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What's Next in Treatments for Cancer Patients With Solid Tumors?

What's Next in Treatments for Cancer Patients With Solid Tumors?

固体肿瘤癌症患者的治疗接下来会是什么?
newsfile ·  06/20 07:00

Vancouver, Kelowna, and Delta, British Columbia--(Newsfile Corp. - June 20, 2024) - Investorideas.com, a go-to investing platform, releases an industry snapshot looking at the future treatment of solid cancer tumors, featuring Aethlon Medical, Inc. (NASDAQ: AEMD), a medical therapeutic company focused on developing products to treat cancer and life-threatening infectious diseases.

英属哥伦比亚省的温哥华、基洛纳和三角洲-(Newsfile Corp. - 2024年6月20日)-投资者资讯网是一个主要的投资平台,发布了一份行业快照,展望了固体癌症肿瘤的未来治疗前景,特别介绍了专注于开发治疗癌症和威胁生命的传染病产品的医疗治疗公司Aethlon Medical, Inc. (NASDAQ: AEMD)。

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Research released this year predicts, "The solid tumor therapeutics market size will grow from USD 222.71 Billion in 2023 to USD 885.44 Billion in 10 years. Increasing investments of pharmaceutical companies in Research & Development will drive the solid tumor therapeutics market's growth. North America emerged as the largest market for the global Solid Tumor Therapeutics market, accounting for 44% of the total market share globally."

今年发布的研究预测,"固体肿瘤治疗市场规模将从2023年的2227.1亿美元增长到10年后的8854.4亿美元。制药公司在研发中的投资增加将推动固体肿瘤治疗市场的增长。北美成为全球固体肿瘤治疗市场的最大市场,全球市场份额占比44%。"

Current drugs available including Merck & Co., Inc.'s Keytruda (pembrolizumab) and Bristol Myers Squibb's Opdivo (nivolumab), solve part of the problem but the success rates call for additional solutions.

目前可用的药物包括默沙东公司的Keytruda(pembrolizumab)和Bristol Myers Squibb公司的Opdivo(nivolumab),这些药物解决了部分问题,但成功率需要更多的解决方案。

Aethlon Medical, Inc. (NASDAQ: AEMD) announced this week that, on June, 13, 2024, the Human Research Ethics Committee (HREC) of the Central Adelaide Local Health Network (CALHN) granted full ethics approval for Aethlon's safety, feasibility and dose-finding clinical trial of the Hemopurifier in cancer patients with solid tumors who have stable or progressive disease during anti-PD-1 monotherapy treatment, such as Keytruda (pembrolizumab) or Opdivo (nivolumab) (AEMD-2022-06 Hemopurifier Study). The approval is valid for three years, until June 13, 2027. The trial will be conducted by Prof. Michael Brown and his staff at the Cancer Clinical Trials Unit, CALHN, Royal Adelaide Hospital, located in Adelaide, Australia.

Aethlon Medical, Inc. (NASDAQ: AEMD)在本周宣布,2024年6月13日,阿德莱德中央地区保健网络(CALHN)的人类研究伦理委员会(HREC)授予Aethlon在癌症患者的血清肿瘤治疗中使用Hemopurifier的安全性、可行性和剂量寻找临床试验的全面伦理批准,这些患者在使用抗PD-1单克隆抗体治疗期间具有恶性固体肿瘤的稳定或进展疾病,例如Keytruda (pembrolizumab)或Opdivo (nivolumab) (AEMD-2022-06 Hemopurifier Study)。获批时间为3年,有效期至2027年6月13日。该试验将由Michael Brown教授及其团队负责在阿德莱德的皇家阿德莱德医院的癌症临床试验单位进行。

Currently, only approximately 30% of patients who receive pembrolizumab or nivolumab will have lasting clinical responses to these agents. Extracellular vesicles (EVs) produced by tumors have been implicated in the spread of cancers as well as the resistance to anti-PD-1 therapies. The Aethlon Hemopurifier has been designed to bind and remove these EVs from the bloodstream, which may improve therapeutic response rates to anti-PD-1 antibodies. In preclinical studies, the Hemopurifier has been shown to reduce the number of exosomes from the plasma of cancer patient samples.

