GlycoMimetics Announces Comprehensive Results from Pivotal Phase 3 Study of Uproleselan in Relapsed/Refractory (R/R) Acute Myeloid Leukemia (AML)
04 Junho 2024 - 8:00AM
Business Wire
- Company exploring path forward for uproleselan in multiple AML
settings based on observed efficacy results, including clinically
meaningful results in primary refractory AML, and significant unmet
patient need
- Uproleselan demonstrated a clinically meaningful improvement in
median overall survival (mOS) for patients with primary refractory
AML; mOS was 31.2 months for the uproleselan arm compared to 10.1
months for the placebo arm in this subgroup
- Adverse events for uproleselan were consistent with known side
effect profiles of chemotherapy used in the study
- Advancing discussions with the National Cancer Institute (NCI)
and the Alliance for Clinical Trials in Oncology for Phase 2/3
study of uproleselan with chemotherapy in older adults with
frontline AML
- Conference call and webcast to be hosted today, June 4, 2024,
at 8:30 am E.T.
GlycoMimetics, Inc. (Nasdaq: GLYC), a late clinical-stage
biotechnology company discovering and developing glycobiology-based
therapies for cancers and inflammatory diseases, today announced
comprehensive results from the company’s pivotal Phase 3 study of
uproleselan in R/R AML.
“There is a wealth of data across large subsets of this pivotal
Phase 3 study that help us understand how prespecified
stratification factors such as backbone chemotherapy, disease
status, and age impacted survival outcomes for patients,” said
Daniel DeAngelo, M.D., Ph.D., Professor of Medicine, Harvard
Medical School, Chief, Division of Leukemia, Dana-Farber Cancer
Institute, and Principal Investigator of the pivotal Phase 3 study.
“In the primary refractory setting, uproleselan’s improvement of
mOS and greater duration of remission were particularly compelling,
as there is a significant unmet need for new treatment options in
this setting that can extend and improve the lives of patients.
These results demonstrate uproleselan has the potential to address
this unmet need in primary refractory AML.”
“As we have analyzed data from this large, well-balanced, and
well-executed study alongside medical, statistical, and regulatory
experts, it has become clear that uproleselan may offer clinically
meaningful patient benefit in multiple settings, including primary
refractory AML,” said Harout Semerjian, Chief Executive Officer of
GlycoMimetics. “We are committed to addressing unmet needs of AML
patients and plan to engage with regulators and NCI to discuss
potential paths forward for uproleselan.”
Results of Pivotal Phase 3 Study of Uproleselan in R/R
AML
The randomized, double-blind, placebo-controlled Phase 3
clinical study evaluated uproleselan in combination with MEC
(mitoxantrone, etoposide and cytarabine) or FAI (fludarabine,
cytarabine and idarubicin) in patients with R/R AML. Patients
received either uproleselan or placebo for 8 days over 1 cycle of
induction and, if applicable, up to 3 cycles of consolidation. The
primary endpoint was overall survival (OS), which was not censored
for transplant. Secondary endpoints included incidence of severe
oral mucositis, complete remission (CR) rate and CR with partial
hematologic recovery (CRh). A total of 388 patients in nine
countries were randomized 1:1 between treatment and placebo arms.
There were 59 sites that enrolled at least one patient. Median
follow up was over three years at the time of primary analysis.
Overall Survival
- Primary Endpoint: mOS in the
intent-to-treat (ITT) population (n=388) was 13.0 months for the
uproleselan arm, compared to 12.3 months for the placebo arm
(hazard ratio [HR] 0.89; 95% confidence interval [CI] 0.69-1.15);
this difference is not statistically significant.
- Disease Status
- Primary Refractory: mOS for
primary refractory patients in the uproleselan arm (n=62) was 31.2
months, compared to 10.1 months (HR 0.58; 95% CI 0.37-0.91) for the
placebo arm (n=66). This benefit was irrespective of backbone
chemotherapy.
- Median duration of response (DoR) for complete remission (CR)
was not reached for primary refractory patients in the uproleselan
arm compared to a median DoR of 12.7 months for the placebo
arm.
- Early Relapse: mOS for early
relapse patients in the uproleselan arm (n=28) was 3.7 months,
compared to 6.4 months (HR 1.50; 95% CI 0.69-3.27) for the placebo
arm (n=22).
- Late Relapse: mOS for late relapse
patients in the uproleselan arm (n=104) was 15.4 months, compared
to 18.2 months (HR 1.10; 95% CI 0.77-1.57) for the placebo arm
(n=106).
- Backbone Chemotherapy:
- FAI: mOS for patients treated with
uproleselan plus FAI (n=98) was 30.2 months compared to 12.8 months
(HR 0.73; 95% CI 0.50-1.06) for patients treated with FAI alone
(n=96) in the ITT population.
- MEC: mOS for patients treated with
uproleselan plus MEC (n=96) was 8.7 months compared to 12.3 months
(HR 1.06; 95% CI 0.75-1.51) for patients treated with MEC alone
(n=98) in the ITT population.
- Transplantation Status:
- For patients who received hematopoietic stem cell
transplantation (HSCT) after study treatment, mOS was not reached
for patients in the uproleselan arm (n=101). In contrast, for HSCT
patients in the placebo arm, mOS for patients receiving FAI (n=53)
was 26.3 months and for patients receiving MEC (n=46) was 24.4
months.
Secondary Endpoints
- 7.2% of patients in each arm (n=388) experienced induction
emergent severe oral mucositis.
