Advanced BioDesign has released the first data from its ODYSSEY study evaluating the potential of its drug candidate ABD-3001 (Sefaldin) in treating acute myeloid leukaemia (AML) in relapsed patients who have proven resistant to standard therapies.
ABD-3001 is a galenic form of Dimate, a first-in-class suicide inhibitor of the study’s target enzyme, aldehyde dehydrogenase 1 (ALDH1).
Initiated 15 months ago, the Phase I/II study has an adaptive design with an initial single ascending dose in six patient cohorts.
Preliminary signs of Sefaldin’s efficacy on ALDH1 have been observed in more than 65% of patients treated.
Biological activity markers – the inhibition of target enzyme ALDH1A1 activity and c-Jun N-terminal kinases (JNK) protein phosphorylation – demonstrated the action of ABD-3001 from the first dose.
Overall, Sefaldin is safe and well tolerated in AML patients, with no major safety issues.
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By GlobalDataDue to the encouraging observations in the study’s first stage, Marseille’s Timone Hospital head of haematology and lead investigator Regis Costello said the study group now plans to treat patients over three cycles to observe any strong signals of efficacy as it moves into the trial’s second stage.
Costello said there are also plans to apply to the authorities for a compassionate prescription scheme for two patients in the study in which a significant improvement in their haematological parameters was observed over three months after a single dose of Sefaldin.
In the second stage of the study, Advanced BioDesign CEO Ismail Ceylan said several treatment cycles will be evaluated at optimised dose regimens to “confirm ABD-3001’s position in the therapeutic arsenal” for the treatment of AML.
“By treating patients over three cycles, we are searching for reaching efficacy signals for overall response rate, as well as quality of life improvement,” Ceylan told Clinical Trials Arena.
“During our second phase, we will monitor the target engagement and early biological activity of the phosphorylation reaction in c-Jun N-terminal kinases (JNK).
“In addition, next-generation sequencing will be performed in order to understand the impact of ABD-3001 on leukaemic sub-population in order to find a possible pattern favourable to be treated with this inhibitor.”
Sefaldin is also currently in Phase I development for myelodysplastic syndrome and refractory AML.
The drug is also in the pre-clinical or earlier stages for six other indications, including breast cancer and melanoma, as per GlobalData’s pharmaceutical pipeline database.