Home Forums Melanoma: Stage III Mage therapy doesn’t meet endpoint for approval

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    Catherine Poole
    Keymaster

    The investigational MAGE-A3 antigen-specific cancer immunotherapeutic does not meet first co-primary endpoint in Phase III melanoma clinical trial

    – In line with the Independent Data Monitoring Committee’s (IDMC) unanimous recommendation, GSK will continue the DERMA trial until the second co-primary endpoint is assessed

    GlaxoSmithKline plc (LSE:GSK) today announced that an independent analysis of the DERMAi study, a Phase III randomised, blinded, placebo-controlled trial of the MAGE-A3 cancer immunotherapeutic,ii showed that the study did not meet its first co-primary endpoint as it did not significantly extend disease-free survival (DFSiii) when compared to placebo in the MAGE-A3 positive population.

    The DERMA study evaluated the efficacy and safety of the MAGE-A3 cancer immunotherapeutic in Stage IIIB/C melanoma patients with macroscopic nodal disease, whose tumours expressed the MAGE-A3 gene and had their tumours removed surgically. MAGE-A3 is a tumour-specific antigen that is expressed in a variety of cancers, including melanoma with no presentation in normal cells. MAGE-A3 is expressed in about 65% of Stage III melanomas.

    In line with the Independent Data Monitoring Committee’s (IDMC) unanimous recommendation, GSK will continue the DERMA trial until the second co-primary endpoint is assessed. This endpoint, DFS in the gene signature positive sub-population, is designed to identify a subset of MAGE-A3 positive patients that may benefit from the treatment. Results from this analysis are expected in 2015. Until then, GSK will remain blinded to all safety and efficacy data.

    The IDMC for the DERMA study indicated that the current review of the safety information raised no concern for the continuation of the trial.

    “We want to thank all patients, their families and healthcare workers for their involvement in the trial and we remain committed to identifying a patient sub-population who may benefit from this investigational treatment,” commented Vincent Brichard, Senior Vice-President & Head of Immunotherapeutics, GSK Vaccines.

    GSK is continuing to evaluate the same investigational MAGE-A3 cancer immunotherapeutic in another independent Phase III study (MAGRIT) in Non Small Cell Lung Cancer (NSCLC) following surgical removal of the primary tumour with first data anticipated in the first half of 2014.

    #62414
    Linny
    Participant

    Oh poo! :|

    But that piece of news sort of ties in with Dr. Scharfmann’s answer to my question last year on what he had heard at ASCO 2012 as to how folks in the study were doing. His response to me was that everyone was doing well. The thing in the back of my mind the entire time was, “if everyone on the trial is doing well, how will they be able to determine the vaccine’s effectiveness.” But what the heck do I know — I’m not a medical professional. I just figured they needed more time.

    It’s a shame that the primary endpoint wasn’t met, because they seemed to hold such high hopes for that vaccine. But perhaps they’ll meet their secondary endpoint.

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