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14 CLINICAL STUDIES

Clinical Response at Week 16 (Trials 1, 2, and 3)

The results of the DUPIXENT monotherapy trials (Trials 1 and 2) and the DUPIXENT with concomitant TCS trial (Trial 3) are presented in Table 2.

Table 2: Efficacy Results of DUPIXENT With or Without Concomitant TCS at Week 16 (FAS)

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2.A phase IIA dose optimization study of ASLAN003 in acute myeloid leukemia (AML)

globenewswire.com/news-release/2018/10/09/1618324/0/en/ASLAN-Pharmaceuticals-to-Present-Posters-on-Varlitinib-and-ASLAN003-at-European-Society-for-Medical-Oncology-Congress.html

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ASLAN CEO Dr Carl Firth is a finalist for Executive of the Year at the 14th Annual Scrip Award

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Antony Loebel, executive vice president, chief medical officer, head of global clinical development of Sunovion Pharmaceuticals

Amy Schulman, CEO and co-founder of Lyndra

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ir.aslanpharma.com/news-releases/news-release-details/aslan-pharmaceuticals-presents-two-posters-varlitinib-chinese

News Release

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Sep 21,2018

ASLAN Pharmaceuticals Presents Two Posters on Varlitinib at Chinese Society of Clinical Oncology Annual Meeting

SINGAPORE, Sept. 21, 2018 (GLOBE NEWSWIRE) -- ASLAN Pharmaceuticals (NASDAQ:ASLN, TPEx:6497), a clinical-stage biopharmaceutical company targeting cancers that are both highly prevalent in Asia and orphan indications in the United States and Europe, announced today the presentation of two posters on varlitinib at the 21st Annual Meeting of Chinese Society of Clinical Oncology (CSCO) held in Xiamen, China, from 19 to 23 September 2018.

Varlitinib is a potent, reversible, small molecule pan-HER inhibitor and is currently being developed by ASLAN across multiple indications including a global pivotal trial in biliary tract cancer and a global study in gastric cancer.

Details of the posters presented are as follows:

Poster title: Multicenter Phase 2 trial of varlitinib versus lapatinib in combination with capecitabine in patients with HER2+ metastatic breast cancer (MBC) who failed prior trastuzumab therapy.

Board number: P-38

Abstract number: 1148

Date:21 September 2018

Location: 2nd Floor of Xiamen International Conference Center, Front Porch of Strait Hall

Poster title: JADETREE: A phase 2A, single arm, multicentre study of varlitinib plus capecitabine in Chinese patients with advanced or metastatic biliary tract cancer (BTC).

Board number: C-12

Date: 20 September to 22 September 2018

Location: 2nd Floor of Xiamen International Conference Center, Area for the Innovative Drug Clinical Research Session

Copies of the posters are available to view and download from ASLAN Pharmaceuticals¡¦ website.

Media and IR contacts

Emma Thompson Robert Uhl

Spurwing Communications Westwicke Partners

Tel: +65 6340 7287 Tel: +1 858 356 5932

Email: ASLAN@spurwingcomms.com Email: robert.uhl@westwicke.com

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clinicaltrials.gov/ct2/show/NCT03130790

Varlitinib in Combination With mFOLFOX6 for Advanced or Metastatic Gastric Cancer (First Line)

Official Title: A Two-Part Phase 2/ 3 Multicentre, Double-Blind, Randomized, Placebo Controlled Study of Varlitinib Plus mFOLFOX6 Verses Placebo Plus mFOLFOX6 In Subjects With HER1/ HER2 Co Expressing Advanced or Metastatic Gastric Cancer Without Prior Exposure to Systemic Therapy

Primary Outcome Measures :

Percentage change from baseline in tumor size at Week 12 - Phase 2 part [ Time Frame: At baseline and every 6 weeks for 24 weeks, after which reduced to once every 12 weeks until progression (up to approximately 3 months) ]

Phase 2 part: Percentage change in tumour size defined as the percentage change from baseline in the sum of longest diameters of target lesions as assessed by ICR and defined by the RECIST v1.1 criteria

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4.Subjects with tumors with IHC evidence of expression of HER1 (at level of + or ++ or +++) and HER-2 (at level of +, or ++) using standard criteria in the local lab. Subjects with HER-2 over expression at level of +++ determined by IHC and subject confirmed HER2 2+ by IHC with HER2 gene amplification confirmed by FISH but has contradiction to trastuzumab*.

*For details of contraindication related to trastuzumab, refer to package insert or US treatment guideline.

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Edison issues update on ASLAN Pharmaceuticals (ASLN)

Edison Investment Research Limited (GLOBE NEWSWIRE)

2 hrs ago

www.bakersfield.com/ap/national/edison-issues-update-on-aslan-pharmaceuticals-asln/article_7767a625-dbdc-5340-880f-b756c7ec9f5b.html

LONDON, Sept. 19, 2018 (GLOBE NEWSWIRE) -- ASLAN announced it would be amending the protocol for its ongoing Chinese pivotal trial of varlitinib in biliary tract cancer. The patients being enrolled in China had more severe disease than expected based on historical controls, which manifested as a weaker than expected response to treatment on the trial. Due to delays, the Chinese study may not complete before the ongoing TREETOP study, which would then serve as a pivotal study for approval in China and is expected to complete in 2019.

We have slightly adjusted our valuation of ASLAN to $389m from $399m. This is driven by increased development costs and a longer timeline in China (2020 approval vs 2019 before), as well as lower net cash, and is partly offset by advancing our NPVs. Click here to view the full report.

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Based on a review of patients recruited to-date and discussions with key investigators, it was agreed that a protocol amendment should be submitted to local authorities to modify enrolment criteria and to ensure the study will provide an accurate evaluation of varlitinib¡¦s efficacy. Review and implementation of the voluntary amendment is expected to take approximately 4 months. In the interim,

ASLAN will continue to recruit patients into the study and provide a further update on study timelines in early 2019.

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·|­û¡G¤Ñ©R10141925  µoªí®É¶¡:2018/9/19 ¤W¤È 06:00:03²Ä 538 ½g¦^À³
ASLAN Pharma faces longer timeline for China study of varlitinib + capecitabine in biliary tract cancer

Sep. 17, 2018 10:45 AM • SA Editor Douglas W. House

Citing the need for a protocol amendment to ensure that its China-based study of varlitinib plus capecitabine (second-line setting) in patients with advanced/metastatic biliary tract cancer (BTC) will provide an accurate assessment of varlitinib¡¦s efficacy, ASLN Pharmaceuticals (ASLN +1.2%) will modify the enrollment criteria.

The review and implementation of the voluntary amendment should take about four months. In the meantime, recruitment in the 68-subject trial will continue. The company will update investors again in early 2019.

ASLN says the reason for the change is worse-than-expected response rates in the first-line setting prior to participation in its second-line study. In the first 27 subjects, the first-line response rate was ~7% and progression-free survival (PFS) was 2.7 months, well below the 26% and 8 months observed in the ABC-02 study of cisplatin + gemcitabine, the current standard-of-care for first-line BTC.

So far, in 14 participants who have received a six-week scan, the disease control rate (DCR) was 50% (1 partial responder + 6 with stable cancer). In the first-line setting, the DCR in the same 14 patients was ~43% (2 partial responders + 4 with stable cancer).

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Patients enrolled into the second line study in China appear to have performed significantly worse, prior to recruitment, in the first line setting than observed in published global studies. In the first 27 patients enrolled, the first line response rate was approximately 7% and progression free survival (PFS) was 2.7 months. In comparison, the ABC-021 study that compared cisplatin plus gemcitabine to gemcitabine alone, the current standard of care for first line treatment of patients with advanced BTC, showed a first line response rate of 26% and PFS of 8 months for patients on cisplatin and gemcitabine.

In the 14 patients that received a 6-week scan in the study, 1 partial response and 6 patients with stable disease were reported based on site assessment. For the same 14 patients in the first line setting, there were 2 partial responses and 4 patients with stable disease.

aslanpharma.com/app/uploads/2018/09/180917-Press-release-ASLAN001-China-Study_EN.pdf

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·|­û¡G¤Ñ©R10141925  µoªí®É¶¡:2018/9/18 ¤U¤È 04:06:02²Ä 532 ½g¦^À³
ASLAN Pharmaceuticals Provides Update on Timelines for Clinical Trial of Varlitinib in Biliary Tract Cancer in China

By GlobeNewswire, September 17, 2018, 06:58:00 AM EDT

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Management will host a conference call and webcast today, Monday, 17 September at 8:30am ET/8:30pm SGT

SINGAPORE, Sept. 17, 2018 (GLOBE NEWSWIRE) -- ASLAN Pharmaceuticals (NASDAQ:ASLN, TPEx:6497), a clinical-stage biopharmaceutical company targeting cancers that are both highly prevalent in Asia and orphan indications in the United States and Europe, today announced an update to its planned timelines for the ongoing single-arm clinical trial in China testing varlitinib plus capecitabine in patients with advanced or metastatic biliary tract cancer (BTC). The open-label study planned to enrol 68 patients with BTC who had progressed on at least one line of prior chemotherapy.

Based on a review of patients recruited to-date and discussions with key investigators, it was agreed that a protocol amendment should be submitted to local authorities to modify enrolment criteria and to ensure the study will provide an accurate evaluation of varlitinib¡¦s efficacy. Review and implementation of the voluntary amendment is expected to take approximately 4 months. In the interim, ASLAN will continue to recruit patients into the study and provide a further update on study timelines in early 2019.

ASLAN¡¦s global pivotal study in second line BTC, TREETOPP, remains on track to complete patient enrolment in early 2019. TREETOPP is a randomised, double-blind, placebo-controlled clinical trial in second line BTC comparing varlitinib and capecitabine to placebo and capecitabine. If positive, data from the TREETOPP study will be used in regulatory approval submissions for varlitinib globally.

Patients enrolled into the second line study in China appear to have performed significantly worse, prior to recruitment, in the first line setting than observed in published global studies. In the first 27 patients enrolled, the first line response rate was approximately 7% and progression free survival (PFS) was 2.7 months. In comparison, the ABC-021 study that compared cisplatin plus gemcitabine to gemcitabine alone, the current standard of care for first line treatment of patients with advanced BTC, showed a first line response rate of 26% and PFS of 8 months for patients on cisplatin and gemcitabine.

