City of Hope to Present New Research at the American Society of Clinical Oncology (ASCO) Annual Meeting 2024, Highlighting Promising Data on Stem Cell Transplantation, Blood Cancers and Supportive Care Oncology Interventions

On May 2, 2024 City of Hope, one of the largest cancer research and treatment organizations in the United States, reported that it will present new findings and offer expert perspectives on leading-edge cancer research and treatment development at the ASCO (Free ASCO Whitepaper) Annual Meeting 2024, which will take place in Chicago from May 31 to June 4 (Press release, City of Hope, MAY 2, 2024, View Source [SID1234642613]).

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In total, City of Hope experts will present at 64 sessions, including oral abstracts, rapid oral abstracts, clinical science symposiums and education sessions.

ORAL AND RAPID ORAL ABSTRACT SESSIONS

"Overall survival (OS) of phase 3 CodeBreaK 300 study of sotorasib plus panitumumab (soto+pani) versus investigator’s choice of therapy for KRAS G12C-mutated metastatic colorectal cancer (mCRC)"
Session LBA 3510 presenting Monday, June 3, from 1:21 to 1:27 p.m. CT
Session title: Gastrointestinal Cancer—Colorectal and Anal
Presenter: Marwan G. Fakih, M.D., City of Hope professor, Department of Medical Oncology & Therapeutics Research
"Post-transplant cyclophosphamide-based graft-versus-host disease prophylaxis following mismatched unrelated donor peripheral blood stem cell (PBSC) transplantation"
Session 6503 presenting on Friday, May 31, from 3:45 to 3:57 p.m. CT
Session title: Hematologic Malignancies—Leukemia, Myelodysplastic Syndromes, and Allotransplant
Presenter: Monzr M. Al Malki, M.D., City of Hope associate professor, Division of Leukemia, Department of Hematology & Hematopoietic Cell Transplantation
"Glofitamab monotherapy in patients with heavily pretreated relapsed/refractory (R/R) mantle cell lymphoma (MCL): Updated analysis from a phase I/II study"
Session 7008 presenting on Saturday, June 1, from 5:24 to 5:36 p.m. CT
Session title: Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia
Presenter: Tycel Phillips, M.D., City of Hope associate professor, Division of Lymphoma, Department of Hematology & Hematopoietic Cell Transplantation
"Preliminary safety, pharmacokinetics and clinical activity of DFF332, an oral HIF2α inhibitor, as monotherapy in a phase 1 dose escalation study in patients with advanced clear cell renal cell carcinoma"
Session 4513 presenting Saturday, June 1, from 8:30 to 8:36 a.m. CT
Session title: Genitourinary Cancer—Kidney and Bladder
Presenter: Sumanta Kumar Pal, M.D., FASCO, City of Hope professor, Department of Medical Oncology & Therapeutics Research
CLINICAL SCIENCE SYMPOSIUMS

"Geriatric assessment-directed supportive care intervention (GAIN-S)-implementation via telehealth in a lower-resourced community"
Session 1510 presenting Saturday, June 1, from 1:39 to 1:51 p.m. CT
Session title: Patient-Centered Care for Older Adults With Cancer
Presenter: Tanyanika Phillips, M.D., M.P.H., City of Hope assistant clinical professor, Department of Medical Oncology & Therapeutics Research
Senior author: William Dale, M.D., Ph.D., FASCO, City of Hope professor, Department of Supportive Care Medicine
"Quality of life for older patients with metastatic cancer in Brazil: A telehealth-based geriatric assessment and supportive care intervention (GAIN-S)"
Session 1514 presenting Sunday, June 2, from 11:54 a.m. to 12:06 p.m. CT
Presenter: Cristiane Decat Bergerot, Ph.D.
Senior author: William Dale, M.D., Ph.D., FASCO, City of Hope professor, Department of Supportive Care Medicine
POSTER ABSTRACT SESSION

