Stockwinners Market Radar for December 12, 2021 - Earnings, Upgrades downgrades, option trades, Best Stock Advisory Service |
DLTR... | Hot Stocks20:12 EST Fly Intel: Top five weekend stock stories - Catch up on the weekend's top five stories with this list compiled by The Fly: 1. Dollar Tree (DLTR) issued a statement regarding recent interactions with Mantle Ridge and its notice seeking to nominate a full slate of 11 directors to the company's Board of Directors at its 2022 Annual Meeting saying that, "Dollar Tree's Board of Directors and management team maintain an ongoing dialogue with shareholders and welcome input about the Company's strategy and performance. We are however disappointed that Mantle Ridge has been unwilling to engage with us constructively and has instead chosen to proceed in such an unwarrantedly aggressive and hostile manner. Mantle Ridge's overreach in seeking to replace our full Board with its own hand-picked slate -- despite having no ideas or plans to improve on our business or operations -- is not justified nor would it be in the best interests of Dollar Tree shareholders." 2. Satellite radio broadcaster SiriusXM (SIRI) has tapped a top architect of the Disney+ (DIS) streaming service to help it broaden its appeal to audiences outside the car, The Wall Street Journal's Anne Steele and Joe Flint reported. Joe Inzerillo, who as executive vice president and chief technology officer of Walt Disney's streaming unit played a key role in the creation and launch of the Disney + platform, is joining Sirius XM next month as chief product and technology officer, the company said. 3. Apple (AAPL) shares have been on a ferocious tear, up 34% year to date, leaving it less than 5% away from a $3 trillion market capitalization, a milestone never hit by any other public company, Eric J. Savitz wrote in this week's edition of Barron's. There's only one other company- Microsoft (MSFT) -with a market cap above $2 trillion, and just three others- Alphabet (GOOGL), Amazon.com (AMZN), and Tesla (TSLA) -above $1 trillion. But $3T will eventually look more like floor than ceiling, the author contended. 4. Disney's "West Side Story" won this weekend's domestic box office with a $10.5M debut from 2,800 theaters. Overseas, the Steven Spielberg's movie opened to an even more disappointing $4.4M from 37 markets for a global start of $14.9M. Disney was expecting $25M. "West Side Story" was originally set to open in 2020. 5. LVMH (LVMUY), Sportradar (SRAD), Opendoor (OPEN), Exxon Mobil (XOM), Chevron (CVX), People's United Financial (PBCT), Federal Realty Investment (FRT), and Essex Property Trust (ESS) saw positive mentions in this week's edition of Barron's.
|
DLTR | Hot Stocks19:46 EST Dollar Tree responds to Mantle Ridge's Notice of Nomination of Directors - Dollar Tree has issued a statement regarding recent interactions with Mantle Ridge and its notice seeking to nominate a full slate of 11 directors to the company's Board of Directors at its 2022 Annual Meeting saying that, "Dollar Tree's Board of Directors and management team maintain an ongoing dialogue with shareholders and welcome input about the Company's strategy and performance. We are however disappointed that Mantle Ridge has been unwilling to engage with us constructively and has instead chosen to proceed in such an unwarrantedly aggressive and hostile manner. Mantle Ridge's overreach in seeking to replace our full Board with its own hand-picked slate -- despite having no ideas or plans to improve on our business or operations -- is not justified nor would it be in the best interests of Dollar Tree shareholders. Dollar Tree first heard from Mantle Ridge when it filed a Schedule 13D on November 12 reflecting a significant economic interest in the Company (almost entirely through derivative instruments) and sent a letter to the Dollar Tree Board. In its letter, Mantle Ridge expressed its support of the Company's multi-price strategy and applauded the Company's 'steady resistance' to calls to dispose of or dismantle Family Dollar, which it agreed 'would have been a grave error and enormously value destructive'. Within days, Dollar Tree invited Mantle Ridge to present its ideas for business improvement to the Dollar Tree Board. Mantle Ridge, however, declined all invitations to meet with Dollar Tree unless with the entire Board in person and so waited until the regularly scheduled in-person Board meeting three weeks later. On December 2, the entire Dollar Tree Board met in person for several hours with Mr. Paul Hilal, Mr. Richard Dreiling and three other Mantle Ridge representatives. At that meeting, despite repeated requests both in advance of and during the meeting, Mantle Ridge offered no new ideas for how to improve the Company's performance or operations. The only operational suggestion made - that the Company should sell Dollar Tree merchandise at Family Dollar stores - is something Dollar Tree has already been doing for several years. Instead, Mantle Ridge simply expressed that it wanted a majority of the Board to be replaced, Mr. Dreiling to be named Executive Chairman, and other control rights. Taken together, in the view of the Board, these demands amounted to handing control of the Company to Mr. Hilal and Mantle Ridge. After deliberating on that meeting, the Dollar Tree Board sent a letter to Mantle Ridge in which, among other things, it offered to explore a settlement in which Mr. Dreiling would be added to the Dollar Tree Board (and potentially be engaged as a meaningful consultant) and also offered Mantle Ridge a role in the Company's ongoing Board refreshment program. Continuing Mantle Ridge's pattern, the Company never heard back from Mantle Ridge until it received the letter nominating its slate to replace the entire Board. [...] Regardless, the Dollar Tree Board stands ready to engage constructively with Mantle Ridge, even though it is disappointed that, rather than pursuing constructive engagement, Mantle Ridge has chosen to embark on an unwarranted and potentially disruptive proxy contest to replace the entire Board. While the Company would like to avoid an expensive and distracting proxy fight, the Board does not believe that handing control of the Company to Mr. Hilal and Mantle Ridge as it demands is in the best interests of Dollar Tree, its shareholders or other stakeholders."
|
SGEN | Hot Stocks18:23 EST Seagen announces preliminary results from Phase 2 trial of ADCETRIS - Seagen announced promising efficacy and safety results from Part B of an open-label, phase 2 clinical trial evaluating ADCETRIS in a novel combination with nivolumab, doxorubicin, and dacarbazine as a frontline treatment for patients with advanced stage classical Hodgkin lymphoma. Data from this preliminary analysis were presented as part of a poster presentation at the 63rd American Society of Hematology Annual Meeting and Exposition in Atlanta. The preliminary results demonstrated a complete response rate of 88 percent and overall response rate of 93 percent among 56 patients who had an end of treatment assessment on or prior to the data cutoff date. Patients received up to six cycles of treatment and were evaluated after two cycles of therapy and at the end of treatment. AN+AD was well-tolerated and no new safety signals were observed. Among 56 patients who had an end of treatment assessment on or prior to the data cutoff date, there was a complete response rate of 88 percent and overall response rate of 93 percent. Two patients experienced Grade greater than 3 peripheral neuropathy and no patients discontinued treatment due to peripheral neuropathy. No febrile neutropenia was observed, and there were no Grade 5 adverse events.
|
EDIT | Hot Stocks18:21 EST Editas Medicine reports preclinical data demonstrating tumor reduction - Editas Medicine reported in vitro and in vivo preclinical data on the enhanced tumor killing capacity of two modified induced pluripotent stem cell-derived natural killer cell therapies using Editas Medicine's proprietary AsCas12a gene editing. The research evaluated two strategies to generate engineered iPSC clones, which were then differentiated into iNK cells and evaluated in vitro and in vivo to determine anti-tumor activity. These approaches have the potential to create allogeneic, investigational NK cell therapy medicines with enhanced activity against solid tumors. IPSC's were edited at the GAPDH locus using the company's proprietary SLEEK technology and engineered AsCas12a nuclease to knock-in both CD16 and membrane-bound IL-15. CD16+/+/mbIL-15+/+ edits were designed to increase antibody-dependent cellular cytotoxicity when combined with tumor-targeting antibodies and prolong iNK cell persistence. DKI iNK cells, as monotherapy or in combination with trastuzumab, showed significantly enhanced tumor killing compared with wild type iNKs in an in vitro 3D SKOV-3 ovarian tumor spheroid assay. Evaluation in an in vivo mouse SKOV-3 cancer model confirmed that DKI iNKs combined with trastuzumab exerted greater anti-tumor activity compared to WT iNKs with trastuzumab, or trastuzumab alone. A single dose of DKI iNKs combined with three doses of trastuzumab induced complete tumor clearance in 50 percent of mice. Importantly, DKI iNKs were detected in the peritoneum of the treated mice for greater than three months, demonstrating that the mbIL-15 maintained iNK survival for a prolonged period in the absence of exogenous cytokine support. In a separate study, iPSCs were edited with Editas-engineered AsCas12a to knock out both the CISH and TGFbeta-receptor 2 genes. CISH-/-/TGFbetaR2-/- edits were designed to improve iNK cell effector function and provide resistance to TGFbeta-mediated NK suppression in the tumor microenvironment. DKO iNKs induced enhanced tumor killing against in vitro 3D SKOV-3 ovarian tumor spheroids compared to WT iNKs. Following stimulation, DKO iNKs produced elevated levels of inflammatory cytokines, including IFN-gamma and TNF-alpha. The DKO iNK cells also induced significant reduction in tumor burden compared with WT iNK treatment when tested in vivo in a SKOV-3 ovarian cancer mouse model. At ASH, the company also presented preclinical data on EDIT-301 supporting its differentiated approach to develop a transformative medicine for people living with transfusion-dependent beta-thalassemia. AsCas12a edited TDT erythroid cells had improved maturation, health, and higher total hemoglobin content per cell when compared to unedited controls. The EDIT-301 Phase 1/2 RUBY trial for the treatment of sickle cell disease is currently enrolling study participants and the Company expects to begin dosing in the first half of 2022.
|
BLUE | Hot Stocks18:18 EST Bluebird Bio announces updated results from Phase 1/2 HGB-206 study - Bluebird bio announced updated results from its Phase 1/2 HGB-206 study of lovotibeglogene autotemcel gene therapy for sickle cell disease, including further analyses from its pivotal cohort, HGB-206 Group C, following enhancements to the manufacturing protocols and treatment process. In addition to continued complete resolution of severe vaso-occlusive events, patients in Group C achieved near normal levels of key hemolysis markers and experienced sustained improvements in patient-reported quality of life following treatment. Clinical studies evaluating lovo-cel in sickle cell disease represent the largest sickle cell disease gene therapy data set to date. As of February 17, 2021, 49 patients have been treated with lovo-cel with up to six years of patient follow-up across the HGB-205, HGB-206 and HGB-210 clinical studies, representing more than 109 total patient-years of data. The Phase 1/2 HGB-206 trial includes Groups A, B and C, reflecting progressive adaptations to the treatment and manufacturing processes. In the HGB-206 study, VOEs are defined as episodes of acute pain with no medically determined cause other than a vaso-occlusion, lasting more than two hours and severe enough to require care at a medical facility. This includes acute episodes of pain, acute chest syndrome, acute hepatic sequestration and acute splenic sequestration. A severe VOE requires a 24-hour hospital stay or emergency room visit or at least two visits to a hospital or emergency room over a 72-hour period, with both visits requiring intravenous treatment. lovo-cel adds functional copies of a modified form of the beta-globin gene into a patient's own hematopoietic stem cells. Once patients have the betaA-T87Q-globin gene, their RBCs can produce anti-sickling hemoglobin that decreases the proportion of HbS, thereby reducing sickled RBCs, hemolysis and other complications. As of February 2021, the 35 Group C patients had up to 37.6 months of follow-up, for a total of 54.8 patient-years of experience. Following engraftment, median total hemoglobin increased from 8.5 g/dL at baseline to greater than or equal to11 g/dL from six through up to 36 months post-infusion in all patients; notably, sickle hemoglobin in all patients was less than 60% of total hemoglobin, and gene therapy-derived anti-sickling hemoglobin, HbAT87Q, contributed at least 40% of total hemoglobin. These decreased levels of sickle hemoglobin after lovo-cel infusion were comparable to individuals living with sickle trait, not in the study-in general, people with sickle cell trait enjoy normal life spans with no medical problems related to sickle cell trait. All evaluable patients continued to experience complete resolution of severe VOEs through up to 36 months of follow-up, compared with a median of 3.5 per year in the 24 months before enrollment.
|
PFE SGMO | Hot Stocks18:15 EST Pfizer, Sangamo announce updated results from Phase 1/2 Alta study - Pfizer (PFE) and Sangamo Therapeutics (SGMO) announced updated follow-up data from the Phase 1/2 Alta study of giroctocogene fitelparvovec, an investigational gene therapy for patients with moderately severe to severe hemophilia A. At 104 weeks, the five patients in the highest dose 3e13 vg/kg cohort had mean factor VIII activity of 25.4% via chromogenic clotting assay. In this cohort, mean annualized bleeding rate was 0.0 in the first year post-infusion and was 1.4 throughout the total duration of follow-up as of the October 1, 2021 cutoff date. All bleeding events occurred after week 69 post-infusion. Two patients experienced bleeding events necessitating treatment with exogenous FVIII. No participants in the highest dose cohort have resumed prophylaxis. Giroctocogene fitelparvovec was generally well-tolerated in this Phase 1/2 study. Among the five patients in the highest dose cohort, four received corticosteroids for liver enzyme elevations. All elevations fully resolved with oral corticosteroids. As previously reported, one patient in the highest dose cohort had a treatment-related serious adverse event of hypotension and fever, with symptoms of headache and tachycardia, which occurred six hours post-infusion with giroctocogene fitelparvovec and resolved approximately 12 hours post-infusion. Across all four cohorts, 26 treatment-related adverse events occurred in six patients as of the October 1, 2021 cutoff date. No other treatment-related serious adverse events were reported as of the cutoff date. Additionally, no confirmed FVIII inhibitor development occurred, and no thrombotic events were reported. The Phase 3 AFFINE clinical trial of giroctocogene fitelparvovec in patients with hemophilia A has started and is over 50% enrolled. Following the observation of FVIII levels greater than 150% in some treated patients, Pfizer voluntarily paused screening and dosing of additional patients in the trial to implement a protocol amendment to provide clinical management guidance for elevated FVIII levels. Subsequently, on November 3, 2021, the U.S. Food and Drug Administration informed Pfizer that this trial has been placed on clinical hold while the protocol amendment and associated documents are reviewed.
