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AstraZeneca PLC (AZN) is a British-Swedish multinational pharmaceutical and biotechnology company headquartered in Cambridge, England. Formed in 1999 through the merger of Astra AB of Sweden and Zeneca Group PLC of the UK, AstraZeneca is known for its extensive research and development in the field of pharmaceuticals and biotechnology.
The company operates globally and generates a significant portion of its revenue from international markets, with the United States accounting for nearly one-third of its sales. AstraZeneca’s product portfolio includes a wide range of branded drugs across several major therapeutic areas such as gastrointestinal, diabetes, cardiovascular, respiratory, oncology, immunology, and rare diseases.
Recent achievements include a global license agreement with Nona Biosciences to develop preclinical monoclonal antibodies aimed at creating targeted therapies in oncology. The agreement could potentially bring Nona Biosciences up to $575 million upon achieving specified milestones, as well as tiered royalty payments on net sales. AstraZeneca continues to lead in the development of tumor-targeted therapies using cutting-edge technology.
Another noteworthy development is AstraZeneca's collaboration with AbelZeta Pharma to co-develop C-CAR031, a GPC3-targeted CAR-T therapy for treating hepatocellular carcinoma (HCC). The initial clinical results presented at the 2024 ASCO Annual Meeting showed promising safety and efficacy data.
Moreover, AstraZeneca has entered into a significant agreement with Compugen Ltd. to develop rilvegostomig, a PD-1/TIGIT bispecific antibody currently in Phase 3 trials for non-small cell lung cancer and biliary tract cancer. This partnership underscores AstraZeneca’s commitment to advancing innovative cancer therapies through strategic collaborations.
With its industry-leading capabilities, AstraZeneca is well-positioned to continue making significant strides in healthcare, providing effective treatments for a variety of diseases and maintaining its reputation as a global leader in pharmaceuticals and biotechnology.
AstraZeneca's CALQUENCE (acalabrutinib) has shown promising results in the ELEVATE-RR Phase III trial, demonstrating non-inferior progression-free survival (PFS) compared to ibrutinib in chronic lymphocytic leukemia (CLL) patients. Median PFS reached 38.4 months for both arms, with CALQUENCE exhibiting a significantly reduced incidence of atrial fibrillation (9.4% versus 16.0%). Additionally, updated ELEVATE-TN trial results indicated a strong PFS benefit for CALQUENCE in previously untreated patients, achieving 87% PFS at 48 months when combined with obinutuzumab.
AstraZeneca’s IMFINZI® (durvalumab) showed significant five-year overall survival (OS) and progression-free survival (PFS) benefits in the updated PACIFIC Phase III trial for patients with unresectable Stage III non-small cell lung cancer (NSCLC) post-chemoradiation therapy. The estimated five-year OS rate was 42.9% for IMFINZI-treated patients versus 33.4% for placebo. Notably, 33.1% of IMFINZI patients had not progressed, compared to 19% for placebo. IMFINZI represents a major advancement, marking the first new treatment available in decades for this patient group.
AstraZeneca and Merck have announced significant results from the OlympiA Phase III trial, demonstrating that LYNPARZA® (olaparib) significantly improves invasive disease-free survival (iDFS) in patients with germline BRCA-mutated, HER2-negative early breast cancer compared to placebo. Data presented at ASCO 2021 shows a 42% reduction in the risk of invasive breast cancer recurrence, with three-year iDFS rates at 85.9% for LYNPARZA versus 77.1% for placebo. The trial continues to monitor overall survival, with regulatory discussions ongoing to expedite treatment access for eligible patients.
AstraZeneca is set to present significant oncology data at the American Society of Clinical Oncology (ASCO) Annual Meeting from June 4-8, 2021. The data involves over 100 abstracts focusing on 21 existing and potential cancer treatments, with highlights on LYNPARZA and IMFINZI showcasing their effectiveness in treating early-stage breast and lung cancers. Notably, the OlympiA trial results demonstrate LYNPARZA's potential as the first PARP inhibitor for adjuvant breast cancer treatment. Data from CALQUENCE and ENHERTU will also emphasize improvements in patient outcomes.
New data from the MELTEMI Phase III extension trial confirms that FASENRA® (benralizumab) is well-tolerated over five years, with a safety profile consistent with earlier studies in severe asthma patients. Adverse events were similar to placebo, and serious infections were low. Patients on high-dosage inhaled corticosteroids saw asthma exacerbation rates drop significantly, with 87% experiencing zero exacerbations in the final year. FASENRA remains approved in multiple regions as an add-on treatment for severe eosinophilic asthma.
AstraZeneca and Amgen's tezepelumab has demonstrated significant efficacy in the NAVIGATOR Phase III trial for severe asthma patients, showing superiority across all primary and key secondary endpoints compared to placebo. Results include a 77% reduction in annualized asthma exacerbation rates (AAER) in patients with elevated eosinophil counts, and an 85% reduction in hospitalizations. Key secondary endpoints, including lung function and quality of life, also improved significantly. However, the SOURCE Phase III trial did not meet its primary endpoint regarding oral corticosteroid reduction.
Amgen announced that AstraZeneca submitted a Biologics License Application (BLA) for tezepelumab to the FDA. This potential first-in-class treatment aims to address severe asthma, with clinical trials indicating a significant reduction in asthma exacerbations. The pivotal NAVIGATOR Phase 3 trial showed tezepelumab's ability to reduce exacerbation rates regardless of baseline eosinophil counts, making it unique among biologics. Tezepelumab targets thymic stromal lymphopoietin, key in asthma inflammation.
This submission is a step towards offering a transformative treatment for severe asthma patients.
AstraZeneca's Phase III POSEIDON trial for IMFINZI® showed significant overall survival benefits in Stage IV non-small cell lung cancer patients using IMFINZI with tremelimumab and chemotherapy compared to chemotherapy alone. The study confirmed a statistically significant improvement in progression-free survival. Both treatment combinations displayed acceptable safety profiles without new safety signals. The company plans to discuss next steps with regulatory authorities after presenting the data at a medical meeting.
AstraZeneca's FARXIGA® (dapagliflozin) has received FDA approval to lower the risk of kidney decline, end-stage kidney disease, cardiovascular death, and heart failure hospitalization in adults with chronic kidney disease (CKD). This approval is based on results from the DAPA-CKD Phase III trial, showing a 39% reduction in the risk of worsening renal function compared to placebo. FARXIGA is now the first SGLT2 inhibitor approved for CKD treatment irrespective of diabetes status, marking a significant advancement in this field.
AstraZeneca has partnered with Massachusetts General Hospital to develop digital health solutions focused on chronic illness management. This collaboration, sparked by the COVID-19 pandemic, aims to create patient-centric digital tools, starting with studies on heart failure and asthma using the AMAZE disease management platform. The goal is to enhance patient engagement and clinical outcomes while reducing costs. Following initial studies, there are plans to expand the AMAZE platform to other chronic diseases across the Mass General Brigham system.
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