Summary of therapeutic activity data
87% of patients (20/23) remained free of any local radiographic progression with median duration of therapy of 6.5 months. All patients remained metastases free, as defined by recent FDA guidelines.
PSA levels generally remained stable during treatment. Median PSA doubling-time, used for assessing disease status in patients with prostate cancer, improved by 34% for patients completing 12 weeks of treatment, from 6.1 months at baseline to 8.2 months. More than half of all patients (12/23) experienced an improvement in PSA doubling time.
After 12 weeks, all patients had CTCs below baseline, with a median decrease of 65%. CTCs generally continued to decrease and remained below baseline for the duration of theSM-88 therapy.
Summary of safety and quality of life data
With a cumulative dosing exposure of 149 months, no drug-related severe or life-threatening adverse events (grade 3 or 4) were observed. The only moderate adverse event (grade 2) possibly-related toSM-88 therapy was fatigue, reported by one patient. The majority of mild adverse events (grade 1) possibly or probably-related toSM-88 therapy were gastrointestinal in nature. No adverse events resulted in dose delay, discontinuation or reduction.
Typical side effects of ADT were generally not observed. The majority of patients who responded to a European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire reported that they did not experience issues with depression, hot flashes or enlarged breasts. Sexual interest and function were not meaningfully affected bySM-88 therapy and patients also maintained high (median 6 of 7) overall quality of life scores.
Average testosterone levels increased slightly during the study. Patient weight, EKG QTc, mean arterial pressure, glucose and hematocrit, all of which can be associated withADT-related side effects, did not appear affected while receivingSM-88 therapy.
“Hundreds of thousands of men in the United States are living withpre-metastatic prostate cancer1, and currently chemical castration is the standard approach to treatment, highlighting the need for medicines that could slow this disease while avoiding the life-impacting side effects” said Steve Hoffman, Chairman and CEO of TYME. “These results are very encouraging and supportive of our other trials in metastatic cancers. We will continue to explore options for the development ofSM-88 in prostate cancer when this trial is completed.”
The ASCO GU posters are scheduled to be presented at the Moscone West Building, San Francisco, CA, Thursday, February 14, 2019. The posters are available on our website at (www.tymeinc.com/data-publications).