|
MOLN NVS | Hot Stocks18:13 EST Molecular Partners confirms ensovibep retains Neutralization of omicron variant - Molecular Partners (MOLN) announced that preclinical studies confirm that ensovibep maintains full neutralization of omicron pseudoviruses that contain the identical mutations of the viral variant. In a panel of biologic drugs tested against the original and omicron variants of SARS-CoV-2, ensovibep maintained a uniformly high neutralizing potency across wild type and Omicron variants, while substantial reduction in potency was observed for numerous antibody drugs, both approved and investigational. Ensovibep is currently being evaluated in EMPATHY, a global Phase 2-3 study designed to explore and confirm the efficacy and safety of ensovibep for the treatment of COVID-19 in patients who are in the early stages of infection to prevent worsening of symptoms and hospitalization. Molecular Partners' collaboration partner, Novartis (NVS), is conducting this clinical trial, with Molecular Partners as a sponsor. The Phase 2 portion of EMPATHY has enrolled patients across six countries. Topline data for the first 400 patients are expected in early 2022.
|
NEXI | Hot Stocks18:11 EST NexImmune announces preliminary Phase 1/2 NEXI-002 results - NexImmune announced preliminary Phase 1/2 results from an ongoing study of NEXI-002, a patient-derived multi-antigen-specific CD8+ T cell treatment for patients with relapsed/refractory multiple myeloma who have failed greater than or equal to3 prior lines of therapy. The data on low doses of NEXI-002, presented at the 63rd American Society of Hematology Annual Meeting and Exposition, showed a promising safety and tolerability profile and evidence of immunologic and clinical activity. In this heavily pre-treated patient group, the clinical data suggests that NEXI-002 is well-tolerated without dose-limiting toxicities. Biomarker data show that the NEXI-002 product candidate contains CD8+ antigen-specific T cells with key memory phenotypes which, after administration, are detected in peripheral blood and bone marrow of treated individuals and proliferate and persist over time. Furthermore, TCR sequencing shows that the NEXI-002 product candidate contains CD8+ T cell clones that were undetectable in the peripheral blood of the patients at baseline and which expand in both blood and bone marrow over time. After receiving lymphodepleting therapy followed by NEXI-002 infusion, patients experienced rapid lymphocyte recovery with reconstitution of both CD4+ and CD8+ T cell subtypes. Despite the infusion of very low numbers of NEXI-002 T cells, these heavily pre-treated patients achieved stable disease for 2 to 3.5 months of duration. Importantly, despite receiving an average of 7.6 previous lines of therapy, the quality, functionality and in vivo persistence of all patient-derived NEXI-002 T cell products were comparable to those expanded from healthy donors. Strategies to yield higher product doses are underway, including evaluating patients with lower disease burden plasma cell dyscrasias.
|
AZN | Hot Stocks18:08 EST AstraZeneca presents updated results from ASCEND Phase III trial - Updated results from the ASCEND Phase III trial showed AstraZeneca's CALQUENCE maintained a statistically significant progression-free survival benefit at three years compared to investigator's choice of rituximab combined with either idelalisib or bendamustine in adults with relapsed or refractory chronic lymphocytic leukemia, the most common type of leukemia in adults. These data, presented at the 63rd American Society of Hematology Annual Meeting & Exposition, demonstrated CALQUENCE reduced the risk of disease progression or death by 71% versus IdR/BR as assessed by investigators at three years. Similar clinical benefits were observed in an exploratory analysis comparing each regimen with CALQUENCE. Safety and tolerability of CALQUENCE were consistent with earlier findings, with no new safety signals identified. Additional safety analyses from the ELEVATE-RR Phase III trial were also presented at ASH to further characterize adverse events related to treatment with Bruton's tyrosine kinase inhibitors CALQUENCE and ibrutinib. Overall, patients on ibrutinib experienced a 37% higher burden of AEs of any grade versus patients on CALQUENCE. For any grade atrial fibrillation/flutter, a key secondary endpoint in the ELEVATE-RR Phase III trial, median time to onset was longer for CALQUENCE versus ibrutinib, and cumulative incidence was lower at all timepoints from six months through two years. Additionally, the ELEVATE-RR Phase III trial showed incidence of all-grade atrial fibrillation/flutter was lower for CALQUENCE across subgroups of age, prior line of therapy and among patients without prior history of heart complications.3 Atrial fibrillation is an irregular heart rate that can increase the risk of stroke, heart failure and other heart-related complications.
|
IMGO | Hot Stocks18:06 EST Imago BioSciences presents data from ongoing Phase 2 study of bomedemstat - Imago BioSciences presented positive data from its ongoing global Phase 2 clinical study evaluating bomedemstat in patients with essential thrombocythemia. Of the 29 patients treated with bomedemstat for more than 6 weeks: 100% of patients experienced platelet count reduction to within normal ranges. 90% of patients achieved a platelet count of less than 400 x 109/L without thromboembolic events, the primary composite endpoint of this study. Of the 17 evaluable patients at 24 weeks: 71% showed a decrease in Total Symptom Score. 53% showed a greater than or equal to50% decrease in TSS. Patients with all genotypes identified in the study responded to bomedemstat. Bomedemstat was generally well-tolerated.
|
PTGX | Hot Stocks18:04 EST Protagonist Therapeutics presents updated Phase 2 Rusfertide data in PV - Protagonist Therapeutics presented updated data from two ongoing Phase 2 studies evaluating rusfertide in patients with polycythemia vera, demonstrating its ability to essentially eliminate the need for phlebotomies in patients. Rusfertide also showed rapid and sustained hematocrit control in patients requiring frequent phlebotomies or those having high baseline hematocrit levels. The data were presented in two oral presentations at the American Society of Hematology 2021 Annual Meeting, in addition to the company's three poster presentations: one describing the Phase 3 study design for rusfertide in PV; one presenting pre-clinical findings with a hepcidin analog in a mouse model of PV; and another poster on the Phase 2 clinical proof-of-concept data for rusfertide in hereditary hemochromatosis. In the Phase 2 Study Evaluating Rusfertide in Patients with PV, 63 phlebotomy-dependent PV patients were treated with rusfertide for up to 18 months. The results of the study demonstrated the essential elimination of the need for therapeutic phlebotomy. Rapid, sustained, and durable control of hematocrit levels below 45% was observed without a significant increase in white blood cell numbers or PV-related thromboses. During the first 28 weeks on treatment, 84% of patients required no phlebotomies, 14% required one, and 2% required two phlebotomies. The most frequent adverse events were injection site reactions which were transient in nature. Importantly, none of the treated PV patients suffered from thrombotic events. Serious and Grade 3-4 events were limited in number, less than 10 at the time of data cut-off. Two SAEs were previously reported as possible related to study drug. Among patient reported outcomes, a third of the patients in the study also saw at least a 40% reduction in Myeloproliferative Neoplasm Symptom Assessment Form Total Symptom Scores from baseline at week 28. Sixty-nine percent of patients reported improvement in Patient Global Impression of Change from baseline at week 8. In the Phase 2 Study Evaluating Rusfertide as an Induction Therapy in Patients with PV, induction therapy with twice weekly rusfertide was administered alone to patients with confirmed high hematocrit levels above 48%. In all 16 erythrocytotic PV patients, rusfertide demonstrated rapid reduction of hematocrit below 45% within weeks, without the need for TP. The drug was well tolerated. Post-induction, weekly rusfertide treatment maintained hematocrit levels without the need for TP. While this study remains ongoing, most reported drug related adverse events to date were grade 1-2, with injection site reactions being the most common adverse event. The design of Protagonist's planned three-part, multicenter, global, double-blinded, placebo-controlled Phase 3 clinical trial was presented in a poster. This Phase 3 study is expected to commence in Q1 2022 and will evaluate rusfertide in patients with PV compared to placebo when added onto current therapy. The primary endpoint of the study will be the absence of phlebotomy during weeks 20-32 for patients on rusfertide. Also presented in a poster were results from a pre-clinical study demonstrating that a rusfertide peptide analog reduced erythrocytosis by restricting iron needed for red blood cell production while normalizing body iron distribution in a murine model with JAK2-V617F mutations. These effects support the use of a hepcidin mimetic, such as rusfertide, for potential utility in PV through dose titration treatment to maintain hematocrit below 45%. Results from a Phase 2a proof-of-concept study evaluating rusfertide in patients with HH were also presented in a poster, demonstrating that rusfertide reduced serum iron and maintained transferrin saturation below 45% with corresponding significant reductions in phlebotomies. Liver iron concentration measured by MRI were also maintained at pre-study levels in patients at the end of the six-month study. Rusfertide was generally well tolerated in patients with HH, with the most common adverse events being injection site reactions that were mild or moderate.
|
LLY | Hot Stocks18:02 EST Loxo Oncology at Lilly announces updated data from Phase 1/2 BRUIN trial - Loxo Oncology at Lilly, a research and development group of Eli Lilly, announced updated clinical data from the pirtobrutinib global Phase 1/2 BRUIN clinical trial in patients with chronic lymphocytic leukemia, small lymphocytic lymphoma and mantle cell lymphoma. Pirtobrutinib is an investigational, highly selective, non-covalent Bruton's tyrosine kinase inhibitor. As of July 16, 2021, 618 patients were enrolled in the study, including 296 with CLL/SLL, 134 with MCL, and 188 with other B-cell malignancies. The efficacy data presented at ASH are based on investigator response assessments. Patients were considered efficacy-evaluable if they had at least one post-baseline response assessment or if they discontinued treatment prior to their first post-baseline response assessment. Among the 296 CLL/SLL patients enrolled, 261 were previously treated with a BTK inhibitor and are the subject of this analysis. The median number of prior lines of therapy was three with 100% receiving a prior BTK inhibitor, 88% an anti-CD20 antibody, 79% chemotherapy, 41% venetoclax, 20% a PI3K inhibitor, 6% CAR-T therapy and 2% stem cell transplant. In 252 efficacy-evaluable patients, 171 responded including two complete responses, 137 partial responses, 32 partial responses with ongoing lymphocytosis, and 62 stable disease, resulting in an overall response rate of 68%. Responses continue to deepen over time, with the ORR rising to 73% for those followed 12 months or more, and ORR remains consistent regardless of reason for prior BTK discontinuation, type or number of prior therapies or BTK C481 or PCLG2 mutational status. Pirtobrutinib demonstrated evidence of durable activity with a median progression-free survival not reached in patients who had received at least a prior BTK inhibitor. In patients who had received at least a BTK inhibitor and BCL2 inhibitor, the estimated median PFS was 18 months, although these data remain immature and unstable due to the small percentage of patients with progression. As of the data cut-off, 74% of BTK pre-treated patients remained on pirtobrutinib. Median follow-up for all BTK pre-treated patients was 9.4 months. In an exploratory analysis in patients with prior progression on a BTK inhibitor, the PFS with pirtobrutinib was similar in patients with BTK C481-mutated and BTK C481-wildtype CLL and SLL. The 134 patients with MCL received a median of three prior lines of therapy, with 90% receiving a prior BTK inhibitor, 97% an anti-CD20 antibody, 91% chemotherapy, 22% stem cell transplant, 17% immunomodulatory drugs, 15% venetoclax, 13% proteasome inhibitor, 5% CAR-T cell therapy, and 4% PI3K inhibitor. Of the 100 efficacy-evaluable patients with BTK pre-treated MCL, 51 responded including 25 CRs and 26 PRs resulting in an ORR of 51%. Among 11 BTK naive MCL patients, nine responded including two CRs and seven PRs resulting in an ORR of 82%. Responses in MCL were observed in patients who received prior stem cell transplant and prior CAR-T therapy. Median duration of response was 18 months. Median follow-up for all responding MCL patients was 8.2 months with 60% of responses ongoing as of the data cut-off. Safety data were presented for the entire enrolled BRUIN population. Adverse events commonly associated with covalent BTK inhibitors occurred at a low rate, with the majority being Grade 1 or 2. During the Phase 1 dose escalation, no dose limiting toxicities were reported and a maximum tolerated dose was not reached. Permanent discontinuations for drug-related adverse events were observed in 1% of patients. A real-world evidence database study on outcomes for patients with CLL previously treated with a covalent BTK inhibitor and a BCL2 inhibitor will be presented in a poster presentation on Monday, December 13. Additionally, a study on outcomes for patients with MCL following covalent BTK inhibitor therapy was published as an online-only abstract.
|
IMGN | Hot Stocks17:57 EST ImmunoGen presents initial findings from Phase 1b/2 study of IMGN632 - ImmunoGen announced that updated initial safety and efficacy findings from the Phase 1b/2 study of IMGN632 in combination with Vidaza and Venclexta in patients with relapsed/refractory acute myeloid leukemia were presented in an oral session at the 63rd American Society of Hematology Annual Meeting. Data for IMGN632 in frontline patients with blastic plasmacytoid dendritic cell neoplasm were also presented in a poster session at the conference. IMGN632 was administered to 51 patients at 15 mcg/kg or 45 mcg/kg, azacitidine at 50-75 mg/m2 for 7 days, and venetoclax at 400 mg daily for 8-21 days per 28-day cycle. IMGN632 continued to display a manageable safety profile in R/R AML patients. Responses were seen across all cohorts/doses and schedules. The objective response rate was 48%, with a composite complete remission rate of 30%. Higher intensity cohorts were associated with higher response rates including an ORR of 59% and a CCR rate of 38%. Significant activity was also observed in the FLT3 mutant subset, with ORR and CCR rates of 89% and 78%, respectively. Enrollment continues at the putative recommended Phase 2 dose. IMGN632, administered as a brief outpatient infusion, was evaluated as monotherapy in frontline BPDCN patients. Three patients received IMGN632 prior to commencement of the enrolling pivotal cohort and achieved a clinical complete remission. IMGN632 in these three frontline BPDCN patients was associated with a favorable safety profile and limited grade 3+ TEAEs. Enrollment continues in the pivotal frontline and R/R cohorts.