In the 14 patients that received a 6-week scan in the study, 1 partial response and 6 patients with stable disease were reported based on site assessment. For the same 14 patients in the first line setting, there were 2 partial responses and 4 patients with stable disease.

Dr Mark McHale, Chief Operating Officer, ASLAN Pharmaceuticals said: Based on our team¡¦s experience developing drugs such as gefitinib and afatinib that showed differences in outcomes between US and Chinese patients, we have been monitoring the China study closely. This has allowed us to identify significant differences in the patient population compared to historical studies and take measures to ensure this study will provide an accurate evaluation of varlitinib¡¦s efficacy. Single-arm studies are inherently prone to these risks and we do not see any impact on our other ongoing placebo-controlled studies. We are working closely with some of China¡¦s leading biliary tract cancer experts to understand the differences in disease outcomes we are seeing.

ASLAN Pharmaceutical¡¦s management will host a conference call and webcast for analysts and investors on Monday, 17 September at 8:30am ET/8:30pm SGT.

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B Rare Disease and FDA¡¦s Priority Review Designation

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C Rare Disease and FDA¡¦s Breakthrough Therapy Designation Program

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Table 1a. Ryan White HIV/AIDS Program clients (non-ADAP), by year and selected characteristics, 2012¡V2016¡XUnited

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Housing status (©~¦íª¬ºA)

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·|­û¡G¤Ñ©R10141925  µoªí®É¶¡:2018/9/4 ¤W¤È 08:49:26²Ä 503 ½g¦^À³
www.news.sanofi.us/2018-05-21-New-England-Journal-of-Medicine-publishes-two-positive-Phase-3-trials-showing-Dupixent-R-dupilumab-improved-moderate-to-severe-asthma

Dupilumab 3´ÁÁ{§É¥D­n«ü¼Ð¸ê®Æ

New England Journal of Medicine publishes two positive Phase 3 trials showing DupixentR (dupilumab) improved moderate-to-severe asthma

QUEST Data Summary

Placebo-adjusted reduction in annualized rate of severe asthma exacerbations over 52 weeks

¥ÎÃĶq200 mg Dupixent (n=631) vs.

Placebo (n=317)

48 percent*

(¹êÅç²Õ¬°¹ï·Ó²Õªº48%ÄY­«´c¤Æ¨Æ¥ó¦~¤Æ²v) ,p <0.001

¥ÎÃĶq300 mg Dupixent (n=633) vs.

Placebo (n=321)

46 percent*

(¹êÅç²Õ¬°¹ï·Ó²Õ46%ªºÄY­«´c¤Æ¨Æ¥ó¦~¤Æ²v), p<0.001

Placebo-adjusted absolute (percent) change in lung function (measured by FEV1) from baseline to week 122

ªÍ¥\¯à«ü¼Ð

FEV1¬O³q¹LªÍ¬¡¶q­p´ú¶qªº±j¨î©I®ðªº²Ä¤@¬í©I¥XªºªÅ®ð¶q¡C

¥ÎÃĶq200 mg Dupixent (n=611) vs.

Placebo (n=307)

140 mL* P<0.001 ((¹ï·Ó²Õ¤ñ¹ê»Ú²Õ¤Ö140ml)

(9 percent) (¹ï·Ó²Õ¤ñ¹ê»Ú²Õ¤Ö9%)

¥ÎÃĶq300 mg Dupixent (n=610) vs.

Placebo (n=313)

Overall population1

130 mL* p<0.001

(9 percent)

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1.

52©PªvÀø´Á¶¡ÄY­«´c¤Æ¨Æ¥óªº¦~¤Æ²v¡G·N¦VªvÀø¡]ITT¡^¤H¸s[®É­­¡G°ò½u¦Ü²Ä52¶g]

ÄY­«´c¤Æ³Q©w¸q¬°­ý³Ý´c¤Æ»Ý­n¡G¨Ï¥Î¥þ¨­©Ê¥Ö½èÃþ©T¾J≥3¤Ñ; ©Î¦]­ý³Ý¦í°|©Î«æ¶E«Ç´N¶E¡A»Ý­n¥þ¨­©Ê¥Ö½èÃþ©T¾J¿E¯À¡C ¦~«×¨Æ¥óµo¥Í²v¬OªvÀø´Á¶¡µo¥Íªº´c¤ÆÁ`¼Æ°£¥HªvÀøªº°Ñ»PªÌ¦~¼Æ¡C

2.

1¶g¤º«e¤ä®ðºÞÂX±i¾¯±j¨î©I®ð¶q¡]FEV1¡^ªº°ò½uµ´¹ïÅܤơG²Ä12¶g¡GITT¤H¸s[®É¶¡½d³ò¡G°ò½u¡A²Ä12¶g]

FEV1¬O³q¹LªÍ¬¡¶q­p´ú¶qªº±j¨î©I®ðªº²Ä¤@¬í©I¥XªºªÅ®ð¶q¡C

of participant-years treated.

Absolute Change From Baseline in Pre-Bronchodilator Forced Expiratory Volume in 1 Second (FEV1) at Week 12: ITT Population [ Time Frame: Baseline, Week 12 ]

FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer.

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·|­û¡G¤Ñ©R10141925  µoªí®É¶¡:2018/9/4 ¤W¤È 08:20:21²Ä 502 ½g¦^À³
Dupilumab ªº­ý³Ý3´ÁÁ{§Én=1902 ¤H, 2¦~¨ú±o¥D­n«ü¼Ð.

clinicaltrials.gov/ct2/show/NCT02414854

Evaluation of Dupilumab in Patients With Persistent Asthma (Liberty Asthma Quest)

Study Design

Go to sections

Study Type : Interventional (Clinical Trial)

Actual Enrollment : 1902 participants

Allocation: Randomized

Intervention Model: Parallel Assignment

Masking: Triple (Participant, Care Provider, Investigator)

Primary Purpose: Treatment

Official Title: A Randomized, Double Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Dupilumab in Patients With Persistent Asthma

Study Start Date : April 27, 2015

Actual Primary Completion Date : July 29, 2017

Actual Study Completion Date : November 23, 2017

Primary Outcome Measures :

Annualized Rate of Severe Exacerbation Events During The 52-Week Treatment Period: Intent-to-Treat (ITT) Population [ Time Frame: Baseline to Week 52 ]

A severe exacerbation was defined as a deterioration of asthma requiring: use of systemic corticosteroids for ≥3 days; or hospitalization or emergency room visit because of asthma, requiring systemic corticosteroids. Annualized event rate was the total number of exacerbations that occurred during the treatment period divided by the total number of participant-years treated.

Absolute Change From Baseline in Pre-Bronchodilator Forced Expiratory Volume in 1 Second (FEV1) at Week 12: ITT Population [ Time Frame: Baseline, Week 12 ]

FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer.

Secondary Outcome Measures :

Percent Change From Baseline in Pre-Bronchodilator FEV1 at Week 12: ITT Population [ Time Frame: Baseline, Week 12 ]

FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer.

Annualized Rate of Severe Exacerbation Events During The 52-Week Treatment Period: ITT Population With Baseline Eosinophil ≥0.15 Giga/L [ Time Frame: Baseline to Week 52 ]

A severe exacerbation was defined as a deterioration of asthma requiring: use of systemic corticosteroids for ≥3 days; or hospitalization or emergency room visit because of asthma, requiring systemic corticosteroids. Annualized event rate was the total number of exacerbations that occurred during the treatment period divided by the total number of participant-years treated.

.......

Criteria

Inclusion criteria:

-Adults and adolescent participants with a physician diagnosis of asthma for ≥12 months, based on the Global Initiative for Asthma (GINA) 2014 Guidelines and the following criteria:

a) Existing treatment with medium to high dose ICS (≥250 mcg of fluticasone propionate twice daily or equipotent ICS daily dosage to a maximum of 2000 mcg/day of fluticasone propionate or equivalent) in combination with a second controller (eg, long-acting beta agonist, leukotriene receptor antagonist) for at least 3 months with a stable dose ≥1 month prior to Visit 1.

i) Note for Japan: for participants aged 18 years and older, ICS must be on ≥200 mcg of fluticasone propionate twice daily or equivalent; for participants aged 12 to 17 years, ICS must be ≥100 mcg of fluticasone propionate twice daily or equivalent).

ii) Participants requiring a third controller for their asthma will be considered eligible for this study, and it should also be used for at least 3 months with a stable dose ≥1 month prior to Visit 1.

Exclusion criteria:

Participants <12 years of age or the minimum legal age for adolescents in the country of the investigative site, whichever is higher (For those countries where local regulations permit enrollment of adults only, participant recruitment will be restricted to those who are ≥18 years of age).

Weight is less than 30 kilograms.

Chronic obstructive pulmonary disease or other lung diseases (eg, idiopathic pulmonary fibrosis, Churg-Strauss Syndrome, etc) which may impair lung function.

A participant who experiences a severe asthma exacerbation (defined as a deterioration of asthma that results in emergency treatment, hospitalization due to asthma, or treatment with systemic steroids at any time from 1 month prior to the Screening Visit up to and including the Baseline Visit).

Evidence of lung disease(s) other than asthma, either clinical evidence or imaging (Chest X-ray, CT, MRI) within 12 months of Visit 1 or at the screening visit, as per local standard of care.

Note for Japan: According to the request from the health authority, chest X-ray should be performed at screening visit if there is no chest imaging (Chest X-ray, computed tomography [CT], magnetic resonance imaging [MRI]) available within 3 months prior to screening to exclude participants with suspected active or untreated latent tuberculosis.

Current smoker or cessation of smoking within 6 months prior to Visit 1.

Previous smoker with a smoking history >10 pack-years.

Comorbid disease that might interfere with the evaluation of Investigational Medicinal Product.

The above information is not intended to contain all considerations relevant to a participant¡¦s potential participation in a clinical trial.

