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Stage 1 endpoint of Objective Response Rate (ORR) met, study
proceeding to Stage 2.
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Preliminary results support hypothesis that MET inhibition can reverse
resistance to EGFR inhibitors.
ArQule, Inc. (Nasdaq: ARQL) today announced interim data from an ongoing
investigator-initiated Phase 2 clinical trial with tivantinib in
combination with cetuximab in patients with MET-High, KRAS wild-type
metastatic colorectal cancer (CRC) NCT01892527 who recently progressed
on anti-EGFR antibodies. These data were presented on Friday, July 3rd
at the European Society of Medical Oncology (ESMO) World GI 2015
(abstract number O-008) by Dr. Lorenza Rimassa, MD, Deputy Director,
Medical Oncology Unit at Humanitas Cancer Center, in Rozzano (Milan,
Italy).
“Considering that in CRC objective response rate (ORR) often correlates
with overall survival (OS) benefit, the preliminary results obtained
combining tivantinib with cetuximab are encouraging,” said Dr. Rimassa.
“Since all patients enrolled in this trial were MET-High and had
recently progressed on a combination regimen including cetuximab or
panitumumab, the data may support the hypothesis that MET inhibition can
reverse resistance to EGFR inhibitors as well as the need for rigorous
tissue collection procedures at enrollment to allow for a more robust
correlative outcome assessment related to the MET pathway.”
The primary endpoint of the trial is ORR in the biomarker defined
population. Secondary study endpoints are progression-free survival
(PFS), overall survival (OS) and safety. The ESMO World GI presentation
included data from 21 patients enrolled in Stage 1 of this trial. One
patient, still on therapy, experienced a complete response (CR) and 2
patients experienced durable confirmed partial responses (PRs). Stable
disease was observed in 8 patients, including 2 short duration PRs, for
an overall Disease Control Rate (CR + PR + SD) of 52.4%. Having met the
Stage 1 endpoint (≥2 confirmed responses), the trial continued to Stage
2 and has recently completed enrollment.
Adverse events were in line with those historically reported, including
skin toxicity attributed to cetuximab, and neutropenia attributed to
tivantinib. Neutropenia was addressed timely with growth factors and
dose adjustments.
The trial is a 2-stage, investigator-initiated study testing tivantinib
plus cetuximab after recent progression on anti-EGFR antibodies. The
trial is coordinated by the Humanitas Cancer Center in Milan, Italy.
Stage 1 enrolled 21 patients, and Stage 2 recently completed enrollment
of 20 additional patients. Final results from the 41 patients enrolled
are expected by the end of 2015.
About Colorectal Cancer (CRC)
Colorectal cancer is the second leading cause of cancer-related deaths
in the U.S. and is the third most common cancer in men and women.
According to the National Cancer Institute, it is estimated that more
than 132,000 new cases of colorectal cancer will be diagnosed in 2015,
and an estimated 49,700 deaths from the disease will occur this year.
The estimated incidence rate was 42.4 per 100,000 people during the
period 2008-2012.
About MET and tivantinib (ARQ 197)
Tivantinib is an orally administered, selective inhibitor of MET, a
receptor tyrosine kinase, which is currently in Phase 2 and Phase 3
clinical trials. In healthy adult cells, MET can be present in normal
levels to support natural cellular function, but in cancer cells, MET
can be inappropriately and continuously activated. When abnormally
activated, MET plays multiple roles in aspects of human cancer,
including cancer cell growth, survival, angiogenesis, invasion and
metastasis. The activation of certain cell signaling pathways, including
MET, has also been associated with the development of resistance to
anti-EGFR (epidermal growth factor receptor) antibodies such as
cetuximab and panitumumab.
Pre-clinical data have demonstrated that tivantinib inhibits MET
activation in a range of human tumor cell lines and shows anti-tumor
activity against several human tumor xenografts. In clinical trials to
date, treatment with tivantinib has been generally well tolerated and
has shown clinical activity in the tumors studied. Tivantinib has not
yet been approved for any indication in any country.