目前,只有约30%的接受pembrolizumab或nivolumab的患者会对这些药物产生持久的临床反应。肿瘤产生的细胞外囊泡(EVs)被认为在癌症的扩散以及对抗PD-1疗法的抵抗中起着重要作用。Hemopurifier旨在将这些EVs与血液中的其他成分结合并清除,这可能会提高PD-1抗体治疗的治疗反应率。在临床前研究中,已经证实Hemopurifier减少了癌症患者血浆中外泌体的数量。

"The approval from the Human Research Ethics Committee at Central Adelaide Local Health Network marks a significant milestone for Aethlon, as they deemed that our clinical study meets the requirements of the Australia's National Statement on Ethical Conduct in Human Research," stated Steven LaRosa, MD, Chief Medical Officer of Aethlon Medical. "We look forward to working closely with Prof. Brown and his staff, and with our Contract Research Organizations, NAMSA and ReSQClinical Research. The next steps include submission to the Therapeutic Goods Administration, the national health regulatory agency of Australia, obtaining approval from the CALHN Research Governance Committee, and conducting a site initiation visit to facilitate patient enrollment. Following this Ethics Board approval, we plan to submit to the Ethics Committees at two additional sites in Australia and one in India."

Aethlon Medical的首席医学官Steven LaRosa博士表示:“阿德莱德中央地区保健网络的人类研究伦理委员会的批准标志着Aethlon的重要里程碑,他们认为我们的临床研究符合澳大利亚人类研究伦理管理国家声明的要求。我们期待与Michael Brown教授及其团队,以及我们的合同研究机构NAMSA和ReSQClinical Research密切合作。下一步包括向澳大利亚的国家卫生监管机构——治疗物品管理局提交申请,获得阿德莱德中央地区保健网络研究治理委员会的批准,并进行站点启动访问以开展患者招募。在获得伦理委员会的批准后,我们计划向澳大利亚的另外两个站点和印度的一个站点提交申请。"

The primary endpoint of the approximate 18-patient, safety, feasibility and dose-finding trial is safety. The trial will monitorany adverse events and clinically significant changes in lab tests of Hemopurifier treated patients with solid tumors with stable or progressive disease at different treatment intervals, after a two-month run in period of PD-1 antibody, Keytruda or Opdivo monotherapy. Patients who do not respond to the therapy will be eligible to enter the Hemopurifier period of the study where sequential cohorts will receive 1, 2 or 3 Hemopurifier treatments during a one-week period. In addition to monitoring safety, the study is designed to examine the number of Hemopurifier treatments needed to decrease the concentration of EVs and if these changes in EV concentrations improve the body's own natural ability to attack tumor cells. These exploratory central laboratory analyses are expected to inform the design of a subsequent efficacy and safety, Premarket Approval (PMA), study required by regulatory agencies.

近18名患者的安全性、可行性和剂量寻找试验的主要终点是安全性。该试验将监测任何不良事件以及在应用PD-1单克隆抗体Keytruda或Opdivo单独治疗的两个月试运行期之后,在不同的治疗间隔期之后给予Hemopurifier治疗的稳定或进展性固体肿瘤患者的血浆有无临床显著的变化。如果患者对该疗法没有反应,则有资格进入该研究的Hemopurifier阶段,其中顺序队列将在一周内接受1、2或3次Hemopurifier治疗。除了监测安全性外,该研究还旨在研究降低EVs浓度所需的Hemopurifier治疗次数,以及这些EVs浓度的变化是否可以提高体内攻击肿瘤细胞的天然能力。这些探索性的中央实验室分析预计将为监管机构所需的后续功效和安全性的市场批准(PMA)研究的设计提供指导。

