Stemline Therapeutics' SL-401 Phase 2 BPDCN Data Delivered Via Oral Presentation at ASH; High Response Rates Maintained Across All Lines
NEW YORK, Dec. 05, 2016 (GLOBE NEWSWIRE) -- Stemline Therapeutics, Inc. (Nasdaq:STML) announced today the oral presentation of positive clinical data from its ongoing SL-401 Phase 2 potentially pivotal clinical trial in blastic plasmacytoid dendritic cell neoplasm (BPDCN). The trial results were delivered via an oral presentation by Naveen Pemmaraju, M.D., from the University of Texas MD Anderson Cancer Center, on Sunday morning at the 2016 American Society of Hematology (ASH) Annual Meeting, being held at the San Diego Convention Center in San Diego, CA.
The full presentation is now available on the Stemline website, under the "Scientific Presentations" tab (see link: http://www.stemline.com/scientific-presentations.asp).
The Phase 2 BPDCN data presented at ASH cover 32 evaluable adult BPDCN patients treated with SL-401. Results demonstrated that SL-401 produced a 100% (16/16) overall response rate (ORR), including an 81% (13/16) complete response (CR) rate in first-line BPDCN patients treated at the recommended dose of 12 ug/kg/day and a 95% (18/19) ORR in first-line patients treated at the recommended dose or lower. In relapsed/refractory patients, the ORR was 69% (9/13) with a CR rate of 31% (4/13). See Tables 1 and 2 for a summary of efficacy and safety.
Response duration data continue to appear promising, with 69% (11/16) first-line BPDCN patients treated at 12 ug/kg/day remaining relapse-free (range: 1+ to 20+ months, ongoing). This includes four patients receiving SL-401 therapy (range: 1+ to 15+ months, ongoing), six patients in durable remission from SL-401 who were then successfully bridged to stem cell transplant (SCT) and remain in remission (range: 5+ to 20+ months progression-free after first SL-401 dose), and one additional patient undergoing SCT preparation. In the relapsed/refractory setting, 46% (6/13) patients are relapse-free (range: 1+ to 7+ months). This includes five patients receiving SL-401 therapy (range: 1+ to 4+ months, ongoing) and one patient in durable remission from SL-401 who was then successfully bridged to SCT and remains in remission for approximately 8+ months, ongoing. The median progression-free and overall survival for first-line has not been reached and for relapsed/refractory it is currently 8.5 months.
Naveen Pemmaraju, M.D., Assistant Professor, Department of Leukemia at the University of Texas MD Anderson Cancer Center (Houston, TX), an investigator on the study, commented, "The encouraging results generated to date with SL-401 continue to indicate the agent could very well emerge as the standard of care for both first-line and relapsed/refractory BPDCN, a devastating disease for which there had previously been no effective therapy. In addition to strong clinical activity, manifested by high levels of durable responses, the safety profile with SL-401 continues to be predictable and manageable over increasing patient experience." Dr. Pemmaraju continued, "Together with Stemline, we are working to bring this promising new agent to patients as expeditiously as possible in BPDCN and other malignancies."
Andrew A. Lane, M.D., Ph.D., Assistant Professor, Medical Oncology at the Dana-Farber Cancer Institute (Boston, MA), and a co-investigator on the study, commented, "The clinical outcomes seen with SL-401 in first-line and relapsed/refractory BPDCN continue to be exciting, particularly given that these are two greatly under-served patient populations. SL-401 has also begun to show early promising signs in other clinical settings." Dr. Lane continued, "We are very pleased to be ongoing contributors to this study, and look forward to helping to advance this active agent in BPDCN and other hematologic malignancies as well."
Table 1. SL-401 Summary of Clinical Efficacy
|Line of Therapy||First-line||First-line||R/R||All lines|
|Dose Group||All Doses||12 ug/kg||12 ug/kg||All Doses|
|ORR||18/19 (95%)||16/16 (100%)||9/13 (69%)||27/32 (84%)|
|CR*, n (rate)||14 (74%)||13 (81%)||4 (31%)||18 (56%)|
|Bridged to SCT, n||6||6||1||7 (22%)|
*CR includes CRi (CR with incomplete hematopoietic recovery) and CRc (CR in non-skin organs and gross reduction in cutaneous lesions with residual microscopic disease).
Table 2. Most Common Adverse Events (≥ 15% treatment-related adverse effects, TRAEs)
|All Grades (% of patients)||Grade ≥ 3 (% of patients)|
|TRAEs||All AEs||TRAEs||All AEs|
|Capillary leak syndrome (CLS)||19||19||8||8|
About Stemline Therapeutics
Stemline Therapeutics, Inc. is a clinical stage biopharmaceutical company developing novel oncology therapeutics. Stemline is developing three clinical stage product candidates, SL-401, SL-801, and SL-701. SL-401 is a targeted therapy directed to the interleukin-3 receptor (CD123) present on a wide range of malignancies. SL-401 is being advanced through a potentially pivotal Phase 2 trial in patients with blastic plasmacytoid dendritic cell neoplasm (BPDCN), an indication for which SL-401 has been granted Breakthrough Therapy Designation (BTD) by the FDA. SL-401 has demonstrated high overall response rates (ORR), with multiple complete responses (CRs), in both first-line and relapsed/refractory patients, and treatment duration and frequency of bridge to transplant have been trending favorably. SL-401 is also being advanced through Phase 1/2 trials of patients with additional malignancies including acute myeloid leukemia (AML) in remission with minimal residual disease (MRD), high-risk myeloproliferative neoplasms (MPN), and relapsed/refractory multiple myeloma (in combination with pomalidomide). SL-801 is a novel oral small molecule reversible inhibitor of XPO1 that has demonstrated broad in vivo and in vitro preclinical activity in a wide array of solid and hematologic malignancies. A Phase 1 trial with SL-801 is open and enrolling patients with advanced solid tumors, and a Phase 1 trial in hematologic malignancies is planned. SL-701 is an immunotherapy designed to activate the immune system to attack tumors. A Phase 2 trial with SL-701 in adult patients with second-line glioblastoma multiforme (GBM) is ongoing. For more information about Stemline Therapeutics, please visit www.stemline.com.
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