20-F – Annual and transition report of foreign private issuers [Sections 13 or 15(d)]

On December 18, 2017 Pharmaceuticals, Inc. (NASDAQ: REGN) and ISA Pharmaceuticals B.V., a clinical-stage immunotherapy company, reported a clinical collaboration to advance ISA101, an immunotherapy targeting human papillomavirus type 16 (HPV16)-induced cancer, in combination with cemiplimab (REGN2810), a PD-1 (programmed cell death protein 1) antibody (Press release, Regeneron, DEC 18, 2017, View Source [SID1234522678]). Regeneron and ISA will jointly fund and conduct clinical trials of the combination treatment in cervical cancer and head-and-neck cancer.

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Expression of HPV oncoproteins contributes to the development of cervical and head-and-neck cancers, and approximately 55 percent of cervical cancers and over 60 percent of head-and-neck cancers are HPV16 positive.1

Regeneron and ISA will share clinical trial costs and exchange product supply. In addition, Regeneron will provide an upfront payment and an equity investment in exchange for an option to an exclusive, global license for ISA101. If Regeneron exercises its option to commercialize ISA101, there is potential for various milestone payments and tiered royalty payments to ISA contingent on regulatory approvals, sales and additional indications. Further financial details were not disclosed.

"Regeneron continues to expand and advance our immuno-oncology program by studying multiple combination therapies in order to fully explore the scientific possibilities in this relatively new field," said Israel Lowy, M.D., Ph.D., Vice President Clinical Sciences, Head of Translational Science and Oncology at Regeneron. "Early clinical results with ISA101 in HPV16-positive indications have been promising, and we’re eager to investigate the impact of adding cemiplimab with the goal of further enabling the body’s immune system to attack the cancer."

"This collaboration with Regeneron is a strong validation of our proprietary SLP (Synthetic Long Peptides) platform and know-how," added Ronald Loggers, Chief Executive Officer of ISA Pharmaceuticals. "We are proud to work with Regeneron, a science- and technology-driven biotechnology company, and aim to further strengthen our pioneering role in the development of innovative treatment options for oncology indications with a high unmet medical need."

Cemiplimab is being jointly developed by Regeneron and Sanofi under a global collaboration agreement for immuno-oncology therapeutics, and was developed using Regeneron’s proprietary VelocImmune technology that yields optimized fully-human antibodies. Cemiplimab is currently being studied as a monotherapy in multiple cancers – including cutaneous squamous cell carcinoma (CSCC), basal cell carcinoma (BCC), non-small cell lung cancer (NSCLC) and cervical cancer – and in various therapeutic combinations. Cemiplimab is currently under clinical development, and its safety and efficacy have not been fully evaluated by any regulatory authority.

ISA101 is an SLP immunotherapy based on the delivery of oncogenic antigens in the form of synthetic long peptides and targets HPV-induced diseases. This innovative concept was discovered by emeritus professor Cornelis J. M. Melief and his team at the Leiden University Medical Center and has been the subject of multiple studies and peer-reviewed publications. It is ISA´s most advanced clinical-stage immunotherapeutic and is in clinical development in advanced and recurrent cervical cancer and incurable HPV16-positive solid tumors (such as squamous cell carcinoma of the head and neck). The first proof-of-concept data on ISA101 as a monotherapy treatment were published in the New England Journal of Medicine2 and initial results from the recently completed ISA101 combination trials in advanced cervical cancer and head-and-neck cancer were presented at ASCO (Free ASCO Whitepaper)-SITC and ESMO (Free ESMO Whitepaper), respectively, in 2017.

TWJ101

TWJ101 is a novel small molecule that inhibits both histone deacetylase (HDAC) and HMG-CoA reductase (HMGR). Both are molecular targets for anti-cancer drugs. TWJ101 has shown significant anti-tumor effects in multiple preclinical models of colorectal cancer. The safety assessment studies for TWJ101 are scheduled to complete in 2017, and the IND application package is due to be submitted later in same year.

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TWJ101 presents a viable option for the treatment of mCRC and possibly other cancer types. The utility of TWJ101 in inflammation including IBD will also be explored.

