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Monday, January 21, 2019

Imbruvica flop puts pressure on pancreatic pipeline


Investors were reminded again last week of what a tough nut pancreatic cancer is to crack. The phase III failure of Abbvie’s Imbruvica in first-line metastatic disease has set up a nervous wait for other pancreatic projects due to yield pivotal data this year. One of the most eagerly awaited readouts involves the Polo trial of Astrazeneca/Merck & Co’s Lynparza in a maintenance setting, but there are a surprising number of projects in late-stage development given the intractable nature of this disease. Not all of these have had a smooth ride: in November Halozyme’s pivotal trial was delayed to the fourth quarter of 2019. And there are still no results from a phase III study of Orient Europharma/Nanocarrier’s nanoparticle-bound chemo Nanoplatin, which had been due to complete last year. After the Tyme Technologies debacle on Friday, companies will be keen for some good news – not least Lilly, whose acquisition of Armo Biosciences was largely based on the potential of pegilodecakin in pancreatic cancer. Data in this setting are expected in 2020, but an earlier lung cancer readout, due later this year, could give hints on the project’s efficacy.


SELECTED UPCOMING PHASE III PANCREATIC CANCER TRIALS 
ProjectCompanyTrial IDOutcome
ImbruvicaAbbvie/Johnson & JohnsonNCT02436668 (Resolve)Failed
AbraxaneCelgeneNCT01964430 (Apact)Results expected early 2019
LynparzaAstrazeneca/Merck & CoNCT02184195 (Polo)Results expected H1 2019
GlufosfamideEleisonNCT01954992Primary completion Jun 2019
PEGPH20Halozyme TherapeuticsNCT02715804OS readout delayed to Q4 2019
AM0010 (pegilodecakin)LillyNCT02923921 (Sequoia)Results expected 2020
NapabucasinSumitomo DainipponNCT02993731Primary completion Dec 2020
GemzarUnicancer consortiumNCT02539537 (Neopan)Primary completion pushed out to Mar 2021
Masican (masitinib)AB Science20013-002293-41N/A
PamrevlumabFibrogenTBCPhase III due to start early 2019
Nanoplatin (demplatin pegraglumer)Orient Europharma/NanocarrierNCT02043288Status unknown on CT.gov
Source: EvaluatePharma, Clinicaltrials.gov

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