Epitopoietic Research Corporation
{{Short description|Belgian pharmaceutical company developing brain cancer treatments}}
{{Promotional|date=July 2021}}
{{Infobox company
| name = Epitopoietic Research Corporation
| logo = File:Erc_Immunotherapy_logo.png
| foundation = 2006
| location_city = Belgium
| key_people = Apostolos Stathopoulos
(CEO)
Vince Dell (Co-Founder and USA CFO)
Thomas Chen (Chief Medical Officer)
Virgil Schijns (Chief Scientific Officer)
Joseph Elliot (Managing Director, ERC-USA)
| industry = Biotechnology
| products = ERC1671 (Gliovac/Sitoiganap (EU))
| homepage = [http://www.erc-immunotherapy.com www.erc-immunotherapy.com]
}}
Epitopoietic Research Corporation (ERC) is a Belgian Pharmaceutical company that is specialized in the development of ERC1671 (Gliovac, Sitooiganap (EU)), a treatment for Glioblastoma multiforme, which is the most aggressive form of brain cancer. In 2019 ERC provided treatment under the US Federal Right-to-try law.{{cite web | title=Epitopoietic Research Corporation | website=ERC | date=2020-04-09 | url=https://www.erc-immunotherapy.com | ref={{sfnref | ERC | 2020}} | access-date=2020-07-02}}{{cite web | title=k8fT0MoqyMcug16mplqDtQ2 | website=S&P Global Market Intelligence | date=2019-11-26 | url=https://www.spglobal.com/marketintelligence/en/news-insights/trending/k8fT0MoqyMcug16mplqDtQ2 | ref={{sfnref | S&P Global Market Intelligence | 2019}} | access-date=2020-07-02}}{{cite web | author=ERC-USA | title=ERC-USA Sponsors Ancillary Meeting to Discuss Outcomes from Its Clinical Trial and Right To Try Patient Experience of ERC1671 in Recurrent Glioblastoma | website=GlobeNewswire News Room | date=2019-11-19 | url=http://www.globenewswire.com/news-release/2019/11/19/1949536/0/en/ERC-USA-Sponsors-Ancillary-Meeting-to-Discuss-Outcomes-from-Its-Clinical-Trial-and-Right-To-Try-Patient-Experience-of-ERC1671-in-Recurrent-Glioblastoma.html | access-date=2020-07-02}}{{cite journal | last1=Bota | first1=Daniela A | last2=Alexandru-Abrams | first2=Daniela | last3=Pretto | first3=Chrystel | last4=Hofman | first4=Florence M | last5=Chen | first5=Thomas C | last6=Fu | first6=Beverly | last7=Carrillo | first7=Jose A | last8=Schijns | first8=Virgil EJC | last9=Stathopoulos | first9=Apostolos | title=Use of ERC-1671 Vaccine in a Patient with Recurrent Glioblastoma Multiforme after Progression during Bevacizumab Therapy: First Published Report | journal=The Permanente Journal | volume=19 | issue=2 | date=2008-06-26 | pages=41–6 | pmid=25785641 | doi=10.7812/TPP/14-042 | pmc=4403580 | doi-access=free }}{{cite web | title=ERC Belgium Submits Marketing Authorization Application to European Medicines Agency (EMA) for Glioblastoma Immunotherapy, SITOIGANAP | website=Yahoo Finance | date=2018-08-26 | url=https://finance.yahoo.com/news/erc-belgium-submits-marketing-authorization-040000787.html | access-date=2020-07-02}}{{Cite news|title=Brain Cancer Patient Is First to Get Untested Treatment Under Trump-Backed Law| author = Michelle Fay Cortez | date =2019-01-10 |url=https://www.bloomberg.com/news/articles/2019-01-10/brain-cancer-patient-gets-unproven-therapy-first-under-new-law2|website=www.bloomberg.com}}
History
Over the years, the company achieved various milestones, including obtaining Advanced Medical Therapy Product status, Orphan Drug status, and initiating Phase II trials.
