The biotech first licensed the nucleoside analog back in 2003. The original deal tied Cyclacel to securing regulatory approval in a country by 2011, but the company was able to amend this before the deadline. It turned out to be a good call, as over a decade later the biotech still hasn’t been able to get the therapy over the finish line.
The best hope for the drug was the phase 3 SEAMLESS trial in AML, but the results showed a combination of sapacitabine and Johnson & Johnson’s Dacogen didn’t significantly improve survival rates compared to Dacogen alone. A phase 1 trial in BRCA-mutant metastatic breast cancer also looked promising at one point, but clearly it wasn’t enough for the company to stick with the drug.
Sapacitabine is an orally available nucleoside analogue, which acts through a DNA single-strand breaking mechanism that can lead to checkpoint activation. Cyclacel made the announcement to drop the drug in its third-quarter earnings, where the company focused the spotlight on fadraciclib, a CDK2/9 inhibitorCDK2/9 inhibitor undergoing a phase 1/2 study in solid tumors and lymphoma.
“We are excited about fadra’s tolerability profile, as well as clear evidence of its anticancer activity as a single agent in late-line patients with lymphoma, gynecological, liver and pancreatic cancers,” CEO Spiro Rombotis said in the release. “We expect to shortly determine the recommended phase 2 dose and advance into phase 2 proof-of-concept stage.”
The biotech’s other clinical-stage program is a PLK1 inhibitor called CYC140, which is undergoing a phase 1/2 study in patients with advanced solid tumors and lymphoma.