2 out of 3 ain't bad......initiation of AML Clinical Trial

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kmall
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Joined: Thu Mar 21, 2019 3:57 pm

2 out of 3 ain't bad......initiation of AML Clinical Trial

Post by kmall » Mon Oct 17, 2022 6:32 pm

Excellent dig by George and Wall Street on the YMB.....

https://clinicaltrials.gov/ct2/show/NCT ... w=2&rank=1


Several months ago we took a stab at who the lead investigators in the 3 chosen countries for the IMpress Clinical Trial would be:

1 - Germany - Dr. Uwe Platzbecker - ✔️

2 - Australia - Dr. Steven Lane - ✔️

3 - France - Dr. Pierre Fenaux - ❌

There are several Clinicians listed as being contacts for the French Clinical Trial locations:

Dr. Alice Garnier, Thomas Cluzeau, Lionel Adès, Odile Rauzy

Personally, I'm not familiar with any of the above names. Of these only one is a Physician - Dr. Alice Garnier - the others are listed as "professors."

If anyone reading has background information on the above individuals it would be greatly appreciated.

Until then I would expect we get a PR concerning IMpress - Study to Evaluate Imetelstat in Patients With High-Risk MDS or AML Failing HMA-based Therapy (IMpress) in the very near future. -Kmall
Last edited by kmall on Tue Oct 18, 2022 2:00 am, edited 1 time in total.

biopearl123
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Joined: Fri Jul 20, 2018 5:13 pm

Re: 2 out of 3 ain't bad......initiation of AML Clinical Trial

Post by biopearl123 » Mon Oct 17, 2022 7:04 pm

Special thanks to YMB posters George and Wall St and of course Kmall. Note the study is anticipating a four year run to final completion. Could be an anticipated longevity effect?

kmall
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Joined: Thu Mar 21, 2019 3:57 pm

Re: 2 out of 3 ain't bad......initiation of AML Clinical Trial

Post by kmall » Mon Oct 17, 2022 7:14 pm

This was posted last January here on Imetechat....

viewtopic.php?f=1&t=1260

"Two IMpress-ive Physicians with Pathways to follow?" Tue January 18, 2022 -Kmall


....Australia – Dr. Steven Lane
https://www.qimrberghofer.edu.au/people/steven-lane/
https://metronorth.health.qld.gov.au/rb ... teven-lane


Dr. Steven Lane Publications and Review Articles with Imetelstat/Telomerase/Geron:

1. (2014) – ASH 2014 Analyst & Investor Event December 8, 2014
John A. Scarlett, M.D. President & CEO, Geron Corporation
Steven Lane, M.D., Ph.D. Queensland Institute of Medical Research
https://www.geron.com/file.cfm/53/docs/ ... -Event.pdf

2. (2014) - Telomerase Inhibition Effectively Targets Mouse and Human AML Stem Cells and Delays Relapse following Chemotherapy
Claudia Bruedigam, Frederik O. Bagger, Florian H. Heidel, Scott A. Armstrong, David A. Williams, Steven W. Lane
https://www.cell.com/cell-stem-cell/ful ... 14)00522-0

3. (2016) – The preclinical efficacy of a novel telomerase inhibitor, imetelstat, in AML: A randomized trial in patient-derived xenografts
Claudia Bruedigam, Ph.D Gordon and Jessie Gilmour Leukaemia Research Laboratory
Headed by A/Professor Steven Lane
https://www.geron.com/file.cfm/53/docs/ ... H-2016.pdf

4. (2016) Telomerase in hematologic malignancies
Claudia Bruedigam 1, Steven W Lane

https://pubmed.ncbi.nlm.nih.gov/27213497/

5. (2016) Analysis of telomerase target gene expression effects from murine models in patient cohorts by homology translation and random survival forest modeling
Bagger, Frederik Otzen, Bruedigam, Claudia, and Lane, Steven W.
https://espace.library.uq.edu.au/view/UQ:380922

As of now, there has been no mention of who the additional Physicians involved in the P1 IMpress Clinical Trial will be. For now, this is just speculation on my part. However, given the locations and their past associations with Imetelstat and Geron, I believe taking a further look at these two prestigious Hematologists is warranted.

Since France and Germany are members of the EU, the EMA, as we all know, would be the Regulatory Agency involved with the Approval process of Imetelstat in that region.

Australia however, is seemingly new territory for Imetelstat and Geron. This past year, under the IMpact P3 Clinical Trial, Geron and Imetelstat have several Clinical Trial locations open in Australia and Tasmania. One of which (*) – Royal Brisbane Women’s Hospital in Queensland, Australia - has an association with Dr. Steven Lane.

