This study is being done to evaluate the safety and efficacy of adding NIS793 to standard of care FOLFIRINOX treatment for pancreatic cancer.
The names of the study interventions involved in this study are:
* NIS793
* FOLFIRINOX (Folinic acid/Leucovorin, 5-Fluorouracil, Irinotecan, and Oxaliplatin)
Other interventions may include:
* Chemoradiation Therapy
* Surgery

开始日期2023-01-06

申办/合作机构

Dana-Farber Cancer Institute, Inc.

[+1]

NCT05417386

/ Terminated临床1期IIT

A Phase IB Study FOLFIRINOX and NIS793 in Patients With Pancreatic Cancer

This research is being done to evaluate the safety and effectiveness of the drug NIS793 in combination with the standard of care treatment FOLFIRINOX (consists of the drugs 5-Fluorouracil (5-FU), Oxaliplatin, Irinotecan, and Leucovorin), chemoradiation and surgery for people with metastatic pancreas adenocarcinoma.
The drugs involved in this study are:
* NIS793
* FOLFIRINOX (consists of the drugs 5-Fluorouracil (5-FU), Oxaliplatin, Irinotecan, and Leucovorin)
Other interventions include
* chemoradiation
* surgery.

开始日期2022-08-09

申办/合作机构

The Massachusetts General Hospital

[+1]

NCT04952753

/ Terminated临床2期

An Open-label, Multi-center, ph II Platform Study Evaluating the Efficacy and Safety of NIS793 and Other New Investigational Drug Combinations With SOC Anti-cancer Therapy for the 2L Treatment of Metastatic Colorectal Cancer (mCRC)

The purpose of this study is to evaluate the preliminary efficacy and safety of NIS793 and other novel investigational combinations with standard of care (SOC) anti-cancer therapy vs SOC anti-cancer therapy for the second line treatment of mCRC.
This study aims to explore whether different mechanisms of action may reverse resistance and improve responsiveness to the currently considered SOC anti-cancer therapy in the second line metastatic colorectal cancer (mCRC) setting.

开始日期2021-11-15

申办/合作机构

Novartis Pharmaceuticals Corp.

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项与 Nisevokitug 相关的文献（医药）

2025-08-26·Blood Advances

ADORE: an open platform study of ruxolitinib in combination with other novel therapies in patients with myelofibrosis

Article

作者: Cleary, Grace ; Zhang, Angela ; Vinogradova, Olga ; Becker, Heiko ; Lehmann, Thomas ; Vannucchi, Alessandro M. ; Lu, Min ; Heidel, Florian H. ; Kiladjian, Jean-Jacques ; Ross, David M. ; Reiter, Andreas ; Takacs, Istvan ; Burbury, Kate ; Kota, Jagannath ; Perkins, Andrew Charles ; Wondergem, Marielle ; Prahallad, Anirudh ; Riley, Caroline ; Crodel, Carl ; Harrison, Claire N. ; Wroclawska, Monika ; Gupta, Vikas ; Gómez-Casares, María Teresa

Abstract:

Ruxolitinib, a Janus kinase (JAK)1/JAK2 inhibitor, is the standard of care for symptomatic patients with myelofibrosis (MF). However, ∼70% of patients discontinue ruxolitinib after ∼5 years, a third of whom report suboptimal splenic response. ADORE was a phase 1b/2 study with an innovative open platform design that assessed the safety, efficacy, and pharmacokinetics of novel compounds in combination with ruxolitinib in patients with MF who had a suboptimal response to ruxolitinib alone. A total of 44 patients were enrolled in part 1 of the study of ruxolitinib in combination with siremadlin, rineterkib, sabatolimab, crizanlizumab, or NIS793. Most patients were allocated to receive ruxolitinib plus siremadlin (N = 23). The most frequent adverse events with siremadlin were gastrointestinal (nausea and diarrhea) and hematological (thrombocytopenia, anemia, and neutropenia). Siremadlin 30 mg orally once daily on days 1 to 5 of a 28-day cycle was selected as the recommended phase 2 dose. The most robust spleen volume reduction (SVR) at 24 weeks was observed with ruxolitinib plus siremadlin 30 mg. Reductions in percent JAK2V617F allele burden at week 24 were observed, notably in several patients with SVR. An increase in growth differentiation factor 15 protein levels in patients receiving siremadlin demonstrated the on-target modulation of downstream p53 targets. Overall, available data from ADORE suggest the feasibility and benefits of combining novel agents with ruxolitinib in patients with suboptimal response to ruxolitinib alone. This trial was registered at www.clinicaltrials.gov as #NCT04097821.

2023-11-01·Journal for immunotherapy of cancer

Phase I/Ib, open-label, multicenter, dose-escalation study of the anti-TGF-β monoclonal antibody, NIS793, in combination with spartalizumab in adult patients with advanced tumors

Article

作者: Toshikiko Doi ; Markus Joerger ; Chia-Chi Lin ; Marie Luise Hütter-Krönke ; Marc Pelletier ; Darlene Lu ; Armando Santoro ; Pierre-Eric Juif ; Richard Greil ; Todd M Bauer ; Louise Barys ; Ignacio Garrido-Laguna ; Maria-Elisabeth Goebeler ; Anna Spreafico ; Thomas Yau ; Helen Evans ; Viviana Cremasco ; Claire Fabre ; Antonella Perotti

Background:

NIS793 is a human IgG2 monoclonal antibody that binds to transforming growth factor beta (TGF-β). This first-in-human study investigated NIS793 plus spartalizumab treatment in patients with advanced solid tumors.

Methods:

Patients received NIS793 (0.3–1 mg/kg every 3 weeks (Q3W)) monotherapy; following evaluation of two dose levels, dose escalation continued with NIS793 plus spartalizumab (NIS793 0.3–30 mg/kg Q3W and spartalizumab 300 mg Q3W or NIS793 20–30 mg/kg every 2 weeks [Q2W] and spartalizumab 400 mg every 4 weeks (Q4W)). In dose expansion, patients with non-small cell lung cancer (NSCLC) resistant to prior anti-programmed death ligand 1 or patients with microsatellite stable colorectal cancer (MSS-CRC) were treated at the recommended dose for expansion (RDE).