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¾¨ºÞ¦³¥i¥ÎªºªvÀø¤èªk¡A¤j¬ù20¢Hªº­ý³Ý±wªÌ¤´µM¦s¦b¤£¨ü±±¨îªº¤¤«×¦Ü­««×¯gª¬¡A¡§°¨¨½¶ø¥d´µ¯Sù¡AÂå¾Ç³Õ¤h¡A¦ã­ÛA.©MµØ²±¹y¤j¾ÇÂå¾Ç°|ªÍ»P­«¯gÂå¾Ç±Ð±ÂEdith L. Wolff»¡¡C

¸t¸ô©ö´µ¡C¡§¤µ¤Ñµoªí¦b·s­^®æÄõÂå¾ÇÂø»x¤Wªº¬ã¨sµ²ªGÅã¥Ü¡A¨Ó¦Û3´Á¸ÕÅ窺ÃÒ¾Úªí©ú¡A¥Íª«»s¾¯¥i¯à¦³§U©ó¼s¤j¤H¸s¦b¥[¤J¼Ð·ÇªvÀø®É§ïµ½¦hºØÃöÁ䪺­ý³ÝªvÀø¥Ø¼Ð¡C Dupixent¦®¦b§í¨î2«¬ª¢¯g¤¤¯A¤Îªº¨âºØ­«­n³J¥Õ¡]IL-4©MIL-13¡^ªº«H¸¹¶Ç¾É¡A¾É­P³\¦h¤¤­««×­ý³Ý±wªÌ¥X²{¤£¨ü±±¨îªº¯gª¬¡C

About 20 percent of people with asthma continue to have uncontrolled moderate-to-severe symptoms despite available treatments, said Mario Castro, M.D., Alan A. and Edith L. Wolff Professor of Pulmonary and Critical Care Medicine at Washington University School of Medicine in St. Louis. The results published today in the New England Journal of Medicine show evidence from a Phase 3 trial that a biologic may have the potential to help a broad population of patients improve multiple key asthma treatment goals when added to standard treatments. Dupixent was designed to inhibit signaling from two important proteins (IL-4 and IL-13) involved in Type 2 inflammation that contribute to uncontrolled symptoms in many people with moderate-to-severe asthma.

www.news.sanofi.us/2018-05-21-New-England-Journal-of-Medicine-publishes-two-positive-Phase-3-trials-showing-Dupixent-R-dupilumab-improved-moderate-to-severe-asthma

New England Journal of Medicine publishes two positive Phase 3 trials showing DupixentR (dupilumab) improved moderate-to-severe asthma

* In steroid-sparing VENTURE trial, Dupixent-treated patients substantially reduced use of oral corticosteroids, yet had fewer exacerbations and improved lung function compared to placebo.

* Results showed Dupixent demonstrated a significant improvement in multiple asthma endpoints in two Phase 3 clinical trials in a broad population of patients with uncontrolled asthma, irrespective of minimum baseline eosinophil levels or other biomarkers of Type 2 inflammation

* Greater benefit observed in patients with higher levels of markers of Type 2 inflammation, as evidenced by eosinophils or exhaled nitric oxide levels

* In both trials, Dupixent treated patients showed significant lung function improvement two weeks after first dose that was sustained over 52 weeks

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¥«³õ³W¼Ò¡A¥«³õ¥÷ÃB¡AÀ³¥Î¤ÀªR¡A°Ï°ì®i±æ¡A¼WªøÁͶաA¥D­n°Ñ»PªÌ¡AÄvª§¾Ô²¤©M¹w´ú¡A2017¦~¦Ü2025¦~¡¨³ø§i¤w²K¥[¨ìResearch and Marketsªº²£«~¤¤¡C

2016¦~¥þ²y­ý³Ý©MCOPD¥«³õ»ù­È¬°39,021.2¦Ê¸U¬ü¤¸¡A¹w­p¨ì2025¦~±N¹F¨ì56,507.7¦Ê¸U¬ü¤¸¡A±q2017¦~¨ì2025¦~ªº½Æ¦X¦~¼Wªø²v¬°4.2¢H¡C

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COPD³Qµû¬°¦º¤`ªº²Ä¥|¤j±`¨£­ì¦]¡A¨Ã¥B¹w­p¨ì2030¦~±N¹F¨ì²Ä¤T¦ì¡A¥H¨¾¤î§l·Ï¡A¦Ã¬Vµ¥­·ÀI±o¤£¨ì¸Ñ¨M¡CÀHµÛ®É¶¡ªº±À²¾¡A­ý³Ý©MCOPDªºªvÀø³vº¥Åã²{¥X·sªºÃĪ«©MªvÀøµ¦²¤¥H¤Î«DÃĪ«ªvÀøªº¨Ï¥Î¡C

¾ÚÆ[¹î¡Aµo¹F°ê®a©Mµo®i¤¤°ê®aªº­ý³Ý©MCOPD±w¯f²v¥¿¦b¿E¼W¡C¦bµo¹F°ê®a¡A¥Ñ©ó¶¼­¹²ßºD¡A¹B°Ê¤ô¥­§Cµ¥¤è­±ªº¥Í¬¡¤è¦¡§ïÅÜ¡A­ý³Ýªº±w¯f²v¦³©Ò¤W¤É¡A¦Ó¦bµo®i¤¤°ê®a¡A¬y¦æ¬O¥Ñ©ó¦Ã¬V©M§l·Ï³y¦¨ªº¡C

ºI¦Ü¥Ø«eªº¥«³õ±¡ªp¡A¥_¬ü¦@¦P¥D¾É¥þ²y­ý³Ý©MCOPD¥«³õ¡A¨ä¦¸¬O¼Ú¬w¥«³õ¡C¥Ñ©ó¦Ã¬V¡A¥Í¬¡¤è¦¡ªº§ïÅÜ¡A¥é»sÃĪº¶i¤J©M¥«³õ¤Wªº·sÀøªk¾É­Pªº­ý³Ý©MCOPD±w¯f²v¤W¤É¡C

¹w­p¨È¤Ó¦a°Ï±N¦¨¬°¹w´ú´Á¤º¼Wªø³Ì§Öªº¥«³õ¡C·s¿³¸gÀÙÅé¦p¦L«×¡A¤¤°ê¥Ñ©ó¤u·~¤Æ¡A¤H¤fµ²ºcÅܤơA«°¥«¤Æ¦s¦b¦Ã¬V¤W¤É¡A±q¦Ó¼W¥[¤F­ý³Ý±w¯f²v©MCOPD¤H¸s¡C

www.prnewswire.com/news-releases/global-asthma-and-copd-market-2017-2025---market-value-expected-to-reach-56-billion-300577584.html

DUBLIN, Jan. 4, 2018 /PRNewswire/ --

The Global Asthma and COPD Market Size, Market Share, Application Analysis, Regional Outlook, Growth Trends, Key Players, Competitive Strategies and Forecasts, 2017 to 2025 report has been added to Research and Markets¡¦ offering.

The global asthma and COPD market was valued at US$ 39,021.2 Million in 2016, and is expected to reach US$ 56,507.7 Million by 2025, expanding at a CAGR of 4.2% from 2017 to 2025.

Globally, asthma and COPD is one the leading chronic respiratory diseases, with high prevalence and increasing health care and economic burden. Thus, disease represent a lucrative market for pharmaceutical companies.

COPD is rated to be the fourth most common cause of mortality, and expected to reach third position by 2030, in case the risk such as smoking, pollution is not addressed. Gradually over the period of time the treatment of asthma and COPD shows improvement, with novel drugs and treatment strategies, along with usage of non-pharmacologic treatment.

It has being observed there is being surge in prevalence of asthma and COPD in developed and developing countries. In developed countries, there is being rise in prevalence of asthma due to lifestyle changes in terms of food habit, low level of exercise, etc., while in developing countries the prevalence is due to pollution and smoking.

As of the current market scenario, North America together dominate the global asthma and COPD market followed by the European market. Rising prevalence of asthma and COPD due to pollution, change in lifestyle, entry of generics and novel therapies in the market.

Asia Pacific is anticipated to be the fastest growing market for the forecast period. Emerging economies such India, China due to industrialization, demographic changes, urbanization there is been rise in pollution thus increase in prevalence of asthma and COPD population.

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GBI Researchªí¥Ü¡A¨ì2020¦~¬ü°ê­ý³ÝªvÀø¥«³õ»ù­È±N¹F¨ì140»õ¬ü¤¸

°Ó·~±¡³ø´£¨Ñ°ÓGBI Researchªí¥Ü¡A¬ü°ê­ý³ÝªvÀø¥«³õ»ù­È±N±q2013¦~ªº117»õ¬ü¤¸¤W¤É¦Ü2020¦~ªº140»õ¬ü¤¸¡A½Æ¦X¦~¼Wªø²v¡]CAGR¡^¬°2.6¢H¡C

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µM¦Ó¡A®Ú¾ÚGBI Research°Æ¬ã¨s­ûFiona Chisholmªº»¡ªk¡A­ý³ÝªvÀø¥«³õªº¯SÂI¬O³q¥Î«I»k±N¼vÅT¹w´ú´Á¤ºªº´X­Ó¥D­n«~µP¡A¥]¬ASingulair¡]©s¾|¥q¯S¶u¡^¡AAdvair¡]¤þ»Ä¬t´À¥dªQ/¨F¬ü¯Sù¡^ xinafoate¡^©MSymbicort¡]¥¬¦a©`¼w/ºÖ²ö¯Sù´I°¨»ÄÆQ¡^¡C

Chisholm¸ÑÄÀ»¡¡G¡§Singulairªº±M§Q©ó2012¦~¨ì´Á¡A¬ü°ê­¹«~©MÃĪ«ºÞ²z§½ÀH«á§å­ã¤F´X®a»s³y°Ó¡A¥]¬ATeva¡ASandoz©MMylan¡A¥H¾P°â³oºØÃĪ«ªº¥é»sÃÄ¡C¦]¦¹¡ASingulairªº¾P°â¦¬¤Jªñ¦~¨Ó¤j´T¤U­°¡C

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ChisholmÄ~Äò»¡¹D¡G¡§Arnuity¬O¥Ø«eICS¥«³õ»â¾ÉªÌFloventªº«áÄò²£«~¡A©ó2014¦~8¤ë¦b¬ü°êÀò±o§å­ã¡A¦Ó·í«eICS / LABA¥«³õ»â¾ÉªÌAdvairªº«áÄò²£«~Relvar«h³B©ó«e´Á - µù¥U¶¥¬q¡C GBI Research»{¬°³o¨âºØÃĪ«³£¦³§U©óºû«ù¦U¦Û½Òµ{ªº¾P°â¦¬¤J¡C

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US Asthma Treatment Market Value to Hit $14 Billion by 2020, says GBI Research

gbiresearch.com/media-center/press-releases/us-asthma-treatment-market-value-to-hit-14-billion-by-2020-says-gbi-research

The US treatment market for asthma will rise in value from $11.7 billion in 2013 to an estimated $14 billion by 2020, representing a Compound Annual Growth Rate (CAGR) of 2.6%, says business intelligence provider GBI Research.

