NanoString Technologies Highlights Advances in Precision Oncology and Immunotherapy at the 52nd Annual Meeting of the American Society of Clinical Oncology (ASCO)

On June 02, 2016 NanoString Technologies, Inc. (NASDAQ:NSTG), a provider of life science tools for translational research and molecular diagnostic products, reported the highlights of numerous advances in precision oncology and immunotherapy using the nCounter platform that will be presented at the Annual Meeting of the American Society of Clinical Oncology (ASCO) (Free ASCO Whitepaper) (Press release, NanoString Technologies, JUN 2, 2016, View Source [SID:1234512957]).

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"For more than 50 years the American Society of Clinical Oncology (ASCO) (Free ASCO Whitepaper) has been pioneering cancer research and advancing the care of patients with cancer around the world," said Brad Gray, president and chief executive officer of NanoString Technologies. "We are proud to participate in the ASCO (Free ASCO Whitepaper) Annual Meeting and to have the opportunity to highlight the groundbreaking cancer research and diagnostic assays that are being enabled through the nCounter platform and our expanding portfolio of 3D Biology products."

More than 30 abstracts will be presented at the ASCO (Free ASCO Whitepaper) Annual Meeting, which is being held June 3rd through June 7th, 2016 in Chicago, Illinois, that demonstrate the value of the nCounter Platform. In particular, several abstracts provide additional insights on the development and performance of NanoString’s investigational assays in development for immuno-oncology and lymphoma.

In immuno-oncology, NanoString and collaborators will present new details on nCounter-based assays under development for prediction of response to the checkpoint inhibitor pembrolizumab, including:

An interferon-gamma gene signature was shown to predict response more accurately than PD-L1 IHC in squamous cell carcinoma of the head and neck. This research further demonstrates the power of gene expression profiling on the nCounter Analysis System as a biomarker in immuno-oncology. (Abstract #6010)
An interferon-gamma gene signature and an expanded immune gene signature predicted response in five tumor types from the basket trial KEYNOTE-28, underscoring the potentially broad applicability of gene signatures in assessing patient response (Abstract #1536).
Data on the development and analytical performance of an nCounter-based assay incorporating an immune-related gene signature to predict response to checkpoint inhibition in eleven different tumor types. The data show that this assay is robust and may be well-suited to clinical applications. The signature is being evaluated as a predictive biomarker in multiple indications in several studies (Abstract #3034).
In lymphoma, NanoString and collaborators are presenting results generated using nCounter-based assays, including:

An update on the ongoing ROBUST trial, a global pivotal phase 3 trial evaluating the addition of lenalidomide to R-CHOP therapy in untreated ABC-type Diffuse Large B-cell Lymphoma (DLBCL) selected by NanoString’s investigational Cell-of-Origin assay. The results show that real-time testing of Cell-of-Origin using nCounter is feasible in a multi-center, global study with turnaround time of less than 3 days, demonstrating that a decentralized gene expression test can be used to select patients for a clinical trial where rapid results are critical for enrollment (Abstract #7538).
Independent validation of the nCounter-based Cell-of-Origin assay through comparison to subtyping using DNA microarrays. The assay proved to be highly efficient and reliable in an independent series of samples evaluated by a team of researchers not involved in the development of the assay. This research highlights the high concordance between the NanoString assay and the conventional microarray method as well as the robustness and ease of use of the assay, which can be successfully deployed in laboratories around the world (Abstract #7547).
The 2016 ASCO (Free ASCO Whitepaper) abstracts describe research and clinical applications that underscore the diverse capabilities and robust performance of the nCounter platform. The studies cover a wide range of cancers, tissue types (FFPE, peripheral blood and urine), and treatment modalities.

At the 2016 ASCO (Free ASCO Whitepaper) Annual Meeting, NanoString will showcase its nCounter platform and 3D Biology capabilities at booth #8151.

