On December 19, 2019 Cullinan Oncology, LLC reported the initiation of dosing with VK-2019, Cullinan Apollo’s first-in-class EBNA1 inhibitor for Epstein Barr Virus positive (EBV+) cancers and CLN-081, Cullinan Pearl’s novel epidermal growth factor (EGFR) tyrosine kinase inhibitor (TKI) for non-small cell lung cancer (NSCLC) (Press release, Cullinan Oncology, DEC 19, 2019, View Source [SID1234552528]). Cullinan Apollo and Cullinan Pearl are subsidiaries of Cullinan Oncology.

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VK-2019 and CLN-081 represent the first two small molecules targeting oncogenic drivers from the Cullinan Oncology pipeline. Each clinical study is a global Phase 1/2a study that utilizes an accelerated dosing schema, followed by expansion cohorts to fully characterize both safety and efficacy.

"We are grateful to our many collaborators for helping us bring these innovative medicines to patients," stated Owen Hughes, CEO of Cullinan Oncology, LLC. "We are hopeful that our medicines have the potential to positively impact the lives of those living with EBV+ nasopharyngeal carcinoma and NSCLC driven by EGFR exon 20 insertion mutations. We look forward to bringing additional targeted therapies into the clinic in the coming quarters."

About VK-2019

VK-2019 is a first-in-class EBNA1 inhibitor for EBV+ cancers. Epstein-Barr Virus (EBV) is a well-established driver of various cancers and is critically reliant on the viral DNA-binding factor EBNA1 for viral genome maintenance. In preclinical models of EBV-associated cancers, VK-2019 eliminated EBV, resulting in tumor growth inhibition. VK-2019 originated at the Wistar Institute and was licensed by Cullinan Apollo in 2018.

About CLN-081

CLN-081 (formerly TAS6417) is an orally available tyrosine kinase inhibitor designed to target activating mutations in EGFR. The molecule was engineered to inhibit EGFR variants with exon 20 insertion mutations, while sparing wild-type EGFR. CLN-081 is initially in development to target NSCLC driven by EGFR exon 20 insertion mutations. CLN-081 was developed by Taiho Pharmaceuticals and was licensed by Cullinan Pearl in 2019.

On December 19, 2019 Physicians’ Education Resource (PER), a leading resource for continuing medical education (CME), reported that it has named Scott Gottlieb, M.D., and Nalie Agustin, as the keynote speakers for the 37th Annual Miami Breast Cancer Conference (Press release, Physicians’ Education Resource, DEC 19, 2019, View Source [SID1234552527]). This year’s keynote presentations will take place at the Fontainebleau in Miami Beach, Florida.

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"We are honored to have Dr. Gottlieb and Nalie join us at this year’s legacy Miami Breast Cancer Conference," said Phil Talamo, president of PER. "Dr. Gottlieb has an incredible amount of experience in the field of health care access and public health advocacy and Nalie is such an inspirational breast cancer advocate that will provide a remarkable patient perspective to the audience."

Gottlieb is a physician and served as the 23rd commissioner of the Food and Drug Administration (FDA) from 2017-2019. His work focuses on advancing public health through developing and implementing innovative approaches to improving medical outcomes, reshaping health care delivery, and expanding consumer choice and safety. Under his leadership, the FDA advanced new frameworks for the modern and safe and effective oversight of gene therapies, cell-based regenerative medicines, targeted drugs and digital health devices. Gottlieb is widely published in leading medical journals and periodicals, including The Wall Street Journal, The New York Times and The Washington Post. Fortune magazine has recognized him as one of the "World’s 50 Greatest Leaders" in 2018 and in 2019, and he was named one of Time magazine’s "50 People Transforming Healthcare in 2018." Gottlieb will present his scientific keynote speech on Saturday, March 7 at 11:40 a.m.