The company¡¦s latest report* states that the US is the single biggest asthma treatment market globally, reflecting the country¡¦s large population size, high disease prevalence and the inflated cost of therapeutics in comparison with other major markets.

However, according to Fiona Chisholm, Associate Analyst for GBI Research, the asthma therapeutics market will be strongly characterized by generic erosion that will impact several of the leading brands over the forecast period, including Singulair (montelukast sodium), Advair (fluticasone propionate/salmeterol xinafoate), and Symbicort (budesonide/formoterol fumarate).

Chisholm explains: ¡§Singulair¡¦s patent expired in 2012, with the US Food and Drug Administration subsequently granting approval to several manufacturers, including Teva, Sandoz and Mylan, to market generic versions of the drug. As a consequence, sales revenue for Singulair has declined substantially in recent years.

¡§Advair and Symbicort have also recently lost patent protection in the US. However, substantial generic erosion has not occurred, due to regulatory hurdles and the difficulties inherent in trying to produce a bioequivalent Inhaled Corticosteroid/Long-Acting Beta Agonist (ICS/LABA) combination drug and inhaler device.¡¨

While patent expirations are set to limit market growth to 2020, the impact of this will be offset by the uptake of recently approved and promising pipeline drugs.

Chisholm continues: ¡§Arnuity, the follow-on product to the current ICS market leader Flovent, was approved in the US in August 2014, while Relvar, the follow-on product to the current ICS/LABA market leader Advair, is at the pre-registration phase. GBI Research believes both drugs will help to maintain sales revenue for their respective classes.

¡§Furthermore, the potential approval of several premium-priced, novel IL-targeting monoclonal antibodies, although limited by their target populations, will also contribute to growth.¡¨

The analyst adds that the development of these IL-targeting therapies, as well as other novel drugs, also gives rise to potential phenotype-targeted treatment, which could be particularly useful for patients with severe asthma.

¡§If approved, these drugs will represent a significant step forward in asthma therapeutics, helping to achieve personalized treatment tailored to each individual patient,¡¨ Chisholm concludes.

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gbiresearch.com/media-center/press-releases/asiapacific-asthma-market-will-hit-6-billion-by-2023-as-manufacturers-look-to-address-unmet-needs-says-gbi-research

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¡§Mepolizumab©Momalizumab¥Nªí¤F©ú½TÂà¦V­Ó©Ê¤ÆÃĪ«ªvÀø­ý³Ý¡C³o¨Ç¥Íª«»s¾¯ªº°ª»ù®æ¡A³o¬O¥Ñ©ó»s³y¥Íª«»s¾¯ªº¦¨¥»¡A¥H¤Î­«¯g­ý³Ýªº¼ç¦b­º¦¸¤W¥«ª¬ºA¡A±N¦³§U©ó°ª¾P°â¼Æ¦r¡C¡§

­ý³Ý¥«³õ¥Íª«¾Çµo®iªº¼W¥[¥i¯àÂk¦]©óXolair¡]omalizumab¡^ªº¦¨¥\¡AXolair¬O¥Ø«e¤W¥«ªº³æ§J¶©§ÜÅ餧¤@¡A©ó2014¦~¹F¨ì¤F­«½S¬µ¼uªº¦a¦ì¡C¸ÓÃĪ«©ó2003¦~¦b¦L«×¡A¿D¤j§Q¨È¡A¤é¥»©M«n¤èÀò±o§å­ã¡CÁú°ê¡A§@¬°12·³¤Î¥H¤W¤¤«×¦Ü­««×¹L±Ó©Ê­ý³Ý±wªÌªºªþ¥[Àøªk¡A¨Ã¥B§l¤J¿}¥Ö½è¿E¯À¤£¯à¥R¤À±±¨î¯gª¬¡C³o¬O²Ä¤@­Ó¶i¤J¨È¤Ó¦a°Ï­ý³Ý¥«³õªº¥Íª«»s¾¯¡A¨ä±À¥X¸Ñ¨M¤F­ý³Ý­Ó©Ê¤ÆªvÀøªº­«¤j»Ý¨D¡C

AroraÄ~Äò»¡¹D¡G¡§ÃĪ«¶}µo°Ó²{¦b¥¿¦b´M§äXolairªº¨Ò¤l¡AXolair¦b¤é¥»¡A¿D¤j§Q¨È©MÁú°ê³Q¼sªx¶}³B¤è¡A³q¹L¶}µo°w¹ï¯S©w±wªÌ¨È«¬ªº°ª«×¹v¦Vªº¥Íª«»s¾¯©M³æ§J¶©§ÜÅé¡A§Æ±æ¥H«e¨ü¯qªA°È¤£¨¬ªº±wªÌ¨Ã²£¥Í±j«lªº¦¬¤J¡C

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Asia-Pacific asthma market will hit $6 billion by 2023 as manufacturers look to address unmet needs, says GBI Research

The Asia-Pacific (APAC) asthma therapeutics market, which covers India, China, Australia, South Korea and Japan, is expected to grow significantly from $4.1 billion in 2016 to around $6 billion by 2023, representing a compound annual growth rate of 5.4%, according to business intelligence provider GBI Research.

The company¡¦s latest report states that this strong growth will be driven by an expanding aging population, increases in air pollution, a promising product pipeline and the launch of first-in-class molecules.

Gautam Arora, Analyst for GBI Research, explains: ¡§There are a number of therapies currently in development for asthma designed to address unmet needs in the market that will, depending on clinician uptake, drive the annual cost of therapy associated with the disease. The most prominent examples are interleukin-targeting monoclonal antibodies (mAbs), including reslizumab, dupilumab, tralokinumab, and benralizumab.

¡§Mepolizumab and omalizumab represent a clear shift towards personalized medicine for the treatment of asthma. The high price of these biologics, which is due to the costliness of manufacturing a biologic agent, as well as the potential first-to-market status for severe asthma, will contribute to the high sales figures.¡¨

A rise in biologic development in the asthma market is possibly attributable to the success of Xolair (omalizumab), one of the currently marketed mAbs, which reached blockbuster status in 2014. The drug was approved in 2003 in India, Australia, Japan, and South Korea, as an add-on therapy for those aged 12 and over with moderate-to-severe allergic asthmas and symptoms not adequately controlled with inhaled corticosteroids. It was the first biologic to reach the APAC asthma market, and its launch addressed a significant unmet need for personalized therapy in asthma.

Arora continues: ¡§Drug developers are now looking to follow the example of Xolair, which is widely prescribed in Japan, Australia, and South Korea, by developing highly targeted biologics and mAbs aimed at specific patient sub-types, with the hope of benefiting previously underserved patients and generating strong revenues.

¡§The level of innovation in asthma drug development is greater than that seen historically, which is a cause for optimism. The current pipeline molecules may be able to address unmet patient needs, and could provide additional alternative treatment options for patients with severe asthma that is uncontrolled with standard treatment.¡¨

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Dupilumab Development Program

Sanofi and Regeneron are studying dupilumab in a broad range of clinical development programs for diseases driven by Type 2 inflammation, including asthma (Phase 3), pediatric atopic dermatitis (Phase 3, ages 6 months - 11 years), nasal polyps (Phase 3) and eosinophilic esophagitis (Phase 2). Future trials are planned for chronic obstructive pulmonary disease, grass allergy and food allergy (including peanut). These potential uses are investigational and the safety and efficacy have not been evaluated by any regulatory authority. Dupilumab is being jointly developed by Sanofi and Regeneron under a global collaboration agreement.

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www.news.sanofi.us/2018-05-16-Dupixent-R-dupilumab-showed-positive-Phase-3-results-in-adolescents-with-inadequately-controlled-moderate-to-severe-atopic-dermatitis

Dupixent 12-17 ·³¡A¤¤­««×²§¦ì©Ê¥Ö½§ª¢3´ÁÁ{§É«ü¼Ð¹F¼Ð¡C

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ASLAN004°£¤F°w¹ï¤¤­««×²§¦ì©Ê¥Ö½§ª¢¡A®ð³Ýµ¥¶i¦æ¬ãµo¥~®Ú¾Ú¤½¥qºô¯¸´£¨ì¥¼¨Ó¥ç¥i¯à°w¹ï¨ä¥Lµoª¢©Ê¾AÀ³¯g¶i¦æ¬ã¨s¡A¨Ò¦pºC©Êªý¶ë©ÊªÍ¯f (COPD)¡C 2011¦~²Î­p¬ü°êCOPD¤H¼Æ¦b1270¸U-2400¸U¤H¤§¶¡

www.healthline.com/health/copd/facts-statistics-infographic#6

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Percentage of Participants With Investigator¡¦s Global Assessment (IGA) Score of 0 or 1 and Reduction From Baseline of ≥2 Points at Week 16 [ Time Frame: Week 16 ]

IGA is an assessment scale used to determine severity of AD and clinical response to treatment on a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) based on erythema and papulation/infiltration. Therapeutic response is an IGA score of 0 (clear) or 1 (almost clear). Participants with IGA score of 0 or 1 and a reduction from baseline of ≥2 points at Week 16 were reported. Values after first rescue treatment were set to missing and participants with missing IGA scores at Week 16 were considered as non-responders.

