On December 6, 2016 Stemline Therapeutics, Inc. (Nasdaq:STML) reported the presentation of SL-401 lead-in data from its ongoing Phase 2 trial in acute myeloid leukemia (AML) in remission with minimal residual disease (MRD) and ongoing Phase 2 trial in high-risk myeloproliferative neoplasms (MPN) at the 2016 American Society of Hematology (ASH) (Free ASH Whitepaper) Annual Meeting (Press release, Stemline Therapeutics, DEC 6, 2016, View Source [SID1234516963]). The AML/MRD results were delivered via oral presentation by Andrew A. Lane, M.D., Ph.D., from the Dana-Farber Cancer Institute (Boston, MA) and the MPN results were presented by Mrinal S. Patnaik, M.D. from the Mayo Clinic (Rochester, MN).
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The full presentations are available on the Stemline website, under the "Scientific Presentations" tab (see: View Source).
Safety Overview
SL-401 was found to be safe and well tolerated, and side effects were predictable and manageable. The lead-in dose escalation stages of both Phase 2 studies (3 x 3 design) were completed without dose limiting toxicity (DLT) and a maximum tolerated dose (MTD) was not reached in either study (n=9 patients in AML/MRD lead-in; n=9 patients in MPN lead-in). 12 ug/kg/day was the highest tested dose in both studies and is currently the dose level being used in the expansion stage of both studies.
Efficacy Overview
AML/MRD – Early signs of efficacy in the AML study included an MRD+ AML patient who sustained a decrease in MRD, determined locally, treated at 12 ug/kg/day who then went on to stem cell transplant. The expansion stage is currently enrolling and, for uniformity, will utilize a central facility for MRD analysis.
MPN – Early signs of efficacy in the MPN study including a patient with chronic myelomonocytic leukemia (CMML) who sustained a bone marrow complete response (BMCR) and reduction in spleen size. The expansion stage is currently enrolling CMML as well as additional MPN types including myelofibrosis, mastocytosis, and primary eosinophilic disorder.
Andrew A. Lane, M.D., Ph.D., lead author on the AML study, commented, "Given the unacceptably high relapse rates seen in AML, MRD has emerged as an important predictor of relapse with CD123 as a key target for therapy. The preliminary results seen with SL-401 in this setting are promising. We look forward to enrolling patients in the expansion stage of the trial as we continue to optimize and refine methods to assess and follow MRD."
Mrinal S. Patnaik, M.D., lead author on the MPN study, noted, "The early data from the dose escalation portion of the trial suggests SL-401 can be dosed safely in this patient population. Additionally, we are observing encouraging signs of clinical activity in several patients. We look forward to enrolling patients in the expansion stage of the trial."