Epics Therapeutics Initiates First-in-Human Studies with EP282, an oral Investigational Drug for the treatment of gastrointestinal inflammatory disorders and cancer

On January 12th, 2022 Epics Therapeutics S.A., a private drug development company, reported the initiation of a First-in-Human, double-blind, placebo-controlled, single and multiple ascending dose study of EP282 to evaluate oral pharmacokinetics, pharmacodynamics, safety and tolerability in healthy male volunteers (Press release, EPICS Therapeutics, JAN 12, 2022, View Source [SID1234628628]). Specific biomarkers will also be monitored to evaluate drug-target engagement at different dose levels. Successful completion of this Phase I study will enable the initiation of Proof-of-Concept Phase II studies of EP282 in patient suffering from gastrointestinal inflammatory disorders as well as establish dose levels for initial clinical evaluation for specific types of cancer. Phase II studies are projected to start mid-2023.

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EP282 is a proprietary, oral, small molecule FFAR2 agonist discovered and developed at Epics Therapeutics. "We are the first company to bring an FFAR2 agonist into clinical development. FFAR2 is the focus of numerous published reports from the research community as it is an exciting target linking the microbiome with defence against intestinal infection, inflammation and cancer remission. Our preclinical dataset, in agreement with the published reports, indicates that our drug candidate represents a safe and powerful new approach for addressing the unmet medical needs in the treatment of gastrointestinal disorders and certain cancers" stated Jean Combalbert, CEO.

IND of a novel oral PRMT5 inhibitor for the treatment of advanced malignant tumors accepted by NMPA

On January 12, 2022 Simcere reported that the IND of a novel oral PRMT5 inhibitor (project number: SIM0272, product code: SCR-6920) in China for the treatment of advanced malignant tumors was accepted by NMPA (Press release, Jiangsu Simcere Pharmaceutical Company, JAN 12, 2022, View Source [SID1234619235]).

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The candidate is independently developed by Simcere with potential mechanism of Synthetic lethality, where the combination of two genetic events results in cell death or death of an organism

The "synthetic lethality" theory has great significance in fighting cancer. Tumor cells usually have a lot more mutations and gene replication errors than normal cells do. Inhibition of the corresponding "synthetic lethal" paired genes can result in precise killing of certain tumor cells without harming normal cells.

The successful development of PARP inhibitors in the clinical treatment of ovarian cancer, breast cancer and other Breast Cancer gene (BRCA) mutant tumors is a fine example. The global PARP Inhibitor market is valued at 2178 million USD in 2020 and is expected to reach 16180 million USD by the end of 2026, growing at a CAGR of 32.8% during 2021-2026.

SCR-6920 is targeting another pair of synthetic lethal genes with great therapeutic potential: methylthioadenosine phosphorylase (MTAP)/ Protein arginine methyltransferases (PRMT).

In 2016, two articles published in the Science magazine were the first to report the "synthetic lethal" effect of inhibiting PRMT5 in MTAP-deficient tumors.

PRMT5 is overexpressed in various cancers such as lung cancer, breast cancer, gastric cancer, colorectal cancer, ovarian cancer, leukemia and lymphoma. It is associated with the progression and poor prognosis of many types of cancer, indicating its potential to be a promising anti-tumor target.

Preclinical studies have shown that SCR-6920 with its highly selectivity over PRMT5, potently inhibited tumor cell proliferation against various hematological and solid tumor cells in vitro. In multiple mouse CDX models, SCR-6920 alone has significantly inhibited tumor growth. On the other hand, SCR-6920 has demonstrated good cross-species pharmacokinetic properties, good safety profile and a relatively large therapeutic window.

Simcere is applying for approval of a multi-centered Phase I clinical study to evaluate the safety, tolerability, efficacy and pharmacokinetic characteristics of SCR-6920 in human. Once approved, Simcere will rapidly advance clinical research, in hope of bringing new clinical drug options for tumor patients in China soon.

Precigen Provides Pipeline and Corporate Updates at the 40th Annual J.P. Morgan Healthcare Conference

On January 12, 2022 Precigen, Inc. (Nasdaq: PGEN), a biopharmaceutical company specializing in the development of innovative gene and cell therapies to improve the lives of patients, reported that pipeline and corporate updates at the 40th Annual J.P. Morgan Healthcare Conference (Press release, Precigen, JAN 12, 2022, View Source [SID1234605464]). Helen Sabzevari, PhD, President and CEO of Precigen, presented a summary of 2021 achievements and set forth Precigen’s goals for 2022.

