Ear­ly sur­vival da­ta boost Zio­phar­m's 'con­trolled IL-12' im­munother­a­py for glioblas­toma

An un­con­ven­tion­al pair­ing of a gene ther­a­py and an oral drug that promis­es to at­tack re­cur­rent or pro­gres­sive glioblas­toma with con­trolled re­lease of IL-12 has turned up more promis­ing — if ear­ly — over­all sur­vival da­ta. On top of boost­ing its case as a monother­a­py, the da­ta can al­so bode well for a com­bi­na­tion with Re­gen­eron’s PD-1 in­hibitor, Lib­tayo.

Both the treat­ment and its de­vel­op­er, Zio­pharm On­col­o­gy, have come a long way. The stock price peaked in 2015 but cratered in 2016 fol­low­ing a pa­tient death in a Phase I.

Lau­rence Coop­er

Long-term fol­low-up da­ta from the study, though, sug­gest that Ad-RTS-hIL-12 plus veled­imex (Ad+V) is not on­ly safe but helps pa­tients live be­yond a year. Across the main and ex­pan­sion stud­ies, the sub­group of pa­tients re­ceiv­ing the low-dose cor­ti­cos­teroids — to­tal­ing 20 — showed me­di­an over­all sur­vival of 16.2 months.

“We know from con­ver­sa­tions with reg­u­la­tors that me­di­an over­all sur­vival (mOS) is used as a bench­mark to help de­ter­mine the po­ten­tial ap­proval of new treat­ments for re­cur­rent (rGBM),” CEO Lau­rence Coop­er told End­points News. “There­fore, this sur­vival end­point is what we are us­ing to gauge suc­cess of our Con­trolled IL-12 can­di­date.”

His­tor­i­cal­ly, uni­fo­cal re­cur­rent glioblas­toma mul­ti­forme pa­tients on­ly live for 6 to 12 months, he added, mean­ing there’s a 30% “ad­di­tion” of life for pa­tients.

By in­ject­ing a vec­tor that car­ries the gene for IL-12 — a pow­er­ful in­ter­leukin that’s re­ferred to as a “mas­ter cy­tokine” for its abil­i­ty to or­ches­trate an im­mune re­sponse — Zio­pharm’s goal is to stir up T cell re­sponse against hard-to-treat can­cer. But to en­sure that the im­mune sys­tem doesn’t get out of con­trol, the biotech has in­vent­ed an oral ac­ti­va­tor lig­and such that physi­cians can tune how much IL-12 to re­lease, by re­mote­ly in­struct­ing the pa­tients to ad­just the dose.

Cor­ti­cos­teroids pro­vide an ex­tra lev­el of pro­tec­tion, al­though it could al­so damp­en the im­mune ac­tiv­i­ty — which Coop­er said ex­plains why the pa­tients on the low­est dose of steroids seem to have the best re­sponse to their ther­a­py.

In­ves­ti­ga­tors have pre­vi­ous­ly not­ed in­creased check­point sig­nal­ing, an ob­ser­va­tion that led them to test a com­bi­na­tion of Ad+V and nivolum­ab (Op­di­vo). At 8.3 months of me­di­an fol­low-up, mOS has not been reached. Re­gen­eron has signed on to test the com­bo ap­proach with its own PD-1 drug, and the Phase II study is on­go­ing.

The lat­est up­date across three tri­als al­so brought the tal­ly of par­tial re­spons­es to five.

“Ob­serv­ing re­spons­es in brain tu­mors in the set­ting of re­cur­rence is un­usu­al and high­ly en­cour­ag­ing, and, along with the sur­vival da­ta, high­light the po­ten­tial of Ad+V for the treat­ment of rGBM,” said An­to­nio Chioc­ca, a tri­al in­ves­ti­ga­tor based at Dana-Far­ber and Brigham and Women’s Hos­pi­tal.

2023 Spot­light on the Fu­ture of Drug De­vel­op­ment for Small and Mid-Sized Biotechs

In the context of today’s global economic environment, there is an increasing need to work smarter, faster and leaner across all facets of the life sciences industry.  This is particularly true for small and mid-sized biotech companies, many of which are facing declining valuations and competing for increasingly limited funding to propel their science forward.  It is important to recognize that within this framework, many of these smaller companies already find themselves resource-challenged to design and manage clinical studies themselves because they don’t have large teams or in-house experts in navigating the various aspects of the drug development journey. This can be particularly challenging for the most complex and difficult to treat diseases where no previous pathway exists and patients are urgently awaiting breakthroughs.

Dipal Doshi, Entrada Therapeutics CEO

Ver­tex just found the next big ‘trans­for­ma­tive’ thing for the pipeline — at a biotech just down the street

Back in the summer of 2019, when I was covering Vertex’s executive chairman Jeff Leiden’s plans for the pipeline, I picked up on a distinct focus on myotonic dystrophy Type I, or DM1 — one of what Leiden called “two diseases (with DMD) we’re interested in and we continue to look for those assets.”

