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Clinical Trial News

Belzupacap Sarotalocan Shows Promise in Early-Stage Bladder Cancer Trial

• Belzupacap sarotalocan (bel-sar) demonstrates encouraging clinical activity and a favorable safety profile in patients with non-muscle-invasive bladder cancer (NMIBC) in an ongoing phase 1 trial. • In low-grade NMIBC patients treated with light-activated bel-sar, 4 of 5 achieved a complete clinical response, showing no tumor cells detected post-treatment. • The trial observed immune activation in both treated and untreated tumors, suggesting a bladder urothelial field effect with a single low dose of bel-sar. • Aura Biosciences plans to expand the phase 1 trial to optimize dosing and treatment regimens, with potential for a phase 2 registration-supporting trial.

Real-World Data Confirms High Effectiveness of RSV Vaccines in Older Adults

  • A real-world study found RSV vaccines offer approximately 80% protection against severe illness and hospitalization for adults aged 60 and older.
  • The study included data from multiple U.S. healthcare networks, representing 230 hospitals and 245 emergency departments nationwide.
  • The analysis showed the vaccine's benefit was particularly evident in adults aged 75 and older, the most vulnerable age group.
  • Findings highlight the potential for significant cost savings due to reduced RSV-related hospitalizations, estimated between $1.2 and $5 billion annually.

Evergreen Theragnostics Initiates Phase II Trial of 68Ga-EVG321 for Small Cell Lung Cancer in the EU

  • Evergreen Theragnostics has begun a Phase II trial in the EU to evaluate 68Ga-EVG321 in small cell lung cancer (SCLC) patients after EMA approval.
  • The CCK2-VIEW trial will assess 68Ga-EVG321 as a radioligand imaging agent to quantify radioactivity distribution for theragnostic applications.
  • 68Ga-EVG321 targets CCK2R, a protein highly expressed in SCLC, potentially enabling precise tumor-specific delivery and patient selection.
  • This trial supports Evergreen's pipeline of radioligand therapies and the development of a 68Ga/177Lu-EVG321 theragnostic pair for SCLC.

EMA Rejects Renewal of Translarna for Duchenne Muscular Dystrophy After Re-Examination

  • The European Medicines Agency (EMA) has upheld its decision against renewing the marketing authorization for Translarna (ataluren) for Duchenne muscular dystrophy.
  • The EMA's Committee for Medicinal Products for Human Use (CHMP) concluded that Translarna's effectiveness has not been confirmed in clinical trials and patient registry data.
  • The decision follows multiple re-examinations and consultations, including consideration of real-world data and input from patient and healthcare professional groups.
  • PTC Therapeutics, the drug's maker, expressed disappointment but will keep Translarna available while the European Commission makes its final decision.

CHMP Recommends Approval of Novo Nordisk's Concizumab for Hemophilia

  • The Committee for Medicinal Products for Human Use (CHMP) has recommended the approval of Novo Nordisk's concizumab for hemophilia treatment.
  • This positive recommendation contrasts with the situation in the US, where regulators requested additional data before approval.
  • Concizumab represents a novel approach to hemophilia management, potentially offering a new therapeutic option for patients.

Response Pharmaceuticals Initiates Phase II Trial of RDX-002 for Weight Rebound After GLP-1 Agonist Discontinuation

  • Response Pharmaceuticals has begun enrolling participants in a Phase II trial of RDX-002 to manage weight rebound following the cessation of GLP-1 agonist treatment.
  • RDX-002, a gut-specific iMTP inhibitor, aims to reduce post-prandial triglyceride levels and improve cardiometabolic risk factors in patients.
  • The double-blind study will assess the efficacy and tolerability of RDX-002 over 12 weeks, with data expected in the second half of 2025.
  • Previous trials have shown RDX-002 to lower triglyceride and LDL cholesterol levels, as well as contribute to weight reduction, with good tolerability.

Novo Nordisk's Alhemo Receives Positive CHMP Opinion for Hemophilia A and B Treatment

  • The European Medicines Agency's CHMP recommended Alhemo (concizumab) for approval as a once-daily subcutaneous prophylactic treatment for hemophilia A or B with inhibitors.
  • Alhemo, a monoclonal antibody, blocks tissue factor pathway inhibitor (TFPI) to promote blood clotting by ensuring thrombin production in hemophilia patients.
  • Phase 3 explorer7 study data showed an 86% reduction in treated spontaneous and traumatic bleeds with concizumab prophylaxis compared to no prophylaxis.
  • If approved by the European Commission, Alhemo will be available in a pre-filled pen, offering convenient subcutaneous administration.

Risk Stratification and Population Health Key to Revolutionizing CKD Care Management

  • Advanced risk stratification models are enabling precise identification of high-risk CKD patients and connecting them with appropriate therapies, bridging the gap between diagnostics and treatment.
  • Population health strategies, particularly leveraging laboratory data as a safety net, are crucial for addressing CKD care disparities in marginalized communities and ensuring continuous patient monitoring.
  • Moving beyond the traditional EGFR-centered approach, new risk-prediction models can identify high-risk patients across all CKD stages, enabling early intervention with targeted therapies.

Advancing Early-Phase Immunotherapeutic Trials: Optimizing Design and Patient Selection

• Early-phase oncology trials are evolving to incorporate efficacy endpoints alongside safety, driven by novel targeted and immunotherapeutic agents. • Refining trial designs and patient selection is crucial to improve efficiency and maximize therapeutic intent in immunotherapeutic drug development. • Management of treatment-related adverse events from next-generation immunotherapies requires adaptive trial designs and specialized expertise. • Research aims to identify prognostic markers and implement pharmacodynamic markers to better assess novel immunotherapeutic agents.

Social Determinants Create Stark Disparities in Type 2 Diabetes Care and Outcomes

  • Patients with type 2 diabetes living in high social needs areas face double the emergency department visit rates compared to those in low-need neighborhoods, according to a comprehensive Vizient study analyzing Medicare claims data.
  • Early primary care intervention proves crucial, with patients seeing PCPs within 12 months of diagnosis showing significantly better outcomes and lower complication rates over a 5-year period.
  • Young Medicare patients in socially vulnerable areas experience severe diabetes complications at rates comparable to elderly patients, highlighting critical care access disparities.

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