Calithera Expands Oncology Pipeline with Acquisition of Two Clinical-Stage Assets from Takeda Pharmaceuticals

On October 18, 2021 Calithera Biosciences, Inc. (Nasdaq: CALA), a clinical-stage, precision oncology biopharmaceutical company, reported an agreement with Takeda Pharmaceutical Company Limited ("Takeda") to acquire two clinical-stage compounds, both of which have demonstrated single-agent clinical activity with the greatest potential in biomarker-defined cancer-patient populations (Press release, Calithera Biosciences, OCT 18, 2021, View Source [SID1234591450]). The compounds, sapanisertib (CB-228, formerly TAK-228) and mivavotinib (CB-659, formerly TAK-659), further strengthen Calithera’s pipeline of clinical-stage targeted therapies.

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"We believe that these clinical-stage compounds are an excellent complement to our internally-developed pipeline programs, and fit well with our current strategic focus on biomarker-driven therapeutic approaches. We are encouraged by the promising single-agent clinical data that suggest these investigational therapies could help transform treatment for multiple cancer patient populations with high unmet need," said Susan Molineaux, PhD, president and chief executive officer of Calithera. "Specifically, sapanisertib has the potential to be the first targeted treatment for patients with NRF2-mutated squamous non-small cell lung cancer. We have learned a great deal about the unmet medical need of patients with KEAP1/NRF2 mutations, as well as how to identify and recruit these patients, during the conduct of our KEAPSAKE trial evaluating telaglenastat. This complementary approach in KEAP1/NRF2-mutant squamous NSCLC demonstrates our commitment to these patients and the pathway.

"Additionally, mivavotinib has the potential to be a best-in-class SYK inhibitor in non-Hodgkin’s lymphoma, as well as a first-to-market approach for patients with diffuse large B-cell lymphoma whose tumors harbor MyD88 and/or CD79 mutations.

"We plan to start a clinical trial in squamous NSCLC with sapanisertib and a clinical trial in DLBCL with mivavotinib, both in biomarker specific populations, and generate data in the next 12 to 18 months that will define the clinical development and potential regulatory approval paths for both of these compounds."

The terms of the transaction include a total upfront cash payment to Takeda of $10 million and $35 million issued to Takeda in Calithera Series A preferred stock. Additionally, Takeda will be eligible to receive from Calithera clinical development, regulatory and sales milestone payments across both programs. Calithera will pay tiered royalties of high single-digits to low teens on future net sales should these candidates achieve regulatory approvals and subsequent commercial availability.

"Collaboration is an important aspect of our R&D strategy and at the center of our efforts to deliver new treatment options to patients. We are confident that Calithera, with their highly capable and experienced team, is the ideal partner to resume the development of sapanisertib and mivavotinib, and to maximize their potential to address underserved patient populations," said Christopher Arendt, Ph.D., head of Oncology Cell Therapy and Therapeutic Area Unit of Takeda. "We look forward to seeing how these programs advance under Calithera’s leadership."

Sapanisertib is a dual TORC 1/2 inhibitor that targets a key survival mechanism in KEAP1/NRF2-mutated tumor cells. These mutations are found in a considerable sub-population of patients across multiple solid tumor types. Sapanisertib has demonstrated promising single-agent activity in patients with relapsed/refractory NRF2-mutated squamous non-small cell lung cancer (NSCLC) and exhibits differential anti-tumor activity compared to rapalog inhibitors of TORC1 in NRF2-mutant squamous NSCLC in vivo models. A Phase 2 study planned to begin in the first quarter of 2022 will further evaluate sapanisertib as a monotherapy in patients with squamous NSCLC harboring a NRF2 mutation.

