Safety and Efficacy of APX005M With Gemcitabine and Nab-Paclitaxel With or Without Nivolumab in Patients With Previously Untreated Metastatic Pancreatic Adenocarcinoma. CD40 agonistic monoclonal antibody APX005M (sotigalimab) and chemotherapy, with or without nivolumab, for the treatment of metastatic pancreatic adenocarcinoma: an open . Metastatic Pancreatic Adenocarcinoma Nivolumab APX005M previously untreated metastatic pancreatic adenocarcinoma Gemcitabine nab-Paclitaxel . Show that a custom peptide-based vaccine in combination with imiquiomod, pembrolizumab, and/or sotigalimab (APX005M) is safe. APX005M is a highly potent inducer of innate and adaptive immune effector responses and represents a promising CD40 agonist antibody for induction of an effective anti-tumor immune response with a favorable safety profile. Study Design Go to Resource links provided by the National Library of Medicine In this open-label, single-centre (Erasmus Univsersity Medical Center, Rotterdam, Netherlands), single-arm, phase I dose finding study, adult patients with metastatic pancreatic cancer with progressive disease after FOLFIRINOX chemotherapy will receive monocyte-derived DCs loaded with an allogeneic tumour lysate in conjunction with a CD40 agonistic antibody. Sohal, MD, MPH, told an audience at the 2019 Gastrointestinal Oncology Conference. This study is being done to test the safety and effectiveness of combining domvanalimab (AB154), zimberelimab (AB122), and APX005M with pancreatic cancer that has spread to other parts of body. . The drug combinations are APX005M (from Apexigen) plus nivolumab (brand name Opdivo, from Bristol-Myers Squibb) plus gemcitabine and nab-paclitaxel, . The Cancer Research Institute and Parker Institute for Cancer Immunotherapy Announce First Patients Treated in Pancreatic Cancer Clinical Trial Combining Immunotherapy and Chemotherapy. A new combination of immunotherapy and chemotherapy for pancreatic cancer caused tumours to shrink in the majority of evaluable patients - 20 out of 24 as of an interim analysis of the phase 1b trial data. Results from a phase Ib trial of patients with newly diagnosed metastatic pancreatic cancer, treated with chemotherapy and APX005M—with or without nivolumab—are promising . A new combination of immunotherapy and chemotherapy for pancreatic cancer caused tumors to shrink in the majority of evaluable patients. To combat the nation's third deadliest cancer, the . 1854 Cancer Immunology, Immunotherapy (2021) 70:1853-1865 1 3 single-agent activity when administered either systemi-cally or locally [ 10]. APX005M is currently in Phase 2 clinical development for the treatment of cancers such as pancreatic cancer, melanoma, esophageal and gastroesophageal junction cancers, non-small cell lung cancer, renal cell carcinoma, sarcomas, and pediatric brain cancer in various combinations with immunotherapy, a cancer vaccine, chemotherapy or radiation . APX005M is currently in Phase 2 clinical development for the treatment of cancers such as pancreatic cancer, esophageal and gastroesophageal junction cancers, melanoma, non-small cell lung cancer, rectal cancer and sarcoma in various combinations with immunotherapy, chemotherapy, radiation therapy or a cancer vaccine. apx005m is currently in phase 2 clinical development for the treatment of cancers such as pancreatic cancer, melanoma, esophageal and gastroesophageal junction cancers, non-small cell lung cancer,. This triggers the cellular proliferation and activation of antigen-presenting cells (APCs), and activates B-cells, and effector and memory T-cells. The FDA granted orphan drug designation to APX005M for the treatment of three gastrointestinal cancer types, according to the agent's manufacturer. View duration . Based on preclinical studies in KPC mice, this trial was designed so each patient received gemcitabine and nab-paclitaxel weekly (days 1, 8, and 15 of each cycle per . Standard chemotherapy remains inadequate in metastatic pancreatic adenocarcinoma. activation in cancer patients 19 Summary of APX005M Profile Fab Fc High affinity binding to CD40L binding . the poster titled, "gemcitabine and nab-paclitaxel ± nivolumab ± cd40 agonistic monoclonal antibody sotigalimab (apx005m) in participants with untreated metastatic pancreatic adenocarcinoma: phase. Pancreatic Cancer Clinical Trials. Principal Investigator: Robert H. Vonderheide, MD, DPhil, University of PennsylvaniaThe main purposes of this study are to learn how effective the study drug combinations are in treating patients with metastatic pancreatic adenocarcinoma. We hypothesized that a bimodal treatment approach consisting of dendritic cell (DC) vaccination to prime