"A phase I/II trial of palbociclib, pembrolizumab, and endocrine therapy for patients with HR+/HER2- locally advanced or metastatic breast cancer (MBC): Clinical outcomes and stool microbial profiling"*
Session 1038 on Sunday, June 2, from 9 a.m. to noon CT
Session Title: Breast Cancer—Metastatic
Presenter: Alexis LeVee, M.D., City of Hope Hematology & Medical Oncology Chief Fellow
* Conquer Cancer, the ASCO (Free ASCO Whitepaper) Foundation, awarded LeVee a 2024 ASCO (Free ASCO Whitepaper) Annual Meeting Merit Award, which supports students and trainees who are first authors on abstracts selected for presentation.
At the meeting, ASCO (Free ASCO Whitepaper) will recognize researchers who have reshaped cancer care. City of Hope’s William Dale, M.D., Ph.D., FASCO, is the recipient of this year’s B.J. Kennedy Geriatric Oncology Award, which honors geriatric oncologists who have demonstrated outstanding leadership and achievement in the field of geriatric oncology. Dale is the first non-oncologist recipient in the history of the award. Of note, Dale is first author of ASCO (Free ASCO Whitepaper)’s recent cancer and aging guideline update.

Online on-demand award lecture on Friday, May 31, from 1 to 1:45 p.m. CT
Presenter: William Dale, the George Tsai Family Chair in Geriatric Oncology and vice chair for academic affairs in the Department of Supportive Care Medicine at City of Hope
EDUCATION SESSIONS

"Evidence Evaluating Cannabis’ Efficacy Across the Cancer Care Continuum"
Monday, June 3, from 8:30 to 8:45 a.m. CT
Session title: Evidence-Based Integrative Oncology: Guideline Insights for Comprehensive Care
Presenter: Richard T. Lee, M.D., FASCO, City of Hope clinical professor, Supportive and Integrative Medicine Program; Cherng Family Director’s Chair for the Center for Integrative Oncology
"Tissue-Based Molecular Testing and the Role of Artificial Intelligence"
Monday, June 3, from 10 to 10:15 a.m. CT
Session title: Should I Order the Test? Expanding the Array of Emerging Diagnostics in Breast Cancer
Presenter: Daniel Schmolze, M.D., City of Hope associate clinical professor, Department of Pathology
"What Is Variant Histology Renal Cell Cancer and What Are the Available Treatment Options?"
Monday, June 3, from 3:15 to 3:30 p.m. CT
Session title: Managing Variant Histologies in Urothelial and Renal Cell Cancers
Presenter: Sumanta Kumar Pal, M.D., FASCO, City of Hope professor, Department of Medical Oncology & Therapeutics Research

Castle Biosciences Reports First Quarter 2024 Results

On May 2, 2024 Castle Biosciences, Inc. (Nasdaq: CSTL), a company improving health through innovative tests that guide patient care, reported its financial results for the first quarter ended March 31, 2024 (Press release, Castle Biosciences, MAY 2, 2024, View Source [SID1234642612]).

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"The first quarter marked an excellent start to the year with strong execution across the company, resulting in outstanding revenue and volume growth across our therapeutic areas," said Derek Maetzold, president and chief executive officer of Castle Biosciences. "These results underscore the dedication of our talented team to improving patient care and the strength of our diverse test portfolio.

"Additionally, we continue to develop evidence to support the clinical utility of our tests. We are especially pleased with three peer-reviewed studies published since the beginning of 2024 that focus on our DecisionDx-SCC test. The studies demonstrate that DecisionDx-SCC can improve risk stratification when used in conjunction with staging, to help predict responsiveness to adjuvant radiation therapy (ART) and when used in conjunction with clinicopathologic factors in considering use of ART, can potentially lead to net annual Medicare healthcare savings of up to approximately $972 million. These studies have been submitted to our Medicare Contractors for their review.

"Our DecisionDx-Melanoma test informs two questions: which patients can consider foregoing a sentinel lymph node biopsy (SLNB) surgical procedure, and what is the risk of recurrence so the most appropriate follow-up treatment plan can be implemented. It is of high importance that when a test identifies patients with a low likelihood of a positive SLNB, and thus they could forego this surgical procedure, the patients also have a low risk of metastatic outcomes. The data from our recent prospective, multicenter study show just that – SLNB-eligible patients who had a DecisionDx-Melanoma Class 1A (lowest risk) test result and made the decision with their physician to forego an SLNB had excellent outcomes during the follow-up period. We believe it is this kind of evidence that should be required in order for clinicians to safely adopt a molecular test that rules out an SLNB surgical procedure.

