0001193125-16-786342.txt : 20161206 0001193125-16-786342.hdr.sgml : 20161206 20161206163056 ACCESSION NUMBER: 0001193125-16-786342 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 5 CONFORMED PERIOD OF REPORT: 20161204 ITEM INFORMATION: Other Events ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20161206 DATE AS OF CHANGE: 20161206 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Karyopharm Therapeutics Inc. CENTRAL INDEX KEY: 0001503802 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 263931704 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-36167 FILM NUMBER: 162036648 BUSINESS ADDRESS: STREET 1: 85 WELLS AVENUE STREET 2: SECOND FLOOR CITY: NEWTON STATE: MA ZIP: 02459 BUSINESS PHONE: 617-658-0600 MAIL ADDRESS: STREET 1: 85 WELLS AVENUE STREET 2: SECOND FLOOR CITY: NEWTON STATE: MA ZIP: 02459 8-K 1 d288381d8k.htm FORM 8-K Form 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 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): December 4, 2016

 

 

Karyopharm Therapeutics Inc.

(Exact Name of Registrant as Specified in Charter)

 

 

 

Delaware   001-36167   26-3931704

(State or Other Jurisdiction

of Incorporation)

 

(Commission

File Number)

 

(IRS Employer

Identification No.)

85 Wells Avenue, 2nd Floor,

Newton, Massachusetts

  02459
(Address of Principal Executive Offices)   (Zip Code)

Registrant’s telephone number, including area code: (617) 658-0600

(Former Name or Former Address, if Changed Since 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 (see General Instruction A.2. below):

 

  Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

  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))

 

 

 


Item 8.01. Other Events.

On December 4, 2016, Karyopharm Therapeutics Inc. (the “Company”) issued a press release announcing updated results from its Phase 2b STORM study of selinexor (KPT-330). A copy of the press release is filed as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference.

On December 4, 2016, the Company issued a press release announcing updated results from an investigator-sponsored Phase 2 SAIL study of selinexor. A copy of the press release is filed as Exhibit 99.2 to this Current Report on Form 8-K and is incorporated herein by reference.

On December 5, 2016, the Company issued a press release announcing updated results from the dose-escalation portion of its ongoing Phase 1b/2 STOMP study of selinexor. A copy of the press release is filed as Exhibit 99.3 to this Current Report on Form 8-K and is incorporated herein by reference.

 

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits

The Exhibits to this Current Report on Form 8-K are listed in the Exhibit Index attached hereto.


SIGNATURE

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

 

    KARYOPHARM THERAPEUTICS INC.
Date: December 6, 2016     By:  

/s/ Christopher B. Primiano

     

Christopher B. Primiano

Senior Vice President, Operations,

Business Development, General Counsel and Secretary


EXHIBIT INDEX

 

Exhibit No.    Description
99.1    Press release dated December 4, 2016, entitled “Karyopharm Presents Updated Phase 2b STORM Data at the American Society of Hematology 2016 Annual Meeting.”
99.2    Press release dated December 4, 2016, entitled “Karyopharm Presents Updated Phase 2 SAIL Relapsed/Refractory AML Clinical Data at the American Society of Hematology 2016 Annual Meeting.”
99.3    Press release dated December 5, 2016, entitled “Karyopharm Presents Updated Phase 1b STOMP Data at the American Society of Hematology 2016 Annual Meeting.”
EX-99.1 2 d288381dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

 

LOGO    Targeting Disease at the Nuclear Pore

Karyopharm Presents Updated Phase 2b STORM Data at the American Society of Hematology

2016 Annual Meeting

- Data Continue to Reinforce the Efficacy and Safety of Selinexor in Patients with Heavily Pretreated Refractory Multiple Myeloma -

- Company to Host Dinner Reception and Webcast Event with Interactive Expert Panel Discussion on Monday, December 5, 2016 at 8:15 p.m. PT -

NEWTON, Mass. – December 4, 2016 – Karyopharm Therapeutics Inc. (Nasdaq:KPTI), a clinical-stage pharmaceutical company, today announced updated results from its Phase 2b STORM study of selinexor (KPT-330), including robust rates and duration of response, compelling overall survival and a favorable safety profile, in patients with heavily pretreated refractory multiple myeloma (MM) at the American Society of Hematology (ASH) 2016 annual meeting held December 3-6, 2016 in San Diego. Selinexor is the Company’s lead, novel, oral Selective Inhibitor of Nuclear Export (SINE™) compound, in development for the treatment of a variety of malignancies, including MM and acute myeloid leukemia (AML).

“The data presented today further support the rationale for selinexor as a promising new treatment for patients with refractory myeloma with no clearly beneficial treatment options,” said Sharon Shacham, PhD, MBA, President and Chief Scientific Officer of Karyopharm. “Based on the exciting STORM data and the existing unmet medical need, we have expanded the study to include additional patients with penta-refractory myeloma and expect to report top-line data from this study in early 2018.”