tumor-specific T cells, and a strategy to reprogram the desmoplastic tumor microenvironment (TME) would be needed to break tolerance to these pancreatic . apx005m is currently in phase 2 clinical development for the treatment of cancers such as pancreatic cancer, melanoma, esophageal and gastroesophageal junction cancers, non-small cell lung cancer, renal cell carcinoma, sarcomas, and pediatric brain cancer in various combinations with immunotherapy, a cancer vaccine, chemotherapy or radiation … APX005M is a highly potent inducer of innate and adaptive immune effector responses and represents a promising CD40 agonist antibody for induction of an effective anti-tumor immune response with a favorable safety profile. AB122, and APX005M in Patients With Metastatic Pancreatic Cancer. Pancreatic adenocarcinoma is one of the most lethal cancers worldwide with 5-year survival rates of less than 10%, 1 and is predicted to become the second leading cause of cancer-related mortality in the USA by 2030. Mark H. O'Hara, MD. Pancreatic cancer remains one of the deadliest malignancies, recording 432242 new deaths in 2018, with 458918 new pancreatic cancer cases reported globally [ 1 ]. CD40 is expressed on a variety of antigen-presenting cells. 7,11,34,35 Palliative care plays a critical role in the management of . Pancreatic cancer is characterized by a high symptom burden at the time of diagnosis with a short survival expectancy. A novel combination of immunotherapy and chemotherapy shows promise as a first-line option in patients with metastatic pancreatic cancer, according to interim results from a Cancer Research Institute-funded clinical trial that are being revealed today at the 2019 Annual Meeting of the American Association for Cancer Research (AACR19) in Atlanta.. Methods and analysis. Background Pancreatic ductal adenocarcinoma (PDAC) is notoriously resistant to treatment including checkpoint-blockade immunotherapy. CD40 agonist antibodies induce tumor regression in mouse models of pancreatic cancer as a single-agent . On October 15, the U.S. FDA granted orphan drug designation for APX005M—a CD40 immunomodulator—for the treatment of pancreatic cancer as well as esophageal and gastroesophageal junction cancer. Pancreatic Cancer Diagnostic Market Size, Status, Growing Demand and Regional Analysis 2027 | IDA . Supplementary Information The online version contains supplementary material available at 10.1007/s00262-020-02814-2. The latest clinical trials on Pancreatic Cancer. SAN CARLOS, Calif., April 1, 2019 /PRNewswire/ -- Apexigen, Inc., a clinical-stage biopharmaceutical company, today presented new clinical data on. "Agonistic CD40 is a reasonable partner for combination treatment." Herein, we report results from the follow-on, randomized (rand) ph2 trial evaluating gem/NP ± nivo ± APX005M. Pancreatic Cancer. Median follow up is 32.2 weeks. 1 These orphan drug designations are important regulatory milestones for Apexigen in its . A new combination of immunotherapy and chemotherapy for pancreatic cancer caused tumors to shrink in the majority of evaluable patients—20 out of 24 as of an interim analysis of the phase 1b . Pancreatic Cancer is an online community for sharing information about innovative, science-based treatments for pancreatic cancer. The drug combinations are APX005M+Nivolumab+Gemcitabine+nab-Paclitaxel, or APX005M+Gemcitabine+nab-Paclitaxel. APX005M is currently in Phase 2 clinical development for the treatment of cancers such as pancreatic cancer, melanoma, esophageal and gastroesophageal junction cancers, non-small cell lung cancer, renal cell carcinoma, sarcomas, and pediatric brain cancer in various combinations with immunotherapy, a cancer vaccine, chemotherapy or radiation . The drug combinations are APX005M+Nivolumab+Gemcitabine+nab-Paclitaxel, or APX005M+Gemcitabine+nab-Paclitaxel. A new combination of immunotherapy and chemotherapy for pancreatic cancer caused tumors to shrink in the majority of evaluable patients -- 20 out of 24 as of an interim analysis of the . Compare against other conditions. Another cohort will receive all four drugs. Half the patients also received the PD-1 inhibitor nivolumab. Varadhachary G, et al. with an emphasis on new immuno-oncology agents that could harness the patient's immune system to combat and eradicate cancer. apx005m is currently in phase 2 clinical development for the treatment of cancers such as pancreatic cancer, melanoma, esophageal and gastroesophageal junction cancers, non-small cell lung cancer,. A new study in mice by researchers at Fred Hutchinson Cancer Research Center has found that a specialized type of immunotherapy — even when used without chemotherapy