KYMERA THERAPEUTICS, INC. (Exact Name of Registrant As Specified in Its Charter)
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A Prospective, Multicenter, Phase-II Trial of Ibrutinib Plus Venetoclax In
BMJ Publishing Group Limited (BMJ) disclaims all liability and responsibility arising from any reliance Supplemental material placed on this supplemental material which has been supplied by the author(s) BMJ Open HOVON 141 CLL Version 4, 20 DEC 2018 A prospective, multicenter, phase-II trial of ibrutinib plus venetoclax in patients with creatinine clearance ≥ 30 ml/min who have relapsed or refractory chronic lymphocytic leukemia (RR-CLL) with or without TP53 aberrations HOVON 141 CLL / VIsion Trial of the HOVON and Nordic CLL study groups PROTOCOL Principal Investigator : Arnon P Kater (HOVON) Carsten U Niemann (Nordic CLL study Group)) Sponsor : HOVON EudraCT number : 2016-002599-29 ; Page 1 of 107 Levin M-D, et al. BMJ Open 2020; 10:e039168. doi: 10.1136/bmjopen-2020-039168 BMJ Publishing Group Limited (BMJ) disclaims all liability and responsibility arising from any reliance Supplemental material placed on this supplemental material which has been supplied by the author(s) BMJ Open Levin M-D, et al. BMJ Open 2020; 10:e039168. doi: 10.1136/bmjopen-2020-039168 BMJ Publishing Group Limited (BMJ) disclaims all liability and responsibility arising from any reliance Supplemental material placed on this supplemental material which has been supplied by the author(s) BMJ Open HOVON 141 CLL Version 4, 20 DEC 2018 LOCAL INVESTIGATOR SIGNATURE PAGE Local site name: Signature of Local Investigator Date Printed Name of Local Investigator By my signature, I agree to personally supervise the conduct of this study in my affiliation and to ensure its conduct in compliance with the protocol, informed consent, IRB/EC procedures, the Declaration of Helsinki, ICH Good Clinical Practices guideline, the EU directive Good Clinical Practice (2001-20-EG), and local regulations governing the conduct of clinical studies. -
Proteomics and Drug Repurposing in CLL Towards Precision Medicine
cancers Review Proteomics and Drug Repurposing in CLL towards Precision Medicine Dimitra Mavridou 1,2,3, Konstantina Psatha 1,2,3,4,* and Michalis Aivaliotis 1,2,3,4,* 1 Laboratory of Biochemistry, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, GR-54124 Thessaloniki, Greece; [email protected] 2 Functional Proteomics and Systems Biology (FunPATh)—Center for Interdisciplinary Research and Innovation (CIRI-AUTH), GR-57001 Thessaloniki, Greece 3 Basic and Translational Research Unit, Special Unit for Biomedical Research and Education, School of Medicine, Aristotle University of Thessaloniki, GR-54124 Thessaloniki, Greece 4 Institute of Molecular Biology and Biotechnology, Foundation of Research and Technology, GR-70013 Heraklion, Greece * Correspondence: [email protected] (K.P.); [email protected] (M.A.) Simple Summary: Despite continued efforts, the current status of knowledge in CLL molecular pathobiology, diagnosis, prognosis and treatment remains elusive and imprecise. Proteomics ap- proaches combined with advanced bioinformatics and drug repurposing promise to shed light on the complex proteome heterogeneity of CLL patients and mitigate, improve, or even eliminate the knowledge stagnation. In relation to this concept, this review presents a brief overview of all the available proteomics and drug repurposing studies in CLL and suggests the way such studies can be exploited to find effective therapeutic options combined with drug repurposing strategies to adopt and accost a more “precision medicine” spectrum. Citation: Mavridou, D.; Psatha, K.; Abstract: CLL is a hematological malignancy considered as the most frequent lymphoproliferative Aivaliotis, M. Proteomics and Drug disease in the western world. It is characterized by high molecular heterogeneity and despite the Repurposing in CLL towards available therapeutic options, there are many patient subgroups showing the insufficient effectiveness Precision Medicine. -
WHO Drug Information Vol
