Checkpoint Therapeutics to Present Cosibelimab Interim Results from Registration-Enabling Trial at ESMO Virtual Congress 2020

On July 27, 2020 Checkpoint Therapeutics, Inc. ("Checkpoint") (NASDAQ: CKPT), a clinical-stage immunotherapy and targeted oncology company, reported that an abstract highlighting updated interim safety and efficacy data from the ongoing registration-enabling clinical trial of cosibelimab in patients with metastatic cutaneous squamous cell carcinoma ("mCSCC") has been accepted for e-poster presentation at the European Society for Medical Oncology ("ESMO") Virtual Congress 2020, to be held September 19-21, 2020 (Press release, Checkpoint Therapeutics, JUL 27, 2020, View Source [SID1234562393]).

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Cosibelimab is a potential best-in-class, high affinity, fully-human IgG1 monoclonal antibody that directly binds to programmed death ligand-1 ("PD-L1") and blocks the PD-L1 interaction with the programmed death receptor-1 ("PD-1") and B7.1 receptors to reactivate an antitumor immune response. Cosibelimab is currently being studied in a global, open-label, registration-enabling Phase 1 clinical trial intended to support U.S., EU and other foreign marketing approval applications worldwide. Enrollment in the mCSCC trial has surpassed 50% of the enrollment target, with completion of enrollment expected around year-end and full top-line results anticipated next year. Checkpoint is also enrolling patients with locally advanced cutaneous squamous cell carcinoma to support a potential second indication for cosibelimab.

James F. Oliviero, President and CEO of Checkpoint stated, "We believe cosibelimab is a best-in-class anti-PD-L1 antibody, which we plan to commercialize at a substantially lower price in comparison to currently marketed anti-PD-(L)1 therapies. Through our market disruptive pricing strategy, we believe cosibelimab will obtain meaningful and rapid market share in the $25 billion PD-(L)1 class, while significantly lowering the barrier of high out-of-pocket costs patients endure worldwide to access premium-priced cancer therapies." Mr. Oliviero continued, "We are excited to present updated interim data from our pivotal mCSCC trial at the upcoming ESMO (Free ESMO Whitepaper) Congress, as we continue to make significant progress towards completing enrollment around year-end. We recently enhanced our enrollment efforts through the opening of clinical sites in two additional countries and intend to open sites in other western European countries this quarter to further accelerate enrollment in mCSCC and additional potential indications for cosibelimab."

Previously released interim results for cosibelimab were presented in a poster presentation at the ESMO (Free ESMO Whitepaper) Congress 2019. Results included a 50% objective response rate by investigator assessment in the first 14 mCSCC patients, including one complete response. All responses (100%) were confirmed and ongoing at the time of analysis. A copy of the ESMO (Free ESMO Whitepaper) Congress 2019 poster presentation is available on the Publications page of the Pipeline section of Checkpoint’s website, www.checkpointtx.com.

In January 2020, Checkpoint announced that the U.S. Food and Drug Administration had confirmed the registration submission pathway for cosibelimab in mCSCC based on the ongoing clinical trial, which has a target enrollment of approximately 75 patients and a primary efficacy endpoint of confirmed objective response rate assessed by independent central review.

About Cutaneous Squamous Cell Carcinoma
Cutaneous squamous cell carcinoma ("CSCC") is the second most common human cancer in the United States, with an estimated annual incidence of 700,000 cases. While most cases are localized tumors amenable to curative resection, approximately 8% of patients will experience a local recurrence, 5% of patients will develop nodal metastases, and an estimated 2% of patients will die from their disease. Ten-year survival rates are less than 20% for patients with regional lymph-node involvement. For those patients who develop distant metastases, the median survival time is estimated to be less than two years. In addition to being a life-threatening disease, CSCC causes significant functional morbidities and cosmetic deformities based on tumors commonly arising in the head and neck region and invading blood vessels, nerves and vital organs such as the eye or ear.

