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Clinical Trial News

CDSCO Releases Draft Guidelines on Good Clinical Practices for Consultation

  • The Central Drugs Standard Control Organization (CDSCO) has released draft guidelines on good clinical practices (GCP).
  • These guidelines aim to standardize clinical trials and ensure data integrity in pharmaceutical research.
  • The draft is open for consultation, inviting feedback from stakeholders to refine the regulatory framework.
  • The move is expected to enhance the quality and reliability of clinical trial data in the Asia-Pacific region.

Pembrolizumab Plus Lenvatinib and TACE Improves Progression-Free Survival in HCC

  • The LEAP-012 trial demonstrated that pembrolizumab plus lenvatinib in combination with TACE significantly improved progression-free survival in patients with unresectable, nonmetastatic hepatocellular carcinoma (HCC).
  • The combination therapy reduced the risk of disease progression or death by 34% compared to TACE alone (HR = 0.66; 95% CI = 0.51–0.84; P = .0002) with a median follow-up of 25.6 months.
  • Median progression-free survival was 14.6 months for the pembrolizumab/lenvatinib-based regimen versus 10.0 months for TACE alone.
  • A trend toward improved overall survival was observed, though the data are not yet mature; the safety profile of the combination was consistent with previous studies.

FDA Approves Subcutaneous Tecentriq Hybreza for Multiple Cancer Types

  • The FDA has approved Tecentriq Hybreza, a subcutaneous formulation of atezolizumab, for various cancer indications, offering a new administration route.
  • Approval was based on the IMscin001 trial, which demonstrated comparable atezolizumab exposure between subcutaneous and intravenous administrations.
  • Tecentriq Hybreza combines atezolizumab with hyaluronidase to enhance subcutaneous tissue permeability, facilitating drug delivery.
  • The new formulation provides a faster, approximately 7-minute subcutaneous injection option compared to intravenous infusions.

FDA Approves Subcutaneous Ocrevus Zunovo for Multiple Sclerosis

  • The FDA has approved Ocrevus Zunovo, a subcutaneous formulation of ocrelizumab, for all forms of multiple sclerosis, including relapsing MS and primary progressive MS.
  • Ocrevus Zunovo offers a quicker 10-minute injection compared to the 2-4 hour intravenous infusion required for the original Ocrevus formulation.
  • Approval was based on the OCARINA II trial, demonstrating similar efficacy and safety profiles between subcutaneous and intravenous formulations of ocrelizumab.
  • This new formulation provides greater flexibility for healthcare providers and patients, potentially expanding treatment access to centers with limited IV infrastructure.

Sanofi Ships Beyfortus in US to Protect Infants Against RSV

  • Sanofi is shipping Beyfortus (nirsevimab-alip) doses in the US to help protect infants against RSV, aiming for equitable access through partnerships with government agencies.
  • The FDA approved a new Beyfortus filling line, expanding manufacturing capacity to meet anticipated demand for the 2024/2025 RSV season.
  • Beyfortus is the first and only long-acting monoclonal antibody approved for preventing RSV lower respiratory tract disease in newborns and infants.
  • RSV affects two out of three babies in their first year, leading to significant hospitalizations; Beyfortus offers fast-acting protection without immune system activation.

EASi-KIDNEY Trial Investigates Vicadrostat for Chronic Kidney Disease

  • The EASi-KIDNEY trial will assess vicadrostat's efficacy in slowing chronic kidney disease (CKD) progression when combined with existing treatments like empagliflozin.
  • The global trial aims to enroll approximately 11,000 participants across 15-20 countries, with initial recruitment in Oxford, UK.
  • Vicadrostat, developed by Boehringer Ingelheim, previously demonstrated promising results in a Phase II trial, reducing albuminuria, a marker of kidney benefit.
  • The trial will use Protas' new Cantata platform to streamline clinical trial management and aims to provide results by 2028/2029.

Velsera Technology Drives Advanced Cancer Diagnostics with FDA Approval of Illumina TruSight Oncology Comprehensive IVD

  • Velsera's tumor profiling technology is a key component of the knowledge base supporting the Illumina TruSight™ Oncology (TSO) Comprehensive IVD results report, enhancing personalized treatment.
  • The collaboration between Velsera and Illumina, started in 2018, aims to advance cancer diagnostics and improve the accessibility of targeted therapeutics nationwide.
  • Velsera's Knowledge Base classifies cancer mutations, enabling more personalized and effective treatment plans for patients, and facilitating NGS-based diagnostics adoption.
  • The FDA-approved TruSight™ Oncology Comprehensive test simplifies the identification of important cancer biomarkers, enhancing patient care through precise biomarker identification.

Kisqali Plus Endocrine Therapy Reduces Breast Cancer Recurrence by 28.5% in Phase 3 Trial

  • Novartis' Kisqali, combined with endocrine therapy (ET), significantly reduced the risk of breast cancer recurrence by 28.5% in patients with stage II or III HR+/HER2- early breast cancer compared to ET alone.
  • The Phase 3 clinical trial data showed a sustained benefit beyond the three-year treatment period, offering a potential new treatment option for patients at risk of recurrence.
  • Novartis has submitted these results to the FDA and EMA, with an FDA decision on approval for this treatment anticipated this quarter, marking a potential advancement in breast cancer therapy.

CAR T-Cell Therapy Not Linked to Increased Risk of Second Cancers, Study Shows

  • A systematic review of over 5,500 lymphoma and myeloma patients found a 5.8% overall incidence of second primary malignancies (SPMs) after CAR T-cell therapy.
  • The risk of developing SPMs was similar between patients receiving CAR T-cell therapy and those undergoing standard of care treatments in randomized trials.
  • Hematologic malignancies were the most common SPM subtype, followed by solid tumors and nonmelanoma skin cancers, with T-cell malignancies being rare.
  • Factors like treatment setting, follow-up duration, and number of prior treatment lines were identified as potential risk factors for SPM development.

INmune Bio Announces $12 Million Offering to Advance Clinical Programs

  • INmune Bio is offering 2,341,260 shares of common stock along with warrants to raise approximately $12 million for clinical trials and corporate purposes.
  • The offering includes warrants exercisable beginning March 16, 2025, at $6.40 per share, expiring on March 16, 2030, subject to certain acceleration conditions.
  • Net proceeds will fund the Phase 2 Alzheimer's disease trial of XPro, initiate a Phase 2 trial for treatment-resistant depression, and continue INKmune programs.
  • Insider participation includes officers, directors, and employees purchasing approximately $800,000 of shares and warrants under similar terms.
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