= 2006 =
Stathopoulos conducts a proof-of-concept study on rats. The study finds that the combination of Syngeneic and allogeneic glioma cells injected into rats with growing tumors reduces the size, eradicates the existing tumors, and prevents the formation of new tumors. Stathopoulos patents the technique and founds ERC to develop the treatment for humans.{{Cite journal|last1=Stathopoulos|first1=Apostolos|last2=Samuelson|first2=Christian|last3=Milbouw|first3=Germain|last4=Hermanne|first4=Jean Philippe|last5=Schijns|first5=Virgil E. J. C.|last6=Chen|first6=Thomas C.|date=2008-03-25|title=Therapeutic vaccination against malignant gliomas based on allorecognition and syngeneic tumor antigens: proof of principle in two strains of rat|url=https://pubmed.ncbi.nlm.nih.gov/18336964/|journal=Vaccine|volume=26|issue=14|pages=1764–1772|doi=10.1016/j.vaccine.2008.01.039|issn=0264-410X|pmid=18336964}}{{Cite patent|title=Tumour vaccine comprising allogeneic or xenogeneic tumour cells|pubdate=2007-08-02|inventor1-last=Stathopoulos|inventor1-first=Apostolos|country=WO|number=2007085648}}{{Cite web|last=www.erc.eu|title=ERC - Epitopoietic Research Corporation|url=http://erc.konnu.be/|access-date=2020-07-02|website=erc.konnu.be|language=en}}
= 2009 =
ERC obtains Advanced Medical Therapy Product status for Gliovac/ERC1671 from the European Medicines Agency. It creates a tissue bank for proliferative tumors and a Good Manufacturing Practice-compliant production facility in Schaijk, Netherlands.{{Cite web|date=2015-04-12|title=ERC: Epitopoietic Research Corporation Netherlands|url=http://rhumbline.nl/erc/|access-date=2020-07-02|website=Rhumbline Consultancy|language=nl-NL}}{{Cite journal|last1=Schijns|first1=Virgil E. J. C.|last2=Pretto|first2=Chrystel|last3=Strik|first3=Anna M.|last4=Gloudemans-Rijkers|first4=Rianne|last5=Devillers|first5=Laurent|last6=Pierre|first6=Denis|last7=Chung|first7=Jinah|last8=Dandekar|first8=Manisha|last9=Carrillo|first9=Jose A.|last10=Kong|first10=Xiao-Tang|last11=Fu|first11=Beverly D.|date=2018-08-27|title=Therapeutic Immunization against Glioblastoma|journal=International Journal of Molecular Sciences|volume=19|issue=9|page=2540|doi=10.3390/ijms19092540|issn=1422-0067|pmc=6163986|pmid=30150597|doi-access=free}}
= 2011 =
Gliovac obtains Orphan Drug status from the US FDA. Glioblastoma multiforme is the most common and deadly brain tumor in adults, but only affects 10,000-17,000 people in the US. By definition, an orphan disease affects under 200,000 people in the USA.{{Cite web|last1=Lassen|first1=Ulrik|last2=Mau-Sørensen|first2=Morten|last3=Poulsen|first3=Hans Skovgaard|date=2014-11-14|title=Orphan drugs in glioblastoma multiforme: a review|url=https://www.dovepress.com/orphan-drugs-in-glioblastoma-multiforme-a-review-peer-reviewed-article-ODRR|access-date=2020-07-02|website=Orphan Drugs: Research and Reviews|language=en}}File:AFIP-00405558-Glioblastoma-Radiology.jpg
= 2012 =
First patients are treated with Gliovac/ERC1671 under a doctrine of compassionate use. In September, the first patient reached total remission.{{cite web | title=Gliovac (ERC1671) | website=Immuno-Oncology News | url=https://immuno-oncologynews.com/erc1671/ | access-date=2020-07-02}}{{Cite journal|last1=Schijns|first1=Virgil E. J. C.|last2=Pretto|first2=Chrystel|last3=Devillers|first3=Laurent|last4=Pierre|first4=Denis|last5=Hofman|first5=Florence M.|last6=Chen|first6=Thomas C.|last7=Mespouille|first7=Pascal|last8=Hantos|first8=Peter|last9=Glorieux|first9=Philippe|last10=Bota|first10=Daniela A.|last11=Stathopoulos|first11=Apostolos|date=2015-05-28|title=First clinical results of a personalized immunotherapeutic vaccine against recurrent, incompletely resected, treatment-resistant glioblastoma multiforme (GBM) tumors, based on combined allo- and auto-immune tumor reactivity|journal=Vaccine|volume=33|issue=23|pages=2690–2696|doi=10.1016/j.vaccine.2015.03.095|issn=1873-2518|pmid=25865468|doi-access=free}}