WHO Drug Information Vol. 31, No. 3, 2017 WHO Drug Information Contents Medicines regulation 420 Post-market monitoring EMA platform gains trade mark; Automated 387 Regulatory systems in India FDA field alert reports 421 GMP compliance Indian manufacturers to submit self- WHO prequalification certification 421 Collaboration 402 Prequalification process quality China Food and Drug Administration improvement initiatives: 2010–2016 joins ICH; U.S.-EU cooperation in inspections; IGDRP, IPRF initiatives to join 422 Medicines labels Safety news Improved labelling in Australia 423 Under discussion 409 Safety warnings 425 Approved Brimonidine gel ; Lactose-containing L-glutamine ; Betrixaban ; C1 esterase injectable methylprednisolone inhibitor (human) ; Meropenem and ; Amoxicillin; Azithromycin ; Fluconazole, vaborbactam ; Delafloxacin ; Glecaprevir fosfluconazole ; DAAs and warfarin and pibrentasvir ; Sofosbuvir, velpatasvir ; Bendamustine ; Nivolumab ; Nivolumab, and voxilaprevir ; Cladribine ; Daunorubicin pembrolizumab ; Atezolizumab ; Ibrutinib and cytarabine ; Gemtuzumab ozogamicin ; Daclizumab ; Loxoprofen topical ; Enasidenib ; Neratinib ; Tivozanib ; preparations ; Denosumab ; Gabapentin Guselkumab ; Benznidazole ; Ciclosporin ; Hydroxocobalamine antidote kit paediatric eye drops ; Lutetium oxodotreotide 414 Diagnostics Gene cell therapy Hightop HIV home testing kits Tisagenlecleucel 414 Known risks Biosimilars Warfarin ; Local corticosteroids Bevacizumab; Adalimumab ; Hydroquinone skin lighteners Early access 415 Review outcomes Idebenone -
(12) Patent Application Publication (10) Pub. No.: US 2017/0209462 A1 Bilotti Et Al
US 20170209462A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2017/0209462 A1 Bilotti et al. (43) Pub. Date: Jul. 27, 2017 (54) BTK INHIBITOR COMBINATIONS FOR Publication Classification TREATING MULTIPLE MYELOMA (51) Int. Cl. (71) Applicant: Pharmacyclics LLC, Sunnyvale, CA A 6LX 3/573 (2006.01) A69/20 (2006.01) (US) A6IR 9/00 (2006.01) (72) Inventors: Elizabeth Bilotti, Sunnyvale, CA (US); A69/48 (2006.01) Thorsten Graef, Los Altos Hills, CA A 6LX 3/59 (2006.01) (US) A63L/454 (2006.01) (52) U.S. Cl. CPC .......... A61 K3I/573 (2013.01); A61K 3 1/519 (21) Appl. No.: 15/252,385 (2013.01); A61 K3I/454 (2013.01); A61 K 9/0053 (2013.01); A61K 9/48 (2013.01); A61 K (22) Filed: Aug. 31, 2016 9/20 (2013.01) (57) ABSTRACT Disclosed herein are pharmaceutical combinations, dosing Related U.S. Application Data regimen, and methods of administering a combination of a (60) Provisional application No. 62/212.518, filed on Aug. BTK inhibitor (e.g., ibrutinib), an immunomodulatory agent, 31, 2015. and a steroid for the treatment of a hematologic malignancy. US 2017/0209462 A1 Jul. 27, 2017 BTK INHIBITOR COMBINATIONS FOR Subject in need thereof comprising administering pomalido TREATING MULTIPLE MYELOMA mide, ibrutinib, and dexamethasone, wherein pomalido mide, ibrutinib, and dexamethasone are administered con CROSS-REFERENCE TO RELATED currently, simulataneously, and/or co-administered. APPLICATION 0008. In some aspects, provided herein is a method of treating a hematologic malignancy in a subject in need 0001. This application claims the benefit of U.S. -
IMBRUVICA (Ibrutinib) Capsules for Oral Administration Are Supplied As White Opaque Capsules That Contain 140 Mg Ibrutinib As the Active Ingredient
HIGHLIGHTS OF PRESCRIBING INFORMATION ------------------------------CONTRAINDICATIONS------------------------------ These highlights do not include all the information needed to use None (4) IMBRUVICA safely and effectively. See full prescribing information for ------------------------WARNINGS AND PRECAUTIONS----------------------- IMBRUVICA. • Hemorrhage: Monitor for bleeding and manage (5.1). IMBRUVICA® (ibrutinib) capsules, for oral use • Infections: Monitor patients for fever and infections, evaluate promptly, Initial U.S. Approval: 2013 and treat (5.2). ----------------------------RECENT MAJOR CHANGES-------------------------- • Cytopenias: Check complete blood counts monthly (5.3). Indications and Usage (1.2, 1.3, 1.5) 01/2017 • Atrial Fibrillation: Monitor for atrial fibrillation and manage (5.4). Dosage and Administration (2.2) 01/2017 • Hypertension: Monitor blood pressure and treat (5.5). Warnings and Precautions (5) 3/2016 • Second Primary Malignancies: Other malignancies have occurred in ----------------------------INDICATIONS AND USAGE--------------------------- patients, including skin cancers, and other carcinomas (5.6). IMBRUVICA is a kinase inhibitor indicated for the treatment of patients with: • Tumor Lysis Syndrome (TLS): Assess baseline risk and take precautions. • Mantle cell lymphoma (MCL) who have received at least one prior Monitor and treat for TLS (5.7). therapy (1.1). • Embryo-Fetal Toxicity: Can cause fetal harm. Advise women of the Accelerated approval was granted for this indication based on overall potential risk to a fetus and to avoid pregnancy while taking the drug and response rate. Continued approval for this indication may be contingent for 1 month after cessation of therapy. Advise men to avoid fathering a upon verification and description of clinical benefit in a confirmatory child during the same time period (5.8, 8.3). trial. • Chronic lymphocytic leukemia (CLL)/Small lymphocytic lymphoma ------------------------------ADVERSE REACTIONS------------------------------- (SLL) (1.2). -
