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Disease- or treatment-related secondary malignancies occurred only in the HU cohort, including 2 cases of acute leukemia, 1 melanoma and 2 basaliomas, whereas in the Ropeg cohort 3 malignancies (glioblastoma, seminoma, adrenal neoplasm) - most likely unrelated to IFNa treatment - were reported.

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Background: Interferon-alpha (IFNa) based therapies have been successfully used in myeloproliferative neoplasms (MPN) for over thirty years. Ropeginterferon alfa-2b (Ropeg) is a novel mono-pegylated IFNa, which is administered once every 2 weeks, or monthly during long-term maintenance. Ropeg is developed in polycythemia vera (PV), and 12-month data from the randomized controlled phase III PROUD-PV study comparing Ropeg with hydroxyurea (HU) have been presented. Here we report 2 years treatment data obtained from the follow-up phase III CONTI-PV study.

Study design: 254 PV patients (WHO2008 criteria, naïve to cytoreduction or HU pretreated but not resistant) had been randomized to receive Ropeg or HU in the PROUD-PV study. After 12 months of treatment patients were rolled over to the CONTI-PV study: 95 of 106 (89.6%) patients completing the 12-month Ropeg arm, and 76 of 111 (68.5%) patients completing the 12-month HU arm continued in the second year. The latter cohort was also allowed to switch from the HU regimen to best available therapy (BAT) at the investigators discretion; a cross-over between groups was not allowed. Efficacy assessment consisted of complete hematological response (CHR) rate according to ELN criteria, and the CHR rate plus symptom improvement (PV-related symptoms and signs including clinically significant splenomegaly). Secondary endpoints included the effect of treatment on mutant JAK2 allele burden assessed as rate of molecular response (modified ELN criteria) as surrogate for disease modification.

Results: 88 (Ropeg) and 73 (HU/BAT) patients completed the 24-month efficacy analysis time point, the mean treatment duration for safety analysis was 2.7 years (both after initial randomization in the PROUD study). Median drug doses in the second year remained at the same level as during the first year: 450 µg Ropeg every 2 weeks and 1000 mg HU per day. In the HU/BAT arm over 98% of patients remained treated with HU, a switch to other BAT was rare. Discontinuation rates during the second year were comparable with 8.4% in the Ropeg and 6.6% in the HU/BAT arm, respectively.

At 24 months, treatment with Ropeg achieved a high CHR rate of 70.5%. This was significantly better than a CHR of 49.3% with HU/BAT, (p=0.0101, full-analysis-set). Importantly, in contrast to HU/BAT, response rates increased steadily in the Ropeg-treated group throughout the two-year treatment period. The composite endpoint CHR plus symptom improvement also favored Ropeg with 49.5% vs. 36.6% for HU/BAT (p=0.1183) at 24 months. The advantage of Ropeg was most pronounced in the effect on mutant JAK2 allele burden: at 24 months 69.6% of patients in the Ropeg arm but only 28.6% in the HU/BAT arm had achieved partial molecular response (p=0.0046).

Regarding safety, a comparable number of patients (70.1% for Ropeg, 77.2% for HU) experienced treatment-related adverse events. Anemia, thrombocytopenia and leukopenia occurred more frequently with HU, whereas GGT increase was observed only with Ropeg in some patients. Events of special interest for the class of IFNa (in particular thyroid disorders and depression) were below 5% in the Ropeg arm. Disease- or treatment-related secondary malignancies occurred only in the HU cohort, including 2 cases of acute leukemia, 1 melanoma and 2 basaliomas, whereas in the Ropeg cohort 3 malignancies (glioblastoma, seminoma, adrenal neoplasm) - most likely unrelated to IFNa treatment - were reported.

Conclusions: These data confirm a) the high and durable hematologic response and symptom improvement achieved with Ropeg, b) the excellent safety and tolerability profile of Ropeg, and c) the disease modification capability of Ropeg suggested by its ability to significantly reduce the mutant JAK2 allelic burden. Ropeginterferon alfa-2b will provide a valuable and safe new long-term treatment option for PV patients.