Updated Phase 2b STORM Clinical Data in Refractory Multiple Myeloma

In an oral presentation titled, “Selinexor and Low Dose Dexamethasone in Patients with Lenalidomide, Pomalidomide, Bortezomib, Carfilzomib and Anti-CD38 Ab Refractory MM STORM Study,” Dan T. Vogl, MD, MSCE, Assistant Professor of Medicine, Perelman School of Medicine, University of Pennsylvania, presented updated clinical data from the ongoing Phase 2b STORM study, a single-arm clinical trial evaluating selinexor in combination with low-dose dexamethasone in patients with quad-refractory or penta-refractory myeloma. Patients with quad-refractory disease have previously received two proteasome inhibitors (PIs) (bortezomib (Velcade®) and carfilzomib (Kyprolis®)) and two immunomodulatory drugs (IMiDs) (lenalidomide (Revlimid®) and pomalidomide (Pomalyst®)), and their disease is refractory to at least one PI, at least one IMiD, and has progressed following their most recent therapy. Patients with penta-refractory myeloma have quad-refractory disease that is also refractory to an anti-CD38 monoclonal antibody, such as daratumumab (Darzalex®) or isatuximab.

 

Phase 2b STORM Efficacy

 

Category

   N1      ORR (%)     CBR (%)     VGPR (%)     PR (%)     MR (%)     SD (%)     PD (%)     NE (%)  

Overall

     78         16 (21%     26 (33%     4 (5%     12 (15%     10 (13%     27 (35%     9 (12%     16 (21%

Quad

     48         10 (21%     14 (29%     2 (4%     8 (17%     4 (8%     21 (44%     4 (8%     9 (19%

Penta

     30         6 (20%     12 (40%     2 (7%     4 (13%     6 (20%     6 (20%     5 (17%     7 (23%

6 Doses/month

     51         10 (20%     15 (29%     3 (6%     7 (14%     5 (10%     21 (41%     4 (8%     11 (2%

8 Doses/month

     27         6 (22%     11 (41%     1 (4%     5 (19%     5 (19%     6 (22%     5 (19%     5 (19%

ORR=Objective Response Rate (VGPR+PR), CBR=Clinical Benefit Rate (VGPR+PR+MR), VGPR=Very Good Partial Response,

PR=Partial Response, MR=Minor Response, SD=Stable Disease, PD=Progressive Disease, NE=Non-Evaluable

1  One patient not included, did not have active myeloma

 

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All responses were adjudicated by an Independent Review Committee (IRC). Among the 78 evaluable patients (median seven prior treatment regimens), the overall response rate (ORR) was 21%, and included very good partial responses (VGPR) and partial responses (PR). Among the 48 patients in the quad-refractory group, the ORR was 21%. For comparison, in a similar quad-refractory patient population, the anti-CD38 monoclonal antibodies Darzalex® and isatuximab had ORRs of 21% and 20%, respectively. Among the 30 patients in the penta-refractory group, the ORR was 20%. Clinical benefit rate (ORR + MR) was 32% (all patients), 29% (quad-refractory), and 37% (penta-refractory). To the Company’s knowledge, no other agents have reported response rates in patients with penta-refractory MM. Median overall survival (OS) was 9.3 months for all patients, greater than 11 months (median not reached) for patients with ³MR, and 5.7 months for patients who did not have any response (£SD). Median duration of response (DOR) was 5 months. Grade ³3 cytopenias were the most common side effects and were generally not associated with clinical sequellae. Nausea, anorexia and fatigue were the most common non-hematological side effects, primarily Grades 1 and 2, and were treatable with supportive care and/or dose modification. There were low rates of Grade ³3 non-hematologic toxicities, with no new safety signals identified. In particular, there was one reported case of Grade 4 infection (1.3%), one case of Grade 2 neuropathy (1.3%) and one reported case of sepsis (1.3%).

Dr. Vogl commented, “The quad- and penta-refractory populations are continuing to expand as patients live longer and cycle through a variety of treatment options, including immunomodulatory drugs, proteasome inhibitors, or anti-CD38 monoclonal antibodies, before their disease ultimately becomes refractory and non-responsive. In my experience, selinexor is the first agent to be specifically investigated in in this difficult to treat and currently underserved population. The response rate and duration suggest that selinexor has the potential to be an exciting new option for myeloma treatment.”

Karyopharm to Host Multiple Myeloma-focused Dinner Reception and Webcast at ASH 2016

On Monday, December 5, 2016, Karyopharm will host an investor and analyst dinner reception, which will feature a moderated panel discussion with recognized experts in the treatment of MM, updated selinexor data in MM, and a live Q&A session. Confirmed external speakers include:

 

    Daniel Auclair, PhD (Moderator), Multiple Myeloma Research Foundation

 

    Nizar Bahlis, MD, University of Calgary, Southern Alberta Cancer Research Institute

 

    Paul G. Richardson, MD, Dana Faber Cancer Institute, Jerome Lipper Multiple Myeloma Center

 

    Ravi Vij, MD, MBA, Washington University School of Medicine in St. Louis, Oncology Division

 

    Dan T. Vogl, MD, Abramson Cancer Center Clinical Research Unit, University of Pennsylvania

In addition, Michael Kauffman, MD, PhD, CEO of Karyopharm Therapeutics will be joining.

