Study Shows Guardant360 Liquid Biopsy Predicts Response to Pembrolizumab-Based Immunotherapy in Patients with Metastatic Non-Small Cell Lung Cancer

On March 26, 2021 Guardant Health reported that For patients with metastatic non-small cell lung cancer (mNSCLC), not harboring an actionable mutation, immunotherapy is often recommended for first-line treatment (Press release, Guardant Health, MAR 26, 2021, View Source [SID1234577233]). A new study in JCO Precision Oncology shows the Guardant360 liquid biopsy test provides an early indication of treatment response to pembrolizumab-based immunotherapy by detecting molecular response or changes in circulating tumor DNA (ctDNA) levels early on.10 The study was led by researchers at the Perelman School of Medicine at the University of Pennsylvania.

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The single-center, prospective, observational study evaluated molecular response in patients with mNSCLC (n=51) receiving pembrolizumab-based therapy, as monotherapy or with chemotherapy, as first- or second-line treatment. Changes in ctDNA were evaluated from baseline to nine weeks post-therapy initiation, and correlated with clinical and radiographic response.

In the study, the Guardant360 test showed that molecular responders achieved improved durable clinic benefit (log mean 49.4% vs. 3.5%) and significantly longer progression-free survival (median 14.1 vs. 4.4 months) and overall survival (median 22.1 vs. 12.0 months) compared to non-molecular responders. Molecular response was also associated with radiologic response as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) .

"Unfortunately, only a subset of patients with metastatic non-small cell lung cancer will respond to pembrolizumab-based therapy, and their failure to achieve clinical benefit becomes evident after their disease has progressed," said Helmy Eltoukhy, Guardant Health CEO. "This study adds to the growing body of evidence showing that our Guardant360 test can effectively measure molecular response, giving clinicians an earlier indication whether to continue or stop treatment, explore other therapeutic regimens, or enroll the patient in a clinical trial."

The Guardant360 test is used to guide treatment in metastatic non-small cell lung cancer as the number of treatment-relevant genomic alterations continues to grow. Using next-generation sequencing, Guardant360 analyzes 83 genes using cell-free tumor DNA from blood samples. The Guardant360 test is broadly covered by Medicare for use across the vast majority of advanced solid tumors, including patients with metastatic non-small cell lung cancer. Last year, the FDA approved the Guardant360 CDx for tumor mutation profiling, also known as comprehensive genomic profiling (CGP), in patients with any solid malignant neoplasm (cancerous tumor).

"These are exciting results that further support the value of liquid biopsies as a noninvasive tool to measure early treatment responses by evaluating molecular response or changes in circulating tumor DNA," said Charu Aggarwal, MD, MPH, Leslye M. Heisler Associate Professor for Lung Cancer Excellence at Penn’s Perelman School of Medicine and Abramson Cancer Center "We look forward to additional studies to help make this approach a reality in the clinical setting to personalize immunotherapy based treatment decisions for patients with metastatic non-small cell lung cancer."

The publication, titled "Serial Monitoring of Circulating Tumor DNA by Next-Generation Gene Sequencing as a Biomarker of Response and Survival in Patients With Advanced NSCLC Receiving Pembrolizumab-Based Therapy," can be found here: doi.org/10.1200/PO.20.00321.

British T-cell cancer biotech Achilles Therapeutics guns for $176M IPO

On March 26, 2021 Achilles Therapeutics reported that $176 million initial public offering for its next-gen immuno-oncology work (Press release, Achilles Therapeutics, MAR 26, 2021, View Source [SID1234577229]).

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The biotech originally came out of Syncona and Cancer Research Technology, which founded Achilles back in 2016 to build on research into cancer and cell therapies done by scientists including Charles Swanton at the Francis Crick Institute, UCL and the Royal Free Hospital.

The collective efforts of those scientists gave Achilles a platform for developing T-cell therapies targeting clonal antigens. These antigens are cell surface proteins unique to each patient’s tumor.

It has already trod a strong financial path, and, back in 2019, Achilles raised an impressive £100 million ($120 million) series B round, which at the time set it up to run human proof-of-concept studies of its personalized T-cell therapies in two types of solid tumors.

Two years down the line, and it now has its leading drug, ATL001, in the clinic: one test is in non-small cell lung cancer, followed up with a green light to run a trial in melanoma patients.

Now, it is asking for $176 million in a Nasdaq IPO to help push further into the clinic and bring more of its pipeline into the fold.

