本期看點
1. 抗體偶聯藥物(ADC)CX-2051在晚期結直腸癌(CRC)中取得了積極的1期臨床試驗結果,總緩解率(ORR)為28%,疾病控制率(DCR)達94%。
2. IL-4Rα靶向單抗APG808在治療哮喘的1b期臨床試驗中表現亮眼,該療法在12周內對一種與哮喘惡化相關的2型炎癥生物標志物具有強效且持續的抑制作用,有望支持其實現每兩個月或更長時間一次的給藥方案。
3. FDA批準了Lantern Pharma公司的新型“合成致死”小分子藥物LP-184的IND申請。
CX-2051:公布1期臨床試驗的中期數據
CytomX Therapeutics公布了其ADC療法CX-2051在晚期結直腸癌(CRC)中的積極1期中期數據。CX-2051是一種條件激活型ADC,其使用的細胞毒性有效載荷是喜樹堿的衍生物。喜樹堿是一種拓撲異構酶-1抑制劑,這類藥物已在ADC領域針對多個靶點顯示出強大的臨床抗癌活性。CX-2051已在包括結直腸癌在內的多個臨床前模型中顯示出強大的臨床前活性和耐受性。
截至2025年4月7日的數據,ORR為28%(5/18),其中10 mg/kg劑量組的ORR達到43%(3/7),顯著高于目前三線及三線以上結直腸癌治療藥物的緩解率(通常僅有個位數的百分比)。DCR為94%(17/18),中位無進展生存期為5.8個月。截至數據截止時,18名患者中有10名仍在接受治療。安全性方面,CX-2051的耐受性良好,未出現劑量限制性毒性(DLT),大多數治療相關不良事件為1級或2級。
APG808:公布1b期臨床試驗的中期數據
Apogee Therapeutics公司公布了其候選單抗APG808用于治療輕度至中度哮喘患者的1b期臨床試驗的積極中期數據。APG808是一種新型、皮下注射、半衰期延長的IL-4Rα靶向單抗,具有用于治療哮喘、慢性阻塞性肺病(COPD)及其他炎癥與免疫學適應癥的潛力。IL-4Rα是一個已在八種2型過敏性疾病中得到臨床驗證的靶點。在1期臨床試驗中,APG808的藥代動力學(PK)特征有望支持每2-3個月一次的維持治療給藥方案。
此次公布的結果顯示,多劑量給藥APG808可使FeNO(一種與哮喘惡化相關的2型炎癥生物標志物)較基線大幅下降53%,并在12周時仍維持約50%的抑制水平,顯示出對哮喘的持續控制能力。APG808的優化配方和潛在“best-in-class”的PK特征,結合在12周內對FeNO的強效且持續的抑制作用,有望支持其實現每兩個月或更長時間一次的給藥方案,相較于目前每兩周一次的標準治療具有優勢。此外,APG808整體耐受性良好,安全性特征與已有的抗IL-4Rα療法一致。
Soquelitinib:公布1期臨床試驗中隊列1-3的數據
Corvus Pharmaceuticals公司公布了其小分子白細胞介素-2誘導的T細胞激酶(ITK)抑制劑soquelitinib用于治療中度至重度特應性皮炎的1期臨床試驗數據。ITK是一種主要表達于T細胞中的酶,在T細胞和自然殺傷(NK)細胞的免疫功能中起重要作用。通過抑制ITK,soquelitinib有望抑制自身免疫和炎癥反應。
此次公布的結果顯示,所有3個隊列中,soquelitinib治療組在具有臨床意義的終點濕疹面積和嚴重度指數較基線減少75%(EASI 75)和研究者總體評估(IGA)評分為0/1(皮膚癥狀清除或幾乎清除)上,均顯示出相較于安慰劑的顯著療效。與隊列1和隊列2(100 mg每天兩次和200 mg每天一次,每日總劑量200 mg)相比,隊列3(200 mg每天兩次,每日總劑量400 mg)的緩解更早且更深。安全性方面,soquelitinib的耐受性良好,在所有隊列中均未觀察到DLT,也未出現具有臨床意義的實驗室指標異常。此外,所有隊列中均未發生中斷給藥的情況。
▲治療第28天達到終點IGA 0/1、EASI 75的患者占比(圖片來源:參考資料[1])
ELVN-001:公布1期臨床試驗的新數據
Enliven Therapeutics公司公布其小分子激酶抑制劑ELVN-001治療慢性粒細胞白血病(CML)患者的1期臨床試驗的新數據。ELVN-001是一種強效、高選擇性、潛在“best-in-class”的小分子激酶抑制劑,專門針對CML患者的致癌驅動因子BCR-ABL融合蛋白。ELVN-001還具有針對耐藥性最強的BCR-ABL1耐藥突變體T315I和其他已知耐藥突變體的活性。
