Anchiano Therapeutics Enters into An Exclusive Option To License Agreement for Novel Pan-RAS Inhibitor and PDE10/β-catenin Inhibitor Programs

On September 23, 2019 Anchiano Therapeutics Ltd. (Nasdaq: ANCN) ("Anchiano" or the "Company"), a pivotal-stage biopharmaceutical company focused on the discovery and development of targeted therapies to treat cancer, reported that Anchiano Therapeutics, Inc., the Company’s U.S. subsidiary, has entered into an exclusive worldwide collaboration and option to license agreement with ADT Pharmaceuticals, LLC ("ADT") to develop novel small-molecule inhibitors of RAS and PDE10/β-catenin (Press release, Anchiano Therapeutics, SEP 23, 2019, View Source [SID1234539698]). This collaboration reflects Anchiano’s ongoing strategy to grow a pipeline beyond its pivotal-stage asset, inodiftagene vixteplasmid, with programs that have the potential to address significant clinical needs, while leveraging Anchiano’s expertise in small-molecule oncology development.

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"We are excited to bring both of these important programs aimed at difficult-to-treat genetically-defined cancers into our portfolio. They complement our pivotal program and Codex trial and underscore our commitment to develop therapies with targeted approaches," said Frank Haluska M.D., Ph.D., President and Chief Executive Officer of Anchiano. "Mutations in RAS are found in approximately one-third of all cancers. Recent exciting advances have been made in treating a subset of these cancers, but the successful development of a RAS-targeted therapy with broad inhibitory activity, irrespective of RAS isoform or mutation, has the potential for great clinical impact. Likewise, APC or β-catenin alterations are found almost uniformly in colorectal cancer and polyposis syndromes, and are observed in other tumor types as well, but effective targeted approaches to these lesions have been lacking. We are enthusiastic about the opportunity to develop PDE10 inhibition to target the Wnt/APC/β-catenin pathway where it is an oncogenic driver."

Michael Boyd M.D., Ph.D., President and Chief Executive Officer of ADT, added, "We are thrilled to partner with Anchiano, a company with a well-respected management team with a track record of success in development of targeted cancer therapies in their prior experience. We have confidence that this team has the knowledge, capability, and commitment to fully develop these two programs, and a shared vision of bringing new therapies to patients in need."

Under the terms of the collaboration and license agreement, Anchiano will be granted an exclusive option to license the RAS and PDE10/β-catenin inhibitors in exchange for a $3 million upfront payment to ADT and will fund certain research activities. At any time through obtaining an Investigational New Drug (IND) designation, Anchiano will have the option to exclusively license the compounds worldwide and will be responsible for all aspects of pre-clinical and clinical development and global commercialization. If Anchiano exercises its option, it will be responsible for development and commercialization and will incur additional payment obligations, including milestone and royalty payments to ADT.

LifeSci Advisors, LLC acted as exclusive transaction advisor to Anchiano.

Dr. Haluska added, "In addition to the news of our option to license agreement, we are also providing an enrollment update on our pivotal Phase 2 Codex trial of inodiftagene vixteplasmid in BCG-unresponsive non-muscle invasive bladder cancer patients. We currently have 31 patients enrolled or in active screening, of which 23 have been dosed. We had previously estimated that enrollment for the 35-patient interim analysis would be complete by the end of September, allowing for the 12-week readout to take place in the fourth quarter of this year. While at this time we are close to that projection, our conservative estimate is that data collection and interim analysis will be completed by the first quarter of 2020."

About the Pan-RAS Program123

Oncogenic mutations in the RAS family of genes (KRAS, HRAS, and NRAS) are present in approximately 30% of cancer. RAS plays a pivotal role in signal transduction pathways leading to tumor cell proliferation and survival. ADT’s program has identified novel small molecules that exhibit potent and selective inhibition of activated RAS signaling regardless of isoform or mutation, or pan-RAS inhibition.

Historically, direct inhibition of RAS has been challenging. However, investigational compounds that selectively target the KRAS G12C mutation recently have shown antitumor activity in the clinic, clinically validating RAS as a therapeutic target. These current investigational drugs are mutation specific—with G12C representing approximately 11% of KRAS mutations in cancer. A broadly active pan-RAS inhibitor with the potential to treat RAS-driven cancers regardless of RAS isoform or mutation would be clinically useful.

