Merck KGaA, Darmstadt, Germany: Driving Innovation in Cancer Care at ESMO 2017 With New Data in Hard-to-Treat Cancers

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         - Not intended for UK-based media 

          - Data to showcase Merck KGaA, Darmstadt, Germany's strong and diverse pipeline ranging from immuno-oncology to DNA damage response 
          - Avelumab data validate potential in hard-to-treat cancers and highlight progress of the JAVELIN clinical development program 
          - First data in mTNBC for ATR inhibitor (M6620) from Merck KGaA, Darmstadt, Germany's comprehensive portfolio in DNA damage response  

          Merck KGaA, Darmstadt, Germany, a leading science and technology company, today announced it will present data for a number of tumor types across its rapidly evolving pipeline. A total of 23 abstracts, representing five therapeutic agents, will highlight the company's expanding scientific expertise at this year's European Society for Medical Oncology congress (ESMO 2017; September 8-12, Madrid, Spain).

          Data to be presented include continued reinforcement of the role of established brand Erbitux(R) (cetuximab) as a standard of care therapy, with quality of life (QoL) data in colorectal cancer (CRC) and real-world data in both CRC and squamous cell carcinoma of the head and neck (SCCHN); updated efficacy and safety data for avelumab in metastatic Merkel cell carcinoma (mMCC) and urothelial carcinoma (UC) among other cancers; and new data and updates from Merck KGaA, Darmstadt, Germany's rapidly evolving pipeline, including first data from potential first-in-class ataxia telangiectasia and Rad3-related protein (ATR) inhibitor M6620* (also known as VX-970).

          "The Merck KGaA, Darmstadt, Germany Oncology Franchise has had a momentous year, particularly with the positive regulatory milestones achieved for avelumab. The story continues to evolve at ESMO 2017 from our legacy with Erbitux to our diverse and robust pipeline which has potential novel molecules that could become new standards of care," said Luciano Rossetti, Executive Vice President, Global Head of Research & Development at the biopharma business of Merck KGaA, Darmstadt, Germany. "The data reinforce Merck KGaA, Darmstadt, Germany's commitment to pursuing approaches that will bring important benefits to patients and transform the way cancer is treated."

          Merck KGaA, Darmstadt, Germany's innovative approach and strategic collaborations in oncology are exemplified through the ongoing partnership with Pfizer, and the significant progress of avelumab. Granted two accelerated approvals** by the U.S. Food and Drug Administration (FDA) this year, more recently the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has adopted a positive opinion recommending the approval of avelumab as monotherapy for the treatment of adult patients with mMCC. ESMO 2017 includes new data for avelumab in the treatment of mMCC, a rare and aggressive skin cancer, and 12-month follow-up data in pre-treated patients with locally advanced or metastatic UC. The progress of the broader JAVELIN clinical development program will also be highlighted, with updated data in hard-to-treat tumors such as metastatic adrenocortical carcinoma (mACC).

          The addition of the recently acquired Vertex DNA damage response (DDR) portfolio to its own in-house DDR platform has positioned Merck KGaA, Darmstadt, Germany as one of the key players in the DDR field. The company's broad DDR portfolio includes inhibitors for enzymes of major DDR pathways, such as ATR, DNA-PK and ATM. At ESMO 2017, first data will be presented for ATR inhibitor M6620 in metastatic triple-negative breast cancer (mTNBC). M6620 is currently being investigated in several ongoing Phase I trials across a variety of tumor types.

          Other pipeline updates will include data on the potential first-in-class dual p70S6K/Atk inhibitor M2698*; and tepotinib***, a highly selective c-Met kinase inhibitor, in patients with advanced hepatocellular carcinoma (HCC).

          Product related information contained herein is subject to local product approval and can therefore vary from country to country. For information relevant to your country, please check in with local regulatory authorities.

          *M6620, M2698 and tepotinib are under clinical investigation and have not been proven to be safe and effective. There is no guarantee any product will be approved in the sought-after indication by any health authority worldwide.

          ***Tepotinib is the proposed International Non-proprietary Name (INN) for the c-Met kinase inhibitor (also known as MSC2156119J).

          Notes to editors

          Accepted Merck KGaA, Darmstadt, Germany-supported key abstracts at ESMO 2017 are listed below. In addition, a number of abstracts with data from investigator-sponsored studies have been accepted, including abstracts related to Erbitux (not listed).

