Repare Therapeutics Presented Updated Data Highlighting The Benefits Of Its Individualized Schedule For Managing Anemia In Phase 1 MYTHIC Trial, Which Treated Patients With The Combination Of Lunresertib And Camonsertib
Repare Therapeutics Presented Updated Data Highlighting The Benefits Of Its Individualized Schedule For Managing Anemia In Phase 1 MYTHIC Trial, Which Treated Patients With The Combination Of Lunresertib And Camonsertib
Repare Therapeutics展示了更新的數據,突出了其個性化方案治療貧血的好處,在第1階段MYTHIC試驗中,該試驗使用Lunresertib和Camonsertib的聯合治療患者。
Key Clinical Trial Findings:
關鍵臨床試驗結果:
- The individualized schedule mitigated mechanism-based anemia based on entry hemoglobin observed in a minority of patients
- Overall clinical benefit was maintained after schedule change with generally maintained radiographic regressions and molecular responses:
- Despite the change in schedule, deepening of target lesion regression was noted in some patients
- After 9 weeks on therapy, there was no observed impact on Progression Free Survival (PFS) in patients who started on or switched to the schedule of 2 weeks on / 1 week off of treatment - Dose optimization meaningfully reduced Grade 3 anemia (22.6% vs. 51.4%, previously) in all patients:
- Baseline marrow function was the key reason for Grade 3 anemia as opposed to exposure to therapy
- Baseline hemoglobin, prior therapies, and treatment intensity (weekly vs. 2 weeks on / 1 week off) predicted Grade 3 anemia frequency with lunre+camo
- Anemia reduction was greatest in patients with baseline hemoglobin less than 11g/dL (Grade 3 anemia at week 12: 34% vs. 68%, previously; overall risk reduction: 58%)
- Red blood cell transfusions (13% vs. 43%, previously), dose interruptions (13% vs. 23%) and dose reductions (6% vs. 17%) were also reduced with the new schedule
- Other Grade 3 events were already uncommon (<5% incidence) and remained consistently low, regardless of schedule.
- 個性化時間表有助於減輕少數患者入組血紅蛋白引起的基礎性貧血
- 時間表變更後,總體臨床效益得以維持,通常保持放射影像學和分子反應的回歸:
- 儘管時間表有變化,但有些患者目標病變回歸加深
- 在治療9周後,開始或切換到每2周治療1週休息時間表的患者中,觀察到對無進展生存時間 (PFS) 無影響 - 劑量優化顯著降低了所有患者的3級貧血(22.6% vs. 之前的51.4%):
- 基線骨髓功能是3級貧血的主要原因,而不是接受治療的暴露
- 基線血紅蛋白、先前治療和治療強度(每週 vs. 每2周治療1週休息)預測魯妮+卡莫引起的3級貧血頻率
- 基線血紅蛋白小於11g/dL的患者貧血減少最多(第12周貧血3級:34% vs。 之前的68%;總體風險降低:58%)
- 新時間表還減少了紅細胞輸注(13% vs。 之前的43%),劑量中斷(13% vs。 23%)和劑量減少(6% vs。 17%)
- 其他3級事件已經很少見(