Novel personalized treatment approach targets folate receptors on cancer cells
Vintafolide is a proprietary, injectable, conjugate consisting of folate (vitamin B9) linked to a potent vinca alkaloid anti-cancer agent, desacetylvinblastine hydrazide (DAVLBH). Folate is essential for cell division, and cancer cells generally consume higher levels of folate than normal cells to fuel their rapid rate of growth and division. In order to satisfy the demand for folate, some cancer cell types — including ovarian — express high concentrations of folate receptors on their surface. Vintafolide is designed to exploit this characteristic by selectively targeting the folate receptor to deliver the anti-cancer agent DAVLBH intracellular to the tumor.
"The acceptance of the EMA filing for vintafolide is an important
milestone for Merck and Endocyte," said
The MAA filings are supported by four clinical studies: a Phase I study in solid tumors, two single-agent, single-arm Phase II studies in ovarian cancer and non-small cell lung cancer, and the PRECEDENT trial, a randomized Phase IIb study in patients with platinum-resistant ovarian cancer. The application is being submitted for conditional approval on the basis that the results from the Phase II studies fulfill an unmet medical need.
Vintafolide is currently being evaluated in a Phase III randomized,
double-blind clinical trial for platinum-resistant ovarian cancer
(PROCEED trial). The PROCEED trial is evaluating vintafolide in
combination with PLD compared to PLD plus placebo for the treatment of
folate-receptor positive platinum-resistant ovarian cancer. This trial
also employs the companion diagnostic imaging agent etarfolatide, which
is a molecular imaging agent that is being developed as a non-invasive
method to identify tumors that over-express folate receptors. The
primary endpoint of the trial is progression-free survival as measured
by RECIST v 1.1 (Response Evaluation Criteria In Solid Tumor) criteria
in patients with all target tumor lesions positive as assessed by
etarfolatide imaging. Overall survival is a secondary endpoint. The
trial anticipates recruiting patients at approximately 150 sites in
"We are pleased with the acceptance of the applications in
As part of an exclusive license agreement with
About Folate-Receptor Positive Platinum-Resistant Ovarian Cancer
In 2012, it is estimated that there will be 22,280 new cases of ovarian
cancer in
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