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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):
August 7, 2023
Cardiff Oncology, Inc.
(Exact name of registrant as specified in its charter)
Delaware |
001-35558 |
27-2004382 |
(State or other jurisdiction |
(Commission
File |
IRS Employer |
of incorporation or organization) |
Number) |
Identification No.) |
11055 Flintkote Avenue
San Diego, CA 92121
(Address of principal executive offices)
Registrant’s telephone number, including
area code: (858) 952-7570
(Former name or former address, if changed since
last report)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class: |
|
Trading Symbol(s) |
|
Name of each exchange on which registered: |
Common Stock |
|
CRDF |
|
Nasdaq Capital Market |
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
communication 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)) |
Indicate
by check mark whether the registrant is an emerging growth company as defined in 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 7.01 | Regulation FD Disclosure |
Cardiff
Oncology, Inc. (the “Company”) intends to conduct meetings with third parties in which
its corporate slide presentation will be presented. A copy of the presentation materials is attached as Exhibit 99.1 to
this Current Report on Form 8-K and is incorporated herein by reference.
The
information in this Item 7.01 and the document attached as Exhibit 99.1 is being furnished and shall not be deemed “filed”
for purposes of Section 18 of the Securities and Exchange Act of 1934, as amended (the “Exchange Act”), nor otherwise
subject to the liabilities of that section, nor incorporated by reference in any filing under the Securities Act of 1933 or the Exchange
Act, except as shall be expressly set forth by specific reference in such a filing.
On August 7, 2023, the Company issued a press
release announcing plans to advance the Company’s lead program to the first line setting of metastatic colorectal cancer (mCRC)
and conduct its new CRDF-004 trial with study execution support from Pfizer Ignite, a new end-to-end service for biotech companies.
A copy of the press release is attached as Exhibit 99.2 hereto and incorporated herein by reference.
Item 9.01. Financial Statements and Exhibits
(d) Exhibits.
SIGNATURE
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.
Dated:
August 7, 2023
|
CARDIFF ONCOLOGY, INC. |
|
|
|
By: |
/s/ Mark Erlander |
|
|
Mark Erlander |
|
|
Chief Executive Officer |
Exhibit 99.1
| AU GU ST 7 , 2 0 2 3
mCRC Program Update and
Clinical Development Plan |
| PFIZER
We expect clinical data from our 1st line RAS-mutated mCRC trial in mid-2024 |
| mCRC clinical development program agreed with FDA
•
•
•
•
•
• |
| 5
3
Annual eligible U.S. patients (’000s)*
15
12
40
0
50
23
48 |
| Line of Therapy Ph2 Ph3
Investigator-initiated trials
Trial Combination with: |
| CLINICAL FINDINGS FROM 2L Ph 1b/2 TRIAL
SCIENTIFIC BASIS FOR CLINICAL FINDINGS
CLINICAL DEVELOPMENT PATH FORWARD
Onvansertib clinical development plan in mCRC |
| CLINICAL FINDINGS FROM 2L Ph 1b/2 TRIAL
SCIENTIFIC BASIS FOR CLINICAL FINDINGS
CLINICAL DEVELOPMENT PATH FORWARD
Onvansertib clinical development plan in mCRC |
| Onvansertib PROPERTIES SPECIFICITY
•
•
• |
| 1st LINE 2nd Normal LINE
RAS Mutated |
| 2nd Normal 1st LINE LINE
RAS Mutated |
| MOA 21
RAS-mutations in mCRC1 |
| 28 DAY CYCLE
ENROLLMENT CRITERIA EFFICACY ENDPOINTS
1
2
3 |
| PHASE 1b PHASE 2
ITT population (N) 50 68
Evaluable population* (N) 48 66
We enrolled 50
initial patients, and
then an additional
18 patients, in our
trial
TOTAL |
| 1st LINE 2nd Bev exposed vs bev naïve patients LINE |
| KRAS
Variant CR+PR SD PD Total G12C
G12D
G12V
G13D
G12S
G12A
Q61H
G13C |
| •
•
•
•
•
•
•
TEAE GR1 GR2 GR3 GR4 TOTAL TEAE GR1 GR2 GR3 GR4 TOTAL
Fatigue 24 22 7 0 53 78% Cough 11 0 0 0 11 16%
Neutropenia 1 18 23 7 49 72% Pyrexia 8 1 1 0 10 15%
Nausea 29 13 4 0 46 68% Dyspnea 7 3 0 0 10 15%
Diarrhea 21 13 4 0 38 56% AST Increase 7 2 1 0 10 15%
Leukopenia 9 14 5 1 29 43% Lymphocytopenia 2 7 0 0 9 13%
Anemia 22 5 2 0 29 43% Dyspepsia 9 0 0 0 9 13%
Alopecia 20 5 0 0 25 37% ALT Increase 8 0 1 0 9 13%