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Precigen’s presentation included the following pipeline announcements:

PRGN-3006 UltraCAR-T in Acute Myeloid Leukemia (AML)

Overview: PRGN-3006 is an investigational multigenic, autologous chimeric antigen receptor T cell (CAR-T) therapy engineered to simultaneously express a CAR specifically targeting CD33, membrane bound IL-15 (mbIL15), and a kill switch. PRGN-3006 UltraCAR-T is under evaluation in a Phase 1/1b clinical trial for the treatment of patients with relapsed or refractory AML or higher-risk myelodysplastic syndromes (MDS). Trial subjects receive the PRGN-3006 infusion either without prior lymphodepletion (Cohort 1) or following lymphodepleting chemotherapy (Cohort 2). PRGN-3006 UltraCAR-T has been granted Orphan Drug Designation in patients with AML by the FDA.
Program Updates: Precigen announced enrollment completion for Dose Level 3 of the lymphodepletion cohort. Interim data for patients treated in Dose Levels 1-3 of the non-lymphodepletion cohort and Dose Levels 1-2 of the lymphodepletion cohort were recently presented at the 63rd American Society of Hematology (ASH) (Free ASH Whitepaper) Annual Meeting and Exposition. The dose escalation phase of the study is now complete for both the lymphodepletion and non-lymphodepletion cohorts and the Company plans to initiate a multicenter expansion phase of the study at Dose Level 3 with lymphodepletion in the first half of 2022. The Company plans to incorporate a repeat dosing regimen in the expansion phase. Additional Phase 1/1b data is expected in 2022.
PRGN-3005 UltraCAR-T in Ovarian Cancer

Overview: PRGN-3005 UltraCAR-T is an investigational multigenic, autologous CAR-T cell therapy engineered to express a CAR specifically targeting the unshed portion of MUC16, which is highly expressed on ovarian tumors with limited normal tissue expression, mbIL15, and a kill switch. PRGN-3005 UltraCAR-T is under evaluation in a Phase 1/1b clinical trial for the treatment of patients with advanced, recurrent platinum-resistant ovarian cancer. Trial subjects receive PRGN-3005 either via intraperitoneal (IP) (Arm A) or intravenous (IV) (Arm B) infusion.
Program Updates: Precigen announced enrollment completion for Dose Level 3 of the IV arm, completing enrollment in both the IP and IV arms in the dose escalation phase of the study. Interim data for patients treated in Dose Levels 1-3 of the IP arm were recently presented at the Company’s 2021 R&D Virtual Event. The Company has received FDA clearance to incorporate lymphodepletion at Dose Level 3 of the IV arm and will initiate the multicenter expansion phase of the study, incorporating redosing.
PRGN-3007 Next Generation UltraCAR-T with Intrinsic PD-1 Inhibition

Overview: PRGN-3007, based on the next generation of the UltraCAR-T platform, is an investigational multigenic, autologous CAR-T cell therapy engineered to simultaneously express a CAR targeting receptor tyrosine kinase-like orphan receptor 1 (ROR1), mbIL15, a kill switch, and a novel mechanism for the intrinsic blockade of PD-1 gene expression. ROR1 is aberrantly expressed in multiple hematological tumors, including chronic lymphocytic leukemia (CLL), mantle cell leukemia (MCL), acute lymphoblastic leukemia (ALL), and diffuse large B-cell lymphoma (DLBCL) and solid tumors, including breast adenocarcinomas such as triple negative breast cancer (TNBC), pancreatic cancer, ovarian cancer, and lung adenocarcinoma. ROR1 is minimally expressed in healthy adult tissues.
Program Updates: Precigen plans to initiate dosing in the Phase 1 study in ROR1+ hematological (CLL, MCL, ALL, DLBCL) and solid (TNBC) tumors in 2022.
PRGN-2012 AdenoVerse Immunotherapy in Recurrent Respiratory Papillomatosis (RRP)

Overview: PRGN-2012 is an investigational off-the-shelf (OTS) AdenoVerse immunotherapy designed to elicit immune responses directed against cells infected with HPV 6 or HPV 11 for treatment of RRP. PRGN-2012 is currently under evaluation in a Phase 1 clinical trial under a Cooperative Research and Development Agreement (CRADA) with the National Cancer Institute (NCI). The Phase 1 trial is designed to follow 3+3 dose escalation of PRGN-2012 as an adjuvant immunotherapy following standard-of-care surgical removal of visible papillomas in adult patients with RRP. PRGN-2012 has been granted Orphan Drug Designation in patients with RRP by the FDA.
Program Updates: Precigen announced enrollment completion for the Phase 1 dose escalation and expansion cohorts of the Phase 1 study. Interim data for the Phase 1 study were recently presented at the Company’s 2021 R&D Virtual Event. The Company plans to seek FDA guidance on a rapid regulatory strategy for PRGN-2012 in RRP given the positive interim results and significant unmet patient need. Additional Phase 1 expansion data is expected in the second half of 2022.
PRGN-2009 AdenoVerse Immunotherapy in HPV-associated Cancers

