Celgene Corporation Announces Celgene Cancer Care Links™ Program Grant Recipients

On December 17, 2018 Celgene Corporation (NASDAQ:CELG) reported ten programs selected for funding under its Celgene Cancer Care Links program, an initiative designed to support cancer healthcare capacity building in resource-constrained countries around the world (Press release, Celgene, DEC 17, 2018, View Source [SID1234532106]).

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The programs selected are expected to support established institutions partnering with in-country medical centers that provide essential cancer care services including awareness and education, prevention, diagnosis and care. The Celgene Cancer Care Links program is an initiative of Celgene Global Health, which focuses on healthcare challenges facing patients in developing parts of the world.

"Celgene Cancer Care Links is another program we have created to make a meaningful impact for patients and healthcare systems around the world," said Mark J. Alles, Chairman and Chief Executive Officer of Celgene. "We are excited to announce the first round of grants through this initiative and wish these world-renowned organizations and institutions great success."

Recipients of Celgene Cancer Care Links grants include:


Program Title Organization Partner Institution
Standard of care for pediatric Kaposi Sarcoma in Lilongwe, Malawi Baylor College of Medicine, Texas Children’s Hospital, Houston, TX Baylor College of Medicine Children’s Foundation – Malawi
National cervical cancer prevention program in Haiti: scaling up a pilot project Basic Health International, New York, NY St. Luke’s Foundation/Carmelle Voltaire Women’s Center – Haiti
Risk-adapted treatment of pediatric Burkitt Lymphoma in sub-Saharan Africa Baylor College of Medicine, Texas Children’s Hospital, Houston, TX Baylor College of Medicine Children’s Foundation – Uganda
Point-of-care diagnostics for lymphoma Dana-Farber Cancer Institute, Brookline, MA La Nacional Contra el Cancer (INCAN) – Guatemala
Implementation of Tanzania’s National Cancer Treatment Guidelines at Ocean Road Cancer Institute University of California, San Francisco Foundation, San Francisco, CA Ocean Road Cancer Institute – Tanzania
Advancing pharmacy care for cancer patients in South Asia Vennue Foundation, Stamford, CT Healthcare centers providing cancer care in Bangladesh and Nepal
Implementing multidisciplinary cervical cancer care in Nepal American Society of Clinical Oncology (ASCO) (Free ASCO Whitepaper), Alexandria, VA Bhaktapur Cancer Hospital – Nepal
Improve diagnosis and treatment of cancer in children, adolescents and young adults in Ghana World Child Cancer, London, UK Korle Bu Teaching Hospital – Ghana
Optimizing adherence to standard therapy delivery in non-metastatic breast cancer patients in Botswana University of Pennsylvania, Philadelphia, PA Princess Marina Hospital – Botswana
Long-distance learning platform (ONCOENSINO) Brazilian Lymphoma and Leukemia Society (ABRALE), Sao Paulo, Brazil

"The programs we are supporting through Celgene Cancer Care Links address many important areas of cancer diagnosis and care," said Joe Camardo, M.D., Senior Vice President, Global Health and Corporate Affairs Medical Strategy at Celgene. "For patients in resource-constrained nations like these, programs addressing this area fill a vital need in healthcare capacity."

Ayala Pharmaceuticals Announces First Patient Enrolled in Phase 2 Study of Lead Product Candidate AL101 for Adenoid Cystic Carcinoma with Notch Activated Mutations

On December 17, 2018 Ayala Pharmaceuticals, Inc., a clinical-stage company developing medicines for cancers that are genetically identified, reported that the first patient has been enrolled in its Phase 2 ACCURACY study, to evaluate lead investigational candidate AL101 in patients with adenoid cystic carcinoma (ACC) bearing Notch activated mutations (Press release, Ayala Pharmaceuticals, DEC 17, 2018, View Source [SID1234532090]).

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AL101 is a small-molecule that inhibits gamma secretase, an enzyme which plays a key role in the activation of the Notch signaling pathway by releasing the Notch intracellular domain (NICD) which migrates to the nucleus initiating a complex transcription program. In a Phase 1b study (n=94), the recommended Phase 2 dose of 4 mg IV weekly administered every 7 days was established, which was well tolerated in patients with locally advanced or metastatic solid tumors, including ACC.