Results:

Sixty patients were treated in dose escalation, 11 with NIS793 monotherapy and 49 with NIS793 plus spartalizumab, and 60 patients were treated in dose expansion (MSS-CRC: n=40; NSCLC: n=20). No dose-limiting toxicities were observed. The RDE was established as NIS793 30 mg/kg (2100 mg) and spartalizumab 300 mg Q3W. Overall 54 (49.5%) patients experienced ≥1 treatment-related adverse event, most commonly rash (n=16; 13.3%), pruritus (n=10; 8.3%), and fatigue (n=9; 7.5%). Three partial responses were reported: one in renal cell carcinoma (NIS793 30 mg/kg Q2W plus spartalizumab 400 mg Q4W), and two in the MSS-CRC expansion cohort. Biomarker data showed evidence of target engagement through increased TGF-β/NIS793 complexes and depleted active TGF-β in peripheral blood. Gene expression analyses in tumor biopsies demonstrated decreased TGF-β target genes and signatures and increased immune signatures.

Conclusions:

In patients with advanced solid tumors, proof of mechanism of NIS793 is supported by evidence of target engagement and TGF-β pathway inhibition.

Trial registration number:

NCT02947165.

2023-10-01·Gastroenterology

Transforming Growth Factor-β Blockade in Pancreatic Cancer Enhances Sensitivity to Combination Chemotherapy

Article

作者: Andrew J. Aguirre ; Jaime I. Castillo ; Elisa Bello ; Marc Pelletier ; Megan T. Hoffman ; Lauren Kageler ; Ayantu Temesgen ; S. Jennifer Wang ; Giselle A. Uribe ; Srivatsan Raghavan ; Michael Dougan ; Patrick Lenehan ; Li Qiang ; Victoire Cardot-Ruffino ; Viviana Cremasco ; Lestat R. Ali ; Stephanie K. Dougan ; Annan Yang

BACKGROUND & AIMS:

Transforming growth factor-b (TGFb) plays pleiotropic roles in pancreatic cancer, including promoting metastasis, attenuating CD8 T-cell activation, and enhancing myofibroblast differentiation and deposition of extracellular matrix. However, single-agent TGFb inhibition has shown limited efficacy against pancreatic cancer in mice or humans.

METHODS:

We evaluated the TGFβ-blocking antibody NIS793 in combination with gemcitabine/nanoparticle (albumin-bound)-paclitaxel or FOLFIRINOX (folinic acid [FOL], 5-fluorouracil [F], irinotecan [IRI] and oxaliplatin [OX]) in orthotopic pancreatic cancer models. Single-cell RNA sequencing and immunofluorescence were used to evaluate changes in tumor cell state and the tumor microenvironment.

RESULTS:

Blockade of TGFβ with chemotherapy reduced tumor burden in poorly immunogenic pancreatic cancer, without affecting the metastatic rate of cancer cells. Efficacy of combination therapy was not dependent on CD8 T cells, because response to TGFβ blockade was preserved in CD8-depleted or recombination activating gene 2 (RAG2^-/-) mice. TGFβ blockade decreased total α-smooth muscle actin-positive fibroblasts but had minimal effect on fibroblast heterogeneity. Bulk RNA sequencing on tumor cells sorted ex vivo revealed that tumor cells treated with TGFβ blockade adopted a classical lineage consistent with enhanced chemosensitivity, and immunofluorescence for cleaved caspase 3 confirmed that TGFβ blockade increased chemotherapy-induced cell death in vivo.

CONCLUSIONS:

TGFβ regulates pancreatic cancer cell plasticity between classical and basal cell states. TGFβ blockade in orthotropic models of pancreatic cancer enhances sensitivity to chemotherapy by promoting a classical malignant cell state. This study provides scientific rationale for evaluation of NIS793 with FOLFIRINOX or gemcitabine/nanoparticle (albumin-bound) paclitaxel chemotherapy backbone in the clinical setting and supports the concept of manipulating cancer cell plasticity to increase the efficacy of combination therapy regimens.

