Theralase Successfully Completes Phase Ib Non-Muscle Invasive Bladder Cancer Clinical Study
Toronto, Ontario (FSCwire) - Theralase Technologies Inc.
(“Theralase®” or the “Company”) (TSXV: TLT) (OTCQX: TLTFF), a
clinical stage pharmaceutical company dedicated to the research and development of light activated Photo Dynamic Compounds
(“PDCs”) and their associated drug formulations intended to safely and effectively destroy cancer has
successfully completed the Study.
On May 19, 2018, Theralase’s Medical and Scientific Advisory Board (“MSAB”) was convened to
examine the clinical results obtained on the first six patients enrolled and treated in the Study utilizing TLD-1433-based Photo
Dynamic Therapy (“PDT”); specifically: the primary endpoint of safety and tolerability, the secondary endpoint
of pharmacokinetics (movement and exit of drug within tissue) and the exploratory endpoint of efficacy primarily at 90 days.
The MSAB is comprised of world-renowned experts in bladder cancer and have been retained by the Company to provide
advice and strategic guidance on the research, development and commercialization of the TLD-1433-based PDT technology in the
treatment of patients inflicted with NMIBC.
After reviewing the clinical data presented by Girish Kulkarni, MD, PhD, FRCSC, an Associate Professor at the
University of Toronto, Department of Surgery and the Principal Investigator of the Study, the MSAB unanimously recommended the
early termination of the Study due to achievement of the primary and secondary endpoints. The MSAB also recommended that the
clinical data collected from the first three patients treated at the Maximum Recommended Starting Dose (“MRSD”)
(0.35 mg/cm2) and the three patients treated at the Therapeutic Dose (0.70 mg/cm2) were sufficient to
support the conclusion that the Study had successfully achieved the Study’s primary and secondary endpoints and had adequately
addressed the Study’s scientific, technical and clinical questions, as per the approved Study design and clinical protocol. The
MSAB recommendation to the Company was to terminate the Study based on the six patients treated to date and suggested that the
Company pursue a pivotal Phase II NMIBC clinical study approval with Health Canada and the FDA with efficacy as the primary
endpoint.
Dr. Kulkarni stated that, “The primary and secondary endpoints of the Study have been successfully accomplished
from a clinical aspect. The treatment was safe and well tolerated by all patients treated, with no discernible difference in the
number or severity of Adverse Events (“AEs”), regardless of whether the MRSD or Therapeutic Dose was utilized.
All AEs were either minor (Grade 1) or moderate (Grade 2) in severity and completely resolved within 90 days. There were no
severe (Grade 3), life threatening (Grade 4) or deaths (Grade 5) AEs and the majority of AEs were transient and related to
irritative lower urinary tract symptoms (i.e.: urination urgency). TLD-1433 systemic absorption was minimal (picograms
concentration in plasma), which is magnitudes below the No Observed Adverse Effect Level (“NOAEL”) for TLD-1433
and hence presents no significant clinical risk. I believe that TLD-1433 holds real potential as a treatment for NMIBC and I look
forward to treating patients in a pivotal Phase II NMIBC clinical study, pending Health Canada approval to commence the
study.
Michael Jewett, MD, FRCSC, FACS, Professor of Surgery (Urology) at the University of Toronto and the Chairman of
Theralase’s MSAB stated that, “When NMIBC intravesical treatment with Bacillus Calmete Guérin (“BCG”) fails, the
standard of care is cystectomy (removal of the patient's bladder), which is a major surgery with life-altering side effects that
many patients may not accept despite the risk of cancer spread. The Study clinical data presented by Dr. Kulkarni is very
encouraging. TLD-1433 PDT appears safe and well-tolerated in patients presenting with BCG-Unresponsive NMIBC. I am pleased that
the clinical results of the Study met its objectives demonstrating that the Theralase PDT technology has demonstrated potential
as a treatment for bladder cancer. The MSAB members and I unanimously support the view that the Study achieved its primary and
secondary endpoints after the treatment of 6 patients and concluded that the clinical data collected supports an early
termination of the Phase I Study to commence a pivotal Phase II NMIBC clinical study focused on efficacy. The Phase II NMIBC
study design has been discussed and collectively approved during the MSAB meeting. The exploratory endpoint of efficacy
is extremely encouraging as the fifth and sixth patients are clinically cancer free as of the ninety day cystoscopy
examination."
Ashish Kamat, MD, MBBS, Professor of Urologic Oncology (Surgery) and Wayne B. Duddlesten Professor of Cancer
Research, University of Texas, MD Anderson Cancer Center stated that, “The safety data presented by Dr Kulkarni and
Theralase is convincing and recruitment of an additional three patients at the Therapeutic Dose is not likely to add significant
value to the understanding of the PDT technology in the treatment of NMIBC. If a larger multicenter study demonstrates efficacy
of PDT technology in this patient population, it would provide our patients a useful alternative to avoid radical surgery. The
more safe, reliable options we have to offer our patients, the better it is for everyone concerned. The MSAB thus recommended
that the Company truncate the Study early to seek Health Canada and FDA approval to commence a larger and more statistically
powered, single arm, multicenter efficacy study. Moreover, the MSAB reviewed and approved in principle the Phase II clinical
protocol and the clinical study design presented by Dr. Jewett. BCG-Unresponsive NMIBC is a potentially fatal disease that
requires additional treatment options. Currently, cystectomy remains the safest treatment option available to patients, but if
the Theralase PDT achieves its efficacy endpoint in a Phase II clinical study, then this will present patients with an attractive
additional treatment option. The clinical data presented by Dr. Kulkarni suggests that the Theralase PDT treatment option may be
just what the doctor ordered.”
