8-K
false 0001654151 0001654151 2020-11-11 2020-11-11

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

Date of Report (Date of Earliest Event Reported): November 11, 2020

 

 

Deciphera Pharmaceuticals, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

Delaware   001-38219   30-1003521

(State or other jurisdiction

of incorporation)

 

(Commission

File Number)

 

(IRS Employer

Identification No.)

 

200 Smith Street, Waltham, Massachusetts   02451
(Address of principal executive offices)   (Zip code)

Registrant’s telephone number, including area code: (781) 209-6400

 

(Former name or former address, if changed from last report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 203.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Exchange Act:

 

Title of each class

 

Trading

Symbol

 

Name of exchange

on which registered

Common Stock, $0.01 Par Value   DCPH   Nasdaq Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company  

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  

 

 

 


Item 8.01

Other Events.

On November 11, 2020, Deciphera Pharmaceuticals, Inc. announced the presentation of preliminary results from the ongoing Phase 1/2 study of DCC-3014, a highly selective, oral, investigational switch-control kinase inhibitor of CSF1R, in patients with tenosynovial giant cell tumor. The presentation, titled “Phase 1 Dose-Escalation Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of DCC-3014 in Advanced Solid Tumors and Tenosynovial Giant Cell Tumor (TGCT)”, will be presented at the Connective Tissue Oncology Society (CTOS) 2020 Virtual Annual Meeting. A copy of the presentation is filed herewith as Exhibit 99.1 to this Current Report on Form 8-K and incorporated herein by reference.

 

Item 9.01

Financial Statements and Exhibits.

(d) Exhibits.

 

Exhibit

  No.  

  

Description

99.1    Presentation from November 11, 2020, filed herewith
104    Cover Page Interactive Data File (embedded within the Inline XBRL document).


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Date: November 11, 2020     DECIPHERA PHARMACEUTICALS, INC.
    By:  

/s/ Steven L. Hoerter

    Name:   Steven L. Hoerter
    Title:   President and Chief Executive Officer
EX-99.1

Exhibit 99.1

 

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Exhibit 99.1 CTOS Annual Meeting, Nov 18–21, 2020 Phase 1 Dose-Escalation Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of DCC-3014 in Advanced Solid Tumors and Tenosynovial Giant Cell Tumor (TGCT) (NCT3069469) Albiruni Abdul Razak1, Breelyn A. Wilky2, Jacqueline Vuky3, Lara E.Davis3, Todd Bauer4, Hans Gelderblom5, Mary Michenzie6, Maitreyi Sharma6, Rodrigo Ruiz-Soto6, Matthew L. Sherman6, William D. Tap7 1Toronto Sarcoma Program, Princess Margaret Cancer Center, Toronto, ON, Canada; 2Medicine, University of Colorado Cancer Center, Aurora, CO, United States; 3OHSU Knight Cancer Institute, Portland, OR, United States; 4Sarah Cannon Research Institute and Tennessee Oncology, Nashville, TN, United States; 5Medical Oncology, Leiden University Medical Center, Leiden, Netherlands; 6Deciphera Pharmaceuticals, LLC, Waltham, MA, United States; 7Medical Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, United States.


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CTOS Annual Meeting, Nov 18–21, 2020
Disclosures
Albiruni R. Abdul Razak
• Honoraria: Boehringer Ingelheim
• Consulting or Advisory Role: Eli Lilly, Merck, Boehringer Ingelheim, Adaptimmune
• Research Funding: CASI Pharmaceuticals, Boehringer Ingelheim, Lilly, Novartis, Deciphera, Karyopharm Therapeutics, Pfizer, Roche/Genentech, Boston Biomedical, Bristol-Myers Squibb, MedImmune, Amgen, GlaxoSmithKline, Blueprint Medicines, Merck, AbbVie, Adaptimmune, Iterion
2


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CTOS Annual Meeting, Nov 18–21, 2020
DCC-3014 – Highly Selective CSF1R Kinase Inhibitor
CSF1R
DCC-3014 is a highly selective, oral, FGFR4 CSF1R
FGFR1
investigational switch control kinase FLT1 VEGFR2 inhibitor that exhibits nanomolar KIT
RET
MER
potency for CSF1R with >100-fold AXL SKY FLT4
FLT3PDGFRA
selectivity vs closely related kinases PDGFRB
(KIT, PDGFRá, PDGFRâ, and FLT3)1
DCC-3014 inhibits CSF1R signaling in cellular assays, as well as blocks macrophage-mediated tumor cell migration, osteoclast differentiation, and proliferation of a CSF1R-
IC50 values
dependent cell line CSF1R 3 nM
KIT 1600 nM BRK 2100 nM LCK 2800 nM ABL 2900 nM
CSF1R, colony-stimulating factor 1 receptor; FLT3, fms-like tyrosine kinase 3; PDGFR, platelet-derived growth factor receptor.
1. Smith BD, et al. AACR Annual Meeting; April 16–20, 2016; New Orleans, LA. Abstract 4889. 3


