FDA gives LYT-200 fast track status as potential AML treatment

Therapy in clinical trial in pretreated adults with relapsed or refractory disease

Marisa Wexler, MS avatar

by Marisa Wexler, MS |

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The U.S. Food and Drug Administration (FDA) has granted fast track designation to Puretech Health’s LYT-200, an investigative treatment for acute myeloid leukemia (AML), a type of blood cancer.

This FDA status aims to speed developmental work on therapies for serious diseases with a need for new medications, with a goal of more quickly moving them through clinical trials and into a possible regulatory approval review.

“Fast Track designation from the FDA reinforces our belief in the potential for LYT-200 to address the urgent needs of AML patients,” Luba Greenwood, entrepreneur-in-residence at Puretech, said in a company press release.

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Phase 1/2 clinical trial of LYT-200 is underway in AML and MDS patients

LYT-200 is a monoclonal antibody designed to target galectin-9, a protein that works to spur the growth of cancer cells while also helping cancer cells avoid being targeted by the immune system. By blocking galectin-9, the therapy aims to directly kill cancer cells, as well as to help the immune system be more effective in destroying them.

“By targeting galectin-9, a key driver of cancer proliferation and immune suppression, LYT-200 represents a novel and promising approach for patients in need, and we look forward to the continued development of this program,” Greenwood said.

Puretech is running a Phase 1/2 clinical trial (NCT05829226) testing LYT-200 on its own and in combination with standard cancer treatments in people with AML and another blood cancer. Early results indicated that more than half of patients given LYT-200 experienced a treatment response, showing with at least stable disease. The therapy also was reported to have a favorable safety profile at the various doses tested as a monotherapy (dose range: 2 mg/kg to 16 mg/kg) and in combination with standard therapy (dose range: 4 mg/kg to 12 mg/kg).

The trial may be recruiting eligible adults at nine sites in the U.S. The study is open to people with AML or high-risk myelodysplastic syndrome (MDS) whose disease has relapsed or failed to respond following at least one prior line of treatment.

“Relapsed/refractory acute myeloid leukemia is one of the most dire cancer diagnoses, with 50% of patients non-responsive to or relapsing after initial treatment,” Greenwood said in the December release of initial trial findings. “We are encouraged to see that LYT-200 achieved responses as well as long-term disease stabilization in heavily pre-treated patients, and we look forward to progressing LYT-200 as a critical therapeutic option with the potential to treat most AML patients.”

Puretech also is developing LYT-200 as a treatment for head and neck cancers. The FDA previously granted the therapy fast track status for that indication, and it has named LYT-200 an orphan drug for the treatment of AML. Orphan drug status is designed to provide extra incentives to companies that are investing in new treatments for rare diseases.