VERU Inc.: Just got back from my... - Advanced Prostate...

Advanced Prostate Cancer

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VERU Inc.

Magnus1964 profile image
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Just got back from my monthly doctor visit. My research doc was at the American Urologic Association conference. Here is one of the thing he seemed excited about:

Veru Advances Novel, First-in-Class Oral Tubulin Inhibitor for Refractory Metastatic Prostate Cancer

GlobeNewswire•November 13, 2018

-- Submits Investigational New Drug Application to FDA --

-- Open Label Phase 1b/2 Clinical Trial Expected to Begin before end of 2018 --

MIAMI, Nov. 13, 2018 (GLOBE NEWSWIRE) -- Veru Inc. (VERU), an oncology and urology biopharmaceutical company, today announced that it has submitted an Investigational New Drug (IND) application with the U.S. Food and Drug Administration (FDA) for VERU-111 (bisindole), a first-in-class, next generation, proprietary, oral tubulin inhibitor for the treatment of refractory metastatic prostate cancer. The Company plans to conduct an open label Phase 1b/2 clinical trial in men with metastatic castration resistant prostate cancer that have also become resistant to, or who have failed to respond to, abiraterone or enzalutamide.

“Submission of this IND is an important milestone in advancing into humans VERU-111 -- a first-in-class, next generation, proprietary, oral tubulin inhibitor. VERU-111 is being developed for men who have metastatic castration resistant prostate cancer that have also become refractory to, or who have failed to respond to, abiraterone or enzalutamide. This group of men may be the largest growing segment of advanced prostate cancer unmet need. These men with refractory prostate cancer are now being offered intravenous administration of anti-tubulin taxanes that can have significant safety limitations like hypersensitivity, myelosuppression (neutropenia) and neurotoxicity,” commented Mitchell Steiner, M.D., Chairman, President and Chief Executive Officer of Veru.

“Based on our extensive preclinical experience, we believe VERU-111 should demonstrate significant antitumor activity against metastatic castration and novel androgen blocking agent (enzalutamide or abiraterone) resistant prostate cancers with oral dosing and a favorable safety profile. We expect to begin an open label Phase 1b/2 clinical trial before the end of 2018. The open label design of the trial means that we will have safety and efficacy data as early as the first half of calendar year 2019.”

About VERU-111

VERU-111 is a novel, next generation oral anti-tubulin therapy that targets alpha and beta tubulin subunits. In animal models, VERU-111 delivered by oral administration demonstrated significant anti-tumor activity in models of metastatic, castration and novel androgen blocking agent (abiraterone or enzalutamide) resistant prostate cancer. In the preclinical toxicology studies, VERU-111, at oral doses that had significant antitumor effects, did not result in neutropenia or myelosuppression, common dose limiting side effects of other antitubulins including intravenous taxanes or intravenous vinca alkaloids. Also, VERU-111 had antitumor effects in other cancer types including preclinical human models for triple negative breast cancer, ovarian cancer and pancreatic cancer.

About Veru Inc.

Veru Inc. is an oncology and urology biopharmaceutical company developing novel medicines for prostate cancer and prostate cancer supportive care as well as near term specialty pharmaceuticals to address significant unmet needs in urology.

The Veru prostate cancer pipeline includes zuclomiphene citrate (also known as VERU-944, cis-clomiphene) and VERU-111 (bisindole). Zuclomiphene citrate is an estrogen receptor agonist being evaluated in a Phase 2 trial to treat hot flashes, a common side effect caused by hormone treatment for men with advanced prostate cancer. VERU-111 is an oral, next-generation, first-in-class, agent that targets alpha and beta subunits caused by cells to form cellular microtubules to treat castration and novel androgen blocking agent (abiraterone or enzalutamide) resistant metastatic prostate cancer that Veru expects to enter Phase 1b/2 development in late 2018.