= 2013 =
Phase II trials of Gliovac/ERC1671 begins in partnership with the University of California, Irvine.{{Cite web|title=ERC1671/GM-CSF/Cyclophosphamide for the Treatment of Glioblastoma Multiforme - Full Text View - ClinicalTrials.gov|url=https://clinicaltrials.gov/ct2/show/NCT01903330|access-date=2020-07-02|website=clinicaltrials.gov|language=en}}
= 2018 =
Interim phase II trial results show that patients treated with Gliovac/ERC1671 and the commonly prescribed anti-cancer drug bevacizumab(Atavan) survived almost five months longer on average than those treated with bevacizumab alone.{{Cite journal|last1=Bota|first1=Daniela A|last2=Chung|first2=Jinah|last3=Dandekar|first3=Manisha|last4=Carrillo|first4=Jose A|last5=Kong|first5=Xiao-Tang|last6=Fu|first6=Beverly D|last7=Hsu|first7=Frank PK|last8=Schönthal|first8=Axel H|last9=Hofman|first9=Florence M|last10=Chen|first10=Thomas C|last11=Zidovetzki|first11=Raphael|date=2018-07-01|title=Phase II study of ERC1671 plus bevacizumab versus bevacizumab plus placebo in recurrent glioblastoma: interim results and correlations with CD4+ T-lymphocyte counts|journal=CNS Oncology|volume=7|issue=3|pages=CNS22|doi=10.2217/cns-2018-0009|issn=2045-0907|pmc=6200061|pmid=30157683}}
= 2019 =
At the request of a patient, Gliovac/ERC1671 is the first medication prescribed under the US Federal Right-to-try law passed by the Trump Administration. Despite being prescribed under Federal law, the treatment follows the protocols of California’s state Right-To-Try laws. ERC makes Gliovac available at free or reduced cost for Right-To-Try patients.{{cite web | title=Right to Try Program Offers Hope to Brain Cancer Patients | website=Goldwater Institute | url=https://goldwaterinstitute.org/article/the-first-announced-right-to-try-program-offers-hope-to-brain-cancer-patients/ | access-date=2020-07-02}}{{cite web | title=Glioblastoma patient is first to receive treatment under Right to Try. Our question is Why? – The Cancer Letter | website=The Cancer Letter – The Cancer Letter is an independent weekly news publication and the leading source for information on the issues that shape oncology. | date=2019-02-01 | url=https://cancerletter.com/articles/20190201_6/ | access-date=2020-07-02}}
= 2020 =
ERC submits a European Medicines Agency marketing application authorization for ERC1671 under the brand name Sitoiganap.{{Cite web|title=ERC Belgium Submits Marketing Authorization Application to European Medicines Agency (EMA) for Glioblastoma Immunotherapy, SITOIGANAP|url=https://finance.yahoo.com/news/erc-belgium-submits-marketing-authorization-040000787.html|access-date=2020-07-14|website=finance.yahoo.com|language=en-US}} A second trial site opens at Harvard’s Dana Farber Center For Immuno-Oncology. ERC begins development of a COVID-19 vaccine called COVIDVAC based on Gliovac technology.{{Cite web|title=ERC1671/GM-CSF/Cyclophosphamide for the Treatment of Glioblastoma Multiforme|url=https://www.smartpatients.com/trials/NCT01903330|website=Smart Patients}}{{cite web | last=Martin | first=Ulrich | title=The Biologics News and Reports Portal | website=pipelinereview | date=2020-04-10 | url=https://pipelinereview.com/index.php/2020041074304/Vaccines/ERC-Launches-Development-Program-for-Novel-Cell-Based-Therapeutic-and-Prophylactic-SARS-CoV-2-Vaccine.html | access-date=2020-07-02}}
Leadership
The leadership team includes Apostolos Stathopoulos, Thomas Chen, Virgil Schijns, and Joseph Elliot.
