Stockwinners Market Radar for June 16, 2019 - Earnings, Upgrades downgrades, option trades, Best Stock Advisory Service |
BA... | Hot Stocks19:15 EDT Fly Intel: Top five weekend stock stories - Catch up on the weekend's top five stories with this list compiled by The Fly: 1. The Federal Aviation Administration could start flight trials of Boeing's (BA) proposed 737 MAX safety enhancement as early as this week, The Wall Street Journal's Andrew Tangel, Alison Sider and Andy Pasztor wrote. Meanwhile, Reuters' Eric Johnson reported that the head of Boeing said the planemaker had made a mistake in implementing a faulty cockpit warning system on the 737 Max and predicted it would take time to rebuild the confidence of customers in the wake of two fatal crashes. Chairman and CEO Dennis Muilenburg said Boeing failed to communicate "crisply" with regulators and customers, but defended the broad engineering and design approach to nose-down control software at the center of probes into the accidents, the author noted. 2. Deutsche Bank (DB) is preparing a deep overhaul of its trading operations including the creation of a bad bank to hold tens of billions of euros of assets, Financial Times' Stephen Morris and Olaf Storbeck reported. The plan would see the bad bank house or sell assets valued by the lender in its accounts at up to EUR50B after adjusting for risk, the authors noted. Meanwhile, Goldman Sachs (GS) is said to be pulling together four separate units that invest in private companies, real estate and other hard-to-access deals, creating a new unit and planning a fundraising blitz, according to The Wall Street Journal's Liz Hoffman, citing people familiar with the matter. The division's exact makeup will take shape over the next few months, but it is likely to have around $140B in assets, the author noted. 3. Amazon (AMZN) is quitting its meal delivery service, making the shares of GrubHub (GRUB) rise on the news, Jack Hough wrote in this week's edition of Barron's. Online food ordering will rise 20% to $56B this year in the U.S., and 16% to $203B worldwide, predicts market researcher Euromonitor, and the "food fight" extends well beyond restaurant delivery, the author noted. Autonomous driving will eventually solve for the least-scalable part of food delivery-people, and companies that survive the thin-margin years between now and then could enjoy powerful network effects, and rich profits, he contended. 4. Sony's (SNE) "Men in Black: International" debuted to a sluggish $28.5M from 4,200 theaters. Overseas, the spinoff collected $73.7M, making its global haul an estimated $102.2M. The movie received just 27% on Rotten Tomatoes, while sporting a B CinemaScore. 5. United Technologies (UTX), Raytheon (RTN), McKesson (MCK), Cardinal Health (CAH), AmerisourceBergen's (ABC) saw positive mentions in this week's edition of Barron's.
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INTC | Hot Stocks16:30 EDT Intel announces program for Israeli startups targeting tech inflections - Intel announced a program to advance open innovation and accelerate early-stage startup companies in Israel targeting key industry inflection points, including artificial intelligence, autonomous systems and other data-centric technologies and business models. Based in Tel Aviv, the program called Ignite will leverage Intel's global market access and business and technology leadership to provide early-stage startups with unique advantages on their paths to disrupt the future. Following a rigorous selection process, Intel will host 10-15 top pre-seed to seed startups through a 20-week program where they will receive hands-on mentorship from Intel and industry experts in a variety of product, business, management and technical areas. Intel is committed to accelerate their growth and scale their ideas for greater impact. The Ignite program will begin operations in Israel this year, with plans to scale to additional countries over time. Intel has no plans to seek equity in or rights to intellectual property from these companies.
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ESLT | Hot Stocks13:41 EDT Elbit Systems awarded $50M contract - Elbit Systems announced that its wholly-owned subsidiary, Elbit Systems - Cyclone, was awarded an approximately $50M contract for the supply of structural parts from composite materials for an aircraft of a customer in North America. The contract will be performed over six years. The contract calls for the supply of a variety of structural parts from composite materials for all the models of one of the customers' leading aircraft platforms.