Interim data for ATL001 are expected in the second half of next year, while the company is also plotting to file INDs for its earlier-stage programs in head and neck cancer as well as kidney cancer later this year and in late 2023, respectively, according to its Securities and Exchange Commission filing.

Achilles plans to list under the symbol "ACHL."

Cosmo Full-Year Report 2020: Cosmo returns to operating profit

On March 26, 2021 Cosmo Pharmaceuticals N.V. (SIX: COPN) reported its Full-Year results for the year ended 31 December 2020 (Press release, Cosmo Pharmaceuticals, MAR 26, 2021, View Source [SID1234577220]).

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In 2020, Cosmo received European approval for Methylene Blue MMX, received FDA approval for BYFAVO, continued to execute its equity for product strategy and has returned to operating profit. The Company is very well positioned with €212.9 million in cash and significant equity stakes in other companies.

Financial Highlights Full-Year 2020

Revenue €60.9 million compared to € 62.5 million in 2019.
Net expenses €54.0 million compared to €74.8 million in 2019 following restructuring of business.
Operating profit of €6.9 million compared to an operating loss of €12.3 million in 2019.
Loss after tax of €7.9 million, including share of our associate Cassiopea loss of €4.9 million, compared with a loss after tax of €24.5 million in 2019.
Cashflow inflow from operating activities of €10.1 million compared to a cash outflow from operating activities of €17.6 million in 2019.
Cash & liquid investments €212.9 million compared to €268.2 million 2019, of which €45 million of the movement related to our investment in and loan to Acacia.
Market value of Cosmo’s stake in Cassiopea, equity investments, treasury shares, loans and cash & liquid investments at 31 December 2020 €624.6 million.
Equity €400.1m vs €393.7m at 31 December 2019.
Key Events 2020 – Products and Business

BYFAVO sub-licensed to Acacia Pharma Group (EURONEXT: ACPH) in an equity for product deal and subsequently approved by the FDA. Cosmo now owns 19.66% of Acacia and has advanced a €25 million loan to the company.
Very positive results of the first investigator initiated prospective clinical study of GI Genius announced, ADR (Adenoma Detection Rate) and APC (Adenoma Per Colonoscopy) were significantly higher in the GI Genius group compared to the control group.
GI Genius approved in Australia, Israel and the United Arab Emirates.
Methylene Blue MMX approved in Europe and European rights (plus Switzerland, the U.K., EEA countries, Russia and Mexico) subsequently licensed to Alfasigma S.p.A. in February 2021; protocol and related statistical analysis plan for the confirmatory phase III trial filed with the U.S. FDA for final comment and Chinese rights licensed to China Medical System Holdings Ltd.
Cosmo’s associate Cassiopea S.p.A. received FDA approval for Winlevi (clascoterone cream 1%) for the treatment of acne.
Italian Agenzia del Farmaco (AIFA) granted Marketing Authorisation for Stadmycin (Rifamycin SV MMX), licensed to E.G. S.p.A. (part of the STADA Group), for the treatment of Travellers’ Diarrhoea.
Japan’s Pharmaceuticals and Medical Devices Agency approved Eleview.
Licence agreement with Dr. Falk Pharma Gmbh (‘Dr. Falk’) amended to include Rifamycin SV MMX in the new 600mg formulation.
Successful outcome of phase II proof of concept (POC) clinical trial of Rifamycin SV MMX 600mg in Irritable Bowel Syndrome with Diarrhoea (IBS-D) announced in January 2021.
Key figures

Alessandro Della Chà, Chief Executive Officer, said: "2020 has been a year full of positive events for Cosmo. Methylene Blue MMX was approved in Europe, BYFAVO was approved by the FDA, Cassiopea, our associate, received FDA approval for Winlevi. We continued to execute our equity for product strategy, returned to operating profit and delivered a positive cash flow from operating activities. We have a very strong balance sheet, we are replenishing our development pipeline and we are confident that GI Genius will eventually be approved by the FDA. We therefore look to the future with optimism".

2021 Financial Outlook

Cosmo provided 2021 full year guidance, assuming approval of GI Genius by the FDA, of:

Full year revenues in the range of €60 – €64 million
Total expenses in the range of €57 – €59 million (of which ESOP €5.9 million and Depreciation & Amortisation €6.2 million)
Operating profit in the range of €3 – €5 million
The Full-Year Report 2020 with further information was published today on 26 March 2020, 07:00 am CET, and is available for download at:

View Source

Full-Year 2020 results conference call at 02:00 pm CET on 26 March 2021

Alessandro Della Chà, CEO and Niall Donnelly, CFO will present the 2020 results and discuss the outlook for 2021. The conference call will be held in English.