Thomas Chen (Co-Founder, CMO) is a neurosurgeon and professor at the University of Southern California. He is one of the few fellowship trained spinal surgeons focused on spine cancer.{{Cite web|title=ERC Immunotherapy|url=https://tracxn.com/d/companies/erc-immunotherapy.com/|access-date=2020-07-02|website=tracxn.com|language=en}} Virgil Schijns (Chief Scientific Officer) is the Registered Qualified Person for Gliovac/ERC1671 in the EU.{{cite web | title=Prof.dr. V.E.J.C. (Virgil) Schijns | website=NARCIS > Home | url=https://www.narcis.nl/person/RecordID/PRS1316489/Language/en | access-date=2020-07-02}}{{cite web | title=Virgil Schijns | website=WUR | date=2012-11-05 | url=https://www.wur.nl/en/Research-Results/Chair-groups/Animal-Sciences/Cell-Biology-and-Immunology-Group/People/Schijns-Virgil.htm | access-date=2020-07-02}} Joseph Elliot is the Managing Director of ERC-USA, ERC's US Subsidiary.{{Cite web|title=Brain Cancer Patient is First to Get Untested Treatment Under Trump-Backed Law |url=https://www.bloomberg.com/news/articles/2019-01-10/brain-cancer-patient-gets-unproven-therapy-first-under-new-law| author=Michelle Fay Cortez|date=2019-01-10|access-date=2020-07-14|website=www.bloomberg.com}}
Products
Sitoiganap (EU)/Gliovac/ERC1671 is an immunotherapy vaccine that trains the body’s immune system to attack a Glioblastoma (brain tumor) using cells taken from the patient’s own tumor, along with tumor cells from three other donors.ERC1671 is an immunotherapy vaccine designed to train the body’s immune system to attack a Glioblastoma using cells from the patient’s own tumor and cells from three other donors. The vaccine has undergone trials to assess its potential, or proteins, minimizing the chance that tumor cells might escape from the body’s defenses. It also is believed this approach will trigger a stronger cytotoxic T-lymphocyte (CTL, or a “cell-killing” T-cell) response against the TAA on the patient’s tumor.{{Cite web|last=PhD|first=Ines Martins|title=Gliovac (ERC1671) - Immuno-Oncology News|url=https://immuno-oncologynews.com/erc1671/|access-date=2020-07-02|language=en-US}} In the first group of nine patients treated under the compassionate use doctrine, 100% survived for six months compared to only 33% in the control group. At ten months, 77% survived, compared to 10% in the control group.File:Killer T cells surround a cancer cell.png ERC1671 is currently in Phase II trials in the US, as well as being available under compassionate use protocols and right-to-try laws. According to the Innovation Observatory of the UK’s National Health Service:
The key principle underlying this particular vaccination approach is the use of a broad set of tumour antigens, derived from freshly resected whole tumour tissue – not only from the patient under treatment, but expanded to include the same from three independent GBM tissue donors. This multivalent array of autologous and allogeneic antigens is expected to reduce the chance of immune escape, which can emerge from antigenic loss or active major histocompatibility complex (MHC) downregulation and is more likely to occur when using a single- or limited-antigen targeted immunotherapy. The future promise of this treatment might also rest in the ability to combine it with bevacizumab, and potentially with immune checkpoint inhibitors – an option that will allow more powerful immune activation in the periphery as well as more aggressive local tumour immunological targeting and destruction.{{Cite journal|last1=Bota|first1=Daniela A.|last2=Alexandru-Abrams|first2=Daniela|last3=Pretto|first3=Chrystel|last4=Hofman|first4=Florence M.|last5=Chen|first5=Thomas C.|last6=Fu|first6=Beverly|last7=Carrillo|first7=Jose A.|last8=Schijns|first8=Virgil Ejc|last9=Stathopoulos|first9=Apostolos|date=2015|title=Use of ERC-1671 Vaccine in a Patient with Recurrent Glioblastoma Multiforme after Progression during Bevacizumab Therapy: First Published Report|journal=The Permanente Journal|volume=19|issue=2|pages=41–46|doi=10.7812/TPP/14-042|issn=1552-5775|pmc=4403580|pmid=25785641}}{{Cite news|last=Innovation Observatory|title=ERC1671 (Gliovac) for recurrent grade IV glioma|work=Health Technology Briefing - March 2019|url=http://www.io.nihr.ac.uk/wp-content/uploads/2019/05/10596-ERC1671-for-glioma-V1.0-MAR2019-NONCONF.pdf|access-date=2020-07-02}}
In April 2020, ERC began development on COVIDVAC, a vaccine for COVID-19 based on ERC1671’s underlying technology.{{Cite web|last=ERC-USA|date=2020-04-09|title=ERC Launches Development Program for Novel Cell-Based Therapeutic and Prophylactic SARS-CoV-2 Vaccine|url=http://www.globenewswire.com/news-release/2020/04/09/2014261/0/en/ERC-Launches-Development-Program-for-Novel-Cell-Based-Therapeutic-and-Prophylactic-SARS-CoV-2-Vaccine.html|access-date=2020-07-02|website=GlobeNewswire News Room}}{{Cite web|last=Martin|first=Ulrich|title=The Biologics News and Reports Portal|url=https://pipelinereview.com/|access-date=2020-07-02|website=pipelinereview|language=en-gb}}
Recent Developments
n 2020, ERC began the development of a COVID-19 vaccine called COVIDVAC, based on the technology underlying ERC1671.