On January 24, 2020 Sun BioPharma, Inc. (OTCQB: SNBP), a clinical-stage biopharmaceutical company developing disruptive therapeutics for the treatment of people with pancreatic cancer, reported initial Phase 1 clinical data for SBP-101, which was presented in a poster session at the American Society for Clinical Oncology (ASCO) (Free ASCO Whitepaper) 2020 Gastrointestinal Cancers Symposium (Press release, Sun BioPharma, JAN 24, 2020, View Source [SID1234553533]). SBP-101 is a proprietary polyamine analogue designed to induce polyamine metabolic inhibition (PMI), a metabolic pathway of critical importance in cell function in multiple tumor types. Based upon the study data presented today, the adverse event profile of SBP-101 at the optimal dose level was manageable and an expansion study in patients with pancreatic ductal adenocarcinoma (PDA) is planned to begin during the second quarter of 2020.
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"We are excited about the early results from this Phase 1 trial, which suggest improved activity of SBP-101 in combination with gemcitabine and nab-paclitaxel, along with a tolerable adverse event profile," said Dr. Dusan Kotasek, Director, Clinical Research at Adelaide Cancer Centre and a key Principal Investigator in both the monotherapy and combination therapy studies of SBP-101. "Pancreatic ductal adenocarcinoma is an area of incredibly high unmet medical need, and by evaluating SBP-101 with the current standard of care, we hope to be able to offer patients an improved therapeutic option."
Preliminary Results Demonstrate Tolerability and Clinical Activity in Metastatic Treatment-Naïve Patients
As of the data cut off date of January 4, 2020, the addition of SBP-101 to the combination of gemcitabine plus nab-paclitaxel did not increase the frequency of grade 3/4 hematologic adverse events, peripheral neuropathy, nausea or diarrhea when compared to historical control data for patients who were treated with gemcitabine plus nab-paclitaxel. The most common adverse events (all grades) attributed to treatment with SBP-101 were fatigue, elevated LFTs, and injection site pain.
The most common grade 3/4 adverse event was elevation in liver function tests, which in most cases was asymptomatic, and in all cases reversed when SBP-101 was interrupted and decreased or discontinued.
Study results in evaluable subjects enrolled in the two highest dose cohorts (N=13) demonstrated an overall response rate (ORR) of 62%, including 8 partial responses (PRs). The disease control rate (DCR) was 85% by RECIST criteria. Eleven subjects in those cohorts (69%, N=16) saw a maximum decrease in CA 19-9 of more than 60%. As of January 4, 2020, 8 of 16 subjects remained on study. Median duration of response, progression free survival and overall survival had not been reached.
Phase 1a/1b Trial Design
This ongoing multicenter, open label, Phase 1 trial enrolled 20 patients with pancreatic ductal adenocarcinoma (PDA) across three dose cohorts. Study participants received a subcutaneous dose of SBP-101 at 0.2, 0.4 or 0.6 mg/kg on days 1-5 of each 28-day cycle, in addition to intravenous doses of 1000 mg/m2 of gemcitabine and 125 mg/m2 of nab-paclitaxel on days 1, 8 and 15. The goal of this study was to determine a recommended dose of SBP-101 for further development. Endpoints include safety, tolerability, and pharmacokinetics, in addition to early measures of efficacy including ORR as measured by RECIST, and CA19-9 levels. Based upon preliminary safety and efficacy signals, the protocol was amended to follow subjects for progression-free survival (PFS) and overall survival (OS).
Poster Presentation Information
Efficacy of SBP-101, in combination with gemcitabine and nab-paclitaxel, in first-line treatment of metastatic pancreatic ductal adenocarcinoma.
Friday, January 24, 2020, 12:00 PM to 1:30 PM and 4:30 PM to 5:30 PM
Abstract 710, Board K21
Poster Session B: Hepatobiliary Cancer, Neuroendocrine/Carcinoid, Pancreatic Cancer, and Small Bowel Cancer
American Society for Clinical Oncology (ASCO) (Free ASCO Whitepaper) 2020 Gastrointestinal Cancers Symposium
About SBP-101
SBP-101 is a proprietary polyamine analogue designed to induce polyamine metabolic inhibition (PMI), a metabolic pathway of critical importance in multiple tumor types. Sun BioPharma licensed SBP-101 from the University of Florida Research Foundation in 2011. The molecule has been shown to be a highly effective tumor growth inhibitor in preclinical studies of human pancreatic cancer models, demonstrating superior and complementary activity to existing FDA-approved chemotherapy agents. SBP-101 has demonstrated activity against primary and metastatic disease in clinical trials of patients with pancreatic cancer. The safety data and PMI profile observed in Sun BioPharma’s previously completed first-in-human dose escalation study of SBP-101 provides support for evaluation of SBP-101 in combination with current standard pancreatic cancer treatment.