In May, Bristol Myers Squibb announced that the US Food and Drug Administration (USFDA) has reassigned the previously announced Prescription Drug User Fee Act (PDUFA) goal date of the Biologics License Application (BLA) for the subcutaneous formulation of Opdivo (nivolumab) co-formulated with Halozyme's proprietary recombinant human hyaluronidase (rHuPH20) (herein referred to as "subcutaneous nivolumab") across all previously approved adult, solid tumor Opdivo indications as monotherapy, monotherapy maintenance following completion of Opdivo plus Yervoy (ipilimumab) combination therapy, or in combination with chemotherapy or cabozantinib. The updated goal date is December 29, 2024.

今年5月,Bristol Myers Squibb宣布,美国食品和药物管理局(USFDA)再次确定了前列地爱出锋(PDUFA)目标日期,即所有先前批准的成人固性肿瘤Opdivo适应症的亚切割露出”的生物制品许可申请(BLA),该申请包括与Halozyme专有的重组人类透明质酸酶(rHuPH20)复方化的亚切割nivolumab(以下简称“亚切割nivolumab”)的子皮下制剂,单独使用亚切割nivolumab维持治疗Opdivo加Yervoy(ipilimumab)联合治疗完成后,或与化疗或卡泊替尼联合使用。更新的目标日期为2024年12月29日。

From news: The application is based on results from CheckMate-67T, the first Phase 3 trial of the subcutaneous formulation of nivolumab to evaluate and demonstrate non-inferior pharmacokinetics, efficacy and consistent safety vs. its intravenous formulation. If approved, subcutaneous nivolumab has the potential to be the first and only subcutaneously administered PD-1 inhibitor.

从新闻得知:"在今年的ASCO 2024上,AbbVie展示了其强大的固体肿瘤产品线,并发布了创新的抗体-药物复合物(ADC)平台的新数据。"从新闻得知:"CheckMate-67T是一项3期随机、开放标签试验,评估cutaneous Opdivo与Halozyme专有的重组人类透明质酸酶rHuPH20复方化的亚切割nivolumab (nivolumab and hyaluronidase)或皮下nivolumab与静脉Opdivo相比,在接受系统治疗的晚期或转移性清除细胞肾癌(ccRCC)患者中。该试验提供了可能使nivolumab经皮下制剂用于患者的机会。共有495名患者被随机分配到亚切割nivolumab或静脉Opdivo组。该试验的共同主要终点是比较皮下nivolumab和静脉Opdivo的28天平均血清浓度(Cavgd28)和达到稳态的谷浓度(Cminss)。客观反应率(ORR)是一个关键的次要终点。"

From news: CheckMate-67T is a Phase 3 randomized, open-label trial evaluating subcutaneous administration of Opdivo co-formulated with Halozyme's proprietary recombinant human hyaluronidase, rHuPH20, or subcutaneous nivolumab (nivolumab and hyaluronidase) compared to intravenous Opdivo, in patients with advanced or metastatic clear cell renal cell carcinoma (ccRCC) who have received prior systemic therapy. This trial presents an opportunity to potentially bring a subcutaneous formulation of Opdivo to patients. A total of 495 patients were randomized to either subcutaneous nivolumab or intravenous Opdivo. The co-primary endpoints of the trial are time-averaged serum concentration over 28 days (Cavgd28) and trough serum concentration at steady-state (Cminss) of subcutaneous nivolumab vs. intravenous Opdivo. Objective response rate (ORR) is a key secondary endpoint.

