June 2023
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00 issues in this vol.

NEW DATA DEMONSTRATE THAT CARVYKTI REDUCES RISK OF DISEASE PROGRESSION BY 74% IN MULTIPLE MYELOMA (MM)

MULTIPLE MYELOMA

Data from the Phase 3 CARTITUDE-4 trial  of ciltacabtagene autoleucel (Carvykti), aBCMA-targeting CAR T-cell therapy, show that patients in the Carvykti arm had asignificantly improved objective response rate (85% vs. 67%), and rate of completeresponse (73% vs. 22%) compared to standard-of-care regimens.

CARTITUDE-4 is the only Phase 3 study using CAR T-cell therapy in 2L MM. After being approved in 2022 for relapsed / refractory MM, Janssen and Legend Biotech hope to expand the label to earlier lines of therapy.

OPDIVO DEMONSTRATES POTENTIAL AS A SUPERIOR TREATMENT OPTION FOR HODGKIN'S LYMPHOMA (HL) COMPARED TO ADCETRIS

HODGKIN'S LYMPHOMA (HL)

Data presented at ASCO showed that Opdivo reducedthe risk of disease-related death by 52% as comparedwith Adcetris at a median follow-up of 12.1 months inadvanced patients. Patients treated with Opdivo had a94% progression-free survival rate after one year, asopposed to 86% in the Adcetris arm. Furthermore,Opdivo exhibited better safety results with fewer deathsattributed to adverse events.

These results could support the potential for Opdivo to surpass Adcetris and traditional chemotherapy based regimens to become the new standard-of-care in 1L HL upon approval.

BRAFTOVI + MEKTOVI SIGNIFICANTLY IMPROVE OBJECTIVE RESPONSE RATES IN LUNG CANCER

NON-SMALL CELL LUNG CANCER (NSCLC)

Pfizer announced initial results from the Phase 2PHAROS study, evaluating the combination ofBRAFTOVI (encorafenib) and MEKTOVI (binimetinib) inpatients with BRAF V600E-mutant metastatic NSCLC.The study showed a 75% objective response rate (ORR)in treatment-naïve patients and a 46% ORR inpreviously treated patients. The combination therapyalso demonstrated a manageable safety profile. TheFDA is currently reviewing Pfizer’s Supplemental NewDrug Applications (sNDAs), which are supported by thePhase 2 PHAROS trial.

The FDA decision is expected in Q4 2023. Precision medicine and biomarker testing have become more prevalent in NSCLC therapy and have significantly helped improve treatment outcomes.

DESTINY-PANTUMOR02 PHASE 2 TRIAL VALIDATES ASTRAZENECA AND DAIICHI SANKYO ENHERTU PARTNERSHIP

HER2-EXPRESSING ADVANC ED SOLID TUMORS

Enhertu, a HER2-directed antibody-drug conjugate (ADC),demonstrated a 37.1% objective response rate (ORR) in atrial involving patients with advanced solid tumorsexpressing HER2. The trial focused on third-line treatmentfor various cancers, including biliary tract, bladder,cervical, endometrial, ovarian, and pancreatic cancers.Patients with the highest HER2 expression levels achieveda confirmed ORR of 61.3% through central testing. Amongthe participants, 15 showed a complete response, while 84experienced partial responses. Furthermore, nearly half ofthe patients who responded to the treatment maintainedtheir response for at least one year.

These results are promising for patients with HER2 expressing solid tumors as there are currently no approved HER2 targeting treatments.

MODERNA / MERCK DATA FROM THE PHASE 2B KEYNOTE-942 TRIAL SHOWED A REDUCED RISK OF DISTANT METASTASIS OR DEATH BY 65%

HIGH-RISK MELANOMAMA

oderna's mRNA-4157 (V940) in combination withMerck's KEYTRUDA is being evaluated for patients withresected high-risk melanoma (stage 3/4).  Regulatoryagencies have granted Breakthrough TherapyDesignation and the Priority Medicines scheme formRNA-4157 (V940) in combination with KEYTRUDAbased on the study data.

The companies plan to initiate a Phase 3 study in the adjuvant setting in patients with high-risk melanoma in 2023, and rapidly expand to additional tumor types, including non-small cell lung cancer.

BIONTECH/ONCOC4 PRESENT POSITIVE PHASE 1/2 DATA FOR BNT316/ONC-392

NON-SMALL CELL LUNG CANCER (NSCL C)

Following a $200M investment from BioNTech (inMarch 2023) to acquire the rights to OncoC4's antiCTLA-4 monoclonal antibody candidate, ONC-392;preliminary positive data was presented from its Phase1/2 trial. The overall response rate among evaluablepatients was 29.6%, with a disease control rate of70.4%. BNT316/ONC-392 continues to demonstrate amanageable safety profile. The company reported that"Responses were observed regardless of PD-L1 status,and among those who failed multiple lines ofimmunotherapy and chemotherapy, including PD-1 andCTLA-4 combination therapy".

NON-SMALL CELL LUNG CANCER (NSCL C)

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