Mivavotinib is a SYK inhibitor that targets the constitutively active BCR pathway in many non-Hodgkin’s lymphoma (NHL) cases as well as the constitutively active inflammatory signaling pathway in MyD88-mutated NHL. In early phase studies, mivavotinib showed promising single-agent responses in relapsed/refractory diffuse large B-cell lymphoma (DLBCL). In addition, recent preclinical studies have shown enhanced SYK activity and sensitivity to SYK inhibition in DLBCL and other NHLs harboring mutations in MyD88 and/or CD79, which comprise a distinct genetic subset of DLBCL known to have poor outcomes with standard-of-care therapy. Accordingly, Calithera plans to initiate a Phase 2 study of mivavotinib in 2022 for the treatment of patients with DLBCL with and without mutations in MyD88 and CD79. Beyond DLBCL, both preclinical and clinical data support expansion across additional NHL subtypes and other hematologic malignancies as part of long-term plans.

More information about sapanisertib and mivavotinib can be found at calithera.com/pipeline.

Webcast and Conference Call Information

Calithera will hold a webcast today, Monday, October 18 at 5:30 p.m. Eastern Time / 2:30 p.m. Pacific Time. To access the link to the webcast, which will be broadcast live in listen-only mode, or the subsequent archived recording, visit the Investors section of the Calithera website at www.calithera.com. Alternatively, the call may be accessed by dialing (855) 783-2599 (domestic) or (631) 485-4877 (international) and referring to conference ID 6946687. The webcast will be recorded and available for replay on Calithera’s website for 30 days.

AB Science granted authorization from the French Health Authority (ANSM) to initiate a study of AB8939 in the treatment of Acute Myeloid Leukemia (AML)

On October 18, 2021 B Science SA(Euronext -FR0010557264 -AB) reported that it has been authorized by theFrench Medicine Agency, ANSM, to initiate aPhase I/II study(AB18001)evaluating AB8939 in patients with refractory and relapsed AML and refractory myelodysplastic syndrome(MDS) (Press release, AB Science, OCT 18, 2021, View Source [SID1234591449]).This approval comes just a few weeks after receiving similar authorization from the Canadian Health Authority [1].

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ProfessorNobert Vey, MD, principal investigator of the study and Director of Clinical Research at Institut Paoli-Calmettescommented,"We are very excitedto start the clinical developmentofAB8939. This drugis based on a well-known therapeutic class of compounds which are useful for the treatment of various cancers, however,AB8939 has a superior potential becauseit was designedto overcome common mechanisms of drug resistance.Numerous non-clinical data generated at Institut Paoli-Calmettes are already available suggesting that AB8939 is particularly well-suited for treatment of relapsed/refractory AML".As previously communicated [1], AB8939 is a new generationsyntheticmicrotubule destabilizer with the ability to overcome multidrug resistance and the potential for broad applicability as a potent anticancer drug.

Microtubules play a crucial role in multiple cellular functionswhich makes theman important target for cancer therapy. Indeed, chemotherapies that targetmicrotubules, such as taxanes and vinca alkaloids,are among the most successfulanticancer therapeutics available. Unfortunately, the development of drug resistance(for example, via Pgp efflux pumps that transport the drugs out of the cancer cells)oftenrestrict their clinical efficacy. Key characteristicsof AB8939 arethat it circumventsdifficulties associated with Pgp-dependent multidrug resistanceand is not deactivated by an enzymenamed myeloperoxidase, which is an advantage over existing chemotherapies.Another advantage and distinguishing characteristic of AB8939 is that it is a synthetic drug. The therapeutic potential of AB8939 has beendemonstrated through a series of preclinicalexperiments [2–4].

Invivodata from a highly resistant Ara-C patient derived xenograft (PDX)mouse modelshowed that AB8939,administered alone or in combination with Ara-C, increasedsurvivalrelative tosingle agent Ara-C, with an accompanying significant reduction of blasts in blood and decrease intumor growth [2].Ara-C is considered the clinically most relevant cytotoxic drugfor AML treatment.In another example, cancerous tumors from patients suffering from resistant acute megakaryoblastic leukemia (an AML subtype)were transplanted into mice. Data showed a complete response in mice treated with AB8939, as compared with rapid disease progression in controlanimals [3]. No apparent toxicity was observed during the time course of the treatment.Based on these results, AB8939 was granted orphan drug designation for AML from the U.S. Food and Drug Administration (FDA)[5].