"Looking ahead, we are raising our 2024 total revenue guidance to $255-265 million, up from the previously provided guidance of $235-240 million, reflecting our excellent start to 2024 and continued confidence in the business. We believe the positive momentum we generated in the first quarter sets a solid foundation for continued executional success throughout the year."

First Quarter Ended March 31, 2024, Financial and Operational Highlights

Revenues were $73.0 million, a 74% increase compared to $42.0 million in 2023. Included in revenue for the period were revenue adjustments related to tests delivered in prior periods. These prior period revenue adjustments for the quarter were $1.7 million of net positive revenue adjustments, compared to $1.3 million of net negative revenue adjustments for the same period in 2023.
Adjusted Revenues, which exclude the effects of revenue adjustments related to tests delivered in prior periods, were $71.3 million, a 64% increase compared to $43.4 million for the same period in 2023.
Delivered 20,888 total test reports in the first quarter of 2024, an increase of 40% compared to 14,916 in the same period of 2023:
DecisionDx-Melanoma test reports delivered in the quarter were 8,384 compared to 7,583 in the first quarter of 2023, an increase of 11%.
DecisionDx-SCC test reports delivered in the quarter were 3,577 compared to 2,411 in the first quarter of 2023, an increase of 48%.
MyPath Melanoma test reports delivered in the quarter were 998, compared to 980 MyPath Melanoma and DiffDx-Melanoma aggregate test reports in the first quarter of 2023, an increase of 2%.
TissueCypher Barrett’s Esophagus test reports delivered in the quarter were 3,429 compared to 1,383 in the first quarter of 2023, an increase of 148%.
IDgenetix test reports delivered in the quarter were 4,078 compared to 2,150 in the first quarter of 2023, an increase of 90%.
DecisionDx-UM test reports delivered in the quarter were 422, compared to 409 in the first quarter of 2023, an increase of 3%.
Gross margin was 78%, and Adjusted Gross Margin was 81%, compared to 71% and 77%, respectively, for the same periods in 2023.
Net cash used in operations was $6.8 million, compared to net cash used in operations of $25.4 million for the same period in 2023.
Net loss, which includes non-cash stock-based compensation expense of $12.7 million, was $2.5 million, compared to a net loss of $29.2 million for the same period in 2023.
Adjusted EBITDA was $10.5 million, compared to $(15.1) million for the same period in 2023.
Cash, Cash Equivalents and Marketable Investment Securities

As of March 31, 2024, the Company’s cash, cash equivalents and marketable investment securities totaled $239.2 million.

2024 Outlook

Castle Biosciences is increasing its guidance for anticipated total revenue in 2024. The Company now anticipates generating between $255-265 million in total revenue in 2024, compared to the previously provided guidance of between $235-240 million.