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HIGHLIGHTS OF PRESCRIBING INFORMATION

These highlights do not include all the information needed to use DUPIXENT safely and effectively. See full prescribing information for DUPIXENT.

www.accessdata.fda.gov/drugsatfda_docs/label/2017/761055lbl.pdf

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Dupilumabªº¤T´ÁÁ{§É¤§¤@

Study of Dupilumab Monotherapy Administered to Adult Patients With Moderate-to-Severe Atopic Dermatitis (SOLO 1)

clinicaltrials.gov/ct2/show/NCT02277743

Study Type : Interventional (Clinical Trial)

Actual Enrollment : 671 participants

Allocation: Randomized

Intervention Model: Parallel Assignment

Masking: Triple (Participant, Investigator, Outcomes Assessor)

Primary Purpose: Treatment

Official Title: A Phase 3 Confirmatory Study Investigating the Efficacy and Safety of Dupilumab Monotherapy Administered to Adult Patients With Moderate-to-Severe Atopic Dermatitis

Study Start Date : October 2014

Actual Primary Completion Date : November 2015

Actual Study Completion Date : February 2016

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Primary Outcome Measures :

Percentage of Participants With Investigator¡¦s Global Assessment (IGA) Score of 0 or 1 and Reduction From Baseline of ≥2 Points at Week 16 [ Time Frame: Week 16 ]

IGA is an assessment scale used to determine severity of AD and clinical response to treatment on a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) based on erythema and papulation/infiltration. Therapeutic response is an IGA score of 0 (clear) or 1 (almost clear). Participants with IGA score of 0 or 1 and a reduction from baseline of ≥2 points at Week 16 were reported. Values after first rescue treatment were set to missing and participants with missing IGA scores at Week 16 were considered as non-responders.

Secondary Outcome Measures :

Percentage of Participants With Eczema Area and Severity Index-75 (EASI-75) (≥75% Improvement From Baseline) at Week 16 [ Time Frame: Week 16 ]

The EASI score was used to measure the severity and extent of AD and measured erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. EASI-75 responders were the participants who achieved ≥75% overall improvement in EASI score from baseline to Week 16. Values after first rescue treatment use were set to missing and participants with missing EASI score at Week 16 were considered as non-responders.

Percentage of Participants With Improvement (Reduction ≥4 Points) of Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16 [ Time Frame: Baseline to Week 16 ]

Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]). Participants achieving a reduction of ≥4 points from baseline in weekly average of peak daily pruritus NRS score at Week 16 were reported. Values after first rescue treatment were set to missing and participants with missing peak NRS at Week 16 were considered as non-responders.

Percentage of Participants With Improvement (Reduction ≥3 Points) of Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16 [ Time Frame: Baseline to Week 16 ]

Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]). Participants achieving a reduction of ≥3 points from baseline in weekly average of peak daily pruritus NRS score at Week 16 were reported. Values after first rescue treatment were set to missing and participants with missing peak NRS at Week 16 were considered as non-responders.

Percent Change From Baseline in Peak Daily Pruritus Numerical Rating Scale (NRS) Score to Week 16 [ Time Frame: Baseline to Week 16 ]

Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]).

Percentage of Participants With Improvement (Reduction ≥4 Points) of Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 4 [ Time Frame: Baseline to Week 4 ]

Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]). Participants achieving a reduction of ≥4 points from baseline in weekly average of peak daily pruritus NRS score at Week 4 were reported. Values after first rescue treatment were set to missing and subjects with missing peak NRS at Week 4 were considered as non-responders.

Percentage of Participants With Improvement (Reduction ≥4 Points) of Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 2 [ Time Frame: Baseline to Week 2 ]

Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]). Participants achieving a reduction of ≥4 points from baseline in weekly average of peak daily pruritus NRS score at Week 2 were reported. Values after first rescue treatment were set to missing and participants with missing peak NRS at Week 2 were considered as non-responders.

Change From Baseline in Peak Daily Pruritus Numerical Rating Scale (NRS) Score to Week 16 [ Time Frame: Baseline to Week 16 ]

Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]).

Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score to Week 16 [ Time Frame: Baseline to Week 16 ]

The EASI score was used to measure the severity and extent of AD and measured erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.

Percentage of Participants With Eczema Area and Severity Index-50 (EASI-50) (≥50% Improvement From Baseline) at Week 16 [ Time Frame: Week 16 ]

The EASI score was used to measure the severity and extent of AD and measured erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. EASI-50 responders were the participants who achieved ≥50% overall improvement in EASI score from baseline to Week 16. Values after first rescue treatment were set to missing and participants with missing EASI-50 scores at Week 16 were considered as non-responders.

Percentage of Participants With Eczema Area and Severity Index-90 (EASI-90) (≥90% Improvement From Baseline) at Week 16 [ Time Frame: Week 16 ]

The EASI score was used to measure the severity and extent of AD and measured erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. EASI-90 responders were the participants who achieved ≥90% overall improvement in EASI score from baseline to Week 16. Values after first rescue treatment were set to missing and participants with missing EASI-90 scores at Week 16 were considered as non-responders.

Change From Baseline in Percent Body Surface Area (BSA) to Week 16 [ Time Frame: Baseline to Week 16 ]

BSA affected by AD was assessed for each section of the body (the possible highest score for each region was: head and neck [9%], anterior trunk [18%], back [18%], upper limbs [18%], lower limbs [36%], and genitals [1%]). It was reported as a percentage of all major body sections combined.

Percent Change From Baseline in the SCORing Atopic Dermatitis (SCORAD) Score to Week 16 [ Time Frame: Baseline to Week 16 ]

SCORAD is a clinical tool for assessing the severity of AD developed by the European Task Force on Atopic Dermatitis (Severity scoring of atopic dermatitis: the SCORAD index). Consensus Report of the European Task Force on Atopic Dermatitis. Dermatology (Basel) 186 (1): 23-31. 1993. Extent and intensity of eczema as well as subjective signs (insomnia, etc.) are assessed and scored. Total score ranges from 0 (absent disease) to 103 (severe disease).

Change From Baseline in Dermatology Life Quality Index (DLQI) to Week 16 [ Time Frame: Baseline to Week 16 ]

The DLQI is a 10-item, validated questionnaire used in clinical practice and clinical trials to assess the impact of AD disease symptoms and treatment on quality of life (QOL). The 10 questions assessed QOL over the past week, with an overall scoring of 0 (absent disease) to 30 (severe disease); a high score was indicative of a poor QOL.

Change From Baseline in Patient Oriented Eczema Measure (POEM) to Week 16 [ Time Frame: Baseline to Week 16 ]

The POEM is a 7-item questionnaire that assesses disease symptoms (dryness, itching, flaking, cracking, sleep loss, bleeding and weeping) with a scoring system of 0 (absent disease) to 28 (severe disease) (high score indicative of poor quality of life [QOL]).

Change From Baseline in Hospital Anxiety Depression Scale (HADS) to Week 16 [ Time Frame: Baseline to Week 16 ]

HADS is a fourteen item scale. Seven of the items relate to anxiety and seven items relate to depression. Each item on the questionnaire is scored from 0 (minimum score) - 3 (maximum score) and this means that a person can score between 0 (no symptoms) and 21 (severe symptoms) for either anxiety or depression. Cut-offs for identifying psychiatric distress has been reported as 7 to 8 for possible presence, 10 to 11 for probable presence, and 14 to 15 for severe anxiety or depression.

Percent Change From Baseline in Global Individual Signs Score (GISS) to Week 16 [ Time Frame: Baseline to Week 16 ]

Individual components of the AD lesions (erythema, infiltration/ papulation, excoriations, and lichenification) were rated globally (each assessed for the whole body, not by anatomical region) on a 4-point scale (0= none, 1= mild, 2= moderate and 3= severe) using the EASI severity grading criteria. Total score ranges from 0 (absent disease) to 12 (severe disease).

Percent Change From Baseline in Peak Daily Pruritus NRS Score to Week 2 [ Time Frame: Baseline to Week 2 ]

Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]).

Percentage of Participants With Skin Infection Treatment Emergent Adverse Events (TEAEs) Requiring Systemic Treatment [ Time Frame: Baseline up to Week 16 ]

Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during on-treatment period (time from the first dose of study drug up to the end of study [Week 28]). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs. Statistical significance in the hierarchical testing of secondary hypotheses was broken at this endpoint. Therefore, subsequent secondary efficacy endpoints were not tested for statistical significance.

Percentage of Participants With Treatment Emergent Serious Adverse Events (TESAEs) From Baseline Through Week 16 [ Time Frame: Baseline up to Week 16 ]

Any untoward medical occurrence in a participant who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during on-treatment period (time from the first dose of study drug up to the end of study [Week 28]). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.

Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) Leading to Treatment Discontinuation From Baseline Through Week 16 [ Time Frame: Baseline up to Week 16 ]

Any untoward medical occurrence in a participant who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during on-treatment period (time from the first dose of study drug up to the end of study [Week 28]). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.

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HC Wainwright Reiterates ¡§Buy¡¨ Rating for ASLAN PHARMACEUTICALS ADR REP 5 (NASDAQ:ASLN)

Posted by Joe Tyrrell on Aug 29th, 2018 // No Comments

ASLAN PHARMACEUTICALS ADR REP 5 logoHC Wainwright reiterated their buy rating on shares of ASLAN PHARMACEUTICALS ADR REP 5 (NASDAQ:ASLN) in a report released on Tuesday, August 21st. The brokerage currently has a $12.00 price target on the stock.

¡§We have valuated ASLAN using a DCF-based methodology, which yields a risk-adjusted enterprise value of $394M for varlitinib and ASLAN003, using a 15% discount rate and 0.5% terminal growth rate. Our probabilities of success are 65% for varlitinib in BTC, 30% for varlitinib in in AML. Investment risks include: (1) failure of varlitinib or ASLAN003 in clinical trials; (2) failure varlitinib or ASLAN003 to secure regulatory approval; (3) failure of varlitinib or ASLAN003 to achieve commercial success due to market size, penetration rate, or competition; and (4) potential dilution risk.¡¨,¡¨ HC Wainwright¡¦s analyst commented.