Abdominal Pain 14 8 3 0 25 37% Hypocalcemia 9 0 0 0 9 13%
Stomatitis 15 6 3 0 24 35% Insomnia 9 0 0 0 9 13%
Hypertension 4 10 9 0 23 34% Dehydration 1 5 2 0 8 12%
Thrombocytopenia 17 5 1 0 23 34% Hypokalemia 6 2 0 0 8 12%
Constipation 17 2 1 0 20 29% Arthralgia 6 2 0 0 8 12%
Vomiting 11 6 3 0 20 29% Hand / Foot Syndrome 5 2 0 0 7 10%
Epistaxis 15 0 0 0 15 22% Hemorrhoids 5 2 0 0 7 10%
Headache 13 0 0 0 13 19% Non-Cardiac Chest Pain 6 1 0 0 7 10%
Decreased Appetite 4 6 2 0 12 18% ALP Increase 5 1 1 0 7 10%
Back Pain 10 2 0 0 12 18% |
| CLINICAL FINDINGS FROM 2L Ph 1b/2 TRIAL
SCIENTIFIC BASIS FOR CLINICAL FINDINGS
CLINICAL DEVELOPMENT PATH FORWARD
Onvansertib clinical development plan in mCRC |
| Our findings
establish the
scientific basis of
our bev naïve
clinical finding |
| Tumor volume (mm
3
)
0 10 20 30
0
500
1000
1500
2000
2500
SW620 (KRAS G12V)
The combination had significant superior anti-tumor activity compared to the single agents |
| KRAS-mut tumors from mice treated with onv + bev appear smaller and pale (less vascularized) |
| •••••• |
| PLK1 inhibition using siRNA against PLK1 (siPLK1) prevented hypoxia-induced HIF1a expression
In 4 RAS-mutant CRC cell lines*, onvansertib inhibited hypoxia-induced HIF1a expression |
| This new MOA, which inhibits
a “survival switch” of
tumorigenesis, may underlie
the increased efficacy
observed clinically |
| •
•
• –
–
•
• |
| RAS-mutations in mCRC1
MOA
2
1
3 |
| CLINICAL FINDINGS FROM 2L Ph 1b/2 TRIAL
SCIENTIFIC BASIS FOR CLINICAL FINDINGS
CLINICAL DEVELOPMENT PATH FORWARD
Onvansertib clinical development plan in mCRC |
| •
• 2nd line
mCRC
1st line
mCRC
•
…and FDA agreed with Cardiff Oncology’s
proposed 1st line clinical program
FDA suggested we consider moving to
a 1st line clinical development path… |
| •
•
• Clinical
Commercial •
• Transition
from
2L to 1L
Regulatory
•
•
•
• |
| ENROLLMENT CRITERIA ENDPOINTS
Primary
Secondary
Benchmark of
success |
| 2
nd Line mCRC 1
st line mCRC 2
nd Line mCRC 1
st line mCRC |
| BREAKTHROUGH
GROWTH INITIATIVE
•
•
•
PFIZER PFIZER Ignite
•
• |
| 2023 2024 2025 |
| PFIZER
We expect clinical data from our 1st line RAS-mutated mCRC trial in mid-2024 |
| Appendix: Additional Ph 1b/2 Clinical Data |
| As an independent
cohort in the Ph 1b/2
trial, the expansion
cohort replicated the
finding of improved
responses from the
bev naïve patients |
| No single patient
characteristic explains
the difference in
response rates by prior
bev status |
| Appendix: Additional Preclinical Data |
| 0 5 10 15 20
-50
0
50
100
150
200
200
400
600
Treatment time (days)
C1143 (KRAS G12D)
**
***
0 5 10 15 20
0
50
100
150
200
250
Treatment time (days)
C1144 (KRAS G12C)
**
****
Vehicle
Onv+Irino
Onvansertib
Irinotecan |
| 0 5 10 15 20
0
100
200
300
Treatment time (days)
C1138 (KRAS G13D)
**
***
0 5 10 15 20
0
200
400
600
800
Treatment time (days)
B8239 (KRAS G12C)
***
*** 5 10 15 20
0
100
200
300
Treatment time (days)
C1143 (KRAS G12D)
*
**** |
Exhibit 99.2
Cardiff Oncology Announces
New Lead Program in First-Line Metastatic Colorectal Cancer and Expanded Pfizer Relationship
- Advance to first-line
RAS-mutated mCRC follows the strong signal from new clinical and preclinical data, and agreement with FDA -
- First-line mCRC represents
substantial increase in patient impact and market opportunity over second-line -
- Pfizer Ignite will
be responsible for the clinical execution of new first-line mCRC trial with interim topline data expected in mid-2024 -
- Cash position on
June 30, 2023 was $89.4 million; sufficient to fund operations into 2025 and through interim topline results from mCRC trial -
- Company will hold
a conference call today at 5:00 p.m. ET/2:00 p.m. PT -
SAN
DIEGO, August 7, 2023. Cardiff Oncology, Inc. (Nasdaq: CRDF), a clinical-stage biotechnology company leveraging
PLK1 inhibition, a well-validated oncology drug target, to develop novel therapies across a range of cancers, today announced plans to
advance the company’s lead program to the first-line setting of metastatic colorectal cancer (mCRC) and conduct its new CRDF-004
trial with study execution support from Pfizer Ignite, a new end-to-end service for biotech companies.
