Monopar Announces Encouraging Camsirubicin Phase 1b Trial Update

Rhea-AI Summary

Monopar Therapeutics provides an update on its Phase 1b clinical trial of camsirubicin in patients with advanced soft tissue sarcoma (ASTS). One patient in the trial achieved tumor shrinkage and had the tumor resected. All patients in the 520 mg/m2 cohort achieved stable disease. The Phase 1b data show an improvement in median progression-free survival compared to previous trials. No drug-related cardiotoxicity has been observed. Monopar has a clinical collaboration agreement with GEIS for a Phase 2 trial.

Positive

• One patient achieved tumor shrinkage and had the tumor resected
• All patients in the 520 mg/m2 cohort achieved stable disease
• Improvement in median progression-free survival compared to previous trials
• No drug-related cardiotoxicity observed
• Clinical collaboration agreement in place for a Phase 2 trial

Negative

• None.

Patient in 520 mg/m² cohort, previously unresectable, experienced tumor shrinkage and had tumor resected following camsirubicin treatment

3 of 3 patients in the 520 mg/m² cohort achieved stable disease

WILMETTE, Ill., June 01, 2023 (GLOBE NEWSWIRE) -- Monopar Therapeutics Inc. (Nasdaq: MNPR), a clinical-stage biopharmaceutical company focused on developing innovative treatments for cancer, today announced an update from its currently enrolling multi-center open-label Phase 1b clinical trial of camsirubicin in patients with advanced soft tissue sarcoma (ASTS).

Background on ASTS and Camsirubicin

ASTS is a diverse type of cancer that typically develops in the connective tissue of the body and which has metastasized (spread) or is not amenable to surgery. The average life expectancy from time of diagnosis for patients with ASTS is about 12 to 15 months. Currently, doxorubicin is the first-line standard of care treatment for most types of ASTS.

Doxorubicin is one of the most widely used cancer drugs worldwide with FDA approval in ASTS and 13 additional cancer indications. Unfortunately, although higher doses of doxorubicin are known to be more effective at treating cancer, the risk of irreversible heart damage increases with the cumulative dose and limits the lifetime amount that a patient can receive. As a result, even if patients are responding, they discontinue doxorubicin treatment typically after only 6 to 8 cycles (~6 months or less).

Camsirubicin has been designed to retain the anti-cancer activity while avoiding the irreversible heart damage that is seen with doxorubicin. The hypothesis for camsirubicin is straightforward: modifying doxorubicin in order to reduce cardiac damage could enable higher and longer dosing, resulting in better efficacy and patient outcomes.

Updates from Currently Enrolling Phase 1b Clinical Trial

• One patient at the 520 mg/m² dose level, unresectable at study entry, was deemed eligible for tumor resection after several cycles of camsirubicin treatment and a corresponding 21% reduction in tumor dimensions. This patient recently underwent surgical resection of the cancer.

• 100% of patients (3 of 3) at the fourth dose-level (520mg/m²) achieved stable disease, and had either a net reduction or no overall change in tumor size per RECIST 1.1 while on study drug.

• Phase 1b data continue to show an improvement in median progression free survival from what was observed in the prior camsirubicin Phase 2 trial (265 mg/m²). This is supportive of our dose­-response hypothesis with camsirubicin.

• Two patients are currently enrolled in the fifth dose-­level cohort (650 mg/m²), which is nearly 2.5x the highest dose evaluated in any prior camsirubicin clinical trial (265mg/m²).

• No drug­-related cardiotoxicity has been observed in this trial to-date as evaluated by the industry standard left ventricular ejection fraction (LVEF).

• As previously reported, this trial continues to show less frequent and less severe hair loss and oral mucositis with camsirubicin compared to what has been seen in recent ASTS clinical trials with doxorubicin.

• No dose limiting toxicity (DLT) has been experienced by any patient in the trial to-date.
  

