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An Alternative Treatment for Hepatitis C: Ropeginterferon alfa-2b (P1101)

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In Taiwan, the prevalence of hepatitis C virus (HCV) infection among adults aged over 20 years old is high (4.4%), but the majority of them do not get treatment. Although direct antiviral agents (DAAs) are approved by Taiwan Food and Drug Administration (TFDA), they are still expensive and mostly used as second line in clinical practice, and are not fully reimbursed by the national health insurance (NHI). Ropeginterferon alfa-2b (P1101) is a novel pegylated proline-interferon alfa-2b with a 40 kDa branched polyethylene glycol chain conjugated predominantly at its N-terminus with one major positional isomer, resulting in the purest pegylated interferon in the world. In a phase 1 study for healthy volunteers and two phase 2 studies for CHC, P1101 had demonstrated better pharmacokinetic profile and longer duration of action than peginterferon alfa-2a. P1101 360 £gg q2w + RBV has yielded about 90% sustained virological response (SVR) rate for CHC genotype 2 and P1101 270£gg q1w + RBV has yielded 80% SVR rate for CHC genotype 1. Over 90% of treatment emergent adverse events (TEAEs) were grade 1 or 2(common terminology criteria for adverse events, CTCAE). Depression and flu-like symptoms were fewer in patients treated with P1101 + RBV than in those treated with peginterferon alfa-2a + RBV for CHC genotype 1. High tolerability was also shown in a pivotal phase 3 study in treating polycythemia vera. P1101 is therefore an alternative of long-acting interferon with comparable efficacy, better tolerability and more convenient dosing schedule (every-2-week, q2w vs. weekly, q1w) for treating CHC.

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Published: Apr 6, 2018 8:04 a.m. ET

Shares of Incyte Corp. INCY, -22.93% plunged 19% in premarket trade Friday, and Merck & Co. Inc.¡¦s stock MRK, -2.15% dropped 1.9%, after the companies said an external data monitoring committee (eDMC) determined that results from a phase 3 study evaluating Incyte¡¦s epacadostat with Merck¡¦s Keytruda in patients with metastatic melanoma did not meet the primary endpoint of improving progression-free survival. Incyte¡¦s stock had been halted until 8 a.m. ET for news. The companies said the second primary endpoint of overall survival was also not expected to reach statistical significance. The companies said they decided to stop the study based on the eDMC¡¦s recommendation. While we are disappointed that this study did not confirm the efficacy of epacadostat in combination with KEYTRUDA in patients with unresectable or metastatic melanoma, data from ECHO-301/KEYNOTE-252, including analyses of an extensive biomarker panel, will contribute to our understanding of the role of IDO1 inhibition in combination with PD-1 antagonists, and may inform our broader epacadostat clinical development program, said Incyte¡¦s Chief Medical Officer Steven Stein. Incyte¡¦s stock had shed 16.8% over the past three months through Thursday, while Merck shares had lost 4.3% and the Dow Jones Industrial Average DJIA, -2.34% had slipped 3.1%.

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PharmaEssentia upbeat following US FDA meeting

By Ted Chen / Staff reporter

Drug developer PharmaEssentia Corp (ÃĵØÂåÃÄ) on Wednesday said that a meeting with US Food and Drug Administration (FDA) officials over the Lunar New Year holiday has brightened the outlook for its new blood cancer drug.

The company, said that the US regulator was highly receptive toward the drug, Ropeginterferon alfa-2b (Ropeg).

Its experts made the case that due to a lack of first-line treatments for polycythemia vera and other myeloproliferative neoplasms, Ropeg could fill an unmet medical need, it said.

Building good rapport with the US regulator would help its biologics license application, where approval would grant the company permission to introduce or deliver a biologic product into interstate commerce, the company said.

PharmaEssentia is aiming to submit a biologics license application this year and gain marketing approval by 2020, according to the Taipei-based company, which specializes in hematology.

The company took many months to assemble a delegation of key opinion leaders, former FDA officials and contract research organization representatives to attend the meeting with the regulator, it said.