Page 2/3The first indication AB8939 is being developedfor is acute myeloid leukemia (AML),a rapid proliferating hematological cancerthat originates in the bone marrow and quickly moves into the blood.Cytarabine (Ara-C) isthe current standard chemotherapy for AML treatment, however, drug resistance is a major limitation to successful therapy.

AB8939 therefore has strong potential as asecond or third-line treatment in AML patients who are unfit to receive intensive chemotherapy.The advantageous mechanistic characteristics of AB8939 mean that it is potentially applicable to a large number of other oncology indications currently treated by microtubule-inhibitor drugs (such astaxanes and vinca alkaloids)and in particular hematological cancers. The envisioned strategy is to position AB8939 in patients with abnormal cytogenetics that make these patients unresponsive to first-line therapy.AB8939 was entirely discovered by the laboratories of AB Science, which retains full ownership of intellectual rights, and is anexample of AB Science’s focus on innovative drug development focused on improving patients’ lives. About Study AB18001Study AB18001, titled‘A Phase 1/2 Study to Assess the Safety, Pharmacokinetics, and Efficacy of Daily Intravenous of AB8939 in patients with Relapsed/Refractory Acute Myeloid Leukemia’, has a multi-stage design.

Thefirst part is a dose escalation study thataims to determine the safety and tolerability of intravenous AB8939 in patients with refractory or relapsed AML or patients with refractory MDS,and to determine the recommended dose for the second-stage dose expansion study. This dose expansion study aims to determine the schedule for aPhase 2 trial in patients with relapsed/refractory AML and to also provide an early efficacy (response rate) assessment of AB8939.

About acute myeloid leukemia (AML)
Acute myeloid leukemia (AML) is a serious, life-threating condition and the most common cause of leukemia-related mortality, with a majority of patients facing a highly unsatisfactory prognosis. As such, AML represents an unmet medical need, with limited therapeutic options for patients who are refractory or too frail to benefit from potentially curative but highly toxic treatment, or for those patients that have relapsedfollowing a first complete response. The prevalence of AML in western countries is around 1 per 5,000 persons [6], corresponding to around 100,000 cases in Europe and 60,000 in the USA. Among AML patients, it is estimated that approximately 50% of the patients will not have stem cell transplantation and will relapse. Therefore, the estimated targeted population of AB8938 in AML is around 80,000 people in Europe and the US.

References
[1] Press release dated September 22, 2021
[2] Goubard A, Humbert M, Mansfield C, Hermine O, Dubreuil P, et al. In Vivo Assessment of the Next Generation Microtubule-Destabilizing Agent AB8939 in Patient-derived Xenograft Models of Acute Myeloid Leukemia.Blood (2019) 134 (Supplement_1): 5142.doi.org/10.1182/blood-2019-127143[3]Goubard A, Humbert M, Mansfield C, Hermine O, Dubreuil P, et al. AB8939, a Microtubule-DestabilizingAgent with Potential to Overcome Multidrug Resistance, is Active Across the Range (M0–M7) of Acute Myeloid Leukemia Subtypes. Blood (2019) 134 (Supplement_1): 5154.doi.org/10.1182/blood-2019-127021[4]Humbert M, Goubard A, Mansfield C, Hermine O, Dubreuil P, et al. Anticancer Activity of a Highly Potent Small Molecule Tubulin Polymerization Inhibitor, AB8939. Blood (2019) 134 (Supplement_1): 2075. doi.org/10.1182/blood-2019-122540[5] Press release dated November 7, 2019
Page 3/3[6] National Cancer Institute (View Source)

Phio Pharmaceuticals Announces Upcoming Presentation at the SITC 36th Annual Meeting

On October 18, 2021 Phio Pharmaceuticals Corp. (Nasdaq: PHIO), a biotechnology company developing the next generation of immuno-oncology therapeutics based on its proprietary self-delivering RNAi (INTASYL) therapeutic platform, reported that new data suggesting a systemic immune response can be generated with its lead clinical product candidate, PH-762, after local administration (Press release, Phio Pharmaceuticals, OCT 18, 2021, View Source [SID1234591448]). These data will be presented at the Society for Immunotherapy of Cancer (SITC) (Free SITC Whitepaper) 36th Annual Meeting, being held in Washington, D.C. on November 10-14, 2021.