Abstract # Summary Hyperlink
4525 Subclassification and outcome prediction of patients with muscle invasive urothelial carcinoma (MIUC) treated by radical cystectomy (RC) with a NanoString based molecular screening. View Source

3034 Development and analytical performance of a molecular diagnostic for anti-PD1 response on the nCounter Dx Analysis System. View Source

3008 Epigenetic control of CD4/CD8 lineage commitment and resistance to tumor infiltrating lymphocyte adoptive cell therapy for metastatic melanoma. View Source

6056 Immune-related gene expression signatures as predictive biomarkers for outcome after concurrent chemoradiation in patients with locally advanced oropharyngeal carcinomas. View Source

11522 Derivation of gene expression classifiers for the non-invasive detection of bladder cancer in the hematuria and recurrence surveillance populations. View Source

e16014 Multiplatform comprehensive kinase analysis of muscle-invasive bladder cancer (MIBC) to identify potentially actionable therapeutic targets. View Source

10561 Patterns of PD-1, PD-L1 and PD-L2 expression in pediatric solid tumors. View Source

TPS3636 The FUNNEL: A molecular multiplex triage for precision medicine in metastatic colorectal cancer. View Source

3038 Association of response to programmed death 1 receptor or ligand (PD1/PDL1) blockade with immune-related gene expression profiling across three cancer-types. View Source

7045 Up-regulation of BAALC/MN1/MLLT11/EVI1 gene cluster in relation to MYC / BCL2 protein co-expression and poor overall survival in acute myeloid leukemia (AML). View Source

e20089 Preliminary analysis of genomic profiling of small cell lung cancer in Chinese population revealed frequent PIK3CA hotspot mutations. View Source

e23235 Analysis of RSPO gene expression in solid tumors. View Source

e14565 Safety and immunologic activity of anakinra in HER2-negative metastatic breast cancer (MBC). View Source

10509 Relationship of BRAF V600E and associated secondary mutations on survival rate and response to conventional therapies in childhood low-grade glioma. View Source

e17103 Genomic profiling of high-intermediate risk endometrial cancer to differentiate recurrence risk. View Source

3570 Influence of mRNA expression of fibroblast growth factor 2 (FGF2) in colorectal cancer (CRC) cell lines and in patients with metastatic colorectal cancer (mCRC) treated with FUFIRI or mIrOx (FIRE1). View Source

7510 Prognostic significance of the proliferation signature in mantle cell lymphoma measured using digital gene expression in formalin-fixed paraffin-embedded tissue biopsies. View Source

TPS7575 Rituximab, lenalidomide, and ibrutinib alone and combined with dose adjusted chemotherapy for patients with high risk diffuse large B-cell lymphoma. View Source

7538 Feasibility of real-time cell-of-origin subtype identification by gene expression profile in the phase 3 trial of lenalidomide plus R-CHOP vs placebo plus R-CHOP in patients with untreated ABC-type diffuse large B-cell lymphoma (ROBUST). View Source

TPS7577 A phase 2 study of PNT2258 in patients with relapsed or refractory (r/r) diffuse large b-cell lymphoma (DLBCL): An initial report from the Wolverine study. View Source

6010 Biomarkers and response to pembrolizumab (pembro) in recurrent/metastatic head and neck squamous cell carcinoma (R/M HNSCC). View Source

e20014 The upregulation of FOXA2 transcription factor in RET rearranged lung adenocarcinoma. View Source

e16023 PD1, PDL1, PDL2 tumor tissue (TT) expression as predictors of response to neoadjuvant chemotherapy (NAC) and outcome in bladder cancer (BC). View Source

543 Prospective multicenter study of the impact of the Prosigna assay on adjuvant clinical decision-making in women with early stage breast cancer: which patients are the best candidates? View Source

7547 Classification of diffuse large b-cell lymphoma (DLBCL) FFPE samples of the GELA LNH2003 program, using Lymph2Cx assay on the nCounter analysis system. View Source

1536 T-cell inflamed phenotype gene expression signatures to predict clinical benefit from pembrolizumab across multiple tumor types. View Source

3510 Clinical outcome and benefit of oxaliplatin in colon cancer according to intrinsic subtypes: Results from NRG Oncology/NSABP C-07. View Source

1585 Male breast cancer: correlation between immunohistochemical subtyping and PAM50 intrinsic subtypes. View Source

575 A retrospective study of SPAG5 expression and its clinical implications in > 8,000 patients of ER positive (ER+) breast cancer (BC): Genomic, transcriptomic and protein analysis. View Source

