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Retrospective data, Journal: Quantitative Systems Toxicology Modeling Informed Safe Dose Selection of Emvododstat in Acute Myeloid Leukemia Patients. (Pubmed Central) - Feb 19, 2024 Overall, retrospective DILIsym simulations adequately predicted the liver safety liabilities of emvododstat in solid tumor trials and prospective simulations predicted the liver safety of reduced doses in an AML clinical trial. The modeling was critical to enabling regulatory approval to proceed with the AML clinical trial wherein the predicted liver safety was confirmed.
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Preclinical, Journal: Absorption, Distribution, Metabolism and Excretion of C-Emvododstat following a Single Oral Dose in Rats and Dogs. (Pubmed Central) - Jan 27, 2023 Emvododstat was the dominant radioactive component in plasma and faeces.Following a single oral dose of C-emvododstat in dogs, 75.2% of the dose was recovered in faeces while 0.5% of dose was recovered in urine 8 days post-dose. Emvododstat was the dominant radioactive component in faeces, while emvododstat and its two metabolites (O-desmethyl emvododstat and emvododstat amide bond hydrolysis product) were the major circulating radioactivity in dog plasma.
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PK/PD data, Preclinical, Journal: In Vitro Metabolism, Pharmacokinetics and Drug Interaction Potentials of Emvododstat, a DHODH Inhibitor. (Pubmed Central) - Apr 23, 2022 Neither emvododstat nor O-desmethyl emvododstat was a substrate for common efflux or uptake transporters investigated.Emvododstat is bioavailable in mice, rats, dogs, and monkeys following a single oral dose. The absorption was generally slow with the mean plasma T ranging from 2 to 5 h; plasma exposure of O-desmethyl emvododstat was lower in rodents, but relatively higher in dogs and monkeys.
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Trial completion date, Trial termination, Trial primary completion date: Study of PTC299 (Emvododstat) in Relapsed/Refractory Acute Leukemias (clinicaltrials.gov) - Feb 2, 2022 P1b, N=33, Terminated, Trial completion date: Dec 2021 --> Mar 2022 | Trial primary completion date: Dec 2021 --> Mar 2022 Trial completion date: May 2022 --> Dec 2021 | Recruiting --> Terminated | Trial primary completion date: Apr 2022 --> Dec 2021; Sponsor terminated the study.
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The main drug groups include inhibitors of viral entry into the human cell (convalescent plasma, monoclonal antibodies, nanobodies, mini proteins, human soluble ACE-2, camostat, dutasteride, proxalutamide, bromhexin, hydroxychloroquine, umifenovir nitazoxanid, niclosamide, lactoferrin), inhibitors of viral proteases (lopinavir/ritonavir, PF-07321332, PF-07304814, GC376), inhibitors of viral RNA (remdesivir, favipiravir, molnupiravir, AT-527, merimepodib, PTC299), inhibitors of host proteins supporting virus (plitidepsin, fluvoxamine, ivermectin), and agents supporting host natural immunity...Additional studies are needed to define the role of remdesivir, favipiravir, interferons, ivermectin, dutasteride, proxulutamide, fluvoxamine, bromhexine, nitazoxanide and niclosamid in the treatment of COVID-19. Finally, the results of phase trials are waited to learn whether or not the newer agents such as molnupiravir, PF-07321332, PF-07304814, plitidepsin and AT-527 are effective in the treatment of COVID-19.
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Trial completion date, Trial primary completion date: Study of PTC299 (Emvododstat) in Relapsed/Refractory Acute Leukemias (clinicaltrials.gov) - Oct 20, 2021 P1b, N=39, Recruiting, Keywords: AML, emvododstat, DHODH, apoptosis, differentiation. Trial completion date: Jun 2021 --> May 2022 | Trial primary completion date: May 2021 --> Apr 2022
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Trial completion date, Trial primary completion date: Study of PTC299 (Emvododstat) in Relapsed/Refractory Acute Leukemias (clinicaltrials.gov) - Feb 12, 2021 P1b, N=39, Recruiting, The FITE19 trial will enroll 380 patients globally, with a primary endpoint of time from randomization to respiratory improvement. Trial completion date: Dec 2020 --> Jun 2021 | Trial primary completion date: Nov 2020 --> May 2021
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Journal: The DHODH Inhibitor PTC299 Arrests SARS-CoV-2 Replication and Suppresses Induction of Inflammatory Cytokines. (Pubmed Central) - Jan 5, 2021 Consistent with known DHODH requirements for immunomodulatory cytokine production, PTC299 inhibited the production of interleukin (IL)-6, IL-17A (also called IL-17), IL-17 F, and vascular endothelial growth factor (VEGF) in tissue culture models. The combination of anti-SARS-CoV-2 activity, cytokine inhibitory activity, and previously established favorable pharmacokinetic and human safety profiles render PTC299 a promising therapeutic for COVID-19.
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Phase classification, Trial termination, Metastases: PTC299 for Treatment of Advanced Cancer (clinicaltrials.gov) - May 10, 2019 P1b, N=76, Terminated, Pts who developed grade II-IV acute GVHD and had shorter “disease-free” duration from unrelated or haploidentical donor grafts had the significantly shorter survival following relapse . Phase classification: P1 --> P1b | Suspended --> Terminated
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Clinical, P1 data, PK/PD data, Journal: Phase 1 Study of Safety, Tolerability, and Pharmacokinetics of PTC299, an Inhibitor of Stress-Regulated Protein Translation. (Pubmed Central) - Jan 26, 2018 The target trough plasma concentration associated with preclinical efficacy was achieved within 7 days at doses of 0.6 mg/kg twice daily and above. These data demonstrate that PTC299 is orally bioavailable and well tolerated and support clinical evaluation of PTC299 in cancer, certain viral infections, or other diseases in which deregulation of translational control is a causal factor.
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Trial completion, Trial primary completion date: PTC299 in Treating Young Patients With Refractory or Recurrent Primary Central Nervous System Tumors (clinicaltrials.gov) - May 4, 2015 P1, N=28, Completed, These data demonstrate that PTC299 is orally bioavailable and well tolerated and support clinical evaluation of PTC299 in cancer, certain viral infections, or other diseases in which deregulation of translational control is a causal factor. Suspended --> Completed | Trial primary completion date: May 2012 --> Jan 2015
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Trial suspension, Metastases: PTC299 for Treatment of Advanced Cancer (clinicaltrials.gov) - Apr 5, 2012 P1, N=76, Suspended, Active, not recruiting --> Suspended Recruiting --> Suspended
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