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Clarity Pharmaceuticals (ASX: CU6) has announced an update on the safety review of the first three participants enrolled in cohort 4 of the SECuRE trial, who received two doses of 67Cu-SAR-bisPSMA. The results show no dose-limiting toxicities (DLTs) and strong preliminary efficacy data, marking a significant milestone in the development of the company's next-generation radiopharmaceutical products for cancer treatment.
Clarity Pharmaceuticals' SECuRE trial (NCT04868604) is a Phase I/IIa theranostic trial aimed at identifying and treating participants with prostate-specific membrane antigen (PSMA)-expressing metastatic castrate-resistant prostate cancer (mCRPC) using 64Cu/67Cu-SAR-bisPSMA. The trial's overall objective is to determine the safety and efficacy of 67Cu-SAR-bisPSMA for prostate cancer treatment.
Cohort 4, the final cohort in the dose escalation phase, explores the safety and anti-cancer effects of multiple therapy cycles of 67Cu-SAR-bisPSMA at the highest dose of 12GBq. The positive safety profile observed in the first three cohorts has led to a change in the dosing schedule, allowing participants who benefit from the treatment to receive up to four doses in total.
The SRC's review of the safety data from the first three participants in cohort 4, who received two cycles of 67Cu-SAR-bisPSMA, revealed no DLTs to date. Almost all AEs were mild to moderate, with the majority having resolved or improved at the last assessment.
Preliminary efficacy assessment showed that both participants who completed the DLT period exhibited PSA drops of more than 60% in the weeks following their second dose. One participant, who had failed several lines of therapy before receiving 67Cu-SAR-bisPSMA, experienced a 92.3% drop in PSA levels and a 60.6% reduction in tumor volume based on PSMA positron emission tomography (PET) imaging.
"The results from the SECuRE trial continue to impress, with the data from all 3 participants in cohort 4 exhibiting an excellent safety profile for 67Cu-SAR-bisPSMA, following 2 cycles of the product at the highest dose of 12GBq," said Dr. Alan Taylor, Clarity's Executive Chairperson. "Although safety is our priority during this dose escalation phase, the efficacy data continues to be outstanding, with both participants who have thus far completed the DLT period analysis exhibiting an excellent response to treatment even at these early time points."
Clarity Pharmaceuticals is using the data from the SECuRE trial to inform the next stages of its clinical development program, including the expanded cohort in the SECuRE study and the subsequent Phase III clinical trial prior to regulatory approval and full commercial rollout. The company is working closely with its Key Opinion Leaders and Clinical Advisers to address the high unmet need in both late-stage and early-stage prostate cancer patients.
Prostate cancer is the second most common cancer diagnosed in men globally and the fifth leading cause of cancer death in men worldwide. In 2024, the American Cancer Institute estimates there will be 299,310 new cases of prostate cancer in the US and around 35,250 deaths from the disease. Clarity Pharmaceuticals' targeted copper theranostics based on its SAR Technology Platform have the potential to significantly improve treatment outcomes for prostate cancer patients.
While the SECuRE trial results are promising, it is essential to note that 64Cu-SAR-bisPSMA and 67Cu-SAR-bisPSMA are unregistered products, and individual results may not represent the overall safety and efficacy of the products. The data outlined in the announcement has not been assessed by health authorities such as the US Food and Drug Administration (FDA), and there is no guarantee that these products will become commercially available.
Clarity Pharmaceuticals' SECuRE trial update demonstrates the potential of 67Cu-SAR-bisPSMA as a next-generation radiopharmaceutical for the treatment of prostate cancer. The positive safety profile and remarkable efficacy data, even in patients who have failed multiple lines of therapy, position the company to potentially make a significant impact on the lives of prostate cancer patients. As Clarity Pharmaceuticals continues to advance its clinical development program, the company is potentially poised to play a crucial role in improving cancer treatment outcomes.
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