569 Outcomes of single versus double hormone receptor positive breast cancer. View Source

TPS623 OPTIMA (Optimal Personalised Treatment of early breast cancer usIng Multi-parameter Analysis): A prospective trial to validate the predictive utility and cost-effectiveness of gene expression test-directed chemotherapy decisions. View Source

e23143 The genomic profile (GP) of early breast cancer (EBC): Daily practice analysis. View Source

555 A test utilizing diagnostic and on-treatment biomarkers to improve prediction of response to endocrine therapy in breast cancer. View Source

Curis Announces Presentations Related to CUDC-907 and Erivedge® at 2016 ASCO Annual Meeting

On June 02, 2016 Curis, Inc. (Nasdaq:CRIS), a biotechnology company focused on the development and commercialization of innovative and effective therapeutics for the treatment of cancer, reported that a Phase 2 trials-in-progress poster for CUDC-907, Curis’ proprietary drug candidate in development for treatment of patients with relapsed refractory diffuse large B-cell lymphoma (DLBCL) with MYC gene alterations, will be presented at the 2016 American Society of Clinical Oncology (ASCO) (Free ASCO Whitepaper) Annual Meeting to be held from June 3-7 in Chicago, IL (Press release, Curis, JUN 2, 2016, View Source [SID:1234512953]).

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In addition, data will be presented from clinical studies of Erivedge, a first-in-class drug approved for the treatment of patients with advanced basal cell carcinoma (BCC). Roche and Genentech, a member of the Roche Group, develop and commercialize Erivedge under a collaboration agreement with Curis.

Additional information on the presentations can be found below and abstracts can be accessed at www.asco.org.

CUDC-907 Poster Presentation:

Date/Time: Monday, June 6, 8 AM — 11:30 AM CDT
Abstract Number: TPS7579
Presentation Title: Phase 2, open-label study of CUDC-907 with and without rituximab
in patients with relapsed/refractory MYC-altered diffuse large B cell
lymphoma

Erivedge Poster Presentations:

Date/Time: Poster Session: Saturday, June 4, 1 PM — 4:30 PM CDT
Poster Discussion Session: Saturday, June 4, 4:45 PM — 6 PM CDT
Abstract Number: 9509
Presentation Title: Mikie: A randomized, double-blinded, regimen-controlled, phase 2
study to assess the efficacy and safety of two different vismodegib
(VISMO) regimens in patients (pts) with multiple basal cell
carcinomas (BCCs)

Date/Time: Saturday, June 4, 1 PM — 4:30 PM CDT
Abstract Number: 9532
Presentation Title: Vismodegib (VISMO), a hedgehog pathway inhibitor (HPI), in
advanced basal cell carcinoma (aBCC): STEVIE study primary
analysis in 1215 patients (pts)

ARIAD Completes the Sale of Its European Operations and Out-License of European Rights to Iclusig®

On June 2, 2016 ARIAD Pharmaceuticals, Inc. (NASDAQ: ARIA) reported that it has completed the sale of its European operations to Incyte Corporation and entered into the previously announced license agreement for Incyte to exclusively license Iclusig (ponatinib) in Europe and other select countries (Press release, Ariad, JUN 2, 2016, View Source;p=RssLanding&cat=news&id=2174467 [SID:1234512951]).

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ARIAD transferred all rights to its EU operations to Incyte, which has acquired all shares of ARIAD Pharmaceuticals (Luxembourg) S.a.r.l., the parent company of ARIAD’s European subsidiaries responsible for the commercialization of Iclusig in the licensed territory, for a payment to ARIAD at the closing of approximately $140 million (subject to customary post-closing adjustments). In addition, Incyte has now been granted an exclusive license to develop and commercialize Iclusig in the European Union and 22 other countries, including Switzerland, Norway, Turkey, Israel and Russia.

"With the closing of this transaction, we have completed a key outcome from our strategic review," stated Paris Panayiotopoulos, president and chief executive officer of ARIAD. "This agreement puts ARIAD in a strong financial position. It will allow us to focus our resources on our promising R&D initiatives and our efforts to achieve the full commercial potential of Iclusig and brigatinib, if approved, in the highly valuable U.S. market, while also maintaining future strategic flexibility through the buy-back provision for the licensed Iclusig rights."