The event will take place during the ASH 2016 annual meeting and interested parties can access a live webcast of the event beginning Monday, December 5, 2016 at 8:15 p.m. PT under “Events & Presentations” in the “Investors” section of the company’s website at http://investors.karyopharm.com/events.cfm. A replay of the webcast will be archived on the company’s website for 90 days following the event.

About Selinexor

Selinexor (KPT-330) is a first-in-class, oral Selective Inhibitor of Nuclear Export / SINE™ compound. Selinexor functions by binding with and inhibiting the nuclear export protein XPO1 (also called CRM1), leading to the accumulation of tumor suppressor proteins in the cell nucleus. This reinitiates and amplifies their tumor

 

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suppressor function and is believed to lead to the selective induction of apoptosis in cancer cells, while largely sparing normal cells. To date, over 1,800 patients have been treated with selinexor and it is currently being evaluated in several mid- and later-phase clinical trials across multiple cancer indications, including in multiple myeloma in combination with low-dose dexamethasone (STORM) and backbone therapies (STOMP), and in acute myeloid leukemia (SOPRA), diffuse large B-cell lymphoma (SADAL), and liposarcoma (SEAL), among others. Karyopharm plans to initiate a pivotal randomized Phase 3 study of selinexor in combination with bortezomib (Velcade®) and low-dose dexamethasone (BOSTON) in patients with multiple myeloma in early 2017. Additional Phase 1, Phase 2 and Phase 3 studies are ongoing or currently planned, including multiple studies in combination with one or more approved therapies in a variety of tumor types to further inform the Company’s clinical development priorities for selinexor. The latest clinical trial information for selinexor is available at www.clinicaltrials.gov.

About Karyopharm Therapeutics

Karyopharm Therapeutics Inc. (Nasdaq:KPTI) is a clinical-stage pharmaceutical company focused on the discovery and development of novel first-in-class drugs directed against nuclear transport and related targets for the treatment of cancer and other major diseases. Karyopharm’s SINE™ compounds function by binding with and inhibiting the nuclear export protein XPO1 (or CRM1). In addition to single-agent and combination activity against a variety of human cancers, SINE™ compounds have also shown biological activity in models of neurodegeneration, inflammation, autoimmune disease, certain viruses and wound-healing. Karyopharm, which was founded by Dr. Sharon Shacham, currently has several investigational programs in clinical or preclinical development. For more information, please visit www.karyopharm.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Such forward-looking statements include those regarding the therapeutic potential of and potential clinical development plans for Karyopharm’s drug candidates, including the timing of initiation of certain trials and of the reporting of data from such trials. Such statements are subject to numerous important factors, risks and uncertainties that may cause actual events or results to differ materially from the Company’s current expectations. For example, there can be no guarantee that any of Karyopharm’s SINE™ compounds, including selinexor (KPT-330), will successfully complete necessary preclinical and clinical development phases or that development of any of Karyopharm’s drug candidates will continue. Further, there can be no guarantee that any positive developments in Karyopharm’s drug candidate portfolio will result in stock price appreciation. Management’s expectations and, therefore, any forward-looking statements in this press release could also be affected by risks and uncertainties relating to a number of other factors, including the following: Karyopharm’s results of clinical trials and preclinical studies, including subsequent analysis of existing data and new data received from ongoing and future studies; the content and timing of decisions made by the U.S. Food and Drug Administration and other regulatory authorities, investigational review boards at clinical trial sites and publication review bodies, including with respect to the need for additional clinical studies; Karyopharm’s ability to obtain and maintain requisite regulatory approvals and to enroll patients in its clinical trials; unplanned cash requirements and expenditures; development of drug candidates by Karyopharm’s competitors for diseases in which Karyopharm is currently developing its drug candidates; and Karyopharm’s ability to obtain, maintain and enforce patent and other intellectual property protection for any drug candidates it is developing. These and other risks are described under the caption “Risk Factors” in Karyopharm’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2016, which was filed with the Securities and Exchange Commission (SEC) on November 7, 2016, and in other filings that Karyopharm may make with the SEC in the future. Any forward-looking statements contained in this press release speak only as of the date hereof, and Karyopharm expressly disclaims any obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise.

 

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LOGO    Targeting Disease at the Nuclear Pore

 

Velcade® is a registered trademark of Takeda Pharmaceutical Company Limited

Revlimid® and Pomalyst® are registered trademarks of Celgene Corporation

Kyprolis® is a registered trademark of Onyx Pharmaceuticals, Inc.

Darzalex® is a registered trademark of Janssen Biotech, Inc.

