Item 7.01. Regulation FD Disclosure.
On
In addition, the Company has made available on its website the Company's
investor presentation from the 63rd
The information in this Item 7.01, including Exhibits 99.1 and 99.2 attached hereto, is intended to be furnished and shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the Exchange Act), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such filing.
Item 8.01. Other Events.
Etavopivat Phase 1 Trial Findings Presented at ASH
On
These Phase 1 trial findings, presented in two oral sessions on
In the open label cohort of a randomized, placebo-controlled Phase 1 trial
(NCT03815695), 15 patients received etavopivat 400 mg once daily for up to 12
weeks, with a data cutoff as of
Significant and sustained improvement in anemia and RBC health
Etavopivat administered for up to 12 weeks reduced anemia by significantly raising and sustaining hemoglobin levels. A hemoglobin increase >1 g/dL was experienced by 73.3 percent (11/15) of patients (p<0.0001), with a maximal mean increase of 1.5 g/dL.
Etavopivat therapy also significantly increased the lifespan of RBCs and decreased hemolysis, as measured by three biomarkers that together indicate enhanced survival of RBCs. Durability of these improvements was sustained throughout the 12 weeks of treatment: absolute reticulocyte count (ARC, p<0.05), indirect bilirubin (p<0.0001), and lactate dehydrogenase (p<0.05).
In addition, an analysis of all patients in the 12-week open label cohort showed a decreasing trend in VOCs requiring hospitalization when compared to the rate 12 months prior to trial entry. Of the 15 patients receiving etavopivat, only a single VOC was reported while on treatment, which was precipitated by a grade 3 COVID-19 infection, representing an annualized VOC rate of 0.3. The cohort's pre-study annualized VOC rate was 0.93 (13 events).
Etavopivat was well tolerated, consistent with safety profile of underlying SCD
The primary endpoint of the Phase 1 trial was the incidence, frequency, and severity of adverse events (AEs). In the 12-week open-label extension, most AEs were grades 1 and 2. Two patients reported three serious grade 3 AEs on treatment, including a VOC following a COVID-19 infection unrelated to treatment, and a previously reported deep
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vein thrombosis. During the four weeks post-treatment, three patients reported four serious AEs, all grade 3 and considered unrelated to etavopivat, including VOC, syncope, and acute chest syndrome and VOC following a respiratory infection.
Etavopivat multimodal mechanism of action improved biomarkers of RBC health and SCD in exploratory analyses
Findings from exploratory analyses showed improvements in RBC health and function as measured by biomarkers of SCD during 12 weeks of etavopivat therapy.
Etavopivat's multimodal mechanism of action via PKR activation resulted in increased adenosine triphosphate (ATP), and decreased 2,3-diphosphoglycerate (2,3 DPG), which was sustained during 12 weeks of etavopivat treatment. Four weeks post treatment, ATP and DPG levels gradually returned to pre-treatment levels, suggesting the potential durability of etavopivat on RBC health may persist for 1-4 weeks following the treatment period.
Surrogate marker results showed etavopivat normalized the affinity of hemoglobin for oxygen, resulting in improved oxygen release in the peripheral tissues and reducing RBC sickling. Further analysis after two weeks of etavopivat treatment support improved RBC membrane health, with increased levels of two enzymes important to reducing oxidative stress in sickled RBCs: superoxide dismutase activity (SOD, p<0.05) and glutathione reductase activity (GSH, p<0.001), as well as significantly repairing membrane damage, as measured by phosphatidylserine (PS, p<0.01). Additionally, up to 12 weeks of etavopivat showed promising trends in reducing systemic biomarkers of inflammation and coagulation. Significant decreases were observed in TNF-alpha (p<0.001), prothrombin 1.2 (p<0.05), and D-dimer (p<0.01). In addition, improved oxygen delivery was observed as measured by significant decreases in erythropoietin levels (p<0.05).
Additional Clinical Updates
Additional etavopivat trials to begin late 2021/1H:22 and Hibiscus Study interim analysis update
The Company plans to initiate a Phase 2 trial in transfusion dependent SCD and both transfusion dependent and independent thalassemia prior to the end of the year, and a pediatric SCD trial beginning in the first half of 2022. The Company currently plans to conduct the first interim analysis in the Hibiscus Study in the latter part of 2022.
Additional FT-7051 clinical results in mCRPC to be presented in 2022
Men with metastatic castration-resistant prostate cancer (mCRPC) continue to be enrolled in the dose escalation portion of the Phase 1 trial. The Company plans to present updated results from the trial at a scientific conference in mid-2022.
Forward-looking Statements
The disclosure under this Item 8.01 contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, express or implied statements regarding the Company's beliefs and expectations regarding: future plans for the Company's product candidates, including expectations regarding timing, trial enrollment, success and data announcements of the Company's current and planned clinical trials; initial results for the etavopivat open label extension cohort of the Company's Phase 1 clinical trial; therapeutic potential, clinical benefits, mechanisms of action as well as tolerability and safety of the Company's product candidates; upcoming milestones and planned additional trials for the Company's product candidates; presentation of data at upcoming scientific conferences; and the potential impact of COVID-19 on patient retention and enrollment, future operations, clinical trials or planned regulatory filings. 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 under this Item 8.01 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
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differ materially from those expressed or implied by any forward-looking
statements contained under this Item 8.01, including, without limitation, those
risks and uncertainties associated with the following: the impact of the
COVID-19 pandemic on the Company's business, operations, patient enrollment and
retention, strategy, goals and anticipated milestones; the therapeutic potential
and tolerability of the Company's product candidates; the timing and completion
of the Company's clinical trials and final audit and quality controlled
verification of initial data and related analyses; the timing associated with
the initiation or continuation of any trials and success of ongoing and future
clinical trials; the Company's ability to execute on its strategy; positive
results from a clinical study may not necessarily be predictive of the results
of future or ongoing clinical studies; any one or more of the Company's product
candidates may not be successfully developed and commercialized; regulatory
developments in
Item 9.01. Exhibits (d) Exhibits 99.1 Press release issued byForma Therapeutics Holdings, Inc. onDecember 11, 2021 , furnished herewith. 99.2Forma Therapeutics Holdings, Inc. Corporate Presentation, datedDecember 13, 2021 , furnished herewith. 104 Cover Page Interactive Data File (embedded within the Inline XBRL document)
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