Targeted Chemotherapy: Guiding Patients to More Personalized Care
Targeted Chemotherapy: Guiding patients to more personalized care Anna Hitron, Pharm.D, MS, MBA, BCOP Oncology Pharmacy Specialist Baptist Health Louisville September 10, 2015 Objectives • Discuss the role targeted chemotherapy plays in the treatment of cancer patients • Explore the decision making process used by practitioners to decide when to use targeted agents • Outline several new targeted therapies that are currently being used in oncology practice What is Targeted Therapy? • Medications used to stop the growth, development or spread of cancer through the blockade of specific molecular targets around, on, or within the cancer cell – Most commonly include monoclonal antibodies (- mabs) and small molecule inhibitors (-nibs) – Often act only on a select number of cells – May be used alone or combined with traditional chemotherapy and/or radiation to enhance effects National Cancer Institute. “Targeted Cancer Therapies”. Available online at http://www.cancer.gov/about-cancer/treatment/types/targeted-therapies/targeted-therapies- fact-sheet. Accessed 1 Sept 2015. Why Targeted Therapy? • Allows for more personalized care – Reduces traditional side effects – Increases chance patient will see response http://sitemaker.umich.edu/hbhe669final/personalized_medicine Risks of Targeted Therapy • Not all patients are candidates – Tumor may not express target – Tumor may have mutated to develop resistance to target interaction • Unexpected adverse effects – “Off-target toxicities” include rash, metabolic effects, cardiotoxicity, etc. • Risk of poor adherence • High cost Gerber, DE. Targeted therapies: A new generation of cancer treatments. American Family Physician. 2008;77(3):311-319 Deciding to Use Targeted Therapy • Art and Science – Observable facts • Symptoms • Diagnostic tests – Published data • Case reports • Clinical trials – Previous experience • Personal or collective Eddy, DM. -
Preclinical Toxicology – Points to Consider in Program Design
To view this booklet online, please visit PacificBioLabs.com. Preclinical Toxicology – Points To Consider in Program Design PACIFIC BIOLABS – YOUR PARTNER FOR PRECLINICAL SAFETY TESTING As The Service Leader in Bioscience Testing, Pacific BioLabs (PBL) strives to help our clients deliver safe and effective pharmaceuticals to the patients who need them. Well designed and executed preclinical studies are critical to the success of any drug development program. They must reliably assess the safety of a new drug entity, laying the groundwork for clinical trials and ultimately, regulatory approval. Pacific BioLabs interacts closely with our clients, providing quality nonclinical testing results to meet regulatory requirements and guide your drug development decisions. As part of our commitment to clients, we have prepared a pair of publications that will assist you in planning your preclinical testing program. This publication, Preclinical Toxicology – Points to Consider in Program Design, gives an overview of the drug development process, describes the contents of a typical Common Technical Document, shows the relative timing of various studies required for a successful IND and NDA, and presents advice on selecting and working with contract toxicology labs and other CROs. PBL’s companion publication, Preclinical Toxicology – Guidance for Industry – ICH Guidances, is available on our website at PacificBioLabs.com. It presents two major ICH guidance documents that directly address safety testing of new pharmaceuticals: Guidance M3 – Nonclincal Safety Studies for the Conduct of Human Clinical Trials for Pharmaceutical and Guidance S6 – Preclinical Safety Evaluation of Biotechnology-Derived Pharmaceuticals. The FDA website http://www.fda.gov/cder/guidance contains these two documents along with a variety of other references on regulatory expectations for the nonclinical development of NCEs. -
IMBRUVICA (Ibrutinib)