Australia, New South Wales
Royal North Shore Hospital
St Leonards, New South Wales, Australia

Australia, Queensland
Royal Brisbane and Women's Hospital*
Herston, Queensland, Australia

Australia, Tasmania
Royal Hobart Hospital
Hobart, Tasmania, Australia

Australia, Victoria
Epworth Healthcare
Richmond, Victoria, Australia

For those interested, Australia’s Regulatory Agency (TGA), has a similar structure to that of the UK with expedited pathways for approval in novel, rare disease, unmet needs, and promising new medicines in which “the benefit of early availability of the medicine outweighs the risk inherent in the fact that additional data are still required.” (see below – Provisional Approval Pathway)

Australia’s Regulatory Agency: Therapeutic Goods Administration (TGA)
https://www.tga.gov.au/australian-regul ... l-products
has a process similar to that of the EMA and FDA, including Registration, Application for Approvals, Data Submission, Orphan Drug Designation, as well as a Priority review pathway and Provisional approval pathway through the Australian Regulatory Guidelines for Prescription Medicines (ARGPM)
https://www.tga.gov.au/publication/aust ... ines-argpm

Priority review pathway: The priority pathway provides a formal mechanism for faster assessment of vital and life-saving prescription medicines. The target timeframe of 150 working days is up to three months shorter than the standard prescription medicines registration process.
https://www.tga.gov.au/priority-review- ... -medicines

Sounds familiar to the UK ILAP Innovation Passport which Imetelstat was granted on 10/25/2021:
https://ir.geron.com/investors/press-re ... fault.aspx

Provisional approval: The provisional approval pathway allows sponsors to apply for time-limited provisional registration on the Australian Register of Therapeutic Goods (ARTG). It provides access to certain promising new medicines where we assess that the benefit of early availability of the medicine outweighs the risk inherent in the fact that additional data are still required.
Provisional registration of prescription medicines under this pathway is limited to a maximum of six years. Registration will automatically lapse at the end of a specified period unless sponsors are able to demonstrate that they have met the conditions imposed on the provisional registration. Sponsors may apply for full registration when sufficient clinical data to confirm the safety and efficacy of the medicine are available.
The Provisional approval pathway consists of five steps as outlined in the Provisional approval diagram [see right]: provisional determination, pre-market registration, the provisional registration period, extension of provisional registration and transition to full registration.
https://www.tga.gov.au/provisional-appr ... -medicines

At this time Geron has not applied for either of these pathways or an application through the TGA – to the best of my knowledge. These links are provided for information and dialog purpose only. -Kmall

biopearl123
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Re: 2 out of 3 ain't bad......initiation of AML Clinical Trial

Post by biopearl123 » Mon Oct 17, 2022 8:50 pm

Kmall, as far as I know “Professor” is an honorific that may supersede even Ph.D or MD in Europe. For example Dr. Cluzeau is an MD/Ph.D. Just as in England “Mr.” would be the title for a surgeon if I remember correctly.

biopearl123
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Joined: Fri Jul 20, 2018 5:13 pm

Re: 2 out of 3 ain't bad......initiation of AML Clinical Trial

Post by biopearl123 » Mon Oct 17, 2022 11:59 pm

Kmall, one other thing, while Dr. Fenaux is not a primary investigator for this study, his Paris Hospital is a study site, so I think you still need to give partial credit to your speculations of almost a year ago which were otherwise right on. bp

kmall
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Re: 2 out of 3 ain't bad......initiation of AML Clinical Trial

Post by kmall » Tue Oct 18, 2022 2:14 am

Personally, I was looking forward to Dr. Pierre Fenaux being on the front lines of the P1 Clinical Trial IMpress (AML). He appears to be a staunch advocate for Imetelstat, having contributed to an Oral presentation for P2 data at EHA 2 years ago. Not to mention that his experience/expertise in MDS/AML speaks for itself. I'm sure many, if not all of the other four physicians/"professors" (thanks for the clarification Bp!) are fellow colleagues of Dr. Fenaux, so most likely just as noteworthy from a clinical standpoint. One thing is for certain, having Dr. Steven Lane as an addition to this CT (IMpress) is a major boon for Imetelstat in Australia. Like the UK, Australia has several "pathways" for expedited approval, and one must think if TLR results in January for P3 IMerge mirror or even trump P2 IMerge results, then the Geron Regulatory team may seek a NDA for MA in that part of the world much sooner than IMpress results are due (June 2026). Just something to consider as we inch closer and closer to January. -Kmall

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