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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?

固體腫瘤癌症患者的治療接下來會是什麼?
newsfile ·  06/20 19:00

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.

英屬哥倫比亞省的溫哥華、基洛納和三角洲-(Newsfile Corp. - 2024年6月20日)-投資者資訊網是一個主要的投資平台,發佈了一份行業快照,展望了固體癌症腫瘤的未來治療前景,特別介紹了專注於開發治療癌症和威脅生命的傳染病產品的醫療治療公司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."

今年發佈的研究預測,"固體腫瘤治療市場規模將從2023年的2227.1億美元增長到10年後的8854.4億美元。製藥公司在研發中的投資增加將推動固體腫瘤治療市場的增長。北美成爲全球固體腫瘤治療市場的最大市場,全球市場份額佔比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.

目前可用的藥物包括默沙東公司的Keytruda(pembrolizumab)和Bristol Myers Squibb公司的Opdivo(nivolumab),這些藥物解決了部分問題,但成功率需要更多的解決方案。

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)在本週宣佈,2024年6月13日,阿德萊德中央地區保健網絡(CALHN)的人類研究倫理委員會(HREC)授予Aethlon在癌症患者的血清腫瘤治療中使用Hemopurifier的安全性、可行性和劑量尋找臨床試驗的全面倫理批准,這些患者在使用抗PD-1單克隆抗體治療期間具有惡性固體腫瘤的穩定或進展疾病,例如Keytruda (pembrolizumab)或Opdivo (nivolumab) (AEMD-2022-06 Hemopurifier Study)。獲批時間爲3年,有效期至2027年6月13日。該試驗將由Michael Brown教授及其團隊負責在阿德萊德的皇家阿德萊德醫院的癌症臨床試驗單位進行。

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,只有約30%的接受pembrolizumab或nivolumab的患者會對這些藥物產生持久的臨床反應。腫瘤產生的細胞外囊泡(EVs)被認爲在癌症的擴散以及對抗PD-1療法的抵抗中起着重要作用。Hemopurifier旨在將這些EVs與血液中的其他成分結合並清除,這可能會提高PD-1抗體治療的治療反應率。在臨床前研究中,已經證實Hemopurifier減少了癌症患者血漿中外泌體的數量。

"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的首席醫學官Steven LaRosa博士表示:“阿德萊德中央地區保健網絡的人類研究倫理委員會的批准標誌着Aethlon的重要里程碑,他們認爲我們的臨床研究符合澳大利亞人類研究倫理管理國家聲明的要求。我們期待與Michael Brown教授及其團隊,以及我們的合同研究機構NAMSA和ReSQClinical Research密切合作。下一步包括向澳大利亞的國家衛生監管機構——治療物品管理局提交申請,獲得阿德萊德中央地區保健網絡研究治理委員會的批准,並進行站點啓動訪問以開展患者招募。在獲得倫理委員會的批准後,我們計劃向澳大利亞的另外兩個站點和印度的一個站點提交申請。"

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、可行性和劑量尋找試驗的主要終點是安全性。該試驗將監測任何不良事件以及在應用PD-1單克隆抗體Keytruda或Opdivo單獨治療的兩個月試運行期之後,在不同的治療間隔期之後給予Hemopurifier治療的穩定或進展性固體腫瘤患者的血漿有無臨床顯著的變化。如果患者對該療法沒有反應,則有資格進入該研究的Hemopurifier階段,其中順序隊列將在一週內接受1、2或3次Hemopurifier治療。除了監測安全性外,該研究還旨在研究降低EVs濃度所需的Hemopurifier治療次數,以及這些EVs濃度的變化是否可以提高體內攻擊腫瘤細胞的天然能力。這些探索性的中央實驗室分析預計將爲監管機構所需的後續功效和安全性的市場批准(PMA)研究的設計提供指導。

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宣佈,美國食品和藥物管理局(USFDA)再次確定了前列地愛出鋒(PDUFA)目標日期,即所有先前批准的成人固性腫瘤Opdivo適應症的亞切割露出”的生物製品許可申請(BLA),該申請包括與Halozyme專有的重組人類透明質酸酶(rHuPH20)複方化的亞切割nivolumab(以下簡稱“亞切割nivolumab”)的子皮下製劑,單獨使用亞切割nivolumab維持治療Opdivo加Yervoy(ipilimumab)聯合治療完成後,或與化療或卡泊替尼聯合使用。更新的目標日期爲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.