IMBRUVICA (ibrutinib) RATIONALE FOR INCLUSION IN PA PROGRAM Background Imbruvica is a kinase inhibitor that is used to treat two types of lymphoma. Lymphoma is the most common blood cancer and occurs when lymphocytes, a form of white blood cell, grow and multiply uncontrollably. Imbruvica inhibits the enzyme needed by the cancer to multiply and spread (1). Regulatory Status FDA-approved indication: Imbruvica is a kinase inhibitor indicated for the treatment of patients with: (1) 1. Mantle cell lymphoma (MCL) who have received at least one prior therapy 2. Chronic lymphocytic leukemia (CLL)/Small lymphocytic lymphoma (SLL) 3. Chronic lymphocytic leukemia (CLL)/Small lymphocytic lymphoma (SLL) with 17p deletion 4. Waldenström’s macroglobulinemia/lymphoplasmacytic lymphoma 5. Marginal zone lymphoma (MZL) who require systemic therapy and have received at least one prior anti-CD20-based therapy 6. Chronic graft versus host disease (cGVHD) after failure of one or more lines of systemic therapy Off –Label Uses: (2-4) 1. Follicular lymphoma 2. Diffuse large B-cell lymphoma The B-cell antigen receptor (BCR) pathway is implicated in the pathogenesis of several B-cell malignancies, including diffuse large B-cell lymphoma (DLBCL), follicular lymphoma, mantle-cell lymphoma, and B-cell chronic lymphocytic leukemia (CLL). Bruton tyrosine kinase (BTK) is a critical signaling kinase in this pathway. Imbruvica is an irreversible inhibitor of the BTK in patients with B-cell malignancies (2). Patients with MCL and CLL have a chance of Grade 3 or higher bleeding events (subdural hematoma, gastrointestinal bleeding, and hematuria). Imbruvica may increase the risk of hemorrhage in patients receiving antiplatelet or anticoagulant therapies. -
Research and Development in the Pharmaceutical Industry
Research and Development in the Pharmaceutical Industry APRIL | 2021 At a Glance This report examines research and development (R&D) by the pharmaceutical industry. Spending on R&D and Its Results. Spending on R&D and the introduction of new drugs have both increased in the past two decades. • In 2019, the pharmaceutical industry spent $83 billion dollars on R&D. Adjusted for inflation, that amount is about 10 times what the industry spent per year in the 1980s. • Between 2010 and 2019, the number of new drugs approved for sale increased by 60 percent compared with the previous decade, with a peak of 59 new drugs approved in 2018. Factors Influencing R&D Spending. The amount of money that drug companies devote to R&D is determined by the amount of revenue they expect to earn from a new drug, the expected cost of developing that drug, and policies that influence the supply of and demand for drugs. • The expected lifetime global revenues of a new drug depends on the prices that companies expect to charge for the drug in different markets around the world, the volume of sales they anticipate at those prices, and the likelihood the drug-development effort will succeed. • The expected cost to develop a new drug—including capital costs and expenditures on drugs that fail to reach the market—has been estimated to range from less than $1 billion to more than $2 billion. • The federal government influences the amount of private spending on R&D through programs (such as Medicare) that increase the demand for prescription drugs, through policies (such as spending for basic research and regulations on what must be demonstrated in clinical trials) that affect the supply of new drugs, and through policies (such as recommendations for vaccines) that affect both supply and demand. -
Drug Discovery and Preclinical Development
Drug Discovery and Preclinical Development Neal G . Simon , Ph . D. Professor Department of Biological Sciences Disclaimer “Those wh o h ave k nowl ed ge, d on’t predi ct . Those who predict, don’t have knowledge.” Lao Tzu, 6th Century BC Chinese Poet Discovery and Preclinical Development I. Background II. The R&D Landscape III. ItidTftiInnovation and Transformation IV. The Preclinical Development Process V. Case Study: Stress-related Affective Disorders Serendipity or Good Science: Building Opportunity Hoffman Osterhof I. Background Drug Development Process Biopharmaceutical Drug Development: Attrition Drug FDA Large Scale Discovery Pre-Clinical Clinical Trials Review Manufacturing / Phase IV Phase I Phase III 20-100 1000-5000 Volunteers Volunteers 10,000 bmitted 1 FDA Com- bmitted 250 Compounds 5 Compounds uu pound uu AdApproved s Drug NDA S NDA IND S Phase II 100-500 Volunteers 5 years 1.5 years 6 years 2 years 2 years Quelle: Burrell Report Biotechnology