Today, Leiden’s successor at the helm of Vertex, CEO Reshma Kewalramani, is plunking down $250 million in cash to go the extra mile on DM1. The lion’s share of that is for the upfront, with a small reserve for equity in a deal that lines Vertex up with a neighbor in Seaport that has been rather quietly going at both of Vertex’s early disease targets with preclinical assets.

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Christian Itin, Autolus CEO (UKBIO19)

Au­to­lus tips its hand, bags $220M as CAR-T show­down with Gilead looms

The first batch of pivotal data on Autolus Therapeutics’ CAR-T is in, and execs are ready to plot a path to market.

With an overall remission rate of 70% at the interim analysis featuring 50 patients, the results set the stage for a BLA filing by the end of 2023, said CEO Christian Itin.

Perhaps more importantly — given that Autolus’ drug, obe-cel, is going after an indication that Gilead’s Tecartus is already approved for — the biotech highlighted “encouraging safety data” in the trial, with a low percentage of patients experiencing severe immune responses.

Rami Elghandour, Arcellx CEO

Up­dat­ed: Gilead, Ar­cel­lx team up on an­ti-BC­MA CAR-T as biotech touts a 100% re­sponse rate at #ASH22

Gilead and Kite are plunking down big cash to get into the anti-BCMA CAR-T game.

The pair will shell out $225 million in cash upfront and $100 million in equity to Arcellx, Kite announced Friday morning, to develop the biotech’s lead CAR-T program together. Kite will handle commercialization and co-development with Arcellx, and profits in the US will be split 50-50.

Concurrent with the deal, Arcellx revealed its latest cut of data for the program known as CART-ddBCMA, ahead of a full presentation at this weekend’s ASH conference — a 100% response rate among patients getting the therapy. Investors jumped at the dual announcements, sending Arcellx shares $ACLX up more than 25% in Friday’s morning session.

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WIB22: Am­ber Salz­man had few op­tions when her son was di­ag­nosed with a rare ge­net­ic dis­ease. So she cre­at­ed a bet­ter one

This profile is part of Endpoints News’ 2022 special report about Women in Biopharma R&D. You can read the full report here.

Amber Salzman’s life changed on a cold, damp day in Paris over tiny plastic cups of lukewarm tea.

She was meeting with Patrick Aubourg, a French neurologist studying adrenoleukodystrophy, or ALD, a rare genetic condition that causes rapid neurological decline in young boys. It’s a sinister disease that often leads to disability or death within just a few years. Salzman’s nephew was diagnosed at just 6 or 7 years old, and died at the age of 12.

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Ahead of ad­comm, FDA rais­es un­cer­tain­ties on ben­e­fit-risk pro­file of Cy­to­ki­net­ic­s' po­ten­tial heart drug

The FDA’s Cardiovascular and Renal Drugs Advisory Committee will meet next Tuesday to discuss whether Cytokinetics’ potential heart drug can safely reduce the risk of cardiovascular death and heart failure in patients with symptomatic chronic heart failure with reduced ejection fraction.

The drug, known as omecamtiv mecarbil and in development for more than 15 years, has seen mixed results, with a first Phase III readout from November 2020 hitting the primary endpoint of reducing the odds of hospitalization or other urgent care for heart failure by 8%. But it also missed a key secondary endpoint analysts had pegged as key to breaking into the market.

Ab­b­Vie slapped with age dis­crim­i­na­tion law­suit, fol­low­ing oth­er phar­mas

Add AbbVie to the list of pharma companies currently facing age discrimination allegations.

Pennsylvania resident Thomas Hesch filed suit against AbbVie on Wednesday, accusing the company of passing him over for promotions in favor of younger candidates.

Despite 30 years of pharma experience, “Hesch has consistently seen younger, less qualified employees promoted over him,” the complaint states.

WIB22: Lead­ing NK cell re­searcher re­flects on roots in Iran, the UK and Texas

This profile is part of Endpoints News’ 2022 special report about Women in Biopharma R&D. You can read the full report here.

In a small but widely-cited 11-person study published in NEJM in 2020, seven patients saw signs of their cancer completely go away after getting a new therapy made from natural killer cells. The study was one of the earliest to provide clinical proof that the experimental treatment method had promise.

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Philip Astley-Sparke, Replimune CEO

Replimune looks to rope in $225M on the back of melanoma da­ta

The Massachusetts-based, oncolytic virus biotech Replimune is feeling bullish now that it has lifted the cover on data for its lead product.

Replimune said Thursday it looks to nab about $225 million from a public offering after giving a snapshot of some initial data from its IGNYTE clinical study earlier this week. The trial is investigating RP1 in combination with Opdivo, for patients with melanoma and who did not have a response when being treated with a PD-1.