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AMGN | Hot Stocks13:40 EDT Amgen announces BLINCYTO five-year overall survival data - Amgen announced the five-year overall survival analysis from the single-arm, Phase 2 BLAST study that evaluated BLINCYTO in patients with minimal residual disease-positive acute lymphoblastic leukemia. The study found that with a median follow-up of 59.8 months, the median OS for BLINCYTO-treated patients was 36.5 months. More than half of patients who achieved a complete MRD response following the first cycle of BLINCYTO treatment were alive at five years. These results from the largest prospective trial ever conducted in MRD-positive ALL were presented during an oral presentation at the 24th Annual Congress of the European Hematology Association in Amsterdam. The Phase 2 open-label BLAST study enrolled 116 patients with MRD-positive Philadelphia chromosome-negative B-cell precursor ALL in first or subsequent complete hematologic remission after at least three intensive chemotherapy blocks of treatment. Of the 116 enrolled patients, OS was evaluated for 110 patients with less than five percent leukemic blasts, including 74 patients who received hematopoietic stem cell transplantation in continuous complete remission after BLINCYTO treatment. Results presented at EHA showed that in 84 patients who achieved a complete MRD response, median OS was not reached compared to 14.4 months for those who had measurable MRD. Among patients with MRD in first complete remission, median OS was not reached for those who achieved a complete MRD response versus 10.6 months for those who did not achieve complete MRD response. Safety results among MRD-positive patients were consistent with the known safety profile of BLINCYTO.
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SILK | Hot Stocks13:35 EDT Silk Road Medical announces final results for ROADSTER-2 study - Silk Road Medical announced final results for the company's ROADSTER-2 post-marketing study evaluating real world use of the ENROUTE Neuroprotection and Stent Systems in TransCarotid Artery Revascularization procedures. The study demonstrated compelling patient outcomes with low stroke and combined stroke and death rates of 0.6% and 0.8%, respectively, in 632 high surgical risk patients enrolled across 42 sites. 70% of patients enrolled in the study were from physicians new to TCAR. Designed as a follow-on study to the pivotal ROADSTER trial, ROADSTER-2 is a prospective, multi-center study designed to assess the real-world usage of the ENROUTE Transcarotid Stent when used with the ENROUTE Transcarotid Neuroprotection System by physicians of varying experience with the TCAR procedure. The study met its primary endpoint of procedural success, defined as acute device and technical success in the absence of stroke, death or myocardial infarction at 30 days, at 97.9%. Significant findings from the study showed TCAR to have low rates of 30-day major adverse events. In addition, ROADSTER-2 showed lower rates of acute and permanent cranial nerve injury than is typically observed for patients receiving carotid endarterectomy, the current standard of care.
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EDIT | Hot Stocks13:30 EDT Editas presents pre-clinical data in Sickle Cell Disease, Beta-Thalassemia - Editas Medicine announced results from a follow-up study to assess two different CRISPR genome editing strategies, one targeting the BCL11A erythroid enhancer and one targeting the beta-globin locus, for the treatment of sickle cell disease and beta-thalassemia. In this study, NBSGW mice received an infusion of human CD34+ cells which had been edited either at the BCL11Ae or at the beta-globin locus. In vivo-derived erythroid cells from BCL11Ae-edited CD34+ hematopoietic stem/progenitor cells had reduced total indels and increased non-productive indels as compared to other tested lineages, a phenomenon not observed with beta-globin locus editing. Additionally, further optimization of nuclease and guide RNA combinations led to fetal hemoglobin expression of approximately 40 percent in the beta-globin locus-edited erythroid cells. Based on the data, Editas Medicine has initiated IND-enabling activities for EDIT-301, an experimental CRISPR medicine designed to durably treat sickle cell disease and beta-thalassemia by editing the beta-globin locus.