项与 Nisevokitug 相关的新闻（医药）

2026-05-27

·菲恩生物

【热门靶点解析】TGF-β信号通路+重要作用+药物研发！（建议收藏）

转化生长因子-β（TGF-β）是分泌型多肽生长因子家族的原型，由33个基因编码，参与调控细胞增殖、分化、迁移与凋亡，维持机体稳态。其家族分为经典TGF-β亚群（如TGF-β1-3、激活素等）和骨形态发生蛋白（BMP）亚群。其中，TGF-β1是研究最深入的亚型，在免疫细胞中广泛表达，具有强效促纤维化作用，几乎可由所有细胞合成。其基因位于19q3，编码产物在人与鼠间同源性高达99%，序列高度保守，功能相似，广泛参与组织修复、血管生成及免疫调节等生物学过程。 TGF-β1的激活 TGF-β1在体内以非活性前体蛋白形式合成，其翻译产物依赖信号肽引导并经分泌途径转运。前体蛋白在高尔基体中被前蛋白转化酶Furin特异性切割，生成Latency-Associated Peptide（LAP）与C端成熟肽段。两者通过非共价键紧密结合，形成无活性的复合物并分泌至胞外基质。该潜伏复合物需通过整合素等机制与LAP结合，诱导构象变化，从而释放具有生物活性的TGF-β1，启动下游信号通路，实现对细胞功能的调控。经典TGF-β/Smad信号转导 TGF-β的经典信号通路依赖R-Smad蛋白的磷酸化级联反应，分为TGF-β1/2/3和BMP两条分支，分别激活Smad2/3和Smad1/5/8。TGF-β配体首先结合Ⅱ型受体（TβRⅡ），招募Ⅰ型受体（TβRⅠ/ALK5）形成复合物，TβRⅡ磷酸化激活TβRⅠ，后者进一步磷酸化Smad2/3。活化的R-Smad与Smad4结合，转入细胞核，与转录因子共同调控靶基因表达，介导细胞分化、凋亡、上皮-间质转化及免疫调节等生物学功能。该过程受Ⅲ型受体（TβRⅢ）辅助调控，确保信号精确传递。 TGF-β1的重要作用 01、 TGF-β1定向诱导T细胞的分化 TGF-β1在免疫调控中具有双重作用：在IL-2存在下，高浓度TGF-β1促进CD4+T细胞分化为Foxp3+ iTreg细胞，维持免疫耐受；低浓度时则与IL-6或IL-21协同，通过STAT3信号诱导致病性Th17分化。其浓度依赖性效应还体现于抑制Th17特征或促进IL-23R表达。肿瘤微环境中，TGF-β1可诱导Treg分化，抑制CD8+ T细胞功能，助力肿瘤免疫逃逸。 02、 TGF-β1刺激成纤维细胞增殖 TGF-β1可促进成纤维细胞增殖、分泌胶原蛋白等细胞外基质，并抑制其降解，参与组织修复与纤维化。研究表明，10 ng/mL TGF-β1可显著增强L929细胞增殖。此外，TGF-β1能诱导骨髓间充质干细胞（BMSCs）向肌成纤维细胞分化，该过程伴随活性氧（ROS）大量生成。通过DCFH-DA荧光检测证实，TGF-β1处理后BMSCs内绿色荧光显著增强，表明其可诱导ROS产生，介导细胞分化。 TGF-β1调节骨代谢破骨细胞为源自单核造血细胞的多核巨细胞，负责骨吸收，其与骨形成的平衡维持骨骼稳态。TGF-β1在骨代谢中发挥双重调控作用：既可直接促进骨髓巨噬细胞向破骨细胞分化，又通过调节RANKL/护骨因子平衡间接影响其生成；同时，TGF-β1还能促进成骨细胞增殖，但抑制其向成熟骨细胞分化，在骨重塑中起关键调节作用，失衡则可能导致骨质疏松等疾病。靶向TGF-β的药物研发鉴于TGF-β在促进肿瘤转移中的关键作用，其抑制剂的研发备受关注。其中，抗体类药物因靶向性强、药代动力学优良而成为重点方向。目前开发的TGF-β靶向候选药物主要包括三类：靶向TGF-β的单克隆抗体、双特异性抗体以及基于TGF-β通路调控的细胞治疗产品，有望为癌症治疗提供新策略。 01、 TGF-β单抗靶向药 NIS793（诺华）为全人源抗TGF-β单抗，正开展针对胰腺癌等的III期临床。Galunisertib（礼来）是早期TGF-β抑制剂，已用于MDS、肝癌等临床研究。GFH018（劲方医药）为口服小分子抑制剂，联合PD-1抑制剂在全球多中心试验中。YL-13027（璎黎药业）具强效抗肿瘤活性，可增加肿瘤浸润淋巴细胞，与PD-L1抗体协同作用，现处于I期临床。 02、 TGF-β双抗靶向药靶向TGF-β的双抗药物是抗癌研发热点，尤以PD-L1/TGF-β双抗为主。默克/GSK的M7824曾因早期优异数据被视为“PD-1 2.0”，但在2021年多项关键临床试验失败后研发停滞，合作终止。尽管如此，国内企业持续推进，恒瑞医药的SHR-1701作为国内首款PD-L1/TGF-β双抗，目前有12项临床在研，多为联合疗法。此外，普米斯的PM8001、正大天晴的TQB2858和维立志博的LBL-015也进展较快，其中PM8001凭借单域抗体优势进入II期临床，展现国产创新潜力。 03 、靶向TGF-β的细胞治疗产品永泰生物的迪诺仑赛注射液是一款靶向CD19并拮抗TGF-β信号的CAR-T细胞治疗产品。改造后的T细胞可特异性杀伤CD19阳性肿瘤细胞，同时表达阻断TGF-β下游通路的蛋白，以抵御肿瘤微环境中的免疫抑制，防止CAR-T细胞功能耗竭。该产品旨在提升CAR-T在实体瘤中的持久性与疗效，克服现有治疗局限。临床应用 TGF-β1在多种病理生理过程中发挥关键作用：促进成纤维细胞迁移与基质沉积，加速创伤愈合；诱导上皮-间质转化，参与腹膜纤维化与心室重构；通过调控滋养细胞功能及氧化应激影响子痫前期发展；促进骨与牙本质再生，应用于活髓保存；在肿瘤中具双重作用，早期抑癌，晚期促侵袭转移及免疫逃逸。菲恩生物聚焦TGF-β靶点研究，依托先进的细胞与蛋白技术平台，提供经功能验证的重组TGF-β蛋白及其特异性抗体试剂，致力于为科研机构及生物医药企业提供高品质的科研工具，助力疾病机制研究。 >>>> 以下是菲恩生物 TGF-β 相关指标产品推荐 ELISA 试剂盒货号产品名称灵敏度检测范围 EH0287 Human TGF-β1 ELISA Kit 18.75pg/ml 31.25-2000pg/ml QT-EH0287 Human TGF-β1 QuickTest ELISA Kit 18.75pg/ml 31.25-2000pg/ml EM0176 Mouse TGF-β1 ELISA Kit 18.75pg/ml 31.25-2000pg/ml QT-EM0176 Mouse TGF-β1 QuickTest ELISA Kit 18.75pg/ml 31.25-2000pg/ml EMK0075 Monkey TGF-β1 ELISA Kit 18.75pg/ml 31.25-2000pg/ml QT-EMK0075 Monkey TGF-β1 QuickTest ELISA Kit 18.75pg/ml 31.25-2000pg/ml ERB0119 Rabbit TGF-β1 ELISA Kit 18.75pg/ml 31.25-2000pg/ml QT-ERB0119 Rabbit TGF-β1 QuickTest ELISA Kit 18.75pg/ml 31.25-2000pg/ml EP0154 Porcine TGF-β1 ELISA Kit 18.75pg/ml 31.25-2000pg/ml QT-EP0154 Porcine TGF-β1 QuickTest ELISA Kit 18.75pg/ml 31.25-2000pg/ml ER1378 Rat TGF-β1 ELISA Kit 18.75pg/ml 31.25-2000pg/ml QT-ER1378 Rat TGF-β1 QuickTest ELISA Kit 18.75pg/ml 31.25-2000pg/ml ESH0023 Sheep TGF-β1 ELISA Kit 18.75pg/ml 31.25-2000pg/ml QT-ESH0023 Sheep TGF-β1 QuickTest ELISA Kit 18.75pg/ml 31.25-2000pg/ml ECA0019 Canine TGF-β1 ELISA Kit 18.75pg/ml 31.25-2000pg/ml QT-ECA0019 Canine TGF-β1 QuickTest ELISA Kit 18.75pg/ml 31.25-2000pg/ml EGP0051 Guinea pig TGF-β1 ELISA Kit 18.75pg/ml 31.25-2000pg/ml QT-EGP0051 Guinea pig TGF-β1 QuickTest ELISA Kit 18.75pg/ml 31.25-2000pg/ml EHS0071 Horse TGF-β1 ELISA Kit 18.75pg/ml 31.25-2000pg/ml EU2686 Human/Mouse/Rat/Porcine/Canine TGF-β1 ELISA Kit 18.75pg/ml 31.25-2000pg/ml 重组蛋白&抗体货号产品名称表达宿主/宿主分子量/应用 P2940 Recombinant Human TGFB1 HEK293 cells 16,38,55 kDa P2602 Recombinant Mouse TGFB1 E.Coli 14.7 kDa P9633 Recombinant Mouse TGFB1 HEK293 cells 16, 8, 55 kDa P4827 Recombinant Rat Tgfb1 E.Coli 27.3 kDa FNab08638 TGFB1 antibody Rabbit ELISA,WB,IHC FNab09851 TGFB1 antibody Rabbit ELISA,WB GMP实验室公司介绍武汉菲恩生物科技有限公司(Wuhan Fine Biotech Co., Ltd.)面向国际市场专业研发、生产和销售ELISA试剂盒、抗体、蛋白及相关试剂。公司坐落于中国光谷生物城，建有现代化的研发中心和标准的GMP生产车间，已整体通过欧盟CE认证、ISO 9001:2015质量管理体系认证，获得高新技术企业、3551人才、瞪羚企业、科技小巨人等多项荣誉；公司建有实验动物房、配备先进的实验仪器，以保证产品的品质和实验研究的准确可靠性。公司由海内外博士、教授组成的研发和管理团队，拥有成熟的分子生物学技术、免疫学技术、蛋白表达纯化技术、抗体筛选及制备等生物学技术。现已研发生产ELISA试剂盒热门产品3000多种，包含10多种稀有种属试剂盒；鼠单抗，兔多抗一万余种经过验证的抗体，同时每年新增研发抗体近千种；多种标记/非标记二抗，针对兔、羊、小鼠、大鼠、人等多个种属。100多种标记二抗，标记物包括HRP、Biotin、FITC、Cy3、Alexa Fluor 488、Alexa Fluor 594等；提供蛋白产品7500多种，包括原核和真核表达重组蛋白以及天然蛋白，涵盖人类及常见种属的炎症因子，信号通路，诊断原料，受体蛋白，酶，抗原等。公司拥有一套严格的质控标准，生产出的产品均做过大量人和动物实验标本的检测。公司产品在免疫学、信号转导、代谢、神经科学等领域内都有最前沿科学文献发表，被国内外多所大学、研究机构和药学平台使用并发表文献达6500多次。公司凭借优异的产品和完善的服务体系受到国内外广大用户的青睐和认可；公司愿成为您的科研好帮手，专业生产商。 // END

