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針對(duì)多種血液癌癥,多款創(chuàng)新療法展現(xiàn)積極臨床試驗(yàn)進(jìn)展…… | 一周盤(pán)點(diǎn)

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1. 抗半乳糖凝集素-9(galectin-9)單克隆抗體 LYT-200 用于治 療復(fù)發(fā)/難治性急性髓系白血病(AML)和高風(fēng)險(xiǎn)骨髓增生異常綜合征(MDS),在一項(xiàng)早期臨床試驗(yàn)中 聯(lián)合標(biāo)準(zhǔn)療法,使患者的初步總生存期(OS)較同類患者延長(zhǎng)近10個(gè)月。

2. 新型在研變構(gòu)型BCR-ABL1抑 制劑TERN-701在既往接受過(guò)治療的慢性髓系白血?。–ML)患者中取得令人鼓舞的1期臨床試驗(yàn)數(shù)據(jù),75%接受 劑量>320 mg/天的患者 在24周內(nèi)達(dá)到主要分子學(xué)緩解(MMR)。

3. 創(chuàng)新BTK降解劑bexobrutideg(NX-5948) 用于治療復(fù)發(fā)或難治性慢性淋巴細(xì)胞白血?。–LL)和小淋巴細(xì)胞淋巴瘤(SLL), 早期臨床試驗(yàn)數(shù)據(jù)積極, 患者的總緩解率(ORR)達(dá)到83%。


LYT-200:公布1b期臨床試驗(yàn)的初步數(shù)據(jù)


Gallop Oncology公司公布了其在研藥物L(fēng)YT-200在1b期臨床試驗(yàn)中的初步頂線數(shù)據(jù)。LYT-200是一種潛在“first-in-class”的抗半乳糖凝集素-9單克隆抗體,正在被評(píng)估用于治療復(fù)發(fā)/難治性AML和高風(fēng)險(xiǎn)MDS患者。

該研究納入了既往接受過(guò)多種治療的晚期患者,旨在評(píng)估LYT-200作為單藥或聯(lián)合標(biāo)準(zhǔn)療法的療效與安全性。結(jié)果顯示,LYT-200在推薦的2期劑量下表現(xiàn)出良好的耐受性和顯著的抗腫瘤活性。在聯(lián)合治療組中,初步的中位OS達(dá)到13.2個(gè)月,遠(yuǎn)超此類晚期患者通常預(yù)期的<2.5個(gè)月的生存期。此外,LYT-200在攜帶高風(fēng)險(xiǎn)基因突變的患者中也觀察到治療應(yīng)答,提示其可能具有廣泛的適用人群。

TERN-701:公布1期臨床試驗(yàn)數(shù)據(jù)


Terns Pharmaceuticals公司宣布,在正在進(jìn)行的CARDINAL臨床試驗(yàn)中,其新型在研變構(gòu)型BCR-ABL1抑制劑TERN-701在既往接受過(guò)治療的CML患者中展現(xiàn)出令人鼓舞的療效和安全性數(shù)據(jù)。數(shù)據(jù)顯示,在所有可評(píng)估療效的患者中,64%在24周內(nèi)達(dá)到MMR;而在劑量>320 mg/天的患者亞組中,這一比例提升至75%。此外,隨著治療時(shí)間延長(zhǎng),TERN-701繼續(xù)保持良好的安全性和耐受性。

Bexobrutideg(NX-5948):公布1a/1b期臨床試驗(yàn)的新數(shù)據(jù)


Nurix Therapeutics公司公布了其開(kāi)發(fā)的創(chuàng)新BTK降解劑bexobrutideg,用于治療復(fù)發(fā)或難治性CLL和SLL的積極早期臨床試驗(yàn)數(shù)據(jù)。數(shù)據(jù)顯示,1a期臨床試驗(yàn)中,在47名可進(jìn)行療效評(píng)估的患者中,接受bexobrutideg治療的患者的ORR達(dá)到83%,中位無(wú)進(jìn)展生存期為22.1個(gè)月,中位緩解持續(xù)時(shí)間為20.1個(gè)月。值得一提的是,這些患者此前接受過(guò)多種治療,包括共價(jià)和/或非共價(jià)BTK抑制劑。在1b期患者隊(duì)列中,早期數(shù)據(jù)顯示接受劑量為600 mg的bexobrutideg治療的患者ORR為83.3%。Bexobrutideg在所有劑量水平下耐受良好,符合先前披露的研究結(jié)果。

Pociredir:公布1b期臨床試驗(yàn)的初步數(shù)據(jù)


Fulcrum Therapeutics公司公布了其在研療法pociredir在鐮狀細(xì)胞?。⊿CD)患者中開(kāi)展的1b期PIONEER臨床試驗(yàn)的初步結(jié)果。Pociredir是一種靶向胚胎外胚層發(fā)育蛋白(EED)的口服小分子抑制劑。通過(guò)抑制EED,pociredir可有效下調(diào)關(guān)鍵的胎兒珠蛋白阻遏蛋白(包括BCL11A),從而導(dǎo)致胎兒血紅蛋白(HbF)水平升高。

