INOVIO Presents Clinical Results of its DNA Medicines INO-5401 + INO-9012 in Novel Combination with PD-1 Inhibitor Libtayo(R) (cemiplimab)
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INOVIO Presents Clinical Results of its DNA Medicines INO-5401 + INO-9012 in Novel Combination with PD-1 Inhibitor Libtayo(R) (cemiplimab) in the Treatment of Newly Diagnosed Glioblastoma Multiforme at Society for Neuro-Oncology 2020 Annual Meeting
PLYMOUTH MEETING, Pennsylvania Nov. 20, 2020 /PRNewswire=KYODO JBN/ --
-- Interim review in newly diagnosed glioblastoma patients provides OS18 data,
demonstrates immunogenicity and tolerability in a majority of patients
INOVIO (NASDAQ: INO), a biotechnology company focused on rapidly bringing to
market precisely designed DNA medicines to treat and protect people from
infectious diseases and cancer, announced today that data from the company's
novel combination trial of DNA medicines INO-5401 and INO-9012 in combination
with PD-1 inhibitor Libtayo(R)(cemiplimab) in the treatment of newly diagnosed
glioblastoma (GBM), will be presented by Dr. David Reardon in the plenary
session at the Society for Neuro-Oncology (SNO) 2020 Annual Meeting. The study
demonstrated that INO-5401 + INO-9012 with Libtayo, radiation (RT) and
temozolomide (TMZ) are tolerable, immunogenic, and may improve median survival
for patients with newly diagnosed GBM. Survival data at 18 months showed that
70% (14/20) of MGMT promoter methylated GBM patients were alive, and 50%
(16/32) of MGMT promoter unmethylated patients, which are the more difficult to
treat group, were alive after 18 months. Median overall survival in the
unmethylated GBM patients was 17.9 months, which compares favorably to
historical controls; Median OS for methylated patients has not yet been reached
and the study is ongoing.
Dr. David Reardon, Clinical Director of the Center for Neuro-Oncology at the
Dana-Farber Cancer Institute and coordinating principal investigator of GBM-001
said, "This is a landmark combination trial in which a novel DNA vaccine is
combined with a checkpoint inhibitor and radiation and chemotherapy. We look
forward to continuing to review these data, with an eye towards those patients
who are most likely to benefit from this innovative approach and to see
whether, over time, there is an extension of survival in these very
hard-to-treat patients. Coupling immune response with clinical outcome may
prove insightful."
Interim data demonstrated that in the MGMT promoter unmethylated cohort, 19/22
(86%) subjects to date had an IFN-gamma T cell response that increased over
baseline to one or more of the antigens encoded by INO-5401. In the MGMT
promoter methylated cohort, 16/17 (94%) subjects to date had an IFN-gamma
response that increased over baseline to one or more of the antigens encoded by
INO-5401. The novel combination of INO-5401 + INO-9012 continues to demonstrate
a well-tolerated safety profile when given not only with radiation and TMZ, but
also with PD-1 blockade by Libtayo, which is being jointly developed by
Regeneron and Sanofi.
Dr. Jeffrey Skolnik, INOVIO's senior vice president, clinical development,
said, "INO-5401 + INO-9012, with Libtayo and RT/TMZ, generates cancer
antigen-specific T cells that may be able to attack GBM and provide a survival
advantage. We are using our knowledge of immunology to define a patient
population for which this novel DNA medicine plus checkpoint inhibitor
combination may offer a survival advantage, by continuing to assess all of our
data: efficacy, safety and most important, immunogenicity and tissue expression
data."
Additional data will be provided in the coming months, including correlative
immunology and tissue data, as well as total study drug exposure and
concomitant medication use.
INO-5401, INO-9012 and Libtayo, and the combination of these products have not
been approved or evaluated by any Regulatory Authority worldwide for the
treatment of newly diagnosed GBM.