The RAS inhibitor program is comprised of a novel series of indene derivatives that potently, selectively and reversibly inhibit growth of tumor cells harboring mutant RAS, while having greater than 100-fold selectivity over cells with normal RAS activity. Inhibitory activity has been observed with low nanomolar potency in KRAS-, HRAS-, and NRAS-driven tumor cell models with a variety of mutations across a variety of tumor types. These compounds inhibit downstream signaling through RAF and PI3K pathways, initiate cell-cycle arrest and induce apoptosis, demonstrated blockade of GTP loading of RAS in the nucleotide-free state in cell-free biochemical assays, and have exhibited in vivo activity in RAS mutant tumor models. They have potential for RAS inhibition in a broad variety of clinical settings.

About the PDE10/β-catenin Program45678

Genetic alterations in components that make up the Wnt signaling pathway, which includes APC (adenomatous polyposis coli) and β-catenin, are prevalent in a number of cancer types, occurring in upwards of 80% of colorectal cancers. Additionally, germline mutations of APC lead to the hereditary cancer syndrome Familial Adenomatous Polyposis (FAP). Wnt signaling controls the level of intracellular activated β-catenin, a key effector of oncogenic signal transduction, and oncogenic alterations in Wnt, APC, or β-catenin all result in elevated and uncontrolled levels of β-catenin. Recent studies have shown that the cyclic nucleotide phosphodiesterase 10A (PDE10) is overexpressed during early stages of tumorigenesis and is essential for tumor cell growth. PDE10 inhibition activates protein kinase G and leads to the degradation of the oncogenic pool of β-catenin to suppress critical proteins essential for tumor cell proliferation and survival. Thus, targeting PDE10 provides a novel approach to selectively suppress β-catenin-mediated transcriptional activity.

ADT’s program has identified small molecules that selectively and potently inhibit PDE10 and suppress Wnt/β-catenin signaling in preclinical models. PDE10 inhibition has been shown to downregulate β-catenin expression, and inhibits polyp and tumor growth. It has potential for application in the treatment of cancer as well as spontaneous and familial polyposis syndromes.

Conference Call and Webcast Information

Company management will discuss the licensing agreement and corporate update on a call scheduled for Tuesday, September 24, 2019 at 8:00 am Eastern Time. To participate in the call, dial 1-877-451-6152 (domestic) or 1-201-389-0879 (international) fifteen minutes before the conference call begins and reference the conference passcode 13694843. The live conference call and replay can be accessed via audio webcast at View Source

Tarveda Therapeutics to Present at Upcoming Conferences

On September 23, 2019 Tarveda Therapeutics, Inc., a clinical stage biopharmaceutical company discovering and developing a new class of potent and selective precision oncology medicines for the treatment of patients with a wide range of solid tumor malignancies, reported that the company will present results from the Phase 1 portion of a Phase 1/2a study of PEN-866 in patients with advanced solid malignancies at the European Society for Medical Oncology (ESMO) (Free ESMO Whitepaper) Congress 2019, occurring September 27 – October 1, in Barcelona, Spain (Press release, Tarveda Therapeutics, SEP 23, 2019, View Source [SID1234539714]). In addition, Mark Bilodeau, Chief Scientific Officer of Tarveda, will present on payload masking in activated Heat Shock Protein 90 (HSP90) binding miniature drug conjugates at the 10th Annual World ADC, occurring October 8 – 11, in San Diego, California.

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At ESMO (Free ESMO Whitepaper), Johanna Bendell will present results from an ongoing Phase 1 study evaluating the safety, tolerability, pharmacokinetics, and preliminary efficacy of PEN-866 in patients with progressive, advanced solid malignancies. At the time of this reporting, a number of patients remain on the study, therefore this does not represent the final data set. PEN-866 is a miniature drug conjugate that selectively binds to the activated intracellular target HSP90 and is linked to a topoisomerase 1 inhibitor (SN-38), a potent anti-cancer payload. PEN-866 is designed to accumulate and be retained in tumors and, by way of a sustained release of SN-38, cause prolonged DNA damage and tumor regressions.

Details of the presentations are as follows:

ESMO Congress 2019
Title: First in human phase 1/2a study of PEN-866, a Heat Shock Protein 90 (HSP90) – SN38 conjugate for patients with advanced Solid Malignancies: Phase 1 results.
Date: September 28, 2019
Time: 12:00 PM CEST
Location: Poster Area (Hall 4), Fira Gran Via, Barcelona, Spain

10th Annual World ADC
Title: Payload Masking in HSP90 Targeting Miniature Drug Conjugates to Expand the Therapeutic Window
Date: October 11, 2019
Time: 12:30 PM PT
Location: Manchester Grand Hyatt, San Diego, CA

Roche to present new data from its broad oncology portfolio at the European Society for Medical Oncology 2019 Congress

On September 23, 2019 Roche (SIX: RO, ROG; OTCQX: RHHBY) reported that results from a number of studies across its comprehensive oncology portfolio, covering a broad range of cancers including bladder, lung and breast will be presented at the European Society for Medical Oncology (ESMO) (Free ESMO Whitepaper) 2019 Congress, taking place from 27 September – 1 October in Barcelona, Spain (Press release, Hoffmann-La Roche, SEP 23, 2019, View Source [SID1234539683]). A total of 100 abstracts and 15 late-breaking abstracts that include a Roche medicine will be presented at this year’s congress.