2024-06-13

·CPHI制药在线

浅谈胰腺导管癌治疗进展：在研药物多样，诺华放弃，康宁杰瑞惨败

关注并星标CPHI制药在线胰腺癌是一组主要起源于胰腺导管上皮及腺泡细胞的恶性肿瘤，恶性程度极高，起病隐匿，早期诊断困难，进展迅速，生存时间短，是预后最差的恶性肿瘤之一，被称为"癌中之王"。即使在新疗法不断涌现的今天，胰腺癌的治疗也并未取得突破进展。下面笔者将浅谈下胰腺癌的主要类型--胰腺导管腺癌的治疗现状，以及近年该领域药物的研究进展。关于胰腺导管癌胰腺导管腺癌（PDAC）是一种发生于胰腺导管上皮的肿瘤，是胰腺癌中的主要类型，约占90%以上。PDAC起病隐匿，且具有高度侵袭性，大多患者确诊时已处于晚期。由于缺乏有效的治疗手段，PDAC患者总体5年生存率< 12 %。据2024年2月中国国家癌症中心（NCC）发布的2022年中国新发癌症病例数和死亡人数数据：2022年中国胰腺癌新发病例11.87万，死亡人数10.63万。手术和化疗是PDAC的主要治疗手段，但只有15%-20%的患者在诊断时符合手术条件。不过据《Nature》官网发布的相关研究论文数据，即便能手术，近90% 的PDAC患者在治疗平均7~9个月内会面临复发。而晚期PDAC标准治疗是化疗，常采用联合治疗方案，如AG（白蛋白紫杉醇联合吉西他滨）方案、改良FOLFIRINOX（mFOLFIRINOX，奥沙利铂+伊立替康+亚叶酸钙+氟尿嘧啶）方案或S-IROX（替吉奥+伊立替康+奥沙利铂）方案。据2023年6月美国国家综合癌症网络（NCCN）指南发表的2023年第2版胰腺癌诊治指南：（1）对于部分可切除性胰腺癌，指南推荐先行新辅助治疗（NAT）再手术，推荐方案包括FOLFIRINOX或改良FOLFIRINOX方案，以及吉西他滨联合白蛋白结合紫杉醇方案（AG方案），其中FOLFIRINOX或mFOLFIRINOX方案适用于美国东部肿瘤协作组（ECOG）评分0~1分的病人。术后指南建议患者常规开展化疗，化疗首选方案包括FOLFIRINOX/mFOLFIRINOX方案或吉西他滨联合卡培他滨方案；（2）对于晚期或转移性胰腺癌：PS评分良好（0~1分）局部晚期/转移性胰腺癌一线治疗新增NALIRIFOX方案，即脂质体伊立替康+5-氟尿嘧啶+亚叶酸+奥沙利铂，PS评分中等（2分）局部晚期胰腺癌一线治疗首选卡培他滨或吉西他滨单药化疗或AG方案，PS评分中等（2分）转移性胰腺癌首选AG方案，其次卡培他滨或吉西他滨，NALIRIFOX方案在某些情况下也可使用；（3）对于复发的局部进展期/转移性胰腺癌，PS评分良好者，当NTRK融合基因阳性，首选恩曲替尼或拉罗替尼；当存在微卫星高度不稳定（MSI-H）、错配修复缺陷（dMMR）或肿瘤突变负荷（TMB）≥10 mut/Mb者，建议使用帕博丽珠单抗。新版指南建议在其他治疗方案中新增以下内容：对于合并MSI-H、dMMR者，可使用多塔利单抗；若TMB≥10 mut/Mb，也可使用纳武利尤单抗+伊匹木单抗；PS评分中等者，无首选方案。胰腺导管癌药物研究进展上述方案对PDAC治疗效果有限，且有些药物只适用于特定患者。药企对PDAC新疗法的探索从未止步，今年2月FDA批准NALIRIFOX（脂质体伊立替康 (Onivyde)+奥沙利铂+氟尿嘧啶 (5-FU)/亚叶酸）方案一线治疗转移性PDAC。此外，目前全球还有多款在研PDAC新疗法，详见下表。这些在研疗法作用靶点各异，具体适应症有所不同，且药物类型多样，涉及化药、单抗、双抗、CAR-T疗法、疫苗以及溶瘤病毒等。研发进度上，NIS793、KN046等处于3期临床。其中NIS793是一种完全人源的单克隆抗体，通过阻断TGFβ细胞因子而发挥作用，2021年被FDA授予治疗胰腺癌的孤儿药资格，其联合吉西他滨和Nab-紫杉醇一线治疗PDAC的临床试验已进入3期阶段。值得一提的是，诺华曾于2015年从Xoma引进NIS793，但2024年诺华宣布停止研发NIS793，并将其退还给Xoma。 KN046是康宁杰瑞研发的一款PD-L1/CTLA-4靶向双抗。已公布的2期临床研究（NCT04324307）数据显示：对于31例无法切除的晚期胰腺癌患者，KN046联合AG方案的ORR为45.2%，DCR为93.5%。遗憾的是，今年5月，康宁杰瑞宣布KN046联合AG方案一线治疗不可切除局部晚期或转移性PDAC的3期临床试验KN046-303惨遭失败，OS结果未达到统计学终点。索凡替尼治疗胰腺癌方面处于2/3期临床，2024年5月其联合卡瑞利珠单抗和化疗（白蛋白结合型紫杉醇+吉西他滨)一线治疗转移性PDAC的2/3期临床试验启动。该药是和黄医药开发的一种新型的口服酪氨酸激酶抑制剂，已被NMPA批准用于无法手术切除的局部晚期或转移性、进展期非功能性、分化良好（G1、G2）的非胰腺（2020年12月）和胰腺（2021年6月）来源的神经内分泌瘤。已公布的索凡替尼治疗胰腺癌的临床试验结果显示：索凡替尼联合TAS-102三线或后线治疗方案对mPDAC患者有令人鼓舞的抗肿瘤活性，特别是对无肝转移患者。此外，与索凡替尼仅联合化疗相比，索凡替尼联合卡瑞利珠单抗和化疗一线治疗胰腺癌可显著延长患者的OS和PFS。 CAN-2409、Motixafortide等处于2期临床。其中CAN-2409是一种复制缺陷的腺病毒，旨将单纯疱疹病毒胸苷激酶（HSV-tk）基因递送至患者的肿瘤并诱导个体化的全身抗肿瘤免疫反应。HSV-tk是一种酶，可局部将口服伐昔洛韦转化为杀死附近癌细胞的有毒代谢物，从而释放多种癌症抗原。该疗法通过局部注射将免疫应答局部聚焦于肿瘤，能够最大限度地减少与全身静脉给药相关的全身毒性。2024年4月，CAN-2409被FDA授予治疗胰腺癌的孤儿药资格。已公布的CAN-2409联合抗病毒药物与标准护理（SoC）放化疗用作可切除PDAC术前辅助治疗的2期临床试验结果显示：截至2024年3月29日数据，在边缘性可切除PDAC中，CAN-2409组患者的mOS为28.8个月（Vs 对照组的12.5个月）；24个月时，CAN-2409治疗组患者的生存率为71.4%（Vs 对照组的16.7%），；36个月时，CAN-2409治疗组的生存率为47.6%（Vs 对照组的16.7%）。CAN-2409还显示出良好的耐受性，没有显著的额外局部或全身毒性。而且，对切除肿瘤的分析显示，患者在使用CAN-2409联合疗法后，其PDAC组织中出现密集的免疫细胞聚集，包括CD8+细胞、细胞毒性肿瘤浸润淋巴细胞和树突状细胞，这证实该疗法能够激活强大的抗肿瘤免疫反应。