The Mazda Pharma Guide 7th October to 13th October | Page 66
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PHARMACEUTICAL ARTICLE
PHASE II TRIAL OF OMS824 IN PATIENTS
WITH SCHIZOPHRENIA
O
meros Corporation,a clinical-stage
biopharmaceutical company, has started
enrollment in a phase II clinical trial of
OMS824, the company's phosphodiesterase 10
(PDE10) inhibitor. The trial will evaluate the
compound's tolerability, safety, pharmacokinetics,
potential interactions with concomitant
antipsychotic medications, and a battery of
cognitive tests in patients with stable
schizophrenia.
The phase I clinical programme in healthy
subjects established dosing regimens that were well
tolerated and associated with high levels of PDE10
target engagement in the brain, supporting
advancement of OMS824 into patient-directed
trials. In this phase II clinical trial, OMS824 will be
administered at various dose levels for two weeks
to patients whose antipsychotic medications have
been temporarily discontinued or who continue
their usual antipsychotic regimen in order to assess
the effects of OMS824 as monotherapy and in
combination with antipsychotic medications. A
variety of cognitive tests will be assessed, although
the relatively small size of this trial will limit the
ability to detect treatment effects, if present. The
safety and any efficacy findings in this trial are
planned for use in determining appropriate dosing
regimens and selecting endpoints for subsequent
phase II and phase III clinical trials in
schizophrenia. Those trials are expected to evaluate
OMS824 in schizophrenic patients who are
psychiatrically stable with cognitive impairment, in
patients with acute exacerbation of symptoms,
and/or in patients with inadequate response to
antipsychotic medications.
"We are excited to begin assessing
OMS824 in patients suffering with schizophrenia,"
stated Gregory A Demopulos, MD, chairman and
chief executive officer of Omeros. "This phase II
trial will provide us with important information on
our compound's safety and, potentially, efficacy for
additional phase II trials in schizophrenia and
Huntington's disease. We look forward to
completing the current trial later this year."
PDE10 is an enzyme that is expressed in
areas of the brain linked to diseases that affect
cognition and psychomotor functions, including
Huntington's disease and schizophrenia.
Huntington's disease is a hereditary
neurodegenerative disorder that leads to movement,
cognition, and behavioral abnormalities and
premature death. Schizophrenia is a group of
severe brain disorders characterized by an
abnormal interpretation of reality, which can
manifest as delusions, hallucinations, and/or
disordered thinking and behavior. Cognitive
dysfunction is responsible for substantial disability
in both of these diseases and is not meaningfully
improved by current medications. Omeros'
proprietary compound OMS824 inhibits PDE10
and is being developed for the treatment of
cognitive disorders. In addition to potential benefits
on cognition, OMS824 could also improve the
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motor and psychiatric abnormalities in
Huntington's disease as well as the positive (e.g.,
hallucinations) and negative (e.g., flat affect)
symptoms of schizophrenia.
Omeros is a clinical-stage
biopharmaceutical company committed to
discovering, developing and commercializing
products targeting inflammation, coagulopathies
and disorders of the central nervous system.
MILESTONE IN SIMPLE ANTIBODY R&D
PACT WITH SHIRE : arGEN-X, a clinical stage
human monoclonal antibody therapeutics company,
has attained a key success milestone in its SIMPLE
Antibody research and product development
collaboration with the Human Genetic Therapies
division of Shire Pharmaceuticals. The milestone,
which triggered an undisclosed payment from
Shire, was the first demonstration of in vivo proof
of concept for one of the antibody discovery
programmes undertaken in the collaboration.
Under their February 29, 2012 agreement,
the companies are collaborating to create human
therapeutic antibodies against complex targets
involved in severe, rare genetic diseases. Shire has
an option to license the most promising antibody
leads from each collaborative programme for
further development a nd commercialization
worldwide, in return for milestone and royalty
payments. Under the terms of the license, arGEN-X
has already received technology access fees and
research funding and is eligible to receive
preclinical success payments.
