Release Details
Cerulean Announces Presentation of Full Data from Phase 1b/2 Trial of CRLX101 in Combination with Avastin® in Metastatic Renal Cell Carcinoma at the Annual Meeting of the American Society for Clinical Oncology
Unequivocal activity and encouraging progression-free survival demonstrated in 2nd through 6th line patients, including RECIST responses in both clear cell and non-clear cell patients
In addition, three CRLX101 trials in progress posters were presented at ASCO describing a randomized Phase 2 trial of CRLX101 in combination with Avastin in patients with 3rd and 4th line RCC, a Phase 2 trial of CRLX101 in combination with Avastin in patients with 2nd and 3rd line platinum-resistant ovarian cancer, and a Phase 1b/2 trial of CRLX101 in combination with chemoradiotherapy, or CRT, in the neoadjuvant treatment of newly diagnosed rectal cancer.
Highlights from the ASCO posters include:
Phase 1b/2 trial evaluating CRLX101 in combination with Avastin in treatment-refractory metastatic renal cell carcinoma
Presented by Principal Investigator,
- Phase 1b/2 investigator-sponsored trial, or IST, being conducted at two U.S. cancer centers in patients with metastatic RCC
- 2nd through 6th line patients (n=22)
- Primary endpoint (50% of patients achieving ≥ 4 months progression free survival, or PFS) met with 12/22 patients achieving ≥ 4 months PFS
-
Median PFS observed among all patients was 9.9 months including:
- 11.21 months among 2nd line patients (n=4)
- 7.59 months among 3rd through 6th line patients (n=18)
-
Overall response rate, or ORR, observed among all patients was 23%
including:
- 1 partial response (PR) in 2nd line patients (25% ORR)
- 4 PRs in 3rd through 6th line patients (22% ORR)
- 3 PRs among patients with clear cell histology
- 2 PRs among patients with non-clear cell histology
- Average durability of response was 3.5 months from PR to time off study
- Consistent with Phase 1 results presented at ASCO 2014, combination of CRLX101 and Avastin continues to be generally well tolerated with no dose limiting toxicities observed
As of
Randomized Phase 2 trial evaluating CRLX101 in combination with Avastin in 3rd and 4th line RCC versus standard of care
Presented by Principal Investigator,
- Randomized Phase 2 clinical trial being conducted at 38 U.S. and 5 South Korean cancer centers in patients with advanced, unresectable metastatic RCC who have completed 2 or 3 prior regimens of therapy
- Primary endpoint will compare PFS among 90 clear cell RCC patients treated with concurrently administered CRLX101 plus Avastin versus investigator's choice of standard of care
- Primary endpoint will employ a blinded independent radiographic review in order to ensure clinical trial integrity
- Statistical power is set at 80% to detect an increase in mPFS from 3.5 months to 5.8 months with a hazard ratio of 0.6
- Secondary/exploratory endpoints include overall survival, ORR, safety, pharmacokinetics, and plasma biomarkers
- 20 patients with non-clear cell RCC histology will be evaluated independently
- Enrollment of 110 patients is ongoing and is expected to be complete by Autumn 2015
-
CRLX101 in combination with Avastin has been granted Fast Track
designation in metastatic RCC by the
U.S. Food and Drug Administration
Phase 2 trial evaluating CRLX101 in combination with Avastin in recurrent platinum-resistant ovarian cancer
Presented by Principal Investigator,
- Phase 2 IST being conducted at three U.S. cancer centers in patients with platinum resistant ovarian cancer who have received 1 or 2 prior regimens of chemotherapy
- Primary endpoint is rate of PFS at 6 months
- Secondary endpoints are ORR and assessment of toxicity
Phase 1b/2 trial evaluating CRLX101 in combination with CRT in neoadjuvant treatment of newly diagnosed rectal cancer
Presented by Principal Investigator,
- Phase 1b/2 IST being conducted at six U.S. cancer centers in patients with non-metastatic rectal cancer who have received no prior therapy
-
Objectives of this trial include:
- Define the rate of pathologic complete response, or pCR, among patients receiving CRLX101 in combination with CRT
- Characterize the safety and toxicity profile of this combination
- Estimate disease-free survival, or DFS, and overall survival, or OS
- Explore changes in HIF-1α and other plasma biomarkers
- Explore the association between baseline tumor biomarkers and pCR
Electronic copies of these posters are available upon request by emailing [email protected].
