-Preliminary data show encouraging early signs of activity in solid
tumors-
Exelixis, Inc. (Nasdaq: EXEL) today reported encouraging data from an
ongoing Phase 1 dose-escalation trial of XL228 in patients with advanced
malignancies. XL228 is a small molecule inhibitor of insulin-like growth
factor type 1 receptor (IGF1R), SRC, Aurora kinases, and fibroblast
growth factor receptor types 1, 2, and 3 (FGFR1-3), which are associated
with cancer cell proliferation, survival, and metastasis. The compound
also inhibits BCR-ABL, including the T315I mutant form which is
resistant to currently approved inhibitors. David Smith, MD, Professor
of Medicine at the University of Michigan, an investigator on the Phase
1 trial, will present the data in an oral session (Abstract #3512)
beginning at 4:15 p.m. local time on Saturday, May 30, 2009, at the
American Society of Clinical Oncology Annual Meeting, which is being
held May 29-June 2 in Orlando.
“The data from this ongoing Phase 1 study are encouraging with respect
to both clinical and pharmacodynamic activity and safety,” said Michael
M. Morrissey, Ph.D., president of research and development at Exelixis.
“A confirmed partial response in a patient with NSCLC and an additional
30% of patients remaining on study for 12 or more weeks suggest that
XL228 may provide clinical benefit to cancer patients with no other
options. Additionally, the clinical pharmacodynamic data are consistent
with preclinical results indicating that XL228 effectively inhibits
multiple targets that play key roles in various malignancies.”
The dose-escalation trial evaluated eight dose levels of XL228 (ranging
from 0.45-8.0 mg/kg) administered once or twice weekly. Of 40 evaluable
patients, 1 patient with non-small cell lung cancer, whose cancer had
progressed after 5 prior treatment regimens, had a confirmed partial
response and was on study for 48 weeks. Twelve additional patients (30%)
were on study for 12 or more weeks, including 2 patients (1 with small
cell lung cancer and 1 with colorectal cancer) on study for more than 12
months, and 3 patients (1 with pancreatic cancer, 1 with leiomyosarcoma,
and 1 with colorectal cancer) on study for more than 6 months. Most of
these patients had received multiple prior treatment regimens.
Adverse events have generally been of Grade 1 or 2 severity and
manageable. Three serious drug-related adverse events have been
reported: 1 patient with Grade 3 vomiting, 1 patient with Grade 2
hypotension and bradycardia, and 1 patient with Grade 3 diarrhea.