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"We are excited to present a number of key datasets across a broad range of diseases at ESMO (Free ESMO Whitepaper) this year, including results from our Tecentriq combination study in people with previously untreated advanced bladder cancer, the first positive Phase III cancer immunotherapy trial in this setting. In addition, we will present data from our Phase III Tecentriq monotherapy study in previously untreated advanced lung cancer," said Sandra Horning, MD, Roche’s Chief Medical Officer and Head of Global Product Development. "We will also share data from a study using Foundation Medicine’s liquid (blood) biopsy, a more patient-friendly approach to diagnosing and treating cancer. The results of the first cohort of this study involving ALK+ non-small cell lung cancer patients who received Alecensa will be presented at the congress."

Follow Roche on Twitter via @Roche and keep up to date with ESMO (Free ESMO Whitepaper) 2019 Congress news and updates by using the hashtag #ESMO19.

Key presentations
Bladder cancer:
First results from the Phase III IMvigor130 study will be presented as an oral presentation at the Presidential Symposium on 30 September at 17:53-18:05 CEST (abstract LBA14) and will be featured in the official ESMO (Free ESMO Whitepaper) press programme at 07:30 CEST on the same day. This study evaluates the efficacy and safety of Tecentriq (atezolizumab) in combination with platinum-based chemotherapy or alone versus platinum-based chemotherapy in patients with previously untreated locally advanced or mUC, and supports Roche’s broad clinical development programme for Tecentriq in bladder cancer.

IMvigor130 met its co-primary endpoint of progression-free survival (PFS). The combination showed a statistically significant reduction in the risk of disease worsening or death in people with previously untreated locally advanced or metastatic urothelial carcinoma (mUC). Encouraging overall survival (OS) results were observed at this interim analysis, however these results are not yet mature. The study represents the first positive Phase III immunotherapy combination study in patients with previously untreated bladder cancer. Tecentriq monotherapy was the first cancer immunotherapy approved in bladder cancer.

Lung cancer:
Alecensa (alectinib)
Results from the first cohort of the Phase II/III Blood First Assay Screening Trial (BFAST) will be presented at ESMO (Free ESMO Whitepaper) 2019. BFAST is the first prospective trial to use blood-based next generation sequencing (NGS) as the sole method of identifying and assigning non-small cell lung cancer (NSCLC) patients to targeted therapy based on actionable genetic alterations without the need for tissue biopsy. The study utilised FoundationOne Liquid, Foundation Medicine’s liquid (blood) biopsy assay to detect fusions in circulating tumour DNA (ctDNA) from a simple blood draw to identify anaplastic lymphoma kinase (ALK) status and consequently eligibility for Alecensa.

In addition to BFAST, updated data from the pivotal Phase III ALEX study investigating the efficacy and tolerability of Alecensa in comparison to crizotinib in patients with untreated ALK-positive NSCLC will also be presented at the congress, along with real world data on the use of Alecensa in clinical practice from the Flatiron Health database.

Tecentriq (atezolizumab)
Results from the Phase III IMpower110 study evaluating Tecentriq as first-line monotherapy compared with cisplatin or carboplatin and pemetrexed or gemcitabine (chemotherapy) as first-line treatment in patients with advanced squamous and non-squamous NSCLC will be presented. The study met its primary endpoint of OS, demonstrating a statistically significant OS benefit for Tecentriq monotherapy in people with high levels of PD-L1 expression, compared with chemotherapy alone.

In addition, updated OS results from the IMpower133 study will also be presented at ESMO (Free ESMO Whitepaper). IMpower133 showed that first-line Tecentriq in combination with chemotherapy helped people with extensive-stage small cell lung cancer (ES-SCLC) live significantly longer compared with chemotherapy alone. This updated data presentation will also feature analysis by PD-L1 subgroup.

Rozlytrek(entrectinib)
Additionally, results from studies in partnership with Flatiron Health will be presented, including validation of the use of NGS data on a broad scale to improve the understanding of clinical outcomes in people with metastatic lung cancer, and results that illustrate how real-world data can be used to supplement evidence from clinical trials comparing Rozlytrek clinical data with a matched cohort treated with current standard of care from the Flatiron database in ROS1-positive lung cancer.

