On February 13, 2017 OncoMed Pharmaceuticals, Inc. (NASDAQ:OMED), a clinical-stage company focused on discovering and developing novel anti-cancer stem cell and immuno-oncology therapeutics, reported it has enrolled and dosed the first patient in a Phase 1b clinical trial of its anti-DLL4/VEGF bispecific antibody (OMP-305B83) in combination with paclitaxel in patients with platinum-resistant ovarian cancer (Press release, OncoMed, FEB 13, 2017, View Source [SID1234517707]). OncoMed’s anti-DLL4/VEGF bispecific antibody is designed to have anti-angiogenic, anti-cancer stem cell and immuno-modulatory activity. Schedule your 30 min Free 1stOncology Demo! The Phase 1b multicenter, open-label, dose-escalation and expansion trial is designed to assess the safety, preliminary efficacy, immunogenicity, pharmacokinetics and biomarker effects of the anti-DLL4/VEGF bispecific antibody plus paclitaxel. OncoMed expects to enroll approximately 30 patients with platinum-resistant ovarian cancer (including fallopian tube or primary peritoneal cancers) who have previously received bevacizumab (Avastin, anti-VEGF) and/or have failed at least two prior therapies. The Phase 1b trial of anti-DLL4/VEGF antibody in patients with ovarian cancer is being conducted at five clinical sites in the United States.
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"There are few treatment options available to women whose ovarian cancer is resistant to platinum-based chemotherapy and have failed treatment with bevacizumab or two or more prior therapies," said Robert Stagg, Pharm D., OncoMed’s Senior Vice President, Clinical Research and Development. "We observed evidence of anti-tumor activity in these types of patients in our Phase 1a clinical trial, and we look forward to studying the potential impact of our anti-DLL4/VEGF bispecific combined with chemotherapy in this patient population."
In an ongoing Phase 1a dose escalation and expansion study of 51 patients with previously treated advanced solid tumors, OncoMed’s anti-DLL4/VEGF bispecific antibody was generally well tolerated with hypertension, headache and pulmonary hypertension being the most common drug related toxicities. Single-agent anti-tumor activity was observed. Two of 46 evaluable patients had a partial response and 12 other patients had a reduction in tumor volume. In the Phase 1a trial, five of eight evaluable patients with ovarian cancer had a reduction in tumor volume and remained on therapy for 129-357+ days. Four of these five patients had previously received bevacizumab.1
About anti-DLL4/VEGF Bispecific Antibody (OMP-305B83)
OncoMed’s anti-DLL4/VEGF bispecific antibody is designed to inhibit the function of both DLL4 and VEGF and thereby induce potent anti-tumor responses while mitigating certain angiogenic-related toxicities. It was developed utilizing OncoMed’s BiMAb bispecific platform technology, which enables the design of bispecific antibodies comparable to traditional monoclonal antibodies but possessing dual target-binding specificity. In preclinical studies OncoMed’s anti-DLL4/VEGF bispecific antibody demonstrated robust in vivo anti-tumor efficacy across a range of solid tumor xenografts, including colon, ovarian, lung and pancreatic cancers, among others. Further, in preclinical studies dual inhibition of DLL4 and VEGF appears to exhibit synergistic anti-tumor activity at doses where blockade of either target alone elicited sub-optimal activity.
OncoMed is currently conducting two Phase 1b clinical trials of its anti-DLL4/VEGF bispecific antibody in combination with standard of care chemotherapies: one in patients with metastatic colorectal cancer and a second in women with platinum-resistant ovarian cancer. The anti-DLL4/VEGF bispecific antibody is part of OncoMed’s collaboration with Celgene Corporation.