First Quarter and Recent Accomplishments and Highlights

Dermatology

DecisionDx-SCC: A new study was published, titled "Inconsistent associations between risk factor profiles and adjuvant radiation therapy (ART) treatment in patients with cutaneous squamous cell carcinoma and utility of the 40-gene expression profile to refine ART guidance." The study showed that in addition to providing risk-stratification information, our DecisionDx-SCC test identified patients most likely to benefit from ART and those who can consider deferring treatment given a lower likelihood of benefit.
DecisionDx-SCC: Related to the ART study mentioned above, the Company also announced the publication of a health economic study which found that guiding ART using DecisionDx-SCC results can lead to substantial Medicare healthcare savings of up to approximately $972 million annually. This net cost reduction focused on the added cost of DecisionDx-SCC and the direct cost of ART in those patients who could consider avoiding ART. See the Company’s news release from Jan. 18, 2024, for more information.
DecisionDx-SCC: The Company announced the publication of a new multicenter performance study of its DecisionDx-SCC risk stratification test. The study analyzed the independent performance of DecisionDx-SCC from risk factors and traditional staging systems (i.e., Brigham and Women’s Hospital and American Joint Committee on Cancer Staging Manual 8th Edition (AJCC8) staging), and demonstrated significantly improved predictive accuracy when the test’s results were integrated with the staging systems and National Comprehensive Cancer Network (NCCN) guidelines to guide risk-appropriate treatment pathway decisions that can improve patient outcomes. See the Company’s news release from March 7, 2024, for more information.
DecisionDx-SCC: The Company also saw publication of an expert consensus article related to the utility of its DecisionDx-SCC test in clinical decision-making regarding the use of ART. The consensus guidelines outline a recommended risk-based workflow that integrates DecisionDx-SCC and AJCC8 staging into current NCCN guidelines to improve precision in ART recommendations based on which patients are at the highest risk for metastasis and most likely to benefit from treatment. See the Company’s news release from March 19, 2024, for more information.
DecisionDx-Melanoma: The Company announced the publication of a study demonstrating that DecisionDx-Melanoma provided significantly better risk stratification than AJCC8 staging in patients with stage I cutaneous melanoma. This study reports the results of two large stage I cohorts, including 5,561 patients from the National Cancer Institute’s Surveillance, Epidemiology and End Results (SEER) Program Registries. It suggests that incorporating the DecisionDx-Melanoma test into clinical practice may help clinicians and patients with stage I melanoma obtain more precise information about a patient’s risk of disease progression to inform more personalized, risk-aligned treatment and surveillance management plans. See the Company’s news release from Feb. 26, 2024, for more information.
DecisionDx-Melanoma: An oral presentation from a multicenter, prospective, U.S. based study examining the performance of DecisionDx-Melanoma in safely ruling out an SLNB showed that of patients with a T1-T2 melanoma and predicted to have a <5% likelihood of a positive SLN, no patients had a positive node. The DecisionDx-Melanoma test had a negative predictive value of 100% and, of clinical importance, outcome data with a median follow up time of two years showed 100% recurrence free survival; meaning that no patients experienced a recurrence in the study period. This data was presented at the Society of Surgical Oncology 2024 Annual Meeting. See the Company’s news release from March 22, 2024, for more information.
Mental Health

In March 2024, the Company announced new data highlighting the value of its IDgenetix pharmacogenomic (PGx) test in guiding medication recommendations for patients who are 65 and older with mental health conditions. Specifically, the study data showed that one-third of the IDgenetix-guided medication recommendations were due to drug-drug interactions and lifestyle factors, demonstrating the value of this additional information in guiding selection of neuropsychiatric medications for older adults in patients 65 and older, with majority being on five or more medications at the time of testing. See the Company’s news release from March 15, 2024, for more information.
Conference Call and Webcast Details

Castle Biosciences will hold a conference call on Thursday, May 2, 2024, at 4:30 p.m. Eastern time to discuss its first quarter 2024 results and provide a corporate update.

A live webcast of the conference call can be accessed here: View Source or via the webcast link on the Investor Relations page of the Company’s website, View Source Please access the webcast at least 10 minutes before the conference call start time. An archive of the webcast will be available on the Company’s website until May 23, 2024.

To access the live conference call via phone, please dial 833 470 1428 from the United States, or +1 404 975 4839 internationally, at least 10 minutes prior to the start of the call, using the conference ID 112983.

There will be a brief Question & Answer session following management commentary.

Arcus Biosciences to Participate in the Bank of America Healthcare Conference 2024

On May 2, 2024 Arcus Biosciences (NYSE:RCUS), a clinical-stage, global biopharmaceutical company focused on developing differentiated molecules and combination therapies for people with cancer, reported that its management team will participate in a fireside chat at the upcoming Bank of America Healthcare Conference in Las Vegas, NV (Press release, Arcus Biosciences, MAY 2, 2024, View Source [SID1234642611]). The fireside chat will take place on Thursday, May 16th, 2024 at 10:00am PT.

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A live webcast of the fireside chat will be available by visiting the "Investors & Media" section of the Arcus Biosciences website at www.arcusbio.com. A replay will be available following the live event.

Vir Biotechnology Provides Corporate Update and Reports First Quarter 2024 Financial Results

On May 2, 2024 Vir Biotechnology, Inc. (Nasdaq: VIR) reported a corporate update and announced financial results for the first quarter ended March 31, 2024 (Press release, Vir Biotechnology, MAY 2, 2024, View Source [SID1234642610]).

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"We are excited to share important data from our Phase 2 chronic hepatitis delta SOLSTICE trial at the upcoming EASL congress. This milestone brings us closer to addressing the significant unmet medical need for the millions of people living with hepatitis delta," said Marianne De Backer, M.Sc., Ph.D., MBA, Vir’s Chief Executive Officer. "Our team has worked diligently to streamline our operations and reduce costs, enabling us to focus our resources on advancing our promising clinical programs in hepatitis delta and hepatitis B. Looking ahead, we anticipate additional data readouts in the fourth quarter that could serve as important catalysts for the company."