or radiation — can boost survival from pancreatic cancer, a nearly almost-lethal disease, by more than 75 percent. Pancreatic Ductal Adenocarcinoma Model . Pancreatic cancer is a highly fatal disease with a 5-year . APX005M is currently in Phase 2 clinical development for the treatment of cancers such as melanoma, non-small cell lung cancer, pancreatic cancer, esophageal and gastroesophageal junction cancers and renal cell carcinoma and pediatric brain cancer in various combinations with immunotherapy, a cancer vaccine, chemotherapy or radiation therapy. This phase Ib trial is the first to emerge from . "APX005M: agonistic monoclonal antibody binds to CD40 on a variety of immune cell types. as well as an experimental antibody targeting CD40 called APX005M. APX005M is currently in Phase 2 clinical development for the treatment of cancers such as pancreatic cancer, esophageal and gastroesophageal junction cancers, melanoma, non-small cell lung cancer,. Get access to cutting edge treatment via DOMVANALIMAB, ZIMBERELIMAB, APX005M, FOLFIRI. APX005M is currently in Phase 2 clinical development for the treatment of cancers such as pancreatic cancer, melanoma, esophageal and gastroesophageal junction cancers, non-small cell lung cancer, renal cell carcinoma, sarcomas, and pediatric brain cancer in various combinations with immunotherapy, a cancer vaccine, chemotherapy or radiation . APX005M, a CD40 monoclonal antibody, for patients with pancreatic adenocarcinoma Despite progress, chemotherapy yields disappointing results in metastatic pancreatic ductal adenocarcinoma and median overall survival is less than 12 months. This research study involves immunotherapy. APX005M is currently in Phase 2 clinical development for the treatment of cancers such as pancreatic cancer, esophageal and gastroesophageal junction cancers, melanoma, non-small cell lung cancer, rectal cancer and sarcoma in various combinations with immunotherapy, chemotherapy, radiation therapy or a cancer vaccine. Squamous Cell Carcinoma of Pancreas. Combining immunotherapy with chemotherapy shrank tumors in 20 out of 24 patients with advanced pancreatic cancer, according to early phase 1b data being unveile The study evaluated 30 previously untreated patients with metastatic ductal pancreatic adenocarcinoma. As of . Selicrelumab (RO7009789) and sotigalimab (APX005M) monoclonal antibodies are currently under clinical trials in the treatment of different solid tumors (e.g., pancreatic cancer, melanoma, sarcomas . . APX005M and the Company's . APX005M is currently in Phase 2 clinical development for the treatment of cancers such as pancreatic cancer, esophageal and gastroesophageal junction cancers, melanoma, non-small cell lung cancer, rectal cancer and sarcoma in various combinations with immunotherapy, chemotherapy, radiation therapy or a cancer vaccine. An Orphan Drug Designation had been granted by the FDA to the CD40 antagonistic monoclonal antibody, APX005M for the treatment esophageal and gastroesophageal junction cancer (GEJ), as well as for the treatment of patients with pancreatic cancer, announced the developer Apexigen, in a press release. . ATLANTA - A new combination of immunotherapy and chemotherapy for pancreatic cancer caused tumors to shrink in the majority of evaluable patients - 20 out of 24 as of an interim analysis of the phase 1b trial data. The early findings provide hope that this strategy involving a CD40 antibody, a checkpoint . APX005M is currently in Phase 2 clinical development for the treatment of cancers such as pancreatic cancer, melanoma, esophageal and gastroesophageal junction cancers, non-small cell lung cancer, renal cell carcinoma, sarcomas, and pediatric brain cancer in various combinations with immunotherapy, a cancer vaccine, chemotherapy or radiation . Collaboration with Bristol-Myers Squibb, Apexigen will test CD40 antibody APX005M, nivolumab and chemotherapy SAN FRANCISCO - Sept. 20, 2017 - The Parker Institute for Cancer Immunotherapy and the Cancer Research Institute today announced the first patients have begun treatment in a new pancreatic cancer multi-center clinical trial. Demonstrate that developing a custom vaccine for metastatic pancreatic ductal adenocarcinoma (PDA) and colorectal cancer (CRC) patients is feasible. Numerous vaccine strategies for cancer therapy are . Funding . (cohorts A and B) II. The FOLFIRINOX regimen remains the treatment of choice for patients with pancreatic cancer even as clinical trials exploring potential therapies, including CD40 and CPI-613, offer the possibility of new options for a notoriously difficult-to-treat disease, Davendra P.S. 4019 Background: Results from a ph1b trial