Official meeting minutes by the FDA are expected in the next 30 days, the company said, adding that it would update the investing public with the relevant information. More than 100,000 people in the US are seeking long-term first-line treatment options, the company said.

The news is from Taipei Times www.taipeitimes.com/News/biz/archives/2018/02/23/2003688052

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ASH Meeting Report

John Crispino, PhD

www.mpnresearchfoundation.org/images/files/file/Crispino%20ASH%20report.pdf

Interferon:

An exciting presentation by Dr. Gesslinger updated us on the clinical development of the new form of interferon known as Ropeginterferon alfa-2b. This formulation requires less frequent dosing than Pegasys and is under consideration by the European Medicines Agency. Dr. Gesslinger presented two-year data on safety and efficacy in PV. Ropeginterferon was found to have significantly better complete hematologic response (CHR) and also better CHR with improvement in disease burden. The superiority over hydroxyurea (HU) became evident at the 18-month assessment. With respect to safety, Ropeginterferon alfa-2b had a similar profile to HU. These promising data increase the likelihood that this agent will be made available to patients.

In addition to Ropeginterferon alfa-2b, there was a presentation by Dr. Mascarenhas on the MPN Research Consortium Global Phase 2 study of Pegasys in high risk PV/ET patients who were intolerant or resistant to HU. The overall response rate at one year was 69% and 60% for PV and ET patients respectively. They also reported that the tolerability was limited due to adverse events. Nevertheless, the outcomes are notable with respect to the advanced nature of the disease in this patient population. This study provides evidence for the efficacy of interferon therapy second line to hydroxyurea and in a subset of patients that can tolerate the medication durable hematologic responses were seen.

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 ·|­û¡G¤p¥¿¥¿10141351 µoªí®É¶¡:2018/3/23 ¤U¤È 08:43:15                                                                                   ²Ä 4210 ½g¦^À³

Incyte Beats on Q4 Revenues on Strong Jakafi Sales

finance.yahoo.com/news/incyte-incy-5-2-since-081908986.html

March 19, 2018

The top line was driven by higher sales of Jakafi in the United States and Iclusig in Europe as well as royalties from sales of Jakavi and Olumiant outside the United States.

Quarter in Detail

Jakafi sales grew 26.9%, year over year to $302 million driven by strong patient demand for both indications. Net product revenues of Iclusig amounted to $19.5 million, up from $12.9 million in the year-ago quarter. Product royalty revenues from Novartis AG for the commercialization of Jakafi in ex-U.S. markets grew 57.4% to $52.3 million.

2018 Outlook

The company expects Jakafi revenues in the range of $1,350-$1,400 million. Iclusig revenues are expected in the range of $80-$85 million.

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Blood article by MD Anderson researchers looks back at 107 MF patients who discontinued Jakafi

www.mpnresearchfoundation.org/news

March 22, 2018

The MPN community is discussing the article by MPN researchers from MD Anderson - Clonal evolution and outcomes in myelofibrosis after ruxolitinib discontinuation - a retrospective study of 107 patients who discontinued ruxolitinib. The authors discussed the acquisition of additional mutations which took place in 35% of patients on Ruxolitinib, most notable the ASXL1 gene, which was found in 64% of patients who acquired new mutations.

We asked one of the authors - Dr. Serge Verstovsek - about what patients should take away from this article. He responded While ruxolitinib in great majority of patients controls symptoms and signs of myelofibrosis very well, and with that may prolong life expectancy, it does not prevent a change in diseased cells, which can acquire new mutations or other characteristics that will make them resistant to ruxolitinib. This leads to a loss of a control and poor overall outcome. Therefore, one would like to encourage patient to consider a bone marrow transplant while doing well on ruxolitinib, to be potentially cured.

This provides further motivation for studies that explore why people with ET or PV progress to MF and/or have a worsened prognosis, and how to stop that progression. It also supports the need for more therapy options for patients who can¡¦t take Ruxolitinib, or who must stop taking it. We encourage you to share this with your doctors, nurses and care team.

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