MorphoSys and Xencor Publish Final Results from Phase 1/2a Trial of MOR208 (XmAb5574) in CLL/SLL at ASH Annual Meeting
MARTINSRIED,
The results demonstrate that the drug was well tolerated and achieved durable responses in a high risk and poor prognosis patient population with significant progression-free survival achieved:
- At recommended dose 12 patients (75%) had a partial response by physical exam criteria (IWCLL1996) and 6 patients (37.5%) had a partial response using additional CT criteria (IWCLL2008)
- Blood disease cleared in most patients, with median reduction in absolute lymphocyte count from baseline of 90.8%
- Progression-free survival of up to 60 weeks for patients in extended treatment arm
"The data presented by the
"The activity observed with MOR208 in this difficult to treat population, particularly the durability and tolerability, position the program well for further development," said
The Phase 1/2a trial was designed to assess the drug's safety, tolerability, pharmacokinetic profile and preliminary anti-tumor activity. MOR208 was administered as an intravenous infusion on days 1, 4, 8, 15, and 22 of cycle 1, and on days 1, 8, 15, and 22 of cycle 2. Dose levels tested ranged from 0.3 to 12 mg/kg with an expansion to a total of 16 patients at the highest dose.
In total, 27 patients were enrolled, with a median age of 66 years. The patients were generally high risk: 14 patients had high-risk disease by the Rai staging system; 18 patients had chromosome abnormalities - 10 patients with del(17p13.1) and 8 with del(11q22.3); 24 patients had IgVH unmutated disease. All of these factors lead to a poor prognosis in clinical practice. Patients had a median of 4 prior therapies, with a range of 1 to up to 13.
MOR208 was generally well tolerated with no maximum-tolerated dose identified. The most common adverse events were infusion reactions, increased aspartate transaminase (AST), increased alanine aminotransferase (ALT), neutropenia, thrombocytopenia, fever, chills, and peripheral neuropathy. Infusion reactions occurred in 67% of patients, however, all were grade 1 or 2, and no reactions were seen following the first infusion.
On the basis of physical exam and laboratory studies, 18 patients (66.7%) achieved a partial response (PR), and the remaining 9 patients (33.3%) achieved stable disease (SD). Adding CT criteria, 8 patients (29.6%) achieved a PR with an additional 16 patients (59.3%) achieving SD. Two patients had progressive disease by CT criteria. Evaluating only the 16 patients at the 12 mg/kg dose level, which is the recommended phase 2 dose, 12 patients (75%) had a PR by physical exam criteria and 6 patients (37.5%) had a PR by CT criteria, two of these patients achieving the PR during the maintenance phase. Blood disease cleared in most patients, with a median reduction in absolute lymphocyte count from baseline of 90.8% and a decrease in CLL cell count. Median progression-free survival (PFS) for all patients was 199 days. For the 8 patients on the extended treatment cohort, PFS was 420 days.
"While not the primary endpoint of this trial, efficacy with this antibody is encouraging, with 67% of patients achieving a PR by clinical criteria and 30% using IWCLL 2008 criteria," commented
A research paper presenting and discussing the results in CLL/SLL was recently published in the online issue of the peer-reviewed medical journal blood:
http://www.bloodjournal.org/content/early/2014/10/09/blood-2014-08-593269
About
Together with its pharmaceutical partners,
HuCAL®, HuCAL GOLD®, HuCAL PLATINUM®, CysDisplay®, RapMAT®, arYla® and Ylanthia® and 100 billion high potentials® are registered trademarks of
Slonomics® is a registered trademark of
About
This communication contains certain forward-looking statements concerning MOR208 (XmAb5874) and its therapeutic and commercial potential. The forward-looking statements contained herein represent the judgment of
For more information, please contact:
|
|
Dr. Claudia Gutjahr-Löser Head of
Associate Director Corporate Communications & IR
Tel: +49 (0) 89 / 899 27-404 |
(619)849-6005 |
To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/morphosys-and-xencor-publish-final-results-from-phase-12a-trial-of-mor208-xmab5574-in-cllsll-at-ash-annual-meeting-300005857.html
SOURCE
News Provided by Acquire Media