October 4, 2024 - 🧬 [nGram] Today’s Oncology Scoop: FDA Approvals & Key Cancer Trials


  1. FDA approves perioperative treatment with Opdivo for resectable NSCLC
    • The FDA has approved Opdivo (nivolumab) for perioperative treatment in resectable non-small cell lung cancer (NSCLC) without EGFR mutations or ALK rearrangements.
    • Approval is based on the CheckMate-77T trial, which showed improved event-free survival (EFS) and pathologic complete response (pCR) rates with Opdivo.
    • Opdivo demonstrated a 42% reduction in the risk of disease recurrence, progression, or death compared to chemotherapy and placebo.
    • The recommended regimen includes neoadjuvant Opdivo with chemotherapy followed by adjuvant Opdivo post-surgery.
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  2. Calquence granted priority review in the US for untreated mantle cell lymphoma
    • AstraZeneca's Calquence (acalabrutinib) received Priority Review from the FDA for treating untreated mantle cell lymphoma (MCL).
    • The ECHO Phase III trial showed Calquence plus chemoimmunotherapy reduced disease progression risk by 27% compared to standard care.
    • The FDA's decision is expected in the first quarter of 2025, with the review conducted under Project Orbis for global access.
    • Calquence is a BTK inhibitor, already approved for other indications, and is being evaluated for multiple B-cell blood cancers.
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  3. FDA approves Exact Sciences’ Cologuard Plus test for colorectal cancer screening
    • The FDA has approved the Cologuard Plus test for adults aged 45 and older at average risk for colorectal cancer.
    • Approval was based on the pivotal BLUE-C study, which showed 95% cancer sensitivity and 43% sensitivity for advanced precancerous lesions.
    • The test outperformed the fecal immunochemical test (FIT) in sensitivity for colorectal cancer and advanced precancerous lesions.
    • Cologuard Plus is expected to launch in 2025, with anticipated Medicare coverage and inclusion in U.S. Preventive Services Taskforce guidelines.
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  4. Oncolytics Biotech announces progress in breast and pancreatic cancer treatments
    • BRACELET-1 trial results in HR+/HER2- breast cancer show strong efficacy, paving the way for an accelerated approval path.
    • A Phase 2 study for pelareorep + paclitaxel in HR+/HER2- metastatic breast cancer is planned for early 2025, targeting 180 patients.
    • Collaboration with GCAR and PanCAN to advance pelareorep in pancreatic cancer through the GOBLET study.
    • Key milestones include initiating a registrational study in breast cancer and updates on pancreatic cancer studies in 2025.
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  5. Summit Therapeutics completes enrollment in phase III HARMONi trial for NSCLC
    • Summit Therapeutics has completed enrollment for the HARMONi Phase III trial, evaluating ivonescimab with chemotherapy in EGFR-mutated NSCLC patients.
    • The trial involves patients from North America, Europe, and China, focusing on those who progressed after 3rd generation EGFR TKI treatment.
    • The FDA granted Fast Track designation to ivonescimab, facilitating its development and review for unmet medical needs.
    • HARMONi trial aims to assess progression-free survival and overall survival as primary endpoints.
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  6. ABL Bio announces clinical collaboration to evaluate ABL103 in combination with Keytruda in patients with solid tumors
    • ABL Bio has entered a clinical trial collaboration with MSD to evaluate ABL103 with Keytruda in a Phase 1b/2 trial.
    • The trial will assess the safety and efficacy of ABL103, a bispecific antibody targeting B7-H4 and 4-1BB.
    • Keytruda will be supplied by MSD for the study, focusing on advanced or metastatic solid tumors.
    • The dose escalation part of the Phase 1 trial for ABL103 is currently ongoing in South Korea.
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  7. Aldeyra resubmits NDA for reproxalap in dry eye disease
    • Aldeyra Therapeutics has resubmitted a New Drug Application (NDA) to the FDA for reproxalap, targeting dry eye disease.
    • The resubmission includes positive results from a Phase 3 trial showing reproxalap's effectiveness in reducing ocular discomfort.
    • Reproxalap demonstrated acute and chronic activity in reducing dry eye symptoms and ocular redness.
    • The FDA is expected to review the resubmission within 6 months, following the Prescription Drug User Fee Act guidelines.
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  8. OS Therapies completes last patient visit in OST-HER2 osteosarcoma phase 2b trial
    • OS Therapies announced the completion of the last patient visit in the AOST-2121 Phase 2b trial for OST-HER2 in osteosarcoma.
    • The trial involved 41 patients across 21 sites in the U.S., focusing on event-free survival and overall survival as primary endpoints.
    • The company plans to request a Type C Meeting with the FDA for protocol adjustments before data analysis.
    • Topline data readout is expected in the fourth quarter of 2024.
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  9. Health Canada approves label expansion for Telix’s Illuccix to include patient selection for PSMA-targeted therapy
    • Health Canada has approved the use of Illuccix for selecting patients with progressive metastatic castration-resistant prostate cancer for PSMA-targeted radionuclide therapy.
    • Illuccix is now approved in Canada for use with gallium-based PSMA-PET imaging to identify suitable candidates for PSMA-targeted therapy.
    • The approval expands Illuccix's clinical utility, which was previously approved for staging and re-staging prostate cancer and localizing tumor tissue in recurrent cases.
    • Illuccix is distributed across Canada through Isologic Innovative Radiopharmaceuticals, reaching 265 hospitals and clinics.
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  10. IDEAYA Biosciences presents IDE397 phase 1 results in MTAP-deletion cancers
    • IDEAYA Biosciences announced a late-breaking oral presentation of IDE397 Phase 1 expansion results.
    • IDE397 is a first-in-class, oral MAT2A inhibitor targeting MTAP-deletion in lung and urothelial cancers.
    • The presentation took place at the EORTC-NCI-AACR Symposium in Barcelona, Spain.
    • Additional poster presentations highlighted preclinical data for MAT2A and PARG programs.
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