, . Sharma P, Sohn J, Shin SJ, et al. In addition, in a phase Ib/II clinical study ({"type":"clinical-trial","attrs":{"text":"NCT04264936","term_id":"NCT04264936"}}NCT04264936) of RC48 joint toripalimab in patients with locally advanced metastatic UC, after patients received 1.5 or 2.0mg/kg RC48 plus 3.0mg/kg toripalimab in the dose-increase stage; during the dose-enlarged stage, patients received 2.0mg/kg of RC48 plus 3.0mg/kg toripalimab every 2weeks, at the data cutoff time, the ORR is 80% and the DCR is 90% after the data are staged together (Li etal., 2019). As is well known, the linker to realize the efficient release of cytotoxic drugs in tumor cells by precise release of toxic small molecules into cancer cells to kill tumor cells. Targeting PI3K signaling in cancer: Challenges and advances. Isre - Wikipedia 2018. It is formulated as solution for injection for intravenous route of administration. Given the integrated efficacy of HER2-inhibition and chemotherapeutic drugs, scientists used a linker to unite the two segments to obtain ADC. 2023 Jan 24;15(3):713. doi: 10.3390/cancers15030713. (Xu etal., 2021) have conducted a dose-escalation and assessed the PK of RC48 in patients with HER2-positive GC, collected the value of PK of TA, binding antibody (BA), as well free MMAE (FM) in serious blood samples, and directly achieved the PK parameters, according to the PK profile data of TA and BA, both exposures and half-lives proportional added in a dose-dependent manner; more importantly, the PK profiles of TA and BA were homologous, which may demonstrate that the RC48 would be steady in serum; while showed that RC48 increased the release of MMAE at the cancer tissue (Jiang etal., 2016). The Global Epidemiology of Bladder Cancer. A: the state of the cancer is locally advanced or metastatic; IHC 2+/3+: HER2 overexpression; IHC 1+: HER2 low expression; +: HER2 positive; -: HER2 negative. In phase-II, an open-label, multicenter, single-arm study ({"type":"clinical-trial","attrs":{"text":"NCT03507166","term_id":"NCT03507166"}}NCT03507166) of RC48 in UC, 43 eligible patients were recruited with clinical characteristics: locally advanced metastatic UC, who had previously received at least first-line systemic chemotherapy and failed, every 2weeks received 2.0mg/kg of RC48, and the results were analyzed at a median follow-up time of 20.3months, the ORR and the median DOR reached 51.2% and 6.9months, respectively, while the m-PFS was 6.9months and OS was 13.9months (Sheng etal., 2021). RemeGen will be entitled to a tiered, high single digit to mid-teen percentage royalty based on net sales of disitamab vedotin in Seagens territory. (2011). Seagen and RemeGen Announce Exclusive Worldwide License and Co Seagen Inc. (Nasdaq: SGEN), a world leader and pioneer in antibody-drug conjugate (ADC) therapies, and RemeGen Co., Ltd. (9995.HK), a leading innovative biopharmaceutical company in China, today announced that the two companies have entered into an exclusive worldwide licensing agreement to develop and commercialize disitamab vedotin, a novel HER2-targeted ADC. National Medical Products Administration. Currently, there are two products that have been approved and marketed in China to treat autoimmune and oncology indications. A With failure of first-line chemotherapy. The majority of HER2-targeted therapies approved or in clinical development target BC patients with high levels of HER2 expression, while the more common type of BC is the low HER2 expression type, which accounts for about 50% of newly diagnosed cases (Pond etal., 2019; Mahtani etal., 2020). Mit Ihrer Anmeldung erklren Sie sich damit einverstanden, Inhalte von uns zu erhalten. Tumor radiosensitization by monomethyl auristatin E: mechanism of action and targeted delivery. However, invivo antitumor activities of DAR-4 RC48 were exhibited to resemble DAR-8 RC48 at equal mAb quantity (Yaghoubi etal., 2021). Disitamab vedotin (Aidixi) is an antibody-drug conjugate comprising a monoclonal antibody against human epidermal growth factor receptor 2 (HER2) conjugated via a cleavable linker to the cytotoxic agent monomethyl auristatin E. Disitamab vedotin is being developed by RemeGen for the treatment of solid tumours, including gastric cancer; Seagen has the right to develop disitamab vedotin globally outside of RemeGen's territory. You can unsubscribe to any of the investor alerts you are subscribed to by visiting the unsubscribe section below. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2023 Jan 15;15(1):310-315. eCollection 2023. Available at https://www.nature.com/articles/s41598-018-19199-z.pdf?origin=ppub. RemeGen Co., Ltd. disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Disitamab vedotin by Seagen for Metastatic Transitional (Urothelial A description of FDA expedited programs is in the Guidance for Industry: Expedited Programs for Serious Conditions-Drugs and Biologics. In June, RemeGen received conditional approval in China for disitamab vedotin as a treatment for HER2-expressing locally advanced or metastatic gastric cancer patients who have received two lines of prior chemotherapy. Trastuzumab deruxtecan in previously treated HER2-positive breast cancer. Additional molecules are either in the clinical stage of development or entering to clinical in various Oncology indications. Disitamab vedotin is conditionally approved for treating locally advanced metastatic gastric cancer in China, and in July 2021 the National Medical Products Administration (NMPA) of China also accepted a New Drug Application for disitamab vedotin in mUC. Under the terms of the agreement, Seagen will make a $200 million upfront payment to exclusively license rights to disitamab vedotin for global development and commercialization, outside of RemeGens territory. Approximately 1520% of gastric carcinoma/gastric and gastroesophageal junction carcinoma (GC/GEJC) and 1223% of breast cancers (BC) overexpress HER2 (Study Group HER2 Monitor, 2011). Modi S, Saura C, Yamashita T, DESTINY-Breast01 Investigators, et al. Am J Transl Res. Seagen will lead global development and RemeGen will fund and operationalize the portion of global clinical trials attributable to its territory. HA, 3rd, Rugo HS, Vukelja SJ. The site is secure. By signing up you agree to receive content from us. Search Orphan Drug Designations and Approvals - Food and Drug https://www.businesswire.com/news/home/20210809005208/en/, Seagen Contacts: The design characteristics and anticancer mechanism of ADC drugs are as shown (Figure 1). Disitamab vedotin is a promising antibody-drug conjugate option undergoing evaluation for patients with metastatic urothelial cancer. RemeGen. REFERENCES: Disitamab Vedotin: First Approval. A Review of Fam-Trastuzumab Deruxtecan-nxki in HER2-Positive Breast Cancer. Last but not least, RC48-ADC is extremely cytotoxic at very low concentrations, which was its major advantage; and the better medicinal properties of RC48-ADC and reduction in off-target toxicity. This website is intended for U.S. residents only. Seagen is a well-known global biotechnology company recognized for its capabilities in the field of oncology and ADC therapies. Disitamab vedotin (Aidixi<sup></sup>) is an antibody-drug conjugate comprising a monoclonal antibody against human epidermal growth factor receptor 2 (HER2) conjugated via a cleavable linker to the cytotoxic agent monomethyl auristatin E. Disitamab vedotin is being developed by RemeGen for the trea RemeGen Co., Ltd. ("RemeGen") announced that the U.S. Food and Drug Administration (FDA) has granted Breakthrough Therapy designation for disitamab vedotin (RC48), a novel humanized anti-HER2 antibody drug conjugate (ADC), for the second-line treatment of patients with HER2 positive locally advanced or metastatic urothelial . Disitamab vedotin, a novel HER2-directed antibody-drug conjugate in gastric cancer and other solid tumors. Correspondingly, HER2-directed therapies have proven to be very effective and thus, have significantly improved the survival of patients with BC. official website and that any information you provide is encrypted National Library of Medicine (Jiang etal., 2016] examined the release level of free MMAE in both serum and tumor, the result indicated that the concentration of total antibodies (TAbs) and released MMAE changed in serum and cancer through time, and in terms of the peak-times (Tmax) for TAbs and MMAE in the neoplasm were slower than that in serum at different doses in a cancer model. Yorozu T, Sato S, Kimura T, et al. Abdollahpour-Alitappeh M, Lotfinia M, Bagheri N, et al. Thirdly, specific PK and PD research should be executed on RC48 for the bystander effect and other profiles, while identifying predictive biomarkers and providing mechanistic insights to support clinical decision making. BOTHELL, Wash. & YANTAI, China--(BUSINESS WIRE)-- From our perspective, the toxicity of ADCs seems to be related to the stability of the conjugate in the bloodstream and the off-target effects of the payload. Preclinical safety profile of disitamab vedotina novel anti-HER2 antibody conjugated with MMAE. 04 Jun 2023 01:17:45 A novel anti-HER2 anthracycline-based antibody-drug conjugate induces adaptive anti-tumor immunity and potentiates PD-1 blockade in breast cancer. And in cynomolgus monkeys, the plasma concentration of RC48 reduced