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Clinical Trial News

TAK-906: Peripheral D2/D3 Antagonist Under Development for Gastroparesis

  • TAK-906, developed by Altos Therapeutics and Takeda, is a peripherally-restricted D2/D3 receptor antagonist designed to treat gastroparesis.
  • The drug does not penetrate the blood-brain barrier, targeting the stomach and vomiting center in the area postrema.
  • Gastroparesis, characterized by delayed gastric emptying, leads to symptoms like nausea, vomiting, pain, and anorexia.
  • TAK-906 aims to alleviate these symptoms by modulating dopamine receptors in the gastrointestinal tract without central nervous system side effects.

Durvalumab Improves Survival in Limited-Stage Small Cell Lung Cancer Subgroups

  • Durvalumab consolidation therapy shows improved progression-free survival (PFS) and overall survival (OS) in LS-SCLC patients, regardless of prior prophylactic cranial irradiation (PCI).
  • In patients who received carboplatin, durvalumab significantly improved median OS (NR vs 33.4 months) and PFS (27.9 months vs 9.2 months) compared to placebo.
  • Durvalumab's safety profile is manageable, with pneumonitis incidences similar to placebo, supporting its use as a new standard of care for LS-SCLC.
  • The ADRIATIC trial's post-hoc analysis confirms durvalumab's consistent benefit across various subgroups, reinforcing its role in LS-SCLC treatment.

FDA Approves Resmetirom (REZDIFFRA™) as First Treatment for NASH

  • The FDA granted accelerated approval to resmetirom (REZDIFFRA™) on March 14, 2024, marking it as the first approved therapy for non-alcoholic steatohepatitis (NASH).
  • Resmetirom is an oral, liver-targeting, once-daily THR-β-selective agonist, initially discovered at Roche Nutley, offering a novel approach to NASH treatment.
  • This approval signifies a historic milestone in liver drug discovery, addressing a significant unmet need in the treatment of NASH, now also known as MASH.

Tempus AI Presents AI-Driven Oncology Advancements at ESMO Congress 2024

  • Tempus AI will present four abstracts at the ESMO Congress 2024, showcasing advancements in AI-driven precision medicine for oncology.
  • An oral presentation will highlight Tempus' TIME initiative, which streamlines patient screening and clinical trial matching using AI, improving enrollment.
  • A poster presentation will explore ctDNA monitoring in TKI-treated patients, suggesting its potential for assessing treatment response beyond VAF monitoring.
  • Another poster will demonstrate that comprehensive genomic profiling (CGP) improves access to matched therapies for advanced NSCLC patients in real-world settings.

Novel Drug Candidates Target Diverse Diseases: Malaria, Gastroparesis, and Cancer

  • Novartis unveils NVP-FVP954, a fast-acting IV antimalarial for severe malaria, addressing the urgent need for new treatments due to rising resistance and high infection rates.
  • Altos Therapeutics and Takeda collaborate on TAK-906, a peripherally-restricted D2/D3 receptor antagonist, to treat gastroparesis by targeting the stomach and vomiting center.
  • Revolution Medicines advances RMC-9805, a covalent KRAS(G12D)(ON) molecular glue inhibitor, showing promise in synergizing with PD-1 inhibitors for cancer treatment.

FDA Approves Genentech's Ocrevus Zunovo as First Twice-Yearly Subcutaneous MS Treatment

  • The FDA has approved Ocrevus Zunovo, a subcutaneous injection, for relapsing and primary progressive multiple sclerosis.
  • Ocrevus Zunovo is the first and only twice-a-year, 10-minute subcutaneous treatment option for both forms of MS.
  • Approval was based on the Phase III OCARINA II trial, demonstrating similar efficacy and safety to the IV formulation of Ocrevus.
  • The new formulation offers greater flexibility for healthcare providers and patients, especially those with IV access constraints.

Cabozantinib/Nivolumab Shows Consistent Benefits in RCC, Except for Favorable-Risk Group

  • CheckMate 9ER trial data confirms that cabozantinib plus nivolumab significantly improves progression-free survival (PFS) and overall survival (OS) in metastatic clear cell RCC patients.
  • Favorable-risk RCC patients do not experience the same OS benefit from cabozantinib/nivolumab compared to intermediate- and poor-risk groups, mirroring findings from other TKI/IO combinations.
  • Cabozantinib/nivolumab demonstrates manageable toxicity and allows patients to stay on therapy longer, with potential post-discontinuation benefits attributed to immunotherapy's long half-life.
  • The combination of nivolumab and ipilimumab has shown long-term benefits, including treatment-free survival, in intermediate- and poor-risk RCC, according to extended follow-up data from CheckMate 214.

Patritumab Deruxtecan Shows Promise in HR+/HER2- Metastatic Breast Cancer After CDK4/6 Inhibitor Resistance

  • Patritumab deruxtecan (HER3-DXd) demonstrates a 53.5% response rate in heavily pre-treated HR+/HER2- metastatic breast cancer patients resistant to CDK4/6 inhibitors.
  • The ICARUS-BREAST01 phase II trial reports a median progression-free survival of 9.4 months with patritumab deruxtecan, suggesting improved outcomes compared to conventional third-line chemotherapies.
  • Researchers identified potential factors influencing treatment response, including the distribution of HER3-positive cells within the tumor and drug-induced immune response.
  • Patritumab deruxtecan may represent a new therapeutic option for advanced hormone-dependent breast cancer, warranting further investigation in larger studies.

Tivozanib Monotherapy Shows Superiority Over Tivozanib Plus Nivolumab in Metastatic RCC After ICI Progression

• The phase 3 TiNivo-2 trial revealed that tivozanib monotherapy demonstrated superior progression-free survival (PFS) compared to the combination of tivozanib and nivolumab in metastatic renal cell carcinoma (RCC). • Median PFS was 7.4 months with tivozanib alone versus 5.7 months with the combination, indicating that immune checkpoint inhibitor (ICI) rechallenge may not be beneficial in this setting. • The study suggests that tivozanib monotherapy at 1.34 mg can be considered a second-line treatment option for patients with RCC who have progressed after prior ICI therapy. • The reduced dose of tivozanib in the combination arm (0.89 mg) may have impacted the efficacy, highlighting the importance of optimal dosing in VEGFR TKI therapy.

FDA Approves Subcutaneous Ocrelizumab (Ocrevus Zunovo) for Multiple Sclerosis

  • The FDA has approved subcutaneous ocrelizumab (Ocrevus Zunovo) for relapsing and primary progressive multiple sclerosis (MS).
  • Ocrevus Zunovo offers a new twice-yearly, 10-minute injection option, providing greater flexibility for patients and healthcare providers.
  • The approval was based on the OCARINA II trial, demonstrating comparable efficacy and safety to intravenous ocrelizumab.
  • Injection site reactions were the most common adverse events, but were generally mild to moderate and did not lead to treatment discontinuation.

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