Patient death spurs trial halt for Magenta Therapeutics
Magenta Therapeutics is pausing an early-stage clinical trial after a patient died. The death was deemed to be possibly related to its drug, MGTA-117.
The biotech said the pause of the Phase I/II trial is voluntary and gives it time to review all available data before deciding what to do next. It’s also reported the known information to the FDA.
The dose-escalation trial was designed to test whether MGTA-117, an antibody-drug conjugate, could serve as a more targeted alternative to high-intensity chemotherapy as a conditioning agent for cancer patients who are set to receive a stem cell transplant. It recruited patients with relapsed/refractory acute myeloid leukemia and myelodysplastic syndrome.
Just a month ago, Magenta flagged two cases of dose-limiting toxicities — both Grade 4 respiratory serious adverse events — in the cohort receiving the highest dose. The company stopped dosing in that cohort, known as cohort 4, but said it would continue to dose new patients in cohort 3 based on trial protocol.
But after the latest trial participant was dosed at the cohort 3 level, Magenta said the patient experienced “respiratory failure and cardiac arrest resulting in death” — or what investigators would classify as a Grade 5 serious adverse event. The company said it’s deemed to be possibly drug-related, but didn’t elaborate.
MGTA-117 targets the CD117 receptor, which is highly expressed on the cell surface of hematopoietic stem cells and leukemia cells. Magenta, whose mission is to improve all aspects of stem cell transplants and stem cell-based gene therapies, had hoped it could more selectively deplete stem cells than traditional approaches.
Cohort 4 patients were given a dose of 0.13 mg/kg, while the dosage for cohort 3 was 0.08 mg/kg.
Magenta’s shares, which have gone through several upswings and downswings, have crashed more than 85% over the past year and have been languishing deep in penny stock territory since the December update. The stock fell another 23% to $0.38 Thursday morning in pre-market trading.
Social: acute myeloid leukemia cells (Shutterstock)