Ali Fattaey
Analyst · Cowen. Please go ahead.
Yes, it’s a good point. Maybe answer the first part of your question with respect to the historical controls. You are correct, there is very little, in fact, data available that looks at relapsed/refractory DLBCL patients in terms of how they’ve done and then more importantly, less – certainly, a lot less on MYC-altered specifically relapsed/refractory DLBCL patients. Our read of all of the available data, including the ones that I mentioned in the REFINE study as well as the CORAL, the REFINE analysis and the CORAL really says that the MYC-alteration is an extremely poor prognosis for the patients all throughout the treatment from front-line, post transplant, post second-line and certainly that in the relapsed/refractory setting. But the historical available data is small, so that is a correct statement. We do think there is – just in the context of a study for CUDC-907, I should point out recalling that the Phase 2 trial that we ran, the interim analysis we looked at it at approximately 15 MYC positive patients, the Phase 2 trial itself is designed as 100 MYC-altered positive patients to be analyzed as an endpoint, the endpoint being response rate and durable responses. We do think that’s a viable path and non-randomized study that compares to historical. We do think that’s a path and that is part of our thinking in discussion. At the same time, we do think about a randomized study, because in the end, we will still need a randomized study that will look at CUDC-907, as compared to available therapies – available therapies,. as you point out, is realistically nothing other than experimental or doublets of chemotherapy. We had thought through both a non-randomized as well as a randomized study. We do think, there is non-randomized opportunity, including obviously the Phase 2 trial that is not fully enrolled yet at this point. Those are all parts of our discussions with us. We will provide that – all right, Santhosh, we will provide updates once our discussions with the FDA is concluded or is at a point that we feel comfortable being able to present it to the outside, as well as the full development path for CUDC-907.