Presentation Details
Abstract: LTBK-01
Title: "INO-5401 and INO-9012 delivered intramuscularly (IM) with
electroporation (EP) in combination with cemiplimab (REGN2810) in newly
diagnosed glioblastoma"
Presenting Author: Dr. David Reardon
Plenary Session Date and Time: 2020 SNO Annual Meeting, Plenary 1A, Friday,
November 20, 2020 beginning at 11 a.m. EST
Study Design
The trial was designed to evaluate safety, immunogenicity and efficacy of
INO-5401 and INO-9012 in combination with Libtayo, with radiation and
chemotherapy, in subjects with newly diagnosed glioblastoma (GBM). This is a
Phase 1/2, open-label, multi-center trial conducted in 52 evaluable patients
with GBM. There are two cohorts in this trial. Cohort A includes 32
participants with a tumor with an unmethylated
O6-methylguanine-deoxyribonucleic acid (DNA) methyltransferase (MGMT) promoter.
Cohort B includes 20 participants with a tumor with a MGMT methylated promoter.
Both cohorts received INO-5401 and INO-9012 and Libtayo at the same doses and
on the same dosing schedule, and both cohorts received radiation and TMZ. For
more information of the clinical study, see www.clinicaltrials.gov, identifier
NCT03491683.
About Glioblastoma Multiforme (GBM)
GBM is the most common and aggressive type of brain cancer and remains a
devastating disease for both patients and caregivers. Its prognosis is
extremely poor, despite a limited number of new therapies approved over the
last 10 years. The median overall survival for patients receiving standard of
care therapy is approximately 15 to 22 months and the median progression-free
survival is approximately 7 months. In the U.S., the estimated annual incidence
of GBM is 11,362 cases or 3.21 cases per 100,000 persons and the median age at
diagnosis is 65 years.
About INO-5401 and INO-9012
INO-5401 encodes for INOVIO's SynCon(R)antigens for hTERT, WT1, and PSMA, and
has the potential to be a powerful cancer immunotherapy in combination with
checkpoint inhibitors. The National Cancer Institute previously highlighted
hTERT, WT1, and PSMA among a list of important cancer antigens, designating
them as high priorities for cancer immunotherapy development. These three
antigens were reported to be over-expressed, and often mutated, in a variety of
human cancers, and targeting these antigens may prove efficacious in the
treatment of patients with cancer. INO-9012 encodes for IL-12, which is a T
cell immune activator.
About INOVIO's DNA Medicines Platform
INOVIO has 15 DNA medicine clinical programs currently in development focused
on HPV-associated diseases, cancer, and infectious diseases, including
coronaviruses associated with MERS and COVID-19 diseases being developed under
grants from the Coalition for Epidemic Preparedness Innovations (CEPI) and the
U.S. Department of Defense. DNA medicines are composed of optimized DNA
plasmids, which are small circles of double-stranded DNA that are synthesized
or reorganized by a computer sequencing technology and designed to produce a
specific immune response in the body.
INOVIO's DNA medicines deliver optimized plasmids directly into cells
intramuscularly or intradermally using INOVIO's proprietary hand-held smart
device called CELLECTRA(R). The CELLECTRA device uses a brief electrical pulse
to reversibly open small pores in the cell to allow the plasmids to enter,
overcoming a key limitation of other DNA and other nucleic acid approaches,
such as mRNA. Once inside the cell, the DNA plasmids enable the cell to produce
the targeted antigen. The antigen is processed naturally in the cell and
triggers the desired T cell and antibody-mediated immune responses.
Administration with the CELLECTRA device ensures that the DNA medicine is
efficiently delivered directly into the body's cells, where it can go to work
to drive an immune response. INOVIO's DNA medicines do not interfere with or
change in any way an individual's own DNA. The advantages of INOVIO's DNA
medicine platform are how fast DNA medicines can be designed and manufactured;
the stability of the products, which do not require freezing in storage and
transport; and the robust immune response, safety profile, and tolerability
that have been observed in clinical trials.
With more than 2,000 patients receiving INOVIO investigational DNA medicines in
more than 7,000 applications across a range of clinical trials, INOVIO has a
strong track record of rapidly generating DNA medicine candidates with
potential to meet urgent global health needs.