Liver cancer (HCC):
Tecentriq + Avastin (bevacizumab)
Results will be presented from a Phase Ib study evaluating the efficacy and safety of Tecentriq plus Avastin as a treatment for people with unresectable hepatocellular carcinoma (HCC), the most common form of liver cancer, who have not received prior systemic therapy. Data will be presented underscoring the potential benefit of Tecentriq plus Avastin for HCC patients, as well as randomised data testing the combination versus Tecentriq monotherapy.

Breast cancer:
Tecentriq
During ESMO (Free ESMO Whitepaper), data from a post-hoc (exploratory) analysis of the IMpassion130 study will be presented, evaluating the performance of VENTANA PD-L1 (SP142) and two other PD-L1 immunohistochemistry (IHC) assays in unresectable locally advanced or metastatic triple-negative breast cancer (mTNBC) in predicting clinical activity of Tecentriq plus nab-paclitaxel.

Primary results of IMpassion130 showed that Tecentriq plus nab-paclitaxel reduced the risk of disease worsening or death, and an encouraging OS was observed at interim analysis in people with mTNBC who were tested positive for PD-L1 expression on tumour-infiltrating immune cells compared to nab-paclitaxel alone.

The assessment of PD-L1 on tumour-infiltrating immune cells is essential for identifying the patients with mTNBC benefiting from this Tecentriq combination. PD-L1 expression status in the IMpassion130 study was assessed by the VENTANA PD-L1 (SP142) assay.

HER2 portfolio/medicines
Exploratory analysis of the international Phase III, KATHERINE trial – evaluating the efficacy and safety of Kadcyla (trastuzumab emtansine) versus Herceptin (trastuzumab) as an adjuvant therapy in people with HER2-positive early breast cancer (eBC) who have residual disease after neoadjuvant taxane and Herceptin-based treatment, have been accepted for oral presentation at this year’s congress. This updated analysis examined the association of prior neoadjuvant treatment with characteristics of peripheral neuropathy and thrombocytopenia amongst the study population observed in the KATHERINE trial as well as further data on central nervous system (CNS) recurrences.

Primary results from the Phase III KATHERINE study showed that Kadcyla significantly reduced the risk of invasive breast cancer recurrence or death from any cause (invasive disease-free survival; iDFS) by 50% (Hazard Ratio [HR]=0.50, 95% CI: 0.39-0.64, p<0.0001) compared to Herceptin as an adjuvant treatment in people with HER2-positive eBC who have residual invasive disease after neoadjuvant taxane and Herceptin-based treatment.

Also being presented at ESMO (Free ESMO Whitepaper) 2019, are data from an epidemiological study looking at the impact of adjuvant Kadcyla on the incidence of metastatic breast cancer (mBC), as well as results from an analysis of data from the Flatiron database, which assessed challenges in determining the effectiveness of HER2-targeted treatment sequencing in the real world.

OS results from the Phase II KATE2 study, evaluating the efficacy and safety of Kadcyla in combination with Tecentriq versus Kadcyla and placebo in people with HER2-positive locally advanced or mBC who have received prior Herceptin and taxane-based therapy, will also be shared in an oral presentation.

Cancer of Unknown Primary Site (CUP):
Featured in the official ESMO (Free ESMO Whitepaper) press programme at 08:30 on 28 September will be a retrospective analysis using comprehensive genomic profiling (CGP) of carcinoma of unknown primary origin (CUP) patients that investigated eligibility for molecularly guided targeted or immunotherapy treatment options in the CUPISCO study design. To make that determination, archival tissue from centrally reviewed CUP cases was subjected to CGP using the FoundationOne CDx test. CUPISCO is a Phase II, randomised, active-controlled, multi-centre study comparing the efficacy and safety of targeted therapy or cancer immunotherapy guided by genomic profiling versus platinum-based chemotherapy in patients with a CUP site.

Overview of key presentations featuring Roche medicines at ESMO (Free ESMO Whitepaper) 2019

About Roche in Oncology
Roche has been working to transform cancer care for more than 50 years, bringing the first specifically designed anti-cancer chemotherapy drug, fluorouracil, to patients in 1962. Roche’s commitment to developing innovative medicines and diagnostics for cancers remains steadfast.

