Nature BioPharma Dealmakers Feature Article: Revitope—third-generation T cell engager immunotherapies

On September 23, 2021 Revitope Oncology, Inc. is a privately owned company in Cambridge, MA, reported that focuses on the development of next-generation T cell engager immunotherapies for a variety of solid cancer indications (Press release, Revitope Oncology, SEP 23, 2021, View Source [SID1234591881]). Revitope’s platform is a suite of proprietary and modular bispecific antibodies designed to deliver improved therapeutic efficacy and safety through built-in control mechanisms that enable exquisite tumor-specificity. The company has several cancer programs in preclinical development and expects to have its lead program in the clinic by early 2023.

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European Patent Granted for CLTX technology used in CHM1101

On September 23, 2021 Chimeric Therapeutics (ASX:CHM, "Chimeric" or the "Company"), a clinical-stage cell therapy company, reported the European Patent Office’s decision to grant patent EP 3,362,470 B1, which was published in the European Patent Bulletin dated September 22, 2021 (Press release, Chimeric Therapeutics, SEP 23, 2021, View Source [SID1234591514]).

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The granted patent covers certain applications of chimeric antigen receptor (CAR) technology using chlorotoxin (CLTX), including Chimeric’s clinical-stage CAR T asset, CHM 1101, with patent protection expected until 2036.

Chimeric holds the exclusive worldwide license to develop and commercialize EP 3,362,470 B1 and related patent applications filed in other global territories.

Commenting on Chimeric’s intellectual property position, CEO and Managing Director Jennifer Chow said:

"We are pleased to see the continued advancement of the strong intellectual property portfolio underpinning Chimeric’s CLTX CAR T program, on this occasion in a geography that holds significant market potential."

Authorised on behalf of the Chimeric Therapeutics board of directors by Chairman Paul Hopper.

Carevive Introduces Carevive SMART Data™ to Highlight the Real-World Oncology Patient Experience

On September 23, 2021  Carevive Systems (Carevive), the leading oncology-focused health technology company centered on understanding and improving the experience of patients with cancer, reported that launched Carevive SMART Data, a dataset containing information from patients about their experience with treatment, combined with demographic and clinical data (Press release, Carevive Systems, SEP 23, 2021, View Source [SID1234590367]).

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As the healthcare industry becomes more saturated with big data, the search continues for data that can inform decisions that positively impact the experience and outcomes of patients with cancer. Big data, defined by large datasets with substantial numbers of patients and a wide array of clinical and claims data, can support certain types of statistical analyses. However, these datasets are limited because their datapoints are discrete, providing only sequential snapshots of a patient’s health status, without a more continuous assessment of the patient’s experience on treatment, which can only originate from the patients themselves.

In response to the need for this type of dataset, Carevive uses its digital oncology platform to collect information from patients about their experience at weekly time points during treatment. These data are combined with demographic and clinical data to create Carevive SMART Data (Symptom Monitoring with Applied Remote Technology).

Carevive SMART Data

Carevive SMART Data are captured as part of Carevive OPT-IN. Carevive OPT-IN, the Oncology Pragmatic Trial Investigator Network, enables patient experience data to be collected from real-world patients who are receiving treatment for cancer. Carevive OPT-IN began in late 2020 to amplify the patient voice in their own care and improve their outcomes. Carevive SMART Data are collected as part of an ongoing, weekly conversation between the patient and their care team, facilitated by Carevive’s cloud-based, digital oncology platform that patients can access with a variety of devices, from any location. Providing patients with remote symptom monitoring enables longitudinal data to be collected describing the holistic patient experience, including symptoms, quality of life, physical function, and healthcare resource utilization.

Licenses to Carevive SMART Data are available for life science companies who would like to analyze patient-centric data combining longitudinal patient-reported outcomes (PRO) with EHR-derived clinical data. By listening to the patient’s voice in cancer care, Carevive can now address many important questions about the patient experience in cancer which have not been answered by big data.

Mordecai Kramer, Carevive’s Vice President of Data Generation & Outcomes, Life Sciences, summarizes the value of this novel dataset as follows: "We are excited about Carevive SMART Data and the holistic view of the patient experience that it provides. Since launching our registries, we are already seeing the value this longitudinal dataset creates for improving patient care and outcomes. We invite life science companies to join the Carevive SMART Data conversation and, together, answer pressing questions about real-world patients with cancer."