Veru is also advancing four new drug formulations in its specialty pharmaceutical pipeline addressing unmet medical needs in urology. Tamsulosin DRS granules and Tamsulosin XR capsules are formulations of tamsulosin, a super selective alpha-1 adrenergic receptor antagonist for the treatment of benign prostatic hyperplasia (BPH), that avoid the “food effect” in currently marketed formulations of the drug, allowing for potentially safer administration and improved patient compliance (NDA submission expected in 2019). Veru is also developing Tadalafil/Finasteride combination tablets for inhibition of both phosphodiesterase type 5 (PDE5) and 5-alpha-reductase to shrink an enlarged prostate, treat symptoms of BPH and to treat erectile dysfunction (NDA submission expected in 2019). Finally, Veru is developing Solifenacin DRG granules, a formulation of a selective M3 muscarinic receptor antagonist for the treatment of overactive bladder in patients who have difficulty with swallowing tablets (NDA submission expected in 2019).

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Magnus1964
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NPfisherman profile image
NPfisherman

Thanks for posting this Magnus....I have been watching this one and many more....the science is indeed coming...it's the speed I worry about...

Fish

DSEE profile image
DSEE

This is good information since I am being pointed towards my second taxotere treatment since DX in 2015.

FCoffey profile image
FCoffey

Very exciting, but there is already a potent, proven, safe tubulin inhibitor drug on the market. It's called Fenbendazole and you can buy it online. There are a number of people claiming remarkable results, including a man with small cell lung cancer (a bad one, most are non small cell lung cancers) whose PET scans looked like an overlit Christmas tree. Told to get his affairs in order, he's been cancer free for 2 years and his PET scan is clear.

It was discussed on this forum recently,

healthunlocked.com/advanced...

monte1111 profile image
monte1111

Thanks for the post, and hope you are doing well Magnus. Sounds like I should maybe start going to the vet. I'm sure I got some de-wormer out in the garage. I will need something when the Xtandi quits working. Enjoy.

Magnus1964 profile image
Magnus1964 in reply to monte1111

You and me both. Xtandi may be nearing an end. However, my last 3 PSA tests were all very close, 32.89, 32.32 and 32.67. I am left wondering if my addition of ursolic acid is to be credited with this. Anyway, i will have to keep fenbendazole on the back burner.

Longterm101 profile image
Longterm101 in reply to Magnus1964

What are your T levels?? Stay healthy

Magnus1964 profile image
Magnus1964 in reply to Longterm101

My T level has not been taken in a while????? Interesting, I have not notice that when I log into the Hospital database. The last time it was taken was 5/2017. My T level was 21. Something to ask the research team.

Longterm101 profile image
Longterm101 in reply to Magnus1964

Stay healthy

Magnus1964 profile image
Magnus1964 in reply to monte1111

Monte, here it is 11 months later. Are you still on xtandi? I hope it's still working for you. I would be interested if and when you start fenbendazole. I too am going to need something to go to when xtandi fails. Looking to see how it works for others.

monte1111 profile image
monte1111

Hi Magnus. Yes I am still on xtandi. 32 months so far. Psa steady at 0.1 for quite a while. I believe larry_dammit may be at about 38 months. I have extensive bone mets, chemo seemed to have "taken care" of abdominal mets. I have the usual side effects, but which drug or drug combo's cause them, I do not know. All in all, they are not that bad. I have been keeping my eye on fenbendazole but will probably try some other things first. Some posted experiences with Provenge and Xofigo are troubling me. But don't see how I can refuse them. You've been kicking that can down the road for a long long time. Hopefully the xtandi keeps on working for you. Doesn't seem as if fenbendazole can hurt. I think I will check into it again also.

Magnus1964 profile image
Magnus1964 in reply to monte1111

I am officially off the trial but I have 4 bottles of xtandi. So until they decide about xofigo I am good.

monte1111 profile image
monte1111

A year on the trial? I know you've already done Provenge. I've hear you say do a treatment until it no longer works? If the xtandi is keeping you stable, can you continue on it? Are your knee bones still connected to your leg bones?

Magnus1964 profile image
Magnus1964 in reply to monte1111

I was on the trial for 4 years. My psa started to rise so my Research doctor took off the trial. I was the last man standing in the entire country.

monte1111 profile image
monte1111 in reply to Magnus1964

That's what we all want to be --- the last man standing. How many years has it been? 25, 27 --- something like that. You are already a legend.

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