Hamlet Pharma Q1 Interim Report July 2022 – September 2022

On November 11, 2022 The HAMLET Pharma reported that drug candidates has remarkable effects and continues to show great promise for the prevention and treatment of cancer (Press release, HAMLET Pharma, NOV 11, 2022, View Source;utm_medium=rss&utm_campaign=hamlet-pharma-q1-interim-report-july-2022-september-2022 [SID1234623845]). Alpha1H kills tumor cell efficiently and attacks tumor tissue in patients with bladder cancer. A unique mechanism of action permits Alpha1H to target the tumor without damaging healthy bladder tissue. In bladder cancer patients, the tumor responds by releasing large numbers of tumor cells and tumor fragment into the urine, which is an efficient way of removing tumor tissue without causing a toxic effect. These positive findings suggest that Alpha1H can be used liberally to treat different types of cancer in the future.

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During the first quarter of the new fiscal year, Hamlet Pharma has strengthened the clinical trial program for stand-alone use of Alpha1H in bladder cancer patients, continued the collaboration with Neurochase Ltd for the treatment of brain tumors with Alpha1H and, in collaboration with external partners, intensified the development of BAMLET as a drug candidate.

After a successful dose-finding study with positive clinical effects, the clinical program is aimed at defining the optimal treatment regimen. We are currently testing the effects of repeated treatment using a five times higher dose of Alpha1H compared to placebo. The patients will receive two rounds of treatment and the clinical outcome will be compared to the placebo group and to patients receiving one round of treatment. The dialogue with the US (FDA) and European (EMA) authorities has, with the help of experienced consultant organizations, been intensified during this first quarter.

The ongoing collaboration with Neurochase Ltd will explore Alpha1H for brain tumor therapy, where a novel drug delivery technology and methods to treat tumors in the central nervous system with Alpha1H will be developed. The work includes technology development and testing of the new device with Alpha1H in an animal study. The goal is to provide adequate materials and data to prepare for the first clinical study for this indication.

BAMLET, with strong tumoricidal effects, is the third member of the HAMLET family of compounds. In the first quarter, we have continued the development of BAMLET as a drug candidate, primarily in colon cancer. In an animal study in mice we have found that daily, long-term treatment with BAMLET in the drinking water inhibits tumor development and increases long-term survival, compared to mice not receiving BAMLET. The frequency of polyps and the polyp size was reduced already after eight weeks and with continued treatment. The mice remained symptom-free and survived significantly longer than control mice. Hamlet Pharma has also initiated discussions regarding the manufacturing of BAMLET for future clinical studies with external partners.

The stable financial position enables Hamlet Pharma to secure the development of the projects in the Hamlet Pharma portfolio. Hamlet Pharma is committed to improving the treatment options for cancer patients, initially patients with bladder cancer, where there is a significant unmet medical need for new therapies.

Catharina Svanborg and Martin Erixon

Chairperson of the Board and CMO, and CEO, respectively, of Hamlet Pharma AB

Significant events during the first quarter

Q1

On August 2, 2022, Hamlet Pharma published "Full speed ahead! – Hamlet Pharma adapts the clinical trial program for stand-alone use". Hamlet Pharma highlights the development of the clinical protocol in bladder cancer with Alpha 1H. The company has decided to interrupt the combination study where Alpha1H was used together with a chemotherapy drug. There was no evidence of a therapeutic advantage and the patients experienced side effects, which were not seen with Alpha1H alone. It was also announced that Hamlet Pharma is taking one more step towards the design of the Phase III clinical trial protocol by adding a second treatment round after the completion of the first round of treatment in the ongoing study. These decisions strengthen Hamlet Pharma’s position as a company developing drug candidates with a more beneficial profile than traditional chemotherapeutic drugs.

On August 9, 2022, Hamlet Pharma published "Hamlet Pharma receives a new rapid approval in the Czech Republic". Hamlet Pharma announced the rapid approval of Hamlet Pharma’s application to amend the clinical trial of Alpha1H in bladder cancer by the Czech regulatory authorities. This important new part of the ongoing study is now ready to start.

On September 29, 2022, Hamlet Pharma presented at the Nordic Life Science Days, a pharmaceutical and biotechnology conference held in Malmö. The title of the presentation was "High precision cancer treatment with low side effects".

