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Merck KGaA takes a punt on Inspirna’s novel approach

The German group hopes to expand its colorectal cancer offering, taking on the only SLC6A8 inhibitor in development.

Merck KGaA has struck a couple of small deals recently, and today’s could be the boldest yet. The group is taking a risk on an untested mechanism, licensing Inspirna’s SLC6A8 inhibitor ompenaclid today outside the US, for an undemanding $45m up front.

Data presented at ESMO, in RAS-mutated second-line colorectal cancer, were the likely trigger for the deal, which also sees Merck gain an option to co-develop and co-commercialise ompenaclid in the US.

However, there are caveats about the results, from a phase 1/2 trial that enrolled patients previously treated with either chemo or Avastin, who then received ompenaclid plus chemo plus Avastin. Merck today highlighted 11 partial responses among 30 evaluable RAS-mutant patients, giving an ORR of 37%; however, seven responders were Avastin-naive, so might have been responding to the approved drug.

 

Efficacy with ompenaclid in second-line CRC

 

By way of benchmarks, Folfiri chemo plus Avastin, the standard of care for second-line colorectal cancer, produces an ORR of around 15%, according to the ESMO poster.

Another potential competitor in late-line colorectal cancer could be the KRAS G12C inhibitors, which have led to response rates of 26-62%; however, a comparison here is difficult because these were trialled in combination with Lilly/Merck KGaA’s Erbitux or Amgen’s Vectibix, and in a much narrower mutant population.

In any case, this efficacy signal was enough for Inspirna to take ompenaclid into a randomised, controlled phase 2 in RAS-mutant second-line colorectal cancer, and clearly enough to interest Merck, which will also collaborate on Inspirna’s follow-on SLC6A8 inhibitors. According to OncologyPipeline no other companies are looking at this target, which is involved in creatine transport.

Merck’s latest tie-up follows recent transactions with Abbisko over the CSF-1R inhibitor pimicotinib and Jiangsu Hengrui for the PARP1 inhibitor HRS-1167, worth $70m and €160m up front respectively.

However, deals of this size look unlikely to move the needle for Merck, whose pipeline recently took a blow with the failure of evobrutinib, a BTK inhibitor being developed for multiple sclerosis. 

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