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Clinical Trial News

Immunotherapy Combinations Show Promise in Aggressive Cancers

  • Phase III trials demonstrate that combining immunotherapy drugs with chemotherapy improves survival rates in triple-negative breast cancer (TNBC) and muscle-invasive bladder cancer.
  • The KEYNOTE-522 trial showed pembrolizumab, combined with chemotherapy, reduces cancer recurrence and improves overall survival in high-risk, early-stage TNBC patients.
  • The NIAGARA study indicates that durvalumab, when combined with chemotherapy, enhances survival rates in patients with muscle-invasive bladder cancer.
  • These findings have led to new standards of care for treating these aggressive cancers, marking a significant advancement in cancer therapy.

Pembrolizumab and Durvalumab Combinations Improve Survival in Aggressive Cancers

  • Pembrolizumab combined with chemotherapy reduces recurrence risk and improves survival in high-risk, early-stage triple-negative breast cancer (TNBC).
  • The KEYNOTE-522 trial's results have established the pembrolizumab treatment regime as the new standard of care for TNBC patients.
  • Durvalumab combined with chemotherapy improves survival in patients with muscle-invasive bladder cancer, marking a significant advancement.
  • The NIAGARA study demonstrates that adding immunotherapy to chemotherapy increases the cure rate for aggressive bladder cancer.

Pembrolizumab Shows Sustained Survival Benefit in Advanced Melanoma After 10-Year Follow-up

  • Ten-year follow-up data from the KEYNOTE-006 study demonstrates pembrolizumab's continued superiority over ipilimumab in unresectable stage III/IV melanoma.
  • Patients receiving pembrolizumab experienced a median overall survival of 32.7 months compared to 15.9 months with ipilimumab, with 10-year OS rates of 34% and 23.6%, respectively.
  • A second course of pembrolizumab in patients who initially responded showed promising efficacy, with a median modified PFS of 51.8 months.
  • The findings support pembrolizumab as a standard-of-care treatment, providing long-term benefits for patients with advanced melanoma.

Olaparib/Cediranib Combination Fails to Improve Survival in Relapsed Ovarian Cancer

  • The phase 3 ICON9 trial investigated olaparib plus cediranib versus olaparib alone as maintenance therapy for relapsed platinum-sensitive ovarian cancer.
  • The combination of olaparib and cediranib did not significantly improve progression-free survival compared to olaparib monotherapy (HR = 0.84; 95% CI, 0.65-1.07; P = .24).
  • Overall survival was also not significantly different between the two arms, with median OS of 37.8 months for olaparib and 37.2 months for the combination (HR = 0.92; 95% CI, 0.67-1.26; P = .81).
  • The safety profile of the combination was consistent with the known toxicities of each agent, with slightly higher rates of certain grade 3 or higher adverse events.

TAR-200 Demonstrates High Complete Response Rate in BCG-Unresponsive Bladder Cancer

  • Johnson & Johnson's TAR-200 showed an 83.5% complete response rate in patients with Bacillus Calmette-Guerin (BCG)-unresponsive, high-risk non-muscle-invasive bladder cancer (HR-NMIBC).
  • The study demonstrated durable complete responses without reinduction, with 82% of patients maintaining response after a median follow-up of 9 months.
  • An estimated 12-month complete response rate of 57.4% was observed, based on Kaplan-Meier curve analysis, indicating sustained efficacy over time.
  • The risk-benefit profile favors TAR-200 monotherapy in this patient population, offering a promising treatment option.

Enhertu Shows Promise in HER2+ Breast Cancer with Brain Metastases

• Enhertu (trastuzumab deruxtecan) demonstrates a 61.6% 12-month median progression-free survival in metastatic breast cancer patients with brain metastases. • The DESTINYBreast-012 trial reveals a 79% overall response rate for central nervous system metastases with Enhertu treatment. • Enhertu maintains a 90.3% 12-month overall survival rate in patients with active breast cancer brain metastases, indicating a significant clinical benefit. • Analysts predict Enhertu will dominate the ADC market, reaching $11.2 billion in global sales by 2030, surpassing Kadcyla and Tukysa.

MediLink's YL201 Demonstrates Promising Activity in Small Cell Lung Cancer and Other Solid Tumors

  • MediLink Therapeutics presented Phase I clinical data for YL201, a B7H3-targeting antibody-drug conjugate, at ESMO 2024, showcasing its potential in treating advanced solid tumors.
  • In patients with extensive-stage small cell lung cancer (ES-SCLC), YL201 achieved an overall response rate (ORR) of 68.1% and a median progression-free survival (mPFS) of 6.2 months.
  • A global clinical trial collaboration with Amgen will evaluate YL201 in combination with Amgen's IMDELLTRA™ for ES-SCLC, exploring a novel synergistic mechanism of action.
  • YL201 monotherapy has demonstrated encouraging efficacy in ES-SCLC, prompting MediLink to actively prepare for Phase 3 studies in SCLC and nasopharyngeal carcinoma (NPC).
NCT05434234RecruitingPhase 1
MediLink Therapeutics (Suzhou) Co., Ltd.
Posted 5/25/2022
NCT06057922RecruitingPhase 1
MediLink Therapeutics (Suzhou) Co., Ltd.
Posted 9/22/2023

Neoadjuvant Immunotherapy Solidifies as Standard of Care in Stage III Melanoma

  • Updated data from the NADINA trial demonstrates that neoadjuvant ipilimumab plus nivolumab significantly improves event-free and distant metastasis-free survival compared to adjuvant nivolumab in resectable stage III melanoma.
  • An updated pooled analysis from the International Neoadjuvant Melanoma Consortium (INMC) confirms the long-term benefits of neoadjuvant immunotherapy, particularly with combination checkpoint inhibition.
  • Major pathologic response (MPR) is identified as a strong prognostic marker, with patients achieving MPR showing significantly improved recurrence-free survival rates.
  • Neoadjuvant BRAF/MEK targeted therapy is shown to be less effective than neoadjuvant immunotherapy and equivalent to adjuvant BRAF/MEK therapy.

Oklahoma Entrepreneur Launches Yni.Fit Device for Urinary Incontinence

  • Allison Watkins, an Edmond, Oklahoma entrepreneur, has launched Yni.Fit, a novel insertion device designed to combat urinary incontinence in women.
  • After clinical trials and FDA approval, Yni.Fit was launched in Oklahoma this summer, addressing a need for millions of women suffering from bladder leakage.
  • Watkins, driven by her own experiences, aims to expand Yni.Fit nationally next year, offering a solution developed from patient insight and entrepreneurial spirit.

GSK and iTeos' Belrestotug Shows Promise in NSCLC Trial, Offering Hope for TIGIT Therapies

• Belrestotug, an anti-TIGIT antibody from GSK and iTeos, demonstrated a higher objective response rate (ORR) when combined with GSK's Jemperli (dostarlimab) in PD-L1-positive NSCLC patients. • The GALAXIES Lung-02 phase 2 trial showed a dose-response relationship with belrestotug, with the highest dose achieving a 76.7% ORR compared to 28.1% for Jemperli alone. • While side effects were generally manageable, the combination therapy had higher treatment discontinuation rates and some treatment-related deaths, warranting careful safety monitoring. • A phase 3 trial, GALAXIES-Lung-301, is planned using the 400mg dose of belrestotug in combination with Jemperli, comparing it to Keytruda plus placebo in first-line NSCLC patients.

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