In prior research, sequencing of ACC tumor samples revealed genomic alterations in the Notch pathway in a subset of patients with a distinct ACC phenotype. ACC patients with Notch1 mutations have an aggressive course of disease with a distinct pattern of metastasis and worse prognosis than their wild type counterparts. In addition to Notch1 mutations, mutations in Notch 2 and 4 were reported in ACC. There is a pressing unmet need as currently there are no available therapies for these patients.

"Based on the promising preclinical and clinical data generated to date, we strongly believe AL101 has potential as a targeted therapy for adenoid cystic carcinoma with notch activated mutations," said Roni Mamluk, PhD, chief executive officer at Ayala. "The advancement of AL101 into a Phase 2 study is an important milestone in the development of this clinical candidate, as well as for patients suffering from ACC, a rare cancer with high unmet medical need."

AL101 Phase 2 Trial in Patients with ACC

ACCURACY is a Simon 2-Stage optimal design, non-comparative, open-label, single-arm, multi-center study in patients with ACC bearing activating Notch Mutations. Ayala plans to initially open eight clinical sites in North America, with the potential to expand into Europe and Australia.

AL101 is administered intravenously as a single agent at a dose of 4 mg every 7 days over 28-day cycles until disease progression, unacceptable toxicity or consent withdrawal. The study is designed to evaluate the objective response rate as outlined by Response Evaluation Criteria in Solid Tumors (RECIST v1.1). Secondary endpoints include the frequency, duration and severity of adverse events and serious adverse events, overall survival, progression-free survival and duration of response. In order to meet the criteria for enrollment, patients must have confirmed ACC with known Notch 1/2/3/4 activating mutation that is recurrent or metastatic, not amenable to potentially curative surgery or radiotherapy.

HedgePath Pharmaceuticals and Mayne Pharma Enter into Updated Collaboration and Funding Agreements

On December 17, 2018 HedgePath Pharmaceuticals, Inc. (OTCQB:HPPI) reported that it has entered into a revised Supply and License Agreement (SLA) with its majority stockholder Mayne Pharma Ventures Pty Ltd (Mayne Pharma), an affiliate of Mayne Pharma Group Limited (ASX: MYX) (Press release, HedgePath Pharmaceuticals, DEC 17, 2018, View Source [SID1234532107]).

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Under the new SLA, Mayne Pharma will assume control of the regulatory and clinical development program for SUBA-Itraconazole for the treatment of basal cell carcinoma nevus syndrome (SUBA-Itraconazole BCCNS) in anticipation of conducting a global Phase 3 pivotal clinical trial based on results achieved in the Phase 2(b) trial conducted by HPPI in the U.S. Mayne Pharma will immediately assume responsibility for all future SUBA-Itraconazole BCCNS-related expenses.

In consideration of the transfer to Mayne Pharma of the SUBA-Itraconazole BCCNS clinical data and regulatory rights, HPPI will receive the following consideration:

a 9% royalty on future net sales of SUBA-Itraconazole BCCNS in the U.S. (subject to deductions for HPPI’s continuing access to certain third party patents).

$3 million of new funding in stages tied to the transfer of SUBA-Itraconazole BCCNS to Mayne Pharma. This funding, which is expected to be completed by mid-2019, will be non-dilutive since it is structured as a discounted advance on the future 9% royalties receivable by HPPI (although if SUBA-Itraconazole BCCNS is not approved in the U.S. by the end of 2023, Mayne Pharma may recapture such discounted advances in the form of common stock of HPPI at the then current market value of HPPI’s common stock).

In addition, if HPPI is able to secure $3 million in new funding from third parties by June 30, 2021, at HPPI’s election, Mayne Pharma will make additional royalty advances of up to $2 million on the same terms. This commitment by Mayne Pharma of an additional $2 million in funding may alternatively be satisfied if Mayne Pharma elects to participate in future equity financings of HPPI.