“Our advance to
the first-line mCRC setting is the result of a comprehensive data-driven review coupled with the agreement and support of the FDA. Ultimately,
this decision moves Cardiff Oncology into a stronger position to realize the promise of onvansertib for the benefit of patients and all
of our stakeholders,” said Mark Erlander, Ph.D., Chief Executive Officer of Cardiff Oncology. “We are delighted to expand
our relationship with Pfizer and conduct this new first-line trial beginning this fall through Pfizer Ignite, leveraging its clinical
execution capabilities and expertise.”
The company estimates
that there are 48,000 new patients in the U.S. annually in the first-line RAS-mutated mCRC setting for whom there are no ongoing clinical
trials and no new treatments approved in the past 20 years.
Dr. Erlander continued:
“Key to today’s decision has been our discovery of a novel mechanism of action by which onvansertib inhibits angiogenesis
by turning off a ‘survival switch’ for tumorigenesis. This has helped us understand onvansertib’s interaction with bevacizumab,
and the compelling clinical results we observed in our Phase 1b/2 second-line KRAS-mutated mCRC trial.”
The
clinical activities of the company’s new CRDF-004 trial in first-line RAS-mutated mCRC will be conducted with support from
Pfizer Ignite. This expands the relationship established in November 2021 when Pfizer made an equity investment in Cardiff Oncology
and nominated Adam Schayowitz, Ph.D., Vice President & Medicine Team Group Lead for Breast Cancer, Colorectal Cancer and Melanoma,
Pfizer Global Product Development as a Scientific Advisory Board member.
Pfizer Ignite is a new
end-to-end service for biotech companies with high potential science that leverages Pfizer Inc.’s significant R&D capabilities,
scale and expertise to accelerate the development of breakthrough therapies.
Cardiff Oncology will
maintain full economic ownership and control of onvansertib.
“We
believe onvansertib, by inhibiting PLK1, has the potential to play a meaningful role in the treatment of several types of cancer, including
the lead program in RAS-mutated mCRC,” said Dr. Schayowitz. “We believe that by combining Pfizer’s clinical
development capabilities and expertise, with onvansertib’s promising novel clinical findings, we have an opportunity to accelerate
the advancement of this program for the benefit of the many patients in the RAS-mutated mCRC setting.”
Cardiff Oncology’s
new lead program in first-line RAS-mutated mCRC will consist of two trials that will be conducted sequentially. The first trial will be
CRDF-004, a Phase 2 randomized trial generating preliminary safety and efficacy data and evaluating two different doses of onvansertib
to confirm an optimal dose. Onvansertib will be added to standard-of-care consisting of FOLFIRI plus bevacizumab, or FOLFOX plus bevacizumab.
A total of 90 patients will be randomized in a 1:1:1 ratio to either 20mg of onvansertib plus standard-of-care, 30mg of onvansertib plus
standard-of-care, or standard-of-care alone. Interim topline results from this trial are expected in mid-2024.
Contingent upon the results
of CRDF-004, Cardiff Oncology will initiate a Phase 3, randomized trial with registrational intent. The FDA has agreed that a seamless
trial with objective response rate (ORR) at an interim point is an acceptable endpoint to pursue accelerated approval, with progression-free
survival (PFS) and trend in overall survival being the endpoints for full approval.
“The
stand-out results from our Phase 1b/2 second-line mCRC trial of onvansertib were observed in a well-defined subset of patients, namely
those who had not previously been treated with bevacizumab in the first-line setting,” said Fairooz Kabbinavar, MD, Chief Medical
Officer of Cardiff Oncology. “Bev naïve patients in our Phase 1b/2 trial who received FOLFIRI, bevacizumab and onvansertib
had a remarkable 73% ORR and 15-month mPFS, comparing favorably against historical controls that report an ORR of approximately 25% with
a 7 to 8-month mPFS. Such high levels of efficacy have not been previously observed in 2nd line mCRC. The clinical and preclinical
data we are reporting today confirm our initial finding, and based on highly encouraging interactions with the FDA and Pfizer, we are
moving into first-line RAS-mutated mCRC where we believe enrollment should occur more quickly given the significantly larger number of
first-line patients versus second-line.”