Contacts:

Justin Renz

(617) 658-0574

jrenz@karyopharm.com

Gina Nugent

(617) 460-3579

nugentcomm@aol.com

Media covering ASH 2016:

Eliza Schleifstein

(917) 763-8106

eliza@argotpartners.com

 

4

EX-99.2 3 d288381dex992.htm EX-99.2 EX-99.2

Exhibit 99.2

 

LOGO    Targeting Disease at the Nuclear Pore

Karyopharm Presents Updated Phase 2 SAIL Relapsed/Refractory AML Clinical Data at the American Society of Hematology 2016 Annual Meeting

- Data Demonstrate Robust Response Rates Enabling Transplantation or Donor Lymphocyte Infusions in Patients with Heavily Pretreated Acute Myeloid Leukemia -

NEWTON, Mass. – December 4, 2016 – Karyopharm Therapeutics Inc. (Nasdaq:KPTI), a clinical-stage pharmaceutical company, today announced updated results from the Phase 2 SAIL study, in which deep responses to selinexor (KPT-330) allowed patients with heavily pretreated acute myeloid leukemia (AML) to proceed onto stem cell transplantation or donor lymphocyte transfusion, at the American Society of Hematology (ASH) 2016 annual meeting held December 3-6, 2016 in San Diego. Selinexor is the Company’s lead, novel, oral Selective Inhibitor of Nuclear Export (SINE™) compound, in development for the treatment of AML and a variety of additional malignancies.

“These updated SAIL data, along with key presentations by Drs. Amy Wang, Bhavana Bhatnagar, and Kendra Sweet demonstrate the feasibility and tolerability of selinexor in combination with chemotherapy and other commonly-used agents in patients with AML,” said Sharon Shacham, PhD, MBA, President and Chief Scientific Officer of Karyopharm. “With response rates that are superior to historical data, the clinical results presented at ASH this year demonstrate that selinexor combination regimens could become effective treatment options and serve as a bridge to stem cell transplantation even for patients suffering with relapsed/refractory AML.”

Updated Phase 2 SAIL Clinical Data in Refractory AML

In an oral presentation titled, “Phase II Results of Ara-C and Idarubicin in Combination with the Selective Inhibitor of Nuclear Export Compound Selinexor in Patients with Relapsed or Refractory AML,” Walter Fiedler, MD, University Medical Center Hamburg, described data demonstrating that selinexor in combination with Ara-C and idarubicin is safe with no unexpected toxicities observed to date and has the potential to achieve significant response rates, particularly in a heavily pretreated patient population.

Among the 42 patients evaluable for safety (median of 2 prior treatment regimens, all including intensive chemotherapy), as of October 2016, the overall response rate (ORR, 4 patients excluded from evaluation due to early death) was 55% and included 10 (26%) complete remissions (CR) and 10 (26%) achieving complete remission with incomplete blood count recovery (CRi). Based on these data, Karyopharm believes that selinexor in combination with Ara-C and idarubicin may be an effective treatment option and serve as a bridge to stem cell transplantation for patients with relapsed/refractory AML. The most frequent Grade >3 non-hematologic adverse events (AEs) of this intensive chemotherapy-containing regimen were diarrhea (50%) and nausea (12%). The most common Grade >3 hematologic AEs were neutropenia (100%) and thrombocytopenia (100%). Two deaths occurred which were deemed possibly treatment-related. There was one reported case of systemic inflammatory response syndrome (SIRS; 2%) and one reported case of hemophagocytosis syndrome (2%).

Other Key AML Data Presented at ASH 2016

In addition to updated data from the SAIL study, additional key AML abstracts include:

Oral Presentation Title: Combination of Selinexor with High-Dose Cytarabine and Mitoxantrone for Remission Induction in AML Is Feasible and Tolerable

 

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Presenter: Amy Wang, University of Chicago

Publication ID: 212

Date and Time: Saturday, December 3, 2016; 4:15 PM PT

Summary: In this study, the combination of selinexor with high-dose cytarabine (HiDAC) and mitoxantrone is feasible and tolerable and the recommended phase 2 dose was identified as selinexor 80mg per day plus HiDAC and mitoxantrone. This regimen demonstrated an ORR of 68% in all 19 patients and 91% in patients with newly diagnosed AML. Based on these results, the combination of selinexor plus HiDAC and mitoxantrone warrant further investigation.

Poster Title: A Phase 1 Clinical Trial of Selinexor in Combination with Decitabine in Patients with Newly Diagnosed and Relapsed or Refractory AML

Presenter: Bhavana Bhatnagar, Ohio State University

Publication ID: 1651

Date and Time: Saturday, December 3, 2016; 5:30-7:30 PM PT

Summary: In this study, the combination of selinexor and decitabine produced a CR/CRi/mCR (marrow CR) rate of 80% in older untreated patients and 26.3% in relapsed/refractory AML (RRAML) patients. The total CR/CRi/mCR rate was 37.5%. Importantly, six of the 19 patients with relapsed/refractory disease underwent allogeneic stem cell transplant (four with no evidence of AML at the time of transplant). Selinexor plus decitabine is an active regimen in poor-risk AML patients and alternative dosing schedules to improve long-term tolerability, compliance and efficacy should be explored.

Poster Title: A Phase I Study of Selinexor in Combination with Daunorubicin and Cytarabine in Patients with Newly Diagnosed Poor-Risk AML

Presenter: Kendra Sweet, Moffitt Cancer Center, Tampa FL

Publication ID: 4040

Date and Time: Monday, December 5, 2016; 6:00-8:00 PM PT

Summary: Data from this Phase 1 trial suggest that oral selinexor (80mg) twice weekly can be safely administered in combination with induction chemotherapy with cytarabine and daunorubicin in patients with poor-risk AML, including elderly patients. Response rates were encouraging, with many elderly patients proceeding to transplant, suggesting this regimen warrants further investigation in this challenging population.

