Repare Therapeutics Provides Corporate Update and Highlights Anticipated Key 2024 Milestones
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Insights
The recent advancements by Repare Therapeutics in precision oncology are noteworthy, particularly the clinical data on lunresertib and camonsertib combinations. The RECIST response rate of 50% in heavily pre-treated gynecological tumors is significant, as it suggests a potentially effective treatment option for a patient population with limited alternatives. Moreover, the preclinical promise of RP-3467 and RP-1664, with their respective mechanisms targeting Polθ and PLK4, could address unmet needs in cancer therapy. The impact on therapeutic strategies could be profound if these agents prove to be effective in clinical trials.
Repare Therapeutics' partnership with Roche and the forthcoming $40 million milestone payment is a strong validation of their technology and pipeline. The cash position of $223 million, projected to last until mid-2026, allows for sustained R&D without the immediate need for further dilutive financing. This financial stability could be attractive to investors, as it suggests a reduced risk of stock price volatility due to cash flow concerns in the near term. However, the long-term value will hinge on the successful transition of preclinical candidates into clinical stages and the realization of clinical milestones.
The oncology market is highly competitive and the success of Repare Therapeutics' pipeline will depend on the differentiation and efficacy of their drug candidates. The potential first-in-class and best-in-class designations for RP-1664 and RP-3467, respectively, suggest a strategic positioning in niche markets, which could command premium pricing if approved. The combination therapies, if successful, may also open new segments within the oncology market. However, market adoption will depend on the outcomes of ongoing trials, regulatory approvals and the ability to compete with existing and emerging therapies.
“We significantly advanced our pipeline in 2023 and presented strong data from key programs, notably for lunresertib in combination with camonsertib, and for camonsertib in combination with PARP inhibitors. In addition, we presented compelling preclinical data sets for
Recent Accomplishments:
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Presented initial clinical data from the Phase 1/2 TRESR and ATTACC trials evaluating camonsertib (
RP-3500 /RG6526, now partnered globally with Roche) in combination with three poly (ADP-ribose) polymerase (PARP) inhibitors in a Clinical Trials Plenary Session at the 2023 American Association for Cancer Research (AACR) Annual Meeting. Camonsertib, a potent and selective oral small molecule inhibitor of ATR (Ataxia-Telangiectasia and Rad3-related protein kinase), showed48% overall clinical benefit rate in patients with advanced solid tumors across tumor types regardless of choice of PARP inhibitor or platinum resistance, with a favorable safety and tolerability profile. Data from the TRESR trial were also published in Nature Medicine highlighting the clinical benefit of camonsertib in advanced solid tumors. -
Presented initial positive data from its ongoing Phase 1 MYTHIC trial evaluating lunresertib (
RP-6306 ) alone and in combination with camonsertib in patients with advanced solid tumors harboring CCNE1 amplification or FBXW7 or PPP2R1A deleterious alterations at the 2023 AACR-NCI-EORTC International Conference on Molecular Targets and Cancer Therapeutics. Initial combination data included an overall RECIST response rate of50% in patients with heavily pre-treated gynecological tumors at the preliminary recommended Phase 2 dose. -
Disclosed polo-like kinase 4 (PLK4) as the target of its
RP-1664 development program and reported comprehensive preclinical data for bothRP-1664 and the Company’s Polθ inhibitor,RP-3467 , both of which we expect to enter clinical trials in 2024.RP-1664 demonstrated potent and selective inhibition of PLK4 and synthetic lethality in TRIM37-high tumor cells in preclinical studies.RP-3467 demonstrated complete, sustained regressions preclinically in combination with PARP inhibitors, and compelling anti-tumor activity in combination with radioligand therapy (RLT) and chemotherapy. - Announced a partnership with Debiopharm to explore the potential clinical synergy of Debio 0123, a highly selective clinical WEE1 inhibitor, and lunresertib in a trial expected to start in H1 and for which the companies have developed substantial pre-clinical validation. Repare will sponsor the global study as a new arm in the ongoing MYTHIC study with costs being shared equally by Debiopharm and Repare.
