Genelux Initiates Phase 2 Clinical Trial of GL-ONC1 in Recurrent Ovarian Cancer

On September 27, 2017 Genelux Corporation, a privately-held biopharmaceutical company focused on the development of its proprietary oncolytic immunotherapy platform, reported that it has treated the first patient in a Phase 2 clinical trial in recurrent ovarian cancer, with its lead clinical-stage candidate, GL-ONC1 (Press release, Genelux, SEP 27, 2017, View Source [SID1234532451]).

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The Phase 2 trial, VIRO-15 (Oncolytic Vaccinia Immunotherapy in Recurrent Ovarian Cancer), is being conducted at Florida Hospital Cancer Institute (FHCI) in Orlando, FL and is being led by Dr. Robert Holloway, a world-renowned gynecologic oncologist with extensive clinical trial experience in gynecologic malignancies. Additional site(s) in the US are planned as the trial progresses.

VIRO-15 is based on positive data of GL-ONC1 from a Phase 1b clinical study conducted at FHCI in heavily pretreated, platinum-resistant/refractory ovarian cancer patients. Administration of GL-ONC1 as a monotherapy was shown to have clinically-significant results, including:
(i) Documented objective response and tumor-specific T-cell response;
(ii) A favorable trend of durable response; and
(iii) A quality of life benefit.

The data exceeded the futility boundary of an equivalent interim analysis for a 2-stage Simon design at the current Phase 2 dose level, supporting the continued development of GL-ONC in this patient population.

Thomas Zindrick, President and CEO of Genelux Corporation, commented, "These exciting data provided Genelux with insights on optimizing parameters to launch our Phase 2 trial, which is an important milestone in the clinical advancement of GL-ONC1. "

Ovarian cancer remains the most lethal gynecologic malignancy owing to late detection, remarkable heterogeneity, intrinsic and acquired chemo-resistance, and recurrence in a majority of patients. Patients who are considered platinum-resistant/refractory following front-line treatment and multiple rounds of chemotherapy have the poorest prognosis. Accordingly, there is an urgent need to develop new therapeutic modalities.

Robert Holloway, MD, FACOG, FACS, Medical Director of Gynecologic Oncology at the Florida Hospital Cancer Institute and Principal Investigator of the current GL-ONC1 trial in ovarian cancer, commented, "The early response and clinical benefit data achieved with GL-ONC1 are particularly impressive in this heavily pre-treated, late-stage patient population who have failed prior therapies and enrolled into our trial with documented progressive disease."

About the Study
The open label, Phase 2 study (NCT02759588) is currently recruiting participants, is expected to enroll up to a total of 40 patients, in two cohorts, with recurrent ovarian, fallopian tube, or primary peritoneal cancer. The monotherapy treatment regimen consists of a single cycle, with GL-ONC1 being intraperitoneally administered to patients in bolus infusions on 2 consecutive days. The study’s primary endpoint is progression-free survival, and secondary endpoints include incidence of adverse events, anti-tumor response, objective response, disease control rate, and overall survival.

About GL-ONC1
GL-ONC1, the company’s lead product candidate, is an attenuated therapeutic vaccinia virus, a non-pathogenic virus, modified by Genelux to increase its safety, tumor selectivity and anti-tumor activity. Clinical results in over 100 subjects treated in Genelux studies have shown GL-ONC1 is well tolerated with documented clinical benefits.

APPLICATION FOR ADDITIONAL INDICATION OF LENVIMA® FOR HEPATOCELLULAR CARCINOMA ACCEPTED FOR REVIEW BY U.S. FDA

On September 27, 2017 Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, "Eisai") has announced that the application submitted for an additional indication of its in-house discovered and developed anticancer agent Lenvima (generic name: lenvatinib mesylate) for the treatment of hepatocellular carcinoma (HCC) has been accepted for review by the U.S. Food and Drug Administration (FDA). Lenvatinib for the treatment of HCC is designated as an orphan drug by the FDA (Press release, Eisai, SEP 27, 2017, View Source [SID1234528956]).

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This application is based on the results of the REFLECT study (Study 304), a multicenter, open-label, randomized, global Phase Ⅲ trial comparing the efficacy and safety of Lenvima versus sorafenib, a standard treatment for HCC, as a first-line treatment for patients with unresectable HCC.1

In the REFLECT study, Lenvima met the primary endpoint and demonstrated an overall survival (OS) treatment effect by the statistical confirmation of non-inferiority compared to sorafenib. Developing first-line treatments for HCC is challenging, and over the past 10 years, four previous first-line Phase Ⅲ studies investigating other agents compared to sorafenib have failed to achieve their endpoints in OS.2
Additionally, Lenvima showed highly statistically significant and clinically meaningful improvements in the secondary endpoints of Progression Free Survival (PFS), Time To Progression (TTP), and Objective Response Rate (ORR). In this study, the five most common adverse events observed in the Lenvima arm were hypertension, diarrhea, decreased appetite, weight loss and fatigue, which is consistent with the known side-effect profile of Lenvima.