Agustin is an author, speaker and wellness advocate thriving with metastatic breast cancer. She has openly chronicled her life on social media and her blog Nalie.ca since she was diagnosed with breast cancer at only 24 years old in 2013. Since then, she has amassed a large and loyal community of women seeking for hope and inspiration. Her creativity, authenticity and positive outlook have opened doors to many opportunities including being featured on Apple’s iPhone X billboards and in The American Cancer Society’s YOUnited Against Breast Cancer campaign alongside celebrities like French Montana, DJ Khaled, Kristen Chenoweth and more. She has been the Ambassador for the Canadian Breast Cancer Foundation for several years and is the spokesperson for her local hospital. Agustin is also the co-host of Thriver Talks, a podcast giving weekly tips on how to heal and live your best life beyond cancer and is currently co-authoring The Thriver’s Guide with Stephanie Seban, launching in 2020. Agustin will present her patient keynote speech on Saturday, March 7 at 11:10 a.m.

For 37 years, the Miami Breast Cancer Conference has brought together surgical, medical and radiation oncologists, as well as geneticists, pathologists, radiologists and supportive-care specialists, to foster awareness of state-of-the-art treatments for all stages and subtypes of breast cancer, provide expert perspectives on areas of clinical uncertainty or controversy, and encourage attendees to engage in cross-team cooperation in their clinics.

On December 19, 2019 UroGen Pharma Ltd. (Nasdaq: URGN) reported the U.S. Food and Drug Administration (FDA) accepted for filing and granted priority review for its New Drug Application (NDA) for UGN-101 (mitomycin gel) for instillation as a potential treatment for patients with low-grade upper tract urothelial cancer (LG UTUC) (Press release, UroGen Pharma, DEC 19, 2019, View Source [SID1234552525]). If approved, UGN-101 would be the first non-surgical treatment option for LG UTUC.

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"The FDA filing acceptance and granting of priority review for UGN-101 is an important milestone in our mission to pioneer new treatments to improve patient care in specialty cancers and urologic diseases," said Liz Barrett, President and Chief Executive Officer of UroGen. "There is a significant unmet need for a better treatment option for patients with LG UTUC, as the current standard of care involves surgical removal of the kidney or repetitive endoscopic tumor removal."

The FDA grants priority review to applications for medicines that, if approved, would be significant improvements in the safety or effectiveness of the treatment, diagnosis, or prevention of serious conditions when compared to standard applications. Priority review designation shortens the review period from the standard 10 months to six months from the submission of the NDA. The FDA assigned a Prescription Drug User Fee Act (PDUFA) action date of April 18, 2020.

The company is on track for the potential launch of UGN-101 by mid-year 2020. The FDA previously granted Orphan Drug, Fast Track, and Breakthrough Therapy Designations to UGN-101 for the treatment of LG UTUC.

The NDA is supported by the positive results from the pivotal Phase 3 OLYMPUS clinical trial. Results from a final analysis of the primary endpoint showed that UGN-101 demonstrated a complete response rate of 59 percent in patients with LG UTUC. In addition, the durability of response was estimated as 89 percent at six months and 84 percent at 12 months by Kaplan Meier analysis. Median time to recurrence was estimated to be 13 months. The most commonly reported treatment emergent adverse events were ureteric stenosis (43.7%), urinary tract infection (32.4%), haematuria (31.0%), flank pain (29.6%) nausea (23.9%), dysuria (21.1%), renal impairment (19.7%) and vomiting (19.7%). The majority of these adverse events were mild to moderate, with 8.5% of patients having events of ureteric stenosis reported as severe.

About The Phase 3 OLYMPUS Trial

OLYMPUS (Optimized DeLivery of Mitomycin for Primary UTUC Study) is a pivotal, open-label, single-arm Phase 3 clinical trial of UGN-101 (mitomycin gel) for instillation to evaluate the safety, tolerability and tumor ablative effect of UGN-101 in patients with low-grade UTUC. The trial enrolled 74 patients at clinical sites across the United States and Israel. Study participants were treated with six weekly instillations of UGN-101 administered via a standard catheter. Four to six weeks following the last instillation, patients underwent a Primary Disease Evaluation (PDE) to determine complete response (CR), the primary endpoint of the study. PDE involved a ureteroscopy and wash cytology, a standard microscopic test of cells obtained from the urine to detect cancer. Patients who achieved a CR at the PDE timepoint were then followed for up to 12 months to determine the durability of response with UGN-101.

