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p.11

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aslanpharma.com/app/uploads/2018/06/2018-ASCO-ASLAN001-009.pdf

Exploratory objectives:

• Part 1

1. To explore the role of HER family status as a predictor of

benefit to varlitinib

2. To explore possible relationships between HER family and

downstream signaling protein and phospho-protein

expression levels and clinical outcomes

3. To explore possible relationships between gene

mutational status and clinical outcomes

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• Âǥѵ¦²¤Áp·ùºc«Ø¿W¦³¤§²£«~²Õ¦X: ¥»¤½¥q¨Ì¾Ú¹ï©ó¯e¯fªº»{ª¾¡A»PA*STAR ¤Î«n¬v²z¤u¤j¾Ç

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• ¦h¤¸Â×´Iªº¾÷·|¥i¨Ñ¿ï¾Ü: ¥Ñ©ó¥»¤½¥qÅé½è»PÃö«Y­Ñ¨Î¡A¦]¦¹­Ú¨Ñ¿ï¾ÜªºÃÄ«~·¥¬°¦h¤¸Â×´I¡A¨C

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• ·~¬ÉÂ×´Iªº¸gÅç»P©¹¨ÓÃö«Y: ¥»¤½¥q¸gÀç¹Î¶¤¦b·~¬É¨ã³Æ²`«p¨}¦nªº¤H¯ßÃö«Y¡A±`»P¥þ²y¥D­n¤j

¼tªºÃöÁä¨Mµ¦ªÌ¥æ¬y; ¥»¤½¥q¨Æ·~¶}µo³¡ªù¥H©¹¤]¦³²³¦h¦¨¥\®×¨Ò¡AÂ×´Iªº¸gÅçÀ³¯à½T«O¶¶§Q§¹

¦¨ÃĪ«Âà¥X±ÂÅv¡C

(5) ¬Y¨Ç¾AÀ³¯g¦p¨ÅÀùªºÁ{§É¸ÕÅç¯Ó®É¥B©ù¶Q¡A­YµL¦X§@¹Ù¦ñ¡A¨È·à±d©Î»Ý·s¸êª÷Ѻª`¤~¯à¦Û¦æ§¹¦¨

varlitinib ©Ò¦³ªº¸ÕÅç

¦]À³¹ïµ¦:

• ¥»¤½¥q¹w­p±Nvarlitinib Âà¥X±ÂÅv¡A¥Ñ¦X§@¹Ù¦ñ¥þÅv¶i¦æ¨ÅÀùÁ{§É¸ÕÅç¡A¥»¤½¥q¤w¹w¯d¥R¨¬¸êª÷

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• ¥»¤½¥q²{ª÷³¡¦ì¥R¨¬¡A¯à°÷¤äÀ³©Ò¦³¨M©w¶i¦æ¤§Á{§É¸ÕÅç¡C¥»¤½¥q·|¹ï¦UºØ¾AÀ³¯g±Æ©w¶}µo¤§

Àu¥ý¶¶§Ç¡A­Y¸êª÷¤£¨¬«h¤£·|±Ò°ÊÁ{§É¸ÕÅç¡C

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ascopubs.org/doi/abs/10.1200/JCO.2018.36.4_suppl.429# ¼vÅT¤G½uÀø®Äªº¬ÛÃö¦]¯À

www.croh-online.com/article/S1040-8428(13)00113-3/pdf

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¨È·à±d ASLAN001 ªvÀø¤G½u Áx¹DÀù , ¥þ²yÁ{§É P­È±Ó·P«×¤ÀªR.

¨È·à±d1b Á{§É ORR 20% (3/15) //ARQ087 ORR21%(5/29)¡X-

¤@¡B°²³]¥»Á{§É±wªÌ¦³HER®a±Ú¨ü¾¹ªÌ¦û70%,¡AµLHER(NON-HER)±wªÌ30%

HER 70%/NON-HER 30%

¨Ì¾Ú¤G½uÁxºÞÀùÂù¤ÆÀø¤åÄmORR=7.6%.

