First Interim Analysis of PROSPER Study Details Patient-Reported Symptom Burden of Mycosis Fungoides and Sézary Syndrome

Rhea-AI Summary

Professor Julia Scarisbrick presents interim findings from Kyowa Kirin's PROSPER study at the World Congress of Cutaneous Lymphomas, highlighting the impact of mogamulizumab on symptom burden and quality of life in CTCL patients.

Findings spotlighted in oral presentation at the 5^th annual World Congress of Cutaneous Lymphomas meeting in Pasadena, CA

PRINCETON, N.J., April 15, 2024 /PRNewswire/ -- Professor Julia Scarisbrick of University of Birmingham on Friday, April 12, 2024, presented interim findings from the Kyowa Kirin, Inc. (Kyowa Kirin, TSE: 4151)-sponsored study, "Real-World Observational Study of Mogamulizumab in Adult Patients with Mycosis Fungoides and Sézary Syndrome (PROSPER)", a prospective observational study evaluating the real-world impact of mogamulizumab on disease symptoms and health-related quality of life (HRQoL) in patients with these subtypes of cutaneous T-cell lymphoma (CTCL).

CTCL is a rare form of non-Hodgkin lymphoma that most prominently affects the skin, presenting as patches, plaques, tumors, or reddening of the entire skin, and may be associated with severe itching. In a proportion of cases, the disease may spread to the lymph nodes, blood, and/or other organs.

In the current interim analysis, symptom scores (mean) were reported for 20 adult patients with relapsed or refractory disease (8 MF; 12 SS) over their first 16 weeks of mogamulizumab treatment. Prior to treatment initiation, patients reported their symptom burden using a 1 – 10 numeric scale. Skin itch (6.6), skin redness (6.2), flaking skin (5.9), and skin pain (4.0). Additionally, over half of patients reported having sleep problems either "frequently" or "every night" while 47% reported difficulties regulating body temperature "frequently" or "always."

Improvement in all symptoms was reported within 4 weeks of treatment initiation and by week 16, symptom severity had decreased considerably with the greatest improvement seen in skin redness (-2.9) closely followed by skin itch (-2.7), flaking skin (-2.5) and skin pain (-2.2).  Of note, the proportion of patients reporting sleep problems or difficulties regulating body temperature either "frequently" or "always" decreased to less than 20%.

"We know that CTCL patients not only suffer from the stress of a cancer diagnosis, but that these stresses are compounded by visual lesions and varying levels of discomfort," says Scarisbrick, the study's principal investigator. "The PROSPER study is helping us understand these burdens better and the impact mogamulizumab may have on patients' symptoms and quality of life."

About PROSPER
The objective of the PROSPER (ClinicalTrials.gov ID NCT05455931) study is to gain insight into the experiences of patients with MF/SS receiving mogamulizumab and of their caregivers in real-world clinical practice through the collection of patient-reported outcomes (PRO) data, enriched with qualitative data on disease and treatment experience and burden. The study was designed with input from patients and caregivers to ensure patient-relevant outcomes were selected. The study is being conducted in up to 6 countries across North America, Europe, and the Middle East, at 19 sites known to treat and follow-up patients with MF/SS. Patients are followed for up to 50 weeks from study enrollment.

POTELIGEO® (mogamulizumab-kpkc) Indication
POTELIGEO injection for intravenous infusion is indicated for the treatment of adult patients with relapsed or refractory mycosis fungoides (MF) or Sézary syndrome (SS) after at least one prior systemic therapy.

Important Safety Information
WARNINGS AND PRECAUTIONS
Dermatologic toxicity: Monitor patients for rash throughout the course of treatment. For patients who experienced dermatologic toxicity in Trial 1, the median time to onset was 15 weeks, with 25% of cases occurring after 31 weeks. Interrupt POTELIGEO for moderate or severe rash (Grades 2 or 3). Permanently discontinue POTELIGEO for life-threatening (Grade 4) rash or for any Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN).

Infusion reactions: Most infusion reactions occur during or shortly after the first infusion. Infusion reactions can also occur with subsequent infusions. Monitor patients closely for signs and symptoms of infusion reactions and interrupt the infusion for any grade reaction and treat promptly. Permanently discontinue POTELIGEO for any life-threatening (Grade 4) infusion reaction.

Infections: Monitor patients for signs and symptoms of infection and treat promptly.

Autoimmune complications: Interrupt or permanently discontinue POTELIGEO as appropriate for suspected immune-mediated adverse reactions. Consider the benefit/risk of POTELIGEO in patients with a history of autoimmune disease.

Complications of allogeneic HSCT after POTELIGEO: Increased risks of transplant complications have been reported in patients who received allogeneic HSCT after POTELIGEO. Follow patients closely for early evidence of transplant-related complications.

Adverse Reactions
The most common adverse reactions (reported in ≥10% of patients) with POTELIGEO in the clinical trial were rash, including drug eruption (35%), infusion reaction (33%), fatigue (31%), diarrhea (28%), drug eruption (24%), upper respiratory tract infection (22%), musculoskeletal pain (22%), skin infection (19%), pyrexia (17%), edema (16%), nausea (16%), headache (14%), thrombocytopenia (14%), constipation (13%), anemia (12%), mucositis (12%), cough (11%), and hypertension (10%).

You are encouraged to report suspected adverse reactions to Kyowa Kirin, Inc. at 1-844-768-3544 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Please see full Prescribing Information as well as Patient Information.

Disclosure Notice
In line with Good Publication Practices (GPP) the study authors were not compensated for their participation.

About Kyowa Kirin
Kyowa Kirin aims to discover and deliver novel treatments with life-changing value. As a Japan-based Global Specialty Pharmaceutical Company, we have invested in drug discovery and biotechnology innovation for more than 70 years and are currently working to engineer the next generation of antibodies and cell and gene therapies with the potential to help patients with high unmet medical needs, focusing on bone/mineral, intractable hematological diseases/hemato oncology, and rare diseases. A shared commitment to our values, to sustainable growth, and to making people smile unites us across the globe.  You can learn more about the business of Kyowa Kirin at: kkna.kyowakirin.com 

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SOURCE Kyowa Kirin

What was presented at the 5th annual World Congress of Cutaneous Lymphomas meeting in Pasadena, CA?

Interim findings from Kyowa Kirin's PROSPER study were presented by Professor Julia Scarisbrick, focusing on the impact of mogamulizumab on symptom burden and quality of life in CTCL patients.

What is the purpose of the PROSPER study sponsored by Kyowa Kirin?

The PROSPER study aims to evaluate the real-world impact of mogamulizumab on disease symptoms and health-related quality of life in adult patients with Mycosis Fungoides and Sézary Syndrome, subtypes of cutaneous T-cell lymphoma.

What were the main symptoms reported by patients in the interim analysis?

Patients reported skin itch, skin redness, flaking skin, and skin pain as the main symptoms on a numeric scale prior to mogamulizumab treatment.

How quickly did patients experience improvement in symptoms after starting mogamulizumab treatment?

Patients reported improvement in all symptoms within 4 weeks of treatment initiation, with significant decreases in symptom severity by week 16.

What was the most improved symptom after 16 weeks of mogamulizumab treatment?

Skin redness showed the greatest improvement (-2.9) after 16 weeks of mogamulizumab treatment, followed by skin itch, flaking skin, and skin pain.

What was the impact of mogamulizumab on sleep problems and body temperature regulation?

The proportion of patients reporting sleep problems or difficulties regulating body temperature decreased to less than 20% after 16 weeks of mogamulizumab treatment.