Molecular Targeting Technologies, Inc. and University of Antwerp Begin First-in-Human Study of TDURA Diagnostic for Early Detection of Response to Colon Cancer Therapy

On May 11, 2021 Molecular Targeting Technologies, Inc. (MTTI) and University of Antwerp reported the approval of a Clinical Trial Application by the European Federal Agency for Medicines and Health Products (FAMHP) (equivalent to a US IND) (Press release, Molecular Targeting Technologies, MAY 11, 2021, View Source [SID1234579714]). The clinical study will evaluate the safety, dosimetry and treatment response of TDURA (99mTc-Duramycin), in patients with advanced colorectal cancer (CRC)* .

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Colorectal cancer is the third most commonly diagnosed malignancy in the world and the second leading cause of cancer death in the United States. While a range of novel active agents has improved the prognosis of patients with colorectal cancer, 50% of advanced colorectal cancer patients die from metastatic disease.

Monitoring treatment efficacy early, within days, can significantly improve patient outcomes. Current diagnostic techniques can take weeks to months to gauge tumor killing drug efficacy. In some cases, treatment may only be effective in 40% of patients, leading to rapidly advancing cancer and higher costs while regrouping to change therapies.

Duramycin, a naturally occurring peptide that binds to phosphatidylethanolamine (PE), has been radiolabeled and used for early imaging of tumor death in animal models.

Professor Sigrid Stroobants, MD, Chair of Nuclear Medicine, U of Antwerp commented "Objective and accurate evaluation of tumor response to therapy is one of the biggest challenges in oncology. Early assessment of therapeutic ineffectiveness can avoid treatment related toxicity and could lead to improved survival through earlier treatment intensification, stopping the ineffective therapy, or starting second-line therapy."

Chris Pak, MTTI President & CEO said, "The most commonly used methods to evaluate the effectiveness of a treatment are morphological and volumetric which cannot see the effects of therapy early. If TDURA optimizes patient treatment, the benefits to the patients and savings to health care systems will be substantial."

Lucence Launches US Validation Study for LiquidHALLMARK® Liquid Biopsy Test for Biomarker Detection in Lung Cancer

On May 11, 2021 Precision oncology company Lucence is currently conducting the first US validation study of its technology, reported that examining the use of the company’s amplicon-based LiquidHALLMARK liquid biopsy assay versus tissue biopsy in detecting guideline-recommended biomarkers in lung cancer (Press release, Lucence, MAY 11, 2021, View Source [SID1234579713]).

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LIQUIK, Liquid Biopsy for Detection of Actionable Genomic Biomarkers in Patients With Advanced Non-Small Cell Lung Cancer, aims to better understand the concordance of LiquidHALLMARK with conventional tissue-based profiling. The prospective study will enroll 200 treatment-naive newly diagnosed metastatic non-squamous non-small cell lung cancer (NSCLC) patients. LIQUIK will compare LiquidHALLMARK with tissue next-generation sequencing (NGS) for mutation profile results in NSCLC patients who have at least one of nine clinically relevant genes— EGFR, ALK, RET, ROS1, NTRK fusions, MET, BRAF, ERBB2 and KRAS—detected by tissue biopsy. LIQUIK has enrolled its first patient and will continue enrollment across 7 study sites nationwide.

"The launch of our first prospective multicenter study in the United States brings us one step closer to advancing precision cancer care for the benefit of patients everywhere," said Dr. Min-Han Tan, founding CEO of Lucence. "Building evidence to support the clinical utility and sensitivity of our test will enable us to make LiquidHALLMARK’s high resolution, target-rich insights more widely available to patients across the country."

Liquid biopsy holds promise for a range of applications across cancer including non-invasive screening, biomarker detection, treatment monitoring, and testing for minimal residual disease. For non-small cell lung cancer, liquid biopsy is a NCCN guideline-recommended option for testing in cases where a tissue biopsy is not medically feasible or when there is insufficient material for molecular analysis.

LiquidHALLMARK is a comprehensive, amplicon-based NGS assay for ultrasensitive biomarker detection. Powered by AmpliMark, a proprietary sequencing technology, LiquidHALLMARK examines plasma circulating tumor DNA mutations in 80 genes, including fusions in 10 genes. LiquidHALLMARK provides >99% sensitivity at a detection limit of 0.1% variant allele frequency, and targets single nucleotide variants (including cis-trans), insertions and deletions, copy number variations, microsatellite instability, fusions, and viruses. LiquidHALLMARK targets have been identified in 15 cancers.