About INOVIO
INOVIO is a biotechnology company focused on rapidly bringing to market
precisely designed DNA medicines to treat and protect people from infectious
diseases, cancer, and diseases associated with HPV. INOVIO is the first and
only company to have clinically demonstrated that a DNA medicine can be
delivered directly into cells in the body via a proprietary smart device to
produce a robust and tolerable immune response. Specifically, INOVIO's lead
candidate VGX-3100, currently in Phase 3 trials for precancerous cervical
dysplasia, destroyed and cleared high-risk HPV 16 and 18 in a Phase 2b clinical
trial. High-risk HPV is responsible for 70% of cervical cancer, 91% of anal
cancer, and 69% of vulvar cancer. Also in development are programs targeting
HPV-related cancers and a rare HPV-related disease, recurrent respiratory
papillomatosis (RRP); non-HPV-related cancers glioblastoma multiforme (GBM) and
prostate cancer; as well as externally funded infectious disease DNA vaccine
development programs in Zika, Lassa fever, Ebola, HIV, and coronaviruses
associated with MERS and COVID-19 diseases. Partners and collaborators include
Advaccine, ApolloBio Corporation, AstraZeneca, The Bill & Melinda Gates
Foundation, Coalition for Epidemic Preparedness Innovations (CEPI), Defense
Advanced Research Projects Agency (DARPA)/Joint Program Executive Office for
Chemical, Biological, Radiological and Nuclear Defense (JPEO-CBRND)/Department
of Defense (DOD), HIV Vaccines Trial Network, International Vaccine Institute
(IVI), Medical CBRN Defense Consortium (MCDC), National Cancer Institute,
National Institutes of Health, National Institute of Allergy and Infectious
Diseases, Ology Bioservices, the Parker Institute for Cancer Immunotherapy,
Plumbline Life Sciences, Regeneron, Richter-Helm BioLogics, Thermo Fisher
Scientific, University of Pennsylvania, Walter Reed Army Institute of Research,
and The Wistar Institute. INOVIO also is a proud recipient of 2020 Women on
Boards "W" designation recognizing companies with more than 20% women on their
board of directors. For more information, visit www.inovio.com.
CONTACTS:
Investors: Ben Matone, +1-484-362-0076, ben.matone@inovio.com
Media: Jeff Richardson, +1-267-440-4211, jrichardson@inovio.com
This press release contains certain forward-looking statements relating to our
business, including our plans to develop DNA medicines, our expectations
regarding our research and development programs, including the planned
initiation and conduct of preclinical studies and clinical trials and the
availability and timing of data from those studies and trials, and our ability
to successfully manufacture and produce large quantities of our product
candidates if they receive regulatory approval. Actual events or results may
differ from the expectations set forth herein as a result of a number of
factors, including uncertainties inherent in pre-clinical studies, clinical
trials, product development programs and commercialization activities and
outcomes, our ability to secure sufficient manufacturing capacity to mass
produce our product candidates, the availability of funding to support
continuing research and studies in an effort to prove safety and efficacy of
electroporation technology as a delivery mechanism or develop viable DNA
medicines, our ability to support our pipeline of DNA medicine products, the
ability of our collaborators to attain development and commercial milestones
for products we license and product sales that will enable us to receive future
payments and royalties, the adequacy of our capital resources, the availability
or potential availability of alternative therapies or treatments for the
conditions targeted by us or our collaborators, including alternatives that may
be more efficacious or cost effective than any therapy or treatment that we and
our collaborators hope to develop, issues involving product liability, issues
involving patents and whether they or licenses to them will provide us with
meaningful protection from others using the covered technologies, whether such
proprietary rights are enforceable or defensible or infringe or allegedly
infringe on rights of others or can withstand claims of invalidity and whether
we can finance or devote other significant resources that may be necessary to
prosecute, protect or defend them, the level of corporate expenditures,
assessments of our technology by potential corporate or other partners or
collaborators, capital market conditions, the impact of government healthcare
proposals and other factors set forth in our Annual Report on Form 10-K for the
year ended December 31, 2019, our Quarterly Report on Form 10-Q for the quarter
ended September 30, 2020 and other filings we make from time to time with the
Securities and Exchange Commission. There can be no assurance that any product
candidate in our pipeline will be successfully developed, manufactured or
commercialized, that final results of clinical trials will be supportive of
regulatory approvals required to market products, or that any of the
forward-looking information provided herein will be proven accurate.
Forward-looking statements speak only as of the date of this release, and we
undertake no obligation to update or revise these statements, except as may be
required by law.
SOURCE: INOVIO Pharmaceuticals, Inc.
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