1.±aNON-HER ORR ¨ÑÄm30%x7.6%=2.28%(Âù¤ÆÀø)

2.HER ORR ¨ÑÄm 20%-2.28%=17.72%(Âù¤ÆÀø¡ÏASLAN 001)

(1)¨Ì¾ÚARQ 087 , ASLAN001 ¦Ü¤Ö¨ÑÄm21%x70%=14.7%

(2)Âù¤ÆÀøÃĪ«¨ÑÄmORR 17.72-16%=1.72%¡X¡X(A)

¤G¡B¦ôN=120 , 60:60 ´Á¼Ï¯ÃÁ{§É, ORR ,¤ÎP ­È ±Ó·P«×¤ÀªR

µ²½× :¹ï·Ó²Õ4%¥H¤º,P­È¬Ò¥i<5%.

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¨Ì¾Ú ARQ087 1bÀø®Ä ORR21%

¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X-

1. ­Y¹ï·Ó²Õ¬°³æ¤ÆÀøÃĪ«ORR 1.2%

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HER:

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¡Ï³æ¤ÆÀøÃĪ«¨ÑÄm ORR 1.2%/7.6%x1.72%(A)=0.27%

¦X­p ¹w¦ô¹êÅç²ÕORR = 14.7%¡Ï0.36%¡Ï0.27%=15.33%

ORR 15.33% VS 1.2%

9.2/60 VS 0.72/60

X^2 =6.148, P =1.3%

2.­Y¹ï·Ó²Õ¬°³æ¤ÆÀøÃĪ«ORR 2.4%

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HER

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¡Ï³æ¤ÆÀøÃĪ«2.4%/7.6%x1.72%=0.54%

¦X­p ¹w¦ô¹êÅç²ÕORR = 14.7%¡Ï0.72%¡Ï0.54%=15.96%

ORR 15.96% VS 2.4%

9.58/60 VS 1.44/60

X^2 =5.092, P =2.4%

3. ­Y¹ï·Ó²Õ¬°³æ¤ÆÀøÃĪ«ORR 3.6%

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HER

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¦X­p ¹w¦ô¹êÅç²ÕORR = 14.7%¡Ï1.08%¡Ï0.81%=16.59%

ORR 16.59% VS 3.6%

9.95/60 VS 2.16/60

X^2 =4.234 P =4.0%

4. ­Y¹ï·Ó²Õ¬°³æ¤ÆÀøÃĪ«ORR 4.0%

NON-HER ORR ³æ¤ÆÀøÃĪ«¨ÑÄmORR 30%x4.0%=1.2%

HER

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¡Ï³æ¤ÆÀøÃĪ«ORR 4.%/7.6%x1.72%=0.91%

¦X­p ¹w¦ô¹êÅç²ÕORR = 14.7%¡Ï1.2%¡Ï0.91%=16.81%

ORR 16.81% VS 4.0%

10.01/60 VS 2.4/60

X^2 =3.927 P =4.8%

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·|­û¡G¤Ñ©R10141925  µoªí®É¶¡:2018/7/25 ¤W¤È 08:54:45²Ä 257 ½g¦^À³
¤@¡BPhase 1/2 Study of ARQ 087 in Adult Subjects With Advanced Solid Tumors With FGFR Genetic Alterations

clinicaltrials.gov/ct2/show/NCT01752920?term=arqule

Study Type : Interventional (Clinical Trial)

Actual Enrollment : 109 participants

Intervention Model: Single Group Assignment

Masking: None (Open Label)

Primary Purpose: Treatment

Official Title: A Phase 1/2 Study of ARQ 087 in Adult Subjects With Advanced Solid Tumors With FGFR Genetic Alterations, Including Intrahepatic Cholangiocarcinoma With FGFR2 Gene Fusion

Study Start Date : December 2012

Estimated Primary Completion Date : June 2018

Estimated Study Completion Date : December 2018

Experimental: ARQ 087

Subjects will receive ARQ 087 orally at dose levels specified for their respective dose cohorts on a 28-day schedule.

