RE: down it goes on bad news8 Mar 2023 10:03
Yes, a shame the monotherapy data has come ahead of combination data as the most likely setting for RXC004 was always going to be in combination due to its mechanism of action. This from Trinity Delta back in January:-
'Key data from the monotherapy arms of the Phase II programme will be toxicity and tolerance, rather than efficacy, in our view. This is owing to patients having advanced, hard-to-treat disease, in addition to RXC004’s mechanism which, on its own, is cytostatic (slows cell growth) rather than cytotoxic (kills tumours). Hence, at best we expect to see evidence of disease stabilisation rather than improving outcomes (as measured by responses)................ we only expect responses in the monotherapy arms (partial or complete) if there is some residual synergistic effect from prior treatment regimens, notably checkpoint inhibitors (CPIs).
The true indication of RXC004’s potential efficacy, and likely the biggest commercial opportunity, will therefore arise from combination studies with CPIs'
Redx have a collaboration with Merck for the combination trial - let's hope RXC004 performs as hoped in this setting.
Finally as always, a thought for the patients who agreed to take part in the monotherapy trial.