Pipeline Programs

Chronic Hepatitis Delta (CHD)

On March 5, 2024, Vir announced its Phase 2 chronic hepatitis delta SOLSTICE trial completed enrollment of its current cohorts one month ahead of schedule with over 60 participants enrolled in two additional cohorts.
The trial is evaluating the safety, tolerability and efficacy of tobevibart and elebsiran for the treatment of people living with chronic hepatitis delta.
One cohort is evaluating the combination of tobevibart and elebsiran given every 4 weeks with a second cohort evaluating tobevibart monotherapy given every 2 weeks.
Approximately 50% of participants have compensated cirrhosis.
The Company will report data on a subset of SOLSTICE participants in a late-breaker poster presentation at the EASL Congress 2024. This includes additional 12-week treatment data on approximately 30 participants (~15 per regimen) and 24-week treatment data on approximately 20 participants (~10 per regimen).
Additional follow-up data for the initial six SOLSTICE trial participants will also be shared at the EASL Congress 2024.
Complete 24-week treatment data is expected in the fourth quarter of 2024.
Chronic Hepatitis B (CHB)

Two abstracts have been accepted for poster presentation at the EASL Congress 2024.
The Phase 2 MARCH Part B trial is fully enrolled with 48-week end of treatment data expected in the fourth quarter of 2024. The trial is evaluating the safety, tolerability and antiviral activity of the combination of tobevibart and elebsiran with and without peginterferon alpha.
Initial data from the Phase 2 PREVAIL platform trial and its THRIVE/STRIVE sub-protocols is expected in the first half of 2025. These trials are evaluating combinations of tobevibart, elebsiran and/or peginterferon alpha in two patient populations: immune-active but treatment-naïve and inactive carriers.
Human Immunodeficiency Virus (HIV)

Part A of the Phase 1 trial of VIR-1388, an investigational novel T cell vaccine for the prevention of HIV, is fully enrolled with initial immunogenicity data expected in the second half of 2024.
The trial is supported by the National Institute of Allergy and Infectious Diseases, part of the National Institutes of Health, and the Bill & Melinda Gates Foundation, and is being conducted by the HIV Vaccine Trials Network.
Influenza

On April 4, 2024, the Company published the full data analysis from the Phase 2 PENINSULA trial evaluating VIR-2482 on medRxiv.
Preclinical Pipeline Candidates

Vir is continuing to advance next-generation antibodies using its proprietary platform, which leverages dAIsY (data AI structure and antibody), the Company’s proprietary AI engine, enabling the Company to bring high-quality drug candidates to the clinic more efficiently.
The Company expects the filing of multiple investigational new drug applications within the next 18 months, including:
VIR-1949, an investigational therapeutic T cell vaccine based on Vir’s human cytomegalovirus (HCMV) vector platform that is designed to treat precancerous lesions caused by the human papillomavirus.
VIR-7229, a next-generation COVID monoclonal antibody candidate that has been AI-engineered to have increased potency, breadth and resistance to viral escape. The development of VIR-7229 has been supported in part with federal funds from the Department of Health and Human Services (HHS); Administration for Strategic Preparedness and Response (ASPR); Biomedical Advanced Research and Development Authority (BARDA), under Other Transaction Number: 75A50122C00081.
VIR-2981, an investigational neuraminidase-targeting monoclonal antibody against both influenza A and B viruses.
VIR-8190 and other investigational monoclonal antibodies against respiratory syncytial virus and/or metapneumovirus as part of the collaboration established with GSK in May of 2021.
Corporate Update

The Company plans to host a virtual R&D day in late November.
Effective May 3, 2024, Sung Lee, Executive Vice President and Chief Financial Officer will be stepping down from his role to pursue another career opportunity. The Company has initiated a search for a successor.
First Quarter 2024 Financial Results

Cash, Cash Equivalents and Investments: As of March 31, 2024, the Company had approximately $1.51 billion in cash, cash equivalents and investments. Cash, cash equivalents and investments declined by approximately $118 million during the first quarter of 2024.