About Cosibelimab
Cosibelimab (formerly referred to as CK-301) is a potential best-in-class, high affinity, fully-human monoclonal antibody of IgG1 subtype that directly binds to programmed death ligand-1 (PD-L1) and blocks the PD-L1 interaction with the programmed death receptor-1 (PD-1) and B7.1 receptors. PD-L1 is an immune-inhibitory checkpoint molecule expressed on epithelial and vascular endothelial cells, as well as by a number of immune cells, and is utilized by tumor cells as an immune escape mechanism. Cosibelimab’s primary mechanism of action is based on the inhibition of the interaction between PD-L1 and its receptors PD-1 and B7.1, which removes the suppressive effects of PD-L1 on anti-tumor CD8+ T-cells to restore the cytotoxic T cell response. Cosibelimab is potentially differentiated from the currently marketed PD-1 and PD-L1 antibodies through sustained >99% target tumor occupancy to reactivate an antitumor immune response and the additional benefit of a functional Fc domain capable of inducing antibody-dependent cell-mediated cytotoxicity ("ADCC") for potential enhanced efficacy in certain tumor types.

Heat Biologics Regains Compliance with Nasdaq Minimum Bid Price Rule

On July 27, 2020 Heat Biologics, Inc. ("Heat") (NASDAQ:HTBX), a clinical-stage biopharmaceutical company focused on developing first-in-class therapies to modulate the immune system, including multiple oncology product candidates and a novel COVID-19 vaccine product candidate, reported that on July 24, 2020, the Company received a letter from the Listing Qualifications Department of The Nasdaq Stock Market, Inc. ("Nasdaq"), confirming that the Company has regained compliance with the $1.00 per share minimum closing bid price requirement for continued listing on the Nasdaq Stock Market, pursuant to the Nasdaq marketplace rules (Press release, Heat Biologics, JUL 27, 2020, View Source [SID1234562392]). Nasdaq indicated in its letter that since the Company has regained compliance with Listing Rule 5550(a)(2), or the Minimum Bid Price Rule, this matter is now closed.

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Centus Biotherapeutics Announces Positive CHMP Opinion for FKB238, Biosimilar Bevacizumab

On July 27, 2020 Centus Biotherapeutics Ltd., a joint venture between Fujifilm Kyowa Kirin Biologics Co., Ltd. and AstraZeneca PLC (LSE/STO/NYSE: AZN), reported that the European Medicines Agency’s Committee for Medicinal Products for Human Use (CHMP) has adopted a positive opinion for the Marketing Authorization Application of Equidacent (Product Code: FKB238), the company’s biosimilar to Avastin (bevacizumab), for indications including metastatic carcinoma of the colon or rectum, metastatic breast cancer, unresectable advanced, metastatic or recurrent non-small cell lung cancer, advanced and/or metastatic renal cell cancer, epithelial ovarian, fallopian tube, or primary peritoneal cancer, persistent, recurrent, or metastatic carcinoma of the cervix (Press release, Centus Biotherapeutics, JUL 27, 2020, View Source,-Details%20Category%3A%20Antibodies&text=D.%20said%2C%20%E2%80%9CI%20am,to%20patients%20throughout%20European%20countries. [SID1234562391]).

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The decision of the European Commission (EC) on the approval is expected in September 2020, which would grant Centus the marketing authorization in 27 European Union (EU) member states, the United Kingdom (UK) and the European Economic Area (EEA) member states of Norway, Iceland and Liechtenstein.

Centus President Hiroshi Ohashi, Ph. D. commented, "We are happy to receive a positive CHMP opinion toward the approval of Equidacent, our bevacizumab biosimilar. We will continue to make every effort to obtain the approval for Equidacent, which could help patients and healthcare professionals."

Fujifilm Kyowa Kirin Biologics President and CEO Atsushi Matsumoto, Ph. D. said, "I am delighted that CHMP decided to recommend the approval of the proposed biosimilar bevacizumab. We will continue our efforts to bring high quality and affordable biosimilars to patients throughout European countries."