Significant events after the first quarter

On October 2022, Catharina Svanborg attended the 17th Annual Peptide Therapeutics Symposium held at the Salk Institute in La Jolla, California and presented the Hamlet project to leaders in the field of peptide drug development. The title of the presentation was "A new approach to Cancer Therapy with Documented Clinical Effects".

On November 3, 2022, the annual report for the fiscal year 2021/2022 was published. It can be found on our updated homepage or on spotlight Stock Market’s home page.

On November 9, Hamlet Pharma published ‘’BAMLET in the drinking water; protection against intestinal cancer and potent beneficial health effects’’. We show that daily, long-term treatment with BAMLET in the drinking water inhibits intestinal tumor development in mice genetically susceptible to intestinal tumors, compared to mice not receiving BAMLET. The frequency of tumors and the tumor size was reduced already after short-term BAMLET treatment but with continued treatment, the mice remained symptom-free and survived significantly longer than control mice. BAMLET treatment also protected the mice from extra-intestinal manifestations of disease. These findings are conceptually important, as they suggest that local treatment of the intestine, by supplying BAMLET in the drinking water, can affect cancer development as well as disease states in other organs, suggesting a systemic as well as a local effect.

The findings highlight the beneficial properties of BAMLET and a broad range of effects affecting health and disease.

The period in summary

FIRST QUARTER (JUL 1, 2022-SEP 30, 2022)

– Net sales for the quarter totaled KSEK 0 (0)

– Other operating income totaled KSEK 0 (3,927)

– Loss before tax amounted to KSEK -5,618 (-2,048)

– Loss after tax amounted to KSEK -5,618 (-2,048)

– Loss per share* was SEK -0.0508 (-0.0188), and SEK -0.0491 after dilution

– On September 30, 2022, the equity/assets ratio** was 94.0 (88.7) %

Amounts in parentheses above and below indicate the corresponding value in the preceding year.

* Profit/loss after tax for the period divided by 110,529,666 (108,761,179) and 114,472,907, respectively, where 110,529,666 is the number of shares outstanding on September 30, 2022, and 114,472,907 will be the number of shares if the subscription warrants issued by the Company are exercised. The comparative figure in parentheses was the number of shares on September 30, 2021.

GSK provides an update on Zejula (niraparib) US prescribing information

On November 11, 2022 GSK plc (LSE/NYSE: GSK) reported an update that at the request of the US Food and Drug Administration (FDA) it will restrict the second-line maintenance indication for Zejula (niraparib) to only the patient population with deleterious or suspected deleterious germline BRCA mutations (gBRCAmut) (Press release, GlaxoSmithKline, NOV 11, 2022, View Source [SID1234623844]). The US first-line indication of Zejula remains unchanged for the maintenance treatment of adult patients with advanced epithelial ovarian, fallopian tube, or primary peritoneal cancer who have a complete or partial response to platinum-based chemotherapy.

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This decision follows an FDA review of the final overall survival (OS) analysis of the ENGOT-OV16/NOVA phase III trial, which served as the basis for the approval of the second-line maintenance indication. In the final OS results from the NOVA trial, the secondary endpoint of OS demonstrated a hazard ratio (HR) of 1.06 (95% CI: 0.81-1.37) in the non-gBRCAmut cohort.

NOVA is a randomised, double-blind, placebo-controlled phase III trial of niraparib, an oral, once-daily poly (ADP-ribose) polymerase (PARP) inhibitor for the maintenance treatment of women with platinum-sensitive recurrent ovarian cancer. The primary endpoint of the NOVA study was progression-free survival (PFS), evaluated as two independently powered cohorts (gBRCAmut and non-gBRCAmut); results demonstrated the clinically meaningful and statistically significant benefit of niraparib in both cohorts and across the HRD subgroups in the non-gBRCAmut cohort. Secondary endpoints were safety and long-term exploratory endpoints, including overall survival. GSK is in ongoing discussions about these and other emerging OS data with health authorities worldwide.