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SNSS | Hot Stocks13:28 EDT Sunesis announces preliminary data from Phase 1b/2 trial of Vecabrutinib - Sunesis Pharmaceuticals announced the presentation of results from the company's Phase 1b/2 clinical trial of its non-covalent BTK inhibitor vecabrutinib in adults with relapsed/refractory chronic lymphocytic leukemia and other B-cell malignancies. Preliminary data reported were available from 23 patients treated in the trial thus far. These included 19 CLL patients, two mantle cell lymphoma patients, and two Waldenstrom Macroglobulinemia patients. Patients had received an average of 4 lines of prior therapy, and all patients had progressed on prior BTKi therapy. 61% of CLL patients enrolled had a BTK C481 mutation as of the data cutoff for the poster. Preliminary data on treatment-emergent adverse events were available for 20 patients. The most common TEAEs of any grade were anemia and neutropenia and night sweats, with 5 drug-related Grade 3 adverse events occurring in 3 patients, all in cohort 2. In total, there were 8 serious adverse events in six patients, none of which were considered drug-related. Stable disease was seen in 4 CLL patients, 3 of whom had BTK C481S mutations. Two of these patients, both with BTK C481S mutations, showed decreases of 16% and 47% in index lesions at first assessment by CT scans. The patient with the 47% decrease was one of two evaluable post-venetoclax patients with the BTK C481S mutation. A patient with WM experienced clinical benefit with improvement in B-symptoms but no impact on immunoglobulin M. One patient in cohort 3 continues on treatment in cycle 6. The pharmacokinetic profile of vecabrutinib showed sustained exposure over the dosing interval, with median steady-state trough concentrations increasing with dose. Preliminary data showed near doubling of trough concentrations between doses of 50 mg and 100 mg. Based on the results of the Phase 1A study in healthy subjects, trough levels of greater than1,000 ng/mL are expected to be required for consistent BTK inhibition and greater clinical activity. This is likely achievable with doses higher than 100 mg BID. Vecabrutinib inhibition of BTK phosphorylation was rapid and sustained in patients who had adequate baseline signal for analysis. Decreases in serum concentrations of key cytokines associated with B-cell malignancies, CCL2, CCL3, and CCL4, were observed in most evaluable patients, consistent with inhibition of BTK signaling.
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SNSS | Hot Stocks13:27 EDT Sunesis announces preliminary data from Phase 1b2 trial of Vecabrutinib - Sunesis Pharmaceuticals announced the presentation of results from the company's Phase 1b/2 clinical trial of its non-covalent BTK inhibitor vecabrutinib in adults with relapsed/refractory chronic lymphocytic leukemia and other B-cell malignancies. Preliminary data reported were available from 23 patients treated in the trial thus far. These included 19 CLL patients, two mantle cell lymphoma patients, and two Waldenstrom Macroglobulinemia patients. Patients had received an average of 4 lines of prior therapy, and all patients had progressed on prior BTKi therapy. 61% of CLL patients enrolled had a BTK C481 mutation as of the data cutoff for the poster. Preliminary data on treatment-emergent adverse events were available for 20 patients. The most common TEAEs of any grade were anemia and neutropenia and night sweats, with 5 drug-related Grade 3 adverse events occurring in 3 patients, all in cohort 2. In total, there were 8 serious adverse events in six patients, none of which were considered drug-related. Stable disease was seen in 4 CLL patients, 3 of whom had BTK C481S mutations. Two of these patients, both with BTK C481S mutations, showed decreases of 16% and 47% in index lesions at first assessment by CT scans. The patient with the 47% decrease was one of two evaluable post-venetoclax patients with the BTK C481S mutation. A patient with WM experienced clinical benefit with improvement in B-symptoms but no impact on immunoglobulin M. One patient in cohort 3 continues on treatment in cycle 6. The pharmacokinetic profile of vecabrutinib showed sustained exposure over the dosing interval, with median steady-state trough concentrations increasing with dose. Preliminary data showed near doubling of trough concentrations between doses of 50 mg and 100 mg. Based on the results of the Phase 1A study in healthy subjects, trough levels of greater than1,000 ng/mL are expected to be required for consistent BTK inhibition and greater clinical activity. This is likely achievable with doses higher than 100 mg BID. Vecabrutinib inhibition of BTK phosphorylation was rapid and sustained in patients who had adequate baseline signal for analysis. Decreases in serum concentrations of key cytokines associated with B-cell malignancies, CCL2, CCL3, and CCL4, were observed in most evaluable patients, consistent with inhibition of BTK signaling.