Centus was established in 2015 as a joint venture between Fujifilm Kyowa Kirin Biologics and AstraZeneca. Fujifilm Kyowa Kirin Biologics has granted an exclusive license to Centus for the development, manufacture and commercialization of Equidacent on a worldwide basis. Centus has been promoting clinical development of Equidacent.

Data submitted as part of the Marketing Authorization Application for Equidacent included similarity assessment in analytical testing, preclinical and clinical studies that demonstrated biosimilarity to the bevacizumab reference product, Avastin. The phase 3 clinical study, AVANA, conducted by Centus, demonstrated no clinically meaningful differences in terms of safety, efficacy and immunogenicity compared with the reference product, Avastin, in non-small cell lung cancer patients.

About Bevacizumab
Bevacizumab is a recombinant humanized monoclonal antibody that blocks angiogenesis by inhibiting vascular endothelial growth factor A (VEGF-A). It reduces growth and metastasis of several solid tumors.

Chugai Announces 2020 Half Year Results

On July 27, 2020 Chugai Pharmaceutical Co., Ltd. (TOKYO: 4519) reported its financial results for the first half of fiscal year 2020 (Press release, Chugai, JUL 27, 2020, View Source [SID1234562389]).

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"We had another successful quarter with a limited impact from the COVID-19 pandemic on financial performances though we saw wide-ranging influences on our activities. We obtained approval for the first recycling antibody Enspryng, one of our next growth drivers. Also, structural reforms of corporate functions progressed well to enhance the business platform. Under increasingly uncertain business conditions, we will continue striving to realize innovation that is only possible at Chugai," said Tatsuro Kosaka, Chugai’s Chairman and CEO.

[Half year results for 2020]

Despite the slight decrease in domestic sales affected by the NHI drug price revisions and the market penetration of generic drugs, Chugai reported a double-digit growth year-on-year in revenues and operating profit for the half year (Core-basis), due to increases both in overseas sales and royalties and other operating income.

Revenues increased by 14.9%. Among sales, domestic sales decreased by 2.6% due to a decrease in sales of mainstay products mainly in the Oncology and Renal diseases areas affected by the NHI drug price revisions in April this year, and the market penetration of generic drugs. On the other hand, overseas sales increased by 39.5% due to an increase in export of Actemra to Roche, including those for clinical trials for COVID-19 pneumonia, and the export of Hemlibra to Roche at a regular shipment price. Royalties and other operating income increased by 64.9% due to a large increase in royalties for Hemlibra and its profit-sharing income as well as an increase in other operating income resulting from one-time income.

Cost to sales ratio improved by 2.2 percentage points at 42.9% mainly due to a larger proportion of in-house products in the total product mix. Operating expenses increased slightly in total. Marketing and distribution expenses and general and administration expenses decreased due to lower business activities caused by the spread of COVID-19. Research and development expenses recorded a double-digit increase with the projects progressing largely as expected at the beginning of the year. Operating profit increased by 38.8% due to the strong increase in royalties and profit-sharing income, and a better cost to sales ratio.

The Company also made a good progress in research and development. Chugai obtained regulatory approval for the anti-IL-6 receptor recycling antibody Enspryng, created by Chugai for the prevention of relapses of neuromyelitis optica spectrum disorder (including neuromyelitis optica) in Japan in June. Also, Chugai started domestic Phase III study for Hemlibra for the treatment of acquired hemophilia A. Regarding projects for COVID-19, a domestic Phase III study for Actemra for the hospitalized patients with severe COVID-19 pneumonia is underway, and Chugai aims to submit a regulatory application in 2020. Chugai Pharmabody Research Pte. Ltd. (CPR) began a joint research on a therapeutic antibody to fight COVID-19 with the Agency for Science, Technology and Research (A*STAR).

[Initiatives for COVID-19 and impact on performance]

Regarding the impact of COVID-19 on performance during the six months under review, there were no major negative impacts on revenues and profits. However, the company faced a range of influences on the progress of business activities as below.

