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Monday, July 22 2019 - 11:50
AsiaNet
Kazia to test GDC-0084 with Radiotherapy in Phase I Clinical Trial at Leading US Cancer Center
SYDNEY, July 22, 2019 /PRNewswire-AsiaNet/--

Kazia Therapeutics Limited (ASX: KZA; NASDAQ: KZIA), an Australian 
oncology-focused biotechnology company, is pleased to announce that Memorial 
Sloan Kettering Cancer Center (MSK) in New York, NY will investigate the 
potential use of Kazia's investigational new drug, GDC-0084, in combination 
with radiotherapy in a phase I clinical trial for cancer that has spread to the 
brain (brain metastases and leptomeningeal metastases). This research will 
explore a new use of GDC-0084 and will run concurrently with other ongoing 
studies in different forms of brain cancer.

Dr James Garner, Chief Executive Officer of Kazia Therapeutics commented, "MSK 
is one of the world's leading cancer treatment centers, and we are privileged 
to be supporting them in this state-of-the-art project. Many cancers have the 
potential to spread to the brain, and they become very difficult to treat when 
they do. The work being done at MSK will investigate whether GDC-0084 has the 
potential to enhance the effects of radiotherapy, which remains the current 
standard of care in most cases."

Key Points
-MSK will initiate a phase I clinical trial of GDC-0084 in combination with 
radiotherapy for patients with solid tumor brain metastases (cancer that has 
spread to the brain) and leptomeningeal metastases that harbors a genetic 
alteration in the PI3K pathway. 
-The trial is expected to recruit 18-30 patients and will take about two years 
to complete. 
-The trial will be led by MSK, with Kazia providing support including study 
drug and a financial grant. 
-Initiation of this study brings to five the total number of ongoing clinical 
trials with GDC-0084, each in different forms of brain cancer.

Up to 30% of patients with metastatic cancer will develop secondary tumors 
(metastases) in the brain. Radiotherapy remains the standard of care, but 
30-50% of patients will progress within one year, despite best available 
treatment. In animal models of certain cancers, activation of the PI3K pathway 
has been shown to contribute to radiotherapy resistance. GDC-0084 is a PI3K 
inhibitor that can cross the blood-brain barrier, and as such it may be able to 
reduce the problem of resistance to radiotherapy. This clinical trial has been 
developed to test that hypothesis.

The trial is expected to recruit 18-30 patients, all of whom will have cancer 
that has spread to the brain. Patients will be genetically tested for a 
specific alteration in the PI3K pathway, and only those with a relevant 
mutation will be enrolled. This is an example of an approach to clinical 
research that is sometimes referred to as 'precision medicine' or 'personalized 
medicine', in which treatments are carefully targeted to those patients most 
likely to benefit. It is expected that the trial will begin recruitment in the 
second half of calendar 2019.

The study in two parts. The first part will aim to determine the maximum 
tolerated dose (MTD) of GDC-0084 when given together with radiotherapy. Once 
that dose has been determined, the second part of the study will enroll an 
additional twelve patients at that dose to explore preliminary signals of 
efficacy. 

The Principal Investigator for the study is Dr T Jonathan Yang, Director of 
Metastatic Disease Program in MSK's Department of Radiation Oncology. Dr Yang 
is a graduate of Yale University School of Medicine and a Board-certified 
radiation oncologist, with a specialist interest in treating tumors of the 
central nervous system. He is an extensively-published clinical researcher who 
has participated in a substantial number of clinical trials in brain cancer.

The initiation of the study brings to five the number of ongoing clinical 
trials with GDC-0084:

Sponsor                 Phase  Indication              Registration
Kazia Therapeutics      II     Glioblastoma            NCT03522298
Alliance for Clinical 
Trials in Oncology      II     Brain metastases        NCT03994796
Dana-Farber Cancer 
Institute               II     Breast cancer brain     NCT03765983
                               metastases (with 
                               Herceptin)
St Jude Children's 
Research Hospital        I     DIPG (childhood brain   NCT03696355
                               cancer)
Memorial Sloan Kettering 
Cancer Center            I     Brain metastases        (TBA)
                               (with radiotherapy)

It is expected that the study will take approximately two years to complete. 
Kazia will provide support, including a financial grant for a portion of the 
costs. The study will be conducted under an 'investigator IND' with the US FDA, 
in which the primary regulatory responsibilities for the study will be assumed 
by MSK. Implementation of the study is conditional upon approval from the 
Institutional Review Board at MSK, and this approval has yet to be obtained. 

About Kazia Therapeutics Limited 

Kazia Therapeutics Limited (ASX: KZA, NASDAQ: KZIA) is an innovative 
oncology-focused biotechnology company, based in Sydney, Australia. Our 
pipeline includes two clinical-stage drug development candidates, and we are 
working to develop therapies across a range of oncology indications.

Our lead program is GDC-0084, a small molecule inhibitor of the PI3K / AKT / 
mTOR pathway, which is being developed to treat glioblastoma multiforme, the 
most common and most aggressive form of primary brain cancer in adults. 
Licensed from Genentech in late 2016, GDC0084 entered a phase II clinical trial 
in 2018. Initial safety data was released in May 2019, and efficacy data is 
expected in 2H 2019. GDC-0084 was granted orphan designation for glioblastoma 
by the US FDA in February 2018.

TRX-E-002-1 (Cantrixil), is a third-generation benzopyran molecule with 
activity against cancer stem cells, and is being developed to treat ovarian 
cancer. TRX-E-002-1 is currently undergoing a phase I clinical trial in 
Australia and the United States. Initial data was presented at the AACR annual 
conference in April 2019 and the study remains ongoing. Cantrixil was granted 
orphan designation for ovarian cancer by the US FDA in April 2015.

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SOURCE: Kazia Therapeutics Ltd
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