Ser ut som du traff bra på analysen din, @Fornybar.
Kohort 2 av fase 1 vil få samme dose som Kohort 1, da 1 viste så god respons.
Og annet snacks:
Update end of Q1 2022:
During Q1 development of lead candidate vaccine FMPV-1 continued at full speed. The first cohort (8 subjects) of the phase I study was completed with
preliminary results as expected; little side effects and high level of early detected T cell mediated immune response (seen in 7 of 8 subjects).
Specific T cell immune responses in blood from cohort 1 subjects will be analysed in Q2.
Due to the high level of early immune response seen in cohort 1, cohort 2 (8 subjects) will be conducted (Q2) with the same dose of FMPV-1 as cohort 1 to
provide robust phase I data as basis for phase 2 study.
In addition, development of two new cancer vaccines was initiated.
FMPV-2, therapeutic vaccine targeting the ASTE1 frameshift mutation present in about 80% of uterus corpus endometrial cancer (livmorkreft).
FMPV-3, intended for prophylactic use for protection against development of hereditary cancers in the high-risk population with Lynch Syndrome.
Literature estimates show that up to 0,3% (or more) of the general population can have Lynch syndrome.
In Q1 the vaccine peptides of FMPV-2 and 3 were produced for pre-clinical toxicology testing.
The toxicology testing will be conducted in Q2.
Diagnostic test HDT-1 (for FMPV-1) is ready for testing on patient samples.
Samples from MSI-CRC patients has been acquired (both liquid and tumour biopsies) and testing will be conducted in Q2.
The organisation has been strengthened with 5 new positions;
research scientist (started 01.03.2022)
head of quality assurance (01.05.2022)
CMC manager (01.05.2002)
head of clinical & non-clinical sciences (01.09.2022)
office manager (01.09.2022)
FMPV-1 phase 2 considerations:
In order to adapt to the current clinical practice for treatment of MSI-CRC we have changed the clinical development strategy for FMPV-1.
Check point inhibition (CPI) has now been established as the first line standard of care (SOC) for MSI-CRC. This, together with the fact that we now will have robust phase 1 results showing high level of induction of cancer specific T cells, has given us a great opportunity to move FMPV-1 to first line treatment in combination with CPI SOC to improve the clinical efficacy of first line CPI, rather than second line treatment of patients not-responding to first line CPI treatment as initially planned (phase 1/2 study without phase I in healthy volunteers). The first line strategy has been endorsed by our main international KOL (Europe) who also has expressed interest in acting as principal investigator for an international phase II study with FMPV-1 in combination with SOC CPI in MSI-CRC.
A first line phase II study will require a larger study population (≈56 patients) than the initially planned phase 1/2 second line study (≈30 patients) and will consequently be more expensive. However, it is anticipated that recruitment will be easier and quicker, that clinical risk will be reduced and immunological response better (healthier patients) and that efficacy end points will be cleaner and easier to interpret (no interference of late CPI responses as could happen in second line) . The market will be significantly larger for a first line product than for a second line product.
We are currently planning a meeting with European Medicines Agency (EMA) to get regulatory advice on the clinical strategy for FMPV-1.