About Selinexor

Selinexor (KPT-330) is a first-in-class, oral Selective Inhibitor of Nuclear Export / SINE™ compound. Selinexor functions by binding with and inhibiting the nuclear export protein XPO1 (also called CRM1), leading to the accumulation of tumor suppressor proteins in the cell nucleus. This reinitiates and amplifies their tumor suppressor function and is believed to lead to the selective induction of apoptosis in cancer cells, while largely sparing normal cells. To date, over 1,800 patients have been treated with selinexor and it is currently being evaluated in several mid- and later-phase clinical trials across multiple cancer indications, including in multiple myeloma in combination with low-dose dexamethasone (STORM) and backbone therapies (STOMP), and in acute myeloid leukemia (SOPRA), diffuse large B-cell lymphoma (SADAL), and liposarcoma (SEAL), among others. Karyopharm plans to initiate a pivotal randomized Phase 3 study of selinexor in combination with bortezomib (Velcade®) and low-dose dexamethasone (BOSTON) in patients with multiple myeloma in early 2017. Additional Phase 1, Phase 2 and Phase 3 studies are ongoing or currently planned, including multiple studies in combination with one or more approved therapies in a variety of tumor types to further inform the Company’s clinical development priorities for selinexor. The latest clinical trial information for selinexor is available at www.clinicaltrials.gov.

 

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About Karyopharm Therapeutics

Karyopharm Therapeutics Inc. (Nasdaq:KPTI) is a clinical-stage pharmaceutical company focused on the discovery and development of novel first-in-class drugs directed against nuclear transport and related targets for the treatment of cancer and other major diseases. Karyopharm’s SINE™ compounds function by binding with and inhibiting the nuclear export protein XPO1 (or CRM1). In addition to single-agent and combination activity against a variety of human cancers, SINE™ compounds have also shown biological activity in models of neurodegeneration, inflammation, autoimmune disease, certain viruses and wound-healing. Karyopharm, which was founded by Dr. Sharon Shacham, currently has several investigational programs in clinical or preclinical development. For more information, please visit www.karyopharm.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Such forward-looking statements include those regarding the therapeutic potential of and potential clinical development plans for Karyopharm’s drug candidates, including the timing of initiation of certain trials and of the reporting of data from such trials. Such statements are subject to numerous important factors, risks and uncertainties that may cause actual events or results to differ materially from the Company’s current expectations. For example, there can be no guarantee that any of Karyopharm’s SINE™ compounds, including selinexor (KPT-330), will successfully complete necessary preclinical and clinical development phases or that development of any of Karyopharm’s drug candidates will continue. Further, there can be no guarantee that any positive developments in Karyopharm’s drug candidate portfolio will result in stock price appreciation. Management’s expectations and, therefore, any forward-looking statements in this press release could also be affected by risks and uncertainties relating to a number of other factors, including the following: Karyopharm’s results of clinical trials and preclinical studies, including subsequent analysis of existing data and new data received from ongoing and future studies; the content and timing of decisions made by the U.S. Food and Drug Administration and other regulatory authorities, investigational review boards at clinical trial sites and publication review bodies, including with respect to the need for additional clinical studies; Karyopharm’s ability to obtain and maintain requisite regulatory approvals and to enroll patients in its clinical trials; unplanned cash requirements and expenditures; development of drug candidates by Karyopharm’s competitors for diseases in which Karyopharm is currently developing its drug candidates; and Karyopharm’s ability to obtain, maintain and enforce patent and other intellectual property protection for any drug candidates it is developing. These and other risks are described under the caption “Risk Factors” in Karyopharm’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2016, which was filed with the Securities and Exchange Commission (SEC) on November 7, 2016, and in other filings that Karyopharm may make with the SEC in the future. Any forward-looking statements contained in this press release speak only as of the date hereof, and Karyopharm expressly disclaims any obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise.

Velcade® is a registered trademark of Takeda Pharmaceutical Company Limited

Contacts:

Justin Renz

(617) 658-0574

jrenz@karyopharm.com

 

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LOGO    Targeting Disease at the Nuclear Pore

 

Gina Nugent

(617) 460-3579

nugentcomm@aol.com

Media covering ASH 2016:

Eliza Schleifstein

(917) 763-8106

eliza@argotpartners.com

 

4

EX-99.3 4 d288381dex993.htm EX-99.3 EX-99.3

Exhibit 99.3

 

LOGO    Targeting Disease at the Nuclear Pore

Karyopharm Presents Updated Phase 1b STOMP Data at the American Society of Hematology 2016 Annual Meeting

- STOMP Data Continues to Demonstrate High Response Rates in Patients with Heavily Pretreated Multiple Myeloma When Selinexor Is Combined with Bortezomib and Pomalidomide -

- Company to Host Dinner Reception and Webcast Event with Interactive Expert Panel Discussion on Monday, December 5, 2016 at 8:15 p.m. PT -