Subjects will receive treatment with ARQ 087 until progression of disease (clinical or radiological), unacceptable toxicity, or another of the discontinuation criteria is documented.

ARQ 087 ¤G缐Áx¹DÀùICCA 1/2´ÁÁ{§É, ¨S¥Î¤ÆÀøÃĪ«.

¥u¥ÎARQ087 ¹êÅç²Õ³æÃÄ.

ORR ¹F21%(3/29)

MPFS ªñ6­Ó¤ë(2017 ASCO)

¤G¡BARQ 087 in Subjects With FGFR2 Gene Fusion Positive Inoperable or Advanced Intrahepatic Cholangiocarcinoma

clinicaltrials.gov/ct2/show/NCT03230318?term=087-301&rank=1

Study Design

Go to sections

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

Drug: ARQ 087

ARQ 087 will be orally administered at 300 mg once per day one hour prior to or two hours after a meal and is supplied as 100 mg capsules.

³Ìªñªº¤G´ÁÁx¹DÀù¤G½u¡A¤]¬OµL¥Î¥ô¦ó¤ÆÀøÃĪ«.

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Efficacy of fluoropyrimidine-based chemotherapy in patients with advanced biliary tract cancer after failure of gemcitabine plus cisplatin: retrospective analysis of 321 patients

www.ncbi.nlm.nih.gov/pmc/articles/PMC5344285/

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The randomized NCRN phase III ABC-02 trial provided level-A evidence for first-line chemotherapy with cisplatin and gemcitabine combination in advanced biliary cancer (ABC). This systematic literature review aims to evaluate the level of evidence for the use of second-line chemotherapy for patients with ABC in terms of overall survival (OS), response, toxicity and quality of life. Eligible studies were identified using Medline, ASCO, ESMO and the World Gastrointestinal Congress databases. Searches were last updated on 15 December 2013. Eligible studies reported survival and/or response data for patients with ABC receiving second-line systemic chemotherapy. This systematic review was registered in the PROSPERO database (No. CRD42013004205). Five hundred and fifty-eight studies were identified from the searches in Medline (n = 342), ASCO (n = 160), ESMO (n = 27) and World Gastrointestinal Congress (n = 29). Twenty-five studies were eligible: 14 phase II clinical trials, 9 retrospective analyses and 2 case reports. In total, data from 761 patients were reported with median number of patients included in each study of 22 (range 9-96). The mean OS was 7.2 months [95% confidence interval (CI) 6.2-8.2] [phase II: 6.6 (95% CI 5.1-8.1); retrospective analysis: 7.7 (95% CI 6.5-8.9)]. The mean progression-free survival (PFS), response rate (RR) and disease control rate were 3.2 months (95% CI 2.7-3.7), 7.7% (95% CI 4.6-10.9) and 49.5% (95% CI 41.4-57.7), respectively. The best correlations were between OS and PFS for all studies (r = 0.54; P = 0.01) and between OS and PFS (r = 0.61; P = 0.04) and OS and RR (r = 0.62; P = 0.03) for phase II studies, respectively. Biliary tract cancer is known to be a chemo-responsive disease. There is insufficient evidence (level C) to recommend a second-line chemotherapy schedule in ABC, although the available data suggest that a cohort of patients may benefit. Further prospective and randomized studies are needed to clarify the relative value of second-line chemotherapy in this setting.

