Kazia CEO, Dr James Garner, added, it is terrific to see further very promising data emerging from the
Cantrixil phase I study. Put simply, the drug is active. The expansion cohort, which is currently in progress, will help us to further quantify and substantiate that activity. In parallel, we continue to discuss the program with clinicians,
potential partners, and investors, as we consider how best to take Cantrixil forward after completion of the phase I study.
The poster can
be viewed on our website at : https://www.kaziatherapeutics.com/researchpipeline/cantrixil
Background
The phase I study of Cantrixil commenced in December 2016 and is registered on clinicaltrials.gov as NCT02903771. It is structured in two parts: Part A
was primarily designed to understand the safety profile of Cantrixil and to establish the Maximum Tolerated Dose (MTD). The ESMO poster reports data from the nine evaluable patients recruited in Part A. The ESMO poster follows the presentation
of interim data from the study at the AACR Annual Meeting in April 2019.
Part B has recruited 12 patients at the MTD to seek preliminary signals of
efficacy. Recruitment to Part B was completed in August 2019, and Kazia expects to report data from this component of the study early in calendar 2020.
All patients had recurrent or persistent ovarian cancer and had failed at least two prior lines of therapy, including platinum therapy, prior to study entry,
representing a very advanced population. After two cycles of treatment with Cantrixil, five of nine evaluable patients (56%) achieved stable disease (SD), according to the industry-standard RECIST criteria, which means that the tumour remained
approximately the same size over time and had not progressed. Two of these patients (22%) subsequently achieved a partial response (PR) when Cantrixil was administered with standard-of-care chemotherapy, which means that the tumour was reduced in
size by 30% or more.
One of the patients who achieved a PR had previously been determined to be resistant to paclitaxel, a chemotherapy agent commonly
used in ovarian cancer. In that patient, the PR was observed when Cantrixil was combined with paclitaxel, suggesting that the drug may restore sensitivity to this chemotherapy agent. This finding is highly consistent with the preclinical data
collected at Yale University, which demonstrated the ability of Cantrixil to re-sensitise tumours to paxlitaxel in mouse models of ovarian cancer.
A
median progression free survival (PFS) of 5.5 months was calculated for the nine patients treated with Cantrixil in Part A. A previous study in a broadly comparable patient group reported a median PFS of 3.4 months for patients treated with
chemotherapy alone1. While any comparison between studies must be treated with caution, this data suggests that Cantrixil may, on average, be able to delay tumour recurrence in a group of patients
with very advanced disease.
[ENDS]
About Kazia Therapeutics Limited
Kazia Therapeutics
Limited (ASX: KZA, NASDAQ: KZIA) is an innovative oncology-focused biotechnology company, based in Sydney, Australia. Our pipeline includes two clinical-stage drug development candidates, and we are working to develop therapies across a range of
oncology indications.
Our lead program is GDC-0084, a small molecule inhibitor of the
PI3K / AKT / mTOR pathway, which is being developed to treat glioblastoma multiforme, the most common and most aggressive form of primary brain cancer in adults. Licensed from Genentech in late 2016, GDC-0084 entered a phase II clinical trial in 2018. Initial safety data was released in May 2019, and further data is expected in 2H 2019. GDC-0084 was granted orphan designation for glioblastoma by the US FDA
in February 2018.
TRX-E-002-1 (Cantrixil), is a third-generation benzopyran molecule with activity against cancer stem cells and is being developed to
treat ovarian cancer. TRX-E-002-1 is currently undergoing a phase I clinical trial in Australia and the United States. Interim
data was presented at the ESMO Congress in September 2019, and the study remains ongoing. Cantrixil was granted orphan designation for ovarian cancer by the US FDA in April 2015.
1
|
Pujade-Lauraine E, Hilpert F, Weber B, et al. Bevacizumab combined with chemotherapy for platinum resistant
recurrent ovarian cancer: The AURELIA open label randomized phase III Trial. J Clin Oncol 2014; 32 (13): 1302-8.
|