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immunomedics.com/our-company/news-and-events/immunomedics-royalty-pharma-announce-royalty-funding-stock-purchase-agreements-totalling-250-million/

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Immunomedics and Royalty Pharma Announce Royalty Funding and Stock Purchase Agreements Totalling $250 Million

Royalty Pharma acquires Royalty Rights on Global Net Sales of Sacituzumab Govitecan (IMMU- 132) Across All Indications for $175 Million

Royalty Pharma Acquires $75 Million of Immunomedics Common Stock at $17.15 per share, a More Than 15% Premium over 15-Day Moving Average

Royalty Rate of 4.15% is Subject to Tiered Sales-Based Step-Downs reaching 1.75% on Annual Sales exceeding $6 Billion

Agreement Enables Investments into Further Build Out of Clinical, Commercial and Manufacturing Infrastructure and Execution of Aggressive Clinical Development Plan

Morris Plains, N.J. and New York, N.Y. January 8, 2018 ¡X Immunomedics, Inc., (NASDAQ: IMMU) (¡§Immunomedics¡¨ or the ¡§Company¡¨) and Royalty Pharma today announced that Immunomedics has agreed to sell tiered, sales-based royalty rights on global net sales of sacituzumab govitecan to Royalty Pharma for $175 million. Royalty Pharma has also purchased $75 million in common stock of Immunomedics, at $17.15 per share, which represents a more than 15% premium over the stock¡¦s 15-day trailing average closing price.

This $250 million funding provides Immunomedics the resources to support the Company¡¦s next phase of growth as it focuses on developing sacituzumab govitecan in metastatic triple-negative breast cancer (TNBC), advanced urothelial cancer and other indications of high medical need and on further building its clinical, medical affairs, commercial and manufacturing infrastructure. The royalty rate commences at 4.15 percent on net annual sales of up to $2 billion, declining step-wise based on sales tiers to 1.75 percent on net global annual sales exceeding $6 billion. This transaction will provide sufficient cash to fund operations into 2020.

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finance.yahoo.com/news/why-immunomedics-inc-soaring-today-205800676.html

Why Immunomedics, Inc. Is Soaring Today

Motley Fool

Brian Feroldi, The Motley Fool

Motley FoolDecember 7, 2017

What happened

After Immunomedics (NASDAQ: IMMU) shared some positive clinical data with investors, shares of the clinical-stage biotech focused on cancer rose 17% as of 3:10 p.m. EST on Wednesday.

So what

Immunomedics announced data from a phase 2 study that tested its lead compound sacituzumab govitecan as a potential treatment for metastatic triple-negative breast cancer (mTNBC). Data from the 110 patient study showed that sacituzumab govitecan elicited an objective response rate of 31%, with a median duration of response of 9.1 months. That¡¦s much better than the 10% to 15% response rate that current standard-of-care therapies provide.

Here¡¦s what Immunomedics¡¦ relatively new CEO Michael Pehl had to say about the data:

We believe the blinded independent adjudication affirms the significant clinical activity of sacituzumab govitecan as a single agent in the third-line setting for patients with relapsed or refractory mTNBC. We remain focused on bringing this important medicine to breast cancer patients expeditiously and on transforming Immunomedics into a fully integrated biopharmaceutical company, creating value for our stockholders.

CEO Pehl later went on to say that the company will use this data to seek an accelerated approval from the Food and Drug Administration (FDA). The company plans to submit this data for regulatory review starting in the first quarter of 2018.

Given the news, it is easy to understand why shares are flying high today.

Now what

Today¡¦s news likely serves as some vindication to venBio Select Advisor, which is an activist investment firm that pressured Immunomedics to terminate its licensing deal with Seattle Genetics (NASDAQ: SGEN) earlier this year. venBio felt that the deal undervalued sacituzumab govitecan as an asset, which is quite a statement considering that the original deal provided Immunomedics with a $250 million upfront payment and the ability to earn $1.7 billion in milestone payments.

With this strong data in hand and a former Celgene executive in the corner office, the future is certainly looking up for Immunomedics¡¦ shareholders. Risk-loving investors might want to keep an eye on this small-cap biotech.

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FDA Grants Sacituzumab Govitecan Priority Review for Triple-Negative Breast Cancer

Jason M. Broderick @jasoncology

Published: Wednesday, Jul 18, 2018

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The FDA has granted a priority review designation to a biologics license application (BLA) for sacituzumab govitecan for the treatment of patients with metastatic triple-negative breast cancer (mTNBC) following at least 2 prior therapies for metastatic disease, according to Immunomedics, the manufacturer of the antibody-drug conjugate.

In phase II results presented at the 2017 San Antonio Breast Cancer Symposium (SABCS), sacituzumab govitecan elicited an objective response rate (ORR) of 34% in patients with heavily pretreated mTNBC. In the 110-patient, single-arm trial, the ORR was accompanied by stable disease for ≥6 months in 11% of patients, for an overall disease control rate of 45%. The median progression-free survival with sacituzumab govitecan was 5.5 months (95% CI, 4.8-6.6) and the median overall survival was 12.7 months (95% CI, 10.8-13.6).

Under the Prescription Drug User Fee Act, the FDA is scheduled to make its decision on the BLA by January 18, 2019.

¡§We are delighted that the FDA has accepted the sacituzumab govitecan BLA for priority review,¡¨ Michael Pehl, president and chief executive officer, Immunomedics, said in a statement. ¡§We will continue to work closely with the regulatory agency as we strive to bring this potential new treatment to mTNBC patients expeditiously.¡¨

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1. The orphan designation is part of the approval process

Submitting an orphan designation request is unrelated to the drug approval process. In fact, the orphan application can be filed anytime in the drug development process before NDA/BLA submission, even prior to IND filing.

2. There can be only one orphan designation per indication

Not only can there be multiple orphan designations per indication;

more than one sponsor can receive an orphan designation for the same drug/indication.

However, only the first drug to be approved for a given indication will enjoy the benefits of orphan approval.

A product with a different active moiety can also receive orphan approval for an already approved orphan indication.

Additionally, a second sponsor may gain orphan approval for a previously approved orphan drug/indication if the second sponsor¡¦s product demonstrates increased clinical benefit, e.g. oral administration instead of intravenous.

3. A drug must be proven safe and effective in order to get orphan designation

The safety and efficacy bar is fairly low for an orphan designation. The applicant is asked to provide a ¡§scientific rationale¡¨ for the use of the drug. The applicant may provide clinical data, animal studies or in vitro data to make the case. If sufficient information exists in published literature, that may suffice.

4. The orphan application process is arduous

Actually, the orphan application process is quite simple. In the US, the argument hinges on disease prevalence of under 200,000. If the number can be established and there is a ¡§scientific rationale¡¨ for the use of the drug, it will most likely achieve orphan status. Unlike most other FDA submissions, we often urge our clients to file rather than continuing a lengthy internal debate. If FDA rejects the submission, FDA will explain why and the submission may be reworked and refiled as many times as necessary. Additionally, there is no FDA fee for the orphan designation request.

5. The same designation criteria are used for US and EU applications

There are a number of differences between the US and EU applications. For example, in the EU:

Prevalence is defined as less than 5 out of 10,000 people

The disease must be life threatening or chronically debilitating

No treatment can exist or if there is an existing treatment, the new must show significant benefit over the old.

6. Scrutiny of orphan designations has not changed over time

The orphan field is becoming crowded. Since the beginning of the program in 1984, there have been more than 3,000 orphan designations with nearly 500 approvals. As more companies pursue rare diseases there is a tendency to slice disease states into sub-indications in an attempt to gain orphan status. While some of these sub-indications might be considered improper and therefore will receive increased scrutiny, improved diagnostic techniques have enabled sponsors to match treatments with specific therapies. For example, there is an orphan designation for skin testing of victims of fire ant stings to confirm fire ant sensitivity, and if positive, for use as immunotherapy for the prevention of IgE-mediated anaphylactic reactions.

7. Seven-year exclusivity is the sole benefit of the orphan approval

Although post-approval benefits are significant, many early-stage companies apply for orphan designation when approvals are in the distant future. The successful application becomes public when the designation occurs, thereby broadcasting the young company¡¦s intention and opening the category to anyone. Therefore, there must be another reason for these early filings. There is. Orphan designations are newsworthy and small companies often use the designation to put themselves on the map and to gain the interest of the investment community. Other benefits of orphan designation include:

Protocol assistance offered by FDA

Tax credits of 50% of the clinical drug testing cost awarded upon approval

Research grants¡XFDA awarded approximately 75 grants in 2013

Waiver of NDA/BLA application fee¡Xthis is a $2.2 million value

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¡u¡K¡KThis is best supported by clinical trials of the drug in the rare disease or condition. However, in absence of human data, the request for orphan drug designation may be satisfactorily supported with preclinical data that uses the active moiety or principal molecular structure of the proposed orphan drug in a relevant animal model for the rare human disease. ¡K¡K ¡v³o¬q¤å¦r´£¨ì¡A¥Ó½Ð©t¨àÃÄ»{Ãҳ̦n¬O®³¡uclinical data¡v¡F¦pªG¯Ê¥Fªº¸Ü¡A«hªþ¤W¡upreclinical data¡v¤]¥i¥H¡A¦ý­nªþ¤W¾A·íªº¡u°Êª«¼Ò¦¡¡vªº°Êª«¹êÅç¼Æ¾Ú¡C¬JµM¦p¦¹¡A¡u¡K¡K¬ã¨s¥D«ù¤H¥²»ÝÃÒ©ú¸ÓÃĪ«¦bÁ{§É¤WÀu©ó¥H«e¥ô¦ó¤w®Ö­ã¥Î©ó¬Û¦P¯e¯fªºÃĪ«»P»{©w¨ä¦w¥þ¦æ¤~·|®Ö­ã©t¨àÃÄ»{ÃÒ¡v³o¥y¸Ü¬O¤£¦¨¥ßªº¡C¾Ö¦³Àu²§ªº¡uÁ{§É«e¡vªº°Êª«¹êÅç¼Æ¾Ú¡A´N¦³¾÷·|¨ú±o©t¨àÃÄ»{ÃÒ¡A¤£¨£±o«D­n¦³¡uÁ{§É¼Æ¾Ú¡v¡A§ó¬Ç´£­nÀu©óÂÂÃÄ¡C

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¥ô¦óÁ{§ÉÀu¶ÕÁn©ú³£¥i¯à»Ý­n¶i¦æhead-to-head ¸ÕÅç¡C (¦³°õ¦æÁ{§É¹ï·Ó¸ÕÅç)

12. Under what conditions will OOPD designate an orphan drug and recognize orphan drug exclusivity for a new formulation of a drug that is otherwise the same drug as an already approved drug for the same rare disease or condition?