Industry 2006 Capitalized Cost Estimates per New Molecule *All R&D costs (basic research and preclinical development) prior to initiation of clinical testing ** Based on a 5-year shift and prior growth rates for the preclinical and clinical periods. DiMasi and Grabowski (2007) II. The Research & Developppment Landscape R&D Expenditures and Return on Investment: A Declining Function Phrma (2005); Tufts CSDD (2005) R&D Expenditures 1992-2004 and FDA Approvals Hu et al (2007) NIH Budget by Area Pharmaceutical Industry: Diminishing Returns “That is why the business model is under threat: the ability to devise new molecules through R&D and bring them to market is not keeping up with what ’s being lost to generic manufacturers on the other end. -
Anticancer Activity of Bicalutamide-Loaded PLGA Nanoparticles in Prostate Cancers
EXPERIMENTAL AND THERAPEUTIC MEDICINE 10: 2305-2310, 2015 Anticancer activity of bicalutamide-loaded PLGA nanoparticles in prostate cancers JUN GUO1*, SHU-HONG WU2*, WEI-GUO REN3, XIN-LI WANG4 and AI-QING YANG5 1Department of Urology, The Affiliated Hospital of Taishan Medical University, Taian, Shandong 271000; 2Department of Urology, Feicheng Kuangye Central Hospital, Feicheng, Shandong 271608; 3Department of Urology, Rugao Boai Hospital, Nantong, Jiangsu 226500; 4Department of Pathology, The Affiliated Hospital of Taishan Medical University;5 Department of Pathology, The First People's Hospital of Taian, Taian, Shandong 271000, P.R. China Received October 6, 2014; Accepted August 26, 2015 DOI: 10.3892/etm.2015.2796 Abstract. Prostate cancer is the most commonly diagnosed Introduction non-cutaneous malignancy in men in western and most devel- oping countries. Bicalutamide (BLT) is an antineoplastic Men in Western countries and developing nations are hormonal agent primarily used in the treatment of locally frequently diagnosed with cancers of the prostate gland (1). advanced and metastatic prostate cancers. In the present study, Statistically, prostate cancer has overtaken heart diseases and the aim was to develop a nanotechnology-based delivery lung disorders in old people as a cause of mortality. According system to target prostate cancer cells. This involved the to estimates, >200,000 new cases of prostate cancer were development of a BLT-loaded poly(D,L-lactide-co-glycolide) reported with >30,000 mortalities during the year 2013 (2,3). PLGA (PLGA-BLT) nanoparticulate system in an attempt to A similar or higher number of cases has been projected for the improve the therapeutic efficacy of BLT in prostate cancer and year 2014 (4). -
Ibrutinib As a Potential Therapeutic Option for HER2 Overexpressing Breast Cancer – the Role of STAT3 and P21
Ibrutinib as a potential therapeutic option for HER2 overexpressing breast cancer – the role of STAT3 and p21 A Thesis Submitted to the College of Graduate and Postdoctoral Studies in Partial Fulfillment of the Requirements for the Degree of Master of Science in the College of Pharmacy and Nutrition University of Saskatchewan Saskatoon By Chandra Bose Prabaharan © Copyright Chandra Bose Prabaharan, November 2019. All rights reserved Permission to Use Statement By presenting this thesis in partial fulfillment of the requirements for a Postgraduate degree from the University of Saskatchewan, I agree that the libraries of this University may make it freely available for inspection. I further agree that permission for copying of this thesis in any manner, in whole or in part, for scholarly purposes, may be granted by the professors who supervised my thesis work or, in their absence, by the Dean of the College in which my thesis work was done. It is understood that any copying or publication or use of this thesis or parts thereof for financial gain shall not be allowed without my written consent. It is also understood that due recognition shall be given to me and to the University of Saskatchewan in any scholarly use which may be made of any material in my thesis. Requests for permission to copy or to make other uses of the materials in this thesis in whole or in part should be addressed to: College of Pharmacy and Nutrition 104 Clinic Place University of Saskatchewan Saskatoon, Saskatchewan, S7N 2Z4, Canada OR Dean College of Graduate and Postdoctoral Studies Room 116 Thorvaldson Building 110 Science Place Saskatoon, Saskatchewan, S7N 5C9, Canada i Abstract Treatment options for HER2 overexpressing breast cancer are limited, and the current anticancer therapies are associated with side effects.