evaluating gem/NP with CD40 agonistic monoclonal antibody APX005M ± nivo demonstrated promising clinical activity in pts with untreated mPDAC (O'Hara 2021). Adenocarcinoma is the most common type of exocrine (non-endocrine) pancreatic cancer, accounting for over 90 percent of pancreatic cancer diagnoses. ATLANTA — The combination of the experimental CD40 antibody APX005M with nivolumab and standard chemotherapy demonstrated a manageable safety profile and promising antitumor activity among . In this study, we aimed to evaluate the safety of combining APX005M (sotigalimab) with gemcitabine plus nab-paclitaxel, with and without nivolumab, in patients with . The findings are so promising that human clinical trials are . Download Citation | On Jan 1, 2021, Michele Reni published APX005M, a CD40 monoclonal antibody, for patients with pancreatic adenocarcinoma | Find, read and cite all the research you need on . Each patient will receive gemcitabine and nab-paclitaxel, two chemotherapy drugs that are standard of care. Methods: Pts with untreated mPDAC were rand to 1 of 3 open-label arms: gem/NP . The poster titled, "Gemcitabine and nab-Paclitaxel ± Nivolumab ± CD40 Agonistic Monoclonal Antibody Sotigalimab (APX005M) in Participants with Untreated Metastatic Pancreatic Adenocarcinoma: Phase 2 Final Results", will be presented by Mark O'Hara, M.D., an assistant professor of Medicine, in the division of Hematology-Oncology in the . Apexigen Announces Presentation of Phase 2 Clinical Data on CD40 Antibody, Sotigalimab (APX005M), in Combination Therapy for Metastatic Pancreatic Cancer at the ASCO 2021 Annual Meeting "CD40 activation is a promising pathway to pursue clinically, especially for patients with pancreatic and other cancers that are immune to checkpoint therapy," said Katelyn T. Byrne, PhD, Perelman School of Medicine Abramson Cancer Center, University of Pennsylvania. Combining an agonistic CD40 monoclonal antibody with chemotherapy induces T-cell-dependent tumour regression in mice and improves survival. Results: N=30 pts dosed; 24 DLT-evaluable (6 per cohort). CD40 agonistic monoclonal antibody APX005M (sotigalimab) and chemotherapy, with or without nivolumab, for the treatment of metastatic pancreatic adenocarcinoma: an open-label, multicentre, phase 1b study Parker Institute for Cancer Immunotherapy, Cancer Research Institute, and Bristol Myers Squibb. Apexigen has presented positive Phase Ib clinical trial data of its lead immuno-oncology (I-O) therapeutic, APX005M, in patients with metastatic pancreatic cancer. APX005M is a monoclonal antibody targeting CD40, a co-stimulatory receptor, and is being evaluated in multiple clinical trials in different types of solid tumours. CD40 agonist antibodies induce tumor regression in mouse models of pancreatic cancer as a single-agent [5] and when combined with ICI [11, 12]. March 31, 2019. A multilevel treatment for pancreatic cancer has been associated with tumor shrinkage, according to a phase Ib study presented at the American Association for Cancer Research's annual meeting. Here we analyzed gene expression data from The Cancer Genome Atlas in melanoma, renal cell carcinoma, and pancreatic adenocarcinoma and . Mark H. O'Hara, MD, assistant professor of medicine, Hospital of the University of Pennsylvania, discusses the rationale for evaluating APX005M in combination with chemotherapy and nivolumab . The designation applies to use of the agent for. Patients initially diagnosed with locally advanced pancreatic cancer who have undergone chemotherapy then resection and were with no evidence of disease are eligible if metastatic relapse of disease has occurred and if the last . Patients initially diagnosed with locally advanced pancreatic cancer who have undergone chemotherapy then resection and were with no evidence of disease are eligible if metastatic relapse of disease has . Around 62,210 new cases of pancreatic cancer (PDAC accounts for >90% of pancreatic cancers) were estimated in the United States in 2022, accounting for 49,830 deaths in the same year [ 1 ]. FGK45, 1C10, 3/23 as Surrogates for APX005M . APX005M is currently in Phase 2 clinical development for the treatment of cancers such as pancreatic cancer, melanoma, esophageal and gastroesophageal junction cancers, non-small cell lung cancer, renal cell carcinoma, sarcomas, and pediatric brain cancer in various combinations with immunotherapy, a cancer vaccine, chemotherapy or radiation . which manufactures APX005M, and Bristol-Myers Squibb . Pancreatic ductal adenocarcinoma (PDAC) is the most common malignancy of the pancreas and is associated with abysmal prognosis. 