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Clinical Trial News

Daiichi Sankyo's DS-9606 Shows Promise in Phase I Solid Tumor Trial

  • Daiichi Sankyo's DS-9606, an antibody-drug conjugate (ADC) targeting Claudin-6 (CLDN6), demonstrates encouraging initial clinical activity in advanced solid tumors.
  • The Phase I trial assessed DS-9606's safety and tolerability across various doses, with no dose-limiting toxicities reported and manageable adverse events.
  • Preliminary efficacy results revealed confirmed objective responses in heavily pretreated patients, particularly in germ cell, gastric/esophageal, and non-small cell lung cancers.
  • The ongoing trial will determine the maximum tolerated dose and recommended dose for expansion, further evaluating DS-9606 in CLDN6-expressing advanced solid tumors.

Nivolumab and Ipilimumab Combo Shows Long-Term Survival Benefit in Advanced Melanoma

  • A decade-long study reveals that the combination of nivolumab and ipilimumab significantly extends survival in patients with advanced melanoma, offering a potential long-term solution.
  • The trial demonstrated that patients who were progression-free after three years had a high likelihood of remaining alive and disease-free at the 10-year mark.
  • The immunotherapy regimen did not show any increase in long-term adverse effects, confirming its safety profile over the extended study period.
  • Researchers suggest that these findings can shift patient expectations towards hope and optimism, potentially reducing the need for frequent oncologist visits.

Kisqali Demonstrates Sustained Benefit in Early Breast Cancer

• Updated analysis of the NATALEE trial shows Kisqali plus endocrine therapy reduces recurrence risk by 28.5% in stage II and III HR+/HER2- early breast cancer. • The invasive disease-free survival benefit of Kisqali was consistent across all pre-specified patient subgroups, including node-negative disease. • Secondary endpoints, including distant disease-free survival, also showed consistent results, with a trend for improved overall survival. • The safety profile of Kisqali remains consistent with previous reports, showing a well-tolerated profile with generally low-grade adverse events.

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.

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