
Immunocore touts first solid tumour survival benefit
The next question for Immunocore is whether yesterday’s promising data with its soluble T-cell receptor project tebentafusp will allow the company to float at a decent valuation. The company claims its pivotal trial win in uveal melanoma represents the first survival benefit for any TCR therapeutic or any bispecific in a solid tumour. The IMCgp100-202 trial, which compared tebentafusp against investigator’s choice in metastatic disease, met its primary endpoint of overall survival – although the data are not yet mature, estimated one-year OS was 73% with tebentafusp versus 58% for investigator’s choice, which included Keytruda, Yervoy and dacarbazine chemo. Checkpoint inhibitors are not usually effective in this rare and agressive form of eye cancer; the median survival after metastasis is around a year. Tebentafusp comprises a soluble TCR targeting gp100, the idea being that it recruits a patient’s T cells to the cancerous cells. Immunocore’s sister company Adaptimmune is taking a more typical TCR approach, as an adoptive cell therapy, and reported phase I data last week with its Mage A4-targeting project ADP-A2M4 in synovial sarcoma.
Selected data with T-cell receptor projects in solid tumours | ||||
---|---|---|---|---|
Project | Company | Study | Indication | Data |
Tebentafusp (IMCgp100) | Immunocore | IMCgp100-202, NCT03070392 | Uveal melanoma | Nov 2020: OS HR 0.51, p<0.0001 1-yr OS 73% tebentafusp vs 58% investigator's choice* |
IMCgp100-102, NCT02570308 | Asco 2018: ORR 18%, 1-yr OS 74% | |||
ADP-A2M4 | Adaptimmune | ADP-A2M4, NCT03132922 | Synovial sarcoma | CTOS 2020: ORR 44% (7/16), median DoR 28 weeks |
Lung, head & neck | Asco 2020: Response seen in 1 lung & one H&N pt | |||
Rectal mucosal melanoma | Jan 2020: confirmed PR | |||
ADP-A2M4CD8 | Adaptimmune | Surpass, NCT04044859 | Lung, gastroesophageal, head & neck and bladder | SITC 2020: ORR 33% (2/6) |
ADP-A2AFP | Adaptimmune | Phase I, NCT03132792 | Liver cancer | Aug 2020: 1 CR (9 pts treated) |
*Kaplan-Meier estimate, data not yet mature. Source: Company releases, clinicaltrials.gov. |