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Clinical Trial News

NIH's RECOVER Initiative Shifts Focus to Clinical Trials for Long COVID Treatments

  • The NIH's RECOVER initiative is transitioning to RECOVER-TLC, prioritizing clinical trials for long COVID treatments, addressing the lack of approved therapies.
  • RECOVER-TLC will invite drugmakers and researchers to submit potential treatments, with a focus on timely evaluation and response to accelerate the development process.
  • A key challenge for RECOVER-TLC will be defining trial endpoints due to the diverse presentation of long COVID, impacting multiple systems and overlapping with other conditions.
  • The success of RECOVER-TLC is critical for long COVID patients, emphasizing the urgent need to translate research into actionable treatments.

AbbVie's Tavapadon Shows Positive Phase 3 Results for Parkinson's Disease

  • AbbVie's tavapadon met its primary endpoint in the Phase 3 TEMPO-1 trial, significantly improving disease burden in early Parkinson's patients.
  • The trial also achieved a key secondary endpoint, demonstrating clinically meaningful improvements in motor aspects of daily living compared to placebo.
  • Tavapadon is a selective D1/D5 dopamine receptor partial agonist, potentially offering a novel approach to managing Parkinson's symptoms.
  • AbbVie plans to submit the TEMPO-1 data for regulatory approval, with results from the TEMPO-2 trial expected by the end of 2024.

Pfizer Withdraws Sickle Cell Drug Oxbryta After EMA Reports Deaths in Trials

  • Pfizer is voluntarily withdrawing Oxbryta (voxelotor) from the market due to safety concerns raised by clinical trial data.
  • The European Medicines Agency (EMA) disclosed 16 deaths linked to Oxbryta in two Phase III trials, prompting Pfizer's action.
  • Clinical studies revealed an imbalance in vaso-occlusive crises and fatal events, leading Pfizer to halt all Oxbryta trials.
  • The withdrawal impacts distribution, clinical studies, and expanded access programs worldwide as Pfizer investigates the data.

FDA Proposes Reclassifying Hepatitis B Assays to Lower Risk Category

• The FDA is proposing to reclassify hepatitis B virus (HBV) assays from Class III (high risk) to Class II (moderate risk). • This change would allow HBV antigen, antibody, and nucleic acid-based assays to be eligible for the 510(k) clearance pathway. • The decision is based on the FDA's experience and postmarket data analysis, indicating a good safety record for these assays. • Special controls related to labeling and design verification are proposed to mitigate potential risks like false readings and misinterpretations.

Genentech's Gazyva Shows Positive Phase III Results in Lupus Nephritis Treatment

  • Genentech's Gazyva met its primary endpoint in a Phase III REGENCY study, demonstrating statistically significant benefits for lupus nephritis patients.
  • Patients treated with Gazyva plus standard therapy achieved a higher rate of complete renal response at 76 weeks compared to standard therapy alone.
  • The study also showed statistically significant improvements in secondary endpoints, including reduced corticosteroid use and improved proteinuric response.
  • Gazyva targets disease-causing B cells, potentially preventing or delaying progression to end-stage kidney disease in lupus nephritis patients.
NCT05050214Active, Not RecruitingPhase 2
Mario Negri Institute for Pharmacological Research
Posted 2/18/2022

AstraZeneca and Immunai Collaborate to Enhance Oncology Clinical Trials with AI

  • AstraZeneca is partnering with Immunai to leverage AI for optimizing oncology clinical trials, focusing on improving decision-making processes.
  • The collaboration will utilize Immunai's AI platform to refine dose selection, understand mechanisms of action, and identify predictive biomarkers.
  • Immunai will receive $18 million for the initial phase, with potential for AstraZeneca to expand the collaboration's scope and duration.
  • This partnership aims to enhance the efficiency of bringing new therapies to patients by leveraging AI to improve clinical trial outcomes.

Optimizing Kidney Cancer Treatment: Keytruda, Inlyta, and Novel Approaches for Non-Clear Cell RCC

• Considerations for discontinuing Keytruda (pembrolizumab) and Inlyta (axitinib) after two years involve balancing recurrence risk and side effects, necessitating individualized patient-physician discussions. • For non-clear cell chromophobe renal cell carcinoma, IO-TKI combinations like Lenvima (lenvatinib) plus Keytruda or Cabometyx (cabozantinib) plus Opdivo (nivolumab) show promise, with treatment choice depending on approval status. • Managing fatigue and chronic kidney disease in RCC patients requires investigating reversible causes and employing supportive measures, with nephrologist involvement for significant renal impairment.

FDA Approvals for Breast Cancer Drugs: Clinical Benefits, Development Time, and Pricing Analysis

• The FDA approved 26 unique cancer drugs for breast cancer across 42 indications between 2000 and 2023, with a median development time of 7.8 years. • A meta-analysis of RCTs showed new breast cancer indications significantly reduced the likelihood of death (HR 0.78) and improved median OS by 2.8 months. • There was a weak correlation between OS and PFS, suggesting that improvements in PFS may not always translate to better OS or QoL. • Drug prices averaged $16,013 per month in 2023, with no significant correlation between price and clinical benefits like OS or QoL improvements.

LUNAR Trial Update: Tisotumab Vedotin Shows Promise in Advanced NSCLC

  • Updated analysis of the Phase 3 LUNAR trial reinforces tisotumab vedotin's potential as a treatment for advanced non-small cell lung cancer (NSCLC).
  • The study highlights clinically meaningful improvements in overall survival and progression-free survival in previously treated NSCLC patients.
  • Researchers presented these findings at the IASLC 2024 World Conference on Lung Cancer, sparking discussions about integrating tisotumab vedotin into treatment paradigms.

India Introduces New Regulations for Clinical Research Organizations

  • The Indian government has established Standard Operating Procedures (SOPs) for Clinical Research Organizations (CROs) to ensure the safety and quality of clinical trials.
  • The new regulations, under the New Drugs and Clinical Trials (Amendment) Rules, 2024, define the roles, duties, and liabilities of CROs, effective April 1, 2025.
  • CROs must now apply to the Central Licensing Authority for registration to conduct clinical trials or bioavailability/bioequivalence studies, enhancing transparency and oversight.
  • The government aims to improve product quality, expedite clinical trials for new medications and vaccines, and create a repository of organizations involved in clinical research.

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