(25 July, 2023, Shanghai, China)Shanghai Fosun Pharmaceutical (Group) Co., Ltd (“Fosun Pharma”; stock code: 600196.SH, 02196.HK) announced that the MEK1/2 inhibitor FCN-159 tablet (the“Investigational New Drug”) for the treatment for adult patients with inoperable or post-operative residual/recurrent NF1-associated plexiform neurofibromas, which was self-developed by its holding subsidiary Shanghai Fosun Pharmaceutical Industrial Development Co., Ltd. ("Fosun Pharma Industrial"), have been granted breakthrough therapy designation by the Centre for Drug Evaluation (CDE) of National Medical Products Administration (the “NMPA”).This is the second breakthrough therapy designation that FCN-159 tablet has approved, since its indication for histiocytic tumor in April this year.
(website of the CDE.)
Neurofibromatosis 1 (NF1) is an autosomal dominant disorder characterized by enhanced RAS-mitogen-activated protein kinase (RAS-MAPK) signaling pathway, leading the tumors to grow along nerves. 20%-50% of NF1 cases present as plexiform neurofibromas (PN), which may result in complications including pain, functional impairment, disfigurement and malignant transformation[1].Surgery is currently the mainstay treatment for neurofibromatosiswith limited efficacy[1]. However, there is no approved drugs for adult participants so far.
In June, the results from phase I/II study of FCN-159 in adult participants with neurofibromatosis type 1 were presented at the 2023 American Society of Clinical Oncology (ASCO) Annual Meeting. The overall response rate (ORR) was 45.1% and had a manageable safety profile in the adult population with NF1-related PN. Meanwhile, the phase I results of FCN-159 in adult participants with neurofibromatosis type 1 were published in BMC Medicine (2023 impact factor 9.3), and the results showed that FCN-159 was well tolerated and adverse events were manageable. It also showed promising antitumor activity in NF-1-associated PN patients, Future investigations are warranted. The Phase III clinical study is currently underway.
(The figure shows the original publication on BMC Medicine.)
FCN-159 tablet is an innovative small molecule chemical drug self-developed by Fosun Pharma, which is intended to be used primarily for the treatment of advanced solid tumors, eurofibromatosis type 1, histiocytic neoplasms and arteriovenous malformations. It is a MEK1/2 selective inhibitor that can inhibit tumor proliferation caused by abnormal RAS pathway. The Investigational New Drug is at the stage of Phase III clinical trial in China (excluding Hong Kong, Macao and Taiwan region, the same applies below) for the treatment of type I neurofibroma in adults, and it is still at the stage of Phase II clinical trial in China, the United States and Europe’s International Multi-Centers for the treatment of type I neurofibroma in adults and children. The Investigational New Drug is at the stage of Phase II clinical trials in China for the treatment of histiocytic tumors, low-grade glioma and arteriovenous malformations respectively. It has also been granted breakthrough therapy designation for the treatment of histiocytic tumors. The application for Phase II clinical trial of the Investigational New Drug for childhood Langerhans cell histiocytosis/Langerhans cell histiocytic hyperplasia has been approved by the NMPA.
References
1. Jett K, Friedman JM. Clinical and genetic aspects of neurofibromatosis 1.Genet Med 2010; 12:1-11..
2. Hu X, et al. Phase 1 dose-escalation study to evaluate the safety, tolerability, pharmacokinetics, and anti-tumor activity of FCN-159 in adults with neurofibromatosis type 1-related unresectable plexiform neurofibromas.BMC Med. 2023 Jul 3;21(1):230. doi: 10.1186/s12916-023-02927-2.
About the Breakthrough Therapy Designation
To
encourage the research and development of drugs with significant clinical
advantages, the Center for Drug Evaluation (CDE) of the National Medical
Products Administration (NMPA) has issued document on《NPMA announcement about issuing three documents
including
About Fosun Pharma
Founded in 1994, Shanghai Fosun Pharmaceutical (Group) Co., Ltd.* ("Fosun Pharma"; stock code: 600196. SH, 02196. HK) is a global innovation-driven pharmaceutical and healthcare industry group. Fosun Pharma directly operates businesses including pharmaceuticals, medical devices, medical diagnosis, and healthcare services. As a shareholder of Sinopharm Co., Ltd., Fosun Pharma expands its areas in the pharmaceutical distribution and retail business.
Fosun Pharma is patient-centered and clinical needs-oriented. The company continuously enriches its innovative product pipeline through independent research and development, cooperative development, license-in, and in-depth incubation. Fosun Pharma improves the research and clinical development capabilities of FIC (First-in-class) and BIC (Best-in-class) new drugs as well as accelerates the R&D and launch of innovative technologies and products.
Guided by the 4IN strategy (Innovation, Internationalization, Intelligentization, and Integration), Fosun Pharma will uphold the development model of “Innovation Transformation, Integrated Operation and Steady Growth", with the mission of creating shareholder values through strengthening its independent R&D and external cooperation and enriching its product pipelines, as well as promoting the global networks and enhancing operational efficiency. Fosun Pharma will actively promote the digital and physical business layout in the pharmaceutical and healthcare industry and is committed to becoming a first-class enterprise in the global pharmaceutical and healthcare markets.
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