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Presentation Details are as follows:

Title:

Locally administered immunotherapy self-delivering RNAi PH-762 results in abscopal clearance of untreated distal tumors, suggesting systemic immune response, in a murine hepatocarcinoma model

Abstract Number:

869

Author:

Benjamin Cuiffo, et al.

Time and Date:

7:00 am – 8:30 pm ET on 11/12/2021

Location:

Poster Hall – Hall E

Poster presentations will be accessible in person and virtually. Posters will released on the SITC (Free SITC Whitepaper) website at 7:00 am ET on November 12, 2021 and will also be made available on the "Investors – Events and Presentations" section of the Company’s website (click here).

Immunocore and Medison Pharma Partner for Future Commercialization of Tebentafusp in Canada, Central Eastern Europe, and Israel

On October 18, 2021 Immunocore (Nasdaq: IMCR), a late-stage biotechnology company pioneering the development of a novel class of T cell receptor (TCR) bispecific immunotherapies designed to treat a broad range of diseases, including cancer, infection and autoimmune disease, and Medison Pharma Ltd., a global pharma company focused on providing access to highly innovative therapies to patients in international markets, reported an exclusive multi-regional agreement for Medison to help seek regulatory authorization and commercialize Immunocore’s tebentafusp (IMCgp100), for the treatment of patients with metastatic uveal melanoma, in Canada, twenty markets across Central Eastern Europe and Israel (Press release, Immunocore, OCT 18, 2021, View Source [SID1234591447]).

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"Following the acceptances of the Biologics License Application and Marketing Authorization Application for tebentafusp in metastatic uveal melanoma by regulatory agencies in the U.S. and Europe, we are excited to partner with Medison Pharma to increase our potential ability to reach patients with metastatic uveal melanoma in many more countries," said Ralph Torbay, Head of Commercial at Immunocore.

"We are delighted to partner with Immunocore in 22 markets to accelerate the global reach of this breakthrough treatment for metastatic uveal melanoma", said Meir Jakobsohn, Founder and CEO of Medison Pharma. "In our joint commitment to help treat patients suffering from the most challenging diseases, we look forward to leveraging our commercial platform and providing patients in international markets with access to this much needed therapy."

Tebentafusp has been granted Priority Review; Real Time Oncology Review; Breakthrough Therapy designation; Fast Track designation; and orphan drug designation by the U.S. Food and Drug Administration (FDA) in the United States; orphan drug status in the European Union; and Promising Innovative Medicine (PIM) designation under the UK Early Access to Medicines Scheme for metastatic uveal melanoma. Tebentafusp has also been granted accelerated assessment by the European Medicine Agency (EMA)’s Committee for Medicinal Products for Human Use (CHMP). Immunocore’s biologics license application for approval of tebentafusp for the treatment of HLA-A*02:01-positive adult patients with metastatic uveal melanoma was recently accepted by the FDA. In addition, EMA’s CHMP has accepted Immunocore’s Marketing Authorisation Application.

Athenex and the Center for Cell and Gene Therapy Announce Allowance of Our First U.S. Patent Claims Around CAR-NKT Cell Therapy

On October 18, 2021 Athenex (NASDAQ: ATNX), the leading developer of NKT cell therapy and the Center for Cell and Gene Therapy at Baylor College of Medicine, Texas Children’s Hospital and Houston Methodist Hospital reported that the U.S. Patent and Trademark Office has allowed patent claims around its NKT cellular immunotherapy platform (Press release, Athenex, OCT 18, 2021, View Source [SID1234591446]). While similar claims had already been granted in the European Union, these claims are the first allowed on this technology in the U.S.