About CRLX101
CRLX101 is a nanoparticle-drug conjugate (NDC) designed to concentrate
in tumors and slowly release its anti-cancer payload, camptothecin,
inside tumor cells. CRLX101 inhibits topoisomerase 1 (topo 1), which is
involved in cellular replication, and also inhibits hypoxia-inducible
factor-1α (HIF-1α), which research suggests is a master regulator of
cancer cell survival mechanisms. CRLX101 has shown activity in four
different tumor types, both as monotherapy and in combination with other
cancer treatments. CRLX101 is in Phase 2 clinical development and has
been dosed in more than 250 patients. The U.S.
About CRLX301
CRLX301 is a dynamically tumor-targeted NDC designed to concentrate in tumors and slowly release its anti-cancer payload, docetaxel, inside tumor cells. In preclinical studies, CRLX301 delivers up to 10 times more docetaxel into tumors, compared to an equivalent milligram dose of commercially available docetaxel and was superior to docetaxel in seven of seven animal models, with a statistically significant survival benefit seen in five of those seven models. In addition, preclinical data show that CRLX301 had lower toxicity than has been reported with docetaxel in similar preclinical studies. CRLX301 is currently in Phase 1 clinical development.
About
The Cerulean team is committed to improving treatment for people living with cancer. We apply our Dynamic Tumor Targeting Platform to create a portfolio of NDCs designed to selectively attack tumor cells, reduce toxicity by sparing the body's normal cells, and enable therapeutic combinations. Our first platform-generated candidate, CRLX101, is in multiple clinical trials in combination with other cancer treatments, all of which aim to unlock the power of combination therapy. Our second platform-generated candidate, CRLX301, is in a Phase 1/2a clinical trial. For more information, please visit www.ceruleanrx.com.
About Cerulean's Dynamic Tumor Targeting™ Platform
Cerulean's Dynamic Tumor Targeting Platform creates NDCs that are designed to provide safer and more effective cancer treatments. We believe our NDCs concentrate their anti-cancer payloads inside tumors while sparing normal tissue because they are small enough to pass through the "leaky" vasculature present in tumors but are too large to pass through the wall of healthy blood vessels. Once inside tumors, our NDCs enter tumor cells where they slowly release anti-cancer payloads from within the tumor cells.
Cautionary Note on Forward Looking Statements
Any statements in this press release about our future expectations,
plans and prospects, including statements about the clinical development
of our product candidates, and other statements containing the words
"anticipate," "believe," "continue," "could," "estimate," "expect,"
"hypothesize," "intend," "may," "plan," "potential," "predict,"
"project," "should," "target," "would," and similar expressions,
constitute forward-looking statements within the meaning of The Private
Securities Litigation Reform Act of 1995. Actual results may differ
materially from those indicated by such forward-looking statements as a
result of various important factors, including: the uncertainties
inherent in the initiation of clinical trials, availability and timing
of data from ongoing and future clinical trials and the results of such
trials, whether preliminary results from a clinical trial will be
predictive of the final results of that trial or whether results of
early clinical trials will be indicative of the results of later
clinical trials, expectations for regulatory approvals, availability of
funding sufficient for our foreseeable and unforeseeable operating
expenses and capital expenditure requirements and other factors
discussed in the "Risk Factors" section of our Quarterly Report on Form
10-Q filed with the
Avastin® is a trademark of
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