此次公布的結(jié)果顯示,在第6周時(shí),20 mg劑量組患者的平均絕對(duì)HbF水平較基線增加9.9%;其中58%(7/12)的患者HbF水平≥20%。截至2025年11月11日的數(shù)據(jù),在完成第12周訪視的患者中(n=6),20 mg組HbF平均誘導(dǎo)倍數(shù)>3.75倍。此外,研究還觀察到泛細(xì)胞型HbF誘導(dǎo)、溶血和貧血標(biāo)志物改善,以及血管阻塞危象(VOC)減少的積極趨勢(shì)。Pociredir總體耐受性良好,未報(bào)告與治療相關(guān)的嚴(yán)重不良事件(SAEs)。

KT-621:公布1b期臨床試驗(yàn)數(shù)據(jù)


Kymera Therapeutics公司宣布,其在研口服、潛在“first-in-class”的STAT6降解劑KT-621在BroADen特應(yīng)性皮炎(AD)臨床1b期試驗(yàn)中取得積極結(jié)果。結(jié)果顯示,在100 mg和200 mg劑量組中,KT-621在皮膚和血液中分別實(shí)現(xiàn)了中位94%和98%的STAT6降解。同時(shí),KT-621在血液中顯著降低多項(xiàng)與疾病相關(guān)的2型炎癥生物標(biāo)志物水平,包括TARC(中位下降74%)、Eotaxin-3、IL-31和IgE,并在皮損中下調(diào)核心2型炎癥及與AD相關(guān)的基因。

在臨床療效方面,KT-621在多項(xiàng)疾病評(píng)估終點(diǎn)上均表現(xiàn)出強(qiáng)勁療效,所有患者平均濕疹面積和嚴(yán)重度指數(shù)(EASI)評(píng)分降低63%,瘙癢NRS峰值評(píng)分平均降低40%。對(duì)于合并哮喘的患者,中位部分呼出一氧化氮(FeNO)水平下降56%,哮喘控制獲得有意義改善;合并過(guò)敏性鼻炎的患者在癥狀及生活質(zhì)量方面也獲得顯著獲益。安全性方面,KT-621耐受性良好,未報(bào)告嚴(yán)重不良事件或治療相關(guān)不良事件,未出現(xiàn)結(jié)膜炎病例,生命體征、實(shí)驗(yàn)室檢查及心電圖亦未見(jiàn)臨床相關(guān)異常。

REC-4881:公布1b/2期臨床試驗(yàn)數(shù)據(jù)


Recursion公司宣布,其在研變構(gòu)型MEK1/2抑制劑REC-4881在家族性腺瘤性息肉?。‵AP)患者中開(kāi)展的1b/2期TUPELO臨床試驗(yàn)取得積極數(shù)據(jù)。自然病程分析顯示,在55例未接受治療、且符合TUPELO試驗(yàn)入組標(biāo)準(zhǔn)的FAP患者中,87%的患者每年息肉負(fù)荷呈增加趨勢(shì),10%保持穩(wěn)定,僅有3%出現(xiàn)輕微減少,展現(xiàn)了該疾病的進(jìn)行性發(fā)展特征。

此次公布的結(jié)果顯示,接受REC-4881 4 mg/天治療的患者在12周內(nèi)即展現(xiàn)出快速臨床活性:在12例可評(píng)估患者中,75%出現(xiàn)結(jié)腸息肉負(fù)荷減少,中位減少幅度達(dá)43%。停藥12周后(研究第25周),11例可評(píng)估患者中有9例(82%)仍維持療效,息肉負(fù)荷較基線中位減少53%。此外,40%的患者(4/10)實(shí)現(xiàn)Spigelman分期改善≥1分,表明上消化道疾病嚴(yán)重程度減輕。安全性方面,REC-4881的安全性特征與MEK1/2抑制一致,大多數(shù)治療相關(guān)不良事件為1級(jí)或2級(jí),未報(bào)告4級(jí)及以上的治療相關(guān)不良事件。

參考資料:

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[25] ImmuneWalk Therapeutics Announces Positive Results from Phase 1 SAD/MAD Study of IW-601, a First-In-Class Therapeutic with Broad Potential in Inflammatory and Autoimmune Diseases. Retrieved December 12, 2025, from https://www.globenewswire.com/news-release/2025/12/11/3203848/0/en/ImmuneWalk-Therapeutics-Announces-Positive-Results-from-Phase-1-SAD-MAD-Study-of-IW-601-a-First-In-Class-Therapeutic-with-Broad-Potential-in-Inflammatory-and-Autoimmune-Diseases.html

[26] Corbus Pharmaceuticals Reports Results from Phase 1a Study of Oral CB1 Inverse Agonist CRB-913 for the Treatment for Obesity Demonstrating Favorable Safety Profile and Emerging Evidence of Weight Loss. Retrieved December 12, 2025, from https://www.globenewswire.com/news-release/2025/12/11/3203762/0/en/Corbus-Pharmaceuticals-Reports-Results-from-Phase-1a-Study-of-Oral-CB1-Inverse-Agonist-CRB-913-for-the-Treatment-for-Obesity-Demonstrating-Favorable-Safety-Profile-and-Emerging-Evi.html

[27] Tenaya Therapeutics Reports Positive Interim Data from Cohort 1 of RIDGE?-1 Phase 1b/2 Clinical Trial of TN-401 Gene Therapy for Adults with PKP2-associated ARVC. Retrieved December 12, 2025, from https://www.globenewswire.com/news-release/2025/12/11/3204284/0/en/Tenaya-Therapeutics-Reports-Positive-Interim-Data-from-Cohort-1-of-RIDGE-1-Phase-1b-2-Clinical-Trial-of-TN-401-Gene-Therapy-for-Adults-with-PKP2-associated-ARVC.html

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