|
BGNE | Hot Stocks17:55 EST BeiGene presents results from SEQUOIA trial of BRUKINSA - BeiGene announced results from a planned interim analysis of the Phase 3 SEQUOIA trial in patients with treatment-naive chronic lymphocytic leukemia, including the randomized Cohort 1 comparing BRUKINSA to bendamustine plus rituximab and Cohort 3 of BRUKINSA in combination with venetoclax in patients with deletion of chromosome 17p and/or pathogenic TP53 variants. A total of 479 patients with TN CLL whose tumor did not exhibit del(17p) were enrolled in Cohort 1 of the SEQUOIA trial, with 241 patients randomized to receive BRUKINSA and 238 patients randomized to receive B+R. Patient characteristics were balanced between the two arms, with more than 50% with unmutated IGHV gene and 18% with del(11q) in each. Patients with del(17p) typically have poor response to chemoimmunotherapy and were assigned to receive BRUKINSA treatment in Cohort 2. Results from Cohort 2 were previously presented at the 2020 ASH Annual Meeting. The primary endpoint of the SEQUOIA trial is progression-free survival per independent review committee assessment in the randomized Cohort 1. At the interim analysis, with a median follow-up of 26.15 months, BRUKINSA demonstrated superiority in PFS over B+R, as assessed by IRC. Cohort 3 of SEQUOIA was designed to examine the hypothesis that the addition of venetoclax to BRUKINSA can drive tumors into deeper remission. Building on the demonstrated efficacy and safety of BRUKINSA in Cohort 2, Cohort 3 is planned to enroll approximately 80 patients with TN CLL whose tumor exhibits del(17p) or TP53 mutations, with key endpoints being safety, overall response rate, PFS, and duration of response. These patients will receive BRUKINSA treatment at 160 mg twice daily for three months, followed by combination treatment of BRUKINSA at the same dosing and venetoclax with a ramp-up dosing to 400 mg once daily for 12 to 24 cycles until progressive disease, unacceptable toxicity, or confirmed undetectable measurable residual disease. At the data cutoff on September 7, 2021, 49 patients were enrolled in Cohort 3, including 46 patients with centrally confirmed positive del(17p) status and three patients with a pathogenic TP53 variant alone. Patients enrolled in Cohort 3 also exhibited other markers of high risk, including 87.8% with unmutated IGHV, 91.9% with concurrent TP53 mutation, and 83.3% with complex karyotype. With a short median follow-up of 12.0 months, a high ORR was observed in the 36 patients who had at least one post-baseline response evaluation by the data cutoff date. Preliminary efficacy results per investigator assessment included: Of the 14 patients who received combination treatment for more than 12 months, five patients achieved a confirmed complete response or CR with incomplete bone marrow recovery in a bone marrow assessment and four additional patients met the criteria for CR or CRi but not confirmed in bone marrow assessment due to COVID-19 restrictions; and in all 36 patients evaluable for efficacy, the ORR was 97.2% and the CR/CRi rate was 13.9%. With a median follow-up of 7.9 months, safety results in all 49 enrolled patients included: 40 patients experienced at least one AE of any grade; 16 patients experienced at least one Grade greater than or equal to3 AE and four patients experienced at least one serious AE; AEs leading to dose interruption, dose reduction, and treatment discontinuation occurred in 10 patients, no patients, and one patient, respectively; and one patient experienced a fatal AE. With a median follow-up of 13.5 months, safety results in the 34 patients who received combination treatment included: 29 patients experienced at least one AE of any grade; 13 patients experienced at least one Grade greater than or equal to3 AE and three patients experienced at least one serious AE; and AEs leading to dose interruption occurred in 10 patients, with no AEs leading to dose reduction or treatment discontinuation.
|
SANA | Hot Stocks17:50 EST Sana presents data highlighting progress with Platforms, CAR T Cell Programs - Sana Biotechnology presented data at the 63rd American Society of Hematology Annual Meeting and Exposition, taking place from Saturday, December 11 to Tuesday, December 14, 2021, which highlighted further progress with key technologies supporting Sana's in vivo and ex vivo CAR T cell programs. Data demonstrated continued progress with Sana's hypoimmune allogeneic CAR T cell platform, showing in murine models that these gene-modified CAR T cells targeting CD19 can evade both the innate and adaptive immune systems without any evidence of a change in their ability to eliminate leukemia. This immune evasion was present in naive subjects as well as in sensitized subjects that had previously rejected non-hypoimmune CAR T cells. In the study, the hypoimmune allogeneic CD19 CAR T cells did not induce activation of the adaptive immune system, T cells or B cells, in the treated subjects, and also evaded the subjects' innate immune responses. These findings are an important step toward the possibility of "off-the-shelf" allogeneic CD19 CAR T cells that persist without immunosuppression, including in patients that have previously been treated with a CAR T therapy. The presentation on Sunday outlined the potential to deliver a CAR gene to make CAR T cells in vivo. B cell depletion in these healthy non-human primates is used as a surrogate marker for an anti-tumor effect against B cell malignancies such as leukemia and lymphoma. Following the infusion of the CD8a-targeted fusosome carrying the gene for an anti-CD20 CAR into macaques, B cells were meaningfully reduced in 4 of 6 animals after 7 to 10 days. Scientists found the anti-CD20 CAR transcripts via measurements of mRNA expression in spleen cells isolated from treated animals; conversely, no expression was detected in tissues from control animals. Subjects in this study received no lymphodepleting chemotherapy. Additionally, the fusosome treatment was well-tolerated in all animals with no evidence of adverse effects. These findings suggest that the fusosome technology represents a novel therapeutic opportunity to treat patients with B cell malignancies, with the potential for in vivo delivery of the CAR gene to CD8 T cells. Another presentation on Sunday highlighted the ability of select fusosomes to effectively target the correct cells and to deliver an integrating CAR payload that can develop CAR T cells in vivo. CD4-targeted CD19 CAR fusosomes efficiently transduced activated T cells. The data showed that these fusosomes were specific to certain T cells based on their functionality and also that they could deliver their payloads to helper T cells without activation, opening up new potential pathways for in vivo cell therapies. Investigators concluded that targeting the CD4 co-receptor through in vivo delivery of a genetic payload can produce potent and functional CAR T cells, with the potential to target certain cancers.
|
JAZZ | Hot Stocks17:46 EST Jazz Pharmaceuticals presents interim Phase 2/3 results of Rylaze in ALL, LBL - Jazz Pharmaceuticals announced initial positive results from a Phase 2/3 trial of intramuscular administration of Rylaze in adult and pediatric patients with acute lymphoblastic leukemia and lymphoblastic lymphoma who have developed hypersensitivity or silent inactivation to an E. coli-derived asparaginase. The study was developed and conducted in close collaboration with the Children's Oncology Group. Three cohorts with unique, IM administration dosing schedules were evaluated in the trial, demonstrating a safety profile consistent with other asparaginases. In Cohort 1c, a dosing regimen of Rylaze administered 25 mg/m2 on Monday and Wednesday and 50 mg/m2 on Friday demonstrated a positive benefit-to-risk profile, showing that Rylaze maintains a clinically meaningful level of nadir serum asparaginase activity greater than or equal to0.1 IU/mL at both 48 and 72 hours. Rylaze was approved by the U.S. Food and Drug Administration (FDA) on June 30, 2021 under the Real-Time Oncology Review program for use as a component of a multi-agent chemotherapeutic regimen for the treatment of ALL or LBL in adult and pediatric patients one month and older who have developed hypersensitivity to E. coli-derived asparaginase. Rylaze was approved at the dosing schedule of 25 mg/m2 every 48 hours based on data from Cohort 1a, in conjunction with data produced by a preliminary population pharmacokinetic model. These data will support additional regulatory filings for Rylaze, including a supplemental Biologics Licensing Application in early 2022 for a Monday/Wednesday/Friday IM dosing schedule that will be reviewed under the FDA RTOR program. These data will also support regulatory submissions in Europe in mid-2022, with potential for approval in 2023. Grade 3/4 treatment-emergent adverse events, regardless of causality, occurred in 78/137 patients. There were no treatment-related TEAEs leading to death. Overall, the safety profile of Rylaze was consistent with the reported safety information for patients with ALL/LBL receiving asparaginase with combination chemotherapy. Further study analyses are ongoing, and full study results will be reported at a later date.
|
GBT | Hot Stocks17:44 EST GBT presents new data on Oxbryta in patients with Sickle Cell Disease - Global Blood Therapeutics announced positive results from real-world and long-term studies with Oxbryta tablets for the treatment of sickle cell disease. A first-in-class oral, once-daily therapy, Oxbryta directly inhibits sickle hemoglobin polymerization, the root cause of the sickling and destruction of red blood cells in SCD. Results from a large retrospective analysis of 3,128 SCD patients treated with Oxbryta showed a statistically significant improvement in hemoglobin levels, and statistically significant reductions in transfusions, vaso-occlusive crises and hospitalizations. These data, as well as Phase 1 results for inclacumab, GBT's investigational P-selectin inhibitor, were presented at the 63rd American Society of Hematology Annual Meeting & Exposition, taking place from December 11-14, 2021 in Atlanta, Georgia and online. A total of 3,128 SCD patients in the United States ages 12 and older were included in the retrospective analysis from the Symphony Health claims database. This study of medical and pharmacy claims for patients who initiated Oxbryta treatment between November 2019 and June 2021 compared annualized rates per patient-year for transfusions, VOCs and VOC-related and all-cause hospitalizations for the three months before Oxbryta initiation versus the period after beginning the treatment. Among patients with at least one recent transfusion prior to initiating treatment, there was a 52% mean reduction in the number of transfusions after beginning Oxbryta. Patients with VOCs in the pre-study period experienced a mean reduction of 23% in the number of VOCs after initiating treatment. After starting Oxbryta, the mean number of VOC-related hospitalizations decreased by 34%, while the mean number of all-cause hospitalizations decreased by 37% among patients who were recently hospitalized. Approximately 61% of patients for whom Hb lab data were available showed increased Hb levels of greater than 1 g/dL during follow up - consistent with the results from the Phase 3 HOPE Study. An analysis of an ongoing open-label extension of the Phase 3 HOPE Study confirmed the safety and efficacy of long-term Oxbryta use in SCD patients ages 12 and older. The improvements in Hb and markers of hemolysis that were observed in the HOPE study were sustained in the OLE period for patients who previously received 900 mg and 1,500 mg of Oxbryta, demonstrating a durability of response. Patients who switched from placebo to Oxbryta saw improvements in Hb levels and measures of hemolysis from the start of the OLE through week 48, consistent with the HOPE Study results. Data from the ongoing Retrospective Study to Evaluate Outcomes in Patients with Sickle Cell Disease Treated with Oxbryta, the first multicenter, retrospective study to examine the real-world effectiveness of Oxbryta, showed the treatment was associated with increased Hb levels and decreased hemolytic markers. Additional findings are expected to be presented in 2022 to enable a deeper understanding of the long-term efficacy and safety of Oxbryta. Safety data across the HOPE OLE and RETRO studies of Oxbryta were consistent with those from the Phase 3 HOPE Study of SCD patients ages 12 years and older. An analysis of a Phase 1 study of inclacumab, GBT's fully human P-selectin monoclonal antibody in development for the reduction of VOCs in SCD patients, showed a well-tolerated safety profile for up to 29 weeks following a single dose of 20 or 40 mg/kg in 15 healthy subjects. Plasma inclacumab exposures were dose-proportional over the dose range tested and demonstrated expected pharmacokinetics for healthy subjects, with apparent nonlinearity below approximately 10 microgram/mL, suggesting target-mediated drug disposition. Target concentration for both doses at 12 weeks was greater than the target activity threshold of 10 undefined/mL, which was associated in prior studies of inclacumab with full inhibition of the formation of platelet-leukocyte aggregate, a known factor in the development of vascular lesions and cardiovascular events. The results support best-in-class potential for inclacumab at the dose of 30 mg/kg every 12 weeks in patients with SCD-related VOCs, which is the dose being studied in GBT's two ongoing Phase 3 THRIVE trials.
|
BEAM | Hot Stocks17:41 EST Beam outlines long-term strategy for base editing programs in SCD - Beam Therapeutics shared a three-stage, long-term development strategy for its base editing approach to treat sickle cell disease. The plan, and supportive data, are being presented during a Scientific Program Session oral presentation and two poster sessions at the 63rd American Society for Hematology Annual Meeting & Exposition. To fully address SCD and support broad accessibility, Beam is deploying a stepwise strategy that includes advancements of its ex vivo programs, BEAM-101 and BEAM-102, improvements in patient conditioning regimens, and enablement of in vivo base editing with delivery directly into patients via lipid nanoparticles. During the presentations at ASH, Beam is highlighting its stepwise strategy for treating SCD and is presenting complementary data supporting several components of its approach. Beam is advancing ex vivo base editing programs, in which cells are collected from a patient, edited and then infused back into the patient following a conditioning regimen, such as treatment with busulfan, the standard of care in hematopoietic stem cell transplantation today. This approach is being deployed in the company's BEAM-101 and BEAM-102 base editing programs, and allows the company to pursue an efficient path for development using increasingly validated clinical endpoints and regulatory strategies. During ASH, Beam is presenting updated preclinical data further characterizing Makassar hemoglobin created by BEAM-102 and demonstrating biophysical and biochemical properties consistent with normal hemoglobin, as expected: Makassar globin did not polymerize in vitro; Cells co-expressing Makassar globin and sickle globin had properties similar to sickle trait cells, which are cells with one normal globin gene and one sickle globin gene and which do not sickle; Oxygen binding of Makassar globin was comparable to the most abundant normal adult hemoglobin; The crystal structures of the Makassar globin and of HbA were superimposable, suggesting no meaningful structural differences. In parallel with Wave 1 development, Beam also aims to improve the transplant conditioning regimen for SCD patients, reducing toxicity challenges associated with standard of care. Conditioning is a critical component necessary to prepare a patient's body to receive the ex vivo edited cells that must engraft in the patient's bone marrow in order to be effective. Today's conditioning regimens rely on nonspecific chemotherapy or radiation, which are associated with significant toxicities. Beam has a collaboration with Magenta Therapeutics to evaluate the potential utility of MGTA-117, Magenta's novel antibody drug conjugate that is designed to precisely target only hematopoietic stem and progenitor cells, sparing immune cells. Importantly, improved conditioning regimens could potentially be paired with BEAM-101 and BEAM-102, as well as other base editing programs in hematology. Beam is also exploring the potential for in vivo base editing programs for SCD, in which base editors would be delivered to the patient through an infusion of LNPs targeted to HSCs, eliminating the need for transplantation altogether. This approach could provide a more accessible option for patients, particularly in regions where ex vivo treatment is challenging. Building on its acquisition of Guide Therapeutics, Beam has established a DNA-barcoded LNP screening technology to enable high-throughput in vivo identification of LNPs with novel biodistribution and selectivity for target organs beyond the liver. During ASH, Beam is presenting updated preclinical data using this technology to screen more than 1,000 LNPs for potential to deliver to HSCs and identified LNP-HSC1 as the most potent, with efficient transfection in both mice and non-human primates. Updated findings in the poster showed: LNP-HSC1 was validated in vivo, leading to durable, dose-dependent mRNA transfection in HSCs and resulting in fluorescent reporter expression in more than 40% of cells, now maintained out to 16 weeks post-delivery; LNP-HSC1 efficiently transfected human CD34+ cells in vitro; LNP-HSC1 efficiently transfected nearly 20% of CD34+ HSCs in humanized mice and non-human primates at a dose of 1.0 mg/kg.