The public policy objective of the Orphan Drug Act is to stimulate innovation in developing treatments for patients with rare diseases and conditions and to foster the prompt availability of therapeutically superior drugs. Accordingly, the orphan drug regulations attempt to ensure that orphan drug exclusivity approval does not preclude significant improvements in treating rare diseases.

OOPD may grant orphan drug designation to a drug that is otherwise the same drug as a drug already approved in the U.S. for the same rare disease or condition only if the sponsor can present a plausible hypothesis that its drug may be ¡§clinically superior¡¨ to the previously approved drug. Clinical superiority may be established by means of greater effectiveness, greater safety in a substantial portion of the target populations, or in unusual cases a major contribution to patient care (MC-to-PC).

Further, if orphan drug designation is granted, and if the drug receives marketing approval for the designated use, in order for the drug to receive orphan drug exclusive approval for this use, the sponsor must demonstrate that the drug is actually clinically superior to any previously approved same drug for the same use.

Any claim for clinical superiority could require a head-to-head trial.

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Study Type : Interventional (Clinical Trial)

Estimated Enrollment : 100 participants

Intervention Model: Single Group Assignment

Masking: None (Open Label)

Primary Purpose: Treatment

Official Title: A Pivotal Trial of ARQ 087 in Subjects With FGFR2 Gene Fusion Positive Inoperable or Advanced Intrahepatic Cholangiocarcinoma

Actual Study Start Date : November 10, 2017

Estimated Primary Completion Date : September 2020

Estimated Study Completion Date : March 2021

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Lenvatinib¬O¤@ºØ¯à°÷§í¨î¦hºØ¨üÅé¹T®ò»Ä¿E酶¡]receptor tyrosine kinase, RTK¡^¥\¯àªº¤fªA§í¨î¾¯¡C¥¦¯à§í¨îVEGF¨üÅ骺¿E酶¬¡©Ê©M¨ä¥¦»P¯f²z¦åºÞ¼W¥Í¡A¥H¤Î¸~½F¥Íªø¬ÛÃöªº¨üÅé¹T®ò»Ä¿E酶¡A¥]¬AFGFR1¡B2¡B3¡B4¡APDGFR£\©MRET¡C

Eisai¶i¦æ¦W¬°¡uREFLECT¡vªºopen label(¶}©ñ¼ÐÅÒ)¡B¦h¤¤¤ß¡BÀH¾÷¡B«D¦H®Ä©ÊÁ{§É(nonferiority)¤T´ÁÁ{§É¸ÕÅç¡CÁ{§É¸ÕÅ礤ªº954¦WµLªk¤Á°£©ÎÂಾ©ÊHCC±wªÌ±µ¨ü¤Flenvatinib©ÎsorafenibªºªvÀø¡A³o¨Ç±wªÌ¨S¦³±µ¨ü¹L¥ô¦ó«e´ÁªvÀø¡C¸ÕÅçµ²ªGÅã¥Ü¡Alenvatinib»Psorafenib¬Û¤ñ¡A¦bÁ`¥Í¦s´Á«ü¼Ð¡]Overall survival,OS¡^¤W¹F¨ì¤F«D¦H®Ä©Ê¼Ð·Ç¡C

Lenvatinib²Õªº¥­§¡Á`¥Í¦s´Á¬°13.6­Ó¤ë¡A¹ï·Ó²Õ¬°12.3­Ó¤ë¡C¦Ó¥B¡Alenvatinib²Õªº¥­§¡µL¶i®i¥Í¦s´Á¡]progression-free survival¡APFS¡^¬°7.3­Ó¤ë¡AÅãµÛ°ª©ó¹ï·Ó²Õªº3.6­Ó¤ë¡]p<0.001¡^¡CLenvatinib²ÕªºÁ`½w¸Ñ²v¡]ORR¡Aoverall response rate¡^¤]°ª©ó¹ï·Ó²Õ¡]41%¤ñ12¢H¡A¨Ï¥ÎmRECISTÀË´ú¼Ð·Ç¡F19¢H¤ñ7¢H¡A¨Ï¥ÎRECIST 1.1ÀË´ú¼Ð·Ç¡^¡C

¡uµLªk¤Á°£ªºHCC¬O¤@ºØ«D±`Ãø©óªvÀøªºÀù¯g¡A¦b¹L¥h¤Q¦~¸ÌÁÙ¨S¦³¥X²{·sªº¥þ¨­©Ê¤@½uªvÀø¿ï¾Ü¡v¡A´µ¶©-³Í¯SµYÀù¯g¤¤¤ß¡]Memorial Sloan Kettering Cancer Center¡^¸~½F¾Ç®aGhassan Abou-Alfa³Õ¤hªí¥Ü¡G¡uREFLECT¸ÕÅç´£¨ÑªºÀø®Ä©M¦w¥þ©Ê¸ê®Æ¹ï±wªÌ©MªvÀø¥L­Ìªº¸~½F¾Ç®a¨Ó»¡¡A³£¬O«D±`­«­nªºµo²{¡C¡v

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FDA approves lenvatinib for unresectable hepatocellular carcinoma. Retrieved August 16, 2018¡C

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FDA in Brief: FDA advances efforts to help modernize oncology drug trials

FDA²¤¶¡GFDA±À¶i¤FÀ°§U²{¥N¤Æ¸~½FÃĪ«¸ÕÅ窺§V¤O

August 10, 2018

¡§§@¬°§Ú­Ì¤£Â_§V¤O±À¶i§ó¦³®ÄªºÂåÀø²£«~¶}µo¤è¦¡ªº¤@³¡¤À¡AFDA¥¿¦b¹ªÀy³Ð·sªÌ¶}³ÐÁ{§É¸ÕÅç¤è¦¡²{¥N¤Æªº·s¤èªk¡A¡¨FDA±M­ûScott GottliebÂå¾Ç³Õ¤h»¡¹D¡C

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¤u·~«ü«n¯ó®×¡AÂX®i¶¤¦C¡G¥Î©ó¥[³t¸~½FÃĪ«©M¥Íª«»s¾¯¶}µoªº­º¦¸¤HÅéÁ{§É¸ÕÅç¡A´£¨Ñ³]­p©M¹ê¬I¾AÀ³©Ê¸ÕÅç³]­pªº«Øij¡A¨ä¤¤»sÃĤ½¥q©M¬ã¨s¤H­û¥i¥Hµû¦ôÃĪ«ªº³\¦h¤£¦P¤è­±¦b¤@¶µÁ{§É¸ÕÅ窺¶}µo¤¤¡A¦P®Éµù¥UÀò±o¦¹«H®§©Ò»Ýªº³Ì¤Ö¼Æ¶qªº¬ã¨s°Ñ»PªÌ¡C

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¡§As part of our ongoing efforts to advance more efficient ways to develop medical products, the FDA is encouraging pioneering new ways that innovators can modernize the way they conduct clinical trials,¡¨ said FDA Commissioner Scott Gottlieb, M.D. ¡§The approach we¡¦re describing in new guidance today is to help innovators to evaluate drugs in trials that are potentially lower cost, more efficient, and could enable us to learn more about the safety and efficacy when compared to traditional trial designs. We¡¦ve outlined how drug developers can use an innovative seamless trial design in early stages of oncology drug development ¡V specifically, the first time they¡¦re tested in humans ¡V that compresses the traditional three phases of trials into one continuous trial, called an expansion cohort trial. A lot of the time and cost of clinical development is spent waiting in between the start and end of the phases of trials. Expansion cohort trials can bring efficiency to drug development, potentially reducing development costs and time. These clinical trial improvements can help ensure that innovative new therapies can be advanced efficiently to patients confronting a cancer diagnosis.¡¨

The draft guidance for industry, Expansion Cohorts: Use in First-In-Human Clinical Trials to Expedite Development of Oncology Drugs and Biologics, provides advice on designing and conducting adaptive trial designs in which pharmaceutical companies and researchers can assess many different aspects of a drug in development in a single clinical trial while enrolling the minimum number of study participants necessary to obtain this information.

This guidance provides FDA¡¦s recommendations regarding: (1) characteristics of drug products best suited for consideration for development under a multiple expansion cohort trial; (2) information to include in investigational new drug application submissions to support the design of individual expansion cohorts; (3) when to interact with FDA on planning and conduct of multiple expansion cohort studies; and (4) safeguards to protect patients enrolled in these expansion cohort studies.

The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation¡¦s food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products.

www.fda.gov/NewsEvents/Newsroom/FDAInBrief/ucm616484.htm

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AML is a rapidly progressing cancer that forms in the bone marrow and results in an increased number of white blood cells in the bloodstream. The National Cancer Institute estimated that approximately 19,930 people would be diagnosed with AML in 2016 and 10,430 were projected to die of the disease.

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2017.04 ®Ö凖¤W¥«AML(¦åÀù)¥ÎÃÄ RYDAPT

www.accessdata.fda.gov/drugsatfda_docs/label/2017/207997s000lbl.pdf

INDICATIONS AND USAGE---------------------------

RYDAPT is a kinase inhibitor indicated for the treatment of adult patients with:

¡E Newly diagnosed acute myeloid leukemia (AML) that is FLT3 mutation- positive as detected by an FDA-approved test, in combination with standard cytarabine and daunorubicin induction and cytarabine consolidation (1.1).

Limitations of Use:

RYDAPT is not indicated as a single-agent induction therapy for the treatment of patients with AML.

¡E Aggressive systemic mastocytosis (ASM), systemic mastocytosis with associated hematological neoplasm (SM-AHN), or mast cell leukemia (MCL). (1.2)

------------------------DOSAGE AND ADMINISTRATION----------------------

¡E AML: 50 mg orally twice daily with food. (2.1, 2.2, 2.4)

¡E ASM, SM-AHN, and MCL: 100 mg orally twice daily with food. (2.3, 2.4)

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the median EFS was 10.6 months for RYDAPT plus standard chemotherapy versus 5.6 months for placebo plus standard chemotherapy with HR 0.72 (95% CI 0.61, 0.86).