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CTOS Annual Meeting, Nov 18–21, 2020
Study Design
Phase 2
Expansion
Phase 1
Cohort A Dose escalation n ~40 pts (3+3 design) Declare TGCT
No prior anti-CSF1/CSF1R n ~60 pts RP2D
MST and TGCT
Expansion Cohort B
Symptomatic TGCT not amenable to surgery n ~20 pts TGCT
Prior anti-CSF1/CSF1R allowed
Phase 1 primary objectives
• Assess safety and tolerability of DCC-3014 (including occurrence of DLTs and incidence of TEAEs)
• Characterize the pharmacokinetic profile
• Determine RP2D/MTD
Phase 1 relevant exploratory objectives
• Evaluate preliminary antitumor activity (RECIST v1.1)
• Read by independent central imaging vendor
• Evaluate pharmacodynamics (CSF1/IL-34 and circulating non-classical monocytes)
CSF1, colony-stimulating factor 1; CSF1R, colony-stimulating factor 1 receptor; DLT, dose-limiting toxicity; IL, interleukin; MST, malignant solid tumor; pts, patients; MTD, maximum tolerated dose; RECIST v1.1, Response Evaluation Criteria In Solid Tumors version 1.1; RP2D, recommended phase 2 dose;
TEAE, treatment-emergent adverse event; TGCT, tenosynovial giant cell tumor. (NCT03069469) 4


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CTOS Annual Meeting, Nov 18–21, 2020
Phase 1 Enrollment and Patient Disposition
• Study initially enrolled patients with malignant solid tumors in the first 7 cohorts
• TGCT patients initially enrolled to escalation cohort 5, then TGCT-specific escalation cohorts 8 and 9 were enrolled
Enrollment
MST TGCT
(Phase 1 safety population)
Loading doses Dose patients, patients,
N = 62 n n
Cohort 1 None 10 mg QD 7 Cohort 2 10 mg QD x 5 days 10 mg BIW 3
Malignant solid tumors TGCT (TGCT safety population) Cohort 3 20 mg QD x 5 days 20 mg QW 4 n = 37 n = 25 Cohort 4 20 mg QD x 5 days 20 mg BIW 4 Cohort 5 30 mg QD x 5 days 30 mg BIW 6 7 Cohort 6 40 mg QD x 5 days 40 mg BIW 5
• Receiving DCC-3014 at time of cutoff (n = 22) Cohort 7 50 mg QD x 3 days 20 mg QD 8
• Discontinued from study treatment (n = 3) Cohort 8 30 mg QD x 3 days 10 mg QD 12—Withdrawal of patient (n = 2) Cohort 9 20 mg QD x 3 days 6 mg QD 6—Adverse event (n = 1)
Data cutoffs: Safety, September 23, 2020; Efficacy, October 5, 2020.
BIW; twice weekly; MST, malignant solid tumor; QD, daily; QW, weekly; TGCT, tenosynovial giant cell tumor. 5


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CTOS Annual Meeting, Nov 18–21, 2020
TGCT Patient Demographics and Prior Therapies
Total (N = 25) Age, years, median (min, max) 52 (23, 73) Gender
Female 14 (56) Male 11 (44)
Race
White 24 (96) Asian 1 (4)
Disease location
Knee 16 (64) Ankle 5 (20) Hip 2 (8) Foot 1 (4)
Wrist 1 (4)
Patients with at least one prior surgery 7 (28) Patients with at least one prior systemic therapy 4 (16)
Tyrosine kinase inhibitor (imatinib) 3 (12) Anti-CSF1R monoclonal antibody 1 (4)
Data are presented as No. (%) unless otherwise noted.
CSF1R, colony-stimulating factor 1 receptor; TGCT, tenosynovial giant cell tumor. 6


