cancer
Summit lung cancer drug may have a geography problem
Ivonescimab, a lung cancer drug made by Summit Therapeutics, showed stronger results in Chinese patients than in those from North America and Europe, raising questions about its regulatory path in the West. In the Phase 3 HARMONi study, tumor progression risk fell 45% in Chinese participants but just 33% in Western patients, missing statistical significance in the latter cohort.
Overall, STAT's Adam Feuerstein writes, the drug delayed progression by 43% versus placebo, but survival gains were modest and not statistically significant. Experts remain divided: Some see the geographic gap as clinically minor, while others point to the lack of clear survival benefit as a bigger hurdle for FDA approval.
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narcolepsy
Alkermes, Takeda advance rival narcolepsy therapies
Alkermes and Takeda reported promising results this morning for experimental narcolepsy drugs.
In a Phase 2 study, a once-daily pill from Alkermes helped increase the amount of time patients stayed awake on a test by 26 minutes more than the changes experienced by the placebo group. Patients on the highest does of Takeda's twice-daily pill experienced increases of 20 minutes and 17 minutes more than placebo groups in a pair of Phase 3 trials.
Both orexin receptor agonists, STAT's Elaine Chen writes, appear more effective at treating narcolepsy than current therapies on the market. Drugmakers have ambitions to test the treatments in much more common conditions that lead people to feel sleepy, like Alzheimer's and depression.
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