Revenues: Total revenues for the quarter ended March 31, 2024, were $56.4 million compared to $63.0 million for the same period in 2023.

Revenues were comprised of the following components:

Three Months Ended March 31,

2024

2023

% Change

(in millions)

Collaboration revenue

$

(1.0

)

$

46.6

(102.1

)%

Contract revenue

52.2

0.1

>100.0

%

Grant revenue

5.2

16.2

(67.9

)%

Total revenues

$

56.4

$

63.0

(10.5

)%

Note: Numbers may not add due to rounding.

Collaboration revenue: The decrease in collaboration revenue for the first quarter of 2024 compared to the same period in 2023 was driven by the release of profit-sharing amount previously constrained during the three months ended March 31, 2023 and to a lesser extent, lower sales of sotrovimab during the three months ended March 31, 2024, under the Company’s collaboration with GSK.
Contract revenue: The increase in contract revenue for the first quarter of 2024 compared to the same period in 2023 was primarily driven by the recognition of deferred revenue related to the expiry of GSK’s rights to select up to two additional non-influenza target pathogens during the three months ended March 31, 2024.
Grant revenue: The decrease in grant revenue was primarily driven by lower revenue related to the Company’s agreement with BARDA.
Cost of Revenue: Cost of revenue for the first quarter of 2024 was nominal compared to $1.9 million for the same period in 2023. The decrease was due to lower third-party royalties owed on the sales of sotrovimab.

Research and Development Expenses (R&D): R&D expenses for the first quarter of 2024 were $100.1 million, which included $13.6 million of non-cash stock-based compensation expense, compared to $157.6 million for the same period in 2023, which included $13.4 million of non-cash stock-based compensation expense. The decrease was primarily driven by lower clinical development costs and manufacturing costs associated with VIR-2482.

Selling, General and Administrative Expenses (SG&A): SG&A expenses for the first quarter of 2024 were $36.3 million, which included $10.2 million of non-cash stock-based compensation expense, compared to $46.8 million for the same period in 2023, which included $12.1 million of non-cash stock-based compensation expense. The decrease was primarily driven by cost savings initiatives implemented during the second half of 2023.

Other Income: Other income for the first quarter of 2024 was $15.1 million compared to $0.2 million for the same period in 2023. The increase was primarily due to the decrease in foreign exchange loss related to remeasurement of liability reserved for excess sotrovimab supply and manufacturing capacity and a decrease in loss recognized on the Company’s equity investments.

(Provision for) Benefit from Income Taxes: Provision for income taxes for the first quarter of 2024 was $0.3 million compared to benefit from income taxes of $2.2 million for the same period in 2023.

Net Loss: Net loss attributable to Vir for the first quarter of 2024 was $(65.3) million, or $(0.48) per share, basic and diluted, compared to a net loss of $(140.9) million, or $(1.06) per share, basic and diluted for the same period in 2023.

2024 Financial Guidance

The Company reiterates its full year 2024 guidance below, originally provided on February 22, 2024 (in millions):

GAAP combined R&D and SG&A expense range:

$

650

to

$

680

The following expenses are included in the GAAP combined R&D and SG&A expense range:

Stock-based compensation expense

$

115

to

$

105

Restructuring charges*

$

35

to

$

25

* Restructuring charges are primarily non-cash expenditures, related to the closing of two R&D sites previously announced on December 13, 2023.

Approximately three to four percent of the GAAP combined R&D and SG&A expense will be funded by grants. These grants are recognized as revenue.

The GAAP combined R&D and SG&A expense guidance does not include the effect of GAAP adjustments caused by events that may occur subsequent to the publication of this guidance, including, but not limited to, business development activities, litigation, in-process R&D impairments, and changes in the fair value of contingent considerations.

Conference Call

Vir will host a conference call to discuss the first quarter results at 1:30 p.m. PT / 4:30 p.m. ET today. A live webcast will be available on View Source and will be archived on www.vir.bio for 30 days.

About Tobevibart

Tobevibart is an investigational subcutaneously administered antibody designed to block entry of hepatitis B and hepatitis delta viruses into hepatocytes and to reduce the level of virions and subviral particles in the blood. Tobevibart, which incorporates Xencor’s Xtend and other Fc technologies, has been engineered to potentially function as a T cell vaccine against hepatitis B virus and hepatitis delta virus, as well as to have an extended half-life. Tobevibart was identified using Vir’s proprietary monoclonal antibody discovery platform.