Product supply system maintained stable by taking measures to prevent infection of employees and business partners. No impacts on the product supply have been seen both in Japan and overseas up to now.
Delay of the introduction of new products and those with additional indications, such as Tecentriq and Hemlibra, in the domestic market due to various reasons including restrained sales activities and decreases in hospitalizations and outpatients.
Increase in export of Actemra to Roche, including those for clinical trials for COVID-19 pneumonia.
No major impacts on the timing of regulatory filing or approval.
Some delays in the initiation and progress of clinical trials for projects under development. These delays are expected to be resolved in time.
No delays in drug discovery activities for high-priority projects.
Construction for Chugai Life Science Park Yokohama temporarily suspended. Construction resumed entirely from June with limited impacts on the overall construction schedule.
Some expenses suppressed mainly due to cancellation of overseas travels and restrained sales activities in Japan.

Calquence recommended for approval in the EU by CHMP for chronic lymphocytic leukaemia

On July 27, 2020 AstraZeneca’s Calquence (acalabrutinib) reported that it has been recommended for marketing authorisation in the European Union (EU) for the treatment of adult patients with chronic lymphocytic leukaemia (CLL), the most common type of leukaemia in adults.1 (Press release, AstraZeneca, JUL 27, 2020, View Source [SID1234562386])

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The Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) based its positive opinion on results from two Phase III clinical trials, ELEVATE TN in patients with previously untreated CLL, and ASCEND in patients with relapsed or refractory CLL.

In the ELEVATE TN trial, Calquence combined with obinutuzumab and as monotherapy reduced the risk of disease progression or death by 90% and 80%, respectively, compared to standard chemo-immunotherapy treatment chlorambucil plus obinutuzumab, in patients with previously untreated CLL.2 In the ASCEND trial, 88% of patients with relapsed or refractory CLL taking Calquence remained alive and free from disease progression after 12 months compared to 68% of patients on rituximab combined with idelalisib or bendamustine.3

Across both trials, the safety and tolerability of Calquence were consistent with its known profile.2,3

José Baselga, Executive Vice President, Oncology R&D said: "With its outstanding efficacy and tolerability profile, Calquence can offer important advantages to patients with chronic lymphocytic leukaemia who are typically older, facing multiple comorbidities and often require treatment for many years. This positive recommendation brings us closer to providing a much-needed new treatment option to patients in Europe who are suffering from this chronic blood cancer."

The CHMP recommendation is for Calquence monotherapy or in combination with obinutuzumab for the treatment of adult patients with previously untreated CLL and for Calquence monotherapy for the treatment of adult patients with CLL who have received at least one prior therapy.

Calquence is approved in the US and in several other countries around the world for the treatment of adult patients with CLL and for adult patients with mantle cell lymphoma (MCL) who have received at least one prior therapy. Calquence is not approved for MCL in Europe.

Chronic lymphocytic leukaemia

Chronic lymphocytic leukaemia (CLL) is the most common type of leukaemia in adults, with an estimated 105,000 new cases globally in 2016, and the number of people living with CLL is expected to grow with improved treatment as patients live longer with the disease.1,4,5,6 In CLL, too many blood stem cells in the bone marrow become abnormal lymphocytes and these abnormal cells have difficulty fighting infections. As the number of abnormal cells grows there is less room for healthy white blood cells, red blood cells, and platelets. This could result in anaemia, infection, and bleeding.4 B-cell receptor signalling through Bruton’s tyrosine kinase is one of the essential growth pathways for CLL.