Kyowa Kirin Launches New Efforts to Educate and Engage Physicians and Patients with Rare Forms of Cutaneous T-Cell Lymphoma About Treatment with POTELIGEO® (mogamulizumab-kpkc)

On September 23, 2021 Kyowa Kirin, Inc., an affiliate of Kyowa Kirin Co., Ltd. (Kyowa Kirin, TSE: 4151), a global specialty pharmaceutical company, reported the launch of two efforts focused on increasing understanding of mycosis fungoides (MF) and Sézary syndrome (SS), two subtypes of cutaneous T-cell lymphoma (CTCL),2 and the role of POTELIGEO (mogamulizumab-kpkc) in treating them.3 Aimed at physicians, the new Treat the Blood (Press release, Kyowa Hakko Kirin, SEP 23, 2021, View Source [SID1234590295]). Treat the Skin. omni-channel campaign seeks to educate about the importance of measuring and monitoring blood involvement to inform treatment and potentially impact patient outcomes in MF and SS. To reach patients, POTELIGEO patient ambassadors will share their CTCL journeys and experiences on treatment through video testimonials and other educational programming. The launch of both initiatives coincides with Blood Cancer Awareness Month.

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"To have a profound impact in a rare disease like CTCL, it’s important to invest in education and programming that helps to advance disease awareness, recognition and management," said Sue Smith, Vice President, North American Oncology Franchise Head, Kyowa Kirin, Inc. "With increasing blood burden linked to poorer prognosis in both mycosis fungoides and Sézary syndrome, it’s critical that the blood is monitored for disease progression and response to treatment. Our physician effort is focused on increasing understanding of the value of routine blood testing, and the proven efficacy of POTELIGEO in treating MF and SS symptoms."3,4-6

CTCL is a rare type of blood cancer that affects the body’s T cells. Because it first appears on the skin, it is often mistaken for common skin conditions like eczema or psoriasis, which can delay diagnosis by years or even decades.7 Most patients have mycosis fungoides, a chronic and typically slow growing cancer that initially manifests in the skin but can spread within the skin or to other areas, including the blood, in 30% of cases.2,5,8,10 Sézary syndrome is a rare (<5%), serious form of CTCL that affects the skin and blood from the start.11 Increasing blood burden in CTCL has been associated with worsening overall survival, disease-specific survival, and an increased risk of disease progression.5,8,12

Encouraging Physicians to Test More
The new Treat the Blood. Treat the Skin. campaign explains the value of understanding patients’ blood burden when determining appropriate treatment selection in MF and SS. Given that skin inflammation is often focused on as the source of discomfort and visible sign of disease, the campaign aims to call attention to the potential risk associated with blood involvement in MF and SS patients.7,13 A recent post-hoc analysis of data from the phase 3 MAVORIC trial published in the Journal of the European Academy of Dermatology and Venereology, evaluated the efficacy and safety of POTELIGEO in MF and SS across all levels of blood classifications compared to vorinostat.4

The campaign will reach healthcare professionals through a targeted mix of personal, print and digital communications supported by a new healthcare professional website (www.poteligeohcp.com) that reviews POTELIGEO’s efficacy and safety in MF and SS patients with varying levels of blood involvement.1,4 Peer-to-peer education featuring experts in the field is planned to further extend the reach of the initiative is planned for early 2022.

Bringing Real Patient Experiences to Life
Additional efforts are being made to educate patients about POTELIGEO as a treatment option.1 Given CTCL is a rare disease, patients are eager to connect with and learn from others who share the same diagnosis. Research indicates they rely heavily on advocacy groups and online forums for information when assessing and evaluating treatment options.2 To address the need for more information about patient experiences on treatment, educational content and programming has been created featuring the stories of real POTELIGEO patients – including their journey to diagnosis, experiences on treatment and what motivates them to never give up.

"I wanted to share my story to encourage others to never give up, to keep pushing for answers," said Jeff, POTELIGEO ambassador living with mycosis fungoides. "It’s easy to feel overwhelmed, to say it’s just not going to work and to give up. By learning how to advocate for myself, I was able to finally find the right specialists, the right diagnosis and ultimately, the right treatment for me."

Jeff’s and other patient stories will be viewable on www.poteligeo.com, and other online channels. Additional events with patient speakers are planned for 2022.

Please see POTELIGEO Indication and Important Safety Information below.

U.S. Indication

POTELIGEO (mogamulizumab-kpkc) injection for intravenous infusion is indicated for the treatment of adult patients with relapsed or refractory mycosis fungoides or Sézary syndrome after at least one prior systemic therapy.

