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Pfizer Inc. has discontinued the phase II clinical trial of its drug candidate maplirpacept, which targets CD47, due to difficulties in recruiting participants. This decision follows the company's acquisition of Trillium Therapeutics in August 2021 for $2.26 billion, during which maplirpacept was one of the core assets acquired. The drug was seen as a promising treatment for certain types of lymphoma, particularly diffuse large B-cell lymphoma.
The termination of the trial was announced on the ClinicalTrials.gov website, stating that the decision was made due to the inability to recruit the planned number of participants. The page indicated that only six participants were enrolled before the trial was canceled. Importantly, the termination was not based on any safety or efficacy issues, but rather on the logistical challenge of participant recruitment.
The phase II trial was designed to evaluate the efficacy of maplirpacept in combination with Monjuvi (tafasitamab) and Revlimid (lenalidomide) for the treatment of diffuse large B-cell lymphoma. Despite this setback, Pfizer's phase I clinical trial for maplirpacept in the treatment of multiple myeloma is still ongoing.
This development underscores the significant challenges pharmaceutical companies face in the drug development process, particularly in the field of oncology. Recruiting participants for clinical trials is a critical and often difficult step, and failures in this area can have substantial impacts on the timeline and success of a drug's development. Pfizer's inability to recruit enough participants for the phase II trial of maplirpacept has resulted in the termination of the trial, marking a notable setback for the company's efforts to bring this drug to market.
The termination of the phase II trial raises questions about the future of maplirpacept and Pfizer's oncology pipeline. While the company has not provided specific details on its plans for the drug, the termination of the trial suggests that
may be reassessing its strategy for developing maplirpacept. The company might explore alternative approaches, such as partnering with other pharmaceutical companies or conducting further research to address the challenges that led to the trial's termination.This event serves as a reminder of the inherent risks and challenges in drug development. Pharmaceutical companies invest considerable resources into developing new drugs, but the success of these efforts is never guaranteed. The termination of the maplirpacept trial highlights the importance of meticulous planning and execution in the drug development process, as well as the need for pharmaceutical companies to be adaptable in the face of unexpected obstacles.

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