About UGN-101

UGN-101 (mitomycin gel) for instillation is an investigational drug formulation of mitomycin for the treatment of low-grade upper tract urothelial cancer (LG UTUC). Utilizing the RTGel technology platform, UroGen’s proprietary sustained release, hydrogel-based formulation, UGN-101 is designed to enable longer exposure of urinary tract tissue to mitomycin, thereby enabling the treatment of tumors by non-surgical means. UGN-101 is delivered to patients using standard ureteral catheters. The Company initiated its rolling submission of the UGN-101 New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) in December 2018. The FDA previously granted Orphan Drug, Fast Track, and Breakthrough Therapy Designations to UGN-101 for the treatment of UTUC. If approved, UGN-101 would be the first drug approved for the treatment of LG UTUC.

On December 19, 2019 Turnstone Biologics, a biotechnology company pioneering the development of engineered viral immunotherapies, reported a strategic collaboration with Takeda Pharmaceutical Company Limited ("Takeda") to develop multiple products from its proprietary vaccinia virus platform targeting a broad range of cancer indications (Press release, Turnstone Biologics, DEC 19, 2019, View Source [SID1234552524]). The parties will advance Turnstone’s lead program, RIVAL-01, through a worldwide co-development and co-commercialization partnership and will also conduct collaborative discovery efforts to identify additional novel product candidates based on the vaccinia virus platform for future independent development.

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"Our collaboration with Takeda will combine our exciting viral immunotherapy platform with Takeda’s deep immuno-oncology research development expertise and proprietary technologies to discover and advance new medicines that have the potential to address critical gaps in the treatment of cancer that exist today," said Sammy Farah, Ph.D., CEO and President, Turnstone Biologics. "Importantly, this partnership allows us to co-develop and co-commercialize RIVAL-01 together with Takeda, enabling us to broaden our internal capabilities and expand our viral immunotherapy pipeline, while retaining our ability to independently develop other candidates based on this technology."

Under the terms of the agreement, Turnstone will receive a total of $120 million in upfront cash, near-term milestones and future equity investment. The collaboration agreement grants Takeda an exclusive worldwide license to co-develop and co-commercialize RIVAL-01 with Turnstone, with global costs and profits shared 50:50. The companies will also collaborate on the development of new product candidates based on Turnstone’s proprietary vaccinia virus platform. Takeda has the right to license select candidates resulting from the collaboration, with Turnstone retaining ownership of the others to advance independently. Turnstone is eligible to receive up to an additional $900 million in potential development, regulatory and commercial milestones across all programs, and receive royalty payments on net sales of each licensed product.

"Our immuno-oncology discovery engine is focused on novel, differentiated mechanisms throughout the cancer immunity cycle and we are privileged to add engineered viral immunotherapies to our portfolio," said Chris Arendt, Head, Oncology Drug Discovery Unit at Takeda. "Our partnership with Turnstone and its vaccinia virus platform will help us harness the power of the immune system in unique ways to address some of the most difficult-to-treat cancers."

Turnstone’s RIVAL therapeutic pipeline is based on its proprietary vaccinia virus platform, which has been engineered for enhanced immune-stimulation and tumor cell selectivity, potent oncolysis and large transgene carrying capacity. RIVAL-01 is the lead candidate, consisting of the vaccinia virus backbone encoding transgenes for Flt3 ligand, anti-CTLA-4 antibody and IL-12 cytokine. The transgenes are designed to be expressed when the vaccinia virus enters and replicates in cancer cells throughout the body. The resulting local production of these therapeutics at the site of tumors adds to the inherent oncolytic and microenvironment-modifying properties of the virus to form a powerful multi-modal attack on the disease.

"Our proprietary vaccinia virus platform is exquisitely engineered to enhance virus-mediated cancer cell killing and better harness the power of the immune system against tumors, with the aim of transforming the treatment paradigm and developing much-needed therapies for people with cancer," said Mike Burgess, Ph.D., President of R&D, Turnstone Biologics. "With RIVAL-01, we intend to deliver three powerful immune modulating agents to primary and metastatic tumor sites and limit their expression to the local tumor environment, reducing the potential for systemic toxicity. This therapy has the potential to drive immune activity in the tumor that is not otherwise achievable."

