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FDA Clears Sequel's twiist AID System, First Insulin Pump to Directly Measure Every Micro-Dose

  • The FDA granted 510(k) clearance to Sequel Med Tech's twiist automated insulin delivery system for type 1 diabetes patients aged 6 years and older on March 18, 2024.
  • The twiist system represents the first drug delivery device capable of directly measuring the volume and flow of insulin delivered with every micro-dose, powered by Tidepool Loop technology.
  • Developed by Dean Kamen, inventor of the first insulin pump, the system aims to provide more precise insulin delivery and expanded patient choice in diabetes management.
  • The device leverages Tidepool Loop algorithm to automatically adjust insulin delivery based on continuous glucose monitor readings and predicted glucose values.

Nivolumab Shows Consistent Benefit in Resectable NSCLC Regardless of Neoadjuvant Treatment Duration

  • An exploratory analysis of the CheckMate 77T trial demonstrates that perioperative nivolumab plus chemotherapy improves pathological complete response rates in resectable NSCLC patients, regardless of whether they complete the full 4-cycle neoadjuvant regimen.
  • Patients receiving nivolumab achieved significantly higher pathological complete response rates compared to placebo, with benefits observed even in those who received fewer than 4 neoadjuvant treatment cycles due to toxicity or other factors.
  • The FDA has accepted a supplemental biologics license application for perioperative nivolumab in resectable stage IIA to IIIB NSCLC, based on the trial's primary endpoint showing improved event-free survival.
  • Safety data indicate that most patients who received adjuvant nivolumab completed the full one-year treatment course with a manageable adverse event profile.

Chugai's Vabysmo Receives Japanese Approval for Retinal Vein Occlusion Treatment

  • Chugai Pharmaceutical has received approval from Japan's Ministry of Health for Vabysmo (faricimab) to treat macular edema associated with retinal vein occlusion, making it the first bispecific antibody approved for this condition in Japan.
  • The approval is based on positive results from the global Phase III BALATON and COMINO studies, which demonstrated Vabysmo's ability to rapidly improve vision and reduce retinal fluid in RVO patients.
  • Retinal vein occlusion affects an estimated 28 million adults globally and 1.66 million in Japan, representing the second most common cause of vision loss due to retinal vascular diseases.

India's Indigenous CAR T-Cell Therapy Revolutionizes Cancer Treatment at One-Tenth Global Cost

  • India has successfully developed NexCAR19, its first indigenous CAR T-cell therapy for blood cancers, priced at approximately Rs 40 lakh ($50,000) compared to $400,000 in the United States.
  • Clinical trials involving 64 patients with advanced lymphoma or leukemia showed promising results, with 67% experiencing significant cancer reduction and about half achieving complete remission.
  • Unlike U.S. approved therapies that use mouse-derived antibody fragments, India's "humanized" CAR T-cells caused fewer severe side effects, with no reported neurologic complications and only 5% experiencing severe cytokine release syndrome.

Bayer's High-Dose Eylea 8mg (Aflibercept) Accepted for Review by China's NMPA Following UK Approval

• China's National Medical Products Administration (NMPA) has accepted Bayer's application for Eylea 8mg (aflibercept) to treat neovascular age-related macular degeneration for regulatory review.
• The UK's Medicines and Healthcare products Regulatory Agency (MHRA) recently approved Eylea 8mg for both wet AMD and diabetic macular edema, adding to existing approvals in the US, EU, and Japan.
• Phase III PULSAR trial results demonstrated that aflibercept 8mg maintained non-inferior visual acuity compared to the standard 2mg dose, while allowing most patients to extend treatment intervals to 12 or 16 weeks.

