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FDA Grants IND Approval to RemeGen's RC88 for Phase II Ovarian Cancer Treatment Trials

FDA & EMA

2 January 2024

RemeGen's RC88, a novel drug targeting mesothelin, received FDA approval for Phase II trials in treating platinum-resistant recurrent ovarian cancer. This antibody-drug conjugate offers a targeted approach against a form of cancer with limited treatment options.

RemeGen has announced that its independently developed mesothelin-targeting antibody-drug conjugate, RC88, has received Investigational New Drug (IND) approval from the US Food and Drug Administration (FDA) for Phase II clinical trials in the treatment of gynecological tumors. This significant advancement paves the way for international multicenter studies across the United States, China, the European Union, and other regions, addressing a critical unmet need in cancer therapy.

A Pioneering Approach

Dr. Jianmin Fang, CEO of RemeGen, underscores the significance of this approval, highlighting it as a pivotal moment in the company's commitment to developing innovative treatments for challenging conditions like PROC. "Our focus remains on developing innovative treatments that can significantly improve patient outcomes in areas with critical unmet needs. RC88, with its unique targeting mechanism, exemplifies our dedication to pioneering advancements in cancer therapy."

What is RC88?

RC88, an antibody-drug conjugate (ADC) targeting mesothelin, is at the forefront of RemeGen's innovative efforts. It combines a recombinant humanized anti-mesothelin monoclonal antibody with monomethyl auristatin E (MMAE), a potent microtubule inhibitor. This unique formulation allows RC88 to specifically target and terminate tumor cells expressing mesothelin, a common marker in aggressive ovarian cancers.
Epithelial ovarian cancer (EOC) is a leading cause of cancer-related deaths among women. Most patients with advanced ovarian cancer initially respond to platinum-based chemotherapy, but the majority eventually develop resistance to these drugs. This resistance leads to limited treatment options and poor prognosis, particularly for patients with platinum-resistant recurrent ovarian cancer (PROC).

The Significance of Mesothelin in EOC

The expression of mesothelin, the target of RC88, is notably higher in advanced and aggressive forms of ovarian cancer. With up to 97% of EOC cases showing elevated mesothelin levels, RC88's targeting mechanism offers a highly specific and potentially more effective treatment approach.

RC88 Clinical Trials: A Global Endeavor

The Phase II clinical trials of RC88 are set to be a global effort, encompassing multiple countries, including the United States, China, and the European Union. This open-label, randomized, dose-optimization study will focus on determining the optimal dosage, effectiveness, and safety of RC88 as a monotherapy for treating platinum-resistant recurrent epithelial ovarian, fallopian tube, and primary peritoneal cancers.

The Broader Impact

The development of RC88 brings new hope to ovarian cancer patients. Its targeted approach and the promise it holds could significantly improve the quality of life for those suffering from this devastating disease. Moreover, the absence of other mesothelin-targeting ADC drugs in the market underscores the potential impact of RC88.

If successful, RC88 could represent a paradigm shift in the treatment of platinum-resistant recurrent ovarian cancer, offering a new lifeline to those battling this formidable disease.

About RC88

RC88 is a novel antibody drug conjugate (ADC) independently developed by RemeGen targeting mesothelin (MSLN). It uses the company's independently developed innovative bridging technology to connect antibodies and drugs. The structure includes MSLN-targeting antibodies, cleavable connections and a small fraction of cytotoxins (MMAE) can mediate the endocytosis of antibodies by binding to MSLN-positive tumor cells, thereby effectively delivering cytotoxins to cancer cells and achieving improved tumor killing effects.

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