截至2025年1月21日的數據,在36例可評估的患者中,44%(16/36)在24周時達到主要分子學緩解(MMR),其中最后一線治療時對酪氨酸激酶抑制劑(TKI)耐藥的患者中有40%(10/25)達到了MMR,曾接受asciminib或ponatinib治療的患者中也有36%(9/25)達到MMR,包括1例攜帶已知asciminib耐藥突變的患者。所有達到或維持MMR的患者在數據截止時仍保持緩解。在該臨床試驗中所納入的患者群體此前接受過大量治療的情況下,ELVN-001與已獲批的針對BCR-ABL融合蛋白的TKI在1期試驗中所觀察到的MMR相比,結果依然更好。安全性方面,ELVN-001在所有劑量組中仍表現出良好的耐受性,與其選擇性激酶譜一致。
LP-184:IND申請獲得FDA許可
Lantern Pharma公司宣布,FDA已批準其抗癌新藥LP-184的IND申請。LP-184將與免疫檢查點抑制劑聯用,針對攜帶
KEAP1和/或
STK11突變和PD-L1 低表達的非小細胞肺癌(NSCLC)患者開展1b/2期臨床試驗。LP-184是一種新型“合成致死”小分子藥物,其作用機制是在前列腺素還原酶1(PTGR1)的激活下誘導DNA雙鏈斷裂。PTGR1在
KEAP1突變型腫瘤中顯著過表達。臨床前研究表明,LP-184對NSCLC細胞系的殺傷力與PTGR1的表達水平呈正相關。該 公司專有的RADR平臺驅動的計算機分析和臨床前研究表明,LP-184對DNA損傷修復(DDR)缺陷型癌癥特別有效,包括攜帶KEAP1STK11突變的NSCLC。此外,PTGR1會在腫瘤細胞內將LP-184由前藥轉化為具有生物活性的細胞毒性物質,而正常組織由于PTGR1表達水平低,基本不受影響。這使得LP-184有望在具有強效抗腫瘤活性的同時降低全身毒性。值得注意的是,LP-184的作用機制不受TP53突變狀態影響。該突變是導致當前多種療法產生耐藥性的常見共突變因素。
參考資料(可上下滑動查看)
[1] Corvus Pharmaceuticals Announces Data from Cohorts 1-3 of Placebo-Controlled Phase 1 Clinical Trial of Soquelitinib for Atopic Dermatitis. Retrieved May 16, 2025, from https://investor.corvuspharma.com/news-releases/news-release-details/corvus-pharmaceuticals-announces-data-cohorts-1-3-placebo
[2] MaaT Pharma Announces Promising Final Data Readout for Phase 1b Evaluating MaaT033 in Amyotrophic Lateral Sclerosis (ALS). Retrieved May 16, 2025, from https://www.businesswire.com/news/home/20250511855391/en/MaaT-Pharma-Announces-Promising-Final-Data-Readout-for-Phase-1b-Evaluating-MaaT033-in-Amyotrophic-Lateral-Sclerosis-ALS
[3] Cantargia announces successful Phase 1 results: PK/PD data of subcutaneously administered CAN10 confirms every 4-week dosing choice in Phase 2. Retrieved May 16, 2025, from https://cantargia.com/en/press-releases/cantargia-announces-successful-phase-1-results-pk-pd-data-of-subcutaneously-administered-can10-confirms-every-4-week-dosing-choice-in-phase-2
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