Celldex Presents Data from Oncology Portfolio at SITC 2020
-- Agonist anti-CD40 mAb CDX-1140 demonstrates best-in-class potential; additional expansion cohorts initiated--
--Axl and CDX-527 programs highlighted--
“CDX-1140 continues to emerge as a potential best in class CD40 agonist,” said
We are building on this strong foundation by exploring CDX-1140 in combination with other key mechanisms that could be complementary, including with the PD-1 inhibitor pembrolizumab. At SITC, we reported preliminary safety data from this cohort, demonstrating that the combination is well tolerated, and announced the initiation of expansion cohorts with pembrolizumab in both head and neck squamous cell carcinoma and non-small cell lung cancer. We also recently initiated an expansion cohort with chemotherapy in pancreatic cancer which is supported by strong preclinical studies and promising early clinical data with CD40 agonist antibodies.
In addition to the CDX-1140 data, we were pleased to present the trial design from our ongoing study of the first bispecific candidate from our platform, CDX-527, and emerging data from our preclinical program targeting Axl, which is also being developed as a potential bispecific antibody. We look forward to updating across these programs next year,” concluded
CDX-1140 Presentation Highlights (Poster #405): CD40, expressed on dendritic cells and other antigen presenting cells, is an important target for immunotherapy, as it plays a critical role in the activation of innate and adaptive immune responses. CDX-1140 is a fully human agonist anti-CD40 monoclonal antibody that was specifically designed to balance good systemic exposure and safety with potent biological activity, a profile which differentiates CDX-1140 from other CD40-activating antibodies.
CDX-1140 is currently in a Phase 1 dose escalation and expansion study. The study includes monotherapy and combination cohorts, including with CDX-301, Celldex’s dendritic cell growth factor, with the PD-1 inhibitor pembrolizumab in patients who have progressed on checkpoint therapy and in combination with standard of care chemotherapy (gemcitabine and nab-paclitaxel) in first line metastatic pancreatic cancer.
Prior data presented at SITC 2019 established the maximum tolerated dose (MTD) and recommended dose for continued study at 1.5 mg/kg—one of the highest systemic dose levels in the CD40 agonist class. The update presented at SITC 2020 focused on patients treated at the MTD from both the monotherapy (n=25) and CDX-301 (n=16) combination cohorts. In addition, preliminary safety data from the combination cohort with pembrolizumab (n=9; 4 at 0.72 mg/kg and 5 at 1.5 mg/kg CDX-1140) were also presented.
- CDX-1140 monotherapy and in combination with CDX-301 or pembrolizumab was generally well tolerated with mostly grade 1 or grade 2 drug related adverse events.
- Clinical activity both as a monotherapy and in combination with CDX-301 has been previously reported for CDX-1140 at varying doses, including an unconfirmed partial response (uPR) and tumor cavitation. At SITC 2020, analysis was focused on patients treated at the MTD and recommended dose of 1.5 mg/kg. 41 patients had been treated at the 1.5 mg/kg dose at the time of data cutoff; 29 patients had post-treatment scans performed and five patients had not reached their first post-treatment response assessment.
- Activity at 1.5mg/kg dose of CDX-1140 to date included:
- An ongoing (6+ months) complete response (CR) in a patient with follicular lymphoma treated with CDX-1140 in combination with CDX-301;
- Notable tumor shrinkage and/or necrosis in 6 patients with squamous cell head and neck cancer (SCCHN), including extensive tumor cavitation/necrosis of a large baseline protruding neck mass associated with decreased tumor pain in a patient; and,
- Stable disease (n=10) for 11 to 32 weeks.
- CDX-1140 at the recommended dose of 1.5 mg/kg provided good systemic exposure that enhanced the distribution into tissues and tumor and resulted in marked changes in the tumor microenvironment (TME) consistent with a more inflammatory and less immunosuppressive state as demonstrated by gene expression analysis.
- Interferon signaling and cytotoxicity pathways were most highly upregulated, while immunosuppression via TGFb signaling and metastatic pathways were downregulated, marking the first clear demonstration in patients of biological activity within the TME for a systemically administered agonist anti-CD40 mAb.
- Pre-treatment of patients with CDX-301 greatly increased the number of circulating dendritic cells prior to CDX-1140 administration and peripheral blood mononuclear cells (PBMCs) isolated from CDX-301 pretreated patients were more responsive to CDX-1140 than PBMCs from non-pretreated patients.
- The combination of CDX-1140 with pembrolizumab has completed the safety run-in and expansion cohorts in patients with checkpoint-refractory squamous cell head and neck cancer and non-small cell lung cancer have initiated.
- The combination of CDX-1140 with gemcitabine/nab-paclitaxel recently opened to enrollment to patients with previously untreated metastatic pancreatic adenocarcinoma.
- Data updates from these cohorts are expected in the first half of 2021.
Axl Preclinical Program (Poster: #550): Axl is a member of the TAM (Tyro3/Axl/MerTK) family of receptor tyrosine kinases and a negative regulator of innate immunity. Activation of Axl through its ligand, Gas6, leads to suppression of myeloid cell activity, while its activation in tumor cells drives tumor growth and metastasis, and is associated with acquired resistance to targeted therapies, including radiotherapy and chemotherapy. The presentation described a Celldex-created humanized IgG1 Axl-targeting monoclonal antibody (mAb) that potently inhibits Gas6 binding and activation of Axl in tumor cell lines. The preclinical candidate elicited a robust inflammatory response in human primary myeloid cells via an FcR-dependent mechanism, leading to T cell activation in mixed lymphocyte reactions.
CDX-527 Presentation Highlights (Poster #406): CDX-527 is the first candidate from Celldex’s bispecific antibody platform. It uses the Company’s proprietary highly active anti-PD-L1 and CD27 human antibodies to couple CD27 costimulation with blockade of the PD-L1/PD-1 pathway to help prime and activate anti-tumor T cell responses through CD27 costimulation, while preventing PD-1 inhibitory signals that subvert the immune response. In
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