Camsirubicin Clinical Trial Design and GEIS Collaboration

The purpose of this 3+3 dose escalation Phase 1b trial is to determine the maximum tolerated dose (MTD) of camsirubicin. Once the MTD is reached, Monopar has a clinical collaboration agreement in place with the Spanish Sarcoma Group (Grupo Español de Investigación en Sarcomas, or GEIS) to conduct a multi-country randomized Phase 2 clinical trial. The Phase 2 plan is to evaluate camsirubicin head-to-head against doxorubicin in patients with ASTS, with GEIS as the study sponsor with support from Monopar.

Further information about this actively enrolling, open-label, dose-escalation Phase 1b clinical trial is available at www.ClinicalTrials.gov under study identifier NCT 05043649.

About Monopar Therapeutics Inc.  

Monopar Therapeutics is a clinical­-stage biopharmaceutical company focused on developing innovative treatments for cancer patients. Monopar's pipeline consists of camsirubicin (Phase 1b) for the treatment of advanced soft tissue sarcoma; MNPR­-101, a late­-stage preclinical antibody for radiopharmaceutical use in advanced cancers; and MNPR-­202, an early-­stage camsirubicin analog for various cancers. For more information, visit: www.monopartx.com.

Forward-Looking Statements

Statements contained in this press release regarding matters that are not historical facts are "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. The words “may,” “will,” “could,” “would,” “should,” “expect,” “plan,” “anticipate,” “intend,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue,” “target” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Examples of these forward-looking statements include statements concerning: that modifying doxorubicin to create camsirubicin in order to reduce cardiac damage could enable higher and longer dosing, resulting in better efficacy and patient outcomes; and plans to conduct a multi-country randomized Phase 2 clinical trial once the MTD is reached evaluating camsirubicin head-to-head against doxorubicin in patients with ASTS, with GEIS as the study sponsor with support from Monopar. The forward-looking statements involve risks and uncertainties including, but not limited to: the camsirubicin Phase 1b trial not proving safety and efficacy at higher doses; not successfully recruiting additional patients and initiating additional clinical trial sites for the camsirubicin Phase 1b clinical trial within expected timeframes, if at all; the Company’s inability to raise sufficient funds or engage a partner to continue the camsirubicin clinical program beyond the Phase 1b clinical trial; GEIS not conducting the camsirubicin Phase 2 clinical trial; and the significant general risks and uncertainties surrounding the research, development, regulatory approval, and commercialization of therapeutics. Actual results may differ materially from those expressed or implied by such forward-looking statements. Risks are described more fully in Monopar's filings with the Securities and Exchange Commission. All forward-looking statements contained in this press release speak only as of the date on which they were made. Monopar undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made. Any forward-looking statements contained in this press release represent Monopar’s views only as of the date hereof and should not be relied upon as representing its views as of any subsequent date.

CONTACT:   

Monopar Therapeutics Inc. 
Investor Relations   
Kim R. Tsuchimoto   
Chief Financial Officer   
kimtsu@monopartx.com 

Follow Monopar on social media for updates:  
Twitter: @MonoparTx  LinkedIn: Monopar Therapeutics 

What is the update from Monopar Therapeutics' Phase 1b clinical trial?

One patient in the trial achieved tumor shrinkage and had the tumor resected. All patients in the 520 mg/m2 cohort achieved stable disease. The Phase 1b data show an improvement in median progression-free survival compared to previous trials. No drug-related cardiotoxicity has been observed. Monopar has a clinical collaboration agreement with GEIS for a Phase 2 trial.

What is camsirubicin and its purpose?

Camsirubicin is being developed as a treatment for advanced soft tissue sarcoma (ASTS). It is designed to retain the anti-cancer activity of doxorubicin while reducing the risk of irreversible heart damage. The purpose of the Phase 1b trial is to determine the maximum tolerated dose of camsirubicin.

What are the results of the Phase 1b trial so far?

One patient achieved tumor shrinkage and had the tumor resected. All patients in the 520 mg/m2 cohort achieved stable disease. The Phase 1b data show an improvement in median progression-free survival compared to previous trials. No drug-related cardiotoxicity has been observed.

What is the next step after the Phase 1b trial?

Once the maximum tolerated dose is determined, Monopar has a clinical collaboration agreement with GEIS to conduct a Phase 2 trial comparing camsirubicin to doxorubicin in patients with ASTS.