从新闻得知:"在今年的ASCO 2024上,AbbVie展示了其强大的固体肿瘤产品线,并发布了创新的抗体-药物复合物(ADC)平台的新数据。"据Merck & Co., Inc.表示,"KEYTRUDA不是化疗或放疗-它是一种免疫疗法,它可以与您的免疫系统共同作用,帮助抵抗癌症。KEYTRUDA可能会导致您的免疫系统攻击任何部位的正常器官和组织,影响它们的工作方式。这些问题有时可能变得严重或危及生命,甚至可能导致死亡。您可能会同时出现多个问题,这些问题可能会在治疗期间的任何时候发生,甚至在治疗结束后也可能会发生。"

According to Merck & Co., Inc., "KEYTRUDA is not chemotherapy or radiation therapy-it is an immunotherapy and it works with your immune system to help fight cancer. KEYTRUDA can cause your immune system to attack normal organs and tissues in any area of your body and can affect the way they work. These problems can sometimes become serious or life-threatening and can lead to death. You can have more than one of these problems at the same time. These problems may happen anytime during treatment or even after your treatment has ended."

BrainyInsights的报告显示,2023年11月,AbbVie收购了ImmunoGen。这一收购的主要目标是为固体肿瘤治疗市场建立和扩大强大的产品组合基础。此次收购将进一步推动AbbVie进入卵巢癌的商业市场。

Looking at key developments in the solid tumor market, BrainyInsights reported that in November 2023, AbbVie acquired ImmunoGen. The main objective behind this acquisition was to build and expand a strong portfolio base for the Solid Tumor Therapeutics Market. This acquisition will further boost AbbVie's entry into the commercial market for ovarian cancer.

今年5月,AbbVie展示了其"Robust Solid Tumor Pipeline at ASCO 2024 with New Data from Its Innovative Antibody-Drug Conjugate (ADC) Platform."

In May, AbbVie showcased its "Robust Solid Tumor Pipeline at ASCO 2024 with New Data from Its Innovative Antibody-Drug Conjugate (ADC) Platform."

五月份,艾伯维公司在ASCO 2024展示了其强大的实体肿瘤管道,并发布了来自其创新的抗体药物联合物(ADC)平台的新数据。

From the news: "Building upon our strong commitment to patients and existing leadership in hematological malignancies, we are rapidly advancing a differentiated pipeline in solid tumors," said Daejin Abidoye, M.D., Vice President, Head of Solid Tumors, Oncology Development, AbbVie. "Our ADC platform allows us to utilize selected biomarkers such as c-Met and SEZ6 to induce targeted cancer cell death by delivering potent anti-cancer agents. The data we are presenting at ASCO demonstrate the clinical potential of this approach across a wide range of difficult-to-treat tumors."

从新闻中得知:“继续致力于患者并以血液系统恶性肿瘤领域的领先地位为基础,我们正在快速推进实体瘤分化的项目管线,”艾伯维公司固体肿瘤部门副总裁、肿瘤学开发负责人Daejin Abidoye博士说,“我们的ADC平台使我们可以利用选择性生物标志分子如c-Met和SEZ6通过传递有效的抗癌药物诱导有针对性的癌细胞死亡。我们在ASCO展示的数据证明,这种方法在难治性肿瘤的广泛范围内具有临床潜力。”

From the news: Data from the dose-escalation and colorectal cancer (CRC) dose-expansion cohort of an ongoing first-in-human Phase 1 study (NCT05029882) of ABBV-400, a potential best-in-class c-Met directed ADC, will be presented in an oral presentation. The preliminary data show that among 122 heavily pre-treated advanced CRC patients, promising antitumor activity was observed at 2.4 and 3.0 mg/kg doses administered once every 3 weeks, with confirmed objective response rate (ORR) of 18% (n=40) and 24% (n=41) respectively in those groups. In patients with higher c-Met expression, ORR was enriched to >35% at doses ≥2.4 mg/kg. The most common Gr≥3 treatment-emergent adverse events (TEAEs) were anemia (35%), neutropenia (7%) and febrile neutropenia (6%). TEAEs leading to discontinuation occurred in 25 (20.5%) patients. Additional data will be presented at the meeting.