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CTOS Annual Meeting, Nov 18–21, 2020
Common (³15%) TEAEs, Regardless of Relatedness – TGCT Safety Population
TGCT patients (N = 25)
• Observed transaminase and pancreatic
Cohort 5 Cohort 8 Cohort 9
Total TGCT
Preferred term, No. (%) 30 mg BIWa 10 mg QDb 6 mg QDc enzyme elevations are consistent with
(N = 25)
(N = 7) (N = 12) (N = 6) the mechanism of action of CSF1R
All grades Grade 3/4 All grades Grade 3/4 All grades Grade 3/4 All grades Grade 3/4 inhibitors Blood CPK increased 3 (43) 1 (14) 7 (58) 4 (33)d 3 (50) 0 13 (52) 5 (20)
• Asymptomatic, not clinically significant
AST increased 4 (57) 1 (14) 6 (50) 2 (17) 1 (17) 0 11 (44) 3 (12)
Periorbital edema 3 (43) 0 7 (58) 0 1 (17) 0 11 (44) 0 • All bilirubin levels were within the
Fatigue 3 (43) 0 4 (33) 0 3 (50) 0 10 (40) 0 normal limit
Lipase increased 1 (14) 0 5 (42) 3 (25) 2 (33) 0 8 (32) 3 (12) • No related SAEs reported
ALT increased 1 (14) 0 5 (42) 0 1 (17) 0 7 (28) 0
Amylase increased 0 0 6 (50) 1 (8) 0 0 6 (24) 1 (4) • 2 DLTs reported
Face edema 0 0 5 (42) 0 1 (17) 0 6 (24) 0 • 1 patient each in cohort 5 and 8
Headache 3 (43) 0 3 (25) 0 0 0 6 (24) 0 • Both patients had asymptomatic grade 3
Pruritis 1 (14) 0 4 (33) 0 1 (17) 0 6 (24) 0 AST elevation
Nausea 2 (29) 0 3 (25) 0 0 0 5 (20) 0 • Both patients had grade 1 AST elevation
Rash maculo-papular 0 0 4 (33) 0 1 (17) 0 5 (20) 0 at baseline Arthralgia 1 (14) 0 2 (17) 0 1(17) 0 4 (16) 0
Diarrhea 1 (14) 1 (14) 3 (25) 0 0 0 4 (16) 1 (4)
Myalgia 0 0 4 (33) 1 (8) 0 0 4 (16) 1 (4)
Peripheral edema 0 0 3 (25) 0 1 (17) 0 4 (16) 0
aAfter5-day 30 mg QD loading dose; bAfter 3-day 30 mg QD loading dose; cAfter3-day 20 mg QD loading dose; dOnly grade 4 AE reported in TGCT patients is grade 4 CPK increased (cohort 8).
AE, adverse event; ALT, alanine aminotransferase; AST, aspartate aminotransferase; BIW, twice weekly; CPK, creatine phosphoki nase; DLT, dose-limiting toxicity; Gr, grade;
MST, malignant solid tumor; QD, daily; SAE, serious adverse event; TEAE, treatment-emergent adverse event; TGCT, tenosynovial giant cell tumor. 7
CTOS Annual Meeting, Nov 18–21, 2020
Common (³15%) TEAEs, Regardless of Relatedness – TGCT Safety Population
TGCT patients (N = 25)
• Observed transaminase and pancreatic
Cohort 5 Cohort 8 Cohort 9
Total TGCT
Preferred term, No. (%) 30 mg BIWa 10 mg QDb 6 mg QDc enzyme elevations are consistent with
(N = 25)
(N = 7) (N = 12) (N = 6) the mechanism of action of CSF1R
All grades Grade 3/4 All grades Grade 3/4 All grades Grade 3/4 All grades Grade 3/4 inhibitors Blood CPK increased 3 (43) 1 (14) 7 (58) 4 (33)d 3 (50) 0 13 (52) 5 (20)
• Asymptomatic, not clinically significant
AST increased 4 (57) 1 (14) 6 (50) 2 (17) 1 (17) 0 11 (44) 3 (12)
Periorbital edema 3 (43) 0 7 (58) 0 1 (17) 0 11 (44) 0 • All bilirubin levels were within the
Fatigue 3 (43) 0 4 (33) 0 3 (50) 0 10 (40) 0 normal limit
Lipase increased 1 (14) 0 5 (42) 3 (25) 2 (33) 0 8 (32) 3 (12) • No related SAEs reported
ALT increased 1 (14) 0 5 (42) 0 1 (17) 0 7 (28) 0
Amylase increased 0 0 6 (50) 1 (8) 0 0 6 (24) 1 (4) • 2 DLTs reported
Face edema 0 0 5 (42) 0 1 (17) 0 6 (24) 0 • 1 patient each in cohort 5 and 8
Headache 3 (43) 0 3 (25) 0 0 0 6 (24) 0 • Both patients had asymptomatic grade 3
Pruritis 1 (14) 0 4 (33) 0 1 (17) 0 6 (24) 0 AST elevation
Nausea 2 (29) 0 3 (25) 0 0 0 5 (20) 0 • Both patients had grade 1 AST elevation
Rash maculo-papular 0 0 4 (33) 0 1 (17) 0 5 (20) 0 at baseline Arthralgia 1 (14) 0 2 (17) 0 1(17) 0 4 (16) 0
Diarrhea 1 (14) 1 (14) 3 (25) 0 0 0 4 (16) 1 (4)
Myalgia 0 0 4 (33) 1 (8) 0 0 4 (16) 1 (4)
Peripheral edema 0 0 3 (25) 0 1 (17) 0 4 (16) 0
aAfter5-day 30 mg QD loading dose; bAfter 3-day 30 mg QD loading dose; cAfter3-day 20 mg QD loading dose; dOnly grade 4 AE reported in TGCT patients is grade 4 CPK increased (cohort 8).
AE, adverse event; ALT, alanine aminotransferase; AST, aspartate aminotransferase; BIW, twice weekly; CPK, creatine phosphoki nase; DLT, dose-limiting toxicity; Gr, grade;
MST, malignant solid tumor; QD, daily; SAE, serious adverse event; TEAE, treatment-emergent adverse event; TGCT, tenosynovial giant cell tumor. 7