安全性方面，在SoC中添加CAN-2409方案显示出良好的耐受性，没有观察到剂量限制性毒性。 Motixafortide是Biokine Therapeutics 研发的一款靶向CXCR4的长效合成多肽拮抗剂，后授权给BioLineRx。2023年9月，该疗法被FDA批准联合filgrastim（G-CSF），以在多发性骨髓瘤患者中动员造血干细胞到外周血进行采集，辅助进行自体干细胞移植。治疗PDAC方面，已公布的临床研究结果显示：Motixafortide联合帕博利珠单抗和化疗在治疗PDAC方面表现出良好的安全性和耐受性，且在预后不良和病情凶险的PDAC人群中显示出疗效。 2023 AACR上公布的Motixafortide联合帕博利珠单抗和AG方案一线治疗转移性胰腺癌的单臂2期临床试验结果显示：可评估患者(11人)的ORR为55%，36%患者出现PR，1例患者的肝转移病灶得到缓解。此外，27%的患者(3例)病情稳定，DCR为82%。 Mitazalimab是一种靶向CD40的单克隆抗体，通过激活树突状细胞、B细胞和巨噬细胞等免疫细胞，使肿瘤对化疗敏感，大幅增强抗肿瘤的能力。今年2月，该药被欧盟授予孤儿药资格，联合与mFOLFIRINOX方案一线治疗转移性PDAC。 2024年1月，Alligator Bioscience宣布Mitazalimab联合mFOLFIRINOX化疗一线治疗胰腺癌的2期临床研究达到主要研究终点。具体数据为：57名可评估患者的ORR为40.4%，DCR为79%，mOS为14.3个月，中位缓解持续时间为12.5个月（优于FOLFIRINOX标准治疗的5.9个月）。 CEND-1是一种由9个氨基酸构成的环肽药物，可与肿瘤中选择性表达的alpha-v整合素结合，然后被肿瘤微环境中表达的蛋白酶切割，释放出被称为CendR片段的肽片段，该片段再与第2个受体neuropilin-1结合，从而激活一种新的摄取途径（CendR途径），使抗癌药物能够穿透实体瘤。CEND-1改变肿瘤微环境以增强联合治疗药物的递送和功效的能力已在一系列实体瘤模型中得到证实。2021年2月，齐鲁制药与Cend Therapeutics签订合作和许可协议，获得CEND-1在大中华区开发和商业化权益。柳叶刀杂志上发表的CEND-1联合标准治疗化疗（吉西他滨和白蛋白紫杉醇）一线治疗转移性PDAC的1期临床研究数据显示：29例疗效可评估患者中的ORR为59%，mOS为13.2个月。 Efineptakin Alfa治疗胰腺癌方面处于1/2期临床。该药是一种长效人类白细胞介素 7，其联合帕博利珠单抗对胰腺癌患者展示出良好的疗效：7.7％的患者肿瘤大幅缩小或消失，34.6％的患者疾病得到有效控制。2024年2月，该疗法被FDA授予治疗晚期胰腺癌的孤儿药资格。 ELI-002、D-1553等处于1期临床。其中ELI-002是一款针对KRAS突变的治疗型疫苗，主要针对KRAS突变阳性实体瘤，尤其是PDAC、结直肠癌。该疫苗由两个关键组件构成，即AMP-CpG（一种特有的免疫激活剂，可刺激免疫系统产生强烈的反应）和AMP-mKRAS-肽。其中AMP-mKRAS-肽是一种经修饰的KRAS突变肽，可特异性地引导机体免疫系统，追踪并摧毁携带KRAS突变的癌细胞。 2024年1月《Nature》杂志上发表的1期临床试验AMPLIFY-201结果显示：ELI-002可显著降低患者肿瘤标志物水平，并产生强烈的T细胞应答，从而降低患者复发及死亡的风险，且总体上被认为是安全可控的。 IBI389是信达生物自主研发的一种抗CLDN18.2/CD3双特异性抗体。2024 ASCO上公布的IBI389治疗晚期不可手术或转移性PDAC的1期临床数据显示：600μg/kg治疗组疗效更佳，在27例至少进行了一次基线后肿瘤评估的受试者中，ORR为29.6% ，确认的客观缓解率（cORR）为25.9%，DCR达70.4%（95%CI：49.8-86.2）。在CLDN18.2 IHC 2/3+≥40%的18例受试者中，cORR达38.9%。此外，截至2024年5月1日，中位随访时间为4个月，mPFS尚未成熟，3个月的PFS率达57.1%。 CT041是一种潜在全球同类首创、靶向CLDN18.2蛋白的自体CAR-T细胞疗法，用于治疗Claudin18.2阳性实体瘤，主要治疗胃癌/食管胃结合部腺癌及胰腺癌。最近公布的CT041治疗难治性转移性胰腺癌的两项多中心、开放标签的1/1b期临床试验数据显示：24例患者中有12例观察到肿瘤靶病灶不同程度缩小，ORR为16.7%，DCR为70.8%，临床获益率为37.5%。mDoR为9.5个月，12个月的DoR率为50%，mPFS为3.3个月，mOS为10.0个月，12个月时OS率为45.8%。 D-1553是益方生物自主开发的一款新型、高效、口服KRAS G12C抑制剂。已公布的D-1553针对KRAS G12C突变晚期胰腺癌的早期临床试验结果显示：D-1553单药治疗在KRAS G12C突变胰腺癌患者中展现出良好的耐受性和临床活性，确认的ORR为35.7%（5/14），DCR为85.7%（12/14），mPFS为8.54个月。今年5月，该药被CDE纳入突破性治疗品种，用于治疗经一线治疗失败的伴KRAS G12C突变局部晚期或转移性PDAC。 IMM-1-104是Immuneering 开发一款高选择性第三代小分子MEK抑制剂，每日口服一次。该药通过深度循环抑制MAPK途径，实现对RAS基因的通用抑制活性。在一项1/2a期研究中，IMM-1-104对包括PDAC、恶性黑色素瘤、NSCLC在内的多种实体瘤展现出良好的初步疗效。2024年2月，该药被FDA授予一线治疗PDAC的快速通道认定。总结整体来看，多款在研PDAC新疗法进入临床试验，且早期临床试验结果积极。监管机构也通过授予突破性疗法、快速通道资格等方式加速PDAC的研发进程。但PDAC的治疗较其他恶性肿瘤，如NSCLC、黑色素瘤，并未取得很大突破。而且，与其他恶性肿瘤在研药物不同，在研PDAC药物作用靶点相当分散，笔者分析这可能与PDAC自身的特性，以及诊断上缺乏特异的生物标志物有关。期待在研究人员的不懈努力下，PDAC治疗可以早日迎来新局面。【企业推荐】【智药研习社直播预告】来源：CPHI制药在线声明：本文仅代表作者观点，并不代表制药在线立场。本网站内容仅出于传递更多信息之目的。如需转载，请务必注明文章来源和作者。投稿邮箱：Kelly.Xiao@imsinoexpo.com ▼更多制药资讯，请关注CPHI制药在线▼ 点击阅读原文，进入智药研习社~

