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Novartis Acquires Mariana Oncology for $1 Billion to Strengthen Radioligand Therapy Pipeline

  • Novartis announced a $1 billion acquisition of Mariana Oncology with up to $750 million in milestone payments to expand its radioligand therapy capabilities.
  • The deal provides access to Mariana's lead candidate MC-339, an actinium-based radioligand therapy targeting small cell lung cancer currently in preclinical development.
  • Mariana brings specialized radiopharmaceutical manufacturing capabilities and an oncology radio-conjugation platform using both alpha- and beta-emitting radionuclides.
  • The acquisition strengthens Novartis' position in the competitive radioligand therapy space, following similar billion-dollar deals by AstraZeneca, Bristol Myers Squibb, and Eli Lilly.

IDT Australia Secures Victorian Government Grant to Establish Nation's First Commercial ADC Manufacturing Facility

  • IDT Australia has been awarded a Victorian government grant to establish Australia's first current good manufacturing practice antibody-drug-conjugate manufacturing facility in Boronia.
  • The $3.8 million facility will position Victoria at the forefront of Australia's sovereign capability to manufacture cutting-edge oncological drugs that precisely target cancer cells.
  • The global ADC market is projected to reach $140-211 billion over the next 15 years, with expectations to displace 30-50% of the traditional chemotherapy market.
  • IDT Australia has already secured key partnerships including a master services agreement with Japanese pharmaceutical supplier Nagase & Co, Ltd for ADC component development.

Fresenius Kabi Launches First Actemra® Biosimilar in U.S. Market as Biosimilar Landscape Expands

• Fresenius Kabi has launched Tyenne® (tocilizumab-aazg), the first biosimilar of Actemra® to enter the U.S. market, following FDA approval in March 2024 for both intravenous and subcutaneous formulations.
• Accord BioPharma received FDA approval for Hercessi™ (trastuzumab-strf), becoming the sixth Herceptin® biosimilar approved in the U.S., while Xbrane's Xlucane™ (ranibizumab) received a Complete Response Letter from the FDA.
• The expanding biosimilar market continues to challenge reference products with significant annual sales, with Actemra® generating approximately $3 billion, Herceptin® $1.77 billion, and Lucentis® $1.475 billion in 2023.

India's CDSCO Rejects Pfizer's Clinical Trial Waiver for Multiple Myeloma Drug Elranatamab

  • India's Subject Expert Committee has rejected Pfizer's request for a local clinical trial waiver for elranatamab, a bispecific antibody targeting relapsed and refractory multiple myeloma.
  • Elranatamab, which received accelerated approval from the US FDA based on Phase II data, is a BCMA-directed CD3 T-cell engager designed for patients who have failed multiple prior therapies.
  • The decision came after the SEC's oncology meeting on April 3-4, 2024, where they reviewed Pfizer's proposal to import and market the injection in 44mg/1.1mL and 76mg/1.9mL formulations.

FDA Approves ImmunityBio's Anktiva for Bladder Cancer, Marking Major Milestone for Soon-Shiong's Immunotherapy Approach

  • The FDA has approved ImmunityBio's lead drug Anktiva for treating a common form of bladder cancer, representing a significant breakthrough after years of development and regulatory challenges.
  • Anktiva harnesses the body's natural killer cells and T-cells to fight cancer, with clinical trials showing the ability to eliminate bladder cancer cells for at least four years.
  • ImmunityBio plans to begin distributing Anktiva to healthcare providers by mid-May 2024, with the company having built a three-year stockpile of the drug during the FDA review process.

Hanmi Pharmaceutical Partners with MSD to Test Novel Bispecific Antibody BH3120 in Combination with KEYTRUDA

  • Hanmi Pharmaceutical has entered a Clinical Trial Collaboration and Supply Agreement with MSD to evaluate its novel immunotherapy BH3120 in combination with KEYTRUDA for patients with progressive or metastatic solid tumors.
  • BH3120 utilizes Hanmi's proprietary Pentambody platform, targeting both PD-L1 and 4-1BB simultaneously to enhance anti-tumor immune responses specifically in tumor tissues while minimizing systemic immune activation.
  • The Phase 1 trial, led by Dr. Kim Dong-wan of Seoul National University Hospital, aims to overcome limitations of existing 4-1BB targeting therapies by leveraging BH3120's demonstrated ability to decouple immune activity between tumor microenvironment and normal tissue.

Volastra Therapeutics Initiates Phase Ib Trial of Sovilnesib for Platinum-Resistant Ovarian Cancer

• Volastra Therapeutics has dosed the first patient in a Phase Ib trial evaluating sovilnesib for platinum-resistant or refractory high-grade serous ovarian cancer, with the FDA granting Fast Track designation for this indication.
• The randomized dose optimization study aims to establish the recommended Phase 2 dose of once-daily oral sovilnesib, addressing a significant unmet need in a patient population with poor treatment response rates.
• Volastra is advancing two chemically differentiated KIF18A inhibitors—sovilnesib and VLS-1488—in parallel clinical trials, while also developing biomarker approaches to measure chromosomal instability through partnerships with Microsoft, Tailor Bio, and Function Oncology.
NCT05902988RecruitingPhase 1
Volastra Therapeutics, Inc.
Posted 10/18/2023
NCT06084416RecruitingPhase 1
Volastra Therapeutics, Inc.
Posted 4/4/2024

Study Reveals Most Cancer Drugs with Accelerated FDA Approval Fail to Demonstrate Clinical Benefit After Five Years

  • A new study found that only 43% of cancer drugs granted FDA accelerated approval between 2013-2017 demonstrated clinical benefit in confirmatory trials after more than five years of follow-up.
  • Despite limited evidence of clinical benefit, 63% of these accelerated approval drugs were converted to regular approval, raising concerns about regulatory standards and patient communication.
  • The research highlights the need for better validation of surrogate endpoints and more robust evidence requirements before converting accelerated approvals to regular approvals.
  • Researchers emphasize the importance of clearer communication between physicians and patients about the uncertainty surrounding drugs approved on preliminary measures.

Meta-Analysis Confirms Superior Efficacy of Perioperative Immunotherapy Plus Chemotherapy in Resectable NSCLC

  • A comprehensive meta-analysis of five phase III trials involving 2,855 patients demonstrates that perioperative immunotherapy combined with chemotherapy significantly improves overall survival, event-free survival, and pathological complete response rates compared to chemotherapy alone in resectable non-small cell lung cancer.
  • The combination therapy reduced the risk of death by 32% (HR=0.68) and achieved a 7.54-fold higher pathological complete response rate, with particular benefits observed in current and former smokers and patients with EGFR-mutation negative tumors.
  • While the treatment increased grade 3+ adverse events and immune-related complications, it maintained surgical feasibility with 100% R0 resection rates and no increase in treatment-related deaths.

Sandoz Receives FDA Approval for First Denosumab Biosimilars in US and Canada

  • Sandoz received FDA approval for Jubbonti and Wyost, the first and only denosumab biosimilars approved in the United States and Canada, marking a significant milestone in biosimilar development.
  • The biosimilars are approved as interchangeable with Amgen's reference medicines Prolia and Xgeva for all indications, including osteoporosis treatment and prevention of cancer-related bone complications.
  • More than 10 million US adults aged 50 and over live with osteoporosis, with half of all women over 50 experiencing an osteoporotic fracture during their lifetime.
  • The approvals are based on robust phase I and phase III clinical studies demonstrating no clinically meaningful differences from the reference medicines.
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