PMID 24769639 [Indexed for MEDLINE]

www.ncbi.nlm.nih.gov/m/pubmed/24769639/

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www.ncbi.nlm.nih.gov/m/pubmed/24769639/

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Efficacy of fluoropyrimidine-based chemotherapy in patients with advanced biliary tract cancer after failure of gemcitabine plus cisplatin: retrospective analysis of 321 patients

www.ncbi.nlm.nih.gov/pmc/articles/PMC5344285/

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ASLAN Pharmaceuticals Limited (ASLN)

NasdaqGM - NasdaqGM Real Time Price. Currency in USD

9.21+2.36 (+34.45%)

At close: 4:00PM EDT

9.10 -0.11 (-1.19%)66

After hours: 5:50PM EDT

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(Bloomberg) --

BTIG LLC initiated coverage of Aslan Pharmaceuticals Ltd.¡¦s American depository receipts with a recommendation of buy.

PT set to $16, implies 134% increase from last close. Aslan Pharmaceuticals average PT is $14.50

Aslan Pharmaceuticals Ltd (NASDAQ: ASLN) received a Buy rating and a $12 price target from H.C. Wainwright analyst Ram Selvaraju today. The company¡¦s shares closed yesterday at $6.85, close to its 52-week high of $6.94.

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(Bloomberg) --

Leerink Partners LLC initiated coverage of Aslan Pharmaceuticals Ltd.¡¦s American depository receipts with a recommendation of market perform.

PT set to $7, implies 2.2% increase from last close. Aslan Pharmaceuticals average PT is $12

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A 2018 ASCO :

Dose finding study of varlitinib ¡Ó trastuzumab with carboplatin/paclitaxel in advanced solid tumors.

This is a phase 1b dose confirmation study to determine safety and early efficacy signals of V ¡Ó T combined with weekly P 80mg/m2 and C AUC = 2

2018 06 04 ASCO ¬ã¨sµoªí µ²½×¬Ý¥X weekly V ¡Ó T combined with P 80mg/m2 and C AUC = 2

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Conclusions: The RD of V combined with P is 300mg BD int, and is active in HER2+ MBC; T can be added safely. The triple combination will be evaluated as neoadjuvant therapy in HER2+ breast cancer

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Official Title:

Phase Ib Dose-confirmation Study of ASLAN001 Combined With Weekly Paclitaxel and Carboplatin in Advanced Solid Tumours, Followed by an Open-label Phase II Study in Patients With Stage I-III HER2 Positive Breast Cancer

Study Start Date : March 2015

Estimated Primary Completion Date : March 2018

Estimated Study Completion Date : March 2019

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IV Paclitaxel 80mg/m2, day 1, 8, 15 of a 21-day cycle

IV Carboplatin AUC of 1.5, day 1, 8, 15 of a 21-day cycle

PO ASLAN001 daily continuously (starting dose 500mg BID)

Phase II

•PO ASLAN 001 daily continuously at the recommended phase II dose x 2 weeks

Followed by:

IV Paclitaxel 80mg/m2, day 1, 8, 15 of a 21-day cycle x 4 cycles

IV Carboplatin AUC of 1.5, day 1, 8, 15 of a 21-day cycle x 4 cycles

PO ASLAN001 daily continuously at the recommended phase II dose x 12 weeks

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MBC¼Æ¾Ú:20/37 had HER2+ metastatic breast cancer (MBC) with median 4 (0-14) prior treatment lines. 7 achieved partial response (PR) and 3 stable disease (SD); 6 had disease control with single agent V for a median 7.0 more months (4.3 ¡V 13.3) after chemotherapy ceased. 2/17 with other tumor types achieved PR (HER2- MBC = 1, NSCLC = 1). 3/10 patients (HER2+ MBC = 2) in the V 300mg BD int cohorts achieved PR. No correlation was seen between V and P mean AUC (ng.h/mL) in those with and without DLTs (V 10336.5 vs 20758.8, p = 0.21; P 4882.1 vs 5197.6, p = 0.77). No interaction was seen between V dose/schedule with P PK. Conclusions: The RD of V combined with P is 300mg BD int, and is active in HER2+ MBC; T can be added safely. The triple combination will be evaluated as neoadjuvant therapy in HER2+ breast cancer.

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