AmpliMark is the foundational technology in Lucence’s liquid biopsy tests. AmpliMark uses a unique molecular barcode and error-correction technology designed to improve liquid biopsy test sensitivity for single nucleotide variants and fusion genes.

Late last year Lucence’s Palo Alto laboratory received certification from the U.S. Department of Health and Human Services’ Centers for Medicare & Medicaid Services under the Clinical Laboratory Improvement Amendments (CLIA) of 1988. LiquidHALLMARK is currently available to US oncologists as a laboratory developed test.

BostonGene Announces Cancer Research Collaboration with the Abramson Cancer Center of the University of Pennsylvania

On May 11, 2021 BostonGene Corporation, a biomedical software company committed to defining optimal precision medicine-based therapies for cancer patients, reported a Master Clinical Research Collaboration Agreement with the Abramson Cancer Center (ACC) of the University of Pennsylvania to support multiple research projects at the cancer center (Press release, BostonGene, MAY 11, 2021, View Source [SID1234579712]).

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The first research project to arise from this collaboration aims to support clinical research focusing on personalized cancer vaccines, a new approach of active immunotherapy which utilizes the patient’s own immune system to identify tumor specific neoantigens. BostonGene’s advanced computational algorithms will identify cancer specific neoantigens and profile the immune activation status of the tumor by performing advanced multi-omics analysis, including the interpretation and visualization of cancer patient’s genomic, transcriptomic and imaging datasets. The analysis includes the identification of targetable molecular alterations, evaluation of gene expression and gene signatures, characterization of cellular components in the tumor microenvironment, estimation of tumor heterogeneity, prediction of neoantigens and tumor clonality.

"BostonGene’s strategy is to revolutionize medicine in the quest to identify better, personalized treatment options with successful outcomes," said Andrew Feinberg, President and CEO at BostonGene. "We are pleased to support the Abramson Cancer Center by providing sophisticated analytics and integration of scientific and clinical knowledge in an effort to improve the standard of care and redefine the treatment selection approach for cancer patients."

The ACC, a global leader in basic, translational, clinical, and biomedical research for the advancement of cancer care, is a matrix cancer center embedded within the University of Pennsylvania and the University of Pennsylvania Health System. The ACC, a National Cancer Institute-Designated Comprehensive Cancer Center, is comprised of cancer specialists committed to offering cancer patients the newest and most innovative therapeutic advances.

"We look forward to using BostonGene’s technology to help in our work to better understand the mechanisms of cancer neoantigen recognition and to the discovery of new immunotherapy treatment options," said Gerald Linette, MD, PhD, a professor of Medicine in the Perelman School of Medicine at the University of Pennsylvania and Clinical Director of the Parker Institute for Cancer Immunotherapy at Penn. "We are excited about this collaboration, and with our combined expertise have an opportunity to make a profound impact on how cancer patients are treated in the future."

AUM Biosciences enters in a Strategic Collaboration with Handok and CMG Pharm to develop ‘CHC2014’, New Pan-TRK Inhibitor for Cancer Treatment

On May 11, 2021 AUM Biosciences ("AUM"), a global, clinical stage biotechnology company focused on discovering, acquiring and developing next generation targeted oncology therapeutics reported it has entered into a strategic collaboration agreement with Handok Inc [002390: KOSPI] ("Handok") and CMG Pharmaceutical Co. Ltd [KOSDAQ: 058820] ("CMG") for the worldwide (ex-Korea) development, manufacturing and commercialisation rights of a highly specific, safe and efficacious Pan-TRK inhibitor (Press release, AUM BioSciences, MAY 11, 2021, View Source [SID1234579711]). Financial terms of the agreement were not disclosed.

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CHC2014 is completing a Phase I in Korea and has shown promising data to justify advancement to a tumor agnostic registrational program. CHC2014 has shown superior in-vivo anti-tumor activity compared to available treatment options. It has shown strong efficacy on solvent front and gatekeeper mutations addressing a unique solution to the current challenge in TRK Inhibitor market.

"We are glad to enter in a partnership with AUM to advance the global development of innovative targeted cancer therapy CHC2014, which is being co-developed by Handok-CMG-NOV and was successfully studied in phase 1 trial in Korea. After successful development of CHC2014 by AUM management with global capability, we expect that CHC2014 can help improving the lives of patients with rare cancers" commented by Young-Jin Kim, Chairman and CEO of Handok, Inc.