About ovarian cancer

Ovarian cancer is the eighth most common cancer in women worldwide.[i] Despite high response rates to platinum-based chemotherapy in the front-line setting, approximately 85% of patients will experience disease recurrence.[ii] Once the disease recurs, it is rarely curable, with decreasing time intervals for each subsequent recurrence.

About Zejula (niraparib)

Zejula is an oral, once-daily PARP inhibitor currently being evaluated in multiple pivotal trials. GSK is building a robust clinical development programme by assessing activity across multiple tumour types and evaluating several potential combinations of Zejula with other therapeutics. The ongoing development programme includes several combination studies, including the FIRST phase III trial assessing niraparib in combination with dostarlimab, a programmed death receptor-1 (PD-1)-blocking antibody, as a potential treatment for first-line ovarian cancer maintenance and the phase III ZEAL trial assessing niraparib in combination with standard of care for the maintenance treatment of first line advanced non-small cell lung cancer. GSK also is evaluating niraparib in HER2-negative BRCA-mutated or triple-negative breast cancer.

Isofol Medical AB (publ) publishes interim report, January–September 2022

On November 11, 2022 Isofol Medical AB (publ), (Nasdaq Stockholm: ISOFOL), reported that the company’s interim report for January–September 2022 is now available on the company’s website, www.isofolmedical.com (Press release, Isofol Medical, NOV 11, 2022, View Source [SID1234623843]).

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The information in the press release is intended for investors.

Third quarter, July – September 2022
Net revenue amounted to TSEK 2,907 (5,154) and other revenue to TSEK 0 (0)
The result for the period amounted to TSEK -32,513 (-51,026)
Earnings per share amounted to SEK -0.20 (-0.32)
Cash and cash equivalents as of September 30 amounted to TSEK 234,983 (420,861)
January – September 2022
Net revenue amounted to TSEK 10,940 (17,702) and other revenue to TSEK 1 (0)
The result for the period amounted to TSEK -134,420 (-139,081)
Earnings per share amounted to SEK -0.83 (-1.22)
Significant events during the third quarter 2022
On July 26, Isofol received approval of a biomarker analysis patent.
On August 3, Isofol presented the top-line results of the global pivotal phase III AGENT study. The study data revealed that the study did not achieve the primary endpoint of objective response rate (ORR) or the key secondary endpoint of progression-free survival (PFS).
On August 31, Isofol announced that based on additional study data, there was no longer reason to continue with the AGENT study. The conclusions regarding primary and secondary endpoints will not be revised. Isofol’s Board resolved to assess possible alternatives for the company’s future.
On September 7, Isofol reported additional study data that laid the groundwork for the decision to terminate the study early. In parallel with this decision, Isofol’s Board will continue to investigate possible alternatives to secure the largest possible value for Isofol’s shareholders.
Significant events after the event of the period
No significant events occurred after the end of the period.
CEO´s comment:
" Given the AGENT study results’ low clinical and business value for Isofol, we began work during the quarter to terminate the study. This must be carried out in accordance with applicable ethical aspects and regulatory requirements. This work is extensive and will therefore require both time and resources throughout autumn 2022 and the beginning of 2023. We also took active measures to reduce costs and secure the company’s financial position, which has been our utmost priority along with finding any positive outcomes in the study data and terminating the study", says CEO Ulf Jungnelius.

Audiocast, November 11, at 11:00 a.m. CET
In conjunction with the publication of the interim report for the third quarter of 2022, Isofol invites investors, analysts, and media to an audiocast on November 11, 2022 at 11:00 a.m. CET. The presentation will be held by Isofol´s CEO Ulf Jungnelius and CFO Gustaf Albèrt, who will present and comment the report, followed by a Q&A-session. The presentation will be held in English.

Dose Escalation Data from transcendIT-101, Ascendis Pharma’s Phase 1/2 Trial of TransCon™ TLR7/8 Agonist in Patients with Advanced Solid Tumors, Presented at SITC 2022

On November 11, 2022 Ascendis Pharma A/S (Nasdaq: ASND) reported that new data from the dose-escalation portion of transcendIT-101, the company’s Phase 1/2 open-label, multi-center trial of TransCon TLR7/8 Agonist in patients with advanced solid tumors (Press release, Ascendis Pharma, NOV 11, 2022, View Source [SID1234623842]). TransCon TLR7/8 Agonist is an investigational long-acting prodrug designed to provide sustained, localized release over weeks of resiquimod (a potent immune response modifier with clinically demonstrated anti-tumor activity) with low systemic exposure.