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Daiichi Sankyo Announces Launch of Narurapid® Tablets and Narusus® Tablets for Cancer Pain Treatment

On June 19, 2017 Daiichi Sankyo Company, Limited (hereafter, Daiichi Sankyo) reported that it has launched Narurapid Tablets 1 mg, 2 mg, 4 mg (immediate release formulation) and Narusus Tablets 2 mg, 6 mg, 12 mg, 24 mg (once daily extended release formulation) for cancer pain treatment (generic name: hydromorphone hydrochloride) (Press release, Daiichi Sankyo, JUN 18, 2017, View Source [SID1234519621]).

Hydromorphone hydrochloride is an opiate, narcotic analgesic that has been available outside of Japan for over 80 years, and is the standard drug for the treatment of cancer pain according to WHO guidelines.

Hydromorphone hydrochloride is one of the agents publicly offered for development by the Review Committee on Unapproved Drugs and Indications with High Medical Needs*. Daiichi Sankyo decided to develop the drug in 2012, and received a grant from the Pharmaceutical Development Support Center for its development.

Daiichi Sankyo is committed to making unapproved and off-label drugs with high medical needs available to the patients who are waiting for them to be approved.

* Working group held by the MHLW that aims to promote the development of drugs and indications not yet approved in Japan, but currently available in Europe and the U.S.

Product Outline
Launch date: June 19, 2017
Product name
Narurapid Tablets 1 mg, 2 mg, 4 mg (immediate release formulation)
Generic name(JAN)
Hydromorphone hydrochloride
Price
Narurapid Tablets 1 mg: 110.60 yen/tablet
Narurapid Tablets 2 mg: 202.80 yen/tablet
Narurapid Tablets 4 mg: 371.90 yen/tablet
(Date of listing in the NHI reimbursement price list in Japan: May 24, 2017)
Indication
Analgesic for moderate to severe cancer pain
Dosage and administration
For adults under normal conditions, 4-24 mg of hydromorphone is taken orally 4-6 times a day. Adjust dosage according to symptoms.
Approved for manufacture
and marketing
March 30, 2017
Manufacture and marketing
Daiichi Sankyo Propharma Co., Ltd.
Marketing
Daiichi Sankyo Co., Ltd.

Launch date: June 19, 2017
Product name
Narusus Tablets 2 mg, 6 mg, 12 mg, 24 mg (once daily extended release formulation)
Generic name (JAN)
Hydromorphone hydrochloride
Price
Narusus Tablets 2 mg: 202.80 yen/tablet
Narusus Tablets 6 mg: 530.20 yen/tablet
Narusus Tablets 12 mg: 972.20 yen/tablet
Narusus Tablets 24 mg: 1,782.80 yen/tablet
(Date of listing in the NHI reimbursement price list in Japan: May 24, 2017)
Indication
Analgesic for moderate to severe cancer pain
Dosage and administration
For adults under normal conditions, 4-24 mg of hydromorphone is taken orally once a day. Adjust dosage according to symptoms.
Approved for manufacture and marketing
March 30, 2017
Manufacture and marketing
Daiichi Sankyo Propharma Co., Ltd.
Marketing
Daiichi Sankyo Co., Ltd.

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Core Technology

TaiwanJ’s dual target pipelines focuses on new chemical entities that afford concurrent HMG-CoA reductase (HMGR) and histone deacteylase (HDAC) inhibition. Both are molecular targets for new anti-cancer and anti-inflammation drugs. HDAC suppresses the expression of anti-oncogenes and promotes tumorigenesis, as well as inflammatory and immune-activation genes. HMGR is the rate-limiting enzyme for cholesterol synthesis, which is up stream of Ras family oncoproteins activation through protein prenylation, and in turn suppresses the inflammatory cascade. Furthermore, HMGR inhibition has been shown to promote the function of HDAC inhibitors.

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The dual target inhibitors show improved preclinical safety and stability profiles over existing HDAC inhibitors (HDACi), and is expected to increase therapeutic index and widen therapeutic window clinically. The anti-cancer efficacy of HDAC-HMGR dual inhibition has been shown in colorectal cancer and liver metastasis in proof-of concept preclinical studies.