从新闻中得知:ABBV-400的首席人类Phase 1研究(NCT05029882)的递增剂量和结肠癌(CRC)适应症扩大队列的数据将通过口头报告的形式呈现。初步数据表明,在122名接受过重度预处理的CRC患者中,在每3周一次的2.4mg/kg或3.0mg/kg的剂量下观察到了有前途的抗肿瘤活性,在这些组中,被确认的客观反应率(ORR)分别为18%(n=40)和24%(n=41)。在表达c-Met更高的患者中,ORR在剂量≥2.4mg/kg时增加到>35%。最常见的Gr≥3的治疗相关不良事件(TEAEs)为贫血(35%)、中性粒细胞减少症(7%)和发热性中性粒细胞减少症(6%)。导致终止治疗的TEAEs发生在25(20.5%)名患者中。在会议上,还将呈现其他数据。

From the news: ABBV-400 is also being evaluated in a Phase 1b basket study (NCT06084481) in advanced solid tumors as a monotherapy and a Phase 2 study (NCT06107413) in second line metastatic CRC in combination with fluorouracil, folinic acid, and bevacizumab.

从新闻中得知:ABBV-400还在进行一项Phase 1b篮子研究(NCT06084481),以单药治疗晚期实体瘤,以及一项第二线转移性CRC的Phase 2研究(NCT06107413),该研究与氟尿嘧啶、叶酸和贝伐珠单抗联用。

From their Solid Tumor market report, BrainyInsights also says, A huge chunk of pharmaceutical companies continue to make significant contributions to the development of experimental drugs and technologies. The pharmaceutical sector, for instance, is significantly invested in research and development. Pharmaceutical firms invest in future research to bring high-quality, pharmaceuticals to the marketplace. Major pharma firms are boosting their R&D efficiency by investing heavily in R&D, to ensure long returns on investments, as well as by collaborating with R&D centres worldwide. for instance: According to Statista, Roche is expected to be the world's largest company which is investing heavily in R&D, that is, USD 14 Billion followed by Johnson & Johnson (USD 12.2 Billion), Merck & Co (USD 11.4 Billion), Pfizer (USD 10.5 Billion) and Novartis (USD 10 Billion), by the year 2026.

BrainyInsights在其固体肿瘤市场报告中还指出,大量制药公司继续在开发实验性药物和技术方面做出巨大贡献。例如,制药领域正在进行大量的研究和开发投资。制药公司投资未来研究,将高品质的药物带入市场。主要制药公司通过与全球研究和开发中心合作和大力投资研究和开发,来提高其研发效率,以确保长期回报。例如,根据Statista的数据,到2026年,罗氏预计将成为全球最大的研发投资公司,投资额为140亿美元,其次是强生公司(122亿美元)、默沙东(114亿美元)、辉瑞(105亿美元)和诺华(100亿美元)

Aethlon Medical, Inc (NASDAQ: AEMD) says it initiated its tumor-derived exosome research at a time when the medical community believed exosomes were merely cellular debris with no biological function. Today, a therapeutic to address tumor-derived exosomes represents a significant unmet need in cancer care. Aethlon has demonstrated that the affinity mechanism of the Hemopurifier can capture tumor-derived exosomes and exosomal particles underlying several forms of cancer, including breast, ovarian and metastatic melanoma.

Aethlon Medical, Inc.(纳斯达克股票代码:AEMD)称,在医学界普遍认为外泌体只是细胞碎片没有生物学功能的时候,他们启动了以肿瘤来源的外泌体为研究对象的研究。今天,用于治疗肿瘤来源的外泌体的疗法成为癌症治疗中的一个重要课题。Aethlon已经证明,Hemopurifier的亲和力机制可以捕获肿瘤来源的外泌体和外泌体颗粒,这些部分潜藏于包括乳腺癌、卵巢癌和转移性黑色素瘤在内的多种癌症形式中。

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