About Elebsiran

Elebsiran is an investigational subcutaneously administered hepatitis B virus-targeting small interfering ribonucleic acid (siRNA) that Vir believes has the potential to stimulate an effective immune response and have direct antiviral activity against hepatitis B virus and hepatitis delta virus. It is the first siRNA in the clinic to include Enhanced Stabilization Chemistry Plus (ESC+) technology to enhance stability and minimize off-target activity, which potentially could result in an increased therapeutic index. Elebsiran is the first asset in the Company’s collaboration with Alnylam Pharmaceuticals, Inc. to enter clinical trials.

About VIR-2482

VIR-2482 is an investigational hemagglutinin targeting, intramuscularly administered influenza A-neutralizing monoclonal antibody. In vitro, it has been shown to cover all major strains of influenza A that have arisen since the 1918 flu pandemic. VIR-2482 is designed as a prophylactic for influenza A. VIR-2482 incorporates Xencor’s Xtend and was identified using Vir’s proprietary monoclonal antibody discovery platform.

The PENINSULA trial has been supported in part with federal funds from the Department of Health and Human Services (HHS); Administration for Strategic Preparedness and Response (ASPR); Biomedical Advanced Research and Development Authority (BARDA), under Other Transaction Number: 75A50122C00081.

About VIR-2981

VIR-2981 is an investigational neuraminidase-targeting monoclonal antibody against influenza viruses. It targets a region of the neuraminidase protein that is highly conserved across influenza A and B strains and is designed to inhibit the influenza neuraminidase, a key viral protein that facilitates release of new viruses in infected individuals. Preclinical data demonstrate the antibody’s breadth and potency against all major strains of seasonal and pandemic influenza viruses and support the potential of this antibody in the prevention of influenza illness. VIR-2981 was identified using Vir’s proprietary monoclonal antibody discovery platform.

About VIR-1388

VIR-1388 is a preclinical subcutaneously administered HIV T cell vaccine based the T cell-based viral vector platform and has been designed to elicit abundant T cells that recognize HIV epitopes with the goal of creating a safe and effective HIV vaccine.

About Sotrovimab

Sotrovimab is an investigational SARS-CoV-2 neutralizing monoclonal antibody that was developed in collaboration with GSK. The antibody binds to an epitope on SARS-CoV-2 shared with SARS-CoV-1 (the virus that causes SARS). Sotrovimab, which incorporates Xencor, Inc.’s Xtend technology, has been designed to achieve high concentration in the lungs to achieve optimal penetration into airway tissues affected by SARS-CoV-2 and to have an extended half-life. Sotrovimab was identified using Vir’s proprietary monoclonal antibody discovery platform. Sotrovimab is currently not authorized in the US.

About VIR-7229

VIR-7229 is an investigational next generation COVID-19 monoclonal antibody with a distinct combination of potency, breadth and viral inescapability. VIR-7229 is designed as a prophylactic for COVID-19 and was identified using Vir’s proprietary monoclonal antibody discovery platform. VIR-7229 incorporates Xencor, Inc.’s Xtend technology and is affinity matured using machine learning to increase its effectiveness in binding to SARS-CoV and SARS-CoV-2 variants.

The development of VIR-7229 has been supported in part with federal funds from the Department of Health and Human Services (HHS); Administration for Strategic Preparedness and Response (ASPR); Biomedical Advanced Research and Development Authority (BARDA), under Other Transaction Number: 75A50122C00081.

About VIR-8190

VIR-8190 is an investigational dual specificity monoclonal antibody that has the ability to potently neutralize both respiratory syncytial virus (RSV) and human metapneumovirus (hMPV) strains. RSV and HMPV are recognized as significant causes of lower respiratory tract disease in high-risk populations, including infants and immunocompromised individuals. VIR-8190 was identified using Vir’s proprietary mAb discovery platform.

About VIR-1949

VIR-1949 is an investigational therapeutic vaccine based the T cell-based viral vector platform that is designed to treat HPV-related high-grade squamous epithelial pre-cancer lesions (HSIL) and cancers. This vaccine uses HCMV as the vaccine vector. Based on preclinical data, HCMV vectors have the potential to induce high frequencies of antigen-specific, tissue-localizing effector memory T cells.

