NEWTOWN, Pa., June 1, 2015 (GLOBE NEWSWIRE) -- Onconova Therapeutics, Inc. (Nasdaq:ONTX), a clinical-stage biopharmaceutical company focused on discovering and developing novel products to treat cancer, today announced the presentation of clinical data on rigosertib in HR-MDS at the 2015 American Society of Clinical Oncology (ASCO) Annual Meeting in Chicago, IL, May 29 - June 2, 2015.
The poster presentations by Dr. Lewis R. Silverman of Mount Sinai Hospital and his co-authors provide detailed results from the Phase 3 ONTIME trial of IV rigosertib in HR-MDS, highlighting important subgroups and prognostic factors favoring activity of rigosertib in HR-MDS patients previously treated with hypomethylating agents (HMAs). The significance and brief summaries of the presentations are listed below.
"These clinical data provide the foundation for the design of a new pivotal study in HR-MDS by identifying patients who are likely to respond to IV rigosertib," said Ramesh Kumar, Ph.D., President and CEO of Onconova. "We continue to anticipate, pending receipt of appropriate financing, initiating this Phase 3 trial in 2015."
International Prognostic Scoring System-Revised (IPSS-R) provides an objective predictor of survival benefit in post-HMA HR-MDS patients treated with IV rigosertib
Abstract number: 7092
Title: Prognostic and predictive value of IPSS-R in assessing overall survival (OS) in a phase III study of rigosertib in second-line higher-risk (HR) MDS patients.
Time and location: May 31, 8:00 AM - 11:30 AM, McCormick Place, S Hall A
Summary: A subgroup analysis of the ONTIME trial revealed a significant survival advantage for patients in the revised International Prognostic Scoring System (IPSS-R) Very High Risk category (IPSS-R calculates a risk score for MDS patients based on the location and type of chromosome abnormalities, number and degree of cytopenias, and percentage of bone marrow blasts observed at diagnosis). Among the 134 patients (45% of patients in the trial) who were in the IPSS-R Very High Risk category, median overall survival was 7.6 months in the rigosertib arm (93 patients) compared to 3.2 months in the best supportive care arm (41 patients), with a hazard ratio of 0.56 (95% confidence interval 0.37,0.84; p=0.005). Baseline characteristics among IPSS-R Very High Risk patients, including primary HMA failure, FAB classification, ECOG performance status, bone marrow blast percentage, hemoglobin levels, platelet count and neutrophil count also correlated with better survival with IV rigosertib. These characteristics and IPSS-R are being incorporated into the design of a new Phase 3 trial for IV rigosertib in HR-MDS.
Note: This poster was selected for the Poster Discussion Session where the lead author, Dr. Lewis R. Silverman, provided highlights of the data and discussed their implications for future studies. The Poster Discussion Session was held on May 31, 11:30 - 12:45 AM at McCormick Place, S Hall A.
Interim assessment of bone marrow blast response may serve as an intermediate clinical endpoint for survival benefit evaluation of novel therapeutic agents in HR-MDS
Abstract number: 7017
Title: Correlation of overall survival (OS) with bone marrow blast (BMBL) response in patients (pts) with myelodysplastic syndrome.
Time and Location: May 31, 8:00 AM - 11:30 AM, McCormick Place, S Hall A
Summary: A correlation between overall survival and bone marrow blast response was established through a retrospective analysis of 887 patients from seven clinical trials, including the Phase 3 ONTIME trial, as well as Phase 2 and 3 randomized studies with azacitidine. The analysis of these studies, spanning more than a decade and with different therapeutic agents, demonstrated a consistent positive correlation between BMBL response and overall survival in HR-MDS patients. These findings suggest BMBL can be used as an early response parameter for novel therapeutics under development in HR-MDS, such as IV rigosertib.
About Onconova Therapeutics, Inc.
Onconova Therapeutics is a clinical-stage biopharmaceutical company focused on discovering and developing novel products to treat cancer. Onconova's clinical and pre-clinical stage drug development candidates are derived from its extensive chemical library and are designed to work against specific cellular pathways that are important in cancer cells, while causing minimal damage to normal cells. In addition to rigosertib, the Company's most advanced product candidate, two other candidates are clinical stage, and several candidates are in pre-clinical stages. For more information, please visit http://www.onconova.com.
Rigosertib is a small molecule that inhibits cellular signaling by acting as a Ras mimetic. This is believed to be mediated by direct binding of rigosertib to the Ras-binding domain (RBD) found in many Ras effector proteins, including the Raf kinases and PI3K. The initial therapeutic focus for rigosertib is myelodysplastic syndromes (MDS), a group of bone marrow disorders characterized by ineffective formation of blood cells that often converts into acute myeloid leukemia (AML). Clinical trials with intravenous (IV) and oral formulations of rigosertib are being conducted at leading institutions in the U.S. and Europe.
About the ONTIME Trial
The ONTIME Trial, a Phase 3 multi-center, randomized, controlled study, assessed the efficacy and safety of rigosertib 72-hour continuous intravenous infusion plus best supportive care (BSC) compared to BSC alone, in higher-risk MDS patients with excess blasts (5% to 30% bone marrow blasts), who had progressed on, failed or relapsed after treatment with HMAs. Results of stratified and exploratory subgroup analyses, demonstrating heterogeneity in the study population, were presented at the 2014 American Society of Hematology Annual Meeting (Garcia-Manero et al., Abstract 163). The ONTIME trial did not meet its primary endpoint in the intent-to-treat population, but improvements in median overall survival (mOS) were observed in various pre-specified and exploratory subgroups of patients, including "primary HMA failure" patients (those who had progressed on or failed to respond to previous treatment with HMAs) and patients in the Revised International Prognostic Scoring System (IPSS-R) Very High Risk category (IPSS-R calculates a risk score for MDS patients based on the location and type of chromosome abnormalities, number and degree of cytopenias, and percentage of bone marrow blasts observed at diagnosis). Among the 184 patients (62% of patients in the trial) with primary HMA failure, mOS was 8.6 months in the rigosertib arm (127 patients) compared to 5.3 months in the best supportive care arm (57 patients), with a hazard ratio of 0.69 and a p value of 0.040. Among the 134 patients (45% of patients in the trial) who were in the IPSS-R Very High Risk category, mOS was 7.6 months in the rigosertib arm (93 patients) compared to 3.2 months in the best supportive care arm (41 patients), with a hazard ratio of 0.56 and a p value of 0.005. Further, the safety and tolerability of rigosertib IV in the ONTIME trial was acceptable.
Forward Looking Statements
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