從新聞得知:"在今年的ASCO 2024上,AbbVie展示了其強大的固體腫瘤產品線,併發布了創新的抗體-藥物複合物(ADC)平台的新數據。"從新聞得知:"CheckMate-67T是一項3期隨機、開放標籤試驗,評估cutaneous Opdivo與Halozyme專有的重組人類透明質酸酶rHuPH20複方化的亞切割nivolumab (nivolumab and hyaluronidase)或皮下nivolumab與靜脈Opdivo相比,在接受系統治療的晚期或轉移性清除細胞腎癌(ccRCC)患者中。該試驗提供了可能使nivolumab經皮下製劑用於患者的機會。共有495名患者被隨機分配到亞切割nivolumab或靜脈Opdivo組。該試驗的共同主要終點是比較皮下nivolumab和靜脈Opdivo的28天平均血清濃度(Cavgd28)和達到穩態的谷濃度(Cminss)。客觀反應率(ORR)是一個關鍵的次要終點。"

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.

從新聞得知:"在今年的ASCO 2024上,AbbVie展示了其強大的固體腫瘤產品線,併發布了創新的抗體-藥物複合物(ADC)平台的新數據。"據Merck & Co., Inc.表示,"KEYTRUDA不是化療或放療-它是一種免疫療法,它可以與您的免疫系統共同作用,幫助抵抗癌症。KEYTRUDA可能會導致您的免疫系統攻擊任何部位的正常器官和組織,影響它們的工作方式。這些問題有時可能變得嚴重或危及生命,甚至可能導致死亡。您可能會同時出現多個問題,這些問題可能會在治療期間的任何時候發生,甚至在治療結束後也可能會發生。"

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的報告顯示,2023年11月,AbbVie收購了ImmunoGen。這一收購的主要目標是爲固體腫瘤治療市場建立和擴大強大的產品組合基礎。此次收購將進一步推動AbbVie進入卵巢癌的商業市場。

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,艾伯維公司在ASCO 2024展示了其強大的實體腫瘤管道,併發布了來自其創新的抗體藥物聯合物(ADC)平台的新數據。

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."

從新聞中得知:“繼續致力於患者並以血液系統惡性腫瘤領域的領先地位爲基礎,我們正在快速推進實體瘤分化的項目管線,”艾伯維公司固體腫瘤部門副總裁、腫瘤學開發負責人Daejin Abidoye博士說,“我們的ADC平台使我們可以利用選擇性生物標誌分子如c-Met和SEZ6通過傳遞有效的抗癌藥物誘導有針對性的癌細胞死亡。我們在ASCO展示的數據證明,這種方法在難治性腫瘤的廣泛範圍內具有臨床潛力。”

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.

從新聞中得知:ABBV-400的首席人類Phase 1研究(NCT05029882)的遞增劑量和結腸癌(CRC)適應症擴大隊列的數據將通過口頭報告的形式呈現。初步數據表明,在122名接受過重度預處理的CRC患者中,在每3週一次的2.4mg/kg或3.0mg/kg的劑量下觀察到了有前途的抗腫瘤活性,在這些組中,被確認的客觀反應率(ORR)分別爲18%(n=40)和24%(n=41)。在表達c-Met更高的患者中,ORR在劑量≥2.4mg/kg時增加到>35%。最常見的Gr≥3的治療相關不良事件(TEAEs)爲貧血(35%)、中性粒細胞減少症(7%)和發熱性中性粒細胞減少症(6%)。導致終止治療的TEAEs發生在25(20.5%)名患者中。在會議上,還將呈現其他數據。

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.

從新聞中得知:ABBV-400還在進行一項Phase 1b籃子研究(NCT06084481),以單藥治療晚期實體瘤,以及一項第二線轉移性CRC的Phase 2研究(NCT06107413),該研究與氟尿嘧啶、葉酸和貝伐珠單抗聯用。

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在其固體腫瘤市場報告中還指出,大量製藥公司繼續在開發實驗性藥物和技術方面做出巨大貢獻。例如,製藥領域正在進行大量的研究和開發投資。製藥公司投資未來研究,將高品質的藥物帶入市場。主要製藥公司通過與全球研究和開發中心合作和大力投資研究和開發,來提高其研發效率,以確保長期回報。例如,根據Statista的數據,到2026年,羅氏預計將成爲全球最大的研發投資公司,投資額爲140億美元,其次是強生公司(122億美元)、默沙東(114億美元)、輝瑞(105億美元)和諾華(100億美元)

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.(納斯達克股票代碼:AEMD)稱,在醫學界普遍認爲外泌體只是細胞碎片沒有生物學功能的時候,他們啓動了以腫瘤來源的外泌體爲研究對象的研究。今天,用於治療腫瘤來源的外泌體的療法成爲癌症治療中的一個重要課題。Aethlon已經證明,Hemopurifier的親和力機制可以捕獲腫瘤來源的外泌體和外泌體顆粒,這些部分潛藏於包括乳腺癌、卵巢癌和轉移性黑色素瘤在內的多種癌症形式中。

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