“We are pleased with the excellent progress
that has resulted from an outstanding joint effort
between our teams,” said Hans de Haard,chief
scientific officer of arGEN-X. “This collaboration
milestone is testament to the superiority of our
proprietary SIMPLE Antibody platform and
reinforces our brand in the complex targets space.”
PHASE IB/II TRIAL OF DEMCIZUMAB IN
COMBO WITH PAC LITAXEL IN OVARIAN
CANCER : OncoMed Pharmaceuticals, Inc., a
clinical-stage company developing novel
therapeutics that target cancer stem cells (CSCs), or
tumour-initiating cells, has started a phase Ib/II
clinical trial of its anti-cancer stem cell product
candidate, demcizumab (OMP-21M18) in ovarian
cancer. The trial will enroll patients at the MD
Anderson Cancer Centre in Texas. It is being
funded in part under an ovarian cancer National
Cancer Institute SPORE Grant Programme.
In this phase Ib/II trial, demcizumab is
being tested in combination with paclitaxel in
patients with platinum-resistant ovarian cancer,
fallopian tube cancer or primary peritoneal cancer.
Following a phase Ib safety run-in, a phase II
clinical trial will proceed in these patients. The
primary endpoints of the phase II part of the trial
will be to determine the progression-free survival
and response rate of the novel demcizumab with
paclitaxel combination. Key secondary and
exploratory endpoints include overall survival,
biomarker endpoints and safety.
Dr Robert Coleman, professor & vice chair,
Clinical Research, Department of Gynecologic
Oncology and Reproductive Medicine at The
University of Texas MD Anderson Cancer Centre
and the Principal Investigator who treated the first
patient on the study noted, "Women with platinumresistant ovarian, fallopian tube and primary
peritoneal cancers are in need of new treatment
options. We believe that an investigational therapy
such as demcizumab, with its novel anti-cancer
stem cell mechanism of action, could yield
important results for these patients."
"The trial includes a number of
translational science and biomarker evaluations that
will help to elucidate the mechanisms by which
demcizumab works for the treatment of ovarian
cancer patients and aims to identify predictors of
response to therapy," said Dr Anil Sood, professor
& vice chair, Translational Research in the
Department, who will be working on the trial.
The trial is OncoMed's fourth phase Ib trial
of demcizumab, and the second portion of this
protocol would represent the first phase II trial of
demcizumab. Previous phase Ib trials combining
demcizumab with chemotherapy regimens have
been initiated in patients with first-line pancreatic
cancer (with gemcitabine and Abraxane), first- or
second-line colorectal cancer (with FOLFIRI
chemotherapy) and first-line non-small cell lung
cancer (with carboplatin and pemetrexed
chemotherapy). The phase Ib trials in pancreatic
cancer and non-small cell lung cancer are currently
enrolling patients.
"We believe ovarian cancer is another
important cancer indication for the demcizumab
clinical programme and an area of high unmet
medical need," said Dr Jakob Dupont, chief
medical officer of OncoMed. "We have observed
strong preclinical efficacy of demcizumab and
paclitaxel in patient-derived ovarian cancer
xenograft models, as well as early evidence of
activity of demcizumab in ovarian cancer in the
phase Ia single-agent study of demcizumab."
Paul Hastings, chairman and chief
executive officer of OncoMed, emphasized, "The
ovarian cancer trial provides the earliest
opportunity to advance a demcizumab programme
to phase II. As such it will represent a significant
advance for this unpartnered anti-cancer stem cell
asset."
Demcizumab (OMP-21M18) is a
humanized monoclonal antibody that inhibits
Delta-Like Ligand 4 (DLL4) in the Notch signaling
pathway. Two phase Ib combination trials of
demcizumab are ongoing. The first trial is in
combination with standard-of care gemcitabine and
Abraxane in first-line advanced pancreatic cancer
patients, and the second trial is in combination with
standard of care carboplatin and pemetrexed
(Alimta) in first-line advanced non-small cell lung
cancer (NSCLC) patients. OncoMed has worldwide
rights to this programme.
INAD APPLICATION OF PLURIPOTENT
THE MAZADA PHARMA GUIDE q
7 October - 13 October 2013