On December 19, 2019 Median Technologies (Paris:ALMDT), The Imaging Phenomics Company (Euronext Growth – ALMDT) and the European Investment Bank (EIB) reported the signing of a € 35 million finance contract, supported by the European Strategic Investment Fund (EFSI) or "Juncker Plan" (Press release, MEDIAN Technologies, DEC 19, 2019, View Source [SID1234552517]). News about ongoing negotiations for this loan was previously released on May 15, 2019.

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This financing, divided into three (3) tranches, will enable Median Technologies to enhance and accelerate its iBiopsy imaging platform investment program for the coming years. Median is a cutting-edge AI and data sciences technology provider for precision medicine. Through its proprietary iBiopsy platform, Median is developing non-invasive imaging biomarkers to enable the identification of certain chronic disease – including cancer- signatures, to dramatically enhance early detection, severity quantification and monitoring of diseases. The objective is on one hand to guide clinicians in their therapeutic decisions in the context of precision and predictive medicine and, on the other hand, to provide disruptive decision tools to foster medical innovations and new therapy development.

Median will request the disbursement of the first tranche of € 15 million during the first semester of 2020. The contract then provides for the disbursement of the second and third tranches (of € 10 million each) in the coming years, at Median Technologies’ discretion, subject to the completion of certain conditions precedents specified in the finance contract. The repayment of this financing will occur, in a single installment, at the end of a five -year period after the disbursement date. The finance contract is supplemented by the payment of various interests and fees and by a guarantee granted by Median Technologies, Inc. (Median Technologies’ US subsidiary).

Pursuant to the warrants issuance agreement, Median Technologies will issue 800,000 warrants for the benefit of the EIB on the date of disbursement of the first tranche and, where appropriate, 300,000 additional warrants on the date of disbursement of the second tranche, at a subscription price of € 0.01. The exercise price of these warrants will be determined based on the price of one or more fundraising(s) of at least € 15 million carried out within 15 months after the subscription date to which an increasing discount will apply based on time, with a minimum of € 2 from the 16th month. The lifespan of these warrants is 15 years.

The warrants issuance agreement includes an exercise parity adjustment clause which could apply, under certain conditions,in case of capital increase. The EIB will be granted with the possibility, under certain conditions, to request Median Technologies to buy back its warrants for a maximum amount of € 50 million and, beyond that amount, to find a buyer and pay interests on the price of the remaining warrants. The total amount of warrants (for the two tranches) would represent up to 7.44 % of the share capital fully diluted.

The objective of this financing, granted by the EIB together with the European guarantee within the framework of the Juncker plan, is to support research and innovation projects developed by companies with substantial growth potential. Median Technologies meets these criteria as its technologies have the potential to impact the lives of hundreds of thousands of patients worldwide.

The agreement was signed by the European Investment Bank and Fredrik Brag, CEO and co-founder of Median Technologies on December 18, 2019.

"Through the Juncker Plan impulse, EIB has become a key player in financing innovative companies, in particular companies involved in the domains of Health and Artificial intelligence, which are the core activities developed by Median Technologies ", said EIB Vice-President, Mr. Ambroise Fayolle

Fredrik Brag, CEO and co-founder of Median Technologies added: "We are very pleased to announce the signing of the finance agreement with the European Investment Bank. The EIB financing will allow us to accelerate our investment in the development of our iBiopsy platform with a strong focus in oncology and liver disease. We are the next generation precision medicine company focused on helping conquer cancer and other diseases through our proprietary routine imaging tests. These novel non-invasive imaging tests could dramatically impact early detection, diagnosis and monitoring of diseases. We leverage our capabilities in technology, artificial intelligence, clinical development, regulatory and reimbursement to drive the development and commercial adoption of our future iBiopsy product line, improve patient clinical outcome and lower healthcare costs."