NEWTON, Mass. – December 5, 2016 – Karyopharm Therapeutics Inc. (Nasdaq:KPTI), a clinical-stage pharmaceutical company, today announced updated results from the Phase 1b dose-escalation portion of its ongoing STOMP study showing high response rates when selinexor (KPT-330) is combined with the proteasome inhibitor bortezomib (Velcade®), including in patients with multiple myeloma (MM) that was previously refractory to proteasome inhibitors, at the American Society of Hematology (ASH) 2016 annual meeting held December 3-6, 2016 in San Diego. Other key presentations at the meeting described clinical data demonstrating the activity of selinexor in combination with carfilzomib (Kyprolis®) and pomalidomide (Pomalyst®) in MM, as well as selinexor with dexamethasone in quad- and penta-refractory MM in the STORM trial. Selinexor is the Company’s lead, novel, oral Selective Inhibitor of Nuclear Export (SINE™) compound, in development for the treatment of a variety of malignancies, including MM and acute myeloid leukemia (AML).

“Data from the STOMP study continue to show very high response rates and good tolerability in patients with heavily pretreated myeloma, most of whom have disease refractory to proteasome inhibitors as well as immunomodulatory drugs,” said Sharon Shacham, PhD, MBA, President and Chief Scientific Officer of Karyopharm. “Overall, the body of data presented this year at ASH builds upon the evidence of clear synergistic activity observed when selinexor is combined with standard myeloma agents, including proteasome inhibitors such as bortezomib or carfilzomib and immunomodulatory agents such as pomalidomide. Looking ahead, our efforts remain focused on executing the STORM trial expansion, which is evaluating selinexor in patients with penta-refractory myeloma, and on commencing our planned pivotal Phase 3 BOSTON study in early 2017, which will evaluate selinexor in combination with bortezomib and dexamethasone in patients with MM previously treated with one to three treatment regimens.”

Updated Phase 1b STOMP Clinical Data in Relapsed or Refractory Multiple Myeloma

In an oral presentation titled, “Selinexor in Combination with Bortezomib and Dexamethasone Demonstrates Significant Activity in Patients with Refractory Multiple Myeloma Including Proteasome-Inhibitor Refractory Patients,” Nizar Bahlis, MD, Assistant Professor of Hematology, Southern Alberta Cancer Research Institute, presented updated clinical data from the selinexor + Velcade (bortezomib) + dexamethasone (SVd) arm of the ongoing Phase 1b/2 STOMP study in patients with heavily pretreated relapsed/refractory MM.

A summary of data from all 22 patients in the dose-escalation cohorts receiving selinexor in combination with Velcade and dexamethasone treated as of November 30, 2016 is outlined in the following table and described below. The patients in this cohort were heavily pretreated and the majority (68%) had MM refractory to the proteasome inhibitors bortezomib and/or carfilzomib. Selinexor was given once or twice weekly, and 19 of the 22 patients received once weekly Velcade subcutaneously as initial treatment; three patients initially received twice weekly Velcade but this was reduced to once weekly after one cycle. All 22 patients were evaluable for response and 11 patients were continuing on study as of the data cutoff date.

 

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Phase 1b STOMP Study (Selinexor + Velcade (Bortezomib) + Dexamethasone Arm) as of 30-Nov-2016

 

Prior PI Status

  N     ORR (%)     CBR (%)     sCR (%)     CR (%)     VGPR (%)     PR (%)     MR (%)     SD (%)     PD (%)  

Refractory

(7 Bortezomib, 3 Carfilzomib, 2 Ixazomib)

    15        10 (67%     13 (87%     1 (7%     1 (7%     2 (13%     6 (40%     3 (20%     1 (7%     1 (7%

Not Refractory

(Exposed or Naïve)

    7        7 (100%     7 (100%     —          1 (14%     2 (29%     4 (57%     —          —          —     

All

    22        17 (77%     20 (91%     1 (5%     2 (9%     4 (18%     10 (45%     3 (14%     1 (5%     1 (5%

ORR=Overall Response Rate (sCR+CR+VGPR+PR), CBR=Clinical Benefit Rate (sCR+CR+VGPR+PR+MR), sCR=Stringent Complete Response, CR=Complete Response, VGPR=Very Good Partial Response, PR=Partial Response, MR=Minor Response, SD=Stable Disease, PD=Progressive Disease

Of the 22 patients enrolled in the SVd combination arm (median of four prior treatment regimens (range 1-11)), 17 responded (1 patient with a stringent complete response (sCR), 2 patients with a complete response (CR), 4 patients with a very good partial response (VGPR) and 10 patients with a partial response (PR)) for an overall response rate (ORR) of 77%. An additional 3 patients experienced a minor response (MR), for a clinical benefit rate (CBR) of 91%. Only 1 patient had progressive disease. All 7 patients whose disease was not refractory to a PI responded (1 patient with a CR, 2 patients with a VGPR and 4 patients with a PR) for an ORR and CBR of 100%. Fifteen of the 22 patients in the SVd combination arm had MM previously refractory to a proteasome inhibitor and 9 patients had high-risk cytogenetics including deletion of chromosome 17p. Ten of these 15 patients responded (1 patient with a sCR, 1 CR, 2 VGPR and 6 PR) for an ORR of 67%. Three additional patients achieved an MR for a CBR of 87% in this subgroup with PI-refractory disease. Median duration of response (DOR) was 7.8 months.

