept group was 79.2%, compared with 32.0% in the placebo control group.


CDE Accepted the Clinical Trial Application for Hanmi Pharmaceutical’s Poziotinib, a Drug Targeting Exon 20 Insertion Mutations in Lung Cancer


Company


According to the New Drug R&D Monitoring Database, the Center for Drug Evaluation (CDE) has recently accepted the clinical trial application from Hanmi Pharmaceutical Co., Ltd. for poziotinib, a drug targeting exon 20 insertion mutations in lung cancer.


Drug Mechanism


Poziotinib, developed by Hanmi Pharmaceutical, is a novel oral quinazoline-based pan-HER inhibitor currently in Phase II clinical trials, the most advanced stage of development globally.


Inclusion Criteria and Study Design


Inclusion Criteria and Study Design: In the Phase 2 trial, poziotinib was administered to patients with lung cancer harboring exon 20 insertion mutations.


Results


Poziotinib achieved a disease control rate of up to 90% in the treatment of lung cancer with exon 20 insertion mutations, with a best overall response rate (ORR) of 55%, a confirmed ORR of 43%, and a median progression-free survival (PFS) of 5.5 months.


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Data Source: WCLC


  itsVBInsight 

The Center for Drug Evaluation (CDE) has accepted the clinical trial application for Poziotinib, a drug targeting EGFR exon 20 insertion mutations in non-small cell lung cancer, submitted by Hanmi Pharmaceutical Co., Ltd. Exon 20 insertion mutations have long been considered a therapeutic "desert," with Osimertinib, the leading EGFR inhibitor, also failing to achieve significant success in this area. Currently, both Hanmi’s Poziotinib and Takeda’s TAK-788 have demonstrated favorable objective response rates (ORR) and disease control rates; however, both are associated with notable adverse effects. Notably, nearly 40% of patients discontinued treatment with TAK-788 due to side effects. A number of domestic companies in China are now entering this field, aiming to provide more comprehensive therapeutic solutions for patients in the future.


 Bayer, Bristol-Myers Squibb, and Ono Pharmaceutical Announce Clinical Collaboration Agreement to Evaluate the Efficacy of Combining Bayer’s Kinase Inhibitor Regorafenib with BMS/Ono Pharmaceutical’s Anti-PD-1 Monoclonal Antibody Opdivo


❖  The U.S. FDA Approves Merck & Co.’s (MSD) Innovative Antibiotic Combination Recarbrio for the Treatment of Complicated Urinary Tract Infections and Complicated Intra-abdominal Infections Caused by Specific Susceptible Gram-Negative Bacteria; Recarbrio Is a Three-Drug Combination, with Only Imipenem Being an Antibiotic.


❖  Gilead Sciences has entered into a 10-year global R&D collaboration agreement with the Belgian biotechnology company Galapagos, primarily focusing on GLPG1690 and GLPG1972. The former is in Phase III clinical trials for the treatment of idiopathic pulmonary fibrosis, while the latter is in Phase IIb clinical trials for the treatment of osteoarthritis. Under the terms of the agreement, Gilead will pay Galapagos an upfront fee of $3.95 billion and make a $1.1 billion equity investment in the company.


❖ Ascentage Pharma Announces Initiation of Phase I Clinical Trial in China for APG-2575, an Original Bcl-2 Selective Inhibitor for the Treatment of Hematologic Malignancies, with First Patient Dosed. Previously, Ascentage Pharma Had Launched a Multicenter, Dose-Escalation Monotherapy Phase I Clinical Trial for This Drug in the United States and Australia.


AstraZeneca Announces FDA Formally Rejects Its SGLT Inhibitor Farxiga, Declining to Support the Drug for the Treatment of Patients with Type 1 Diabetes


❖ China Biopharmaceutical announced that its subsidiary, Chia Tai Tianqing Pharmaceutical Group Co., Ltd., has received a drug registration approval from the NMPA for its anti-tumor drug “Abiraterone Acetate Tablets,” making it the second domestic company to obtain approval for this product.


❖ Hengrui Medicine announced that it has recently received an approval notice issued by the National Medical Products Administration, permitting Phase III clinical trials of camrelizumab (SHR-1210) for injection in combination therapy for liver cancer and gastric cancer.


❖ Hengrui Announces Patient Assistance Program for Camrelizumab. Currently, camrelizumab is priced at RMB 19,800 per 200 mg in China. Under the patient assistance program, patients can receive greater access to the medication through a “buy 2, get 2 free; then buy 4, get free supply for up to one year (capped at 18 vials)” scheme.