|
NRIX | Hot Stocks17:38 EST Nurix announces regulatory clearance to Initiate Phase 1 trial of NX-5948 - Nurix Therapeutics announced the grant of a Clinical Trial Authorization for NX-5948, a potent and selective degrader of Bruton's tyrosine kinase and the second drug candidate in Nurix's BTK degradation program. The authorization was granted by the U.K. Medicines & Healthcare products Regulatory Agency. In connection with the approval, Nurix will initiate a Phase 1 trial of NX-5948 in patients with relapsed and refractory B-cell malignancies at clinical sites in the United Kingdom and anticipates dosing the first patient in the first half of 2022. Nurix also announced the presentation at the 2021 American Society of Hematology Annual Meeting of preclinical studies of NX-5948 demonstrating: Dose-dependent and complete tumor growth inhibition in a mouse peripheral lymphoma model harboring the C481S BTK ibrutinib resistance mutation; Tumor reduction and increased overall survival in mice with intracranial TMD8 lymphoma tumors; Greater than 80% degradation of BTK in CNS microglia cells and in lymphoma cells implanted in the CNS. These findings, along with previously reported studies demonstrating activity in animal models of autoimmune disease, support clinical development of NX-5948 in relapsed and refractory B-cell malignancies as well as autoimmune disease.
|
ALXO | Hot Stocks17:36 EST ALX Oncology announces initial data from ASPEN-02 study - ALX Oncology announced the presentation of initial clinical data from its ongoing trial evaluating evorpacept in combination with azacitidine for the treatment of patients with previously untreated higher-risk or relapsed or refractory myelodysplastic syndrome. The new results show that the combination of evorpacept and azacitidine is active and well tolerated. As of October 25, 2021, 22 patients with either previously untreated HR or r/r MDS have been treated with evorpacept in the Phase 1 dose escalation part of the study, administered at 20 mg/kg or 30 mg/kg once every 2 weeks or 60 mg/kg once every 4 weeks together with standard dosing of azacitidine. Median follow-up is 3.4 months, and accrual is ongoing. Evorpacept in combination with azacitidine was well tolerated with no dose limiting toxicities, no observed treatment related serious adverse events, and a maximum administered dose of 60 mg/kg Q4W. In 6 previously untreated HR MDS response-evaluable patients, 3 patients achieved an objective response, and 2 patients achieved stable disease. Two out of 4 transfusion dependent patients achieved transfusion independence on study. Among 5 previously untreated HR MDS patients with TP53 mutation and complex cytogenetic abnormalities, 3 achieved an OR. Five of 9 patients with response-evaluable relapsed or refractory MDS that had progressed upon prior hypomethylating agents achieved an OR. In addition, 2 patients achieved SD.
|
SGMO | Hot Stocks17:33 EST Sangamo announces updated preliminary SAR445136 Phase 1/2 Proof-of-Concept data - Sangamo Therapeutics announced updated preliminary proof-of-concept clinical data from the Phase 1/2 PRECIZN-1 study of SAR445136, a zinc finger nuclease gene-edited cell therapy candidate in development with Sanofi for the treatment of sickle cell disease. As of the September 22, 2021 cutoff date, the most recently treated patient in the PRECIZN-1 Phase 1/2 study had been followed for 26 weeks and the longest-treated patient had been followed for 91 weeks. None of the four treated patients required blood transfusions post engraftment. Total hemoglobin stabilized by Week 26 after treatment with SAR445136 in all four patients. Fetal hemoglobin level increased from 0.1-11% at screening to 14-39% by Week 26 in all four patients and was 38% in the longest-treated patient at 91 weeks. Percent F cells increased to 64-96% by 39 weeks of follow-up in all four patients, persisting at 99% in the patient with 91 weeks of follow-up. The SAR445136 investigational drug product had on-target BCL11A gene modification in all four patients. As of the cutoff date, there were no adverse events assessed as related to SAR445136. Most AEs reported in the screening, mobilization, apheresis and conditioning periods were SCD-related events. One serious adverse event of sickle cell anemia with crisis (vaso-occlusive crisis or VOC) was reported approximately nine months after treatment with SAR445136 in one patient, and no other SCD-related events were reported in the four patients post-infusion. Additional data from this study are expected to be presented at a medical meeting in 2022.
|
EPZM | Hot Stocks17:31 EST Epizyme presents updates from SYMPHONY-1 Tazemetostat + R2 combination study - Epizyme presented updated safety and activity data from the Phase 1b portion of its Phase 1b/3 confirmatory study evaluating the investigational use of TAZVERIK, a first-in-class, oral, selective inhibitor of EZH2, in combination with rituximab + lenalidomide in patients with relapsed/refractory follicular lymphoma who have been treated with at least one prior systemic therapy, including patients who are rituximab-refractory and/or POD24, at the 2021 American Society of Hematology Annual Meeting. Updated data from the Phase 1b portion of the study reported included 40 FL patients who had received treatment with tazemetostat and R2 as of the September 29, 2021 data cut-off. The findings demonstrated that the safety profile of the tazemetostat and R2 combination was consistent with the previously reported safety information in the prescribing information for both tazemetostat and R2, respectively. Additionally, there was no clear dose response for treatment-emergent adverse events or dose modifications. Thirty-five of the 40 patients were evaluable for tumor assessments as of the data cut off, with 32 patients responding to treatment. The activity findings showed an objective response rate of 91.4 percent. The duration of response data continue to mature as the study is ongoing. The Phase 1b safety run-in component evaluated tazemetostat at three dose levels in 28-day cycles with standard-dose R2 using a 3 + 3 design. Rituximab was administered at 375 mg/m2 intravenously on days 1, 8, 15 and 22 of cycle 1, then on day 1 of cycles 2 to 5. Lenalidomide was administered at 20 mg or 10 mg orally once daily on days 1 to 21 every 28 days for 12 cycles. In the Phase 3 component, approximately 500 patients will be randomly assigned to receive the RP3D of tazemetostat + R2 or placebo + R2. The study will also include a maintenance arm with tazemetostat or placebo following the first year of treatment with tazemetostat + R2 or placebo + R2. Treatment with tazemetostat and R2 was generally well tolerated. Grade 3/4 TEAEs were observed in 17 patients; the most common grade 3/4 TEAE was neutrophil count decrease/neutropenia. Ten patients reported a total of 16 SAEs. The only SAE reported in greater than1 patient was COVID-19, reported in 2 patients; all other SAEs were reported in 1 patient each. sarcoma not eligible for complete resection. Adult patients with relapsed or refractory follicular lymphoma whose tumors are positive for an EZH2 mutation as detected by an FDA-approved test and who have received at least two prior systemic therapies. Adult patients with relapsed or refractory follicular lymphoma who have no satisfactory alternative treatment options. These indications are approved under accelerated approval based on overall response rate and duration of response. Continued approval for these indications may be contingent upon verification and description of clinical benefit in confirmatory trials.
|
MOR | Hot Stocks17:27 EST MorphoSys presents latest data from Phase 2 MANIFEST study - MorphoSys AG presented the latest data from the ongoing MANIFEST study, an open-label, Phase 2 clinical trial of pelabresib, an investigational BET inhibitor, in patients with myelofibrosis, a rare bone marrow cancer for which only limited treatment options are available. These latest results, which included more patients and longer-term follow-up than previously reported data, suggest the potential of pelabresib in the treatment of myelofibrosis. At ASH 2021, the latest data evaluating pelabresib as a first-line combination with ruxolitinib - the current standard of care - for patients with myelofibrosis who had not previously been treated with a JAK inhibitor were presented. As of September 10, 2021, the data cut-off, a total of 84 JAK inhibitor-naive patients have been enrolled and received the combination. The data showed 68 percent of patients treated with the combination achieved a greater than=35 percent reduction in spleen volume from baseline at week 24 and 60 percent maintained SVR35 at week 48. Most patients also saw their symptoms reduced, with 56 percent achieving greater than=50 percent reduction in total symptom score from baseline at week 24. At the time of the data cut-off, 53 patients were still on treatment. No new safety signals were identified in the study. The most common hematologic adverse events were thrombocytopenia and anemia. Non-hematological events included dyspnea and respiratory tract infections. Additionally, analyses from an exploratory endpoint presented at ASH 2021 showed a reduction of megakaryocyte clustering in bone marrow and correlation with spleen volume reduction. Megakaryocytes are the cells in the bone marrow responsible for making platelets, and the clustering of these cells are one of the signs of myelofibrosis. The exploratory data, which require further evaluation, suggest the potential pelabresib may have in changing the course of myelofibrosis treatment, if approved. Additional data from Arm 1 of the MANIFEST study were also presented in an oral presentation at ASH 2021. In Arm 1, pelabresib is being evaluated as a monotherapy in patients with advanced myelofibrosis who are ineligible to receive, intolerant of, or refractory to JAK inhibitors, a population with very limited therapeutic options. Patients were divided into two cohorts, transfusion-dependent and non-transfusion-dependent. For the TD cohort, the primary endpoint was conversion to transfusion independence for 12 consecutive weeks. In the non-TD cohort, the primary endpoint was SVR35 at week 24. At week 24, 11 percent of patients reached SVR35. In addition, we observed 31 percent of patients had a spleen volume reduction of 25 percent or more at week 24. Across all cohorts, 28 percent of patients achieved TSS50. No new safety signals were identified in the study. The most common hematologic adverse events were thrombocytopenia and anemia. Non-hematological events included diarrhea and respiratory tract infections.
|
XNCR | Hot Stocks17:24 EST Xencor presents data from Phase 1 dose-escalation study of plamotamab - Xencor announced updated data from its Phase 1 dose-escalation study of plamotamab, a CD20 x CD3 bispecific antibody, in patients with B-cell non-Hodgkin lymphomas. The Phase 1 study of plamotamab was originally designed in two parts: Part A to establish an initial priming dose with fixed, weight-based dosing regimens and Part B to escalate dosing on administrations after the priming dose. A third part, Part C, was added to establish a step-up dosing regimen with higher, flat and less frequent dosing. The Part C schedule, an intravenous, 50 mg flat dose every two weeks after step-up dosing during the first two cycles of treatment, was generally well tolerated and was determined to be the recommended Phase 2 dose. Expansion cohorts are actively recruiting patients with diffuse large B-cell lymphoma and follicular lymphoma and are dosing using the recommended Phase 2 regimen to further evaluate the safety and efficacy of plamotamab monotherapy. The safety population included 50 patients in Part B and 14 patients in Part C. Patients were heavily pretreated, had a median age of 61.5 years, had a median of 4 prior therapies and had been diagnosed a median of 26.5 months prior to treatment. In Part C of the study, patients had generally more advanced disease and poorer responses to prior therapy. The Part C population had a median age of 64 years, had a median of 5 prior therapies and had been diagnosed a median of 30.5 months prior to treatment. Of the 14 patients in Part C, eight patients received prior CAR-T and three patients received NK cell therapy. Two of these patients received both. All eight patients with DLBCL received prior CAR-T therapy. The efficacy analysis included 47 evaluable patients with either DLBCL or FL who were treated in Part B or in Part C. Responses were assessed based on the Lugano Classification. The objective response rate was 51%, and complete responses were observed in 12 patients. In part C of the study, the ORR was 100% for patients with follicular lymphoma, and CRs were observed in two patients. For patients with diffuse large B-cell lymphoma, the ORR was 40%, and a CR was observed in one patient. All 5 evaluable patients with DLBCL received prior CAR-T therapy, and two evaluable patients with DLBCL received prior NK cell therapy. At the data cut off, the median duration of response for weight-based dosing cohorts and Part C was 225 days for patients with DLBCL and 171 days for patients with FL, with six patients continuing to respond to plamotamab monotherapy.
|
NLTX | Hot Stocks17:20 EST Neoleukin Therapeutics preclinical data on NL-201 in multiple myeloma - Neoleukin Therapeutics announced the presentation of preclinical data on NL-201 in multiple myeloma at the 63rd American Society of Hematology Annual Meeting and Exposition taking place virtually and in person December 11-14, 2021. Additionally, a published abstract in Blood reports on NL-201 antitumor activity in preclinical studies of non-Hodgkin lymphoma. The preclinical multiple myeloma data demonstrate the ability of NL-201 to prevent relapse in murine myeloma models following autologous stem cell transplant. Experimental results indicate that anti-myeloma activity is mediated by expansion of cytotoxic memory CD8 T cells and a decrease in T-regulatory CD4 cells in the bone marrow. Furthermore, NL-201 treated mice had an increase in bone marrow T-cells expressing granzyme B and a decrease in the T-cell exhaustion phenotype.
