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Pembrolizumab Extends Cancer-Free Survival in High-Risk Bladder Cancer After Surgery

  • A clinical trial reveals that postsurgical pembrolizumab treatment nearly doubles cancer-free survival time in high-risk, muscle-invasive bladder cancer patients compared to observation.
  • The study showed that patients treated with pembrolizumab remained cancer-free for a median of 29.6 months, versus 14.2 months in the observation group.
  • Pembrolizumab demonstrated efficacy regardless of PD-L1 status, suggesting it benefits a broad range of patients with this aggressive form of bladder cancer.
  • Ongoing research explores combination therapies with immune checkpoint inhibitors and biomarkers to optimize adjuvant treatment strategies for bladder cancer.

Short-Term Immunotherapy Shows Promise in Early-Stage TNBC Treatment

  • A phase 2 study (BELLINI) explores neoadjuvant nivolumab, alone or with ipilimumab, in early-stage triple-negative breast cancer (TNBC).
  • Short courses of immunotherapy before standard treatment show early clinical responses, especially in tumors with high levels of TILs.
  • The study suggests potential for therapy de-escalation in TNBC patients with high TILs, warranting further investigation.
  • Immune activation, clinical responses, and safety were assessed, providing insights into the feasibility of neoadjuvant immunotherapy strategies.
NCT03815890RecruitingPhase 2
The Netherlands Cancer Institute
Posted 10/4/2019

Opdivo and Yervoy Combination Shows Durable Survival Benefit in Advanced Melanoma After 10 Years

  • The combination of nivolumab (Opdivo) and ipilimumab (Yervoy) demonstrated a median overall survival of 71.9 months in advanced melanoma patients.
  • After 10 years, 43% of patients treated with the Opdivo and Yervoy combination were still alive, with many not requiring subsequent therapy.
  • The objective response rate (ORR) after 10 years was 58.3% in the Opdivo plus Yervoy group, highlighting the long-term efficacy of the combination.
  • The safety profile of the Opdivo and Yervoy combination remained consistent with previous reports, with no new safety signals identified.

Imfinzi and Imjudo Combo Shows Unprecedented 5-Year Survival in Liver Cancer

  • The combination of Imfinzi and Imjudo demonstrated a significant improvement in five-year overall survival rates compared to sorafenib for unresectable hepatocellular carcinoma (uHCC).
  • The HIMALAYA trial showed that nearly 20% of patients treated with Imfinzi plus Imjudo were alive at five years, compared to 9.4% with sorafenib.
  • The STRIDE regimen, utilizing a single dose of Imjudo with Imfinzi, reduced the risk of death by 24% compared to sorafenib, marking a major advancement in uHCC treatment.
  • These findings establish a new survival benchmark and reinforce the use of the Imfinzi and Imjudo combination as a first-line treatment for advanced liver cancer.

Chemo-Free Triplet Therapy Shows Promise in Richter Transformation

  • A phase II trial (MOLTO) found that a chemotherapy-free regimen of atezolizumab, venetoclax, and obinutuzumab yielded a 67.9% overall response rate in patients with Richter transformation.
  • The triplet therapy demonstrated durable remissions and prolonged survival, suggesting it could become a potential first-line treatment for this aggressive lymphoma variant.
  • The study is particularly relevant as the regimen doesn't rely on BTK inhibitors, offering an option for patients previously treated with BCL-2 inhibitors for chronic lymphocytic leukemia.
  • Further research is needed to identify biomarkers that can predict which patients will benefit most from this treatment approach.
NCT04082897Active, Not RecruitingPhase 2
Niguarda Hospital
Posted 10/4/2019

FDA Approves Eli Lilly's Ebglyss (lebrikizumab) for Eczema Treatment in Adults and Children

  • The FDA has approved Eli Lilly's Ebglyss (lebrikizumab) for treating moderate-to-severe eczema in adults and children aged 12 and older.
  • Ebglyss, a monoclonal antibody targeting the IL-13 protein, offers a new first-line biologic option when topical treatments are insufficient.
  • Clinical trials involving over 1,000 patients demonstrated Ebglyss's efficacy in controlling eczema symptoms, with a less frequent dosing schedule than some alternatives.
  • The approval provides a new treatment option for the nearly 16.5 million adults in the U.S. affected by eczema, with availability expected in the coming weeks.

Cabozantinib Shows Promise in Advanced Neuroendocrine Tumors in Phase III CABINET Trial

  • Cabozantinib significantly improves progression-free survival (PFS) in patients with advanced pancreatic neuroendocrine tumors (pNET) compared to placebo.
  • The CABINET trial also demonstrated that cabozantinib markedly enhanced PFS in patients with advanced extra-pancreatic NET (epNET).
  • Cabozantinib's safety profile in the study was consistent with previous trials, with manageable side effects and no new safety concerns identified.
  • The FDA has accepted Exelixis' sNDA for cabozantinib with a target action date of April 3, 2025, potentially offering a new standard of care.
NCT03375320Active, Not RecruitingPhase 3
National Cancer Institute (NCI)
Posted 10/26/2018

AMBASSADOR Trial: Pembrolizumab Shows Sustained DFS Benefit in Urothelial Carcinoma

  • The phase 3 AMBASSADOR trial evaluated adjuvant pembrolizumab in high-risk muscle-invasive urothelial carcinoma patients after surgery.
  • Extended follow-up data presented at ESMO 2024 confirms the initial disease-free survival (DFS) benefit with pembrolizumab.
  • The trial's hazard ratio of approximately 0.7 supports pembrolizumab's potential role in adjuvant therapy for this patient population.
  • Outcomes did not show a trend for improvement in PD-L1 high population, but there was a trend for improved outcomes in bladder primary.

Taletrectinib Shows Durable Responses in Advanced ROS1-Positive NSCLC

  • Integrated analysis of TRUST-I and TRUST-II trials demonstrates taletrectinib's high overall response rate (ORR) in ROS1 TKI-naive NSCLC patients, reaching 88.8%.
  • In ROS1 TKI-pretreated patients, taletrectinib achieved a 55.8% ORR, with a slightly higher 61.5% ORR in those with G2032R mutations.
  • The study highlights taletrectinib's favorable safety profile, supporting its potential as a best-in-class ROS1 TKI for advanced ROS1-positive NSCLC.
  • Taletrectinib demonstrated notable intracranial activity, with confirmed intracranial ORRs of 76.5% and 65.6% in TKI-naive and pretreated patients with brain metastases, respectively.
NCT04395677Active, Not RecruitingPhase 2
AnHeart Therapeutics Inc.
Posted 7/7/2020
NCT04919811RecruitingPhase 2
Nuvation Bio Inc.
Posted 9/1/2021

FDA Lifts Partial Clinical Hold on Azenosertib Trials in Advanced Solid Tumors

  • The FDA has lifted the partial clinical hold on trials evaluating azenosertib, a WEE1 inhibitor, in patients with advanced solid tumors, allowing studies to resume enrollment.
  • The hold was initiated in June 2024 due to two deaths from presumed sepsis in the DENALI trial, but the FDA has now reviewed and approved Zentalis Pharmaceuticals' response package.
  • Azenosertib is being investigated as a monotherapy and in combination for platinum-resistant ovarian cancer and uterine serous carcinoma, with additional data expected in Q4 2024.
NCT05128825RecruitingPhase 2
K-Group, Beta, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc
Posted 2/17/2022
NCT04158336RecruitingPhase 1
K-Group, Beta, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc
Posted 11/1/2019
NCT04814108RecruitingPhase 2
K-Group, Beta, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc
Posted 7/28/2021
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