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APLS | Hot Stocks13:23 EDT Apellis presents data from ongoing Phase 2 PLAUDIT study of APL-2 - Apellis Pharmaceuticals announced updated data from its Phase 2 PLAUDIT study of APL-2 in patients with autoimmune hemolytic anemia, including cold agglutinin disease and warm antibody autoimmune hemolytic anemia. Data from the PLAUDIT trial will be presented in an oral presentation at the 24th Annual Congress of the European Hematology Association, held in Amsterdam, the Netherlands. In the ongoing PLAUDIT study, 13 patients with CAD have been enrolled to receive subcutaneous APL-2 treatment, of which 10 patients have been on APL-2 for at least 168 days. The trial has also enrolled 11 patients with wAIHA, 8 of which were Direct Antiglobulin Test C3+; 5 of the C3+ wAIHA patients have been on APL-2 for at least 168 days. Of the 10 patients who reached Day 168: 70% showed a Hb increase of greater than or equal to2 g/dL, 40% had normalized Hb and 80% had Hb greater than or equal to11.0 g/dL at Day 168. Mean Hb increased from 8.9 g/dL at baseline to 11.2 g/dL at Day 168, a 2.4 g/dL increase. Mean Functional Assessment of Chronic Illness Therapy Fatigue Score increased from 29.4 at baseline to 39.1 at Day 168, an improvement of 9.7 points, where a clinically significant increase is 3 or more points. Mean absolute reticulocyte count decreased from 159 X 10/L at baseline to 64 X 10/L at Day 168. Mean indirect bilirubin decreased from 1.6 mg/dL at baseline to 0.4 mg/dL at Day 168. Mean LDH decreased from 500 U/L at baseline to 183 U/L at Day 168. Two heavily transfusion dependent patients did not respond to APL-2 and left the study at Day 56 and 108 respectively. The remaining transfusion dependent patients did not require any transfusions during maintenance treatment with APL-2. One previously non-transfusion dependent patient received an on-study transfusion prior to APL-2 steady-state. One patient is still participating in the study and has not yet reached Day 168. Of the 5 patients with C3+ wAIHA who reached Day 168: Mean Hb increased from 9.0 g/dL at baseline to 11.0 g/dL at Day 168, a 2.0 g/dL increase. Mean FACIT Fatigue Score increased from 38.4 at baseline to 40.8 at Day 168, an improvement of 2.4 points. Mean ARC decreased from 213 X 10/L at baseline to 92 X 10/L at Day 168. Mean indirect bilirubin decreased from 0.8 mg/dL at baseline to 0.3 mg/dL at Day 168. Mean LDH decreased from 241 U/L at baseline to 142 U/L at Day 168. Two of the eight enrolled C3+ wAIHA patients left the study due to lack of response, and one of the eight enrolled C3+ wAIHA subjects is still participating in the study and has not yet reached Day 168. The three enrolled patients who were not DAT C3+ did not show a meaningful response and two have left the study. In both the CAD and C3+ wAIHA populations, APL-2 was generally well tolerated; no serious adverse events related to APL-2 were reported in the PLAUDIT trial. In both the CAD and C3+ wAIHA populations, APL-2 was generally well tolerated; no serious adverse events related to APL-2 were reported in the PLAUDIT trial.