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The dose escalation data from transcendIT-101, presented by Diwakar Davar, M.D. of the University of Pittsburgh Medical Center during the annual meeting of the Society for Immunotherapy of Cancer (SITC) (Free SITC Whitepaper) (SITC 2022), suggests that intratumoral TransCon TLR7/8 Agonist was safe and well-tolerated alone or in combination with pembrolizumab; that it demonstrated target immune system engagement in injected and non-injected tumors along with a systemic immune response; and that it showed early signs of clinical activity alone or in combination with pembrolizumab.

"We are very pleased to see intratumoral TransCon TLR7/8 Agonist administration working as designed to deliver prolonged, high local concentrations of resiquimod, steadily activating and intensifying the body’s innate and adaptive immune responses over weeks with a single injection," said Stina Singel, Senior Vice President, Head of Clinical Development, Oncology at Ascendis Pharma. "With these early signs of clinical activity, including monotherapy abscopal activity, and no signs of systemic toxicity, we look forward to continuing our work with investigators and patients to further assess TransCon TLR7/8 Agonist’s ability to promote potent anti-tumoral responses while minimizing toxic systemic exposures."

All 23 of the patients enrolled in the dose escalation portion of the trial had advanced or metastatic solid tumors that had progressed on prior treatments, 9 in the monotherapy cohort (intratumoral TransCon TLR7/8 Agonist alone) and 14 in the combination therapy cohort (intratumoral TransCon TLR7/8 Agonist plus the check-point inhibitor pembrolizumab). Two dose levels were evaluated: 0.3 mg/lesion and 0.5 mg/lesion. The recommended Phase 2 dose was declared at 0.5 mg/lesion for up to two lesions.

The Phase 1/2 transcendIT-101 trial (NCT04799054) is continuing to enroll patients, with dose expansion focused on investigating TransCon TLR7/8 Agonist in combination with pembrolizumab in 4 cancer types where increased Toll-like receptor (TLR) activity has potential to improve adaptive immune activation and host defense against cancers: head and neck squamous cell carcinomas (SCC); other HPV-associated cancers; melanoma; and cutaneous squamous cell carcinomas (cSCC).

SITC 2022 registrants can obtain the poster (#763) and oral presentation slides, both titled "Phase 1/2, Open-Label, Multicenter, First-in-Human Dose Escalation and Dose Expansion Study of TransCon TLR7/8 Agonist Alone or in Combination With Pembrolizumab in Patients With Locally Advanced or Metastatic Solid Tumor Malignancies: Initial Results From Phase 1 Dose Escalation (transcendIT-101) Trial," from the SITC (Free SITC Whitepaper) 2022 event website: View Source

About TransCon TLR7/8 Agonist
Immunotherapies can stimulate, intensify, and sustain the immune system’s natural ability to recognize and eliminate cancer cells, yet many patients do not respond to immunotherapies currently on the market, most of which are designed for intravenous administration and many of which have significant toxicity profiles at therapeutically effective doses. TransCon TLR7/8 Agonist is an investigational long-acting prodrug of resiquimod (a potent immune response modifier with clinically demonstrated anti-tumor activity) designed to provide sustained activation of intratumoral antigen-presenting cells driving tumor antigen presentation and induction of immune-stimulatory cytokines for weeks with a single intratumoral injection. Based on Ascendis Pharma’s innovative TransCon technology platform, TransCon TLR7/8 Agonist is comprised of 3 main components: resiquimod a small molecule agonist of Toll-like receptors (TLRs) 7 and 8, a TransCon hydrogel microparticle carrier, and a linker bound permanently to the hydrogel microparticle carrier on one end and transiently to resiquimod on the other. TransCon TLR7/8 Agonist leverages TransCon hydrogel to achieve sustained, localized release of resiquimod in the injected tumor over weeks, where it is designed to steadily activate and intensify the body’s innate and adaptive immune responses to eradicate cancer cells in both injected and distal tumors, while maintaining low systemic drug exposure.

