ARIAD Announces Initiation of Phase 1/2 Clinical Trial of AP32788, an Investigational Oral Inhibitor of EGFR & HER2, in Patie...
May 31 2016 - 7:35AM
Business Wire
AP32788 Designed to Address Unmet Need in
Approximately 6,000 U.S. Patients with No Approved Targeted
Treatment for EGFR Exon 20 or HER2 Point Mutations
ARIAD Pharmaceuticals, Inc. (NASDAQ: ARIA) today announced
initiation of the Phase 1/2 clinical trial of AP32788, an
investigational tyrosine kinase inhibitor (TKI) designed as a
targeted therapy for patients with non-small cell lung cancer
(NSCLC) with specific mutations in EGFR or HER2. AP32788 targets
tumors driven by EGFR or HER2 kinases and was designed to achieve
selective inhibition of these kinases with exon 20 mutations. There
are currently no approved targeted treatment options available for
the approximately four to nine percent of EGFR-mutated lung tumors
with exon 20 insertion mutations in NSCLC patients.1 Additionally,
approximately two percent of NSCLC patients2 have HER2 mutations,
with the majority having exon 20 insertion mutations.
“In the preclinical data presented at the AACR meeting last
month, AP32788 demonstrated the ability to inhibit all tested EGFR
and HER2 mutants, including exon 20 insertion mutants,” stated Tim
Clackson, Ph.D., president of research and development and chief
scientific officer of ARIAD. “We are pleased to be advancing
AP32788, the next promising cancer medicine in the ARIAD pipeline,
into clinical study for patients who currently have no targeted
treatment options in these orphan oncology disease subsets.”
Clinical Trial Design
The trial will be conducted in two parts: a dose escalation
phase, followed by an expansion phase. The initial Phase 1
dose-escalation trial segment will include patients with advanced
NSCLC. Patients enrolled in this multicenter study will be
refractory to standard available therapies. The primary objective
of the Phase 1 segment of the trial is to determine the safety,
tolerability, pharmacokinetic profile, and recommended Phase 2 dose
(RP2D) of orally administered AP32788. ARIAD expects to enroll
approximately 20 to 30 patients in this portion of the trial.
The Phase 2 expansion phase of the trial will include four
histologically and molecularly defined patient cohorts,
including:
- NSCLC patients with EGFR exon 20
activating insertions with no active, measurable central nervous
system (CNS) metastases;
- NSCLC patients with HER2 exon 20
activating insertions or point mutations with no active, measurable
CNS metastases;
- NSCLC patients with EGFR exon 20
activating insertions or HER2 exon 20 activating insertions or
point mutations and active, measurable CNS metastases; and,
- NSCLC with other targets against which
AP32788 has shown preclinical activity (examples include EGFR exon
19 deletions or exon 21 substitutions [with or without T790M
mutations] and other uncommon EGFR activating mutations) with or
without active, measurable CNS metastases.
The Phase 2 segment of the trial is planned to enroll
approximately 80 patients and will evaluate anti-tumor activity of
AP32788 in these molecularly defined patient populations.
“While there are approved TKIs for use in NSCLC patients with
common EGFR activating mutations, there is a need for targeted
treatment options to address the subset of patients with EGFR exon
20, HER2, and other uncommon EGFR mutations,” said Robert C.
Doebele, M.D., Ph.D., associate professor, division of medical
oncology, University of Colorado. “This trial will evaluate the
safety, tolerability and optimal dose of AP32788, and the potential
activity in NSCLC patients who currently have no targeted treatment
options.”
ARIAD’s Phase 1/2 clinical trial of AP32788 is expected to
enroll patients at up to seven centers during the dose-escalation
phase. Additional centers will be activated for enrollment of the
expansion cohorts. More information about the clinical trial
evaluating AP32788 can be found at
https://clinicaltrials.gov/ct2/show/NCT02716116?term=AP32788&rank=1.