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CTOS Annual Meeting, Nov 18–21, 2020
Dose Modifications Due to Adverse Events
Cohort 5 Cohort 8 Cohort 9
30 mg BIWa 10 mg QDb 6 mg QDc Total
(N = 7) (N = 12) (N = 6) (N = 25)
Patients with TEAE leading to dose modification,
3 (43) 5 (42) 1 (16.7) 9 (36)
No. (%)
Dose interruption 3 (43) 5 (42) 1 (16.7) 9 (36)
Dose reduction 2 (29) 2 (17) 0 4 (16)d
Treatment discontinuation 0 1 (8) 0 1 (4)e
aAfter5-day 30-mg QD loading dose; bAfter 3-day 30-mg QD loading dose; cAfter3-day 20-mg QD loading dose; dGrade 3 urticaria, grade 3 diarrhea, grade 1 pyrexia (SAE, not related), grade 2 myalgia, and grade 3 CPK increase; eGrade 3 AST increase (DLT).
AST, aspartate aminotransferase; BIW, twice weekly; CPK, creatine phosphokinase; DLT, dose-limiting toxicity; QD, daily; SAE, serious adverse event; TEAE, treatment-emergent adverse event. 8


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CTOS Annual Meeting, Nov 18–21, 2020
DCC-3014 Pharmacokinetics and Pharmacodynamics
• Steady state DCC-3014 exposure in TGCT patients Repeat dose DCC-3014 at cohorts 5, 8, and 9 was characterized concentration-time profile,
cycle 2 day 1
• Cohorts 5 and 8 had similar PK at cycle 2, day 1 1500
Cohort 5 (30 mg BIW, n=3) Cohort 8 (10 mg QD, n=7) Cohort 9 (6 mg QD, n=3)
• Across all cohorts, DCC-3014 treatment led to: (ng/mL), 1000
• Increased CSF1 (2.8–41-fold) and IL-34 levels plasma SD
±
(1.4–13-fold) in plasma 3014
• Decreased non-classical subtype of monocytes - Mean
DCC 500
CD14dim/CD16+ (59–87%) in the peripheral blood concentrations
0
0 1 2 3 4
Time after cycle 2, day 1 dose (hr)
CD, cluster of differentiation; CSF1, colony-stimulating factor 1; IL, interleukin; PK, pharmacokinetics; QD, daily; SD, standard deviation; TGCT, tenosynovial giant cell tumor. 9