                                                           Presentation
                                                            Date / Time
    Title                  Lead Author     Abstract #             (CEST)       Location
    Avelumab
    Poster sessions
                                                             September 9
    JAVELIN Lung 100:      Reck M.            1377TiP      13:15 - 14:15         Hall 8
    updated design of
    a phase 3 trial of
    avelumab vs
    platinum doublet
    chemotherapy as
    first-line (1L)
    treatment for
    metastatic or
    recurrent PD-L1+
    non-small-cell
    lung cancer
    (NSCLC)
                                                             September 10
    JAVELIN MERKEL          D'Angelo S.P.       1227P         13:15-14:15        Hall 8
    200: Avelumab
    treatment in
    chemotherapy-naïve                         
    patients with
    metastatic Merkel
    cell carcinoma
    (mMCC).
                                                             September 10
    Avelumab in             Le Tourneau C.       913P         13:15-14:15        Hall 8
    patients with
    metastatic
    adrenocortical                             
    carcinoma (mACC):
    results from the
    JAVELIN Solid    
    Tumor trial
                                                             September 10
    Potential impact        Zheng J.             882P         13:15-14:15        Hall 8
    of
    avelumab+axitinib
    (A+Ax) on tumor
    size (TS) compared
    with historical
    data of sunitinib                          
    (S) as evaluated
    by a modeling and
    simulation (MS)
    approach
                                                             September 10
    Avelumab treatment      Apolo A.B.           856P         13:15-14:15        Hall 8
    of metastatic
    urothelial
    carcinoma (mUC) in
    the phase 1b
    JAVELIN Solid
    Tumor study:
    updated analysis
    with greater than
    or equal to6
    months of
    follow-up in all
    patients                                    

                                                           Presentation
                                                              date/time
    Title                     Lead author      Abstract #         (CEST)          Location

                                                              September 1          Sevilla
    M6620 (VX-970)            Telli M.L.           242PD    09:15 - 10:45       auditorium
    Poster session

    Initial results of
    a phase 1 dose
    expansion cohort
    of M6620 (VX-970),
    a first-in-class
    ATR inhibitor, in
    combination with
    cisplatin (Cis) in
    patients (pts)              
    with metastatic  
    triple-negative
    breast cancer
    (mTNBC)
    (NCT02157792)                         

                                                           Presentation
                                                            Date / Time
    Title                  Lead Author     Abstract #             (CEST)       Location
  
    M2698
    Poster session
                                                              September 9      Alicante
    Phase I dose          Tsimberidou A.M.      370PD         16:30-18:00    auditorium
    escalation study
    of M2698, a    
    p70S6K/AKT
    inhibitor, in
    patients with
    advanced cancer
                                                             September 11
    Pharmacodynamic               Xiong W.       393P         13:15-14:15        Hall 8
    (PD) biomarkers
    for the p70S6K/Akt
    inhibitor, M2698:
    translation from                          
    animal to human
    and its relevance
    for dosing
    rationale         


                                                              Presentation
                                                               Date / Time
    Title                     Lead Author     Abstract #             (CEST)       Location
    Erbitux(R):
    Poster session
                                                               September 9
    Biomarker testing       Aravantinos G.         576P        13:15-14:15          Hall 8
    practices in the
    SECURE
    (proSpective
    obsErvational
    clinical practiCe
    stUdy in the
    first-line
    management of
    metastatic
    colorectal cancer
    [mCRC] with           
    eRbitux in
    combination with
    chemothErapy)    
    study
                                                               September 9
    Quality of life                 Liu T.          593P       13:15-14:15          Hall 8
    (QoL) analyses in
    patients with RAS
    wild-type (wt)
    metastatic
    colorectal cancer
    (mCRC) treated
    with first-line                           
    FOLFOX-4 plus or
    minus cetuximab in
    the phase 3 TAILOR
    trial
                                                              September 10
    ENCORE: a phase 4        Le Tourneau C.         1068P      13:15-14:15          Hall 8
    observational
    study of cetuximab
    and platinum-based
    therapy (PBT) for
    the first-line
    treatment of
    patients with
    recurrent/metastat
    ic squamous cell
    carcinoma of the
    head and neck (R/M
    SCCHN)
                                                              September 10
    A survey of                   Tischer B.         1579P     13:15-14:15          Hall 8
    patient acceptance
    of skin toxicities
    from
    cetuximab-based
    therapy           

   
                                                              Presentation
                                                               Date / Time
    Title                     Lead Author     Abstract #             (CEST)       Location
    Tepotinib
    Poster session
                                                               September 9
    Final data from a             Qin S.            701P       13:15-14:15          Hall 8
    phase Ib trial of
    tepotinib in Asian
    patients with
    advanced
    hepatocellular
    carcinoma (HCC)         

   
                                                              Presentation
                                                               Date / Time
    Title                     Lead Author     Abstract #             (CEST)       Location

 

    Anti-PD-L1/TGF-β trap pathways
    Poster session
                                                               September 11
    Analysis of                   Zhang Y.        1645P         13:15-14:15         Hall 8
    programmed
    death-ligand 1
    (PD-L1)
    expression,
    transforming
    growth factor
    (TGF)-beta gene
    expression
    signatures (GES)       
    and
    tumor-infiltrating
    immune cells (IC)
    in hepatocellular
    carcinoma (HCC):
    rationale for
    targeting PD-L1-
    and TGF-beta 

          About avelumab 

          Avelumab is a human antibody specific for a protein called PD-L1, or programmed death ligand-1. Avelumab is designed to potentially engage both the adaptive and innate immune systems. By binding to PD-L1, avelumab is thought to prevent tumor cells from using PD-L1 for protection against white blood cells, such as T-cells, exposing them to anti-tumor responses. Avelumab has been shown to induce antibody-dependent cell-mediated cytotoxicity (ADCC) in vitro. In November 2014, Merck KGaA, Darmstadt, Germany and Pfizer announced a strategic alliance to co-develop and co-commercialize avelumab.