Consistent with the strategic decision to focus
on first-line RAS-mutated mCRC, Cardiff Oncology will discontinue enrollment in its ONSEMBLE second-line trial to focus resources on its
new lead first-line program. This decision is driven by the fact that both trials essentially test the same clinical hypothesis, the importance
of deploying the Company’s capital efficiently, and the FDA’s suggestion that Cardiff Oncology consider focusing on the first-line
RAS-mutated mCRC setting.
All other Cardiff Oncology programs remain unaffected
by this decision.
Conference Call and
Webcast
Cardiff Oncology will
host a corresponding conference call and live webcast at 5:00 p.m. ET/2:00 p.m. PT on August 7, 2023. Individuals interested
in listening to the live conference call may do so by using the webcast link in the “Investors” section of the company’s
website at www.cardiffoncology.com. A webcast replay will be available in the investor relations section on the company’s website
for 30 days following the completion of the call.
About Cardiff Oncology, Inc.
Cardiff Oncology is
a clinical-stage biotechnology company leveraging PLK1 inhibition, a well-validated oncology drug target, to develop novel therapies
across a range of cancers. The company's lead asset is onvansertib, a PLK1 inhibitor being evaluated in combination with standard-of-care
(SoC) therapeutics in clinical programs targeting indications such as RAS-mutated metastatic colorectal cancer (mCRC) and metastatic
pancreatic ductal adenocarcinoma (mPDAC), as well as in investigator-initiated trials in triple negative breast cancer (TNBC) and small
cell lung cancer (SCLC). These programs and the company's broader development strategy are designed to target tumor vulnerabilities in
order to overcome treatment resistance and deliver superior clinical benefit compared to the SoC alone. For more information, please
visit https://www.cardiffoncology.com.
Forward-Looking Statements
Certain statements in
this press release are forward-looking within the meaning of the Private Securities Litigation Reform Act of 1995. These statements may
be identified using words such as "anticipate," "believe," "forecast," "estimated" and "intend"
or other similar terms or expressions that concern Cardiff Oncology's expectations, strategy, plans or intentions. These forward-looking
statements are based on Cardiff Oncology's current expectations and actual results could differ materially. There are several factors
that could cause actual events to differ materially from those indicated by such forward-looking statements. These factors include, but
are not limited to, clinical trials involve a lengthy and expensive process with an uncertain outcome, and results of earlier studies
and trials may not be predictive of future trial results; our clinical trials may be suspended or discontinued due to unexpected side
effects or other safety risks that could preclude approval of our product candidate; risks related to business interruptions, including
the outbreak of COVID-19 coronavirus, which could seriously harm our financial condition and increase our costs and expenses; uncertainties
of government or third party payer reimbursement; dependence on key personnel; limited experience in marketing and sales; substantial
competition; uncertainties of patent protection and litigation; dependence upon third parties; and risks related to failure to obtain
FDA clearances or approvals and noncompliance with FDA regulations. There are no guarantees that our product candidate will be utilized
or prove to be commercially successful. Additionally, there are no guarantees that future clinical trials will be completed or successful
or that any precision medicine therapeutics will receive regulatory approval for any indication or prove to be commercially successful.
Investors should read the risk factors set forth in Cardiff Oncology's Form 10-K for the year ended December 31, 2022,
and other periodic reports filed with the Securities and Exchange Commission. While the list of factors presented here is considered representative,
no such list should be considered to be a complete statement of all potential risks and uncertainties. Unlisted factors may present significant
additional obstacles to the realization of forward-looking statements. Forward-looking statements included herein are made as of the date
hereof, and Cardiff Oncology does not undertake any obligation to update publicly such statements to reflect subsequent events or circumstances.
Cardiff
Oncology Contact:
James Levine
Chief Financial Officer
858 952-7670
jlevine@cardiffoncology.com
Investor
Contact:
Kiki Patel, PharmD
Gilmartin Group
332 895-3225
Kiki@gilmartinir.com
Media
Contact:
Richa Kumari
Taft Communications
551 344-5592
richa@taftcommunications.com
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Cardiff Oncology (NASDAQ:CRDF)
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Von Dez 2024 bis Jan 2025
Cardiff Oncology (NASDAQ:CRDF)
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Von Jan 2024 bis Jan 2025