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RYDAPT is a kinase inhibitor indicated for the treatment of adult patients with:

¡E Newly diagnosed acute myeloid leukemia (AML) that is FLT3 mutation- positive

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Midostaurin (Rydapt) is a multi-tyrosine kinase inhibitor active against FLT3-ITD and FLT3-TKD that was approved by the FDA in April 2017 for the treatment of FLT3-mutated AML. When added to conventional induction chemotherapy in younger patients with untreated AML, midostaurin improved the overall rate of complete response (CR) from 66% to 74%, extended median overall survival (OS) from 25.6 months to 74.7 months, and improved 5-year survival from 43% to 51% without additional toxicity.2

www.onclive.com/conference-coverage/nccn-hem-2017/new-aml-drugs-approved-and-under-investigation-in-2017

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The overall rate of SCT (induction failure, first CR or salvage after relapse) was 59% (214/360) of patients in the RYDAPT plus standard chemotherapy arm vs. 55% (197/357) in the placebo plus standard chemotherapy arm. All patients were followed for survival.

Efficacy was established on the basis of overall survival (OS), measured from the date of randomization until death by any cause. The primary analysis was conducted after a minimum follow-up of approximately 3.5 years after the randomization of the last patient. RYDAPT plus standard chemotherapy was superior to placebo plus standard chemotherapy in OS (HR 0.77; 95% CI 0.63, 0.95; 2 sided p=0.016) (Figure 1). Because survival curves plateaued before reaching the median, median survival could not be reliably estimated.

The analysis of event-free survival (EFS), defined as a failure to obtain a complete remission (CR) within 60 days of initiation of protocol therapy, or relapse, or death from any cause, showed a statistically significant improvement with a median of 8.2 months for RYDAPT plus standard chemotherapy versus 3.0 months for placebo plus standard chemotherapy with HR 0.78 (95% CI 0.66, 0.93) and 2 sided p=0.005. In an exploratory analysis of EFS defined as a failure to obtain a CR any time during induction, or relapse, or death from any cause with failures assigned as an event on study day 1, the median EFS was 10.6 months for RYDAPT plus standard chemotherapy versus 5.6 months for placebo plus standard chemotherapy with HR 0.72 (95% CI 0.61, 0.86).

Novartis Drug PKC412 (midostaurin) Improves Overall Survival by 23% in Global Phase III Study of AML Patients with FLT3 Mutations

Update: Rydapt (midostaurin) Now FDA Approved - April 28, 2017

www.drugs.com/clinical_trials/novartis-pkc412-midostaurin-improves-overall-survival-23-global-phase-iii-study-aml-patients-flt3-17350.html

Novartis Drug PKC412 (midostaurin) Receives Breakthrough Therapy Designation from the FDA for Newly-Diagnosed FLT3-Mutated Acute Myeloid Leukemia (AML)

BTD ¬ð¯}©ÊÀøªk

www.drugs.com/clinical_trials/novartis-pkc412-midostaurin-receives-breakthrough-therapy-designation-fda-newly-diagnosed-flt3-17349.html

FDA Approves Rydapt

FDA Approves Rydapt (midostaurin) for FLT3-Mutated Acute Myeloid Leukemia and Systemic Mastocytosis

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April 28, 2017 -- The U.S. Food and Drug Administration today approved Rydapt (midostaurin) for the treatment of adult patients with newly diagnosed acute myeloid leukemia (AML) who have a specific genetic mutation called FLT3, in combination with chemotherapy. The drug is approved for use with a companion diagnostic, the LeukoStrat CDx FLT3 Mutation Assay, which is used to detect the FLT3 mutation in patients with AML.

AML is a rapidly progressing cancer that forms in the bone marrow and results in an increased number of white blood cells in the bloodstream. The National Cancer Institute estimated that approximately 19,930 people would be diagnosed with AML in 2016 and 10,430 were projected to die of the disease.

¡§Rydapt is the first targeted therapy to treat patients with AML, in combination with chemotherapy,¡¨ said Richard Pazdur, M.D., acting director of the Office of Hematology and Oncology Products in the FDA¡¦s Center for Drug Evaluation and Research and director of the FDA¡¦s Oncology Center of Excellence. ¡§The ability to detect the gene mutation with a diagnostic test means doctors can identify specific patients who may benefit from this treatment.¡¨

Rydapt is a kinase inhibitor that works by blocking several enzymes that promote cell growth. If the FLT3 mutation is detected in blood or bone marrow samples using the LeukoStrat CDx FLT3 Mutation Assay, the patient may be eligible for treatment with Rydapt in combination with chemotherapy.

The safety and efficacy of Rydapt for patients with AML were studied in a randomized trial of 717 patients who had not been treated previously for AML. In the trial, patients who received Rydapt in combination with chemotherapy lived longer than patients who received chemotherapy alone, although a specific median survival rate could not be reliably estimated. In addition, patients who received Rydapt in combination with chemotherapy in the trial went longer (median 8.2 months) without certain complications (failure to achieve complete remission within 60 days of starting treatment, progression of leukemia or death) than patients who received chemotherapy alone (median three months).

Common side effects of Rydapt in patients with AML include low levels of white blood cells with fever (febrile neutropenia), nausea, inflammation of the mucous membranes (mucositis), vomiting, headache, spots on the skin due to bleeding (petechiae), musculoskeletal pain, nosebleeds (epistaxis), device-related infection, high blood sugar (hyperglycemia) and upper respiratory tract infection. Rydapt should not be used in patients with hypersensitivity to midostaurin or other ingredients in Rydapt. Women who are pregnant or breastfeeding should not take Rydapt because it may cause harm to a developing fetus or a newborn baby. Patients who experience signs or symptoms of lung damage (pulmonary toxicity) should stop using Rydapt.

Rydapt was also approved today for adults with certain types of rare blood disorders (aggressive systemic mastocytosis, systemic mastocytosis with associated hematological neoplasm or mast cell leukemia). Common side effects of Rydapt in these patients include nausea, vomiting, diarrhea, swelling (edema), musculoskeletal pain, abdominal pain, fatigue, upper respiratory tract infection, constipation, fever, headache and shortness of breath.

The FDA granted this application Priority Review, Fast Track (for the mastocytosis indication) and Breakthrough Therapy (for the AML indication) designations.

The FDA granted the approval of Rydapt to Novartis Pharmaceuticals Corporation. The FDA granted the approval of the LeukoStrat CDx FLT3 Mutation Assay to Invivoscribe Technologies Inc.

Source: FDA

Posted: April 2017

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T GlobeNewswire 07/03/2018 4:01 AM ET

ASLAN Pharmaceuticals Submits Clinical Trial Authorisation Application for First in Man Studies for ASLAN004

Recent GMXAY News

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SINGAPORE, July 03, 2018 (GLOBE NEWSWIRE) -- ASLAN Pharmaceuticals (ASLAN, 6497.TT) (NASDAQ:ASLN), a clinical-stage biopharmaceutical company based in Asia developing novel therapeutics for global markets, today announced the submission of a clinical trial authorisation application with the Singapore Health Sciences Authority (HSA) to initiate a phase 1 trial of ASLAN004. The single ascending dose study will recruit healthy volunteers and the multiple ascending dose study will recruit patients with atopic dermatitis.

ASLAN004 is a fully human monoclonal antibody that targets the IL-13 receptor £\1 subunit (IL-13R£\1) and potently inhibits interleukin 4 (IL-4) and interleukin 13 (IL-13). IL-4 and IL-13 are central to triggering symptoms of allergy in atopic dermatitis, such as redness and itching of the skin. By targeting IL-13R£\1, ASLAN004 has the potential to offer both a lower dose and dosing frequency than currently available treatments for atopic dermatitis which target the same pathways. ASLAN004¡¦s selective binding may also offer a more favourable side effect profile.

Dr Carl Firth, CEO of ASLAN Pharmaceuticals, said: ¡§We believe that ASLAN004 has the potential to be a best-in-class therapy, offering the potential for reduced injection frequency and greater convenience for patients than current treatment options for atopic dermatitis.¡¨

Atopic dermatitis is the most common dermatological disease, affecting over 200 million patients worldwide1, characterised by red inflamed skin and severe daytime and night time itching, which can severely impact patients¡¦ quality of life. Up to one-third of adult atopic dermatitis patients are considered moderate-to-severe2, for which currently available therapeutics are limited and management is challenging in the majority of cases.

Media and IR contacts

Emma Thompson

Spurwing Communications

Tel: +65 6340 7287

Email: ASLAN@spurwingcomms.com Robert Uhl

Westwicke Partners

Tel: +1 858 356 5932

Email: robert.uhl@westwicke.com

About ASLAN004

ASLAN004 is a fully human monoclonal antibody that targets the IL-13 receptor £\1 subunit, or IL-13R£\1, with potential to be a best-in-class therapy. ASLAN004 is currently in preclinical development. By targeting IL-13R£\1, ASLAN004 potently inhibits signalling of both interleukin 4, or IL-4, and interleukin 13, or IL-13. IL-4 and IL-13 are central to triggering symptoms of allergy in atopic dermatitis, such as redness and itching of the skin, as well as asthma symptoms such as shortness of breath, wheezing and coughing.

About ASLAN Pharmaceuticals

ASLAN Pharmaceuticals (ASLAN, 6497.TT) (NASDAQ:ASLN) is a clinical-stage oncology-focused biopharmaceutical company developing novel therapeutics for global markets. ASLAN targets diseases that are both highly prevalent in Asia and orphan indications in the United States and Europe. Led by a senior management team with extensive experience in global and regional development and commercialisation, ASLAN is headquartered in Singapore and has offices in Taiwan and China. ASLAN¡¦s portfolio is comprised of four product candidates which target validated growth pathways applied to new patient segments, novel immune checkpoints and novel cancer metabolic pathways. ASLAN¡¦s partners include Array BioPharma, Bristol-Myers Squibb, Almirall and CSL. For additional information please visit www.aslanpharma.com.

_____________________________

1 Nutten, S. 2015. Atopic dermatitis: global epidemiology and risk factors

2 D¡¦Erme AM, Romanelli M, Chiricozzi A. 2017. Spotlight on dupilumab in the treatment of atopic dermatitis: design, development, and potential place in therapy. Dove Press journal: Drug, Design and Therapy Vol 2017:11 p1473¡¨”1480

Source: ASLAN Pharmaceuticals Limited1

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