上市批准

2024-03-14

·PRNewswire

Biotech's Role in Addressing the Pancreatic Cancer Emergency

FN Media Group Presents USA News Group News Commentary VANCOUVER, BC, March 14, 2024 /PRNewswire/ -- USA News Group - Known as one of the most deadly forms of cancer, pancreatic cancer still has the highest mortality rate of all major cancers today. However, researchers and the biotech sector are working diligently to improve the chances of those who receive this dire diagnosis. Recently, in late 2023, researchers at the Mayo Clinic made a discovery that advances knowledge of how pancreatic cancer spreads and identified a new potential therapeutic target along the way. With the American Cancer Society projecting a record year for new cancer cases in 2024, and Europe facing a pancreatic cancer emergency, it's important to focus on the advances being made in the biotech sector that are giving hope to patients and their families. Among the developers making gains include O ncolytics Biotech Inc. (NASDAQ: ONCY) (TSX: ONC), Novartis AG (NYSE: NVS), ImmunityBio, Inc. (NASDAQ: IBRX), Aclaris Therapeutics, Inc. (NASDAQ: ACRS), and Nuvation Bio Inc. (NYSE: NUVB). There is a point of optimism to build upon, as the Pancreatic Cancer Action Network (PanCAN) has stated the five-year survival rate for pancreatic cancer has increased to 13%. Among the therapy developers that have garnered accolades and support from PanCAN is O ncolytics Biotech Inc. (NASDAQ: ONCY) (TSX: ONC), which late last year took home a US$5 million Therapeutic Accelerator Award based on the promising results being delivered by its flagship asset, pelareorep. Since winning the award, Oncolytics has moved to make an amendment to its ongoing GOBLET gastrointestinal cancer study to include a new (fifth) cohort. This new cohort will evaluate the immunotherapy asset pelareorep in combination with modified FOLFIRINOX (mFOLFIRINOX) both with and without atezolizumab (Tecentriq®) in patients with newly diagnosed metastatic pancreatic ductal adenocarcinoma (PDAC). "We are enthusiastic to have the support of PanCAN to expand the evaluation of pelareorep in pancreatic cancer and explore mFOLFIRINOX as another combination that could improve outcomes for patients," said Dr. Matt Coffey, President and CEO of Oncolytics. "Evaluating pelareorep in combination with these widely used regimens is an important step in our broad clinical development program. Last fall, we reported a 62% objective response rate for the GOBLET PDAC cohort studying pelareorep in combination with the checkpoint inhibitor atezolizumab in addition to gemcitabine and nab-paclitaxel. This response is about three times that of historical controls and forms the basis of the registrational program, expected to begin this year." Oncolytics is conducting the GOBLET trial to investigate the effectiveness of pelareorep in enhancing the treatment of pancreatic cancer, a disease known for its poor 5-year survival rate. This is largely due to the cancer's ability to hide from the immune system and create an environment that suppresses immune response. In late 2022, the FDA granted pelareorep a fast track designation, acknowledging its potential to stimulate both the innate and adaptive immune systems and alter the tumor microenvironment. This makes pelareorep a promising candidate for combination therapy. "This study is designed to evaluate whether pelareorep can enhance outcomes in patients receiving mFOLFIRINOX, one of the most commonly used metastatic pancreatic cancer treatments," said Thomas Heineman, M.D., Ph.D., Chief Medical Officer at Oncolytics. "Combining pelareorep with mFOLFIRINOX represents an expansion of our existing pancreatic cancer program and maximizes the potential of pelareorep-based combination therapies to benefit pancreatic cancer patients." After discontinuing development of its monoclonal antibody NIS793 for the treatment of patients with pancreatic cancer, Novartis AG (NYSE: NVS) has opened 2024 with positive data from its Lutathera asset. In a mid-January release, Novartis announced that Lutathera significantly reduced the risk of disease progression or death by 72% as first-line treatment for patients with advanced gastroenteropancreatic neuroendocrine tumors. "These positive results for Lutathera are practice-changing and offer new first-line treatment data for patients who have a significant unmet need," said Dr. Simron Singh, Associate Professor of Medicine at the University of Toronto and co-founder of the Susan Leslie Clinic for Neuroendocrine Tumours at the Odette Cancer Centre, Sunnybrook Health Sciences Centre, Ontario, Canada. "This study confirms the clinical benefit of first-line radioligand therapy for newly diagnosed patients living with these types of advanced GEP-NETs. These findings should instill confidence among physicians in using Lutathera as a first-line treatment for patients with this life-threatening type of cancer." Back in early 2022, ImmunityBio, Inc. (NASDAQ: IBRX) showed promising results for its Nant Pancreatic Cancer Vaccine. Now, in February 2024, ImmunityBio has announced full accrual of its first two phases of a cancer vaccine trial in participants with Lynch Syndrome and the initiation of a randomized control phase of the trial. Lynch Syndrome is one of the most common hereditary cancer syndromes, occurring in 1 in every 300 Americans. People with Lynch Syndrome can not only develop colorectal cancer 20 years prior to the average age of diagnosis for that form of cancer but are also at an increased risk of developing many other types of cancers, including pancreatic. "We are encouraged by how rapidly this study has been able to enroll participants," said Asad Umar, D.V.M., Ph.D., a senior advisor to the Director for Translational Research in NCI's Division of Cancer Prevention (DCP) and a scientific lead for the trial. "It is a strong indication of an unmet need and of the willingness of participants to help science make new discoveries in the area of cancer prevention." Moving on from a disastrous year in 2023, Aclaris Therapeutics, Inc. (NASDAQ: ACRS) is resurrecting its asset zunsemetinib as a potential cancer treatment. As per the company's last corporate update of 2023, Aclaris now plans to explore zunsemetinib as a potential treatment for pancreatic cancer and metastatic breast cancer. "Throughout our history, Aclaris has remained focused on developing novel drugs where there is a lack of satisfactory treatment options," said Dr. Neal Walker, Co-Founder, Chairman, and Interim CEO of Aclaris in a January 2024 strategic business review. "We are well capitalized and we have recently taken the hard but necessary steps to streamline our operations to reduce costs and preserve capital in order to put Aclaris in an optimal position for the future." In early January 2024, the FDA cleared the investigational new drug (IND) application of Nuvation Bio Inc. (NYSE: NUVB) to evaluate its first clinical candidate from its novel drug-drug conjugate (DDC) platform, NUV-1511. "This IND clearance expands our clinical pipeline and validates the approach of our proprietary DDC platform to design potent oncology-focused chimeric small molecules which combine tumor-targeting specificity with the anti-cancer activity of known oncology agents," said David Hung, M.D., Founder, President, and CEO of Nuvation Bio. "We believe NUV-1511 has the potential to provide favorable clinical benefit for patients with various solid tumors and we look forward to initiating the Phase 1/2 study." The initial part of the Phase 1/2 study will assess safety and tolerability and investigate the potential effectiveness in patients with advanced solid tumors. It will focus on patients with pancreatic cancer, HER2-negative metastatic breast cancer, metastatic castration-resistant prostate cancer (mCRPC), and platinum-resistant ovarian cancer (PROC). Nuvation is already undergoing dosing in the Phase 1 monotherapy study of NUV-868 in solid tumors in patients with pancreatic cancer, ovarian cancer, metastatic castration-resistant prostate cancer (mCRPC), triple-negative breast cancer and other solid tumors. "We remain focused on strong clinical execution of our NUV-868 program for advanced solid tumors," said Hung in his company's Q3 2023 business update. Article Source: Article Source: USA News Group [email protected] DISCLAIMER: Nothing in this publication should be considered as personalized financial advice. 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临床结果免疫疗法临床1期快速通道