          **Indications in the US

          The U.S. Food and Drug Administration (FDA) granted accelerated approval for avelumab (BAVENCIO(R)) for the treatment of (i) metastatic Merkel cell carcinoma (mMCC) in adults and pediatric patients 12 years and older and (ii) patients with locally advanced or metastatic urothelial carcinoma (UC) who have disease progression during or following platinum-containing chemotherapy, or who have disease progression within 12 months of neoadjuvant or adjuvant treatment with platinum-containing chemotherapy. These indications are approved under accelerated approval based on tumor response rate and duration of response. Continued approval for these indications may be contingent upon verification and description of clinical benefit in confirmatory trials. Avelumab is not approved for any indication in any market outside the U.S.

          Important Safety Information  

          The warnings and precautions for avelumab (BAVENCIO(R)) include immune-mediated adverse reactions (such as pneumonitis, hepatitis, colitis, endocrinopathies, nephritis and renal dysfunction and other adverse reactions), infusion-related reactions and embryo-fetal toxicity.

          Common adverse reactions (reported in at least 20% of patients) in patients treated with avelumab for mMCC and patients with locally advanced or metastatic UC include fatigue, musculoskeletal pain, diarrhea, nausea, infusion-related reaction, peripheral edema, decreased appetite/hypophagia, urinary tract infection and rash.

          About Erbitux(R) (cetuximab)  

          Erbitux(R) is a highly active IgG1 monoclonal antibody targeting the epidermal growth factor receptor (EGFR). As a monoclonal antibody, the mode of action of Erbitux is distinct from standard non-selective chemotherapy treatments in that it specifically targets and binds to the EGFR. This binding inhibits the activation of the receptor and the subsequent signal-transduction pathway, which results in reducing both the invasion of normal tissues by tumor cells and the spread of tumors to new sites. It is also believed to inhibit the ability of tumor cells to repair the damage caused by chemotherapy and radiotherapy and to inhibit the formation of new blood vessels inside tumors, which appears to lead to an overall suppression of tumor growth. Erbitux also targets cytotoxic immune effector cells towards EGFR expressing tumor cells (antibody dependent cell-mediated cytotoxicity, ADCC).

          The most commonly reported side effect with Erbitux is an acne-like skin rash. In approximately 5% of patients, hypersensitivity reactions may occur during treatment with Erbitux; about half of these reactions are severe.

          Erbitux has already obtained market authorization in over 90 countries world-wide for the treatment of RAS wild-type metastatic colorectal cancer and for the treatment of squamous cell carcinoma of the head and neck (SCCHN). Merck KGaA, Darmstadt, Germany licensed the right to market Erbitux, a registered trademark of ImClone LLC, outside the U.S. and Canada from ImClone LLC, a wholly-owned subsidiary of Eli Lilly and Company, in 1998.

          About M6620 

          Also known as VX-970, M6620 is an investigational small-molecule inhibitor of ataxia telangiectasia and Rad3-related protein (ATR). ATR is a key sensor for DNA damage, activating the DNA damage checkpoint and leading to cell cycle arrest. It is thought that inhibition of ATR can enhance the efficacy of DNA-damaging agents, and could potentially also be efficacious as monotherapy against tumors with high levels of replication stress induced by overexpression of oncogenes. M6620 complements our strong DDR portfolio and is currently being investigated in Phase I and II trials.

          About M2698 

          A potential first-in-class, investigational small-molecule that is designed to inhibit both p70S6K and Akt. Both targets are part of the phosphoinositide 3-kinase (PI3K) pathway, which is often dysregulated in solid tumors.

          About tepotinib 

          Tepotinib is an investigational small-molecule inhibitor of the c-Met receptor tyrosine kinase. Alterations of the c-Met signaling pathway are found in various cancer types and correlate with aggressive tumor behavior and poor clinical prognosis. Tepotinib is being investigated in two Phase II studies in non-small cell lung cancer and hepatocellular carcinoma.

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          About Merck KGaA, Darmstadt, Germany  

          Merck KGaA, Darmstadt, Germany, is a leading science and technology company in healthcare, life science and performance materials. Around 50,000 employees work to further develop technologies that improve and enhance life - from biopharmaceutical therapies to treat cancer or multiple sclerosis, cutting-edge systems for scientific research and production, to liquid crystals for smartphones and LCD televisions. In 2016, Merck KGaA, Darmstadt, Germany, generated sales of EUR 15.0 billion in 66 countries.

          Founded in 1668, Merck KGaA, Darmstadt, Germany, is the world's oldest pharmaceutical and chemical company. The founding family remains the majority owner of the publicly listed corporate group. Merck KGaA, Darmstadt, Germany, holds the global rights to the "Merck" name and brand except in the United States and Canada, where the company operates as EMD Serono, MilliporeSigma and EMD Performance Materials.

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          Source: Merck KGaA



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