In connection with the closing of the Incyte transaction, the previously disclosed amendments to ARIAD’s royalty financing agreement with PDL BioPharma, Inc. (PDL), entered into on May 9, 2016, became effective. ARIAD and PDL agreed to amend the agreement to, among other things, include net sales of Iclusig made by Incyte in the calculation of net sales under the PDL agreement and to restructure ARIAD’s option to receive additional funding so that ARIAD may require PDL to fund up to an additional $40 million (instead of the original $100 million) in July 2017, rather than between January and July 2016.

Baker & McKenzie LLP represented ARIAD in the Incyte transaction, and Mintz, Levin, Cohn, Ferris, Glovsky & Popeo, P.C. represented ARIAD in the PDL transaction.

About Iclusig (ponatinib) tablets

Iclusig is a kinase inhibitor. The primary target for Iclusig is BCR-ABL, an abnormal tyrosine kinase that is expressed in chronic myeloid leukemia (CML) and Philadelphia-chromosome positive acute lymphoblastic leukemia (Ph+ ALL). Iclusig was designed using ARIAD’s computational and structure-based drug-design platform specifically to inhibit the activity of BCR-ABL. Iclusig targets not only native BCR-ABL but also its isoforms that carry mutations that confer resistance to treatment, including the T315I mutation, which has been associated with resistance to other approved TKIs.

Iclusig is approved in the U.S., EU, Australia, Switzerland, Israel and Canada.

In the U.S., Iclusig is a kinase inhibitor indicated for the:

Treatment of adult patients with T315I-positive chronic myeloid leukemia (chronic phase, accelerated phase, or blast phase) or T315I-positive Philadelphia chromosome positive acute lymphoblastic leukemia (Ph+ ALL).
Treatment of adult patients with chronic phase, accelerated phase, or blast phase chronic myeloid leukemia or Ph+ ALL for whom no other tyrosine kinase inhibitor (TKI) therapy is indicated.
These indications are based upon response rate. There are no trials verifying an improvement in disease-related symptoms or increased survival with Iclusig.

IMPORTANT SAFETY INFORMATION, INCLUDING THE BOXED WARNING

WARNING: VASCULAR OCCLUSION, HEART FAILURE, and HEPATOTOXICITY

See full prescribing information for complete boxed warning

Vascular Occlusion: Arterial and venous thrombosis and occlusions have occurred in at least 27% of Iclusig treated patients, including fatal myocardial infarction, stroke, stenosis of large arterial vessels of the brain, severe peripheral vascular disease, and the need for urgent revascularization procedures. Patients with and without cardiovascular risk factors, including patients less than 50 years old, experienced these events. Monitor for evidence of thromboembolism and vascular occlusion. Interrupt or stop Iclusig immediately for vascular occlusion. A benefit risk consideration should guide a decision to restart Iclusig therapy.
Heart Failure, including fatalities, occurred in 8% of Iclusig-treated patients. Monitor cardiac function. Interrupt or stop Iclusig for new or worsening heart failure.
Hepatotoxicity, liver failure and death have occurred in Iclusig-treated patients. Monitor hepatic function. Interrupt Iclusig if hepatotoxicity is suspected.
Please see the full U.S. Prescribing Information for Iclusig, including the Boxed Warning, for additional important safety information.

In the EU, Iclusig is approved for the treatment of adult patients with chronic phase, accelerated phase or blast phase chronic myeloid leukemia (CML) who are resistant to dasatinib or nilotinib; who are intolerant to dasatinib or nilotinib and for whom subsequent treatment with imatinib is not clinically appropriate; or who have the T315I mutation, or the treatment of adult patients with Philadelphia-chromosome positive acute lymphoblastic leukaemia (Ph+ ALL) who are resistant to dasatinib; who are intolerant to dasatinib and for whom subsequent treatment with imatinib is not clinically appropriate; or who have the T315I mutation.