Bispecific Antibodies: Promising Advances Amid Adoption Challenges in Cancer Treatment

  • Bispecific antibodies represent a significant advancement in cancer immunotherapy, targeting both tumor antigens and immune cells to enhance cytotoxicity without requiring patient-derived cells like CAR-T therapy.
  • Despite clinical promise with nine FDA-approved bispecific antibodies, adoption faces challenges including transition between inpatient/outpatient settings, insurance coverage, adverse event management, and financial barriers in community settings.
  • Recent approvals of Mosunetuzumab, Glofitamab, and Epcoritamab have shown impressive response rates in relapsed/refractory indolent B-cell lymphomas, with manageable toxicity profiles when using step-up dosing strategies.
NCT04889716RecruitingPhase 2
Abramson Cancer Center at Penn Medicine
Posted 11/5/2021
NCT05529524Completed
The Lymphoma Academic Research Organisation
Posted 11/7/2022
NCT05783596Active, Not RecruitingPhase 2
Reid Merryman, MD
Posted 7/18/2023
NCT05994235RecruitingPhase 2
Weill Medical College of Cornell University
Posted 11/1/2023

Innovent's Mazdutide Achieves Phase 3 Success in Chinese Obesity Trial, Paving Way for First GLP-1R/GCGR Dual Agonist Approval

  • Innovent Biologics announced that mazdutide, a novel GLP-1R/GCGR dual agonist, successfully met all primary and key secondary endpoints in the GLORY-1 Phase 3 trial for weight management in Chinese adults with overweight or obesity.
  • The 48-week study of 610 participants demonstrated superior weight loss efficacy compared to placebo, with both 4 mg and 6 mg doses showing significant improvements in body weight reduction and cardiometabolic parameters.
  • Mazdutide represents the first GLP-1R/GCGR dual agonist to succeed in Phase 3 trials, with Innovent planning to submit a new drug application to China's NMPA in the near term.
  • The trial results address a critical unmet medical need in China, which has the world's highest number of obese individuals, with obesity-related deaths accounting for 11.1% of chronic disease mortality in 2019.
NCT05607680CompletedPhase 3
Innovent Biologics (Suzhou) Co. Ltd.
Posted 11/14/2022

Talquetamab Dose Reductions Maintain Efficacy While Reducing Toxicities in Relapsed/Refractory Multiple Myeloma

  • Dose modifications of talquetamab effectively reduced GPRC5D-related adverse events while maintaining high response rates in patients with relapsed/refractory multiple myeloma.
  • Prospective data showed a 79.2% objective response rate with dose-reduced talquetamab, comparing favorably to the original registrational cohort.
  • Following dose reduction, new-onset oral toxicity dropped from 84.2% to 22.2%, and skin toxicity declined from 73.7% to 5.6%.
  • The findings support flexible dosing strategies to improve patient experience while preserving therapeutic efficacy in responding patients.
NCT04634552RecruitingPhase 2
Janssen Research & Development, LLC
Posted 2/1/2021
NCT03399799Active, Not RecruitingPhase 1
Janssen Research & Development, LLC
Posted 12/16/2017

Travere Therapeutics Advances Filspari Toward FDA Approval Following Pre-NDA Meeting

  • Travere Therapeutics has completed a pre-NDA meeting with the FDA for Filspari, marking a critical regulatory milestone in the drug's development pathway.
  • The pre-NDA meeting represents a significant step forward in the company's efforts to secure FDA approval for this therapeutic candidate.
  • This regulatory engagement demonstrates Travere's commitment to advancing Filspari through the final stages of the approval process.

CRISPR/Cas9 Technology Revolutionizes CAR-T Cell Therapy: Enhancing Efficacy and Overcoming Treatment Barriers

  • CRISPR/Cas9 gene editing technology is being integrated with CAR-T cell therapy to address key limitations including immune checkpoint inhibition, T cell exhaustion, and manufacturing challenges.
  • The technology enables precise knockout of immune checkpoint genes like PD-1 and CTLA-4, significantly enhancing CAR-T cell persistence and anti-tumor activity in preclinical studies.
  • CRISPR/Cas9 facilitates development of universal "off-the-shelf" CAR-T cells by eliminating TCR and HLA genes, potentially reducing manufacturing costs and treatment timelines from weeks to days.
  • Despite promising clinical trial results showing safety and feasibility, researchers continue addressing potential safety concerns including off-target effects and chromosomal instability.

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