"CHC2014, once developed as a new pan-TRK inhibitor, will provide another solution to cancer patients with TRK-fusion", and "We expect AUM Biosciences specializing for target-specific anti-cancer small molecules to successful global development and commercialization of CHC2014 for the patients", said Mr. Joohyung Lee, CEO of CMG Pharmaceutical.

AUM "portfolio-model" strategy has made significant progress since its establishment through strategic collaborations and partnerships with leading academic institutions and pharmaceutical and biotech companies globally.

"We thank Handok and CMG for its trust in AUM and its continued support in further developing the CHC2014 asset worldwide. We are very encouraged by the clear scientific and clinical differentiation that CHC2014 presents as compared to the other TRK inhibitors" commented Vishal Doshi, CEO, AUM Biosciences. "We are delighted to onboard Handok and CMG as a strategic investor in AUM"

NorthStar Medical Radioisotopes Receives Electron Beam Accelerators for First-of-its-Kind Advanced Medical Radioisotope Production

On May 11, 2021 NorthStar Medical Radioisotopes, LLC, a global innovator in the development, production and commercialization of radiopharmaceuticals used for medical imaging and therapeutic applications, reported that it has achieved a major milestone in its efforts to expand U.S. production capacity for the important medical radioisotope, molybdenum-99 (Mo-99) (Press release, NorthStar Medical Radiostopes, MAY 11, 2021, View Source [SID1234579710]). The Company has received two custom-built IBA RhodotronTT 300-HE (High Energy) electron beam accelerators at its facility in Beloit, Wisconsin. The accelerators are critical components in a first-of-its-kind commercial-scale process to produce Mo-99, the parent radioisotope of technetium-99m, the most widely used medical imaging radioisotope, informing healthcare decisions for approximately 40,000 U.S. patients daily.

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NorthStar Medical Radioisotopes is the sole commercial U.S. producer of the important medical radioisotope Mo-99 and the only company in the world to use environmentally friendly Mo-99 production processes that are non-uranium based. For over two years, NorthStar has provided the United States with reliable Mo-99 supply, which is used in its RadioGenix System (technetium Tc 99m generator) to produce Tc-99m. NorthStar is aggressively expanding and establishing dual production and processing hubs for additional Mo-99 capacity to better meet customer demand and to ensure reliable, sustainable U.S. supply. Two facility expansion projects are nearing completion in Beloit, Wisconsin, to augment current Mo-99 production and processing in Columbia, Missouri, conducted in partnership with the University of Missouri Research Reactor (MURR). NorthStar’s Isotope Processing facility in Beloit will enable it to more than double its current Mo-99 processing and is nearing completion, with FDA approval anticipated in 2022. The Company’s Accelerator Production facility in Beloit will add significant Mo-99 capacity, enable flexible production scheduling and minimize customer supply risks.

"Delivery of these electron beam accelerators to advance Mo-99 production marks a tremendous milestone event for NorthStar, nuclear medicine and the patients who rely on diagnostic imaging studies for their health," said Stephen Merrick, President and Chief Executive Officer of NorthStar Medical Radioisotopes. "Using electron beam accelerators is one of the most efficient methods of producing Mo-99, and like other NorthStar processes, it is non-uranium based and environmentally friendly. This production method will increase capacity, provide additional production days, and minimize supply risks. Additionally, electron beam accelerators can be used to produce therapeutic radioisotopes such as actinium-225 and copper-67. We anticipate that testing of these accelerators will begin this year, with commercial accelerator production commencing in 2023, pending appropriate licensure and FDA approval."

Mr. Merrick continued, "We are extremely grateful to all our partners and stakeholders for their support in achieving this milestone: the U.S. Department of Energy’s National Nuclear Security Administration and National Laboratories, the U.S. Food and Drug Administration, the Wisconsin Department of Health Services, our private commercial investors, NorthStar’s dedicated and talented employees, our supply chain partners, and our customers. We would like to recognize the support that our partners at the University of Missouri Research Reactor (MURR), with whom we jointly produce Mo-99 in Columbia, Missouri, continue to provide to NorthStar."

Mr. Merrick also added, "IBA (Ion Beam Applications S.A., EURONEXT), a leading global supplier of accelerators that is focused on bringing integrated and innovative solutions for the diagnosis and treatment of cancer, continues to be a tremendous collaborator in this effort, and we look forward to additional projects with them in the United States and globally. We are also proud to help showcase Wisconsin as a pioneer and leader in technology innovation and sustainable radioisotope production. Our expansion activities are supported by Corporate Contractors Incorporated (CCI), the lead contractor, Springs ATG (Advanced Technology Group) and Von Gahlen, a leading global supplier of state-of-the-art shielding solutions for nuclear medicine and radiopharmacy."