|
DTIL | Hot Stocks17:18 EST Precision BioSciences reports program updates for Allogeneic CAR T pipeline - Precision BioSciences announced program updates across its allogeneic CAR T cell therapy pipeline, including updated data for its Phase 1/2a clinical study of PBCAR0191 with enhanced lymphodepletion 1 presented at the 63rd American Society of Hematology Annual Meeting. The updated data from the PBCAR0191 Phase 1/2a study included 22 heavily pre-treated R/R subjects with predominantly advanced or aggressive B-cell malignancies who were evaluable as of November 16, 2021. Evaluable subjects received a median 5 lines of prior treatment, including 27% who previously received a CD19-directed autologous CAR T. For patients that received treatment of PBCAR0191 following eLD as of November 16, 2021 PBCAR0191 showed no greater than or equal to Grade 3 cytokine release syndrome, one Grade 3 immune effector cell-associated neurotoxicity syndrome with resolution to less than or equal to Grade 2 in 72 hours, no evidence of graft versus host disease and one infectious death at Day 54 deemed possibly related to treatment. PBCAR0191 yielded an overall response rate of 73% and a complete response rate of 59% using a 3 x 106 cells/kg cell dose. Four responders among the 17 evaluable NHL subjects reached Day 180 durability assessment Most notably, a potential signal for PBCAR0191 was observed among six subjects that previously received an autologous CAR T: 100% of these patients responded and 66% experienced a complete response at greater than or equal to Day 28; More than half of these patients had a longer duration of response on PBCAR0191 than with the prior autologous CAR T treatment. The Phase 1 clinical study of PBCAR19B is actively enrolling subjects with R/R NHL. Flat doses of PBCAR19B CAR T cells following standard lymphodepletion (sLD)3 are administered starting at Dose Level 1. The company has dosed the first three subjects at Dose Level 1. PBCAR269A is an investigational allogeneic CAR T immunotherapy targeting B-cell maturation antigen for the treatment of R/R multiple myeloma. The following has been observed among 14 patients that have been evaluated for clinical activity and safety across four dose levels of PBCAR269A4 monotherapy following sLD: No Grade greater than or equal to 3 CRS or ICANS; Dose-dependent increase in PBCAR269A peak expansion; Overall, PBCAR269A monotherapy response observed in the Phase 1/2a trial was not comparable with autologous CAR T profiles. Therefore, Precision is continuing to enroll subjects with PBCAR269A in combination with nirogacestat, a gamma secretase inhibitor developed by SpringWorks Therapeutics, in pursuit of a potential therapeutic index comparable with or better than autologous CAR T. Initial clinical data from the combination cohort is expected to be presented in mid-2022. The company's balance of cash and cash equivalents was approximately $152 million as of November 30, 2021. The company continues to expect that existing cash and cash equivalents, expected operational receipts, and available credit will be sufficient to fund its operating expenses and capital expenditure requirements into 2023.
|
GMDA | Hot Stocks17:02 EST Gamida Cell presents new Omidubicel data at 63rd ASH Annual Meeting - Gamida Cell presented clinical updates on omidubicel in two presentations on the first day of the 63rd American Society of Hematology Annual Meeting being held in Atlanta, Georgia and virtually December 11-14, 2021. In an oral presentation titled "Hematopoietic Stem Cell Transplantation with Omidubicel is Associated with Robust Immune Reconstitution and Lower Rates of Severe Infection Compared to Standard Umbilical Cord Blood Transplantation," Gamida Cell shared data from an analysis of a subset of 37 patients from the Phase 3 randomized trial of omidubicel. The analysis was aimed at investigating the reduced infection rates observed in the study and showed that the omidubicel-treated patients had more rapid recovery of a wide variety of immune cells including CD4+ T cells, B cells, NK cells and dendritic cell subtypes. The robust recovery of the immune system provides rationale for fewer severe bacterial, fungal and viral infections in patients treated with omidubicel. Further analyses are ongoing to further characterize the immune recovery following omidubicel transplantation. An additional poster presentation unveiled, "Allogeneic Stem Cell Transplantation with Omidubicel: Long-Term Follow-up from a Single Center," includes outcomes of 22 patients in the Phase 1 and 2 studies of omidubicel at Duke University over a 10-year period and shows long-term sustained bone marrow function and immune recovery. With a median follow-up of 2.3 years the estimated 10-year overall survival is 48.5% and disease-free survival is 43.6%, with no major and or unexpected long-term complications. Durable hematopoiesis was observed at up to 10 years with one case of secondary graft failure and no secondary malignancies.
|
VINC | Hot Stocks17:00 EST Vincerx Pharma presents data on PTEFb/CDK9 inhibitor VIP152 in DLBCL, CLL - Vincerx Pharma announced data on VIP152, the Company's PTEFb/CDK9 inhibitor, in high-grade B-cell lymphoma, formerly referred to as double-hit lymphoma, and chronic lymphocytic leukemia, in two presentations at the 63rd American Society of Hematology Annual Meeting held December 11-14, 2021 in Atlanta GA. Compared with two oral CDK9 inhibitors in development, KB-0742 and atuveciclib, at equimolar concentrations, VIP152 demonstrated more potent and durable downregulation of phospho-Serine 2 on RNA polymerase II, a key biomarker for evaluating the mechanism of action of CDK9 inhibitors. Additionally, depletion of short half-life MYC and MCL-1 transcript levels up to 48 hours was observed. VIP152 treatment conferred a shift in transcriptional program, supporting an oncogenic shock mechanism of action, and sustained robust reduction and near clearance of MYC and MCL-1 proteins in MYC overexpressing lymphoma cell lines. Once weekly VIP152 treatment showed antitumor efficacy as demonstrated by dose-dependent tumor regression and tumor-outgrowth control in the SU-DHL-10 xenograft model. The pharmacodynamic effect demonstrated in the blood of HGBL patients treated with VIP152 suggests that the effect may translate to the clinic. Tumor-based pharmacodynamic studies are planned to confirm these findings. VIP152 is currently being evaluated in HGBL patients and other MYC expressing indications in the clinic. VIP152 shows selective CDK9 inhibition with improved activity over other CDK9 inhibitors in development including dinaciclib, KB-0742 and atuveciclib. VIP152 induces apoptosis in CLL cell lines and demonstrates cytotoxic activity that overcomes stromal protection of primary CLL samples. VIP152 disrupts transcriptomics of patient samples after a two-hour treatment, alters cellular programming and disrupts binding of CDK9 to canonical binding partners, thereby inhibiting its function. VIP152 weekly dosing decreases peripheral disease in a circulating tumor CLL mouse model and improves survival. Data support the ongoing clinical trial in CLL.
|
SNDX | Hot Stocks16:29 EST Syndax announces updated data from Phase 1/2 trial of axatilimab - Syndax Pharmaceuticals announced updated positive data from its Phase 1/2 trial of axatilimab in patients with recurrent or refractory chronic graft-versus-host disease despite two or more prior lines of therapy. Axatilimab is the company's anti-CSF-1R monoclonal antibody. A total of 40 patients with refractory disease who received a median of four prior systemic therapies, including ibrutinib, ruxolitinib, and belumosudil, were treated in the company's Phase 1/2 trial of axatilimab. As of an October 22, 2021 data cutoff date, 31 patients treated at two of the doses being tested in the company's ongoing AGAVE-201 global pivotal study were evaluable for response. A best ORR of 72% at 1mg/kg every two weeks and 50% at 3mg/kg every four weeks was observed, for an ORR of 68%. Of note, responses were observed across a range of organ systems with difficult to treat manifestations such as lung, skin, and joints and fascia. Fifty-three percent of patients reported clinically meaningful improvement in their symptoms via the Lee Symptom Scale. As of the data cutoff date, 43% of patients remained on treatment. Axatilimab was well-tolerated with a favorable safety profile. The most common adverse events were consistent with on-target effects on liver enzyme pharmacology. There was no incidence of cytomegalovirus (CMV) or other viral reactivation, and no apparent increases in risk for infection. Enrollment is ongoing in the company's global pivotal Phase 2 AGAVE-201 trial of axatilimab in patients with cGVHD, with topline data expected in 2023. The trial will evaluate the safety and efficacy of three doses and schedules of axatilimab. The primary endpoint will assess objective response rate based on the 2014 NIH consensus criteria for cGVHD, with key secondary endpoints including duration of response and improvement in modified Lee Symptom Scale score.
|
IGMS | Hot Stocks16:27 EST IGM presents data from IGM-2323 in patients with Advanced B Cell Malignancies - IGM Biosciences announced the presentation of clinical results from the company's Phase 1 trial evaluating IGM-2323, a novel bispecific IgM antibody targeting CD20 x CD3, at the 63rd American Society of Hematology Annual Meeting and Exposition. The multicenter, open-label Phase 1 dose escalation trial was intended to assess the safety, pharmacokinetics and preliminary efficacy of intravenous IGM-2323 in patients with advanced B cell malignancies. As of September 10, 2021, the data cutoff date for the presentation, 40 patients were enrolled and treated at escalating dose levels of IGM-2323. All 40 patients received at least one dose and were evaluable for safety. There were no dose limiting toxicities, no neurotoxicity adverse events, a relatively low rate of cytokine release syndrome and no patients discontinued due to an AE. Of the 10 patients treated in the 100 mg cohort, 3 of 6 diffuse large B cell lymphoma patients had a complete response and 2 of 3 follicular lymphoma patients had a complete response. Additionally, the one mantle cell patient treated in the 100 mg dose cohort had a partial response. Overall, of the 38 patients evaluable for efficacy, 11 patients showed a response, 8 of which were complete responses. Based on these promising results, two Phase 2 studies are being initiated to assess the safety and efficacy of two doses of IGM-2323, 100 mg and 300 mg, in patients with DLBCL and FL. If supportive, the data from this Phase 2 multicenter, open-label study could potentially be used as the basis for accelerated review and approval of IGM-2323.
|
ALVR | Hot Stocks16:25 EST AlloVir announces preliminary data from Posoleucel Multi-Virus Prevention study - AlloVir announced preliminary data from the ongoing open-label portion of a Phase 2 study assessing the safety and efficacy of posoleucel for the prevention of clinically significant infections and end-organ diseases from six potentially life-threatening viruses in high-risk patients following allogeneic hematopoietic cell transplantation. Out of 23 patients who received at least one dose of posoleucel in the ongoing study, including those who completed, discontinued or are continuing posoleucel, only three clinically significant infections were observed through Week 14 and no patients developed end-organ viral disease as of the data cut-off for this preliminary analysis. Of the 13 patients who completed through the Week 14 primary endpoint, 11 remained free of clinically significant infection. These initial results represent a substantial reduction in the expected rate of clinically significant viral infections or diseases in this high-risk patient population. Repeat dosing of posoleucel was generally well-tolerated. Based on preliminary data from this Phase 2 study, the U.S. Food and Drug Administration has agreed in principle with the company's plan to advance from this Phase 2 open-label study into a Phase 3 registrational trial. The company plans to initiate this study in the first half of 2022, following FDA review of the final protocol.
|
IMGO | Hot Stocks16:23 EST Imago BioSciences presents data from ongoing Phase 2 study of Bomedemstat - Imago BioSciences presented positive data from its ongoing global Phase 2 clinical study evaluating bomedemstat in patients with advanced myelofibrosis. Of the evaluable patients at 24 weeks 74% showed a decrease in Total Symptom Score. 26% showed a greater than or equal to 50% decrease in TSS. 75% showed spleen volume reductions. 81% of mutant allele frequencies were either stable or reduced, including driver and high molecular risk mutations such as ASXL1. 89% of patients who were transfusion-independent at baseline had stable or improved hemoglobin at 12 weeks. No new mutations or transformation to acute myeloid lymphoma in more than 600 days of follow-up in patients with high risk of progression. Bomedemstat was generally well-tolerated to date in patients with myelofibrosis.
|
REGN | Hot Stocks16:20 EST Regeneron announces new results for higher dose level cohorts of REGN5458 - Regeneron Pharmaceuticals announced new results for higher dose level cohorts of its investigational REGN5458 bispecific antibody, which were presented in an oral session at the 2021 American Society of Hematology Annual Meeting in Atlanta, GA. The new results from the Phase 1 portion of the Phase 1/2 trial in patients with relapsed/refractory multiple myeloma found a 51% overall response rate across all dose groups, rising to 75% in patients who received higher doses of REGN5458. In results presented at ASH, 73 patients were treated with REGN5458 doses ranging from 3-800 mg for up to 21 months at the time of data cutoff. Patients had received a median of 5 prior lines of therapy, with 38% being penta-refractory and 90% being refractory to the last line of therapy. The ORR was 75% at the highest dose levels, and 51% among all enrolled patients. Most responses occurred within the first month of treatment and deepened over time. REGN5458 is currently under clinical development and its safety and efficacy have not been fully evaluated by any regulatory authority.
|
KPTI | Hot Stocks16:18 EST Karyopharm presents updated Phase 2 Selinexor data - Karyopharm Therapeutics announced an oral presentation highlighting updated data from the Phase 2 ESSENTIAL study, an investigator-sponsored study evaluating single-agent selinexor, a first-in-class, oral Selective Inhibitor of Nuclear Export compound, in patients with myelofibrosis previously treated with JAK inhibition. The results were based on the open label, prospective, investigator-initiated single center ESSENTIAL study in adult patients with primary or secondary MF with resistance or intolerance to JAK inhibitor therapy. Selinexor was administered orally at a dose of 80mg or 60mg once weekly to 12 patients. The primary endpoint of the study is to assess the efficacy of selinexor on SVR. Median duration of prior JAK inhibitor therapy was 22 months and 92% patients had MF refractory to ruxolitinib. As of the data cutoff, the median duration of treatment was 11 months. Of the ten patients who were on treatment for at least 24 weeks, four patients achieved SVR of greater than or equal to35% and six patients achieved SVR of greater than or equal to25%. Of the five patients who were transfusion dependent at screening, two achieved transfusion independence. Of the three patients with hemoglobin less than10g/dL at screening, improvement was observed in two patients. Reduction in marrow reticulin fibrosis from MF grade 3 to MF grade 1 was observed in a patient who had an assessment at week 72 demonstrating disease modification potential with longer treatment. While median overall survival was not yet reached, the two-year survival probability was assessed to be 91.7%. This compares favorably with a historical survival of 13-14 months in this population. The most common grade greater than or equal to 3 treatment emergent adverse events were anemia and fatigue. These were manageable with treatment interruption and dose reduction, except in one patient who discontinued treatment.