In December 2008, ArQule and Daiichi Sankyo signed a license,
co-development and co-commercialization agreement for tivantinib in the
U.S., Europe, South America and the rest of the world, excluding Japan,
China (including Hong Kong), South Korea and Taiwan.
About ArQule
ArQule is a biotechnology company engaged in the research and
development of next-generation, small-molecule cancer therapeutics. The
Company’s targeted, broad-spectrum products and research programs are
focused on key biological processes that are central to human cancers.
ArQule’s lead product, in Phase 2 and Phase 3 clinical development, is
tivantinib (ARQ 197), an oral, selective inhibitor of the c-MET receptor
tyrosine kinase. The Company’s pipeline includes: ARQ 092, designed to
inhibit the AKT serine/threonine kinase; ARQ 087, a multi-kinase
inhibitor designed to preferentially inhibit the fibroblast growth
factor receptor (FGFR) family; and ARQ 761, a Beta lapachone analog
being evaluated as a promoter of NQ01-mediated programmed cancer cell
necrosis. ArQule’s current discovery efforts are focused on the
identification of novel kinase inhibitors, leveraging the Company’s
proprietary library of compounds.
This press release contains forward-looking statements regarding the
Company’s clinical trials with tivantinib (ARQ 197). These statements
are based on the Company’s current beliefs and expectations, and are
subject to risks and uncertainties that could cause actual results to
differ materially. Positive information about pre-clinical and early
stage clinical trial results does not ensure that later stage or larger
scale clinical trials will be successful. For example, tivantinib may
not demonstrate promising therapeutic effect or appropriate safety
profiles in current or later stage or larger scale clinical trials as a
result of known or as yet unanticipated side effects. The results
achieved in later stage trials may not be sufficient to meet applicable
regulatory standards or to justify further development. Problems or
delays may arise prior to the initiation of planned clinical trials,
during clinical trials or in the course of developing, testing or
manufacturing that could lead the Company or its partners and
collaborators to fail to initiate or to discontinue development. Even if
later stage clinical trials are successful, unexpected concerns may
arise from subsequent analysis of data or from additional data.
Obstacles may arise or issues may be identified in connection with
review of clinical data with regulatory authorities. Regulatory
authorities may disagree with the Company’s view of the data or require
additional data or information or additional studies. In addition, the
planned timing of initiation and completion of clinical trials for
tivantinib is subject to the ability of the Company as well as Daiichi
Sankyo, Inc., our development partner for tivantinib, and Kyowa Hakko
Kirin, a licensee of tivantinib, to enroll patients, enter into
agreements with clinical trial sites and investigators, and overcome
technical hurdles and other issues related to the conduct of the trials
for which each of them is responsible. There is a risk that these
issues may not be successfully resolved. In addition, we and our
partners are utilizing a companion diagnostic to identify MET-high
patients in the METIV-HCC JET-HCC and other trials. We may encounter
difficulties in developing and obtaining approval for companion
diagnostics, including issues relating to selectivity/specificity,
analytical validation, reproducibility, or clinical validation. Any
delay or failure by our collaborators or us to develop or obtain
regulatory approval of the companion diagnostics could delay or prevent
approval of our product candidates. Drug development involves a high
degree of risk. Only a small number of research and development programs
result in the commercialization of a product. Positive pre-clinical data
may not be supported in later stages of development. Furthermore, ArQule
may not have the financial or human resources to successfully pursue
drug discovery in the future. Moreover, with respect to partnered
programs, even if certain compounds show initial promise, Daiichi Sankyo
or Kyowa Hakko Kirin may decide not to license or continue to develop
them, as the case may be. In addition, Daiichi Sankyo and Kyowa Hakko
Kirin have certain rights to unilaterally terminate their agreements
with ArQule. If either company were to do so, the Company might not be
able to complete development and commercialization of the applicable
licensed products on its own. For more detailed information on the risks
and uncertainties associated with the Company’s drug development and
other activities, see the Company’s periodic reports filed with the
Securities and Exchange Commission. The Company does not undertake any
obligation to publicly update any forward-looking statements.
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