The recommended Phase 2 dose (RP2D) regimen was identified as selinexor (100mg once weekly), bortezomib (1.3 mg/m2 weekly given subcutaneously for 4 of 5 weeks) and dexamethasone (40mg weekly). An additional 10 patients have been enrolled into the expansion cohort at the RP2D. Although early (median of two cycles), all but one of these patients is responding and tolerability is similar to that observed in the escalation cohort.

The most commonly reported adverse events from the RP2D were fatigue, nausea, anorexia and vomiting, which were primarily grade 1 and reversible. Grade 3 adverse events included fatigue, diarrhea, thrombocytopenia and abdominal pain and each occurred at a rate of 6% (n=1). The only Grade 4 adverse event was thrombocytopenia and occurred at a rate of 12% (n=2).

“The response rates reported to date in the STOMP study are very encouraging. With a 77% overall response rate in this population and most with proteasome-inhibitor refractory disease, the synergistic effects of selinexor in combination with bortezomib are among the most potent reported to date,” said Dr. Bahlis. “By contrast, the expected overall response rate for the combination of bortezomib and dexamethasone in patients with previously treated myeloma that is not refractory to proteasome inhibitors is approximately 50%, and less than 10% for those with disease refractory to proteasome inhibitors. Based on these data, I look forward to the initiation of the pivotal Phase 3 BOSTON study in early 2017 to further evaluate and confirm these findings.”

Additional Multiple Myeloma Data Presented at ASH 2016

The following is a summary of other key MM abstracts that were presented at ASH on December 4 and 5, 2016:

Poster Title: Selinexor Shows Synergy in Combination with Pomalidomide and Low Dose Dexamethasone in Patients with Relapsed / Refractory Multiple Myeloma

Presenter: Christine Chen, Princess Margaret Hospital, Toronto, ON

Publication ID: 3330

 

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LOGO    Targeting Disease at the Nuclear Pore

 

Date and Time: Sunday, December 4, 2016; 6:00-8:00 p.m. PT

Summary: In this study, selinexor demonstrates impressive activity in combination with pomalidomide (Pomalyst®) in patients with MM that is refractory to one or more PIs and/or lenalidomide. Of the 15 evaluable patients in the SPd combination arm (median of five prior treatment regimens (range 2-9), 9 responded (3 VGPR) and 6 PR) for an ORR of 60%. An additional 2 patients achieved an MR for a CBR of 73%. Only 1 patient had progressive disease. Five of the 15 patients had high-risk cytogenetics including deletion of chromosome 17p. Median progression-free survival (PFS) was 10.3 months, with a follow up of 7.6 months. The most common adverse events were anorexia, nausea, fatigue, and thrombocytopenia, mainly grades 1 and 2, and were similar to selinexor or pomalidomide used separately.

Oral Presentation Title: Final Results of Phase 1 MMRC Trial of Selinexor, Carfilzomib, and Dexamethasone in Relapsed/Refractory MM

Presenter: Andrzej Jakubowiak, University of Chicago

Publication ID: 973

Date and Time: Monday, December 5, 2016; 2:45 p.m. PT

Summary: This Phase 1 study, which is sponsored by the Multiple Myeloma Research Foundation (MMRF), evaluated the combination of selinexor and proteasome inhibitor (PI) carfilzomib (Kyprolis®) and dexamethasone in patients with relapsed/refractory MM (RRMM). The combination achieved a 63% overall response rate and a 67% response rate in patients refractory to carfilzomib, most having progressed on the combination of carfilzomib, pomalidomide and dexamethasone as their last line of therapy. The selinexor, carfilzomib and dexamethasone combination appears safe and has acceptable tolerability in patients with RRMM, with the most commonly reported adverse events of thrombocytopenia and neutropenia, which are manageable with dose modifications. These results provide early clinical evidence that the addition of selinexor has the ability to overcome carfilzomib resistance, warranting further investigation of the regimen.

Poster Title: A Phase 1/2 Study of the Second Generation Selective Inhibitor of Nuclear Export Compound, KPT-8602, in Patients with Relapsed Refractory MM

Presenter: Frank Cornell, Vanderbilt Ingram Cancer Center, Nashville, TN

Publication ID: 4509

Date and Time: Monday, December 5, 2016; 6:00-8:00 p.m. PT

Summary: Data from this ongoing Phase 1/2 study demonstrate that oral KPT-8602 is well-tolerated in heavily pretreated patients with relapsed or refractory MM and shows early signs of efficacy.

Karyopharm to Host Multiple Myeloma-focused Dinner Reception and Webcast at ASH 2016

On Monday, December 5, 2016, Karyopharm will host an investor and analyst dinner reception, which will feature a moderated panel discussion with recognized experts in the treatment of MM, updated selinexor data in MM, and a live Q&A session. Confirmed external speakers include:

 

    Daniel Auclair, PhD (Moderator), Multiple Myeloma Research Foundation

 

    Nizar Bahlis, MD, University of Calgary, Southern Alberta Cancer Research Institute

 

    Paul G. Richardson, MD, Dana Faber Cancer Institute, Jerome Lipper Multiple Myeloma Center

 

    Ravi Vij, MD, MBA, Washington University School of Medicine in St. Louis, Oncology Division

 

    Dan T. Vogl, MD, Abramson Cancer Center Clinical Research Unit, University of Pennsylvania

In addition, Michael Kauffman, MD, PhD, CEO of Karyopharm Therapeutics, will be joining.