The Roche Group’s portfolio of innovative cancer medicines includes: Alecensa (alectinib); Avastin (bevacizumab); Cotellic (cobimetinib); Erivedge (vismodegib); Gazyva/Gazyvaro (obinutuzumab); Herceptin (trastuzumab); Kadcyla (trastuzumab emtansine); MabThera/Rituxan (rituximab); Perjeta (pertuzumab); Polivy (polatuzumab vedotin-piiq); Tarceva (erlotinib); RozlytrekTM (entrectinib); Tecentriq (atezolizumab); Venclexta/Venclyxto (venetoclax); Xeloda (capecitabine); Zelboraf (vemurafenib). Furthermore, the Roche Group has a robust investigational oncology pipeline focusing on new therapeutic targets and novel combination strategies. For more information on Roche’s approach to cancer, visit www.roche.com.

Eagle Pharmaceuticals, Inc. to Present at 2019 Cantor Global Healthcare Conference

On September 23, 2019 Eagle Pharmaceuticals, Inc. ("Eagle" or the "Company") (NASDAQ: EGRX) reported that Scott Tarriff, Chief Executive Officer, and Pete Meyers, Chief Financial Officer, will present at the 2019 Cantor Global Healthcare Conference as follows (Press release, Eagle Pharmaceuticals, SEP 23, 2019, View Source [SID1234539699]):

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Date: Wednesday, October 2, 2019
Time: 7:45 a.m. Eastern Daylight Time
Location: Intercontinental New York Barclay Hotel, NYC
Webcast: View Source

The presentation will be webcast live at the aforementioned time, and archived for 30 days thereafter, via the Company’s website at www.eagleus.com, under the Investors + News Section.

Biodesix Highlights Pipeline and Companion Diagnostic Development at World CDx and RAS-Targeted Drug Discovery

On September 23, 2019 Biodesix, Inc. reported updates on continued expansion of pipeline and companion diagnostic developments. Chief Development Officer Dr. Gary Pestano, Ph.D., highlighted the company’s capabilities in the development and commercialization of companion diagnostics aimed at directing the treatment of non-small cell lung cancer (NSCLC) at the 2019 Clinical Biomarkers & World CDx Conference (Press release, Biodesix, SEP 23, 2019, View Source [SID1234539715]). Director of Scientific & Medical Affairs, Dr. Yishan Chuang, Ph.D., presented real-world data on the importance of monitoring KRAS mutations in blood at the RAS-Targeted Drug Discovery meeting.

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Companion Diagnostic Developments

Dr. Pestano cited two case studies of recent projects in CDx development. The first outlined Biodesix’s worldwide agreement to develop and commercialize the hepatocyte growth factor inhibitor antibody ficlatuzumab with Aveo Oncology (AVEO), using Biodesix’s proprietary VeriStrat test as a CDx to identify NSCLC patients most likely to benefit from treatment with ficlatuzumab.

Biodesix’s recent agreement with Thermo Fisher was also presented, highlighting the ability to access a global footprint of instruments with rapid turn-around time and low-input material requirements for a liquid biopsy NGS test. The 52-gene panel is currently under dual track single-site PMA review by the FDA and CMS, with a goal of gaining approval with reimbursement in 2020. The approval will be initially focused on EGFR and NSCLC, with the ability to extend into other targets and indications as new partnerships develop.

"Our ongoing efforts in the discovery, development, and commercialization of companion diagnostic tests alongside our partners in biopharma further demonstrates Biodesix’s commitment to advancing precision medicine," said Pestano. "Companion diagnostics, in addition to Biodesix’s portfolio of proprietary blood-based tests both currently available and in development, are designed to answer critical unmet needs across the continuum of care in oncology, NSCLC, and lung disease."

Monitoring KRAS Mutations in Blood

Dr. Chuang shared data from INSIGHT, an observational study assessing real-world clinical utility of VeriStrat and GeneStrat testing in 3,000 NSCLC patients across 33 sites in the U.S. Results from the INSIGHT study demonstrate poor response to treatment with platinum doublet-based chemotherapy in patients when KRAS mutations are detected in the blood (OS 3.4 months v. 14.0 months, p<0.001). It was noted that the particularly poor prognosis observed in these groups may be linked to tumors that shed DNA into the blood having a more aggressive disease state to those that don’t, highlighting the value of blood-based testing in addition to standard tissue testing. Additionally, longitudinal monitoring of KRAS mutation clearance in the blood may be an important indicator for treatment response. Dr. Chuang also noted that by combing information from both the circulating proteome with the VeriStrat test and circulating genome with GeneStrat testing provides additional value in predicting NSCLC patient prognosis.

"With the exciting development of KRAS targeted therapy in clinical studies, there is an increasing need for swift mutation testing with liquid biopsy," said Dr. Chuang. "From Biodesix’s INSIGHT study, we also see that patient prognosis could be further elucidated when we consider both KRAS mutation information in combination with the circulating proteome in blood."