- 36.1% of patients in the uproleselan arm (n=194) experienced CR
at the end of induction (EOI) as determined by an independent
endpoint review committee (IERC), compared to 33.5% of patients in
the placebo arm (n=194).
- 46.4% of patients in the uproleselan arm experienced CR/CRh at
EOI as determined by IERC, compared to 41.2% of patients in the
placebo arm.
- Post-treatment HSCT rate was 52.1% in the uproleselan arm and
51.0% in the placebo arm.
- Subsequent AML therapy in non-responders was 40.0% in the
uproleselan arm (n=80) and 46.2% in the placebo arm (n=78).
Safety
- Adverse events were consistent with the known safety profile
for backbone chemotherapy regimens.
- 35.9% of patients in the uproleselan arm experienced serious
treatment-emergent adverse events (TEAEs) compared to 34.2% in the
placebo arm.
- 85.9% of patients in the uproleselan arm experienced grade 3 or
higher TEAEs compared to 87.6% in the placebo arm.
NCI Phase 2/3 Study of Uproleselan in Frontline AML
In addition to the company’s pivotal Phase 3 trial of
uproleselan, the National Cancer Institute (NCI) and the Alliance
for Clinical Trials in Oncology are conducting an adaptive Phase
2/3 study of uproleselan in adults with newly diagnosed AML who are
60 years or older and fit for intensive chemotherapy. Their
randomized, controlled study is evaluating the addition of
uproleselan to a standard cytarabine / daunorubicin regimen (7+3)
versus chemotherapy alone. The Phase 2 portion of the study
completed enrollment of 267 patients in December 2021. The Company
is advancing discussions with the NCI and the Alliance for Clinical
Trials in Oncology based on the results of the pivotal Phase 3
study of uproleselan in R/R AML.
Conference Call Details
To access the call by phone, please go to this registration link
and you will be provided with dial in details. Participants are
encouraged to connect 15 minutes in advance of the scheduled start
time.
A live webcast of the call and the corresponding slides will be
available on the “Investors” tab on the GlycoMimetics website. A
webcast replay will be available for 30 days following the
call.
About AML
AML is the most common acute leukemia in adults. A cancer of the
bone marrow, nearly 21,000 people in the United States are
diagnosed with AML each year. Despite the availability of multiple
treatments, disease prognosis is poor, and new treatment options
are needed to improve outcomes. Newly diagnosed AML has the lowest
5-year survival rate of all leukemias at 31.7%. The five-year
survival rate for people with relapsed/refractory disease is only
10%.
About Uproleselan
Discovered and developed by GlycoMimetics, uproleselan (yoo’ pro
le’se lan) is an investigational, first-in-class E-selectin
antagonist. GlycoMimetics has received Breakthrough Therapy and
Fast Track designations from the U.S. Food and Drug Administration
(FDA) and Breakthrough Therapy designation from the Chinese
National Medical Products Administration for uproleselan as a
potential treatment for adult AML patients with relapsed or
refractory disease. E-selectin is a leukocyte adhesion molecule
constitutively expressed on endothelial cells of the vasculature
and bone marrow. In AML, there is evidence that E-selectin–ligand
interaction between endothelial cells in the protective niche of
the Bone Marrow microEnvironment (BME) and leukemic stem cells and
blasts promotes leukemic cell survival and hides them from AML
therapies. Uproleselan is designed to disrupt E-selectin binding
and prevent leukemic myeloid cells using the protective niche of
the BME.
About GlycoMimetics, Inc.
GlycoMimetics is a late clinical-stage biotechnology company
discovering and developing glycobiology-based therapies for
cancers, including AML, and for inflammatory diseases. The
company’s scientific approach is based on an understanding of the
role that carbohydrates play in cell recognition. Its specialized
chemistry platform is being deployed to discover small molecule
drugs, known as glycomimetics, that alter carbohydrate-mediated
recognition in diverse disease states, including cancers and
inflammation. GlycoMimetics is leveraging its differentiated
expertise with this scientific approach in order to advance its
pipeline of wholly owned drug candidates. The company’s goal is to
develop transformative therapies for diseases with high unmet
medical need. GlycoMimetics is headquartered in Rockville, MD in
the BioHealth Capital Region. Learn more at
www.glycomimetics.com.
Forward-Looking Statements
This press release contains forward-looking statements. These
forward-looking statements may include, but are not limited to,
statements regarding the conduct of, and timing for analysis and
presentation of data from, clinical trials; potential development
and regulatory activities; and the potential benefits and impact of
uproleselan. Actual results may differ materially from those
described in these forward-looking statements. For a further
description of the risks associated with these statements, as well
as other risks facing GlycoMimetics, please see the risk factors
described in the company’s Annual Report on Form 10-K filed with
the U.S. Securities and Exchange Commission (SEC) on March 27,
2024, the company’s Quarterly Report on Form 10-Q filed with the
SEC on May 9, 2024, and other filings GlycoMimetics makes with the
SEC from time to time. Forward-looking statements speak only as of
the date of this release, and GlycoMimetics undertakes no
obligation to update or revise these statements, except as may be
required by law.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20240604811237/en/
Investor Contact: Argot Partners Leo Vartorella
212-600-1902 Glycomimetics@argotpartners.com
GlycoMimetics (NASDAQ:GLYC)
Gráfico Histórico do Ativo
De Nov 2024 até Dez 2024
GlycoMimetics (NASDAQ:GLYC)
Gráfico Histórico do Ativo
De Dez 2023 até Dez 2024