Corcept Therapeutics Provides Update of Progress in Cortisol Modulation Oncology Program

On June 2, 2016 Corcept Therapeutics Incorporated (NASDAQ: CORT), a pharmaceutical company engaged in the discovery, development and commercialization of drugs that treat severe metabolic, psychiatric and oncologic disorders by modulating the effects of the stress hormone cortisol, released preliminary efficacy data from its Phase 1/2 trial of mifepristone to treat patients with metastatic triple-negative breast cancer (TNBC) (Press release, Corcept Therapeutics, JUN 2, 2016, http://www.corcept.com/news_events/view/pr_1464901246 [SID:1234512972]). The company also provided an update of developments in other clinical trials of cortisol modulators, including mifepristone, to treat a variety of solid-tumor cancers.

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"Preliminary data from our Phase 1/2 trial in patients with TNBC support our hypothesis that cortisol modulators such as mifepristone augment standard chemotherapy in difficult to treat solid-tumor cancers," said Joseph K. Belanoff, MD, Corcept’s Chief Executive Officer. "We look forward to the trial’s final results, which will guide us as we advance our oncology programs."

"It’s exciting to see the study of cortisol modulation as a treatment for GR-positive solid-tumor cancers advance so broadly," said Robert S. Fishman, MD, Corcept’s Chief Medical Officer. "In addition to our trial combining mifepristone and Halaven, we have begun dosing patients in a Phase 1/2 trial combining our proprietary cortisol modulator, CORT125134, with Abraxane. Our colleagues at the University of Chicago are also taking important steps to explore cortisol modulation’s potential in oncology. They have begun enrolling patients in a Phase 2 trial of mifepristone plus Xtandi to treat CRPC. In the coming months, they plan to start a controlled Phase 2 study, with support from Celgene and Corcept, of mifepristone in combination with Abraxane to treat patients with TNBC."

Preliminary Results in Corcept’s Phase 1/2 Trial of Mifepristone to Treat TNBC

This open-label trial is investigating whether the addition of mifepristone enhances the effect of Halaven in patients with TNBC whose tumors express the glucocorticoid receptor (GR), one of the receptors to which mifepristone binds.

The trial has enrolled 21 patients with GR-positive tumors and two with tumors whose GR status is not currently known. As determined using the Response Evaluation Criteria in Solid Tumors (RECIST), preliminary efficacy results in this group were as follows: Three patients exhibited a partial response, defined as a 30 percent or greater reduction in tumor size, eight had stable disease and 11 had progressive disease. One patient is too early in treatment to be assessed (see Figure 1).

"These preliminary data are encouraging," said Dr. Fishman. "For example, five patients achieved progression-free survival (PFS) longer than the upper bound for PFS in TNBC patients receiving Halaven monotherapy in a comparable population (Aogi et al., Annals of Oncology 23: 1441-1448, 2012). We expect our analysis of the complete, final data will tell us more."

The combination of mifepristone and Halaven has been well-tolerated. Neutropenia has been manageable with the administration of growth factor. Other adverse events have been mainly of mild or moderate severity, with the most common being fatigue, nausea, hypokalemia, hair loss and neuropathy.

Final results are expected in mid-2016.

Corcept’s Phase 1/2 Trial of CORT125134 to Treat Solid-Tumor Cancers

Corcept has begun dosing patients in a trial of its proprietary, selective cortisol modulator, CORT125134, together with Abraxane to treat solid-tumor cancers (clinicaltrials.gov identifier NCT02762981). The trial’s first phase will identify a recommended dose of Abraxane and CORT125134. The second phase will test the combination’s efficacy against a range of tumor types in one or more 20-patient cohorts. Possible target indications include TNBC, CRPC, ovarian cancer, pancreatic cancer and sarcoma. Other cohorts may be enrolled to study CORT125134 with different companion agents, including PD-1 inhibitors. In animal models, the addition of CORT125134 to PD-1 monotherapy significantly slowed tumor progression relative to PD-1 monotherapy. (For more information, see the company’s press release of April 28, 2016 at corcept.com.)

Initial results are expected in 2017.