Ionis to present at upcoming investor conferences

On March 26, 2021 Ionis Pharmaceuticals, Inc. (Nasdaq: IONS), the leader in RNA-targeted therapeutics, reported that management will participate in virtual fireside chats at the following investor conferences (Press release, Ionis Pharmaceuticals, MAR 26, 2021, View Source [SID1234577219]):

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3rd Annual Stifel CNS Day on Thursday, April 1, 2021
20th Annual Needham Healthcare Conference on Monday, April 12, 2021
The above listed dates are subject to change. Details on presentation times or changes to presentation dates can be found on the Company’s website. Please check www.ionispharma.com for the latest information.

A live webcast of the presentations will be available on the Investors & Media section of the Ionis website. The replays will be available within 48 hours and will be archived for a limited time.

InnoCare Releases 2020 Annual Results and Business Highlights

On March 26, 2021 InnoCare Pharma (HKEX: 09969), a leading biopharmaceutical company focusing on cancer and autoimmune diseases, reported 2020 annual results which ended on Dec. 31, 2020 (Press release, InnoCare Pharma, MAR 26, 2021, View Source [SID1234577218]).

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Dr. Jasmine Cui, Co-founder, Chairwoman and CEO of InnoCare, said, "During 2020, an extraordinary year filled with uncertainty, InnoCare has nonetheless achieved significant progress that builds upon the foundation created by the previous five years of rapid development. The commitment and focus of our employees, along with the support of our partners, has allowed us to reach a series of milestones during the year. We successfully listed on the Hong Kong Stock Exchange (HKEX) on March 23, 2020 despite facing the outbreak of the epidemic and its related impact on the US and worldwide stock markets. InnoCare became the first biotech company listed on HKEX in 2020, thus paving the way for the listing of more Chinese biotech companies on this exchange. Our innovative BTK inhibitor, orelabrutinib, was approved for marketing in China on December 25, 2020. This significant regulatory achievement was predicated upon years of advancement in the laboratory and in the clinic. It marks the entry of Innocare into the commercial stage. At the same time, we have set up a strong commercial team to promote orelabrutinib to benefit more Chinese patients. We completed the construction of the first phase of the Guangzhou drug production site in only 16 months. In addition to the approval of orelabrutinib, our drug pipeline has been progressing on a timely basis, achieving a series of milestones in the fields of malignant tumors and autoimmune diseases."

"Looking forward to 2021, we will continue to advance our product pipeline. We will continue to push forward our clinical development and more drug candidates into clinal stage. In the next 18 months, we expect to have six to eight drug candidates approved for clinical trials, which will bring our total number of drug candidates in clinic to over 10. Meanwhile, our commercial team will continue to explore strategic business opportunities so that orelabrutinib can benefit more patients," added Dr. Cui.

Product Highlights and Milestones

Orelabrutinib

On Dec. 25, 2020, orelabrutinib received approval from the National Medical Products Administration (NMPA) for the treatment of patients with r/r CLL/SLL and the treatment of patients with r/r MCL. Currently, InnoCare’s commercial team is actively marketing orelabrutinib to benefit more patients.
Over 400 patients have been dosed with orelabrutinib across all of our B-cell malignant cancer trials, showing favorable safety and efficacy profiles.
The registrational trail for r/r WM has completed patient enrollment. It is expected to submit the NDA in the first half of 2022.
The registrational trial for r/r MZL is expected to complete patient enrollment in the second half of 2021.
Both phase III trial for orelabrutinib as a first-line treatment for CLL/SLL and phase III trial of orelabrutinib in combination with R-CHOP as a first-line treatment for MCL were initiated.
Phase II trial for r/r CNSL has been making progress.
Phase I trial of orelabrutinib in combination with next generation CD20 antibody MIL-62 is near completion. The preliminary clinical results are promising, which is expected to be announced in the second half of 2021.
Phase II trial for r/r MCL was initiated in the U.S., which was granted Orphan Drug Designation by the U.S. FDA in the fourth quarter of 2020.
In addition to oncology, the use of orelabrutinib for the treatment of various autoimmune diseases is undergoing. Global Phase II trials for MS in the U.S., Europe and China was in progress. And in China, phase IIa trial for SLE was launched.
ICP-192 (gunagratinib)

Phase I trial of gunagratinib was completed, showing good tolerability. Phase II trials has been progressing well. Of the 30 patients that were dosed, 12 patients with FGF/FGFR gene aberrations, the ORR was 33.3% including 1 cholangiocarcinoma patient (8.3%) achieving CR and 3 patients (25%) with PR. The DCR was 91.7% (11 of 12 patients)
In the U.S., first subject dosing completed earlier in 2021.
ICP-723

