Clinical Research

Switzerland-based MetrioPharm AG has reported top-line data for a candidate treatment for Covid-19, showing that the compound is as effective as two approved antiviral medicines for the disease. The drug, MP1032, is a small molecule macrophage metabolic modulator which targets activated macrophages. It acts by normalising oxidation-reduction reactions at a cellular level which is essential for the body’s immune response to infections and autoimmune and inflammatory diseases.

A second Phase 3 trial of ensifentrine, a candidate product for chronic obstructive pulmonary disease (COPD), has met its primary endpoint, paving the way for a regulatory submission in the US in the first half of 2023, the developer Verona Pharma Plc announced on 20 December. Ensifentrine is a dual inhibitor of the enzymes phosphodiesterase 3 and 4, a mode of action that enables it to combine both bronchodilator and anti-inflammatory effects in a single compound.

An experimental messenger RNA (mRNA) cancer vaccine has generated positive data in combination with Keytruda (pembrolizumab) in patients with advanced melanoma, the developers Moderna Inc and Merck & Co announced on 13 December.

An allogeneic dendritic cell vaccine for patients who have residual cancer after previous successful treatments with chemotherapy has shown positive survival data, according to the developer Mendus AB. The treatment, DCP-001, is being evaluated in a Phase 2 trial as a maintenance therapy in acute myeloid leukaemia (AML) for patients with measurable residual disease. Fresh data from the trial, ADVANCE II, was reported at the American Society of Hematology Annual Meeting on 12 December.

A Phase 3 trial of a small molecule drug designed to treat patients with metastatic non-small cell lung cancer failed to meet its primary endpoint of overall survival, the sponsor Ipsen SA announced on 8 December. Cabozantinib was being investigated in 366 patients with both squamous and non-squamous non-small cell lung cancer whose disease had progressed after treatment with a checkpoint inhibitor and chemotherapy.

Belgium-based UCB SA has reported positive Phase 3 data for its monoclonal antibody bimekizumab in hidradenitis suppurativa, a chronic inflammatory skin disease that is estimated to affect about one percent of the population in countries where the disease has been identified. Data from the two studies is expected to form the basis of global regulatory applications starting in the third quarter of 2023.

Gantenerumab, a candidate monoclonal antibody for the treatment of Alzheimer’s disease, has failed to slow progression of the disease in a large Phase 3 clinical programme involving 1,965 people across 30 countries, the developer Roche announced on 14 November. The company said it would share its learnings with the scientific community, while continuing to develop and test new diagnostics and prospective medicines for the disease.

New data have been reported for Jardiance (empagliflozin), a medicine approved to treat Type 2 diabetes in 2014 and subsequently also authorised to treat heart failure. A Phase 3 trial in 6,609 adults with chronic kidney disease has now shown that Jardiance can confer a significant kidney and cardiovascular benefit. When treated with the medicine, the risk of kidney disease progression or cardiovascular death was reduced by 28% compared with a placebo, according to the trial’s sponsors Eli Lilly and Co and Boehringer Ingelheim GmbH.

An experimental therapeutic vaccine for HIV that has been designed for use with other therapies to suppress the virus in the absence of antiretroviral medication has reported positive data from a Phase 1 study. The trial results were published online on 27 October in Nature Medicine. The vaccine’s developer is AELIX Therapeutics SL in Spain which collaborated on the study with Gilead Sciences Inc of the US and the IrsiCaixa AIDS Research Institute in Badalona, Spain.

A study of patients hospitalised for acute heart failure has shown that a strategy involving the rapid up-titration of medications and close follow-up resulted in a significant reduction in all cause death and hospital readmissions. The trial was stopped early for efficacy. The results of the study were published on line in The Lancet on 7 November. Separately, Roche announced that the trial had used one of its diagnostics to identify individuals suspected of having congestive heart failure.