University of Chicago Two Phase 2 Trials of Mifepristone to Treat CRPC and TNBC

Researchers at the University of Chicago have begun enrolling patients in the Phase 2 portion of their trial of mifepristone combined with Xtandi to treat patients with metastatic CRPC (clinicaltrials.gov identifier NCT02012296). The University of Chicago investigators are also planning to conduct a placebo-controlled, double-blind, Phase 2 trial of mifepristone combined with Abraxane to treat patients with advanced, GR-positive TNBC (clinicaltrials.gov identifier NCT02788981).

Celgene is providing support for the Abraxane/mifepristone trial. The Department of Defense and the Prostate Cancer/Movember Foundation are providing support for the CRPC trial.

Corcept is providing mifepristone to both the TNBC and CRPC trials.

Corcept has licensed patents from the University of Chicago covering the use of cortisol modulators in combination with anti-cancer agents to treat TNBC and CRPC.

About TNBC

TNBC is a form of breast cancer in which the three receptors that fuel most breast cancer growth – estrogen, progesterone and HER-2 – are not present. Because the tumor cells lack these receptors, treatments that target estrogen, progesterone and HER-2 are ineffective. Approximately 40,000 women are diagnosed with triple-negative breast cancer each year. It is estimated that more than 75 percent of these women’s tumor cells express GR. There is no FDA-approved treatment and neither a targeted treatment nor an approved standard chemotherapy regimen for relapsed triple-negative breast cancer patients exists. Corcept has licensed patents from the University of Chicago covering the use of GR antagonists in combination with chemotherapy to treat TNBC and castration-resistant prostate cancer.

About CRPC

Castration-resistant prostate cancer (CRPC) is a form of the disease that progresses despite androgen receptor blockade. There are approximately 130,000 patients with metastatic CRPC in the United States. The prognosis for patients with metastatic disease is poor.

About Mifepristone

Mifepristone is the active ingredient in Corcept’s product, Korlym 300mg tablets, which the FDA has approved for the once-daily oral treatment of hyperglycemia secondary to endogenous Cushing’s syndrome in adult patients with glucose intolerance or diabetes mellitus type 2 who have failed surgery or are not candidates for surgery. Korlym (mifepristone) ameliorates the symptoms of Cushing’s syndrome by modulating the activity of cortisol at GR, one of the two receptors to which cortisol binds. Korlym was the first FDA-approved treatment for that illness and the FDA has designated it as an Orphan Drug for that indication.

About CORT125134

CORT125134 is the lead compound in Corcept’s portfolio of selective cortisol modulators. It is a non-steroidal competitive antagonist of GR that does not bind to the body’s other hormone receptors, including the progesterone receptor. It is the affinity of Korlym for the progesterone receptor that results in termination of pregnancy and can cause endometrial thickening and irregular vaginal bleeding in some women. CORT125134 will not have these effects. The compound is proprietary to Corcept and is protected by composition of matter and method of use patents extending into 2033.

Boehringer Ingelheim launches ambitious ELUXA trial programme to broadly investigate promising lung cancer compound olmutinib

On June 2, 2016 Boehringer Ingelheim reported that it has initiated the ELUXA trial programme, designed to further investigate the therapeutic potential of olmutinib* (BI 1482694 / HM61713), a novel third-generation, epidermal growth factor receptor (EGFR) mutation-specific tyrosine kinase inhibitor (TKI) for the treatment of EGFR mutation-positive non-small cell lung cancer (NSCLC) (Press release, Boehringer Ingelheim, JUN 2, 2016, View Source [SID:1234512970]).

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The company will comprehensively investigate olmutinib as a monotherapy in different settings as well as in combination with investigational and established anti-cancer treatments, such as MSD’s anti-PD-1 therapy, pembrolizumab (Keytruda+). Third-generation EGFR TKIs, including olmutinib, aim to provide new, much-needed treatment options for patients who have developed resistance to first- and second-generation TKIs and their potential as new treatment options in first-line is currently being investigated.

The ELUXA trial programme builds on the encouraging clinical data seen in the Phase I/II HM-EMSI-101 trial investigating olmutinib in EGFR mutation-positive lung cancer patients who have become resistant to first-line TKI therapy. The trial was the basis for the first registration of olmutinib in South Korea. An updated analysis of this trial will be presented at ASCO (Free ASCO Whitepaper) 2016.