Phase I clinical trial in China was conducted to assess the safety, tolerability and PK of ICP-723 in advanced solid tumors. In the phase I dose escalation, two cohorts (1 and 2 mg) were completed and no treatment related serious AE (SAE), and no DLT were observed. Dose was escalated to 3 mg in the third cohort and patient with NTRK gene fusion was already enrolled for efficacy evaluation.
InnoCare has a strong pipeline of IND-enabling stage drug candidates, and the Company has been pushing into clinical stage.

In the field of autoimmune diseases, InnoCare has ICP-332, ICP-488 and ICP-490. ICP-332 is a small-molecule inhibitor of Tyrosine Kinase 2 (TYK2), which is developed for the treatment of various autoimmune disorders. ICP-488 is a small molecule binder of the pseudokinase domain (Janus Homology 2 or JH2) of TYK2, which is developed for the treatment of inflammatory diseases such as psoriasis and IBD. ICP-490 is a proprietary, orally available small molecule that modulates the immune system and other biological targets through multiple mechanisms of action. By specifically binding to CRL4CRBN-E3 ligase complex, ICP-490 can induce ubiquitination and degradation of transcription factors including Ikaros and Aiolos.
In the field of solid tumors, InnoCare has ICP-189, ICP-033 and ICP-B03. ICP-189 is a potent oral allosteric inhibitor of SHP2 with excellent selectivity over other phosphatases. ICP-033 is a multi-kinase inhibitor mainly targeting discoidin domain receptor 1 (DDR1) and vascular endothelial growth factor receptor (VEGFR) that inhibits angiogenesis and tumor cell invasion, normalizes abnormal blood vessels, and reverses the immunosuppressive state of the tumor microenvironment. ICP-033 is intended to be used in combination with immunotherapy and other targeted therapy drugs for liver cancer, renal cell carcinoma, colorectal cancer and other solid tumors. ICP-B03 is a tumor-conditional pro-interleukin (IL)-15 targeting and changing immune cells inside tumor microenvironment.
In the field of liquid tumors, InnoCare has ICP-490 and ICP-248. ICP-248 is a novel, orally bioavailable B-cell lymphoma-2 (BCL-2) selective inhibitor, which is developed in combination with orelabrutinib for the treatment of AML, ALL, FL, CLL, DLBCL and other hematological malignancies.
Other Corporate Development

On February 3, InnoCare brought on Hillhouse as strategic investor and Vivo Capital increased holdings. The biotech industry needs continuous innovation and capital support. Through joint efforts, InnoCare will develop more high-quality innovative drugs to benefit more patients
In March 2021, InnoCare appointed Dr. Sean Zhang who has rich experience in clinical development as Chief Medical Officer in March 2021, who is based in U.S., demonstrating the Company’s ongoing commitment to globalization
In October 2020, InnoCare appointed Dr. Manish Tandon as VP of Business Development to further strengthen the Company’s BD capabilities.
"After five years of solid and rapid development, InnoCare has established a balanced product pipeline. At the same time, we have built a sound financial system, which laid a good foundation for our businesses," said Dr. Cui.

Financial Highlights

InnoCare’s revenue and other incomes & gains increased from 105.7 million for 2019 to 272.7 million for 2020. As orelabrutinib was approved for marketing, InnoCare’s revenue will become more diversified.
InnoCare’s cash and bank balances increased from 2.2918 billion for 2019 to 3.9696 billion for 2020.
InnoCare’s research and development costs increased from 213.1 million for 2019 to 402.8 million for 2020.
The loss decreased from 2,150.4 million for 2019 to 464.3 million for 2020, including fair value changes of a loss of 1,814.0 million by convertible redeemable preferred shares to common shares after the IPO for 2019 (This loss for 2020 is 141.6 million).
(Note: Currency: RMB, InnoCare financial year refers to Jan. 1 to Dec. 31 for a certain year.)

To know more about the detailed financial data of InnoCare 2020 full year financial report, please log in View Source .

Conference Call Information

InnoCare will host a conference call on March 29, 2021 at 9:00 a.m. Beijing time. Participants must register in advance of the conference call. Details are as follows:

Registration Link: View Source

Conference ID: 4956225

The call will be conducted in English.

Upon registering, each participant will receive a dial-in number, Direct Event passcode, and a unique access PIN, which can be used to join the conference call.