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FTSV | Hot Stocks13:16 EDT Forty Seven announces data from Phase 1b/2 trial of 5F9 in combo with Rituximab - Forty Seven announced updated data from its ongoing Phase 1b/2 clinical trial evaluating 5F9 in combination with rituximab for the treatment of relapsed/refractory non-Hodgkin's lymphoma, including diffuse large B-cell lymphoma and indolent lymphoma. The data was presented in an oral session at the 24th Congress of the European Hematology Association in Amsterdam, Netherlands. Also at EHA, Forty Seven presented data from its ongoing Phase 1b clinical trial evaluating 5F9 as a monotherapy and in combination with azacitidine for the treatment of myelodysplastic syndrome and acute myeloid leukemia, which were previously presented at the 2019 American Society for Clinical Oncology Annual Meeting. Forty Seven's Phase 1b/2 trial, which is being funded in part by the Leukemia and Lymphoma Society through the Therapy Acceleration Program, is designed to evaluate 5F9 in combination with rituximab in patients with r/r B-cell NHL, who have failed standard-of-care therapies. All patients received a 1 mg/kg priming dose of 5F9 to mitigate on-target anemia. Patients in the Phase 1b portion of the trial were treated with 5F9 maintenance doses of 10 to 45 mg/kg, and patients in the Phase 2 portion of the trial were treated with 5F9 doses of either 30 or 45 mg/kg. All patients were also administered full doses of rituximab. The median number of prior therapies across all patients was three, and 85% of all patients were refractory to a prior rituximab-containing regimen, with 59% of DLBCL patients having primary refractory disease. Additionally, 42 of the 47 DLBCL patients enrolled in the Phase 2 portion of the trial were ineligible for CAR-T therapy. As of the data cutoff, 5F9 was well-tolerated in combination with rituximab. Adverse events were consistent with prior clinical experience. No maximum tolerated dose was reached with up to 45 mg/kg of 5F9 dosing. Eight out of 115 patients discontinued treatment due to an AE. Among patients treated in the Phase 1b portion of the trial, the median duration of response has not been reached, with a median follow-up of over 13.8 months. This includes one patient who has remained in a durable complete response for more than 24 months. Among patients treated in the Phase 1b portion of the trial, the median duration of response has not been reached with a median follow-up of over 21 months. This includes the patient who has remained in a durable CR for more than 28 months. Additionally, 5F9 tumor penetrance was evaluated at 30 and 45 mg/kg as a key pharmacodynamic endpoint. Data show that the 30 mg/kg maintenance dose of 5F9 saturated the tumor microenvironment similarly to 45 mg/kg, with similar efficacy. As a result, a 30 mg/kg maintenance dose of 5F9 was selected as the recommended dose for use in future clinical studies. Based on feedback from a Type C meeting with the FDA in May 2019, Forty Seven believes that data from a single arm pivotal study evaluating ORR and durability may be sufficient to support the registration of 5F9 in combination with rituximab in patients with r/r DLBCL who have failed at least two prior lines of therapy, including those who have been deemed CAR-T ineligible. The company is currently finalizing the operational components of the proposed registrational study, including details on trial design and chemistry, manufacturing and controls, and will provide a detailed update in the second half of 2019. In parallel, the company will continue ongoing efforts to evaluate 5F9 as part of additional combination regimens for patients with DLBCL, including in patients in earlier lines of treatment. Forty Seven will also evaluate opportunities to advance 5F9 in combination with rituximab for patients with indolent lymphoma. As Forty Seven previously presented at the 2019 ASCO Annual Meeting in June 2019, data from the ongoing Phase 1b clinical trial of 5F9 in MDS and AML showed an ORR of 100% and a CR rate of 55% in higher-risk MDS patients treated with 5F9 in combination with azacitidine and an ORR of 64% and a CR/complete response with incomplete blood count recovery rate of 50% in untreated AML patients treated with 5F9 in combination with azacitidine. In addition, the combination was well-tolerated, with no evidence of increased toxicities compared to azacitidine alone. Based on the favorable safety profile and encouraging clinical activity observed in this Phase 1b clinical trial, expansion cohorts have been initiated in patients with both higher-risk MDS and untreated AML with 5F9 in combination with azacitidine. In addition, based on feedback from a Type B meeting with the FDA in May 2019, Forty Seven believes that data from a single pivotal study may be sufficient to support the registration of 5F9 in combination with azacitidine in patients with untreated, higher-risk MDS. The company is finalizing the details of the proposed registrational study, and will provide a detailed update in the second half of 2019.