Overview: PRGN-2009 is an OTS investigational immunotherapy utilizing the AdenoVerse platform designed to activate the immune system to recognize and target HPV-positive (HPV+) solid tumors. PRGN-2009 is currently under evaluation in a Phase 1/2 clinical trial under a CRADA with the NCI. The Phase 1 trial is evaluating safety and response of PRGN-2009 as a monotherapy (Arm A) and in combination with M7824 (Arm B) in previously treated patients with recurrent or metastatic HPV-associated cancers.
Program Updates: Precigen announced enrollment completion in the Phase 1 monotherapy arm. Enrollment is ongoing in the Phase 1 combination arm and the Phase 2 monotherapy arm in newly diagnosed OPSCC patients. Interim data for patients in the Phase 1 monotherapy and combination arms treated at Dose Levels 1-2 were recently presented at the Company’s 2021 R&D Virtual Event. Additional Phase 1 data for both arms is expected in 2022. The Company plans to seek FDA guidance on a rapid regulatory strategy for PRGN-2009 given the positive interim results and significant unmet patient need. The Company also plans to initiate a Phase 2 study in advanced HPV-associated cancer indications in combination with an approved anti-PD-1 checkpoint inhibitor.
AG019 ActoBiotics

Overview: AG019 is an investigational therapy designed to induce oral immune tolerance to reverse type 1 diabetes (T1D) and is currently under clinical evaluation for the treatment of early-onset T1D.The Phase 1b/2a clinical trial is evaluating AG019 as a monotherapy and in combination with teplizumab (PRV-031), which is currently under investigation in the PROTECT Phase 3 study for the treatment of newly diagnosed T1D.
Program Updates: Precigen announced the completion of the Phase 1b/2a clinical trial. Positive results from the trial were presented last year at the Federation of Clinical Immunology Societies (FOCIS) Virtual Annual Meeting and European Association for the Study of Diabetes (EASD) 57th Annual Meeting. The Company plans to initiate discussions with the FDA and European Medicines Agency (EMA) for Phase 2/3 clinical trial design for AG019 in T1D.
"Precigen made significant clinical progress in 2021 across our pipeline programs. We were able to meet the major clinical goals we outlined at JPM last year, and exceeded some goals such as the rapid progress made for PRGN-2012 in RRP. Interim data presented in 2021 across three platforms – UltraCAR-T, AdenoVerse, ActoBiotics – and five clinical programs continue to produce positive results" said Helen Sabzevari, PhD, President and CEO of Precigen, "In 2022, we will continue to advance our clinical programs with a concentration on rapid paths to licensure for programs addressing high unmet patient needs."

Precigen’s J.P. Morgan presentation is available on the Company website in the Events & Presentations section at investors.precigen.com/events-presentations.

ICON Issues Financial Guidance for Full Year 2022

On January 12, 2022 ICON plc, (NASDAQ: ICLR), a world-leading clinical research organisation powered by healthcare intelligence, reported its financial guidance for the year ended December 31, 2022 (Press release, ICON, JAN 12, 2022, View Source [SID1234605455]). For the full year 2022, revenue is expected to be in the range of $7,770 – $8,050 million, representing growth of 43 – 46% and adjusted earnings per share is expected to be in the range of $11.55 – $11.95, representing growth of 21 – 23%, over Full Year 2021 revenue and adjusted earnings per share guidance, respectively x. Adjusted earnings per share to exclude amortization, stock compensation, foreign exchange and transaction-related / integration-related adjustments.

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CEO Steve Cutler commented, "As the world’s largest and most comprehensive CRO, ICON is well positioned to lead the market as the healthcare intelligence partner of choice in clinical development. We saw strong demand from customers that resulted in a trailing twelve month book to bill of 1.3x and total backlog of $18.6 billion at the end of the third quarter 2021. With our solid performance in 2021 coupled with continued strength in the broader industry environment, we expect growth of 43 – 46% in revenue to a range of $7,770 – $8,050 million and adjusted earnings per share to increase by 21 – 23% to a range of $11.55 – $11.95 for the full year 2022."

The full year 2022 financial guidance assumes:

US dollar to Euro exchange rate of $1.15.
An effective tax rate of circa 16.5%.
Days Sales Outstanding of circa 25 – 30 days.
Circa $1bn free cash flow and capital expenditures of circa $150 million.
No share repurchase or M&A activity included in the above guidance.
With respect to 2021, the company reaffirmed its current guidance of revenue in the range of $5,430 – $5,530 million and adjusted earnings per share in the range of $9.55 – $9.75.

Corporate Presentation

On January 12, 2022 Adagene presented the Corporate Presentation (Presentation, Adagene, JAN 12, 2022, View Source [SID1234598649]).

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