Disclosures: Gisslinger: AOP Orphan Pharmaceutic

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November 1, 2017, 9:00 a.m. ET
Abstracts available online

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¡»Renate Wolf: I know. I was on Pegintron which had been stopped completely in May 2017 and I am now on Pegasys syringes.

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¤À¨É ¯f¤Í¹ÎÅé MPN Interferon Forum - (Myeloproliferative Neoplasm) ©ó¬Q¤é¹ï¸Ü°Q½× Pegasys °±²£¥H¤ÎÃĵØÃÄP1101 °Q½×¤º®e, §¹¾ã¹ï¸Ü½Ķ¦p¤U¨Ñ¦U¦ì§ë¸ê¥ý¶i°Ñ¦Ò, ¨ü­­©ó¥²´IºôµLªk¤À¨É¹ÏÀÉ, ­ì¤å§¹¾ã¹ï¸Ü±N¤À¨É¦Ü¥H¤U³sµ², ÁÂÁ¡C

(6446) ÃĵØÂåÃĪº§ë¸ê»ù­È¤ÎÄ@´º
www.mobile01.com/topicdetail.php?f=291&t=4919602&p=17

* Paul :
§A­ÌPegasysªº¹L´Á¤é¬°¦ó? ±q§Ú6¤ë¶}©l¥hÃħ½¶RªºPegasys¦³®Ä´Á­­³£¦b2019¦~3¤ë, ³oÅý§Ú¾á¤ß¬O§_ Genetech ¶}©l­pµe¦bªñ¦~´î²£©Î¬O°±²£, ¬O§_¦]¬°2019¦~ Ropeginterferon (P1101)¦b2019¦~­n¤W¥«, ÁÙ¬O³o¥u¬O§Ú¦h¼{¤F, ÁÂÁ¡C

* Ann: §Úªº¦³®Ä´Á­­¦b2019/09, ©Ò¥H¥Ø«e¬Ý°_¨Ó, §Ú¬Oı±o¨S°ÝÃD
* Courtney: §Úªº¦³®Ä´Á­­¤]¬O 2019/09
* Jill: §Úªº¤]¬O2019/09
* Angie: 2018/07
* Debra: ³oºØ¾á¤ß¦ü¥G¸g±`¥X²{, ¦ý³Ìªñ±o¨ì¤½¥q«OÃÒªñ9-12­Ó¤ë¥H¨Ó, ¤½¥q¥Ø«e¤´¨S¦³´î²£­pµe¡C
* Jill: §Ú¤W¦¸¦³¥´¹q¸Üµ¹¤½¥q, ¥L­Ì»¡¨S¦³¥ô¦ó´î°±²£­pµe, ¦Ó§Ú¦³¸ò¥L­Ì´£¨ì±µ¤U¨Ó¦³­Ó·sÃÄ·|¨ú¥N§A­Ì, ¥L­Ì¸ò§Ú»¡ Pegasys ¦b¦å²G¯e¯f(MPN)¥H¥~ªº»â°ì¤´¦³³\¦h¯e¯f»Ý­n¨Ï¥Î¡C
* Barbara: §Úªº¤]¬O2019/09
* Win: ªñ¤T­Ó¤ë®³¨ìªºPegasys ¦³®Ä´Á­­³£¬O2019/09, ¦ý§Ú¦í¼Ú¬w, ¤ñ¸û±µªñ¨ú±oP1101
* Melissa : §Úªº¤]¬O 2019/06, ù¤ó¥Í²£
* Paul: ¨º¬Ý¨ÓÃħ½®³®w¦s«~µ¹§Ú, §Ú¨ì¤W©P¥h®³ªº³£ÁÙ¬O2019/03
* Susana: ¦³½ìªº°ÝÃD, §Ú³Ì·sªº¦³®Ä¤é´Á¤]¬O¦b2019/10¤ë, 90mcg¥Ñù¤ó¥Í²£ªºª`®g¾¹¡C
* Cori: ¨â©P«e®³¨ìªº¨ì´Á¤é¬O2019¦~3¤ë, ¥ÑBriovaÁʶR¡C
* Lourdes : §Ú¤W­Ó¤ë®³¨ìªº¨ì´Á¤é¬O2019/09, ¥Ñ Acreddo Pharmacy¨ú±o¡C
* Bonnie: ©Ò¥H¥Ø«e§A­Ì»{¬°Pegasys ¦b2019¦~¤£¦A´£¨Ñ?
* Jill: ¹w¦ô¬O2019/2020¦~
* Elena: 2019/09
* Veronica: 2018/09
* Renate: §Úªº¬O2020/05, ¶Ç»DRocheªºPegasys±N·|¦b2023¦~³Q²^¨O, ©¡®É©Ò¦³¬ÛÃö°ê®a±N´£¨Ñ·s¤@¥Nªº¤zÂZ¯À, ¼w°ê¹w´Á2018¦~¥i¥H®³¨ìP1101¡C
* Barbara: Paul, ©êºp§Ú¿ù¤F, §Úªº¨ì´Á¤é¬O2018/10¤ë, ¥Ø«e§Ú¨C­Ó¤ë²£«~¨ì´Á¤é³£¦b¦¬¨ì²£«~«á¤@¦~¡C

