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Initial Data from Allarity's Phase 2 Trial of IXEMPRA Indicate Potential for Improved Clinical Benefit in DRP -Selected Metastatic Breast Cancer Patients Boston, MA (

Key Takeaway: Allarity Therapeutics has announced promising initial results from its Phase 2 trial of IXEMPRA for metastatic breast cancer patients selected using the DRP-IXEMPRA companion diagnostic. Among the evaluable patients, significant clinical benefits were observed, suggesting a higher response rate than previously recorded. However, these findings are still in preliminary stages, and statistical significance has yet to be established. The company aims to refine the diagnostic criteria further to enhance patient selection for this treatment.

Market Sentiment Analysis

POSITIVE FACTORS

  • Initial data suggests improved clinical benefit for mBC patients using DRP-IXEMPRA CDx.
  • Four out of four evaluable patients showed promising signs of clinical benefit.
  • The DRP-IXEMPRA CDx may help identify patients more likely to respond to treatment.

CONCERNS & RISKS

  • Early trial data is insufficient to demonstrate statistical significance.
  • There's uncertainty regarding the reliability of these early results for larger populations.

Full Press Release Details

Data from Allarity's Phase 2 Trial of IXEMPRA Indicate Potential for
Improved Clinical Benefit in DRP -Selected
Metastatic Breast Cancer Patients
MA (July 5, 2023) - Allarity Therapeutics, Inc. ("Allarity" or the "Company") (Nasdaq: ALLR), a clinical-stage
pharmaceutical company developing novel oncology therapeutics together with drug-specific DRP companion diagnostics for
personalized cancer care, today announced initial results from its European Phase 2 clinical trial evaluating the efficacy of IXEMPRA
in metastatic breast cancer (mBC) patients selected with the DRP -IXEMPRA companion diagnostic (CDx)
candidate. Researchers prescreened mBC patients using Allarity's DRP -IXEMPRA CDx, a complex transcriptomic
signature comprising multiple mRNA biomarkers of drug response/resistance. Patients were assigned a DRP -score, and those
with scores above 67% were selected for treatment with IXEMPRA .
the 36 patients screened with the DRP -IXEMPRA CDx, investigators identified five DRP
positive patients. Among the evaluable patients assessed up to the data evaluation cut-off, there were promising signs of clinical benefit
in four out of four evaluable cases:
are enthusiastic about these promising very early trial results since the observed clinical benefit rate exceeds what has been historically
observed for IXEMPRA treatment without the DRP -IXEMPRA CDx patient selection. While
still early, these data suggest that the use of the DRP -IXEMPRA CDx for patient selection and treatment
may help identify mBC patients most able to benefit from this course of treatment. Accordingly, the DRP -IXEMPRA
CDx, if approved, may provide clinicians with an important diagnostic to guide patient treatment in this hard-to-treat population,"
said Marie Foegh, M.D., Chief Medical Officer of Allarity.
Therapeutics, Inc. | 24 School Street, 2nd Floor | Boston, MA | U.S.A. | NASDAQ:
study is in a very early stage of an ongoing open-label, single-arm trial, at multiple sites in Europe, evaluating the anti-tumor effect
of IXEMPRA in patients with locally recurrent or metastatic breast cancer after previous chemotherapies, including a
taxane and an anthracycline. The included patients received a maximum of three prior lines of chemotherapies in the metastatic setting.
Allarity recently amended the clinical trial protocol, lowering the DRP cut-off score in order to include more likely
responder patients while still excluding those unlikely to respond to the drug. The ultimate objective is to further refine the DRP -IXEMPRA
CDx criteria and broaden the enrollment of mBC patients who may substantially benefit from this treatment. The Company anticipates
an additional interim data readout before the end of this year.
DRP -IXEMPRA CDx is a transcriptomic signature comprising 191 mRNA biomarkers that are collectively predictive
of tumor sensitivity or resistance to IXEMPRA . Using the DRP CDx to select likely responder patients
while excluding likely resistant ones, Allarity aims to improve the benefit-risk ratio of IXEMPRA in metastatic or locally
advanced breast cancer. The U.S. FDA-approved IXEMPRA label currently indicates a monotherapy efficacy with an objective
response rate (ORR) of 12.4% and a clinical benefit rate (CBR) of 24.8% in metastatic or locally advanced breast cancer. However, the
initial data from the ongoing DRP -guided Phase 2 study of IXEMPRA suggest that the DRP -IXEMPRA
CDx may identify a subset of patients who potentially have an improved ORR and CBR as compared to monotherapy efficacy indicated
by the U.S. FDA-approved label for the drug. The DRP -IXEMPRA CDx is a clinical stage companion diagnostic
candidate and has not yet been approved by the U.S. FDA or the EMEA. Early trial results are insufficient to show statistical significance
and may not be a reliable indicator of subsequent trial results based on a larger patient population.
was originally developed by Bristol Myers Squibb and is approved for metastatic breast cancer patients in the U.S., where it is
marketed by R-PHARM U.S., LLC. Allarity has the exclusive option rights for the development and commercialization of IXEMPRA
Chief Executive Officer, James G. Cullem, further stated, "We are encouraged by these promising, early clinical data suggesting
that mBC patients selected for treatment with IXEMPRA using our DRP companion diagnostic candidate for
the drug may have substantially improved clinical benefit versus unselected patients. Allarity looks forward to fully enrolling and completing
our ongoing Phase 2 trial for IXEMPRA , and remains enthusiastic about advancing this program towards market approval
in Europe and, if approved, providing European mBC patients with first-time access to this beneficial drug."
Therapeutics, Inc. | 24 School Street, 2nd Floor | Boston, MA | U.S.A. | NASDAQ:
Allarity Therapeutics
Therapeutics, Inc. (Nasdaq: ALLR) develops drugs for personalized treatment of cancer guided by its proprietary and highly validated
companion diagnostic technology, the DRP platform. The Company has a clinical-stage pipeline of three drug