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Enrollment of patients is ongoing in the camonsertib arm of Roche’s TAPISTRY trial (NCT04589845), a Phase 2, global, open-label, multi-cohort study designed to evaluate the safety and efficacy of targeted therapies or immunotherapy in patients with unresectable, locally advanced or metastatic solid tumors determined to harbor specific oncogenic genomic alterations. With multiple patients in advanced stages of screening, dosing of the first patient with camonsertib is expected in the near term, which would result in the achievement of a
milestone payment from Roche to Repare. In October 2023, Roche also dosed the first patient in a camonsertib-based arm in its Phase 1b/2 clinical trial of multiple immunotherapy-based treatment combinations in participants with metastatic non-small cell lung cancer (Morpheus Lung; NCT03337698).$40 million - Announced the appointment of Susan M. Molineaux, Ph.D., to its Board of Directors. Dr. Molineaux currently serves as President and Chief Executive Officer at Para Therapeutics and previously served as Chief Executive Officer of Calithera Biosciences and of Proteolix. Additionally, Repare expanded its senior leadership team with the appointment of Daniel Bélanger as EVP of Human Resources.
Anticipated Key Milestones in 2024:
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Initiation of a Phase 1 dose escalation study of
RP-1664 , a potential first-in-class, oral PLK4 inhibitor, in adult and adolescent patients with TRIM37-high solid tumors in the first half of 2024. - Initiation of a Phase 1/1b study of lunresertib and Debio 0123, a WEE1 inhibitor, in the first half of 2024.
- Report initial data from the Phase 1 MINOTAUR study evaluating lunresertib in combination with FOLFIRI for the treatment of advanced solid tumors in the first half of 2024.
- Report data from the dose expansion cohorts of the Phase 1 MYTHIC study evaluating lunresertib in combination with camonsertib in selectively advanced solid tumors in the second half of 2024.
- Repare has closed enrollment in the Phase 1 MAGNETIC study evaluating lunresertib in combination with gemcitabine for the treatment of advanced solid tumors. The Company expects to report initial data from this study in the second half of 2024.
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Initiation of a Phase 1 dose finding study of
RP-3467 , a potential best-in-class Polθ inhibitor, in the second half of 2024.
Cash Position and Financial Guidance
Repare ended 2023 with approximately
About Repare Therapeutics’ SNIPRx® Platform
Repare’s SNIPRx® platform is a genome-wide CRISPR-based screening approach that utilizes proprietary isogenic cell lines to identify novel and known synthetic lethal gene pairs and the corresponding patients who are most likely to benefit from the Company’s therapies based on the genetic profile of their tumors. Repare’s platform enables the development of precision therapeutics in patients whose tumors contain one or more genomic alterations identified by SNIPRx® screening, in order to selectively target those tumors in patients most likely to achieve clinical benefit from resulting product candidates.
About Repare Therapeutics Inc.
Repare Therapeutics is a leading clinical-stage precision oncology company enabled by its proprietary synthetic lethality approach to the discovery and development of novel therapeutics. The Company utilizes its genome-wide, CRISPR-enabled SNIPRx® platform to systematically discover and develop highly targeted cancer therapies focused on genomic instability, including DNA damage repair. The Company’s pipeline includes lunresertib (also known as
SNIPRx® is a registered trademark of Repare Therapeutics Inc.
Forward-Looking Statements
This press release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 and securities laws in
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Repare Contact:
Robin Garner
Vice President and Head of Investor Relations
Repare Therapeutics Inc.
investor@reparerx.com
Investors:
Matthew DeYoung
Argot Partners
repare@argotpartners.com
Media:
David Rosen
Argot Partners
david.rosen@argotpartners.com
212-600-1902
Source: Repare Therapeutics Inc.
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