The SLA will continue in effect, and the exclusive field covered by the SLA has been focused to specifically comprise prostate, lung and certain other non-cancer proliferation disorders. Mayne Pharma will have the right to exploit SUBA-Itraconazole in all other

fields in the U.S., including BCCNS. Importantly, HPPI’s continued right to work on these indications will no longer be tied to the achievement of clinical or commercial target dates. HPPI is now working towards the submission of an Investigational New Drug (IND) application with the U.S. Food and Drug Administration (FDA) for SUBA-Itraconazole for the treatment of prostate cancer (SUBA-Itraconazole Prostate), with the goal of having that IND cleared, allowing HPPI to proceed to recruitment for initiating human trials.

In addition, Mayne Pharma will continue to provide quantities of SUBA-Itraconazole drug and placebo oral capsules for HPPI’s SUBA-Itraconazole Prostate clinical study, with an agreed amount to be provided without charge.

In addition, unlike under the previous SLA, Mayne Pharma has licensed to HPPI the right to use all pre-clinical or clinical trial or other data generated or owned by Mayne Pharma related to the current SUBA-Itraconazole formulation anywhere in the world for HPPI’s activities in the U.S. in a specified field under the new SLA.

In addition, Mayne Pharma has agreed that it will support a reverse stock split of HPPI’s common stock should HPPI request this in connection with HPPI’s exploration of an uplisting to a senior stock exchange and associated capital raise.

Finally, Mayne Pharma has agreed to amend the terms of its existing Series B Convertible Preferred Stock to remove Mayne Pharma’s future right to require HPPI to redeem such securities, which will allow HPPI to fully classify such preferred stock as equity on its balance sheet.

Additional details of the transaction will be available in a Current Report on Form 8-K to be filed by HPPI with the SEC.

This transaction arose out of a right of Mayne Pharma under the previous SLA to assume control of SUBA-Itraconazole BCCNS after December 31, 2018 for a 9% royalty on future net sales of SUBA-Itraconazole BCCNS in the U.S. if a New Drug Application (NDA) for SUBA-Itraconazole BCCNS was not accepted for filing by FDA by December 31, 2018. As previously announced, based on unforeseen requirements imposed by FDA in September 2018, HPPI determined that it would be unable to responsibly file the SUBA-Itraconazole BCCNS NDA by this deadline, and thus HPPI commenced negotiations with Mayne Pharma to transfer SUBA-Itraconazole BCCNS in advance of December 31, 2018 on negotiated terms beneficial to HPPI. During these negotiations, HPPI actively undertook activities aimed at filing the SUBA-Itraconazole BCCNS NDA within the timeframes required under the SLA, but ultimately concluded in its business judgment based on significant regulatory guidance that such a filing, even if it could be accomplished, would imperil the regulatory acceptance and viability of the SUBA-Itraconazole BCCNS asset to the detriment of HPPI’s shareholders. HPPI believes that Mayne Pharma’s indication that it plans to undertake a Phase 3 study of SUBA-Itraconazole BCCNS validates HPPI’s strategic conclusions related to the present transaction with Mayne Pharma.

The transaction was negotiated and approved on behalf of HPPI by a special committee of disinterested, independent members of HPPI’s Board of Directors.

Nicholas Virca, HPPI’s President and Chief Executive Officer, stated that "It has taken a considerable effort to reach these important agreements with our majority stockholder, Mayne Pharma, and we thank them for working with us to achieve this outcome. We believe, taking into consideration all of the facts and circumstances, that enabling Mayne Pharma to pursue SUBA -Itraconazole BCCNS on advantageous terms to HPPI gives us a fresh start as a research and development company, with $3 million of near term funding and the possibility of an additional $2 million, a less restrictive SLA with Mayne Pharma with no development targets or deadlines, and access to worldwide SUBA-Itraconazole data to support our future business plans."

"Moving forward, our 2019 focus is to seek a pre-IND meeting with FDA, with the goal of reaching agreement with FDA on the endpoints for initiating a clinical trial of SUBA-Itraconazole Prostate. We commissioned a market study which included interviews with key opinion leaders to help us target a potential therapy for over 27,000 men who have metastatic castrate resistant prostate cancer who are no longer responding to androgen deprivation therapy (also known as ADT). As with SUBA-Itraconazole BCCNS, we intend to follow the 505(b)(2) regulatory pathway to accelerate our clinical testing program for SUBA-Itraconazole Prostate. Our goal will be to have our IND for SUBA-Itraconazole Prostate cleared by FDA and to begin efforts in recruiting patients for the prostate clinical trial before the end of 2019" continued Mr. Virca.