 

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LOGO    Targeting Disease at the Nuclear Pore

 

The event will take place during the ASH 2016 annual meeting and interested parties can access a live webcast of the event beginning Monday, December 5, 2016 at 8:15 p.m. PT under “Events & Presentations” in the “Investors” section of the company’s website at http://investors.karyopharm.com/events.cfm. A replay of the webcast will be archived on the company’s website for 90 days following the event.

About Selinexor

Selinexor (KPT-330) is a first-in-class, oral Selective Inhibitor of Nuclear Export / SINE™ compound. Selinexor functions by binding with and inhibiting the nuclear export protein XPO1 (also called CRM1), leading to the accumulation of tumor suppressor proteins in the cell nucleus. This reinitiates and amplifies their tumor suppressor function and is believed to lead to the selective induction of apoptosis in cancer cells, while largely sparing normal cells. To date, over 1,800 patients have been treated with selinexor and it is currently being evaluated in several mid- and later-phase clinical trials across multiple cancer indications, including in multiple myeloma in combination with low-dose dexamethasone (STORM) and backbone therapies (STOMP), and in acute myeloid leukemia (SOPRA), diffuse large B-cell lymphoma (SADAL), and liposarcoma (SEAL), among others. Karyopharm plans to initiate a pivotal randomized Phase 3 study of selinexor in combination with bortezomib (Velcade®) and low-dose dexamethasone (BOSTON) in patients with multiple myeloma in early 2017. Additional Phase 1, Phase 2 and Phase 3 studies are ongoing or currently planned, including multiple studies in combination with one or more approved therapies in a variety of tumor types to further inform the Company’s clinical development priorities for selinexor. The latest clinical trial information for selinexor is available at www.clinicaltrials.gov.

About Karyopharm Therapeutics

Karyopharm Therapeutics Inc. (Nasdaq:KPTI) is a clinical-stage pharmaceutical company focused on the discovery and development of novel first-in-class drugs directed against nuclear transport and related targets for the treatment of cancer and other major diseases. Karyopharm’s SINE™ compounds function by binding with and inhibiting the nuclear export protein XPO1 (or CRM1). In addition to single-agent and combination activity against a variety of human cancers, SINE™ compounds have also shown biological activity in models of neurodegeneration, inflammation, autoimmune disease, certain viruses and wound-healing. Karyopharm, which was founded by Dr. Sharon Shacham, currently has several investigational programs in clinical or preclinical development. For more information, please visit www.karyopharm.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Such forward-looking statements include those regarding the therapeutic potential of and potential clinical development plans for Karyopharm’s drug candidates, including the timing of initiation of certain trials and of the reporting of data from such trials. Such statements are subject to numerous important factors, risks and uncertainties that may cause actual events or results to differ materially from the Company’s current expectations. For example, there can be no guarantee that any of Karyopharm’s SINE™ compounds, including selinexor (KPT-330), will successfully complete necessary preclinical and clinical development phases or that development of any of Karyopharm’s drug candidates will continue. Further, there can be no guarantee that any positive developments in Karyopharm’s drug candidate portfolio will result in stock price appreciation. Management’s expectations and, therefore, any forward-looking statements in this press release could also be affected by risks and uncertainties relating to a number of other factors, including the following: Karyopharm’s results of clinical trials and preclinical studies, including subsequent analysis of existing data and new data received from ongoing and future studies; the content and timing of decisions made by the U.S. Food and Drug

 

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LOGO    Targeting Disease at the Nuclear Pore

 

Administration and other regulatory authorities, investigational review boards at clinical trial sites and publication review bodies, including with respect to the need for additional clinical studies; Karyopharm’s ability to obtain and maintain requisite regulatory approvals and to enroll patients in its clinical trials; unplanned cash requirements and expenditures; development of drug candidates by Karyopharm’s competitors for diseases in which Karyopharm is currently developing its drug candidates; and Karyopharm’s ability to obtain, maintain and enforce patent and other intellectual property protection for any drug candidates it is developing. These and other risks are described under the caption “Risk Factors” in Karyopharm’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2016, which was filed with the Securities and Exchange Commission (SEC) on November 7, 2016, and in other filings that Karyopharm may make with the SEC in the future. Any forward-looking statements contained in this press release speak only as of the date hereof, and Karyopharm expressly disclaims any obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise.

Velcade® is a registered trademark of Takeda Pharmaceutical Company Limited

Pomalyst® is a registered trademark of Celgene Corporation

Kyprolis® is a registered trademark of Onyx Pharmaceuticals, Inc.

Contacts:

Justin Renz

(617) 658-0574

jrenz@karyopharm.com

Gina Nugent

(617) 460-3579

nugentcomm@aol.com

Media covering ASH 2016:

Eliza Schleifstein

(917) 763-8106

eliza@argotpartners.com

 

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