Orphan Status for Pyxis Pancreatic Cancer Therapy

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FDA has granted Pyxis Oncology an orphan drug designation for PYX-201 in pancreatic cancer. The company says subject dosing is already underway in a Phase 1 trial known as PYX-201-101. Preliminary data from the trial is expected in early 2024.

PYX-201 is described by Pyxis as a novel antibody-drug conjugate product licensed from Pfizer. It is designed to target extradomain-B (EDB) of fibronectin, a non-internalizing antigen, that is an integral component of the extracellular matrix in tumors. “EDB fibronectin is overexpressed in many solid tumors and minimally expressed in most normal adult tissues,” Pyxis says.

Once PYX-201 binds to EDB fibronectin, “a potent auristatin-derived payload is cleaved and diffuses across adjacent tumor cell membranes and surrounding supportive tumor infrastructures, including fibroblasts and tumor vasculature,” the company explains. PYX-201 also engages anti-tumor immunogenic activity “by promoting dendritic cell maturation and inducing immunogenic cell death, which could provide a rationale for the evaluation of combination-based approaches with immuno-oncology products, including checkpoint inhibitors,” it adds.

The Phase 1 trial is an open-label, multicenter, dose-escalation trial designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and preliminary efficacy of PYX-201 and identify recommended doses for further study. “Patients with relapsed or refractory solid tumors, including non-small cell lung cancer, hormone receptor-positive breast cancer, ovarian cancer, thyroid cancer, pancreatic ductal adenocarcinoma, soft tissue sarcoma, hepatocellular carcinoma or kidney cancer are eligible to enroll,” the company says.

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