|
MOR INCY | Hot Stocks16:16 EST MorphoSys, Incyte announce additional real-world evidence results from RE-MIND2 - MorphoSys US Inc., a fully owned subsidiary of MorphoSys (MOR), and Incyte (INCY) announced additional real-world evidence results from the RE-MIND2 study comparing tafasitamab in combination with lenalidomide against the most frequently used treatments in adult patients with relapsed or refractory diffuse large B-cell lymphoma. These treatments include polatuzumab vedotin plus bendamustine and rituximab, rituximab plus lenalidomide, and CD19 chimeric antigen receptor T-cell therapies. The primary endpoint, overall survival, was met with significant improvement observed for tafasitamab plus lenalidomide at 20.1 months compared to Pola-BR at 7.2 months, and 24.6 months for tafasitamab plus lenalidomide compared to 7.4 months for R2. A comparable median OS benefit was observed with tafasitamab plus lenalidomide at 22.5 months compared to CAR-T at 15 months without statistical significance. Objective response rate, a key secondary endpoint, was observed with statistical significance for tafasitamab plus lenalidomide at 63.6% versus R2 at 30.3%. Tafasitamab plus lenalidomide also achieved significantly higher complete response rate, a key secondary endpoint, at 39.4% versus 15.2% for R2. While safety endpoints were not included in this study, the most common adverse events associated with tafasitamab plus lenalidomide are feeling tired or weak, diarrhea, cough, fever, swelling of lower legs or hands, respiratory tract infection and decreased appetite. Of 3,454 patients enrolled from 200 sites, 106, 106 and 149 patients were treated with Pola-BR, R2 and CAR-T, respectively. For the comparative analysis, matched patient pairs were created using 1:1 nearest neighbor matching with a caliper. Matched pairs consisted of: tafasitamab + len vs pola-BR, n=24 pairs; vs R2, n=33; and vs CAR-T, n=37 pairs.
|
BLUE | Hot Stocks16:13 EST Bluebird Bio presents new results for betibeglogene autotemcel - Bluebird bio presented new results for betibeglogene autotemcel, a deeply studied investigational gene therapy, that demonstrate adult and pediatric patients living with beta-thalassemia who require regular red blood cell transfusions can produce normal or near-normal levels of total hemoglobin and continue to remain transfusion-free, and achieve stable iron markers, through up to seven years of follow-up. These findings further support beti-cel as a potentially curative one-time treatment option that addresses the underlying genetic cause of beta-thal and mitigates the burdens associated with the practical management of the disease. beti-cel is a one-time gene therapy that adds functional copies of a modified form of the beta-globin gene into a patient's own hematopoietic (blood) stem cells. Once patients have the betaA-T87Q-globin gene, the HSCs have the potential to produce gene therapy-derived adult Hb at levels that can eliminate the need for transfusions. In studies of beti-cel, transfusion independence is defined as no longer needing RBC transfusions for at least 12 months while maintaining a weighted average Hb of at least 9 g/dL. As of the data cut-off of August 18, 2021, a total of 63 pediatric, adolescent and adult patients, including 20 patients with at least five years of follow-up, 11 with at least six years and three with up to seven years across beta0/beta0 and non-beta0/beta0 genotypes, have been treated with beti-cel in the Phase 1/2 HGB-204 and HGB-205 studies and the Phase 3 HGB-207 and HGB-212 studies. Data from bluebird bio's Phase 1/2 and Phase 3 clinical studies represent more than 240 patient-years of experience with beti-cel and the longest available follow-up data in beta-thal patients requiring regular RBC transfusions treated with one-time gene therapy. Adverse reactions considered related to beti-cel were few and consisted primarily of non-serious infusion-related reactions that occurred on the day of infusion and cytopenias. Pain in extremity shortly after treatment was also documented. One of these adverse events was a serious adverse event of thrombocytopenia considered possibly related to beti-cel and has resolved. The majority of AEs and SAEs in the beti-cel clinical development program were unrelated to beti-cel and consistent with the known side effects of HSC collection and busulfan conditioning regimen. After participating in and completing the two years of follow-up in any of the Phase 1/2 or Phase 3 studies, patients treated with beti-cel were invited to enroll in a 13-year long-term follow-up study, LTF-303. As of August 18, 2021, 57 of 63 beti-cel-treated patients across age groups and genotypes spanning a broad range of the most severe beta0/beta0 and non-beta0/beta0 genotypes were enrolled in LTF-303 with a median post-infusion follow-up of 41.5 months. Twenty patients enrolled in LTF-303 have at least five years of follow-up. Of the 57 patients enrolled in LTF-303, 46 patients achieved TI: 15/22 patients treated in Phase 1/2 and 31/35 patients treated in Phase 3. All 46 patients who achieved TI maintained it through last follow-up in LTF-303, demonstrating the long-term durability of beti-cel. Phase 1/2 patients had a median duration of ongoing TI of 65.9 months and Phase 3 patients had a median ongoing TI duration of 32 months/ Weighted average Hb in patients who achieved TI reached normal or near-normal levels in the Phase 1/2 studies and in the Phase 3 studies. Patients who require regular blood transfusions need to reduce excess iron caused by chronic blood transfusions. For people living with beta-thal, iron can be removed from the body in several ways, including chelation. Prior to beti-cel infusion, all patients were on iron chelation. Importantly, the majority of patients who achieved TI that restarted iron chelation after infusion have since stopped; and 24% of those who achieved TI were able to receive phlebotomy, which is another method for iron reduction that is only possible for patients who have sufficient hemoglobin levels without RBC transfusions. This supports the potential for beti-cel to reduce the treatment burden associated with iron management. A sub-analysis of iron status in LTF-303 included 16 patients who achieved TI and stopped chelation, with at least nine months of follow-up after discontinuation of chelation. The sub-analysis showed iron reduction in response to chelation and stabilization of iron markers after chelation was discontinued. There were no deaths, no vector-derived replication-competent lentivirus, and no events of insertional oncogenesis or malignancy in LTF-303. No drug-related AEs were reported. Serious AEs unrelated to beti-cel included infertility issues, gallbladder disease, cholelithiasis, infection and low white blood cell count in the setting of a wild-type HIV, and individual events of diabetic ketoacidosis, pulmonary embolism, and major depression. Pulmonary embolism occurred concurrently with diabetic ketoacidosis in a patient with a history of thromboembolic events. Each event was reported once.
|
CLLS | Hot Stocks16:07 EST Cellectis reports data from BALLI-01 study, preclinical data from TALGlobin01 - Cellectis announced preliminary results from the BALLI-01 Phase 1 study of UCART22, its allogeneic CAR-T cell therapy candidate targeting CD22, in patients with relapsed or refractory B-cell acute lymphoblastic leukemia, and preclinical data on TALGlobin01, its autologous cell therapy product candidate for homozygous SCD patients at the 63rd Annual Meeting of the American Society of Hematology in Atlanta, Georgia. BALLI-01, a phase 1 open-label dose-escalation study, is designed to assess the safety, maximum tolerated dose, and preliminary anti-leukemia activity of UCART22 in patients with r/r B-ALL. Additional endpoints include characterization of the expansion, trafficking, and persistence of UCART22 cells. As of the clinical cut-off date of October 1, 2021, 12 patients received lymphodepletion; 11 were administered UCART22, of which 6 received UCART22 and FCA. Enrolled patients were predominantly male, young, and most had recurrent genetic abnormalities including the CRFL2 rearrangement. Additionally, enrolled patients were heavily pretreated with a median of 3 prior lines of therapy. Three-fourths of patients had received prior blinatumomab, approximately half had received prior inotuzumab, and 3 had received prior CD19 autologous CAR-T therapy. The FCA lymphodepletion regimen was well tolerated, and most treatment-emergent adverse events were mild to moderate in intensity and manageable. Importantly, no patients experienced protocol-defined dose limiting toxicities, immune effector cell-associated neurotoxicity syndrome, nor UCART22-related severe TEAEs. Three patients experienced mild to moderate cytokine release syndrome, and one patient reported grade II GvHD with skin involvement only, that required hospitalization. The company also said that "encouraging" anti-leukemic activity was observed in two patients in the FCA cohorts. Both patients, one at DL2 and one at DL2i, achieved blast reductions to less than 5% by day 28, accompanied by measurable UCART22 expansion and changes in relevant inflammatory cytokines. Overall, UCART22 after FCA lymphodepletion regimen demonstrated promising signs of anti-leukemic activity at DL2 and DL2i, without unexpected or significant treatment-related toxicity. The addition of alemtuzumab to the FC lymphodepletion regimen was safe and promoted sustained host T-cell suppression and expansion of UCART22. These data are encouraging and support the further development of UCART22 for patients with r/r B- ALL. BALLI-01 is currently enrolling patients at dose level 3 with FCA lymphodepletion. Initial pre-clinical data from Cellectis' .HEAL platform's product candidate, TALGlobin01 demonstrates that TALEN is specific and efficient in correcting the mutated beta-globin gene, the underlying cause of sickle cell disease. The data, presented in a poster, demonstrate that TALEN-based engineering could be used to correct the beta-globin gene mutation in HbSS patient-derived hematopoietic stem and progenitor cells. The data show up to 70% of HBB allelic correction, with only 9% of HBB biallelic inactivation and a low level of TALEN off-target cleavage. Genetic correction of HBB translates into high level of hemoglobin A expression and reversion of the sickling phenotype in differentiated red blood cells. Preclinical data show the capacity of TALGlobin01 edited cells to engraft in vivo using an NSG mouse model. Collectively, the preclinical data demonstrate high efficiency and safety of TALEN treatment in HbSS patient-derived hematopoietic stem and progenitor cells.
|
GILD | Hot Stocks16:03 EST Kite announces updated two-year results from ZUMA-5 study - Kite, a Gilead company, announced updated two-year results from ZUMA-5, a global, multicenter, single-arm, open-label Phase 2 study evaluating Yescarta in adult patients with relapsed or refractory indolent non-Hodgkin lymphoma after at least two prior lines of therapy. At the time of data cut-off, 110 patients; 24 with marginal zone lymphoma were eligible for efficacy analyses. FL patients had at least two years of follow-up time, and the minimum requirement for MZL was four weeks. Among eligible patients with FL, median follow-up was 30.9 months. The objective response rate in FL was 94%, with a complete response rate of 79%. Fifty-seven percent of eligible FL patients had ongoing responses. The estimated median duration of response and progression-free survival was 38.6 months and 39.6 months, respectively. Among eligible FL patients, median time to next treatment was 39.6 months. Median overall survival was not reached, with an estimated 24-month OS rate of 81%. Among eligible patients with MZL, median follow-up was 23.8 months. Eighty-three percent of patients achieved ORR, including 63% with a CR. Fifty percent of patients were in ongoing response at the time of data cut-off. Median DOR and time to next treatment were not yet reached among eligible patients, and median PFS was 17.3 months. Median OS was not yet reached, with an estimated 24-month OS rate of 70%. Among all evaluable patients, safety observations were consistent with the known safety profile for Yescarta. Grade greater than or equal to 3 cytokine release syndrome and neurologic events occurred in 7% and 19% of patients, respectively. Most CRS cases and neurologic events of any grade resolved by the time of data cut-off. Yescarta received accelerated approval from the U.S. Food and Drug Administration for the treatment of adult patients with relapsed or refractory follicular lymphoma after two or more lines of systemic therapy in March 2021. The Yescarta U.S. Prescribing Information has a BOXED WARNING for the risks of CRS and neurologic toxicities, and Yescarta is approved with a Risk Evaluation and Mitigation Strategy due to these risks; see below for Important Safety Information. Yescarta is currently under review in the European Union for the treatment of adult patients with relapsed or refractory FL. Yescarta has not been approved by any regulatory agency for the treatment of MZL.
|
FMTX | Hot Stocks15:59 EST Forma Therapeutics presents updated etavopivat Phase 1 trial results - Forma Therapeutics announced etavopivat, the company's investigational oral, once-daily, selective pyruvate kinase-R activator, significantly improved anemia and red blood cell health with a favorable tolerability and safety profile in patients with SCD. These Phase 1 trial findings, presented in two oral sessions on Dec. 11 at the 63rd American Society of Hematology Annual Meeting, support a highly differentiated etavopivat profile to potentially improve the lives of patients with SCD, including increases in hemoglobin, improvements in RBC health, and decreases in vaso-occlusive crises. In the open label cohort of a randomized, placebo-controlled Phase 1 trial, 15 patients received etavopivat 400 mg once daily for up to 12 weeks, with a data cutoff as of Nov. 23, 2021. Etavopivat administered for up to 12 weeks reduced anemia by significantly raising and sustaining hemoglobin levels. A hemoglobin increase greater than1 g/dL was experienced by 73.3 percent of patients, with a maximal mean increase of 1.5 g/dL. Etavopivat therapy also significantly increased the lifespan of RBCs and decreased hemolysis, as measured by three biomarkers that together indicate enhanced survival of RBCs. Durability of these improvements was sustained throughout the 12 weeks of treatment: absolute reticulocyte count, indirect bilirubin, and lactate dehydrogenase. In addition, an analysis of all patients in the 12-week open label cohort showed a decreasing trend in VOCs requiring hospitalization when compared to the rate 12 months prior to trial entry. Of the 15 patients receiving etavopivat, only a single VOC was reported while on treatment, which was precipitated by a grade 3 COVID-19 infection, representing an annualized VOC rate of 0.3. The cohort's pre-study annualized VOC rate was 0.93. Etavopivat was well tolerated, consistent with safety profile of underlying SCD.The primary endpoint of the Phase 1 trial was the incidence, frequency, and severity of adverse events. In the 12-week open-label extension, most AEs were grades 1 and 2. Two patients reported three serious grade 3 AEs on treatment, including a VOC following a COVID-19 infection unrelated to treatment, and a previously reported deep vein thrombosis. During the four weeks post-treatment, three patients reported four serious AEs, all grade 3 and considered unrelated to etavopivat, including VOC, syncope, and acute chest syndrome and VOC following a respiratory infection. Findings from exploratory analyses showed improvements in RBC health and function as measured by biomarkers of SCD during 12 weeks of etavopivat therapy. Etavopivat's multimodal mechanism of action via PKR activation resulted in increased adenosine triphosphate, and decreased 2,3-diphosphoglycerate, which was sustained during 12 weeks of etavopivat treatment. Four weeks post treatment, ATP and DPG levels gradually returned to pre-treatment levels, suggesting the potential durability of etavopivat on RBC health may persist for 1-4 weeks following the treatment period. Surrogate marker results showed etavopivat normalized the affinity of hemoglobin for oxygen, resulting in improved oxygen release in the peripheral tissues and reducing RBC sickling. Further analysis after two weeks of etavopivat treatment support improved RBC membrane health, with increased levels of two enzymes important to reducing oxidative stress in sickled RBCs: superoxide dismutase activity and glutathione reductase activity, as well as significantly repairing membrane damage, as measured by phosphatidylserine. Additionally, up to 12 weeks of etavopivat showed promising trends in reducing systemic biomarkers of inflammation and coagulation. Significant decreases were observed in TNF-alpha, prothrombin 1.2, and D-dimer. In addition, improved oxygen delivery was observed as measured by significant decreases in erythropoietin levels.