ELEVATE TN

ELEVATE TN (ACE-CL-007) was a randomised, multicentre, open-label Phase III trial evaluating the safety and efficacy of Calquence in combination with obinutuzumab, a CD20 monoclonal antibody, or Calquence alone versus chlorambucil, a chemotherapy, in combination with obinutuzumab in previously untreated patients with CLL. Patients 65 years of age or older, or between 18 and 65 years of age with a total Cumulative Illness Rating Scale (CIRS) >6 or creatinine clearance of 30 to 69mL/min, were enrolled. In the trial, 535 patients were randomised (1:1:1) into three arms. Patients in the first arm received chlorambucil in combination with obinutuzumab. Patients in the second arm received Calquence (100mg approximately every 12 hours until disease progression or unacceptable toxicity) in combination with obinutuzumab. Patients in the third arm received Calquence monotherapy (100mg approximately every 12 hours until disease progression or unacceptable toxicity).2,7

The primary endpoint was progression-free survival (PFS) in the Calquence and obinutuzumab arm compared to the chlorambucil and obinutuzumab arm, assessed by an independent review committee (IRC), and a key secondary endpoint was IRC-assessed PFS in the Calquence monotherapy arm compared to the chlorambucil and obinutuzumab arm. Other secondary endpoints included objective response rate, time to next treatment and overall survival.2,7

ASCEND

ASCEND (ACE-CL-309) was a global, randomised, multicentre, open-label Phase III trial evaluating the efficacy of Calquence in previously treated patients with CLL. In the trial, 310 patients were randomised (1:1) into two arms. Patients in the first arm received Calquence monotherapy (100mg twice daily until disease progression or unacceptable toxicity). Patients in the second arm received investigator’s choice of either rituximab, a CD20 monoclonal antibody, in combination with idelalisib, a PI3K inhibitor, or rituximab in combination with bendamustine, a chemotherapy.3,7

The primary endpoint was PFS assessed by an IRC, and key secondary endpoints included physician-assessed PFS, IRC- and physician-assessed overall response rate and duration of response, as well as overall survival, patient-reported outcomes and time to next treatment.3,7

Calquence

Calquence (acalabrutinib) is a next-generation, selective inhibitor of Bruton’s tyrosine kinase (BTK). Calquence binds covalently to BTK, thereby inhibiting its activity.7,8 In B-cells, BTK signalling results in activation of pathways necessary for B-cell proliferation, trafficking, chemotaxis, and adhesion.7

Calquence is approved in the US and in several countries around the world for the treatment of adult patients with chronic lymphocytic leukaemia (CLL) and for adult patients with mantle cell lymphoma (MCL) who have received at least one prior therapy. The US MCL indication is approved under accelerated approval based on overall response rate. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials. As part of an extensive clinical development programme, AstraZeneca and Acerta Pharma are currently evaluating Calquence in 23 company-sponsored clinical trials. Calquence is being developed for the treatment of multiple B-cell blood cancers including CLL, MCL, diffuse large B-cell lymphoma, Waldenström macroglobulinaemia, follicular lymphoma, and other haematologic malignancies.

AstraZeneca in haematology

Leveraging its strength in oncology, AstraZeneca has established haematology as one of four key oncology disease areas of focus. The Company’s haematology franchise includes two medicines approved by the US Food and Drug Administration and a robust global development programme for a broad portfolio of potential blood cancer treatments. Acerta Pharma serves as AstraZeneca’s haematology research and development arm. AstraZeneca partners with like-minded science-led companies to advance the discovery and development of therapies to address unmet need.

AstraZeneca in oncology

AstraZeneca has a deep-rooted heritage in oncology and offers a quickly growing portfolio of new medicines that has the potential to transform patients’ lives and the Company’s future. With six new medicines launched between 2014 and 2020, and a broad pipeline of small molecules and biologics in development, the Company is committed to advance oncology as a key growth driver for AstraZeneca focused on lung, ovarian, breast and blood cancers. In addition to AstraZeneca’s main capabilities, the Company is actively pursuing innovative partnerships and investments that accelerate the delivery of our strategy, as illustrated by the investment in Acerta Pharma in haematology.

By harnessing the power of four scientific platforms – Immuno-Oncology, Tumour Drivers and Resistance, DNA Damage Response and Antibody Drug Conjugates – and by championing the development of personalised combinations, AstraZeneca has the vision to redefine cancer treatment and one day eliminate cancer as a cause of death.