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Delayed delivery of study drug for the PledOx® phase III program – top-line results still expected during 2020, in line with previous communication

February 8, 2018

PledPharma AB
Company Announcement

Delayed delivery of study drug for the PledOx® phase III program – top-line
results still expected during 2020, in line with previous communication

PledPharma AB, today announces a delay in delivery of study drug for the
PledOx® phase III program. Enrolment of patients are now expected to commence
during the second half of 2018. All other study start-up activities are
progressing according to plan and the study design has recently been accepted
by the FDA, the central ethics committee in the US and the health authority,
MHRA in the UK. Top-line results are expected in the second half of 2020, which
is within previously communicated guidance. 

Stockholm, 2018-02-08 08:00 CET (GLOBE NEWSWIRE) -- PledOx® is a drug candidate
in development for the prevention of chemotherapy induced peripheral neuropathy
in colorectal cancer patients. The global phase III program for PledOx consists
of two double-blinded, randomized, placebo-controlled studies: POLAR-M (US and
Europe) and POLAR-A (Europe). In November 2017, Pledpharma, together with its
Asian partner Solasia Pharma K.K., announced plans to expand the program to
include Asian patients, subject to regulatory consultation. To support the
expansion, a phase I study is currently being conducted in Japanese and
Caucasian healthy volunteers. 

The delivery of study drug from the external manufacturer has not been supplied
according to plan. This will result in a delay of first-patient-in (FPI) in the
global phase III program. As per the current plan, FPI is expected in the
second half of 2018. Diligent efforts have been put in place to minimize the
delay. All other study start-up activities are progressing according to plan.
The US FDA, the central ethics committee in the US and the health authority in
the UK, MHRA, have recently accepted the study design, and the process to
contract study centers are ongoing. Top-line results are expected in the second
half of 2020, which is within previously communicated guidance. 

“Despite the delay in delivery of study drug, we are still expecting top-line
results from the phase III program during 2020, which is in-line with previous
communication. Adequate measures have been put in place to ensure the delivery
of study drug and in parallel we are working to minimize the total time of
patient inclusion.”, said Nicklas Westerholm, CEO, PledPharma. 



For more information, please contact:

Nicklas Westerholm, CEO, phone: +46 73 354 20 62

[email protected]

Yilmaz Mahshid, CFO, phone: +46 72 231 68 00

[email protected]



About PledOx®
PledOx® is a “first in class” drug candidate developed to provide patients,
that are treated adjuvantly or for metastatic colorectal cancer, prevention
against the nerve damage that can occur in conjunction with chemotherapy
treatment. The results from a completed Phase IIb trial (PLIANT), where
patients with metastatic colorectal cancer were treated with the chemotherapy
combination FOLFOX and PledOx®, indicates that the patients who received
PledOx® had a lower risk than the placebo group to suffer from nerve damage
during the chemotherapy. The presence of the investigator reported sensory
nerve damage, the primary endpoint, was after treatment 38% lower in the group
of patients treated with PledOx® compared with the placebo group (p = 0.16).
This was not statistically significant, but a difference of this magnitude is
considered to be clinically relevant. After completion of chemotherapy, the
patient-reported incidence of moderate and severe neuropathy was 77% lower in
patients treated with PledOx® compared to the placebo group (exploratory
analysis; p = 0.014). This is considered valuable for the success of the
forthcoming POLAR studies, where patient-reported symptoms after completion of
treatment will be the primary efficacy parameter. No apparent negative effect
on the efficacy of the cancer treatment was observed. 

About chemotherapy induced peripheral neuropathy (CIPN)
Peripheral neuropathy symptoms are caused by damages to sensory nerves, most
commonly in hands and feet. Certain chemotherapies, including oxaliplatin, can
cause such damages, which is then called chemotherapy induced peripheral
neuropathy (CIPN). This can be a debilitating adverse reaction of the cancer
treatment and may occur at any time after the initiation of chemotherapy. The
symptoms often increase as the chemotherapy treatment continues and may often
causes discontinuation of the chemotherapy. In many patients, the symptoms are
resolved after discontinuing the chemotherapy, but up to 20-30% of the patients
have sustained symptoms such as numbness, tingling and pain in hands and feet.
Patients with CIPN may have difficulties with fine motor skill, such as
buttoning buttons, challenges using a computer key board and become
hypersensitive to cold. The sensory loss in the feet’s may increase the risk of
falls. There is currently no approved drug to prevent or treat CIPN. 

About PledPharma
PledPharma develops new drugs that protect the body against oxidative stress –
a potentially debilitating and sometimes life-threatening condition that can be
caused by chemotherapy treatment and following acetaminophen (paracetamol)
overdose. The company's most advanced project PledOx® is being developed to
reduce nerve damage associated with chemotherapy. A phase IIb study has been
conducted and will serve as the basis for the continued development. The drug
candidate Aladote® is being developed to reduce the risk of acute liver failure
associated with acetaminophen poisoning. PledPharma (STO: PLED) is listed on
Nasdaq First North. Erik Penser Bank is the company’s Certified Adviser (tel
+46 8 463 80 00). For more information, see http://www.pledpharma.se/ 





This information is information that PledPharma AB (publ) is obliged to make
public pursuant to the EU Market Abuse Regulation. The information was
submitted for publication, through the agency of the contact person set out
above, at 08:00 CET on FEB 8, 2017.

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