ERYTECH Reports Positive Phase 2b Data for eryaspase for the Treatment of Metastatic Pancreatic Cancer
- Category: Proteins and Peptides
- Published on Monday, 27 March 2017 14:06
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- Primary progression-free survival (PFS) and overall survival (OS) endpoints met in patients with low asparagine synthetase (ASNS)
- Statistically significant improvement of OS and PFS in the entire patient population
LYON, France I March 27, 2017 I ERYTECH Pharma (Paris:ERYP) (ADR:EYRYY) (Euronext Paris - ERYP), a French clinical-stage biopharmaceutical company developing innovative therapies by encapsulating therapeutic drug substances inside red blood cells, today announced positive topline results from its Phase 2b clinical study evaluating its product candidate, eryaspase (GRASPA®), in combination with chemotherapy for the treatment of second-line metastatic pancreatic cancer. The multicenter, randomized Phase 2b study met its prespecified co-primary endpoints, and showed significant improvement in both progression-free survival (PFS) and overall survival (OS) in patients treated with eryaspase combined with chemotherapy compared to chemotherapy alone.
The Phase 2b study evaluated eryaspase, L-asparaginase encapsulated in red blood cells, as a second-line treatment in combination with chemotherapy in patients with metastatic pancreatic cancer. In this 140-patient study, conducted in France, eryaspase was added to the standard of care (gemcitabine or FOLFOX) and compared to the standard of care alone in a 2-to-1 randomization.
Asparagine synthetase (ASNS) expression status in several tumor types, such as leukemia, lymphoma and pancreatic cancer, is believed to play an important role in determining sensitivity to asparaginase treatment. The primary objective of the study was to evaluate the effect of eryaspase on PFS or OS in patients with low ASNS, about 70% of the study population, with a prespecified Hazard Ratio (HR) below 0.85 for either PFS or OS. This endpoint was met showing a HR of 0.73 for PFS and 0.62 for OS.
The effect of eryaspase was furthermore demonstrated regardless of ASNS expression. In the entire patient population, the study achieved a HR of 0.57 for OS (95% CI; 0.38, 0.85) (p=0.034) with a median OS of 26.1 weeks (95% CI; 21.0, 28.9) for the eryaspase arm versus 19.0 weeks (95% CI; 12.3, 21.7) for the standard of care arm. Similar results were observed for PFS. ASNS expression does not appear to be predictive, but seems to be a prognostic factor. The role of ASNS will be further explored in future clinical studies.
The treatment was generally well tolerated.
Complete data will be presented at an upcoming medical conference, and will be submitted for publication.
Prof Pascal Hammel, MD, PhD, gastroenterologist-oncologist at Beaujon Hospital in Paris and principal investigator of the study, commented, “These results generated by eryaspase in combination with the standard of care are highly encouraging and compare favorably to gemcitabine or FOLFOX treatment administered alone. The results of this study support eryaspase as a potential treatment option for patients with metastatic pancreatic cancer in the second-line setting.”
“Pancreatic adenocarcinoma is a dismal disease with poor survival outcome,” commented Iman El-Hariry, MD, PhD, Chief Medical Officer of ERYTECH. “We believe this is the first Phase 2b study of an asparaginase product in pancreatic adenocarcinoma, yet it demonstrated a significant 43% reduction in risk of death in a very difficult-to-treat disease with few treatment options. The study had well balanced demographic and baseline patient characteristics. The improvement in OS and PFS was consistent across subgroups. The adverse events observed in this study were consistent with the known safety profile of eryaspase. We would like to thank all of our participating clinical sites for their hard work and commitment to the study.”
Gil Beyen, Chairman and CEO of ERYTECH, added, “We have been studying the metabolic pathways for the past decade with the aim to develop effective treatments for patients with metabolically-driven tumors. We are very excited by these new positive data. They provide further important clinical proof of concept supporting the development of eryaspase as a potential treatment in one of the most aggressive tumor types. We will now explore the path forward with clinicians and regulators to bring eryaspase to patients with metastatic pancreatic cancer as soon as possible. The results of this study not only reinforce the role of eryaspase in the treatment of this disease, they also provide further rationale for its evaluation in other tumor types.”
About pancreatic cancer:
Pancreatic cancer is a disease in which malignant (cancer) cells are found in the tissues of the pancreas. Every year there are about 150,000 new cases of pancreatic cancer diagnosed in Europe and the United States. Pancreatic cancer is a particularly aggressive cancer, with a five-year survival rate of less than 10% and is currently the fourth most common cause of cancer death in the EU for men and women.
About ERYTECH and eryaspase (GRASPA®): www.erytech.com
Founded in Lyon, France in 2004, ERYTECH is a clinical-stage biopharmaceutical company developing innovative therapies for rare forms of cancer and orphan diseases. Leveraging its proprietary ERYCAPS platform, which uses a novel technology to encapsulate therapeutic drug substances inside red blood cells, ERYTECH has developed a pipeline of product candidates targeting markets with high unmet medical needs. ERYTECH’s initial focus is on the treatment of blood cancers, including acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML), by depriving tumors of nutrients necessary for their survival. ERYTECH plans to pursue regulatory approvals for its lead product candidate, eryaspase, also known as ERY-ASP or under the trade name GRASPA®, having achieved positive efficacy and safety results from its completed Phase 2/3 pivotal clinical trial in Europe in children and adults with relapsed or refractory ALL. ERYTECH also has an ongoing Phase 1 clinical trial of eryaspase in the United States in adults with newly diagnosed ALL, and a Phase 2b clinical trial in Europe in elderly patients with newly diagnosed AML, each in combination with chemotherapy. ERYTECH believes that eryaspase also has potential as a treatment approach in solid tumors. ERYTECH has successfully completed a Phase 1 study and a 140-patient Phase 2 clinical trial in France, evaluating eryaspase in patients with second line metastatic pancreatic cancer.
Eryaspase consists of an enzyme, L-asparaginase, encapsulated inside donor-derived red blood cells. L-asparaginase depletes asparagine, a naturally occurring amino acid essential for the survival and proliferation of cancer cells, from circulating blood plasma. ERYTECH produces eryaspase at its own GMP-approved and operational manufacturing site in Lyon (France), and at a site for clinical production in Philadelphia (USA). ERYTECH has entered into licensing and distribution partnership agreements for eryaspase for ALL and AML in Europe with Orphan Europe (Recordati Group), and for ALL in Israel with TEVA, which will market the product under the GRASPA® brand name. The European Medicines Agency (EMA) and the U.S. Food and Drug Administration (FDA) have granted orphan drug designations for eryaspase for the treatment of ALL, AML and pancreatic cancer.
In addition to eryaspase, ERYTECH is developing two other product candidates that focus on using encapsulated enzymes to induce tumor starvation. The company is also exploring the use of its ERYCAPS platform for developing cancer immunotherapies and enzyme replacement therapies.