|
BGNE | Hot Stocks15:55 EST BeiGene presents updated safety, efficacy findings on BRUKINSA - BeiGene presented additional safety and efficacy results from an ongoing Phase 2 trial evaluating BRUKINSA in patients with previously treated B-cell malignancies who were intolerant to ibrutinib and/or acalabrutinib. This single-arm, open-label, multicenter Phase 2 trial in the U.S. evaluated the safety and efficacy of BRUKINSA in patients with previously treated B-cell malignancies who were intolerant to prior BTK inhibitor therapy, with preliminary results presented at the 62nd ASH Annual Meeting in December 2020. The primary endpoint of safety was assessed by the recurrence and the change in severity of adverse events compared to patients' intolerance AE profile to ibrutinib and/or acalabrutinib. Secondary endpoints included investigator-assessed disease control rate, overall response rate, investigator-assessed progression-free survival and patient-reported outcomes. A total of 67 patients were enrolled in the trial, with 57 patients intolerant to ibrutinib and 10 patients intolerant to acalabrutinib and/or ibrutinib, including 43 patients with chronic lymphocytic leukemia, 11 patients with Waldenstrom's Macroglobulinemia, seven patients with small lymphocytic lymphoma, three patients with mantle cell lymphoma, and three patients with marginal zone lymphoma. Patients were considered intolerant if they developed significant or persistent toxicities while on ibrutinib and/or acalabrutinib despite optimal care. At the data cutoff on September 8, 2021, with a median BRUKINSA exposure of 11.1 months, more than a majority of the ibrutinib and acalabrutinib intolerance events did not recur with BRUKINSA treatment and none of the intolerance events recurred at a higher severity.
|
SDGR | Hot Stocks15:52 EST Schrodinger presents new preclinical data from MALT1 inhibitor program - Schrodinger presented new preclinical data from its mucosa-associated lymphoid tissue lymphoma translocation protein 1 inhibitor program in B-cell lymphomas in a poster session at the 63rd American Society of Hematology Annual Meeting & Exposition in Atlanta, Georgia. MALT1 is considered a potential therapeutic target for several non-Hodgkin's B-cell lymphomas as well as chronic lymphocytic leukemia. Schrodinger has identified novel MALT1 inhibitors that demonstrate strong anti-tumor activity across multiple tumor models, including cell- and patient-derived xenograft models, and combination potential with other agents, including standards of care such as ibrutinib. The data presented suggest that targeting MALT1 may expand therapeutic options for patients with selected B-cell lymphomas, such as activated B-cell subtype of diffuse large B cell lymphoma, with the possibility of expanding into other B-cell lymphomas such as mantle cell lymphoma. Furthermore, these small molecule MALT1 inhibitors demonstrate potential in combination with Bruton's tyrosine kinase inhibitors to overcome drug-induced resistance in patients with relapsed/refractory B-cell lymphomas. The presentation, "Characterization of Potent Paracaspase MALT1 Inhibitors for Hematological Malignancies," highlighted preclinical data with multiple lead molecules discovered using Schrodinger's proprietary physics-based free energy perturbation modeling technology. These molecules demonstrate potent inhibition of MALT1 enzymatic activity and anti-proliferative activity in the ABC-DLBCL cell lines, such as OCI-LY3 and OCI-LY10. In combination with approved agents, these inhibitors demonstrate strong combination potential with Bruton's tyrosine kinase inhibitors such as ibrutinib in ABC-DLBCL cell lines. In ABC-DLBCL cell line-derived xenograft models, the company's representative MALT1 inhibitor induces tumor regression as a single agent and complete tumor regression in combination with ibrutinib. The representative MALT1 inhibitor, when tested in LY2298 patient-derived xenograft models, demonstrates similar results. In addition, the representative MALT1 inhibitor was explored in a CDX model derived from a mantle cell lymphoma REC-1 cell line, and demonstrates strong anti-tumor activity of ~78% tumor growth inhibition as a single agent. Taken together, these data strongly underscore the therapeutic potential of Schrodinger's MALT1 inhibitors and support further evaluation of a potential best-in-class MALT1 inhibitor in clinical trials.
|
HARP | Hot Stocks15:49 EST Harpoon Therapeutics presents interim data from Phase 1/2 study for HPN217 - Harpoon Therapeutics presented a poster with interim data from the ongoing dose-escalation portion of the Phase 1/2 trial for HPN217 in patients with relapsed/refractory multiple myeloma at the 63rd American Society for Hematology Annual Meeting and Exposition. HPN217 targets B-cell maturation antigen and is based on Harpoon's proprietary Tri-specific T cell Activating Construct platform designed to recruit a patient's own immune cells to kill tumor cells. As of November 10, 2021, the data cutoff date for the interim clinical data presentation, 37 patients have been dosed across 10 cohorts at fixed doses of 5 to 2860 microgram/week and in step dosing cohorts up to 3240 microgram/week administered as an intravenous infusion. These interim data demonstrated that HPN217 is generally well tolerated with one dose limiting toxicity reported of Grade 4 AST elevation that resolved, MTD has not been reached. HPN217 is clinically active at higher dose levels with clinical benefit, disease control rate of 88%, demonstrated in 7 of 8 disease evaluable patients in the 2150 microgram/week cohort. 2 stringent complete responses have been observed, one in each of the higher dose 2150 and 2860 microgram/week cohorts. Transient and manageable cytokine release syndrome reported in 9 of 37 patients were all Grade 1 or 2 Introduction of step dose regimens has allowed for the administration of higher target doses, currently at 3240 microgram/week.
|
XFOR | Hot Stocks15:41 EST X4 Pharmaceuticals presents data from Phase 1b trial of mavorixafor - X4 Pharmaceuticals announced new positive efficacy and safety data from the ongoing Phase 1b clinical trial of its lead candidate mavorixafor, in combination with ibrutinib, for patients with Waldenstrom's macroglobulinemia and confirmed MYD88 and CXCR4 mutations. As of October 12, 2021, 16 patients were enrolled in the Phase 1b clinical trial, with 14 being evaluable as of the data cut, all at low- and mid-level dosing of mavorixafor; median duration of treatment was 272.5 days; 12 patients remain on study. The median level of serum IgM reduced from 47.2 g/L at baseline to 7.73 g/L after 12 months of treatment. In 10 patients evaluable for response, the overall response rate was 100%, with four achieving a Major Response, including one Very Good Partial Response of greater than90% reduction in serum IgM. The median level of hemoglobin approached normal, increasing by approximately 38 g/L from baseline to month 12. Overall, the combination of mavorixafor and ibrutinib was tolerated with a manageable safety profile at the low- and mid-level dosing of mavorixafor; dose escalation to 600 mg mavorixafor is ongoing. For patients with refractory disease: Median decreases in serum IgM from 50.2 g/L at baseline to 7.7 g/L at 12 months were similar to decreases seen in a previous study of ibrutinib monotherapy in Waldenstrom's patients without CXCR4 mutations. An ORR of 100%, with two achieving a Major Response, including one VGPR, was seen. Median time-on-treatment for patients achieving a Major Response was 51.7 weeks; median time on treatment for patients achieving Minor Responses was 30.1 weeks. The median level of hemoglobin approached normal, increasing by approximately 32 g/L from baseline to month 12.
|
GILD | Hot Stocks15:36 EST Kite announces five-year follow-up pivotal data from ZUMA-1 trial of Yescarta - Kite, a Gilead company, announced five-year follow-up data from the pivotal ZUMA-1 trial of Yescarta in adult patients with refractory large B-cell lymphoma. Among all patients treated with Yescarta, the five-year overall survival rate was 42.6%. Among patients who had a complete response, the five-year OS rate was 64.4% and median survival time has yet to be reached. Among treated patients alive at five years, 92% have received no additional treatment since their one-time infusion of Yescarta, suggestive of a cure for these patients. Since the four-year analysis, there has been one death in the study, which was due to secondary malignancy from prior chemotherapy and/or conditioning chemotherapy-related myelodysplastic syndrome while the patient was in complete remission for LBCL. There have been no new safety signals reported, including no Yescarta-related secondary malignancies. The presenters also reported an exploratory analysis of ZUMA-1 data showing a high degree of correlation between long-term OS and event-free survival status, which potentially supports the use of one-year and two-year EFS as surrogate endpoints for long-term OS in relapsed/refractory LBCL. Yescarta was the first CAR T-cell therapy to be approved by the U.S. Food and Drug Administration for the treatment of adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy. The Yescarta U.S. Prescribing Information has a BOXED WARNING for the risks of CRS and neurologic toxicities, and Yescarta is approved with a Risk Evaluation and Mitigation Strategy due to these risks; see below for Important Safety Information.
|
GRPH | Hot Stocks15:34 EST Graphite Bio presents overview of Phase 1/2 CEDAR trial - Graphite Bio presented a trial-in-progress poster for the company's Phase 1/2 CEDAR trial for GPH101, an investigational therapy designed to directly correct the genetic mutation responsible for sickle cell disease. The CEDAR trial is an open-label, single-dose, multi-site clinical trial evaluating GPH101 in approximately 15 participants with severe SCD. GPH101 is an autologous hematopoietic stem cell therapy developed using Graphite Bio's next-generation targeted gene integration platform, which uses high-fidelity Cas9 and a non-integrating DNA template to precisely find the genetic mutation in the beta-globin gene and directly correct the mutation through the cell's natural homology directed repair cellular pathway. GPH101 has demonstrated in preclinical studies the potential to permanently reduce sickle hemoglobin production and restore adult hemoglobin expression. The trial-in-progress poster provides an overview of the GPH101 treatment process, which includes local stem cell selection and cryopreservation before shipment to a central manufacturing facility. The primary objective of the CEDAR trial is to evaluate the safety of GPH101. Secondary objectives include pharmacodynamic and efficacy read-outs such as levels of HbA, HbS and total hemoglobin and effect on clinical manifestations such as vaso-occlusive crisis and acute chest syndrome. Additionally, characterization of gene correction rates, changes in the function of organs like the brain, heart, kidney and liver, and assessment of red blood cell health and function will be explored.
|
EPZM | Hot Stocks15:32 EST Epizyme presents preclinical data, Phase 1/1b trial design on EZM0414 - Epizyme shared preclinical data and the Phase 1/1b trial design for EZM0414, the company's novel, first-in-class, oral SETD2 inhibitor, an investigational agent being developed for the treatment of adult patients with relapsed or refractory multiple myeloma or with diffuse large B-cell lymphoma. The data and the design were presented at the 2021 American Society of Hematology Annual Meeting. The data presented from both in vitro and in vivo preclinical studies, demonstrated that targeting SETD2 with EZM0414 resulted in significantly reduced growth of t(4;14) MM cell lines, as well as non-t(4;14) MM and DLBCL cell lines. Additionally, in in vitro studies, EZM0414 showed synergy with MM and DLBCL standard of care and emerging therapies, which supports the potential for the study of EZM0414 in combination with current MM and DLBCL treatments. Epigenetic mutations and dependencies have been identified in B cell malignancies, including MM and DLBCL, providing therapeutic rationale for epigenetic inhibitors in these tumor types. Previous data demonstrated that there is broad sensitivity of MM cell lines to SETD2 inhibition, and in particular, t(4;14) MM cell lines, which are dependent on SETD2 due to overexpression of MMSET by the high-risk t(4;14) translocation. These preclinical data form the basis for SET-101, the company's Phase 1/1b clinical study, which is designed to evaluate the safety and determine the optimal dose of EZM0414. Under the trial protocol, following the Phase 1 dose ranging portion of the trial, the study will be expanded to evaluate EZM0414 in three patient cohorts: t(4;14) MM, non-t(4;14) MM, and DLBCL. In the Phase 1 portion of the study, adult patients with relapsed or refractory MM and DLBCL will be enrolled and treated in a Bayesian optimal interval design to evaluate the safety, tolerability, and pharmacokinetics of EZM0414 at six dose levels. Up to 36 patients will be enrolled, and at least nine patients will be evaluated for maximum tolerated dose. At least eight patients, each with t(4;14) MM, non-t(4;14) MM, or DLBCL will be included. The primary endpoints include the safety and tolerability of EZM0414 and the maximum tolerated dose. The Phase 1b dose expansion portion of the study will include three cohorts, t(4;14) MM, non-t(4;14) MM, and DLBCL, of up to 20 patients each. There will be two interim assessments when clinical data from the first 10 and 15 patients enrolled in each expansion cohort are available. Futility assessments will also be conducted at that time. The final analysis will be performed when all data from the 20 patients in each expansion cohort are available. Primary endpoints include the recommended Phase 2 dose, and secondary endpoints include efficacy and response rates. The trial is currently enrolling patients in the United States and has been screening patients for enrollment.
|
INCY | Hot Stocks15:28 EST Incyte announces data from three ongoing Phase 2 studies evaluating parsaclisib - Incyte announced data from three ongoing Phase 2 studies evaluating parsaclisib, an investigational novel potent, highly selective, next-generation oral inhibitor of phosphatidylinositol 3-kinase delta, for the treatment of patients with relapsed or refractory follicular lymphoma, marginal zone lymphoma and mantle cell lymphoma. The primary endpoint for the CITADEL-203, -204 and -205 studies is objective response rate. Key secondary endpoints include complete response rate, duration of response, progression-free survival, overall survival, safety and tolerability. All radiology-based endpoints are based on independent review committee assessment. Building on previous findings presented at ASH 2020, these updated data from the primary analysis continue to show treatment with parsaclisib resulted in a rapid and durable response with an acceptable safety profile, and supported the New Drug Application for parsaclisib, recently accepted by the U.S. Food and Drug Administration. Parsaclisib was generally well tolerated in all studies with a manageable safety profile.
