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Clinical Trial News

ARANOTE Trial: Nubeqa Plus ADT Significantly Improves Outcomes in mHSPC

  • The Phase III ARANOTE trial demonstrated that darolutamide (Nubeqa) plus androgen deprivation therapy (ADT) significantly improved radiological progression-free survival (rPFS) in mHSPC patients.
  • Nubeqa reduced the risk of radiographic progression or death by 58% compared to placebo plus ADT, showing a clinically meaningful benefit.
  • The safety profile of Nubeqa plus ADT was comparable to that of placebo plus ADT, with similar rates of adverse events.
  • These findings support Nubeqa as a potential new treatment option for metastatic hormone-sensitive prostate cancer, addressing a critical unmet need.

NUBEQA® (darolutamide) Plus ADT Significantly Improves Outcomes in Metastatic Hormone-Sensitive Prostate Cancer

  • The Phase III ARANOTE trial demonstrated that NUBEQA plus androgen deprivation therapy (ADT) significantly improved radiological progression-free survival (rPFS) in mHSPC patients.
  • NUBEQA plus ADT reduced the risk of radiological progression or death by 46% compared to placebo plus ADT (HR 0.54; 95% CI 0.41-0.71; P<0.0001).
  • The safety profile of NUBEQA in the ARANOTE trial was consistent with previous studies, with similar rates of serious adverse events between treatment arms.

TREMFYA® (guselkumab) Approved by FDA for Ulcerative Colitis Treatment

  • The FDA has approved TREMFYA® (guselkumab) for treating adults with moderately to severely active ulcerative colitis (UC).
  • TREMFYA® is the first fully-human, dual-acting monoclonal antibody targeting both IL-23 and the CD64 receptor for UC treatment.
  • Clinical trials showed significant improvement in UC symptoms and endoscopic appearance of the intestinal lining with TREMFYA®.
  • This approval expands TREMFYA®'s indications, building on its use for plaque psoriasis and psoriatic arthritis.

Kisqali Deepens Benefit in Early Breast Cancer, Reducing Recurrence Risk by 28.5%

  • Updated analysis of the Phase III NATALEE trial shows Kisqali plus endocrine therapy reduces the risk of breast cancer recurrence by 28.5% compared to endocrine therapy alone.
  • The invasive disease-free survival benefit of Kisqali was consistent across all pre-specified patient subgroups, including those with node-negative disease.
  • Secondary endpoints, including distant disease-free survival, also showed consistent results, with a trend for improved overall survival.
  • Safety profile of Kisqali remains consistent with previous reports, with generally low-grade symptomatic adverse events.

GV20 Therapeutics Reports First Clinical Data for AI-Designed Checkpoint Inhibitor GV20-0251 in Advanced Solid Tumors

  • GV20 Therapeutics presented Phase 1 data for GV20-0251, marking the first clinical results for an AI-designed antibody targeting an AI-predicted immune checkpoint IGSF8.
  • The study enrolled 38 heavily pre-treated patients and demonstrated favorable safety with no dose-limiting toxicities across all dose levels from 0.5 to 20 mg/kg.
  • Two confirmed partial responses were observed in 12 evaluable metastatic cutaneous melanoma patients, with 14 of 29 patients showing stable disease including tumor shrinkage.
  • The drug showed dose-proportional pharmacokinetics with a 25.6-day half-life and full target occupancy on circulating T cells at doses ≥3 mg/kg.

Polatuzumab Offers New Hope for Diffuse Large B-Cell Lymphoma Treatment in India

  • Polatuzumab, a first-in-class anti-CD79b antibody-drug conjugate, has been approved in India for first-line treatment of Diffuse Large B-Cell Lymphoma (DLBCL).
  • Clinical trial data indicates a 27% reduction in the risk of disease progression, relapse, or death compared to the standard R-CHOP chemotherapy regimen.
  • Experts emphasize the importance of early and effective treatment with Polatuzumab to prevent relapse, particularly within the first two years post-treatment.
  • The availability of Polatuzumab represents a significant advancement, offering improved outcomes for DLBCL patients in India.

PD-1 Blockades Show Feasibility and Tolerability in Elderly Patients with Metastatic Esophageal Squamous Cell Carcinoma

  • A retrospective study evaluates the effectiveness and safety of PD-1 blockade monotherapy in elderly patients (≥65 years) with metastatic esophageal squamous cell carcinoma (ESCC).
  • Results showed a 23.1% objective response rate (ORR) and a 56.4% disease control rate (DCR) with PD-1 blockade, suggesting potential benefits in this population.
  • The median overall survival (OS) was 10.9 months, with ECOG performance status and number of metastatic lesions identified as independent prognostic factors.
  • While generally tolerable, the study highlights the need for vigilance regarding immune-related adverse events, particularly pneumonitis and liver function abnormalities, in elderly patients.

FDA Finalizes Guidance on Optimizing Dosage for Oncology Therapies

  • The FDA has finalized guidance emphasizing early dose optimization in oncology drug development to minimize toxicity and improve patient outcomes.
  • The guidance encourages sponsors to engage with the FDA early, utilizing modeling to identify appropriate dosages for evaluation in clinical trials.
  • Dose optimization studies should leverage data from similar therapies and consider endpoints like overall response rate and progression-free survival.
  • The FDA may place clinical holds on protocols with inadequately supported dosages, underscoring the importance of thorough dose exploration.

FDA Approves Roche's Ocrevus (Zunovo) for Multiple Sclerosis

  • The U.S. Food and Drug Administration (FDA) has approved Roche's Ocrevus (Zunovo) for the treatment of multiple sclerosis, offering a new therapeutic option.
  • Ocrevus, developed by Roche, represents a significant advancement in the treatment landscape for patients with relapsing and progressive forms of MS.
  • Roche's Ocrevus is part of a broad portfolio of pharmaceutical products targeting various disease areas, including immunology and neuroscience.
  • The approval underscores Roche's commitment to developing innovative medicines and diagnostic tools across a range of therapeutic areas.

FDA Approves Lilly's EBGLYSS (lebrikizumab-lbkz) for Atopic Dermatitis Treatment in Patients 12 and Older

  • The FDA has approved Eli Lilly's EBGLYSS (lebrikizumab-lbkz) for treating moderate-to-severe atopic dermatitis in patients aged 12 and older, offering a new targeted treatment option.
  • EBGLYSS, an IL-13 inhibitor, is administered via injection with an initial dose followed by bi-weekly maintenance, potentially shifting to monthly injections based on clinical response.
  • Clinical trials (ADvocate 1, ADvocate 2, and ADhere) supported the approval, demonstrating EBGLYSS's effectiveness in achieving clear or almost clear skin in treated patients.
  • Lilly is preparing to launch EBGLYSS in the US with patient support programs, expanding its availability after approvals in the EU and Japan, with Almirall handling European commercialization.
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