May 13 (Reuters) - Merck ( MRK ) said on Monday it had
discontinued an experimental combination treatment testing a new
type of immunotherapy in patients with a severe form of skin
cancer after side effects led to high discontinuation.
This is the latest setback for the experimental drug,
vibostolimab, and the related promising new class of
immunotherapies called anti-TIGIT.
Merck ( MRK ) was testing vibostolimab along with Keytruda, its
top-selling cancer drug, in a late-stage study in patients with
resected high-risk melanoma.
An analysis showed the trial will not achieve the main goal
of statistically significant improvement in recurrence-free
survival as more side effects led to several patients
discontinuing the combination treatment versus those on Keytruda
alone, Merck ( MRK ) said.
The company will recommend patients receiving the
combination treatment be offered the Keytruda monotherapy.
Vibostolimab works by selectively binding itself to TIGIT, a
receptor on immune cells, to activate the immune system against
cancer cells.
Merck ( MRK ) said it still had an extensive clinical development
program evaluating the vibostolimab-Keytruda combination.
The combination treatment had earlier failed to
significantly slow disease progression in lung cancer patients
in a late-stage study last year.
Data from another trial in March last year had also showed
that it was less effective than a generic medicine called
docetaxel in some patients with non-small cell lung cancer.
Gilead Sciences ( GILD ), Roche and GSK are
among half a dozen drugmakers looking to grab a share of the
lucrative anti-TIGIT cancer drug market, but the field has seen
multiple setbacks.
Gilead and its partner Arcus Biosciences ( RCUS ) in January
stopped a late-stage trial involving their anti-TIGIT candidate
domvanalimab in a type of lung cancer. Gilead has announced a
$320 million investment in its biotech partner as it refocused
its anti-TIGIT push.