Remix Therapeutics Announces First Patients Dosed in Two Phase 1 Clinical Trials Investigating REM-422 for Treatment of Adenoid Cystic Carcinoma (ACC) and Acute Myeloid Leukemia/Myelodysplastic Syndromes (AML/MDS)

On May 2, 2024 Remix Therapeutics (Remix), a clinical-stage biotechnology company developing small molecule therapies to modulate RNA processing and address underlying drivers of disease, reported the first patients enrolled and dosed in two Phase 1 clinical trials assessing REM-422, a first-in-class MYB mRNA degrader, as a potential treatment for recurrent or metastatic adenoid cystic carcinoma (ACC) and acute myeloid leukemia/high-risk myelodysplastic syndromes (AML/MDS) (Press release, Remix Therapeutics, MAY 2, 2024, View Source [SID1234642609]). Additionally, the company also announced that REM-422 has received Orphan Drug Designation from the FDA for the treatment of ACC and AML.

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"Advancing REM-422, the first compound from the REMaster discovery platform, into the clinic marks a significant milestone for Remix," said Peter Smith, Ph.D., Co-Founder and Chief Executive Officer of Remix. "We are pleased with our first look at safety and pharmacokinetics data in patients and we look forward to further investigating the use of REM-422 to target MYB, a previously undruggable oncogenic transcription factor, for people living with ACC and AML/MDS."

The two Phase 1, open-label, non-randomized, multicenter studies are investigating REM-422 for patients with recurrent or metastatic ACC (NCT06118086) and for patients with relapsed/refractory AML or high-risk MDS (NCT06297941). Both studies include a Dose Escalation Phase and a Dose Expansion Phase to further evaluate safety, PK/PD and anti-tumor activity.

MYB is an oncogenic driver of multiple solid tumors and hematological malignancies, including ACC and AML. REM-422 is a potent, selective, and oral small molecule mRNA degrader that induces the reduction of MYB mRNA and subsequent protein expression, resulting in antitumor activity in MYB-dependent human tumor models.

"People living with metastatic ACC need effective treatment options, which is reflected in our orphan drug designation, and REM-422 is a targeted therapy that addresses MYB dysregulation, the underlying driver of this disease," said Chris Bowden, M.D., Chief Medical Officer of Remix. "We are eager to further evaluate the use of REM-422 and assess its potential to be a first-line therapeutic option for patients living with metastatic ACC. Simultaneously, we look forward to analyzing the safety and efficacy of REM-422 for AML and high-risk MDS where MYB is known to play a critical role in leukemogenesis."

The U.S. FDA Orphan Drug Designation is granted to investigational therapies for rare medical conditions that impact fewer than 200,000 people in the United States.

About REM-422
REM-422 is a first-in-class, potent, selective, and oral small molecule mRNA degrader that induces the reduction of MYB mRNA and subsequent protein expression. REM-422 functions by facilitating the incorporation of poison exons within the mRNA transcript, leading to nonsense-mediated decay (NMD) of the transcript. REM-422 addresses MYB dysregulation, a driver of oncogenesis, upstream of protein expression.

About ACC
Adenoid cystic carcinoma (ACC) is a rare cancer that commonly develops in glandular tissues in the head and neck. It is caused by genetic mutations, likely developed over a patient’s lifetime, with the majority of ACC cases linked to an overexpression of the MYB protein. Depending on the location of the tumor, symptoms may include numbness of the face, difficulties swallowing, changes in vision, or difficulty breathing, among others. Current treatment solutions include surgery, radiation therapy, and chemotherapy.

About AML/MDS
Acute myeloid leukemia (AML), a rare cancer of the blood and bone marrow, is the most common type of acute leukemia in adults. AML is caused by genetic mutations within bone marrow cells, which in turn causes the production of leukemic white blood cells that crowd out healthy blood cells. This may cause problems with bleeding, infection, and anemia. Myelodysplastic Syndromes (MDS) are disorders of blood-forming units in the bone marrow. High-risk MDS patients have a higher percentage of blast cells in the bone marrow and that, in many cases, progresses to AML. There are several approved agents to treat AML, however, many patients relapse after achieving a response, underscoring the need for new therapies.