Dr Mehdi Shahidi, Medical Head, Solid Tumour Oncology, Boehringer Ingelheim commented, "With encouraging activity of olmutinib observed in patients with EGFR mutation-positive NSCLC, we are proudly announcing our extensive ELUXA trial programme. We are excited to apply our expertise in this field, gained during the continuing development of afatinib through the LUX-Lung programme, and launch another comprehensive clinical programme. The ELUXA trial programme is designed to shed further light on our understanding of EGFR mutation-positive lung cancer to ultimately improve the outcomes for patients with high unmet medical need."

Olmutinib will be investigated as a monotherapy through the following trials:

ELUXA 1 (HM-EMSI-202): This Phase II trial was initiated in 2015 and aims to help establish the safety and efficacy of olmutinib in patients with EGFR T790M mutation-positive lung cancer, following initial EGFR TKI treatment. The study has completed enrolment with more than 150 patients worldwide and will form the basis of regulatory submissions
ELUXA 2: This Phase III trial will be initiated in 2016 to investigate the efficacy and safety of olmutinib in comparison to standard, platinum-doublet chemotherapy for patients with EGFR T790M mutation-positive lung cancer, whose disease progressed on one prior EGFR TKI treatment
ELUXA 3: This Phase III head-to-head trial to be initiated in 2016 will investigate olmutinib as a first-line treatment compared to a second-generation EGFR TKI, afatinib** (Giotrif/Gilotrif), in patients with EGFR mutation-positive NSCLC
ELUXA 4: This Phase I/II trial in Japanese patients with EGFR T790M mutation-positive NSCLC will be initiated in 2016
ELUXA 6: This Phase II study will be the first trial to prospectively use blood-based biomarker testing to select patients with EGFR T790M mutation-positive NSCLC where a needle biopsy may not be appropriate
As the landscape of lung cancer care changes, and the development of novel therapies and biomarker testing continue to rapidly evolve, Boehringer Ingelheim is committed to investigating how treatment approaches might be combined to develop more effective therapies and sequences of treatments for patients. By targeting multiple oncogenic mechanisms, research suggests that combinations may overcome drug resistance and better control cancer, delivering improved outcomes for patients.

The ELUXA trial programme will investigate olmutinib in different settings of EGFR mutation-positive lung cancer in combination with both Boehringer Ingelheim compounds and treatments developed by external parties. These trials will include:

Olmutinib in combination with pembrolizumab (Keytruda+), a new collaboration through a subsidiary of MSD (MSD is also known as Merck in the U.S. and Canada)
Olmutinib plus afatinib** (Giotrif/Gilotrif)
Olmutinib plus IGF ligand-neutralizing antibody BI 836845****
Olmutinib plus oral nintedanib*** (Vargatef)
Olmutinib plus bevacizumab (Avastin)

* Olmutinib (BI 1482694 / HM61713) is approved in South Korea for the treatment of EGFR T790M mutation-positive lung cancer. Olmutinib is not approved in other indications and jurisdictions. Trials are ongoing and data will be submitted to other regulatory bodies in due course.

** Afatinib is approved in a number of markets, including the EU, Japan, Taiwan and Canada under the brand name Giotrif, in the US under the brand name Gilotrif and in India under the brand name Xovoltib for use in patients with distinct types of EGFR mutation-positive NSCLC. Afatinib is also approved in the EU, US and other markets for the treatment of patients with advanced SqCC of the lung whose disease has progressed (on or) after treatment with platinum-based chemotherapy. Afatinib is under regulatory review by health authorities in other countries worldwide. Registration conditions differ internationally, please refer to locally approved prescribing information.

*** Nintedanib is approved in the EU under the brand name Vargatef for use in combination with docetaxel in adult patients with locally advanced, metastatic or locally recurrent NSCLC of adenocarcinoma tumour histology after first-line chemotherapy. Nintedanib is not approved in other oncology indications. Nintedanib is under regulatory review by health authorities in other countries outside the EU.

**** BI 836845 is not approved and its efficacy and safety have not yet been fully established.

+ KEYTRUDA is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.