On July 21, 2021 Magenta Therapeutics, Inc. (Nasdaq: MGTA) reported that it has received a clinical hold letter from the U.S. Food and Drug Administration (FDA) related to its Investigational New Drug Application (IND) filed in June 2021 to initiate a Phase 1/2 clinical trial of MGTA-117 in patients with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS) (Press release, Magenta Therapeutics, JUL 21, 2021, View Source [SID1234585001]).
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The FDA is requiring that Magenta develop an additional bioassay to be used in conjunction with the PK/PD model to inform dose escalation decisions in addition to safety monitoring. This was the only clinical hold item identified by the FDA and does not relate to the toxicology or manufacturing of MGTA-117. Magenta has initiated the development of the bioassay and intends to work closely with the FDA to determine the application of the bioassay for dose escalation. The FDA has indicated its willingness to continue its engagement on this issue through its "Type A" meeting structure, which Magenta anticipates will help facilitate communication and resolution of the clinical hold.
"We are actively developing the bioassay requested by the FDA and do not expect significant technical challenges in its completion. We expect to request a ‘Type A’ meeting in the coming weeks and, if successful in resolving this remaining issue, we would anticipate opening the study in Q4 2021," said Jason Gardner, D.Phil., President and Chief Executive Officer, Magenta Therapeutics. "We are greatly appreciative of the FDA’s continued engagement as we seek to commence the Phase 1/2 clinical trial of MGTA-117 and develop this potentially first-in-class medicine to improve conditioning options for patients across a number of disease areas."
The Phase 1/2 clinical trial of MGTA-117 is intended as an initial evaluation of its safety, pharmacokinetics (PK) and pharmacodynamics (PD) as a single agent in the relapsed/refractory AML and MDS patient population. Magenta anticipates transitioning the study to transplant-eligible patients after adequate data related to the safety, PK and PD of MGTA-117 have been collected in the relapsed/refractory AML and MDS patient population. Magenta also expects to develop MGTA-117 as a targeted conditioning agent for patients with genetic diseases prior to delivery of ex vivo gene therapies.
Magenta ended Q2 2021 with more than $200 million in cash following its recent financing in May 2021 and anticipates being able to execute on its existing plans.
About MGTA-117
Magenta’s MGTA-117 program is the Company’s lead targeted conditioning product candidate, an antibody-drug conjugate (ADC) designed to selectively deplete hematopoietic stem cells (HSCs) from patients prior to transplant or HSC-based gene therapy to reduce the need for high-dose or high-intensity chemotherapeutic agents or, in the case of gene therapy applications, to potentially eliminate the need for chemotherapeutic agents altogether. MGTA-117 targets the CD117 receptor, which is highly expressed on the cell surface of HSCs and leukemia cells, making it a promising target for conditioning across broad sets of diseases, including certain blood cancers, hemoglobinopathies (sickle cell disease and beta thalassemia) and inherited metabolic disorders.