Actuate Therapeutics, Inc., a biopharmaceutical company at the clinical-stage level, is making significant progress in the treatment of hard-to-treat
cancers. The company recently released promising Phase 2 trial results for its drug,
elraglusib, aimed at addressing the challenging landscape of
metastatic pancreatic ductal adenocarcinoma (mPDAC). This marks an important milestone in cancer therapeutics, particularly for
pancreatic cancer, which has seen little progress in effective first-line treatments over the past ten years.
In the trial, elraglusib was combined with
gemcitabine and
nab-paclitaxel (GnP), and this combination showed a statistically significant improvement in overall survival rates compared to the regimen of GnP alone. The data revealed that patients receiving the elraglusib/GnP combination had a substantial increase in median overall survival, since the last review of the data. These findings are set to be presented at the annual meeting of the American Society of Clinical Oncology (ASCO).
Daniel Schmitt, the President and CEO of Actuate, emphasized the critical need for new therapeutic approaches in combating pancreatic cancer, which remains one of the deadliest forms due to its aggressive nature. The results from this Phase 2 trial not only underscore the drug’s potential in significantly extending survival rates but also highlight its favorable risk-benefit profile. Schmitt expressed optimism about the company's plans to collaborate with regulatory authorities in the U.S. and the EU to expedite the path towards making elraglusib available to patients.
The trial, known as Actuate-1801 Part 3B, involved 286 patients with mPDAC who had not received prior systemic treatment. Participants were randomly assigned in a 2:1 ratio to either receive the elraglusib combination or GnP alone. The primary goal of the study was to assess median overall survival, while also measuring the one-year survival rate as part of the key outcomes. Secondary endpoints included disease control rate (DCR), objective response rate (ORR), progression-free survival (PFS), and adverse events (AE).
Elraglusib acts by inhibiting glycogen synthase kinase-3 beta (GSK-3β), a protein that plays a role in tumor growth and resistance to traditional chemotherapy. This inhibition may enhance the efficacy of chemotherapy, stimulate innate anti-tumor immunity, and regulate gene expression, which in turn affects tumor metabolism and the transition of cells from epithelial to mesenchymal states. Such mechanisms potentially make elraglusib a game-changer in the treatment of mPDAC.
Actuate Therapeutics is dedicated to advancing cancer treatment through innovative approaches. Their lead investigational drug, elraglusib, is part of their strategy to target molecular pathways that facilitate tumor growth and resist conventional cancer treatments. By inhibiting nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kB) and DNA Damage Response (DDR), elraglusib could also enhance anti-tumor immune responses by regulating multiple immune checkpoints.
The recent trial results highlight the potential of elraglusib to alter the current treatment landscape for pancreatic cancer significantly. As Actuate continues its developmental efforts, the scientific community and patients alike remain hopeful for new, effective treatment options to emerge from this promising research.
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