"Beyond SUBA-Itraconazole, we are planning to work with other compounds for the treatment of cancer in an effort to expand our product candidate pipeline. As announced earlier this year, we hold a world-wide exclusive option from the University of Connecticut regarding its patented chemical analogues of itraconazole to treat cancerous and non-cancerous indications. These next generation formulations of itraconazole appear to have reduced off-target side effects while exhibiting improved pharmacokinetic properties and a reduced concern associated with the use of many other drugs that are contraindicated for patients receiving itraconazole. A preclinical testing program is now underway to assess the effectiveness of the lead compound in treating certain cancers via hedgehog pathway inhibition in a well-established mouse model. If the pre-clinical results prove to be encouraging, we would expect to exercise our option and to begin efforts to outsource manufacturing to produce cGMP product as part of a program to move into human testing in 2020" concluded Mr. Virca.

Scott Richards, Mayne Pharma’s Chief Executive Officer, stated "Mayne Pharma remains committed to supporting HPPI and its leadership to pursue the clinical development, registration and commercialization of SUBA-Itraconazole for the treatment of oncology indications in the U.S. The management of HPPI has successfully progressed SUBA-Itraconazole BCCNS through its first major clinical program. We believe out-licensing our SUBA-Itraconazole intellectual property in the U.S. in this focused field through the partnership with HPPI provides Mayne Pharma shareholders with a significant stake in potentially multiple novel cancer programs. We look forward to working with HPPI to further these development programs."

BeiGene Initiates Two Global Phase 3 Front-Line Clinical Trials of Tislelizumab, in Patients with Gastric Cancer and in Patients with Esophageal Cancer

On December 17, 2018 BeiGene, Ltd. (NASDAQ: BGNE; HKEX: 06160), a commercial-stage biopharmaceutical company focused on developing and commercializing innovative molecularly-targeted and immuno-oncology drugs for the treatment of cancer, reported that the first patients have been enrolled in two global Phase 3 clinical trials of its investigational anti-PD-1 antibody, tislelizumab (Press release, BeiGene, DEC 17, 2018, View Source;p=irol-newsArticle&ID=2380809 [SID1234532091]). These trials are evaluating tislelizumab combined with chemotherapy as potential first-line treatments in patients with locally advanced unresectable or metastatic gastric or gastroesophageal junction adenocarcinoma, and in patients with unresectable, locally advanced recurrent or metastatic esophageal squamous cell carcinoma (ESCC).

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"Available data have shown promise for anti-PD-1 antibodies in patients with advanced gastric or gastroesophageal adenocarcinoma and in patients with advanced esophageal carcinoma. We are looking forward to investigating tislelizumab globally in these Phase 3 trials," said Amy Peterson, M.D., Chief Medical Officer, Immuno-Oncology, at BeiGene. "Gastric and esophageal cancers are among the most common malignancies in Asia and collectively are responsible for over 800,000 deaths annually in China1 alone. We are hopeful that these global studies of tislelizumab may ultimately lead to improved treatment options for patients diagnosed with these malignancies."

Global Phase 3 Trial in Advanced Gastric or Gastroesophageal Adenocarcinoma

The global, randomized, double-blind, placebo-controlled Phase 3 trial is designed to enroll 720 patients with locally advanced unresectable or metastatic gastric or gastroesophageal junction adenocarcinoma. Patients will either receive 200 mg of tislelizumab or placebo combined with platinum- and fluoropyrimidine-based chemotherapy, the standard chemotherapy treatment, intravenously once every three weeks.

The co-primary endpoints will be progression-free survival (PFS) and overall survival (OS). Secondary endpoints include overall response rate (ORR), duration of response (DOR) and quality of life (QoL), as well as safety and tolerability.