"This is a very exciting time for NorthStar and those involved in nuclear medicine. We all share a vision to accelerate the future of patient health by providing innovative solutions to ensure reliable access to radioisotopes that can make a positive difference in healthcare for people around the world," he concluded.

In conjunction with the delivery, NorthStar hosted, "From Belgium to Beloit, Wisconsin" on April 20, 2021, an event recognizing the significance of the occasion. Speakers included Stephen Merrick, President and Chief Executive Officer, and James Harvey, Senior Vice President and Chief Science Officer, as well as Diane Hendricks, Chairperson of the NorthStar Board of Managers. They highlighted NorthStar’s progress in delivering innovative technology to better patient health, its future plans, the increasingly important role of accelerators in radioisotope production and the Company’s commitment to nuclear medicine. The presenters showcased the state of Wisconsin as a pioneering leader in technology innovation and sustainable radioisotope production. In addition to expressing appreciation to NorthStar’s government and corporate partners, local contractors for the Accelerator Production facility were also recognized.

About the RadioGenix System (Technetium Tc 99m Generator)
The RadioGenix System is an innovative, high tech separation platform that is approved for processing non-uranium based molybdenum-99 (Mo-99) for the production of the important medical radioisotope, technetium-99m (Tc-99m). Prior to availability of RadioGenix technology, the U.S. supply chain for Mo-99 has been subject to frequent and sometimes severe interruptions which negatively impact patient healthcare. Approved by the U.S. Food and Drug Administration (FDA) in 2018, the RadioGenix System is the first and only on-site, automated isotope separation system of its kind for use with non-uranium based Mo-99, designed to help alleviate shortage situations and expand domestic supply.

Indication and Important Risk Information about the RadioGenix System and Sodium Pertechnetate Tc 99m Injection USP

The RadioGenix System is a technetium Tc-99m generator used to produce Sodium Pertechnetate Tc 99m Injection, USP. Sodium Pertechnetate Tc 99m Injection is a radioactive diagnostic agent and can be used in the preparation of FDA-approved diagnostic radiopharmaceuticals.

Sodium Pertechnetate Tc 99m Injection is also indicated in

Adults for Salivary Gland Imaging and Nasolacrimal Drainage System Imaging (dacryoscintigraphy).
Adults and pediatric patients for Thyroid Imaging and Vesicoureteral Imaging (direct isotopic cystography) for detection of vesicoureteral reflux.
IMPORTANT RISK INFORMATION

Allergic reactions (skin rash, hives, or itching) including anaphylaxis have been reported following the administration of Sodium Pertechnetate Tc 99m Injection. Monitor all patients for hypersensitivity reactions.
Sodium Pertechnetate Tc 99m Injection contributes to a patient’s long-term cumulative radiation exposure. Ensure safe handling to protect patients and health care workers from unintentional radiation exposure. Use the lowest dose of Sodium Pertechnetate Tc 99m Injection necessary for imaging and ensure safe handling and preparation to protect the patient and health care worker from unintentional radiation exposure. Encourage patients to drink fluids and void as frequently as possible after intravenous or intravesicular administration. Advise patients to blow their nose and wash their eyes with water after ophthalmic administration.
Radiation risks associated with the use of Sodium Pertechnetate Tc 99m Injection are greater in children than in adults and, in general, the younger the child, the greater the risk owing to greater absorbed radiation doses and longer life expectancy. These greater risks should be taken firmly into account in all benefit-risk assessments involving children. Long-term cumulative radiation exposure may be associated with an increased risk of cancer.
Temporarily discontinue breastfeeding. A lactating woman should pump and discard breastmilk for 12 to 24 hours after Sodium Pertechnetate Tc 99m Injection administration.
Sodium Pertechnetate Tc 99m Injection should be given to pregnant women only if the expected benefits to be gained clearly outweigh the potential hazards.
Only use potassium molybdate Mo-99, processing reagents, saline and other supplies, including kit/packs, provided by NorthStar Medical Radioisotopes. Do not administer Sodium Pertechnetate Tc 99m Injection after the 0.15 microCi of Mo-99/mCi of Tc-99m limit has been reached or when the 24 hour expiration time from elution is reached, whichever occurs earlier. Follow step-by-step instructions for use provided in the Operator’s Guide, RadioGenix System 1.2.