candidates: stenoparib, a PARP inhibitor in Phase 2 development for ovarian cancer, and in Phase 1 development for advanced solid
tumors in a combination treatment with dovitinib, a pan-tyrosine kinase inhibitor (pan-TKI) that has previously been developed
through Phase 3 in renal cancer; and IXEMPRA (Ixabepilone), a microtubule inhibitor approved in the U.S. and
marketed by R-PHARM U.S. for the treatment of second-line metastatic breast cancer, currently in Phase 2 development in Europe for
the same indication. Additionally, the Company has rights in two secondary assets: 2X-111, a liposomal formulation of doxorubicin
for metastatic breast cancer and/or glioblastoma multiforme (GBM), which is the subject of discussions for a restructured
out-license to Smerud Medical Research International AS; and LiPlaCis , a liposomal formulation of cisplatin and its
accompanying DRP , being developed via a partnership with CHOSA Oncology AB for late-stage metastatic breast cancer.
The Company is headquartered in the United States and maintains an R&D facility in Hoersholm, Denmark. For more information,
please visit the Company's website at www.Allarity.com.
the Drug Response Predictor - DRP Companion Diagnostic
uses its drug-specific DRP to select those patients who, by the genetic signature of their cancer, are found to
have a high likelihood of responding to the specific drug. By screening patients before treatment, and only treating those patients with
a sufficiently high DRP score, the therapeutic response rate can be significantly increased. The DRP
method builds on the comparison of sensitive vs. resistant human cancer cell lines, including transcriptomic information from
cell lines combined with clinical tumor biology filters and prior clinical trial outcomes. DRP is based on messenger
RNA from patient biopsies. The DRP platform has proven its ability to provide a statistically significant prediction
of the clinical outcome from drug treatment in cancer patients in 37 out of 47 clinical studies that were examined (both retrospective
and prospective), including ongoing, prospective Phase 2 trials of Stenoparib and IXEMPRA . The DRP
platform, which can be used in all cancer types and is patented for more than 70 anti-cancer drugs, has been extensively published in
peer-reviewed literature.
Allarity on Social Media
Therapeutics, Inc. | 24 School Street, 2nd Floor | Boston, MA | U.S.A. | NASDAQ:
press release contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of
1995. Forward-looking statements provide Allarity's current expectations or forecasts of future events. The words "anticipates,"
"believe," "continue," "could," "estimate," "expect," "intends,"
"may," "might," "plan," "possible," "potential," "predicts,"
"project," "should," "would" and similar expressions may identify forward-looking statements, but
the absence of these words does not mean that a statement is not forward-looking. These forward-looking statements include, but are not
limited to, statements related to the expected availability of capital to fund its anticipated clinical trials, statements related to
advancing dovitinib in combination with stenoparib or another therapeutic candidate or other approved drug, any statements related to
ongoing clinical trials for stenoparib as a monotherapy or in combination with another therapeutic candidate for the treatment of advanced
ovarian cancer, or ongoing clinical trials (in Europe) for IXEMPRA for the treatment of metastatic
breast cancer, statements relating to the effectiveness of the Company's DRP companion diagnostics
platform in predicting whether a particular patient is likely to respond to a specific drug, and statements related to the Company's
ability to regain compliance with the Nasdaq Listing Rule. Any forward-looking statements in this press release are based on management's
current expectations of future events and are subject to multiple risks and uncertainties that could cause actual results to differ materially
and adversely from those set forth in or implied by such forward-looking statements. These risks and uncertainties include, but are not
limited to, the risk that the Company is not able to raise sufficient capital to support its current and anticipated clinical trials, the
risk that results of a clinical study do not necessarily predict final results and that one or more of the clinical outcomes may materially
change following more comprehensive reviews of the data, and as more patient data become available, the risk that results of a clinical
study are subject to interpretation and additional analyses may be needed and/or may contradict such results, the receipt of regulatory
approval for dovitinib or any of our other therapeutic candidates or, if approved, the successful commercialization of such products,
the risk of cessation or delay of any of the ongoing or planned clinical trials and/or our development of our product candidates, the
risk that the results of previously conducted studies will not be repeated or observed in ongoing or future studies involving our therapeutic
candidates, and the risk that the current COVID-19 pandemic will impact the Company's current and future clinical trials and the
timing of the Company's preclinical studies and other operations. For a discussion of other risks and uncertainties, and other

Frequently Asked Questions

What is the DRP-IXEMPRA companion diagnostic?

The DRP-IXEMPRA companion diagnostic is a transcriptomic signature with 191 mRNA biomarkers that predicts tumor sensitivity or resistance to IXEMPRA in metastatic breast cancer.

What were the results of the Phase 2 trial for IXEMPRA?

Initial results indicate promising clinical benefits in four out of four evaluable mBC patients selected with the DRP-IXEMPRA diagnostic.

How does the DRP score influence treatment decisions?

Patients are selected for treatment with IXEMPRA based on a DRP score above 67%, potentially identifying those most likely to benefit.

What are the goals of Allarity's Phase 2 trial?

The trial aims to refine the DRP-IXEMPRA criteria and include more patients likely to respond positively to treatment.

Is the DRP-IXEMPRA diagnostic FDA approved?

No, the DRP-IXEMPRA diagnostic is a clinical-stage candidate and has not yet received FDA approval.

Last updated: Jul 5, 2023