本期看點(diǎn):
1. 口服KRAS G12D(ON/OFF)抑制劑VS-7375用于治療晚期KRAS G12D突變實(shí)體瘤,在 一項(xiàng)1/2期臨床試驗(yàn)中獲積極初步數(shù)據(jù)。 93%接受單藥治療的轉(zhuǎn)移性胰腺導(dǎo)管癌(mPDAC)患者的腫瘤生物標(biāo)志物CA19-9水平下降超過(guò)50%。
2. 在研溶酶體靶向藥物GNS561在針對(duì)KRAS突變膽管癌患者的1b期臨床試驗(yàn)中取得了積極結(jié)果。約半數(shù)患者在第6周時(shí)達(dá)到疾病穩(wěn)定(SD),其中一名患者的SD狀態(tài)維持至第30周。
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VS-7375:公布1/2期臨床試驗(yàn)的新數(shù)據(jù)
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Verastem Oncology公司宣布了一項(xiàng)1/2期臨床試驗(yàn)的積極初步數(shù)據(jù),該試驗(yàn)旨在評(píng)估口服KRAS G12D(ON/OFF)抑制劑VS-7375在晚期KRAS G12D突變實(shí)體瘤患者中的表現(xiàn)。VS-7375是一款口服KRAS G12D抑制劑,可與KRAS G12D的活化狀態(tài)和非活化狀態(tài)結(jié)合,從而更全面地抑制KRAS G12D信號(hào)和腫瘤生長(zhǎng)。此次公布的數(shù)據(jù)涵蓋了mPDAC、轉(zhuǎn)移性結(jié)直腸癌(mCRC)和晚期非小細(xì)胞肺癌(NSCLC)等多個(gè)瘤種,證實(shí)了該藥物在多個(gè)劑量水平下均展現(xiàn)出令人鼓舞的臨床活性及良好的安全性。此外,Verastem公司還宣布計(jì)劃與Erasca公司合作,探索將VS-7375與Erasca在研的泛RAS分子膠ERAS-0015聯(lián)合用于KRASG12D突變實(shí)體瘤的潛在臨床評(píng)估。
此次公布的結(jié)果顯示,VS-7375的安全性和耐受性良好,主要表現(xiàn)為低級(jí)別胃腸道反應(yīng),且多數(shù)在治療第一周期后顯著減輕;聯(lián)合用藥方案的耐受性也良好。在經(jīng)治mPDAC患者中,900 mg VS-7375單藥治療使93%(13/14)患者的腫瘤標(biāo)志物CA19-9下降超過(guò)50%;與西妥昔單抗的聯(lián)合用藥則帶來(lái)了更深、更快的腫瘤縮小;與標(biāo)準(zhǔn)化療(吉西他濱聯(lián)合白蛋白結(jié)合型紫杉醇)也表現(xiàn)出良好的相容性。在mCRC和NSCLC隊(duì)列中,該藥物也觀察到了積極的初步療效。
GNS561:公布1b期聯(lián)合治療試驗(yàn)數(shù)據(jù)
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GENFIT公司宣布其在研溶酶體靶向藥物GNS561在針對(duì)KRAS突變膽管癌患者的1b期臨床試驗(yàn)中取得了積極結(jié)果。GNS561是一種靶向PPT1的小分子藥物,通過(guò)抑制自噬和誘導(dǎo)溶酶體功能障礙來(lái)破壞癌細(xì)胞生存機(jī)制,與MEK抑制劑聯(lián)用可協(xié)同阻斷自噬與MAPK信號(hào)通路。該研究旨在評(píng)估GNS561聯(lián)合曲美替尼在既往接受過(guò)一至二線標(biāo)準(zhǔn)治療失敗、亟需新療法的重度經(jīng)治膽管癌患者中的安全性與耐受性。
試驗(yàn)結(jié)果顯示,該聯(lián)合療法展現(xiàn)出良好的安全性和耐受性,未報(bào)告劑量限制性毒性(DLT),支持繼續(xù)推進(jìn)臨床開(kāi)發(fā)。在抗腫瘤活性方面,約半數(shù)患者在第6周時(shí)達(dá)到SD,其中一名患者的SD狀態(tài)維持至第30周。基于這些積極數(shù)據(jù),GENFIT決定在更高劑量水平下擴(kuò)展1b期研究以進(jìn)一步充實(shí)臨床數(shù)據(jù)集,同時(shí)計(jì)劃于今年夏季確定2期臨床試驗(yàn)的推薦劑量及研究方案,2期臨床試驗(yàn)仍按計(jì)劃將于2026年下半年啟動(dòng)。
VK3019:?jiǎn)?dòng)1期臨床試驗(yàn)
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Viking Therapeutics公司宣布正式啟動(dòng)其在研胰淀素與降鈣素受體雙重激動(dòng)劑(DACRA)VK3019的1期臨床試驗(yàn)。VK3019正被開(kāi)發(fā)為一種潛在的減重治療選擇,此次1期試驗(yàn)采用隨機(jī)、雙盲、安慰劑對(duì)照設(shè)計(jì),納入身體質(zhì)量指數(shù)(BMI)≥30的健康成年受試者,主要評(píng)估VK3019單次皮下給藥后的安全性、耐受性和藥代動(dòng)力學(xué)特征,同時(shí)探索單次給藥后體重變化的藥效動(dòng)力學(xué)指標(biāo)。
Viking內(nèi)部開(kāi)發(fā)的DACRAs的臨床前研究結(jié)果顯示,與接受對(duì)照治療的動(dòng)物相比,該類(lèi)化合物對(duì)健康大鼠和飲食誘導(dǎo)肥胖(DIO)小鼠的體重、食物攝入及代謝產(chǎn)生了顯著影響。在單次給藥后的0至72小時(shí)內(nèi),這些化合物有效減少了瘦大鼠的食物攝入量;在給藥72小時(shí)時(shí),與對(duì)照組相比,受試動(dòng)物的體重降幅最高達(dá)8%。
參考資料:
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[2] Taysha Gene Therapies Announces Completion of Dosing in REVEAL Pivotal Trial and Reports Longer-Term Clinical Data from Part A of REVEAL Phase 1/2 Trials Evaluating TSHA-102 for Rett Syndrome. Retrieved June 26, 2026, from https://www.globenewswire.com/news-release/2026/06/22/3315248/0/en/taysha-gene-therapies-announces-completion-of-dosing-in-reveal-pivotal-trial-and-reports-longer-term-clinical-data-from-part-a-of-reveal-phase-1-2-trials-evaluating-tsha-102-for-re.html
[3] Pheno Therapeutics Granted FDA IND Clearance for Lead Multiple Sclerosis Therapeutic Candidate PTD802. Retrieved June 26, 2026, from https://secure.businesswire.com/news/home/20260622772175/en/Pheno-Therapeutics-Granted-FDA-IND-Clearance-for-Lead-Multiple-Sclerosis-Therapeutic-Candidate-PTD802
[4] Prolium Bioscience Announces First Patient Dosed in its Multinational, Phase 1/2 Study of PRO-203 in Systemic Sclerosis, and Last Patient, Last Visit in an Investigator-Led Study of PRO-203 in Refractory Lupus Nephritis. Retrieved June 26, 2026, from https://www.globenewswire.com/news-release/2026/06/22/3315254/0/en/prolium-bioscience-announces-first-patient-dosed-in-its-multinational-phase-1-2-study-of-pro-203-in-systemic-sclerosis-and-last-patient-last-visit-in-an-investigator-led-study-of-p.html
[5] Kither Biotech successfully completes Phase 1 clinical trial of KIT2014, a novel inhaled peptide therapy for respiratory diseases. Retrieved June 26, 2026, from https://www.globenewswire.com/news-release/2026/06/19/3314633/0/en/kither-biotech-successfully-completes-phase-1-clinical-trial-of-kit2014-a-novel-inhaled-peptide-therapy-for-respiratory-diseases.html
[6] GENFIT: Positive Phase 1b Data with GNS561 in Combination Therapy in Heavily Pretreated Patients with Cholangiocarcinoma. Retrieved June 26, 2026, from https://www.globenewswire.com/news-release/2026/06/23/3316274/0/en/genfit-positive-phase-1b-data-with-gns561-in-combination-therapy-in-heavily-pretreated-patients-with-cholangiocarcinoma.html
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[8] Viking Therapeutics Announces Initiation of Phase 1 Study to Evaluate Novel Amylin Receptor Agonist VK3019 in Healthy Adults. Retrieved June 26, 2026, from https://www.prnewswire.com/news-releases/viking-therapeutics-announces-initiation-of-phase-1-study-to-evaluate-novel-amylin-receptor-agonist-vk3019-in-healthy-adults-302808417.html
[9] VS-7375 Demonstrates Clinical Activity with a Favorable Safety and Tolerability Profile in TARGET-D 101 Phase 1/2 Clinical Trial in Patients with Advanced KRAS G12D-Mutated Solid Tumors. Retrieved June 26, 2026, from https://secure.businesswire.com/news/home/20260623312556/en/VS-7375-Demonstrates-Clinical-Activity-with-a-Favorable-Safety-and-Tolerability-Profile-in-TARGET-D-101-Phase-12-Clinical-Trial-in-Patients-with-Advanced-KRAS-G12D-Mutated-Solid-Tumors
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