|
GILD | Hot Stocks15:23 EST Kite announces results from primary analysis of ZUMA-7 trial - Kite, a Gilead company, announced results from the primary analysis of ZUMA-7, a global Phase 3 study evaluating Yescarta as a one-time infusion, in a head-to-head study against standard of care for adults with large B-cell lymphoma who relapsed or were refractory to first-line treatment. Yescarta was evaluated against the current SOC which is a multi-step process intended to culminate in a stem cell transplant. ZUMA-7 was initiated in 2017 and is the first and largest Phase 3 randomized study of any CAR T-cell therapy in the second-line setting, enrolling 359 patients in 77 centers around the world. ZUMA-7 is considered a landmark trial for being the only study to reach the clinically meaningful two-year follow-up milestone. With a median follow-up of over two years, the study met the primary endpoint of event-free survival. Yescarta demonstrated a 2.5 fold increase in patients who were alive at two years and did not require the need for additional cancer treatment or experienced cancer progression and a four-fold greater median EFS compared to SOC. These statistically significant and clinically meaningful results were not confounded by any bridging chemotherapy. Improvements in EFS with Yescarta were consistent across key patient subgroups, including the elderly, primary refractory disease, high-grade B-cell lymphoma including double-hit and triple-hit lymphoma, and double expressor lymphoma. In ZUMA-7, nearly three times as many patients randomized to Yescarta ultimately received the definitive CAR T-cell therapy treatment versus those randomized to SOC who received HDT+ASCT. Among randomized patients, overall response and complete response rates were also higher with Yescarta. Median overall survival, evaluated as a preplanned interim analysis, favored Yescarta compared to SOC. The primary analysis of OS will occur at approximately 210 deaths. In a separate ZUMA-7 analysis of patient-reported outcomes which will also be shared in an ASH oral presentation on December 12, patients receiving Yescarta and eligible for the PROs portion of the study showed significant and clinically meaningful improvements in quality of life at Day 100 compared with those who received SOC using a prespecified analysis for three PRO domains. The data also suggest faster recovery to pretreatment QoL for patients treated with Yescarta versus SOC. In the ZUMA-7 trial, Yescarta had a manageable safety profile that was consistent with previous studies. Among the 170 Yescarta-treated patients evaluable for safety, Grade greater than or equal to 3 cytokine release syndrome and neurologic events were observed in 6% and 21% of patients, respectively. No Grade 5 CRS or neurologic events occurred. In the SOC arm, 83% of patients had high grade events, mostly cytopenias. Global regulatory filings to expand the indication for Yescarta to include second-line relapsed or refractory LBCL based on the ZUMA-7 data are currently underway. The U.S. Food and Drug Administration has accepted the supplemental Biologics License Application and granted Priority Review designation to Yescarta for this patient population with a target action date under the Prescription Drug User Fee Act of April 1, 2022. Regulatory submissions have also been filed with other global health authorities, including the European Medicines Agency.
|
BMY | Hot Stocks15:17 EST Bristol-Myers announces results from interim analysis of TRANSFORM study - Bristol-Myers Squibb announced the first disclosure of results from a prespecified interim analysis of the pivotal TRANSFORM study, a global, randomized, multicenter, Phase 3 study evaluating Breyanzi, a CD19-directed chimeric antigen receptor T cell therapy, as a second-line treatment in adults with relapsed or refractory large B-cell lymphoma compared to the standard of care consisting of salvage chemotherapy followed by high-dose chemotherapy plus autologous hematopoietic stem cell transplant. Results show, at a median follow up of 6.2 months, Breyanzi significantly improved event-free survival compared to standard of care, the study's primary endpoint, with a median EFS of 10.1 months for Breyanzi and 2.3 months for standard of care, representing a 65% reduction in risk of EFS events with Breyanzi. In the TRANSFORM study, 184 patients with primary refractory LBCL or relapsed disease within less than or equal to12 months after first-line therapy who were eligible for autologous HSCT were randomized to receive Breyanzi or salvage chemotherapy followed by high-dose chemotherapy and autologous HSCT, which is considered the current standard of care for these patients. In the trial, which allowed for crossover, 50 patients switched from the standard of care arm to receive Breyanzi following failure to achieve a response by nine weeks post-randomization or after disease progression at any time. The majority of patients treated with Breyanzi achieved a complete or partial response, with 66% of patients achieving a complete response. In comparison, less than half of patients who received the standard of care achieved a response, and only 39% of these patients achieved a complete response. Median progression-free survival was significantly longer with Breyanzi compared to standard of care. Although overall survival data were not yet mature, the prespecified interim analysis showed a trend favoring Breyanzi compared with the standard of care. Breyanzi exhibited a manageable safety profile with very low rates of severe cytokine release syndrome and neurologic events, and no new safety signals were observed in this second-line setting. In the trial, no Grade 4/5 CRS or neurologic events were reported. Any-grade CRS was reported in 49% of patients, with Grade 3 CRS reported in only one patient. Any-grade neurologic events were reported in 12% of patients treated with Breyanzi, with Grade 3 neurologic events reported in four patients. Breyanzi is approved by the U.S. Food and Drug Administration for the treatment of adult patients with relapsed or refractory LBCL after two or more lines of systemic therapy, including diffuse large B-cell lymphoma not otherwise specified, high-grade B-cell lymphoma, primary mediastinal large B-cell lymphoma, and follicular lymphoma grade 3B. Breyanzi is not indicated for the treatment of patients with primary central nervous system lymphoma. The U.S. Prescribing Information for Breyanzi has a BOXED WARNING for the risks of CRS and neurologic toxicities. Breyanzi is available only through a restricted program under a Risk Evaluation and Mitigation Strategy called the BREYANZI REMS. The use of Breyanzi in primary refractory or relapsed LBCL is investigational and not approved in any geography.
|
NVS | Hot Stocks09:24 EST Novartis presents updated 48-week data from Phase III ASCEMBL trial - Novartis announced new 48-week data from the Phase III ASCEMBL trial of Scemblix demonstrating that the results observed in the primary analysis versus Bosulif were maintained in longer-term follow up for patients with Philadelphia chromosome-positive chronic myeloid leukemia in chronic phase previously treated with two or more tyrosine kinase inhibitors 1-4. In this analysis, presented at the 63rd American Society of Hematology Annual Meeting & Exposition, the major molecular response rate at 48 weeks was 29.3% for patients treated with Scemblix versus 13.2% for patients in the Bosulif arm, which is consistent with a doubling of the efficacy at 24 weeks 1-4. The proportion of patients treated with Scemblix who experienced adverse reactions leading to discontinuation was more than three times lower than those in the Bosulif arm. Scemblix is the first FDA-approved CML treatment that works by binding to the ABL myristoyl pocket2. This novel mechanism of action, also known in scientific literature as a STAMP inhibitor, can help address resistance to TKI therapy in patients with CML and overcome mutations at the defective BCR-ABL1 gene, which is associated with the over-production of leukemic cells2-4. Scemblix continues to be studied across multiple lines of treatment for CML-CP3-12. In this updated analysis, responses were also durable, with 60 out of 62 patients on Scemblix maintaining MMR at time of their last assessment1. Scemblix continued to deliver more favorable deep molecular responses with MR4 and MR4.5 rates at 48 weeks of 10.8% and 7.6%, compared to 3.9% and 1.3% in patients treated with Bosulif, respectively. Additionally, the cumulative proportion of patients achieving a level of BCR-ABL1IS less than or equal to1% at 48 weeks - a predictor of better long-term outcomes in this heavily pretreated patient population - was higher in the Scemblix arm than in the Bosulif arm. The most common reason for treatment discontinuation was lack of efficacy in 37 patients treated with Scemblix and 27 patients treated with Bosulif. Median duration of exposure was 15.4 months for Scemblix and 6.8 months for Bosulif. With a longer duration of exposure, the safety and tolerability profile remains consistent with the primary analysis of the ASCEMBL trial1-4. The most common adverse reactions reported in this analysis were thrombocytopenia and neutropenia in the Scemblix arm; and diarrhea, nausea, increased ALT, vomiting, rash, increased AST (21.1%) and neutropenia in the Bosulif arm. Scemblix received FDA approval in October 2021 and is currently available for physicians to prescribe to appropriate patients in the US2. Scemblix is also being evaluated in studies across multiple treatment lines and indications for CML-CP, including the ASC4FIRST Phase III study for newly diagnosed adult patients, as well as in a Phase Ib/II dose assessment study in pediatric patients with Ph+ CML-CP.
|
NVS | Hot Stocks09:18 EST Novartis Kymriah demonstrates strong efficacy in high-risk patients with r/r FL - Novartis announced Kymriah demonstrated strong efficacy in high-risk patients with relapsed or refractory follicular lymphoma based on a subgroup analysis from an approximately 17-month median follow-up of the pivotal Phase II ELARA study1. These results were presented in an oral session at the 63rd American Society of Hematology Annual Meeting & Exposition. In the subgroup analysis, results showed high rates of durable responses were induced by Kymriah in patients for the majority of high-risk disease subgroups, who typically have a poor prognosis. Complete response rate, overall response rate, and durability of response were maintained in most patients in the high-risk subgroups, with the exception of those in three of the nine subgroups analyzed: those with progression-of-disease within two years, high total metabolic tumor volume and patients who had received five or more prior lines of therapy. High and durable responses were seen in the overall population of the ELARA study in which 94 patients were evaluable for efficacy with a median follow-up of approximately 17 months. The CRR was 69%, ORR was 86%, 12-month progression-free survival was 67% and nine-month DOR was 76%. For patients who had a complete response, 12-month PFS was 86% and the estimated DOR rate was 87%. In the safety analysis, the safety profile of Kymriah continued to reflect the remarkable results seen in earlier ELARA analyses. Within eight weeks of infusion, 48% of patients experienced cytokine release syndrome, with no patients experiencing CRS of grade 3 or higher as defined by the Lee scale, 37% had neurological events and there were no treatment-related deaths. A separate analysis of hospitalization and intensive care unit patterns for patients treated in the inpatient and outpatient settings in the ELARA trial suggest Kymriah may reduce healthcare resource utilization for patients with r/r FL treated in the outpatient setting. Among patients treated in the outpatient setting, 35% did not require hospitalization during the first two months of the post-infusion period; those who did had a lower median average length of stay than the patients infused in an inpatient setting. Additionally, the mean hospitalization costs in the post-infusion period were substantially lower in the outpatient versus inpatient setting.
|
RHHBY | Hot Stocks09:12 EST Roche presents data at ASH 2021 for novel cancer immunotherapy mosunetuzumab - Roche announced that new pivotal data on its CD20xCD3 T-cell engaging bispecific antibody, mosunetuzumab, will be presented for the first time at the 63rd American Society of Hematology Annual Meeting and Exposition from 11-14 December 2021. Emerging data continue to show the promising benefit-risk profile of mosunetuzumab in relapsed or refractory follicular lymphoma, a slow-growing, or indolent, form of non-Hodgkin lymphoma. Pivotal results from the phase I/II GO29781 study demonstrated that mosunetuzumab induces durable complete responses lasting at least 18 months in heavily pretreated patients with R/R FL who have received two or more prior therapies, with a 60.0% complete response rate and a median progression-free survival of 17.9 months. Median duration of response was 22.8 months among responders. The most common adverse event was cytokine release syndrome, which was generally low grade. Roche recently submitted the initial marketing authorisation application for mosunetuzumab to the European Medicines Agency, with the hope to bring this drug as soon as possible to people with NHL. Genentech plans to submit the new data to the U.S. Food and Drug Administration in the near future for approval consideration. If approved, mosunetuzumab has the potential to be a first-in-class CD20xCD3 T-cell engaging bispecific antibody in NHL. Additionally, as part of Roche's broad pipeline of haematology immunotherapies and application of novel combinations, key data for the bispecific antibodies mosunetuzumab, glofitamab and cevostamab are being presented. Initial results from the phase Ib CO41942 study of mosunetuzumab in combination with lenalidomide in people with R/R FL who have received at least one prior line of therapy demonstrated encouraging preliminary efficacy and a tolerable safety profile. Data from the phase Ib/II GO40516 study evaluating mosunetuzumab in combination with Polivy showed promising efficacy and favorable safety in heavily pretreated patients with aggressive R/R NHL with an objective response rate of 65.0% and a CR rate of 48.3%. A phase I/Ib NP30179 dose-escalation study evaluating glofitamab as a monotherapy and in combination with Gazyva/Gazyvaro following pretreatment with Gazyva/Gazyvaro in patients with R/R B-cell NHL showed promising activity in both R/R FL and R/R mantle cell lymphoma, an uncommon but aggressive form of lymphoma with poor prognosis for those who progress. Preliminary results in heavily pretreated patients with R/R FL showed high response rates across all treatment groups, including high-risk subgroups, with an ORR of 81.0% for the glofitamab monotherapy group and an ORR of 100% for the glofitamab plus Gazyva/Gazyvaro combination therapy group.5 For patients with R/R MCL, treated with glofitamab monotherapy following Gazyva/Gazyvaro pretreatment, the ORR was 81.0%. Across both studies, the most common AE was CRS, with the majority of events being low grade. Results of the phase Ib/II NP39488 study of glofitamab in combination with Polivy demonstrated encouraging preliminary efficacy and a tolerable safety profile in people with difficult-to-treat R/R diffuse large B-cell lymphoma. With a median follow up of 3.2 months, an ORR of 73.0% was observed with a 51.5% CR rate, with patients showing durable responses at greater than or equal to6 months. No Grade 3 or higher CRS events were observed, and the safety profile of the combination was consistent with that of the individual medicines. Data from the phase I GO39775 dose-escalation and expansion study investigating cevostamab in heavily pretreated patients with R/R multiple myeloma showed the first-of-its kind FcRH5xCD3 bispecific antibody induced clinically meaningful, target dose-dependent increases in ORR without an increase in the rate of CRS, with an ORR of 54.5% in the 160 mg dose group. Results from double step-up dosing suggest this approach could help mitigate CRS and potentially improve the safety profile compared to single step-up dosing.
|