Liver cancer is the second leading cause of cancer related death and is estimated to be responsible for 750,000 deaths per year globally (27,000 per year in the US), with 780,000 cases newly diagnosed each year (30,000 per year in the US).3 HCC accounts for 85% to 90% of liver cancer cases. Treatment options for unresectable HCC are limited and the prognosis is very poor, making this an area of high unmet medical need.

Eisai positions oncology as a key therapeutic area, and is aiming to discover revolutionary new medicines with the potential to cure cancer. Eisai is committed to exploring the potential clinical benefits of Lenvima as it seeks to contribute further to addressing the diverse needs of, and increasing the benefits provided to patients with cancer, their families, and healthcare providers.

10-K – Annual report [Section 13 and 15(d), not S-K Item 405]

(Filing, 10-K, DelMar Pharmaceuticals, 2017, SEP 27, 2017, View Source [SID1234520830])

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10-K – Annual report [Section 13 and 15(d), not S-K Item 405]

(Filing, 10-K, Enzo Biochem, SEP 27, 2017, View Source [SID1234520829])

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Mateon Therapeutics Announces Termination of FOCUS Study in Ovarian Cancer and Restructuring to
Prioritize OXi4503 for AML

On September 26, 2017 Mateon Therapeutics, Inc. (OTCQX:MATN), a biopharmaceutical company developing vascular disrupting agents (VDAs) for the treatment of orphan oncology indications, reported results from its third scheduled interim analysis of the phase 2/3 FOCUS study evaluating CA4P in combination with bevacizumab (Avastin) and physician’s choice chemotherapy in patients with platinum-resistant ovarian cancer (Press release, Mateon Therapeutics, SEP 27, 2017, View Source [SID1234520671]).

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FOCUS was designed to evaluate whether the addition of CA4P improved progression-free survival (PFS), the primary endpoint of the study, as well as objective response rate (ORR) and other measures. All patients enrolled in the FOCUS study received either CA4P or placebo plus the current standard-of-care for platinum-resistant ovarian cancer: bevacizumab (Avastin) and chemotherapy. The current analysis is based on initial results from the first 70 patients in the study who have been treated for at least two months or discontinued from the trial. A total of 91 patients were enrolled in FOCUS.

Efficacy Results

ORR data is summarized in the table below.

CA4P Control
Complete Response
0 (0%) 0 (0%)
Partial Response
8 (23.5%) 13 (36.1%)
Stable Disease
16 (47.1%) 17 (47.2%)
Progressive Disease
5 (14.7%) 3(8.3%)
Not Evaluable
5 (14.7%) 3(8.3%)

PFS, the primary endpoint of the study, favored the CA4P group, with a 32 day increase in median PFS for the patients receiving CA4P compared to patients receiving control (202 days vs. 170 days; HR=0.844; p=0.688). Progression events are available from 24 of 70 (34.3%) patients: 12 patients (35.3%) in the CA4P arm and 12 (33.3%) patients in the control arm progressed or died while in the study.

Due to the lack of a meaningful improvement in PFS, combined with the unfavorable partial response data, the company does not believe that continuation of the study is appropriate. Therefore, Mateon is immediately terminating the FOCUS Study and further development of CA4P. Mateon will continue to support investigator-sponsored studies and preclinical studies in combination with immuno-oncology agents.

"We are clearly disappointed that CA4P did not show a clinically meaningful benefit when it was added to the current standard of care in platinum-resistant ovarian cancer," said William D. Schwieterman, M.D., President and Chief Executive Officer. "I want to thank our investigators and advisors, as well as the patients that we treated, for their efforts to advance future cancer care. These external participants, along with our internal team, did a great job planning and executing the study, but the outcome is clear, and unfortunately negative."

Safety Results

The safety profile of CA4P was favorable. Similar to prior analyses, most patients receiving CA4P experienced transient increases in blood pressure compared to the control arm. Other adverse events occurring more often in the CA4P arm than in the control arm included: hypertension, fatigue, nausea, vomiting, and abdominal pain. Most adverse events were mild or moderate in severity, with blood pressure increase being the only adverse event with a
significant increase in Grade 3 or above (29.4% in CA4P arm versus 5.6% in control). Six patients in the treatment arm (17.6%) withdrew from the study for adverse events compared to three in the control arm (8.3%).
Reduction in Expenses

Given the company’s limited financial resources, Mateon is implementing various near-term cost reduction measures, which include a significant reduction in personnel, representing a decrease in the company’s workforce of approximately 60% since the beginning of the year. The remaining members of the senior management team will take 50% salary reductions, effective immediately.

"We assembled a great team that, within the last two years, has planned, initiated and completed the FOCUS Study ahead of schedule. The team has also planned, initiated and completed five cohorts of an on-going OXi4503 study for relapsed/refractory AML. With the company’s needs now very different, it is disheartening to terminate most of these employees following their solid work performances," concluded Dr. Schwieterman. "Going forward, our immediate focus is to obtain value from our OXi4503 program in AML, which, within the last two months, has shown clear positive clinical outcomes in relapsed/refractory patients. As always, we are exploring all options for additional fundraising and adding value for our stockholders, which includes continuing to look for buyers for any or all of our assets."