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Stockholm, Sweden

Key Takeaway: announces positive topline results of Phase 2 head and neck cancer trial with lead NOX inhibitor candidate, setanaxib Therapeutics AB (Nasdaq: CALT, Nasdaq Stockholm: CALTX) ("Calliditas") today announced data from the proof-of-concept Phase 2 trial evaluating setanaxib, its le

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announces positive topline results of Phase 2 head and neck cancer trial with lead NOX inhibitor candidate, setanaxib
Therapeutics AB (Nasdaq: CALT, Nasdaq Stockholm: CALTX) ("Calliditas") today announced data from the proof-of-concept Phase
2 trial evaluating setanaxib, its lead NOX enzyme inhibitor, in combination with pembrolizumab, in patients with squamous cell carcinoma
of the head and neck (SCCHN). The analysis showed statistically significant improvements in progression-free survival (PFS), as well
as in overall survival (OS), with statistically significant changes in tumor biology consistent with the mechanism of action of setanaxib.
trial is a randomized, placebo-controlled, double-blind Phase 2 study investigating the effect of setanaxib 800mg twice daily in conjunction
with pembrolizumab 200mg IV, administered every 3 weeks (a standard treatment regimen for SCCHN) with the full dataset reflecting all
patients having had the opportunity to complete at least 15 weeks of treatment. The basis for the analysis consisted of a dataset of
55 patients with recurrent or metastatic SCCHN and moderate or high CAF-density tumors (Cancer Associated Fibroblasts). A tumor biopsy
was taken prior to randomization and then again after at least 9 weeks of treatment.
treatment groups were well-balanced with no clinically relevant differences between the groups observed at baseline. Patients treated
with pembrolizumab and setanaxib showed statistically significant improvements in key secondary endpoints, such as progression-free survival,
(PFS median 5 months versus 2.9 months; Hazard ratio= 0.58) and statistically significant improvement in overall survival (OS at 6 months
92% vs 68%; OS at 9 months 88% vs 58%; Hazard ratio=0.45) compared to patients treated with pembrolizumab and placebo. There was also
an improvement in disease-control rate in setanaxib-treated patients, with 70% in the setanaxib arm showing a best response of at least
stable disease compared to 52% in the placebo arm. No significant difference in the primary endpoint of best percentage change from baseline
in tumor size was observed. Transcriptomic analysis of tumor biopsy samples showed a statistically significant increase in CD8+ T-cells
in tumor tissue from patients treated with setanaxib, indicating an increase in tumor immunological activity consistent with the mechanism
of action of setanaxib. The tolerability of setanaxib when given with pembrolizumab was generally good, with no new safety signals identified.
is very encouraging to see statistical significance on important clinical outcomes in this relatively small study, which provides an
excellent basis for advancing setanaxib in this hard-to-treat population," said Kevin Harrington, Professor in Biological Cancer
Therapies at The Institute of Cancer Research (ICR) London, Consultant Clinical Oncologist at The Royal Marsden NHS Foundation, London,
and Investigator on the trial.
is a very exciting result which provides clinical evidence of the mode of action of setanaxib in line with our thesis of its anti-fibrotic
effects, and with results beyond our expectations for a study of this size. It is exciting that we now have positive clinical evidence
in support of our first in class NOX platform" said CEO Ren e Aguiar-Lucander.
am delighted that we have seen statistical significance and clinically meaningful improvements in longer term outcomes of PFS and OS
in this indication. I'd like to extend my thanks to investigators, clinical trial site staff, and most importantly patients, who
have all contributed to this important study." said CMO Richard Philipson.
company is conducting additional clinical trials with setanaxib and will read out its Phase 2 trial in PBC (primary biliary cholangitis)
in Q3 of 2024 and is expecting the investigator led Phase 2 trial in IPF (idiopathic pulmonary fibrosis) to provide top line data in
Q4 of 2024, subject to recruitment. There is also an ongoing Phase 2 proof of concept trial in Alport syndrome, which is expected to
deliver top line data in 1H, 2025.
company plans to arrange an R&D day in Stockholm later this month to provide additional details regarding the Phase 2 trial and other
data supporting the mechanism of action of setanaxib. Further details will be provided by way of a press release.
further information, please contact:
Hillsten, Head of IR & Sustainability, Calliditas
+46 76 403 35 43, Email: asa.hillsten@calliditas.com
information in the press release is information that Calliditas is obliged to make public pursuant to the EU Market Abuse Regulation.
The information was sent for publication, through the agency of the contact persons set out above, on May 6, 2024 at 08:00 a.m. CET.
Head and Neck Cancer
head and neck cancer accounts for approximately 900,000 cases and over 400,000 deaths annually. In the United States, head and neck cancer
accounts for approximately 71,100 cases annually and 16,100 deaths. In Europe, there were approximately 250,000 cases (an estimated 4
percent of the cancer incidence) and 63,500 deaths in 2012. Males are affected significantly more than females, with a ratio ranging
from 2:1 to 4:1. as per UpToDate . Recurrence of head and neck cancer, especially in advanced stages is common (50%+), with limited
treatment alternatives.
Therapeutics is a biopharma company headquartered in Stockholm, Sweden, focused on identifying, developing, and commercializing novel
treatments in orphan indications with significant unmet medical needs. Calliditas' common shares are listed on Nasdaq Stockholm
(ticker: CALTX) and its American Depositary Shares are listed on the Nasdaq Global Select Market (ticker: CALT). Visit Calliditas.com
for further information.
press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended,
including, without limitation, statements regarding Calliditas' strategy, commercialization efforts, business plans, regulatory
submissions, clinical development plans, revenue and product sales projections or forecasts and focus. The words "may," "will,"
"could," "would," "should," "expect," "plan," "anticipate," "intend,"
"believe," "estimate," "predict," "project," "potential," "continue,"
"target," and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements
contain these identifying words. Any forward-looking statements in this press release are based on management's current expectations
and beliefs and are subject to a number of risks, uncertainties, and important factors that may cause actual events or results to differ
materially from those expressed or implied by any forward-looking statements contained in this press release, including, without limitation,
any related to Calliditas' business and operations, the presumed mechanism of action of setanaxib, the safety and efficacy of setanaxib
in SCCHN or other potential indications, anticipated timelines and other risks identified in the section entitled "Risk Factors"
in Calliditas' reports filed with the Securities and Exchange Commission. The results of early clinical trials may not predict
those of future, later-stage clinical trials. The clinical data presented herein involves a limited number of patients, and these results
may not be replicated in larger clinical trials. Calliditas cautions you not to place undue reliance on any forward-looking statements,
which speak only as of the date they are made. Calliditas disclaims any obligation to publicly update or revise any such statements to
reflect any change in expectations or in events, conditions, or circumstances on which any such statements may be based, or that may
affect the likelihood that actual results will differ from those set forth in the forward-looking statements. Any forward-looking statements
contained in this press release represent Calliditas' views only as of the date hereof and should not be relied upon as representing
its views as of any subsequent date.
Last updated: May 6, 2024