Benevolent AI’s dermatology Trk disappoints

Sometimes the computer says yes – but it shouldn’t have. Benevolent AI made the unusual decision to try inhibiting tropomyosin receptor kinases (Trks), best known for their role in cancer, in atopic dermatitis, and today disclosed a failure. The topical project BEN-2293 was generated by the Benevolent Platform, the group’s AI-enabled drug discovery engine, to block Trks A, B and C. But phase 2a results show no statistically significant effect over placebo, after a month’s treatment, on two symptom rating scores in the intention-to-treat population. Benevolent claims to have seen a signal in patients with at least 20% of their skin affected by dermatitis, in both the ITT and per-protocol populations, and will investigate this. At time of press Benevolent AI had not replied to a question asking why it was looking at Trk blockade here when almost all work with this mechanism is in cancer. There is one other exception: Pyramid Biosciences, a Trk specialist, which has tested one of its projects in psoriasis. The same asset is listed in the company’s pipeline as being in early trials in atopic dermatitis, but no such study appears on clinicaltrials.gov.

The Trk inhibitor pipeline
Product Company Mechanism Status
Vitrakvi Bayer Trk A, B and C inhibitor Sold for solid tumours
Rozlytrek Roche ALK, Ros1 kinase and Trk A, B and C inhibitor Sold for solid tumours
Repotrectinib Bristol Myers Squibb/
Zai Lab
ALK, Ros1 kinase and Trk A, B and C inhibitor Three ph1/2 trials and a Ph1 trial in solid tumours could report 2024-2028
BEN2293 Benevolent AI Trk A, B and C inhibitor Ph2a trial in atopic dermatitis failed Apr 2023, development ongoing
ICP-723 Innocare Trk A, B and C inhibitor Ph2 trial in advanced solid tumours or primary CNS tumours could report 2024
VC004 Jiangsu Vcare Pharmatech Trk inhibitor Ph1/2 trial in locally advanced/metastatic solid tumours ongoing in China; could report 2024
PBI-200 Pyramid Biosciences Trk inhibitor Ph1/2 trial in advanced or metastatic tumours, including CNS tumours, could report 2024
FCN-011 Fosun International Trk A, B and C inhibitor Ph1 trial in advanced solid tumours could report late 2023
BPI-28592 Betta Pharmaceuticals Trk A and C inhibitor Ph1 trial in advanced solid tumours could report 2024
PBI-100  Pyramid Biosciences Trk inhibitor Website says it is in Ph1 in atopic dermatitis but the only trial was a ph1 in mild-to-moderate psoriasis, which concluded 2023; no results released
Source: Evaluate Pharma, clinicaltrials.gov, company websites.

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