1 The incidence is rising at a rate of 0.5 % to 1.0% . APX005M is currently in Phase 2 clinical development for the treatment of cancers such as pancreatic cancer, melanoma, esophageal and gastroesophageal junction cancers, non-small cell lung cancer, renal cell carcinoma, sarcomas, and pediatric brain cancer in various combinations with immunotherapy, a cancer vaccine, chemotherapy or radiation . . Adenocarcinoma of the Pancreas. patients with previously untreated metastatic pancreatic cancer were treated with standard chemotherapy consisting of gemzar (gemcitabine) and abraxane (nab-paclitaxel) plus apx005m an experimental precision cancer medicine that targets the cd40 to enhance the immune system and half the patients also received the "checkpoint inhibitor" opdivo … Apexigen has presented positive Phase Ib clinical trial data of its lead immuno-oncology (I-O) therapeutic, APX005M, in patients with metastatic pancreatic cancer. The main purposes of this study are to learn how effective the study drug combinations are in treating patients with metastatic pancreatic adenocarcinoma. The drug combinations are APX005M+Nivolumab+Gemcitabine+nab-Paclitaxel, or APX005M+Gemcitabine+nab-Paclitaxel. FULL STORY. If confirmed in later phase trials, this treatment regimen could replace chemotherapy-only standard of care in this population. Category:Adult Status:Active Displaying all 22 Trial. (cohorts A and B and C and D) SECONDARY OBJECTIVES: The poster titled, "Gemcitabine and nab-Paclitaxel ± Nivolumab ± CD40 Agonistic Monoclonal Antibody Sotigalimab (APX005M) in Participants with Untreated Metastatic Pancreatic Adenocarcinoma: Phase 2 Final Results", will be presented by Mark O'Hara, M.D., an assistant professor of Medicine, in the division of Hematology-Oncology in the . APX005M is evaluated in several trials, one of them in combination with chemotherapy in pancreatic . Approximately 60 430 new diagnoses of pancreatic cancer are anticipated in the US in 2021. The objective response rates for the two most common standard-of-care regimens—gemcitabine plus nab-paclitaxel and FOLFIRINOX (fluorouracil, leucovorin, irinotecan . (APX005M) for the Treatment of Soft Tissue Sarcoma In October 2020, Apexigen Inc. obtained the US Food and Drug Administration (FDA) grant of orphan drug . The Global Pancreatic Cancer Diagnostic Market will register a CAGR of 8.8% by 2027. Apply to this Phase 1 & 2 clinical trial treating Pancreatic Neoplasms, Squamous Cell Carcinoma of Pancreas, Carcinoma, Adenosquamous, Adenosquamous Carcinoma of the Pancreas, Carcinoma, Adenocarcinomas of the Pancreas, Adenocarcinoma, Carcinoma, Squamous Cell, Malignant Neoplasm of Pancreas. . . . Introduction. Those will be tested in combinations with Apexigen's APX005M, a novel monoclonal antibody that targets CD40, and Bristol-Myers Squibb's anti-PD-1 checkpoint inhibitor nivolumab. ATLANTA — The combination of the experimental CD40 antibody APX005M with nivolumab and standard chemotherapy demonstrated a manageable safety profile and promising antitumor activity among . APX005M is a monoclonal antibody targeting CD40, a co-stimulatory receptor, and is being evaluated in multiple clinical trials in different types of solid tumours. Please note that this information is not intended to be a . This is the same immunomodulator used in the CRI Clinical Accelerator's PRINCE trial , which is exploring new treatments for metastatic pancreatic . Analyses were performed on dose-limiting toxicity (DLT)-evaluable subjects, defined as receiving 1 dose of APX005M and ≥ 2 doses of gem/NP during Cycle 1 and remaining on study through Cycle 2 Day 1. And half of the patients in the trial . APX005M 0.3 mg/kg was selected as the dose for a randomized Phase II study in which the primary endpoint is 1-year overall survival. APX005M is intended to stimulate the body's own immune system so that the immune cells can more effectively invade and destroy the tumor, adding to the benefits of the chemotherapy and radiation therapy. Track the progress of clinical trials, drug applications, pubmed articles, and patent filings. APX005M and gemcitabine plus nab-paclitaxel, with or without nivolumab, is tolerable in metastatic pancreatic adenocarcinoma and shows clinical activity. . Stimulation of CD40 results in inflammation by upregulation of other costimulatory molecules, increased antigen presentation, maturation (licensing) of dendritic cells, and activation of CD8+ T cells. Immunotherapy triggers the body's immune system to fight cancer cells. In addition to the standard drugs typically prescribed for pancreatic cancer, patients were given a third drug, an "experimental antibody" called APX005M.
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