100 项与 Nisevokitug 相关的药物交易

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适应症	最高研发状态	国家/地区	公司	日期
转移性胰腺导管腺癌	临床3期	美国	Lonza AG	2021-09-30
转移性胰腺导管腺癌	临床3期	美国	Novartis Pharma AG	2021-09-30
转移性胰腺导管腺癌	临床3期	美国	Novartis Pharmaceuticals Corp.	2021-09-30
转移性胰腺导管腺癌	临床3期	美国	诺华（中国）生物医学研究有限公司	2021-09-30
转移性胰腺导管腺癌	临床3期	中国	Novartis Pharmaceuticals Corp.	2021-09-30
转移性胰腺导管腺癌	临床3期	日本	Lonza AG	2021-09-30
转移性胰腺导管腺癌	临床3期	日本	Novartis Pharma AG	2021-09-30
转移性胰腺导管腺癌	临床3期	日本	诺华（中国）生物医学研究有限公司	2021-09-30
转移性胰腺导管腺癌	临床3期	日本	Novartis Pharmaceuticals Corp.	2021-09-30
转移性胰腺导管腺癌	临床3期	澳大利亚	诺华（中国）生物医学研究有限公司	2021-09-30

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


NCT04935359 (CTgov)	临床3期	转移性胰腺导管腺癌	511	NIS793+Nab-paclitaxel+Gemcitabine (Safety run-in Part: NIS793 Plus (Gemcitabine and Nab-paclitaxel))	鹽鹹壓築窪獵糧窪襯構 = 壓淵艱顧鹽積壓鹽鹽遞蓋築淵繭製襯鏇觸繭糧 (齋積鬱醖積壓繭膚鹽糧, 獵衊築廠窪範醖廠膚鏇 ~ 醖鏇築顧鹽鑰窪積醖構) 更多	-	2026-05-19
NCT04935359 (CTgov)	临床3期	转移性胰腺导管腺癌	511	Placebo+NIS793+Nab-paclitaxel+Gemcitabine (Randomized Part (Arm A): NIS793 Plus (Gemcitabine and Nab-paclitaxel))	築顧築鑰積觸憲糧遞顧(願鏇鑰範襯選憲製構築) = 簾壓餘憲淵遞鏇艱構網窪膚淵憲衊壓窪觸選窪 (構築淵鏇願襯鏇糧夢簾, 淵齋築選鏇網醖廠選簾 ~ 齋餘築鏇艱襯顧積夢鏇) 更多	-	2026-05-19
NCT05546411 (CTgov)	临床2期	胰腺腺癌	8	Chemoradiation+NIS793+Leucovorin+irinotecan+Irinotecan+oxaliplatin+FLUOROURACIL (mFOLFIRINOX + NIS793)	簾繭艱簾鏇窪積願鏇獵 = 選鬱製壓淵醖廠鑰觸網衊構網窪衊壓鹹鑰簾衊 (獵選繭遞鬱鹹醖簾網淵, 廠觸鑰顧構壓蓋網醖鏇 ~ 範構鏇觸顧憲遞鹽鏇夢) 更多	-	2024-07-16
NCT05546411 (CTgov)	临床2期	胰腺腺癌	8	Chemoradiation+Leucovorin+irinotecan+Irinotecan+oxaliplatin+FLUOROURACIL (mFOLFIRINOX)	簾繭艱簾鏇窪積願鏇獵 = 鑰繭網觸廠廠積蓋餘鹽衊構網窪衊壓鹹鑰簾衊 (獵選繭遞鬱鹹醖簾網淵, 蓋齋網醖製範獵願鬱鏇 ~ 構餘積鏇簾糧夢衊製醖) 更多	-	2024-07-16
NCT02947165 (Phase I/Ib, Pubmed \| J Immunother Cancer)	临床1期	肿瘤	-	NIS793 (MSS-CRC)	製獵廠範壓艱顧簾鬱範(醖獵壓糧餘獵鑰鏇網觸) = n=9; 7.5% 襯鏇膚淵簾範積獵遞構 (憲膚顧艱鑰願願鹽鹹簾 ) 更多	积极	2023-11-01
NCT04952753 (daNIS-3, ESMO2022)	临床2期	转移性结直肠癌二线	226	NIS793 + bevacizumab + FOLFIRI	範獵簾蓋蓋壓築鏇鹽積(製襯艱鹹鏇獵壓獵遞夢) = 糧窪醖淵鬱壓窪網鹽鹹構鹽夢觸鑰衊窪鏇蓋齋 (醖醖鏇觸製鏇齋醖蓋淵 )	-	2022-09-10