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AZN | Hot Stocks13:06 EDT AstraZeneca announces results from interim analysis of Phase 2 ASCEND trial - AstraZeneca announced detailed results from the interim analysis of the Phase III ASCEND trial at the European Hematology Association Annual Congress in Amsterdam, showing CALQUENCE significantly prolonged the time patients lived without disease progression in relapsed or refractory chronic lymphocytic leukemia. The ASCEND trial compared CALQUENCE with the investigator's choice of rituximab combined with idelalisib or bendamustine in patients with relapsed or refractory CLL. At a median follow-up of 16.1 months, results from the trial showed a statistically-significant and clinically-meaningful improvement in progression-free survival for patients treated with CALQUENCE versus IdR or BR, reducing the risk of disease progression or death by 69%. The median time without disease progression or death for patients treated with CALQUENCE has not yet been reached versus 16.5 months in the control arm. At 12 months, 88% of patients on CALQUENCE showed no disease progression compared to 68% for the control arm. The safety and tolerability of CALQUENCE was consistent with its established profile. AstraZeneca recently announced that the Phase III ELEVATE-TN trial met its primary endpoint at interim analysis in patients with previously-untreated CLL and that full results will be reported at a forthcoming medical meeting.
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STRO | Hot Stocks13:02 EDT Sutro Biopharma announces interim Phase 1 safety data for STRO-001 - Sutro Biopharma announced encouraging interim safety data from an ongoing Phase 1 dose escalation clinical trial of its product candidate STRO-001, a novel, specific and homogeneous anti-CD74 antibody-drug conjugate, as a potential therapy for patients with B-cell malignancies. The interim data from the trial includes 21 patients and separate dosing cohorts for multiple myeloma and non-Hodgkin lymphoma, was presented at the 24th European Hematology Association Congress in Amsterdam. According to the company, the data also showed "encouraging" preliminary anti-tumor activity for the ADC, including one complete response and one partial response among a cohort of heavily pre-treated patients with DLBCL. Overall, STRO-001 was generally well-tolerated.
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BPMC | Hot Stocks12:59 EDT Blueprint Medicines presents updated EXPLORER trial data for Avapritinib - Blueprint Medicines announced updated data from the ongoing, registration-enabling EXPLORER trial of avapritinib in patients with systemic mastocytosis. The updated data showed a confirmed overall response rate of 77% in advanced SM patients, as assessed by a central review committee of SM clinical experts. In addition, the data showed durable clinical activity across advanced, smoldering and indolent forms of SM, with patients on therapy up to 34 months and responses continuing to deepen over time. Avapritinib was generally well-tolerated, with most adverse events reported by investigators as Grade 1 or 2. These updated data from the EXPLORER trial support Blueprint Medicines' plans to submit a New Drug Application to the U.S. Food and Drug Administration for avapritinib for the treatment of advanced SM in the first quarter of 2020, subject to continued discussions with the FDA regarding the data required to support an NDA submission. Avapritinib has received FDA Breakthrough Therapy Designation for the treatment of patients with advanced SM, including the subtypes of aggressive SM, SM with an associated hematologic neoplasm and mast cell leukemia. As of the data cutoff date of January 2, 2019, 69 patients were treated with avapritinib in the Phase 1 EXPLORER clinical trial, including seven patients with ASM, 37 patients with SM-AHN, nine patients with MCL, 15 patients with indolent or smoldering SM, and one patient without SM who had chronic myelomonocytic leukemia. Diagnoses were centrally reviewed by a committee of SM experts following an initial assessment by local investigators. Forty-two patients had a prior treatment, including 15 patients who had previously received the multi-kinase inhibitor midostaurin. Thirty-nine patients with advanced SM were evaluable for response by the modified IWG-MRT-ECNM criteria, a rigorous method for assessing clinical response in advanced SM patients with regulatory precedent in the U.S. and Europe. Confirmation of response was defined as a response duration of at least 12 weeks. Evaluable patients generally had more advanced disease at baseline than the overall