Orphan Status for Imbrium Biliary Cancer Drug
FDA has granted Imbrium Therapeutics an orphan drug designation for its investigational drug etoposide toniribate, described as a novel topoisomerase II inhibitor intended for treating relapsed refractory biliary tract cancer. Also known as cholangiocarcinoma, biliary tract cancer is a rare disease that starts in the bile ducts. It is the second most common primary hepatobiliary cancer, behind hepatocellular cancer, and about 8,000 people in the U.S. diagnosed with it each year.
Etoposide toniribate has shown encouraging data in Phase 2 trials, and these data were key in granting the orphan designation, the company says. “Results of a randomized Phase 2 trial of 23 patients with refractory, metastatic, unresectable biliary tract cancer who had relapsed following treatment with gemcitabine/cisplatin showed a one-year overall survival of 44.4% with etoposide toniribate versus 11.3% with best supportive care (BSC),” it says. “Overall, 55.6% of patients met the primary endpoint of disease control compared with 20% who received BSC. The most common drug-related adverse events were leukopenia, neutropenia, thrombocytopenia, anemia, alopecia, fatigue and abdominal pain.”
Imbrium Therapeutics, in collaboration with Mundipharma EDO, expects to begin a Phase 3 clinical trial of etoposide toniribate in patients with refractory biliary tract cancer in 2020.