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Clinical Trial News

CB1 Agonist Trial Results Trigger Stock Drop for Corbus and Novo Nordisk

  • Novo Nordisk's monlunabant trial, targeting the CB1 receptor for weight loss, showed significant weight loss but also neuropsychiatric side effects, causing investor concern.
  • Corbus Pharmaceuticals, developing a similar CB1 agonist (CRB-913), saw its stock plummet due to the market's negative reaction to Novo Nordisk's trial results.
  • Monlunabant resulted in an average weight loss of 7.1 kg versus 0.7 kg in the placebo group, but safety concerns and limited dose-response raise questions about commercial viability.

CHMP Recommends Aflibercept Biosimilar OPUVIZ for Retinal Disorders

• The European Medicines Agency's CHMP has issued a positive opinion for OPUVIZ, an aflibercept biosimilar developed by Samsung Bioepis and Biogen. • OPUVIZ is recommended for treating neovascular age-related macular degeneration, macular edema secondary to retinal vein occlusion, and diabetic macular edema. • A Phase 3 trial demonstrated equivalent efficacy and comparable safety, immunogenicity, and pharmacokinetics between OPUVIZ and reference aflibercept. • If approved by the European Commission, OPUVIZ will be the second ophthalmology biosimilar in Samsung Bioepis' portfolio commercialized by Biogen.

FDA Approves Astellas' Vyloy (Zolbetuximab) for Advanced Gastric and GEJ Adenocarcinoma

  • The FDA has approved zolbetuximab (Vyloy) in combination with chemotherapy for first-line treatment of CLDN18.2-positive, HER2-negative gastric or GEJ adenocarcinoma.
  • Approval was based on SPOTLIGHT and GLOW trials, demonstrating statistically significant improvements in progression-free and overall survival compared to chemotherapy alone.
  • The VENTANA CLDN18 (43-14A) RxDx Assay from Roche was also approved as a companion diagnostic to identify patients eligible for Vyloy treatment.
  • Vyloy is now approved in five markets worldwide, offering a new targeted therapy option for a subset of gastric and GEJ cancer patients.

Intravascular Lithotripsy Advances with Multiple Companies Pursuing Clinical Trials

  • Amplitude Vascular Systems is conducting a pivotal trial (POWER-PAD-II) for its Pulse IVL system after receiving FDA IDE approval for treating peripheral artery disease.
  • Elixir Medical reported positive data from the PINNACLE I trial, demonstrating a 98% clinical success rate using its LithiX Hertz catheter system for calcified lesions.
  • FastWave Medical announced positive results from a first-in-human study of its IVL technology, showing promise for treating peripheral artery disease in the superficial femoral and popliteal arteries.
  • Bolt Medical completed enrollment in its RESTORE ATK pivotal trial, assessing its laser-based IVL system for peripheral artery disease, with data expected later this year.

FDA Updates: Approvals for RSV Vaccine, Pneumococcal Vaccine, and TB Drug Alongside Device Recalls

  • The FDA granted traditional approval to Sirturo (bedaquiline) for treating rifampin- and isoniazid-resistant tuberculosis in adults and children, based on Phase 3 STREAM study data.
  • mResvia, an mRNA-based vaccine, received FDA approval for preventing lower respiratory tract disease caused by respiratory syncytial virus (RSV) in adults aged 60 years and older.
  • Capvaxive, a pneumococcal 21-valent conjugate vaccine, was approved for preventing invasive disease and pneumonia caused by Streptococcus pneumoniae in adults 18 years and older.
  • Several critical care medical devices, including infusion pumps and chest compression devices, were recalled due to potential for serious adverse health consequences.

Sanofi's Tolebrutinib Shows Promise in Non-Relapsing Secondary Progressive MS

  • Tolebrutinib demonstrated a 31% reduction in the time to onset of confirmed disability progression in patients with non-relapsing secondary progressive multiple sclerosis (nrSPMS).
  • A nearly two-fold increase in confirmed disability improvement was observed with tolebrutinib compared to placebo, suggesting potential for disease modification.
  • Sanofi plans to submit tolebrutinib for global regulatory approvals in the second half of 2024, marking a significant step towards addressing unmet needs in nrSPMS.
  • While showing promise in nrSPMS, tolebrutinib failed to meet primary endpoints in relapsing MS trials, highlighting the drug's specific efficacy profile.

ECU Health Pioneers Pacemaker Implantation with EluPro BioEnvelope

  • ECU Health performed the first pacemaker implantation using Elutia's FDA-approved EluPro BioEnvelope, designed to prevent post-operative complications.
  • The EluPro BioEnvelope is the first antibiotic-eluting device for Cardiac Implantable Electronic Devices (CIEDs), addressing infection risks in vulnerable patients.
  • This advancement aims to improve patient outcomes and reduce complications associated with traditional pacemaker implantation procedures, especially for those with comorbidities.
  • The procedure highlights ECU Health's commitment to providing advanced cardiovascular care and reducing health disparities in eastern North Carolina.

Novo Nordisk's $1bn Oral Weight Loss Drug Shows Promise but Raises Questions in Phase IIa Trial

  • Novo Nordisk's monlunabant, an oral cannabinoid receptor 1 inverse agonist acquired for $1bn, demonstrated statistically significant weight loss in a Phase IIa trial but raised concerns about optimal dosing.
  • The 10mg dose achieved a 7.1kg weight reduction compared to 0.7kg with placebo, but higher doses showed limited additional benefit while increasing dose-dependent gastrointestinal and neuropsychiatric side effects.
  • Investor confidence wavered with Novo Nordisk's stock dropping over 6% following the announcement, as the company plans a Phase IIb trial next year to better determine the optimal efficacy-to-safety ratio.
NCT05891834CompletedPhase 2
Inversago Pharma Inc.
Posted 9/8/2023
NCT05514548CompletedPhase 2
Inversago Pharma Inc.
Posted 10/19/2022

Novo Nordisk's Monlunabant Fails to Meet Expectations in Phase II Trial for Weight Management

  • Novo Nordisk's monlunabant did not demonstrate sufficient efficacy in a Phase II trial for weight management, leading to the termination of its development program.
  • The trial assessed monlunabant's impact on body weight compared to placebo over a specified period, with results falling short of predefined success criteria.
  • This decision reflects the challenges in developing effective and safe CB1 receptor inverse agonists for obesity treatment, despite initial promise.
  • The setback underscores the high-risk nature of pharmaceutical R&D, particularly in complex metabolic disorders like obesity.

Phase 3 MOGwAI Trial Investigates Azathioprine for First-Line MOGAD Treatment

  • The MOGwAI trial (NCT05349006) is a phase 3 study evaluating azathioprine's efficacy in preventing relapses in patients with myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD).
  • This multicenter study spans 14 institutions and aims to enroll 126 patients, monitoring them over a 36-month treatment period to assess relapse rates.
  • The primary endpoint is the time to first relapse, comparing azathioprine to placebo, while secondary endpoints include safety, EDSS score changes, visual acuity, and quality of life.
  • Enrollment began in December 2023, with study completion expected in early 2026; eligibility includes adults with a recent first attack of acute demyelinating syndrome and positive MOG-antibody tests.
NCT05349006RecruitingPhase 3
Hospices Civils de Lyon
Posted 12/12/2023
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