Pancreatic cancer
"Digital medical illustration: Perspective x-ray view of human pancreas with tumor. Anatomically correct. Isolated on black.For other cancer related-and general anatomy images, see:"

Caris Life Sciences and cancer-focused biopharma company Threshold Pharmaceuticals announced a development and commercialization agreement that will see the companies use Caris’ ADAPT Biotargeting System to develop a tissue-based clinical diagnostic assay to predict the likelihood of response to evofosfamide, Threshold’s lead drug candidate.

Under the terms of the agreement, the companies will work together using tumor samples and clinical outcomes data from the recently completed Phase III MAESTRO study in patients with advance pancreatic cancer to develop a multiplexed diagnostic assay intended to classify patient’s potential outcomes from using evofosfamide. Late last year, Threshold announced that the MAESTRO study for evofosfamide had not reached it primary endpoint, though a subset of 116 patients from Japan had shown meaningful improvement in overall survival.

“Since it is well understood that patients exposed to the same chemotherapy often respond differently, we look forward to working with Caris and their innovative ADAPT Biotargeting System to help physicians identify those patients most likely to benefit from evofosfamide,” said Barry Selick, Ph.D., CEO of Threshold. “We remain optimistic about the potential role of evofosfamide for the treatment of cancer, and we continue to pursue discussions with Japanese regulatory authorities regarding potential registration pathways for evofosfamide and other development opportunities with evofosfamide.”

The ADAPT Biotargeting System is a technology platform for unbiased profiling of the molecular composition of cells, tissues, and circulating microvesicles/exosomes. The system can profile a diverse set of targets including cells, circulating microvesicles /exosomes, DNA, and messenger and micro RNAs among others. The company also offers comprehensive tumor profiling services via its Caris Molecular Intelligence offering,which uses multiple molecular testing technologies including immunohistochemistry, in situ hybridization, 46- and 592-gene NGS, Sanger Sequencing, Pyro Sequencing, and Fragment Analysis, in order to detect and analyze biomarkers.

Caris' ADAPT Biotargeting System is currently being used in discovery research, advanced diagnostics, and drug development programs across multiple diseases. It also has potential utility in drug delivery, disease monitoring, and direct therapeutic applications.

“We are pleased to work with Threshold Pharmaceuticals to support the development of their novel potential therapy, which has shown promising results in this difficult-to-treat disease,” said Bart Howe, executive vice president of business development and corporate strategy at Caris. “Our innovative and revolutionary ADAPT Biotargeting System is uniquely positioned to support the pharmaceutical clinical development process by identifying complex molecular signatures that can predict a patient's likelihood of response to a particular therapy.”

While specific financial details of the agreement were not disclosed, a press release from Threshold indicated that Caris stands to earn ” several million dollars in clinical development milestones and undisclosed downstream royalty payments” from the successful development and commercialization of the diagnostic assay.

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