Important Safety Information

Warnings and Precautions:

Dermatologic toxicity: Monitor patients for rash throughout the course of treatment. For patients who experienced dermatologic toxicity in Trial 1, the median time to onset was 15 weeks, with 25% of cases occurring after 31 weeks. Interrupt POTELIGEO for moderate or severe rash (Grades 2 or 3). Permanently discontinue POTELIGEO for life-threatening (Grade 4) rash or for any Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN).
Infusion reactions: Most infusion reactions occur during or shortly after the first infusion. Infusion reactions can also occur with subsequent infusions. Monitor patients closely for signs and symptoms of infusion reactions and interrupt the infusion for any grade reaction, and treat promptly. Permanently discontinue POTELIGEO for any life-threatening (Grade 4) infusion reaction.
Infections: Monitor patients for signs and symptoms of infection and treat promptly.
Autoimmune complications: Interrupt or permanently discontinue POTELIGEO as appropriate for suspected immune-mediated adverse reactions. Consider the benefit/risk of POTELIGEO in patients with a history of autoimmune disease.
Complications of allogeneic HSCT after POTELIGEO: Increased risks of transplant complications have been reported in patients who received allogeneic HSCT after POTELIGEO. Follow patients closely for early evidence of transplant-related complications.
Adverse Reactions:

The most common adverse reactions (reported in ≥ 10% of patients) with POTELIGEO in the clinical trial were rash, including drug eruption (35%), infusion reaction (33%), fatigue (31%), diarrhea (28%), drug eruption (24%), upper respiratory tract infection (22%), musculoskeletal pain (22%), skin infection (19%), pyrexia (17%), edema (16%), nausea (16%), headache (14%), thrombocytopenia (14%), constipation (13%), anemia (12%), mucositis (12%), cough (11%), and hypertension (10%).
You are encouraged to report suspected adverse reactions to Kyowa Kirin, Inc. at 1-844-768-3544 or FDA at 1-800-FDA-1088 or www.fda.gov/safety/medwatch/.
Please click here for full U.S. prescribing information.

About POTELIGEO (mogamulizumab-kpkc)
POTELIGEO is a humanized monoclonal antibody that recruits the body’s own immune cells to kill CCR4+ (CC chemokine receptor 4) malignant T-cells.1,14 CCR4 is overexpressed in Sézary syndrome and in mycosis fungoides at all stages.15,16 POTELIGEO was produced using Kyowa Kirin’s proprietary POTELLIGENT technology platform, which is associated with enhanced antibody-dependent cellular cytotoxicity.16

CyPep-1 Shows Preliminary Safety, Tolerability and Early Signs of Efficacy in Part 1 of its Ph I/IIa CICILIA Trial Which Now Moves to Expansion Phase

On September 23, 2021 Cytovation AS, a clinical stage immune-oncology company focused on the development of its first-in-class tumorolytic agent CyPep-1, reported that it has successfully completed Part 1 of its Ph I/IIa CICILIA study having reached the planned target dose of CyPep-1 while maintaining a favorable safety profile (Press release, Cytovation, SEP 23, 2021, View Source [SID1234590270]).

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To date the trial has recruited 12 patients with a range of solid tumors, each patient having received a minimum of three intra-tumoral injections of CyPep-1. Safety and tolerability in this first part of the study have been encouraging with no serious adverse events or dose-limiting toxicities, while early efficacy signals are positive and remain consistent with the preclinical proof-of-concept data previously generated.

Based on these results, Cytovation plans to advance and expand the study to include a combination arm with KEYTRUDA (pembrolizumab), an anti-PD-1 therapy manufactured by MSD, a tradename of Merck & Co., Inc., Kenilworth, NJ, USA, as previously communicated, as well as two extended monotherapy arms, with one of these including the treatment of visceral tumors.

The study, which is being performed at four renowned cancer centers in The Netherlands (Netherlands Cancer Institute, Erasmus MC Cancer Institute, Leiden University Medical Centre, and University Medical Center Utrecht), will now be expanded to add leading sites in Germany, France, Spain, and UK.

The combination arm with KEYTRUDA is part of a clinical trial collaboration with MSD which is intended to progress to a Phase II program in patients with melanoma, advanced head and neck squamous cell carcinoma (HNSCC) and triple negative breast cancer (TNBC). Initial results from Part 1 of the combination arm safety study are expected early next year with the Phase II combination trial scheduled to start shortly thereafter.

Lars Prestegarden, MD, PhD, CEO of Cytovation, commented: "We are pleased to report the successful conclusion of the first dose escalation phase of our CICILIA clinical trial. Encouragingly, the early clinical profile of CyPep-1, our proprietary first-in-class tumorolytic agent engineered to selectively target tumor cell membranes based on their altered molecular composition, continues to mirror the findings from our pre-clinical studies, demonstrating a promising safety profile and encouraging early signs of efficacy. We look forward to reporting on further progress in this trial, including the planned combination arm with KEYTRUDA, MSD’s anti-PD-1 therapy, which may hold great promise for the treatment of a range of solid tumors."

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

About CyPep-1

CyPep-1 is a proprietary first-in-class tumorolytic agent engineered to selectively target tumor cell membranes based on their altered molecular composition relative to normal cells. CyPep-1 eliminates cancer cells by forming pores in the plasma membrane, releasing cancer specific antigens to the immune system, promoting an inflammatory microenvironment, and inducing a tumor-specific immune response by in situ vaccination.

Preclinical data suggest this mode of action is highly synergistic with checkpoint inhibitors.