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"Va24-invariant natural killer T (NKT) cells are a specialized T cell population in the body that play a role in many types of immune responses," said Leonid Metelitsa, M.D., Ph.D., Professor and Director, Center for Advanced Innate Cell Therapy, Texas Children’s Cancer and Hematology Center, Department of Pediatrics, Baylor College of Medicine. "We discovered that under certain conditions, NKT cells acquire CD62L, which is a marker of central memory T cells (G. Tian et al., J Clin Invest, 2016). When we redirected these cells with a tumor-specific CAR, we found that CD62L-positive NKT cells mediated durable antitumor responses in pre-clinical tumor models, while CD62L-negative cells did not. This discovery led to the development of cell therapy products that are currently in early phase clinical testing."

Dan Lang, M.D., President, Athenex Cell Therapy, Vice President, Corporate Development/Communication commented, "We are very pleased to have received allowance of claims on one of our foundational patent families on NKT cells. These claims are important for our platform technology because we believe CD62L+ NKT cells have a high rate of in vitro expansion, enhanced in vivo persistence, and potent anti-tumor activity. We look forward to further studying these important attributes in our KUR-501 and KUR-502 clinical development programs, both of which use this technology. We have over 100 patent applications pending and issued around the world, and we believe this first U.S. patent allowance firmly establishes Athenex as one of the leaders in NKT cell therapy."

About KUR-501
KUR-501 is an autologous product in which natural killer T (NKT) cells are engineered with a chimeric antigen receptor (CAR) targeting GD2, which is expressed on almost all neuroblastoma tumors. KUR-501 is also designed to address key limitations of current CAR immune cell therapies by secreting the cytokine IL-15, which has been shown in nonclinical studies to increase the persistence of CAR-NKT cells and improve their efficacy within the immunosuppressive tumor microenvironment. KUR-501 is being tested in a phase 1 GINAKIT2 clinical study (NCT03294954) in patients with R/R high-risk neuroblastoma at Texas Children’s Hospital by Andras Heczey, M.D., Associate Professor of Pediatrics-Oncology at Baylor College of Medicine. The KUR-501 development program is also designed to provide autologous proof-of-concept for CAR-NKT cells in solid tumors using a validated target and has extensive potential applications in the treatment of hematological and solid tumors.

About KUR-502
KUR-502 is built on Athenex’s next-generation CAR-NKT platform with novel engineering capabilities that harness and enhance the unique tumor-homing properties of NKT cells. The NKT cells used in Athenex’s CAR-NKT platform have an invariant T cell receptor that does not distinguish between self- and non-self tissues, making the cells unlikely to induce GvHD when given to another person. Preclinical data generated by Baylor College of Medicine indicate that while human CAR-T cells cause severe GvHD, CAR-NKT cells from the same donor do not.

The ANCHOR (NCT03774654) study is a phase 1, first-in-human, dose escalation evaluation of KUR-502 in adults with R/R CD19 positive malignancies including B cell lymphomas, acute lymphoblastic leukemia (ALL), and chronic lymphocytic leukemia (CLL). The single-arm study will evaluate three dose levels with patients receiving lymphodepletion chemotherapy consisting of cyclophosphamide and fludarabine followed by infusion with KUR-502.

Patients with R/R CD19 positive malignancies have limited effective treatment options. While CD19-directed autologous CAR-T cells are now available for these patients, they are limited by delays to get treatment, a requirement for patient leukapheresis, and issues with inferior quality leukapheresis starting material due to prior treatment. Off-the-shelf KUR-502 is designed to overcome these limitations.

The ANCHOR study is being sponsored and conducted by Athenex’s collaborator, the Center for Cell and Gene Therapy (CAGT) at Baylor with Carlos Ramos, M.D., Professor in the CAGT, serving as Principal Investigator and is currently recruiting participants at Houston Methodist Hospital.