Global Phase 3 Trial in Advanced ESCC

The global, randomized, double-blind, placebo-controlled Phase 3 trial is designed to enroll 480 patients with unresectable, locally advanced recurrent, or metastatic ESCC. Patients will either receive 200 mg of tislelizumab or placebo combined with platinum- and fluoropyrimidine-based chemotherapy, intravenously once every three weeks.

The co-primary endpoints will be PFS and OS. Secondary endpoints include ORR, DOR, and QoL, as well as safety and tolerability.

For more information about these trials, patients and physicians should email BeiGene at [email protected].

About Tislelizumab
Tislelizumab (BGB-A317) is an investigational humanized IgG4 anti–PD-1 monoclonal antibody specifically designed to minimize binding to FcγR on macrophages. In pre-clinical studies, binding to FcγR on macrophages has been shown to compromise the anti-tumor activity of PD-1 antibodies through activation of antibody-dependent macrophage-mediated killing of T effector cells.

Discovered by BeiGene scientists, tislelizumab is being developed as a monotherapy and in combination with other therapies for the treatment of a broad array of both solid tumor and hematologic cancers. The new drug application (NDA) for tislelizumab in China for patients with R/R cHL has been accepted by the China National Medical Products Administration (NMPA, formerly known as CFDA) and granted priority review status. BeiGene and Celgene Corporation have a global strategic collaboration for the development of tislelizumab in solid tumors in the United States, Europe, Japan, and the rest of world outside Asia.

AOP ORPHAN ANNOUNCES POSITIVE CHMP OPINION FOR ROPEGINTERFERON ALFA-2B/BESREMI®

On December 17, 2018 AOP Orphan Pharmaceuticals AG (AOP Orphan) reported that EMA´s CHMP adopted a positive opinion for approval of Ropeginterferon alfa-2b/BESREMi indicated as monotherapy in adults for the treatment of Polycythaemia vera without symptomatic splenomegaly (Press release, AOP Orphan Pharmaceuticals, DEC 17, 2018, View Source [SID1234533574]).

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Ropeginterferon alfa-2b/BESREMi is a novel, long-acting interferon, which is administered once every two weeks, or monthly after stabilization of hematological parameters. This treatment schedule is expected to lead to overall better safety, tolerability and adherence compared to conventional pegylated interferons.

AOP Orphan has been running the BESREMi clinical development in PV since 2010. The latest phase III data, three years treatment, and phase II data, up to seven years treatment, were presented at ASH (Free ASH Whitepaper) 2018. In summary, BESREMi showed high hematologic and clinical response rates with good tolerability.


In addition, BESREMi showed high molecular response rates, associated with the ability to reduce allelic burden of both mutant JAK2 and importantly also non-JAK2 mutations, which are believed to have a role in disease progression.

Andreas Steiner, Chief Executive Officer of AOP Orphan commented: "Although interferons are a treatment modality widely used throughout the myeloproliferative neoplasms including CML, BESREMi will be the first licensed interferon in any of these indications. Physicians experienced in the management of the disease and administration of BESREMi during the clinical studies expect many advantages for the patients with PV."

About Ropeginterferon alfa-2b/BESREMi
Ropeginterferon alfa-2b/BESREMi is a novel, long-acting, mono-pegylated proline interferon (ATC L03AB15) with improved pharmacokinetic properties offering improved tolerability and adherence to treatment. It is administered once every two weeks, or monthly during long-term maintenance, and is expected to be the first interferon approved for PV worldwide.

Ropeginterferon alfa-2b was discovered by PharmaEssentia, a long-term partner of AOP Orphan. In 2009, AOP Orphan has in-licensed from PharmaEssentia Corporation the exclusive rights for clinical development and commercialization of Ropeginterferon alfa-2b in PV, other MPNs and CML for European, Commonwealth of Independent States (CIS), and Middle Eastern markets.

About Polycythemia Vera
Polycythemia Vera (PV) is a cancer of the blood-building cells in the bone marrow resulting in a chronic increase of red blood cells, white blood cells and platelets. This condition may result in circulatory disorders such as thrombosis and embolism, as well as malignant transformation to myelofibrosis or leukemia. While the molecular mechanism underlying PV is still subject of intense research, current results point to a set of acquired mutations, the most important being a mutant form of JAK2 that make the malignant clone.