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Dr. Jean-Jacques Kiladjian explained the difference between HU and Interferon:
youtu.be/UyKhws7pMFI

Proud-PV was the first randomized trial comparing interferon [ropeginterferon] to hydroxyurea in patients with PV as a first line therapy. We had the opportunity to study the hematogenic progenitors before and after 1 year of treatment in both the ropeginterferon and hydroxyurea arms. We picked up [sampled] the bone marrow cells before and after starting the one year treatment, then grew colonies in vitro [in the lab] and looked at which colonies had the Jak2 mutation or not.

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What we could see in this trial was that patients receiving ropeginterferon had a very important decrease in the proportion of colonies with the [Jak2] mutation after 12 months of treatment. This proportion was reduced by more than 60% and in comparison patients who received hydroxyurea in this trial reduced only by only 10-20%. So we could confirm in vivo [in real life] the two drugs have a different impact although they reduce blood counts similarly, interferon could act on the bone marrow progenitors by reducing the malignant cells and promoting the restoration of normal hematopoiesis.

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So we hope this will on longer term translate into an operational cure on the patients taking interferon. Although hydroxyurea can allow the good control of counts if you stop the drug the malignant cells are still there and the disease can proliferate again.

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 ·|­û¡G¤p¥¿¥¿10141351 µoªí®É¶¡:2017/10/21 ¤U¤È 04:29:14                                                                                   ²Ä 2890 ½g¦^À³

New drug trial for Polycythemia Vera initiated by Roche

MPN News | October 18, 2017

http://www.mpnresearchfoundation.org/

Hoffman-La Roche has a new trial they have initiated for Polycythemia Vera, for those who are either resistant to or intolerant of Hydroxyurea. The drug - NP39761 or Idasanutlin - is being tested in a Phase 1, single arm trial. The drug is taken orally by patients, and disrupts certain cancer causing pathways relevant to the JAK2 mutation. Outcomes for this trial vary based on the patient criteria going in, such as spleen size, hematocrit level and other variables. More information about this tria, including expected outcomes, is available on ClinicalTrials.gov by clicking here. Genentech Roche also has an information page about this ttrial available here. 

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°Ñ·Óhttps://www.aasld.org/events-professional-development/liver-meeting/program-0/late-breaking-abstracts?utm_source=homepage&utm_medium=latebreakingsessions&utm_campaign=rotator

Poster Sessions

Monday, October 23, 8 am-5:30 pm

LB-29:Every-two-week ropeginterferon alfa-2b is safe with better efficacy in interferon naïve patients with chronic hepatitis B virus infection: A phase 2, open-label, randomized, active control, dose finding study

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