exponentially after a single-shot intravenous dose (Jiang etal., 2016). The anticancer mechanism of RC48. Antibody-drug conjugates (ADCs) are a promising emerging cancer therapy that combines the effective killing power of small molecule cytotoxins and the highly specific targeting ability of. MMAE was concentrated in tumor tissues, perhaps because after reaching the target site, RC48 was degraded into a toxin, which was then released, and as more antibodies entered the target site and MMAE continued to be released, MMAE accumulated in the tumor tissues, thereby resulting in high, tumor-specific cytotoxicity. Before Its prefecture is Grenoble.It borders Rhne to the northwest, Ain to the north, Savoie to the east, Hautes-Alpes to the south . Her2 amplification is significantly more frequent in lymph node metastases from urothelial bladder cancer than in the primary tumours. Seagen and RemeGen Announce Exclusive Worldwide License and Co-Development Agreement for Disitamab Vedotin, development and commercialization of innovative and differentiated biologics for the, treatment of autoimmune, oncology and ophthalmic diseases with unmet medical needs in, https://www.businesswire.com/news/home/20210809005208/en/. An official website of the United States government, : A Roundtable Discussion of the Breast Cancer Therapy Expert Group (BCTEG): Clinical Developments and Practice Guidance on Human Epidermal Growth Factor Receptor 2 (HER2)-positive Breast Cancer. It is currently being studied in multiple late-stage clinical trials across several solid tumor types. Qi X, Guo J, Zhou X, Sun L, Lin J, Huang Z, Chen H, Lin L. Heliyon. sharing sensitive information, make sure youre on a federal FDA History Tivdak Print Save Tivdak FDA Approval History Last updated by Judith Stewart, BPharm on Sep 21, 2021. This Breakthrough Therapy designation will bring RemeGen one step closer to finding a safe and effective treatment for this devastating disease. The safety and tolerability of RC48 in cancer patients have been evaluated in clinical trials, and the results showed that approximately 94.7% of patients started to experience adverse events (AEs) in the first 2days after treatment, and most commonly mild AEs mainly included gastrointestinal diseases, fever, fatigue, and hematologic toxicity, while the most common grade 3 or worse side effects comprising neutropenia, leukopenia, hypesthesia, and increased conjugated blood bilirubin. Disitamab Vedotin: First Approval - PubMed Msage Mine, Saint-Pierre-de-Msage, Grenoble, Isre, Auvergne-Rhne Tamura K, Tsurutani J, Takahashi S, et al. from 8 AM - 9 PM ET. 2020;24(24):1292937. Owing to uncleanable linkers offer superior stability and safety than cleavable linkers, and these linkers depress off-target toxicity and offer a broader therapeutic scope. It was speculated that free antibodies (FA) are gently released from RC48 after the process of cellular utilize, lysosomal internalization, and degradation invivo, while the concentration of TA and BA exhibited a similar decline characteristic, therefore TA and BA possessed approximately the same half-lives; in short, the serum concentration of RC48 gradually decreased with time, whereas RC48 concentration in the tumor tissues remained more stable (Xu etal., 2021). Factors that may cause such a difference include, but are not limited to, risks associated with licensing transactions, such as the risks that disitamab vedotin will not be integrated into Seagens pipeline successfully or will not perform as anticipated, in which case, Seagen may not recover its investment in disitamab vedotin; and risks related to the development and commercialization of disitamab vedotin, including the risk that Seagen or RemeGen may be delayed or unsuccessful in planned clinical trial initiations, enrollment in and conduct of clinical trials, obtaining data from clinical trials, regulatory submissions, and regulatory approvals in the U.S. and in other countries in each case for a variety of reasons including the difficulty and uncertainty of pharmaceutical product development, negative or disappointing clinical trial results, unexpected adverse events or regulatory actions and the inherent uncertainty associated with the regulatory approval process; and risks related to the duration and severity of the COVID-19 pandemic and resulting global economic, financial and healthcare system disruptions More information about the risks and uncertainties faced by Seagen is contained in the Companys quarterly report on Form 10-Q for the quarter ended June 30, 2021, filed with the Securities and Exchange Commission.
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