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CTOS Annual Meeting, Nov 18–21, 2020 Antitumor Activity in TGCT Patients • Of the 25 TGCT patients enrolled into the study, 22 patients were evaluable for efficacy by RECIST v1.1 at the data cut off • 21 patients had central assessment for efficacy • 1 patient had local assessment for efficacy but no central assessment performed • 3 patients have not yet reached first efficacy assessment timepoint in the study • 9 (41%) patients across all TGCT cohorts achieved an objective response (1 complete response and 8 partial responses) • 7 of the 9 (78%) responders had a partial response at their first restaging scan evaluation 100 Cohort 5 5 Cohort 8 80 # Lesions Cohort 9 get Baseline 60 Cohort Tar—40 in    Post of 20 SD 8 0 Diameters Nadir SD SD SD SD Cohort of -20 SD the SD SD SD to SD SD Local SD Sum PR SD PR -40 in PR PR PR PR PR -60 Baseline CR 9 Change PR PR from -80 SD Cohort Ongoing -100 # From Local Data Percent CR 0 2 4 6 8 10 12 14 16 18 Months on Study Assessed by independent central review unless otherwise noted (RECIST v1.1). Of the 9 responses, 3 were confirmed and 6 are awaiting confirmation. Waterfall plot: +20% line is the threshold for disease progression; –30% line is the threshold from baseline to PR. CR, complete response; PR, partial response; RECIST v1.1, Response Evaluation Criteria In Solid Tumors version 1.1; SD, stable disease; TGCT, tenosynovial giant cell tumor. 10


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CTOS Annual Meeting, Nov 18–21, 2020 TGCT Case Studies Case Study 1 • 57-year-old female diagnosed with TGCT (hip) in 2014 67% ↓ • Prior surgeries: • Resection (May 2014) • Synovectomy (August 2015, August 2016) • Resection and total hip replacement (August 2018) • Cryoablation (May 2019) • Baseline tumor burden: 101 mm • Enrolled July 2019 (cohort 5 – DCC-3014 30 mg twice weekly) • Dose reduced to 20 mg twice weekly in cycle 6 due to grade 3 urticaria, re-escalated in cycle 10 • Partial response after 2 cycles (33% decrease from baseline) • Treatment ongoing in cycle 16 (67% decrease at cycle 16, day 1) Baseline Cycle 16, day 1 • Durable, deep response TGCT, tenosynovial giant cell tumor. Patient provided informed consent for use of these images. 11


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CTOS Annual Meeting, Nov 18–21, 2020
TGCT Case Studies
Case Study 2 41% ↓
39-year-old female diagnosed with TGCT (knee) in April 2020
• No prior systemic therapy or surgery
• Baseline tumor burden: 126 mm
• Enrolled in June 2020 (cohort 8 – DCC-3014 10 mg daily)
• Partial response after 2 cycles (41% decrease from baseline)
• Treatment ongoing in cycle 4
Baseline Cycle 3, day 1
TGCT, tenosynovial giant cell tumor. Patient provided informed consent for use of these images. 12


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CTOS Annual Meeting, Nov 18–21, 2020
Conclusions • DCC-3014 is a highly selective, oral, investigational switch control kinase inhibitor of CSF1R and is generally well tolerated in patients with TGCT not amenable to surgery • 22 of the 25 TGCT patients remain on the study
• Similar steady state PK profiles were observed between 30 mg twice weekly (cohort 5) and 10 mg daily (cohort 8) dosing regimens; lower exposure was observed in 6 mg daily (cohort 9) dosing regimen
DCC-3014 treatment resulted in an increase in plasma CSF1/IL-34 and a decrease in non-classical sub-type of monocytes, indicating inhibition of CSF1R • DCC-3014 showed highly encouraging signs of antitumor activity in TGCT patients (n=22) • 9 (41%) patients across all TGCT cohorts achieved an objective response (1 complete response and 8 partial responses) • 7 of the 9 (78%) responders had a partial response at their first restaging scan evaluation • 2 TGCT patients were on treatment for ³12 months with responses that deepened over time • The recommended phase 2 dose for DCC-3014 in TGCT patients was determined to be 30 mg twice weekly (no loading dose) • These results are encouraging and support further evaluation of DCC-3014 in patients with TGCT not amenable to surgery • Study is ongoing and enrolling patients into TGCT expansion cohorts to further evaluate safety and efficacy (NCT03069469) CSF1, colony-stimulating factor 1; CSF1R, colony-stimulating factor 1 receptor; IL, interleukin; PK, pharmacokinetics; TGCT, tenosynovial giant cell tumor. 13


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CTOS Annual Meeting, Nov 18–21, 2020
Acknowledgements
• The authors would like to thank the patients and their families and caregivers, the investigators, and the investigational site staff of this study
• This study was sponsored by Deciphera Pharmaceuticals, LLC, Waltham, MA, USA
• Editorial assistance for this presentation was provided by Ashfield Healthcare LLC, a UDG company, and was funded by Deciphera Pharmaceuticals, LLC
14