trial population. In evaluable patients across all doses studied, the confirmed ORR was 77%. Nine patients had complete remission with a full or partial recovery of peripheral blood counts, 18 patients had partial remission and three patients had clinical improvement. No patients had progressive disease as the initial response. In addition, the 12-month duration of response rate was 74%, and 49 patients remained on treatment with durations up to nearly three years. Across all enrolled patients, the median overall survival was not reached. The estimated 24-month OS rate was 78% in all advanced SM patients: 100% in ASM patients, 70% in SM-AHN patients and 88% in MCL patients. Avapritinib demonstrated strong clinical activity in patients with SRSF2, ASXL1 and/or RUNX1 mutation positive genotypes, who historically have particularly poor prognoses. In 22 evaluable patients with S/A/R genotypes, the confirmed ORR was 73% and five patients had a CR/CRh. Nearly all patients had significant declines on objective measures of mast cell burden. Across all patients evaluable on these measures, 100% had a greater than or equal to 50% decline in serum tryptase, 93% had a greater than or equal to 50% reduction in bone marrow mast cells, 84% had palpable spleens become non-palpable, and 88% had a greater than or equal to 50% reduction in KIT D816V mutation allele fraction. Avapritinib showed strong clinical activity in patients with indolent or smoldering SM. Nearly all patients had greater than or equal to50 percent reductions in serum tryptase, bone marrow mast cells and KIT D816V mutation allele fraction. In addition, improvements on these measures were deep and rapid. Thirteen of 15 evaluable patients had normalized serum tryptase levels, and 12 of 13 evaluable patients had complete clearance of mast cell aggregates from the bone marrow. All indolent and smoldering SM patients achieved a greater than or equal to50 percent reduction in serum tryptase by the first post-baseline assessment. Avapritinib was generally well-tolerated with most AEs reported by investigators as Grade 1 or 2. Across all grades, the most common non-hematologic treatment-emergent AEs reported by investigators were periorbital edema, diarrhea, nausea, fatigue, peripheral edema, vomiting, cognitive effects, hair color changes, arthralgia, abdominal pain, dizziness, decreased appetite, pruritis, constipation and dysgeusia. The most common hematologic treatment-emergent AEs reported by investigators were anemia, thrombocytopenia and neutropenia. In addition, intracranial bleeding occurred in six patients with pre-existing thrombocytopenia, a known risk factor for intracranial bleeding, and one patient who had a life-threatening fall prior to intracranial bleeding. Five of these patients resumed and remain on treatment with avapritinib following dose modifications. Updated dose modification procedures have been implemented for patients with thrombocytopenia, and to date, no new intracranial bleeding events have been observed. Cytopenias were the most common Grade 3 and 4 treatment-related AEs. No Grade 5 treatment-related AEs were reported by investigators. Only three patients discontinued treatment with avapritinib due to treatment-related AEs. Nine patients discontinued treatment with avapritinib due to disease progression, with the majority due to either acute myeloid leukemia or associated hematologic neoplasm.
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INCY | Hot Stocks12:52 EDT Incyte announced results from Phase 2 study of Ruxolitinib cream in vitiligo - Incyte announces 24-week results from its randomized, double-blind, dose-ranging, vehicle-controlled, Phase 2 study evaluating ruxolitinib cream, a nonsteroidal, anti-inflammatory, JAK inhibitor therapy, in adult patients with vitiligo. The study met its primary endpoint, demonstrating that significantly more patients treated with ruxolitinib cream for 24 weeks achieved a greater than or equal to 50% improvement from baseline in the facial vitiligo area severity index score compared to patients treated with a vehicle control. F-VASI50 response was most notably achieved with ruxolitinib cream 1.5% administered once daily and twice daily versus vehicle control. Ruxolitinib cream was generally well-tolerated at all dosage strengths. Over-activity of the JAK signaling pathway has been shown to drive inflammation involved in the pathogenesis and progression of vitiligo. These data on ruxolitinib cream, a JAK inhibitor, support the planned initiation of pivotal Phase 3 development later in 2019, for which preparations are already underway.
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