MedPath

REC-994

Generic Name
REC-994
Drug Type
Small Molecule
Background

REC-994 was cleared by the FDA in July, 2018 for a phase I trial for the treatment of cerebral cavernous malformation (CCM).

Recursion Doses First Patient in Phase 1 Trial of REC-3565 for Relapsed B-cell Lymphomas

• Recursion has initiated the EXCELERIZE Phase 1 clinical trial of REC-3565, a selective MALT1 inhibitor designed to treat relapsed or refractory B-cell lymphomas. • The AI-designed compound demonstrated strong preclinical results and features an allosteric design that potentially reduces liver toxicity risks associated with other MALT1 inhibitors. • Approximately 41,000 relapsed/refractory patients with CLL and B-cell lymphomas in the U.S. and EU5 are eligible for this potential treatment annually.

Recursion-Exscientia Merger Signals New Era in AI-Driven Drug Discovery

• Recursion Pharmaceuticals and Exscientia have completed a landmark $700 million merger, marking the largest AI-focused life sciences deal to date and combining complementary capabilities in biological and chemical AI platforms. • The merged entity now boasts 10 programs in development and significant partnerships with pharmaceutical giants Sanofi and Roche, with their most advanced program targeting cerebral cavernous malformation in Phase 2. • Industry experts predict this merger will catalyze more AI-focused acquisitions in pharma, as companies seek to fully integrate artificial intelligence into traditional drug development processes.

Recursion's AI-Discovered Drug Shows Promise in Phase II Brain Disease Trial

• Recursion's lead AI-derived drug candidate REC-994 demonstrated significant efficacy in Phase II trials, with 50% of high-dose patients showing reduced brain lesion volume compared to 28% on placebo. • The trial targeted cerebral cavernous malformation (CCM), a potentially fatal brain condition affecting 360,000 people in the US and EU, for which no approved pharmacological treatments currently exist. • The positive results mark a milestone for AI-driven drug discovery, though experts note these outcomes reflect earlier AI technology rather than current capabilities.

Recursion's REC-994 Shows Promise in Phase II Trial for Cerebral Cavernous Malformations

• REC-994 demonstrated a favorable safety profile and improved functionality scores in Phase II trial for Cerebral Cavernous Malformations patients, marking a potential breakthrough for non-surgical treatment. • The 400mg dose group showed notable reductions in cerebral lesion volume compared to placebo, though patient responses varied across the study population. • With no current non-surgical treatments available for CCM, these positive results position REC-994 as a promising therapeutic candidate pending FDA discussions.

Recursion's REC-994 Shows Promising Safety and Efficacy Signals in Phase 2 CCM Trial

• REC-994 demonstrated a favorable safety profile in the Phase 2 SYCAMORE trial for Cerebral Cavernous Malformations, with no treatment-related discontinuations or serious adverse events. • The 400mg dose showed encouraging efficacy signals, with 50% of patients experiencing lesion volume reduction and improved functional outcomes compared to placebo after 12 months of treatment. • Particularly notable benefits were observed in patients with brainstem lesions, representing a significant advancement for this high-unmet-need population where surgical intervention is not possible.

Arvinas Advances Vepdegestrant into Phase 3 Trials for Breast Cancer and Updates Pipeline Milestones

• Arvinas plans to initiate two Phase 3 trials in 2025 for vepdegestrant in ER+/HER2- metastatic breast cancer, one in the first-line setting with atirmociclib and another in the second-line setting with a CDK4/6 inhibitor. • Topline data from the Phase 3 VERITAC-2 monotherapy trial of vepdegestrant in second-line-plus ER+/HER2- metastatic breast cancer is anticipated in the first quarter of 2025. • Arvinas is set to present initial data from the Phase 1 trial of ARV-393 in B-cell lymphomas and file an IND application for a novel PROTAC KRAS G12D degrader in 2025. • Phase 1 trial with PROTAC LRRK2 degrader ARV-102 in patients with Parkinson’s disease has been initiated, with data expected to be presented in the first half of 2025.

AI-Driven Drug Discovery Shows Promise and Challenges in Cerebral Cavernous Malformation Trial

• Recursion Pharmaceuticals' Phase 2 trial of REC-994 for cerebral cavernous malformation (CCM) met its primary safety endpoint but showed mixed efficacy results. • The trial highlights the potential and challenges of using AI to analyze vast datasets for identifying new drug candidates for rare diseases. • Experts suggest combining AI with traditional techniques and developing more complex models to improve the accuracy and reliability of AI-driven drug discovery. • Accessibility of AI tools is crucial, with platforms streamlining the process for scientists to efficiently utilize these technologies in drug discovery.

Recursion's AI-Derived Drug REC-994 Shows Promise in Phase 2 Trial for Cerebral Cavernous Malformation

• Recursion Pharmaceuticals' REC-994 met the primary safety endpoint in a Phase 2 trial for cerebral cavernous malformation (CCM). • Secondary endpoints suggest a reduction in lesion volume and hemosiderin ring size at the 400mg dose compared to placebo. • The oral drug REC-994 has the potential to address the unmet needs of CCM patients who currently have limited treatment options. • Recursion plans to engage with the FDA to discuss subsequent studies and present trial data at an upcoming medical conference.

Recursion Pharmaceuticals Announces Seven Clinical Readouts Expected Within 18 Months

• Recursion Pharmaceuticals anticipates seven clinical trial readouts within approximately 18 months, spanning multiple therapeutic areas and clinical phases. • Key readouts include Phase 2 data for REC-994 in Cerebral Cavernous Malformation and REC-2282 in Neurofibromatosis Type 2, expected in September and Q4 2024, respectively. • Recursion's partnership with Bayer expands with Bayer becoming the first beta-user of Recursion’s LOWE software for drug discovery. • The company is advancing internal and partnered programs, leveraging AI/ML solutions and multimodal data to enhance drug discovery and development.

Recursion Anticipates Phase 2 Data Readouts and Advances Platform Capabilities

• Recursion expects to release Phase 2 data for REC-994 in Cerebral Cavernous Malformation in Q3 2024, with the SYCAMORE trial fully enrolled. • Preliminary Phase 2 data for REC-2282 in Neurofibromatosis Type 2 is anticipated in Q4 2024, with adult enrollment expected to complete in Q2 2024. • The company's BioHive-2 supercomputer nears completion, enhancing capabilities in constructing foundation models for biology and chemistry. • A multi-year agreement with Helix provides access to extensive genomic and health record data for AI model training and patient stratification.
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