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Pharma Tech Outlook | Thursday, July 15, 2021
Rafael Pharmaceuticals Discloses Positive Interim Futility Analysis of Pivotal Phase 3 Trial (ARMADA 2000) of CPI-613® (Devimistat) for Relapsed or Refractory Acute Myeloid Leukemia (AML).
FREMONT, CA: Rafael Pharmaceuticals, Inc. (Rafael or the Company), a pioneer in the rapidly growing field of cancer metabolism-based therapeutics, declares a favorable outcome from the preplanned interim futility analysis of its pivotal Phase 3 trial (ARMADA 2000) of CPI-613® (devimistat) in patients with relapsed or refractory acute myeloid leukemia (AML), as determined by an independent Data Monitoring Committee (IDMC).
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“The findings from this interim futility analysis further solidify the potential that devimistat holds in safely and effectively treating AML and other hard-to-treat cancers,” says Sanjeev Luther, President and CEO of Rafael Pharmaceuticals. “As we continue to advance devimistat through clinical trials, we remain hopeful for the cancer community.”
ARMADA 2000 is a pivotal Phase 3 trial evaluating the efficacy and safety of devimistat combined with high-dose cytarabine and mitoxantrone in older patients with relapsed or refractory AML. The futility analysis compares two cohorts: one that receives devimistat in combination with high-dose cytarabine and mitoxantrone, and another that receives only high-dose cytarabine and mitoxantrone therapy, as well as two control subgroups: mitoxantrone, etoposide, and cytarabine, and fludarabine, cytarabine, and filgrastim. This analysis establishes that the response rate exceeds the predefined cutoff for the study to continue.
CPI-613® (devimistat) is Rafael's first-in-class clinical lead compound. It targets enzymes involves in cancer cell energy metabolism and is found in cancer cells' mitochondria. Devimistat is designed to selectively inhibit the mitochondrial tricarboxylic acid (TCA) cycle, a process required for tumour cell multiplication and survival. Devimistat significantly increases cancer cells' sensitivity to a wide variety of chemotherapeutic agents. This synergy enables possible combinations of devimistat and lower doses of these generally toxic drugs to be more effective while causing fewer adverse effects in patients. Blends with devimistat offer a diverse array of potential benefits for patients with a variety of different cancers. Rafael has been granted approval by the United States Food and Drug Administration (FDA) to initiate pivotal Phase 3 clinical trials in pancreatic cancer (AVENGER 500) and acute myeloid leukemia (ARMADA 2000). Devimistat has been designated as an orphan drug for treating pancreatic cancer, acute myeloid leukemia, myelodysplastic syndrome, peripheral T-cell lymphoma, soft tissue sarcoma, Burkitt’s lymphoma. The EMA has designated devimistat as an orphan drug for pancreatic cancer and acute myeloid leukemia.
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