Michael O’Donnell, MD, Professor of Urology, University of Iowa, Iowa City, Iowa stated, “I’m encouraged by the Theralase
Phase Ib clinical study data presented at the MSAB meeting. The top-line clinical results indicate that the TLD-1433-based PDT at
tested doses has met its primary and secondary objectives in the studied population of BCG-Unresponsive patients with NMIBC who
refused cystectomy. The Theralase approach is an interesting treatment option with an early signal of treatment effectiveness,
albeit in a small population, that will need to be confirmed in a Phase II clinical study. This is a novel approach that
addresses a bladder cancer population with a high unmet need. As designed, a successful Phase II clinical study will confirm how
this PDT therapy approach could shape future practice.”
About the Study
The Study is being used to evaluate TLD-1433, Theralase’s lead PDC, for the primary endpoint of safety and
tolerability, secondary endpoint of pharmacokinetics (movement and exit of drug within tissue) and exploratory endpoint of
efficacy.
Study Outcome Endpoints:
1) Primary: Evaluate safety and tolerability. (Measured by patients who
experience Adverse Events (“AEs”) Grade 4 or greater that do not resolve within thirty (30) days; whereby: Grade
1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = Severe AE, Grade 4 = Life-threatening or disabling AE, Grade 5 = Death)
2) Secondary: Evaluate the pharmacokinetics. (Movement and exit of drug within
tissue) of TLD-1433 (Measured by TLD-1433 concentration levels in plasma and urine over 72 hours.)
3) Exploratory: Evaluate efficacy. (Measured by Recurrence Free Survival
(“RFS”), defined as the interval from Day 0 (Day of PDT treatment) to documented recurrence or death from any
cause, whichever occurs first. Recurrence is defined as any new tumour growth (i.e.: any biopsy-confirmed new or recurrent
tumour), evaluated at 90 days for the first three patients treated at the MRSD and primarily at 90 days for the last six patients
treated at the Therapeutic Dose and secondarily at 180 days post treatment.)
The Company is planning to meet with Health Canada and FDA, to discuss and finalize the design of a Health Canada
and FDA pivotal Phase II NMIBC clinical study, with a primary endpoint of efficacy.
About Theralase Technologies Inc.
Theralase® is a clinical stage pharmaceutical company dedicated to the research and development of light activated Photo
Dynamic Compounds and their associated drug formulations intended to safely and effectively destroy cancer. The Company in
its Cool Laser Division designs, manufactures and distributes patented and proprietary super-pulsed cool laser technology for the
treatment of knee pain, and in off-label use, the treatment of numerous nerve, muscle and joint conditions.
Additional information is available at www.theralase.com and www.sedar.com.
This news release contains "forward-looking statements" which reflect the current expectations of
management of the Corporation’s future growth, results of operations, performance and business prospects and opportunities. Such
statements include, but are not limited to, statements regarding Theralase’s proposed development plans with respect to Photo
Dynamic Compounds and their drug formulations. Wherever possible, words such as "may", "would",
"could", “should”, "will", "anticipate",
"believe", "plan", "expect", "intend",
"estimate", "potential for" and similar expressions have been used to identify these
forward-looking statements. These statements reflect management's current beliefs with respect to future events and are based on
information currently available to management. Forward-looking statements involve significant risks, uncertainties and
assumptions including with respect to the ability of Theralase to: successfully fund and complete the
Phase Ib NMIBC clinical study, secure the requisite regulatory approvals to commence and fund a
multi-center Phase II NMIBC clinical study, successfully complete a multicenter
Phase II NMIBC clinical study and implement its development plans. Many factors could cause the Corporation’s actual
results, performance or achievements to be materially different from any future results, performance or achievements that may be
expressed or implied by such forward-looking statements; including, without limitation, those listed in the filings made by the
Corporation with the Canadian securities regulatory authorities (which may be viewed at www.sedar.com). Should one or more of these risks or uncertainties materialize or should assumptions
underlying the forward looking statements prove incorrect, actual results, performance or achievements may vary materially from
those expressed or implied by the forward-looking statements contained in this news release. These factors should be considered
carefully and prospective investors should not place undue reliance on the forward-looking statements. Although the
forward-looking statements contained in the press release are based upon what management currently believes to be reasonable
assumptions, the Corporation cannot assure prospective investors that actual results, performance or achievements will be
consistent with these forward-looking statements. The Corporation disclaims any intention or obligation to revise forward-looking
statements whether as a result of new information, future developments or otherwise, except as required by law.
All forward-looking statements are expressly qualified in their entirety by this cautionary statement.
Neither TSX Venture Exchange nor its Regulation Services Provider (as that term is defined in the policies of the TSX
Venture Exchanges) accepts responsibility for the adequacy or accuracy of this release.
For More Information:
1.866.THE.LASE (843-5273)
416.699.LASE (5273)
info@theralase.com
www.theralase.com
To view the original release, please click here
Source: Theralase Technologies Inc. (TSX Venture:TLT, OTCQX:TLTFF, FWB:TTX)
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