EGFR mutations represent the largest known, targetable subset of
NSCLC. While the most common types of EGFR mutation are addressed
by approved TKI therapies, there are no targeted treatment options
available for the approximately 4 to 9 percent of EGFR-mutated lung
tumors with exon 20 insertion mutations. In addition, patients with
HER2 mutations, mostly exon 20 insertion mutations, comprise
approximately 2 percent of NSCLC patients and also have no
currently approved targeted treatment options. ARIAD estimates that
there are approximately 6,000 patients in the United States living
with EGFR exon 20 or HER2 point mutations, based on a broader data
set of 175,000 patients with stage IIIb or IV NSCLC living in the
U.S. in 2015, according to Kantar Health.
About AP32788
AP32788 is an investigational oral tyrosine kinase inhibitor
(TKI) of activating mutations in EGFR and HER2. The molecule was
designed to address the unmet need in patients with non-small cell
lung cancer (NSCLC) driven by exon 20 insertion mutations in EGFR
and HER2, and is ARIAD’s fourth internally discovered oncology
candidate to advance into clinical development.
About ARIAD
ARIAD Pharmaceuticals, Inc., headquartered in Cambridge,
Massachusetts is an orphan oncology company focused on transforming
the lives of cancer patients with breakthrough medicines. ARIAD is
working on new medicines to advance the treatment of various forms
of chronic and acute leukemia, lung cancer and other
difficult-to-treat orphan cancers. ARIAD utilizes computational and
structural approaches to design small-molecule drugs that overcome
resistance to existing cancer medicines. For additional
information, visit http://www.ariad.com or follow ARIAD on
Twitter (@ARIADPharm).
Forward-Looking Statements
This press release contains forward-looking
statements, each of which are qualified in their entirety by this
cautionary statement. Any statements contained herein which do not
describe historical facts, including, but not limited to our plans
for the trial design and expected enrollment and the statements
made by Drs. Clackson and Doebele, are forward-looking statements
that are based on management’s expectations and are subject to
certain factors, risks and uncertainties that may cause actual
results, outcome of events, timing and performance to differ
materially from those expressed or implied by such statements.
These factors, risks and uncertainties include, but are not limited
to, our ongoing strategic review, our ability to successfully
commercialize and generate profits from sales of Iclusig and our
product candidates, if approved; competition from alternative
therapies; our ability to meet anticipated clinical trial
commencement, enrollment and completion dates and regulatory filing
dates for our products and product candidates and to move new
development candidates into the clinic; our ability to execute on
our key corporate initiatives; regulatory developments and safety
issues, including difficulties or delays in obtaining regulatory
and pricing and reimbursement approvals to market our products; our
reliance on the performance of third-party manufacturers and
specialty pharmacies for the supply and distribution of our
products and product candidates; the occurrence of adverse safety
events with our products and product candidates; the costs
associated with our research, development, manufacturing,
commercialization and other activities; the conduct, timing and
results of preclinical and clinical studies of our products and
product candidates, including that preclinical data and early-stage
clinical data may not be replicated in later-stage clinical
studies; the adequacy of our capital resources and the availability
of additional funding; the ability to satisfy our contractual
obligations, including under our leases, convertible debt and
royalty financing agreements; patent protection and third-party
intellectual property claims; litigation; our operations in foreign
countries; risks related to key employees, markets, economic
conditions, health care reform, prices and reimbursement rates; and
other risk factors detailed in our public filings with the U.S.
Securities and Exchange Commission, including our most recent
Annual Report on Form 10-K and subsequent Quarterly Reports on Form
10-Q. Except as otherwise noted, these forward-looking statements
speak only as of the date of this press release and we undertake no
obligation to update or revise any of these statements to reflect
events or circumstances occurring after this press release. We
caution investors not to place considerable reliance on the
forward-looking statements contained in this press release.
1 Costa, D. 2015. EGFR Exon 20 Insertion in Non-Small Cell Lung
Cancer. My Cancer Genome
http://www.mycancergenome.org/content/disease/lung-cancer/egfr/64/
(Updated November 5, 2015).2 JCO April 22, 2013
JCO.2012.45.6095
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version on businesswire.com: http://www.businesswire.com/news/home/20160531005383/en/
ARIAD Pharmaceuticals, Inc.For InvestorsMaria Cantor,
617-621-2208Maria.cantor@ariad.comorFor MediaLiza Heapes,
617-621-2315Liza.heapes@ariad.com
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