- February 22, 2021
- Taiho Pharmaceutical Co., Ltd.
Taiho Pharmaceutical's TAS-116, an Oral HSP90 Inhibitor, Shows Significantly Prolonged
Progression-Free Survival in Patients with GIST in Phase-III Clinical Trial
Taiho Pharmaceutical Co., Ltd. announced today that the pivotal phase III trial (CHAPTER-GIST-301 trial) evaluating TAS-116 (Oral Heat Shock Protein (HSP) 90 inhibitor; generic name: Pimitespib) versus placebo in patients with previously treated gastrointestinal stromal tumor (GIST), met its primary endpoint of prolonged progression-free survival (PFS).
These results will be presented at an upcoming medical conference and submitted to a peer-reviewed journal for publication.
Taiho Pharmaceutical will continue to prepare for the delivery of this new therapeutic agent to patients with GIST, aiming to obtain approval as quickly as possible.
About CHAPTER-GIST-301 Trial
This was a randomized, double-blind, Phase III clinical trial comparing TAS-116 to placebo in patients with GIST refractory to standard treatments. The primary endpoint in this trial was PFS, and the secondary endpoint measures included overall survival (OS) and safety, as well as quality of life (QOL). The trial was conducted in Japan with the participation of 81 patients with GIST aged 20 or older who had been treated with imatinib, sunitinib, and regorafenib.
For more information on the CHAPTER-GIST-301 trial, please visit
CHAPTER-GIST-301 trial: A RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, MULTICENTER TRIAL OF TAS-116 IN PATIENTS WITH ADVANCED GASTROINTESTINAL STROMAL TUMOR, CHAPTER; The molecular CHAperone heat shock protein 90 (HSP90) inhibitor, PimiTEspib
About GIST (Gastrointestinal Stromal Tumor)
GIST develops in the walls of the gastrointestinal tract (frequently in the stomach and small intestine and rarely in the large intestine and esophagus) and is a type of malignant tumor (sarcoma) that causes metastasis and relapses. It has different characteristics than gastric and colorectal cancers that develop from mucous membrane.*1 The incidence in Japan is estimated to be roughly 1,500 to 2,500 patients per year (calculated based on the annual incidence rate reported in different countries),*2 making it a rare cancer. In many cases of GIST, there are mutations in the KIT and PDGFRA genes, which are involved in the growth and survival of cancer. All GIST treatments approved by the three regulatory authorities of Japan’s Ministry of Health, Labour and Welfare, the U.S. Food and Drug Administration (FDA), and the European Medicines Agency (EMA) have as their main mechanism of action the inhibition of receptor tyrosine kinases KIT and PDGFRA. There is still a substantial medical need for a therapeutic agent to treat GIST that remains after treatment with the drugs currently approved.
TAS-116, a compound discovered by Taiho Pharmaceutical, inhibits HSP90, thereby showing an anticancer effect by destabilizing and reducing proteins such as KIT, PDGFRA, HER2, and EGFR which are involved in the growth and survival of cancer.
About HSP90 (Heat Shock Protein 90)
Cells are constantly exposed to various stresses within the body. Cancer cells in particular are exposed to a lot of stress in the form of hypoxia, malnutrition, elimination by the immune system, and genetic instability. Expression of HSP90 increases in response to stress, protecting cells from stress and promoting cell survival by maintaining the structural and functional integrity of proteins.
HSP90 is overexpressed and exists in a highly active state in cancer cells and tumor tissue, where it is known to be especially important in the survival and maintenance of cancer. Furthermore, it has been reported that the expression of HSP90 in GIST, bladder cancer, acute myelocytic leukemia, breast cancer, non-small cell lung cancer, colorectal cancer, and melanoma correlates with cancer progression and a patient’s prognosis.*3
*1: See the Cancer Information Service of the National Cancer Center Japan.
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2.Tryggvason G, Gíslason HG, Magnússon MK, Jónasson JG. Gastrointestinal stromal tumors in Iceland, 1990-2003: the icelandic GIST study, a population-based incidence and pathologic risk stratification study. Int J Cancer. 2005;117:289-293.
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Information in this news release was current as of the original release date.