Treadwell Therapeutics Announces A Presentation at the 2022 SITC Annual Meeting Featuring a Clinical Trial Update on CFI-402411, a First-in-Class HPK1 inhibitor

On November 11, 2022 Treadwell Therapeutics, a clinical-stage biotechnology company developing novel medicines cancer, reported a presentation for CFI-402411, an oral, first-in-class inhibitor of Hematopoietic Progenitor Kinase 1 (HPK1), a negative regulator of immune cell activation, at the 37th Society for Immunotherapy of Cancer (SITC) (Free SITC Whitepaper) Annual Meeting being held virtually and in-person from November 8-12, 2022 at the Boston Convention and Exhibition Center in Boston, MA (Press release, Treadwell Therapeutics, NOV 11, 2022, View Source [SID1234623840]). This presentation will provide an interim update from the ongoing TWT-101, a Treadwell-sponsored, first in human study of CFI-402411 in advanced solid tumors.

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"Inhibition of HPK1 with CFI-402411 could represent a safe and effective means to stimulate anti-tumor immunity. We continue to observe good tolerability and emerging signs of clinical activity, including in patients that have failed anti-PD1 therapy" said Dr. Omid Hamid, Chief of Research/ Immuno-Oncology at The Angeles Clinic & Research Institute, a Cedars-Sinai affiliate, Los Angeles, California.

"We are encouraged by the emerging clinical profile of CFI-402411," said Dr. Michael Tusche, co-Chief Executive Officer at Treadwell Therapeutics. "We hope to define the Recommended Phase 2 dose for the molecule in the near term and are excited about the next stage of development for CFI-402411 both as a monotherapy and in combination with checkpoint blockade."

2022 SITC (Free SITC Whitepaper) Poster Presentations and Details
TWT-101: A First-In-Clinic, Phase 1/2 Study Of CFI-402411, a Hematopoietic Progenitor Kinase-1 (HPK1) Inhibitor, as a Single Agent and in Combination with Pembrolizumab in Subjects with Advanced Solid Malignancies
Publication Number: 750
Poster Hall
Date and Time: November 11, 2022, 7:00 am – 8:30 pm

In the presentation titled, "TWT-101: A First In-human, Phase 1/2 Study of CFI-402411, Hematopoietic Progenitor Kinase-1 (HPK1) Inhibitor, as a single agent and in combination with pembrolizumab in subjects with advanced solid malignancies," CFI-402411 demonstrated a clinically manageable safety profile at doses up to 560 mg QD with exposures increasing proportionately with dose. In the efficacy evaluable population (N=31), 2 patients achieved partial response as best response. Both of responses were in Head and Neck Squamous Cell Carcinoma (HNSCC) patients previously treated with pembrolizumab. One patient was treated as a monotherapy (400 mg) and the other treated in combination (60 mg + pembrolizumab) with 36% and 81% reduction in target lesions, respectively. Nine patients had best response as stable disease and stayed on study for at least 4 cycles. The most common treatment emergent toxicities of any grade, which occurred in greater than 10% of patients, were diarrhea (61%), fatigue (39%), nausea (33%), decreased appetite (30%), vomiting (26%), dehydration (17%), ALT increase (15%). dyspepsia (15%) and back pain (11%).

About CFI-402411
CFI-402411 is a highly potent inhibitor of HPK1, which in preclinical studies has been shown to have an immune-activating effects including the alleviation of inhibition of T cell receptors (TCR), disruption of abnormal cytokine expression, alteration of the tumor immunosuppressive environment through effector cells (i.e. Regulatory T cells or Treg), and potent anti-leukemic effects in several mouse models.

About TWT-101
TWT-101 is a Phase 1/2 clinical trial of CFI-402411 in advanced solid malignancies. The study is designed to assess the safety, tolerability, pharmacokinetics, pharmacodynamics and efficacy of CFI-402411, as well as to determine optimal dosing as a monotherapy and in combination with the anti-PD1 antibody, pembrolizumab. The trial could enroll up to 170 patients at up to 15 sites in North America and Asia. It will involve 5 arms including monotherapy and combination dose escalation and expansion in a variety of tumor types, as well as biomarker backfills.