FDA fast-tracks Pyxis' PYX-201

3 March 2025
The US Food and Drug Administration (FDA) has granted fast track status to Pyxis Oncology for its antibody-drug conjugate, PYX-201, aimed at treating adults with recurrent or metastatic head and neck squamous cell carcinoma (R/M HNSCC). This designation is specifically for individuals whose condition has deteriorated following treatment with platinum-based chemotherapy and an anti-programmed cell death ligand (PD-L) antibody.

PYX-201 is designed to target Extradomain-B Fibronectin (EDB+FN), a non-cellular component within the tumor's extracellular matrix. This targeting is crucial as it provides a focused approach to attacking the cancer cells while potentially sparing surrounding healthy tissue.

The development of PYX-201 is being explored through two clinical trials that are currently in the recruitment phase. The first trial, labeled PYX-201-101, evaluates the effectiveness of the ADC when used as a standalone treatment for individuals suffering from the condition. The second trial, PYX-201-102, involves a combination therapy approach. In this study, PYX-201 is paired with MSD’s Keytruda (pembrolizumab), and it includes participants with R/M HNSCC as well as those with other advanced solid tumors. This particular trial is part of a collaborative effort with the biopharmaceutical company MSD, highlighting an industry partnership aimed at advancing cancer treatment.

Lara Sullivan, president and CEO of Pyxis Oncology, emphasized the importance of this fast track designation. She described it as a significant milestone for the company, highlighting its potential to address the critical medical needs of patients with R/M HNSCC. Sullivan noted that this recognition by the FDA underscores the necessity of providing differentiated treatment options to patients. She also indicated that the fast track designation will help speed up the development process of PYX-201 as patient recruitment for the trials continues. Sullivan expressed anticipation in working closely with the FDA to advance this promising therapy efficiently.

The fast track designation by the FDA is based on the premise that PYX-201 shows potential to fulfill an unmet medical need for the condition it targets. Squamous cell carcinoma, from which R/M HNSCC originates, arises in the mucosal lining of the oral cavity and is a subtype of head and neck cancer.

In a related development, Pyxis Oncology made headlines in May 2023 when it entered into a definitive agreement to acquire Apexigen in a deal valued at $16 million. This acquisition could potentially bolster Pyxis Oncology's capabilities in the biotechnology sector, further supporting its mission to develop innovative cancer therapies.

The advancement of PYX-201 and the strategic acquisition of Apexigen reflect Pyxis Oncology's commitment to enhancing cancer treatment and bringing new therapies to market. These steps are part of a broader strategy to address significant gaps in current cancer care by offering innovative solutions that target specific molecular and cellular components associated with tumor growth and progression.

As Pyxis Oncology pushes forward with these initiatives, the fast track designation for PYX-201 marks a pivotal moment in its ongoing efforts to provide hope and improved outcomes for patients battling challenging forms of cancer. Through continued research and collaboration with industry partners and regulatory bodies, Pyxis aims to make significant strides in the field of oncology.

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