IN8bio Provides INB-200 Clinical Update and Outlines 2023 Pipeline Goals

On January 5, 2023 IN8bio, Inc. (Nasdaq: INAB), a clinical-stage biopharmaceutical company developing innovative gamma-delta T cell therapies, reported a clinical update from the ongoing Phase 1 trial evaluating INB-200 in patients with newly diagnosed GBM and provided pipeline goals for 2023 (Press release, In8bio, JAN 5, 2023, View Source [SID1234625871]).

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Clinical Update from the INB-200 Phase 1 Trial

As of December 31, 2022, eight patients have been dosed with INB-200: three in Cohort 1 (single dose), four in Cohort 2 (three doses) and one in Cohort 3 (six doses). Enrollment is ongoing, with clinical updates expected throughout 2023. Key findings from the ongoing study include:

All patients in Cohort 2 remained progression free at 18.9, 14.8, and 8.7 months, respectively. The third patient died at 8.7 months due to a pulmonary embolism unrelated to treatment with no evidence of relapse prior to death.

Two patients continue to exceed the median survival for GBM patients with the standard Stupp regimen, suggesting that increasing doses of gamma-delta T cells may favor longer PFS and overall survival (OS).

The first patient dosed in Cohort 3 has received five doses of gamma-delta T cells with no evidence of additional toxicities. The patient has no local GBM relapse, which is typical in 95% of GBM cases, but does have evidence of distal leptomeningeal disease.

There have been no treatment-related serious adverse events (SAEs) or dose-limiting toxicities (DLTs) observed to date. There have been no instances of cytokine release syndrome (CRS), infusion reactions, or immune effector cell-associated neurotoxicity syndrome (ICANS).

Adverse events have been generally tolerable and include grade 1/2 anemia, fevers, headaches, myelosuppression, and nausea. Importantly, to date, repeat dosing does not demonstrate a change in the toxicity profile.

"We believe that 2023 will be a pivotal year for IN8bio as we advance our innovative chemotherapy-resistant cell therapy to improve outcomes for patients living with cancer," said William Ho, Chief Executive Officer of IN8bio. "We are encouraged to see greater durability of response with increased dosing of our cells, along with a continued favorable safety profile in this Phase 1 study of INB-200. We look forward to multiple milestones across our pipeline in the year ahead, including initiating our Phase 2 study of INB-400 in newly diagnosed GBM and advancing additional solid tumor indications outside of GBM."

Anticipated 2023 Pipeline Goals

INB-100: Report Phase 1 ongoing trial data from leukemia patients undergoing haploidentical stem cell transplantation (HSCT); define maximum tolerated dose for INB-100.

INB-200 in GBM: Complete enrollment of Cohort 3 in the Phase 1 trial; report additional data and topline results with longer-term follow-up.

INB-300: Present preclinical data demonstrating proof-of-concept of non-signaling CAR (ns-CAR) platform in 1H 2023.

INB-400: Initiate patient enrollment in the company-sponsored Phase 2 trial of INB-400, a genetically modified autologous gamma-delta T cell therapy, targeting newly diagnosed GBM by Q3 2023.

INB-410: Submit IND to the FDA for a Phase 1b trial of INB-410, a genetically modified allogeneic gamma-delta T cell therapy in newly diagnosed and relapsed GBM.

New solid tumor indications: Announce and present relevant data at a scientific conference in 1H 2023.

Domain Therapeutics announces first patient dosed with DT-9081 in phase I clinical study in patients with advanced, recurrent or metastatic solid tumors: the EPRAD study

On January 5, 2023 Domain Therapeutics ("Domain" or "the Company"), a drug discovery and development company focused on G Protein-Coupled Receptors (GPCRs) in immuno-oncology (IO), reported that the first patient has been dosed with DT-9081, Domain’s proprietary IO asset, in a first-in-human Phase I study (Press release, Domain Therapeutics, JAN 5, 2023, View Source [SID1234625867]).

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DT-9081 is an oral small molecule product which, by blocking the EP4 receptor present on immune cells, is able to reverse the prostaglandin E2 (PGE2)-mediated immunosuppression triggered by some tumors to bypass the immune system. In preclinical studies, the asset demonstrated strong anti-tumor effects and synergies with immune checkpoint inhibitors in multiple models. The Phase I study, named EPRAD, is a multi-center, open-label study that will evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of DT-9081 in adult patients with advanced, recurrent or metastatic solid tumors who have failed standard of care therapies. Domain has developed a precise biomarker strategy that is being applied in the clinical study to track target engagement and signs of activity and to optimize the selection of patients and, ultimately, deliver improved clinical outcomes.

Dr. Pascal Neuville, CEO of Domain Therapeutics, commented: "The successful initiation of this first-in-human study is a significant milestone for Domain. Our differentiated approach to tackling cancer with GPCR-based drug candidates is built on the premise that every cancer is unique. By treating patients based on their individual cancer signatures we can deliver targeted, scientifically validated therapies. We look forward to progressing this clinical study as we continue to demonstrate the potential of our optimized pipeline of GPCR assets that we believe will unlock new possibilities in the treatment of cancer."

Professor Jean-Pascal Machiels, Saint-Luc Hospital Brussels and Lead Investigator of the study, commented: "Innate or acquired immunosuppression is a complex and significant challenge in the clinic and remains an unmet need in many patient populations. By blocking the EP4 receptor, I believe that DT-9081 has the potential to address this challenge and offer new hope for patients. The findings from the preclinical studies of DT-9081 are clearly encouraging and we are pleased to progress such a promising product with multi-tumor potential through clinical development."

The overall objectives of the EPRAD study are to determine the maximum tolerated dose and/or the recommended clinical dose of DT-9081 and to evaluate its safety and preliminary efficacy. The study comprises two parts with the first part focusing on dose-escalation with the ultimate aim of establishing the recommended clinical dose, and the second part consisting of an expansion phase to validate the dose and schedule of administration in addition to assessing the preliminary efficacy of the asset. For further details about the study, please refer to clinicaltrials.gov NCT05582850.

Four expert clinical investigators are contributing this clinical study; in Brussels, Belgium, Prof Jean-Pascal Machiels from Saint Luc Hospital and Dr Nuria Kotecki from Institut Jules Bordet, in France, Prof Christophe Le Tourneau from Institut Curie in Paris and Prof Jean-Pierre Delord from Institut Claudius Regaud in Toulouse.

CTI BioPharma to Present at the 41st Annual J.P. Morgan Healthcare Conference

On January 5, 2023 CTI BioPharma Corp. (NASDAQ: CTIC) reported that management will present a corporate overview at the 41st Annual J.P. Morgan Healthcare Conference in San Francisco (Press release, CTI BioPharma, JAN 5, 2023, View Source [SID1234625866]).

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Presentation details:

Event: 41st Annual J.P. Morgan Healthcare Conference
Date: Thursday, January 12, 2023
Time: 7:30 a.m. PT/10:30 a.m. ET

The presentation will be webcast live and available for replay from the Investors section of CTI BioPharma’s website at www.ctibiopharma.com.

AIM ImmunoTech to Present at the ‘Virtual Investor 2023 Companies to Watch Event’

On January 5, 2023 AIM ImmunoTech Inc. (NYSE American: AIM) ("AIM" or the "Company"), an immuno-pharma company focused on the research and development of therapeutics to treat multiple types of cancers, immune disorders, and viral diseases – including COVID-19, the disease caused by the SARS-CoV-2 virus – reported that AIM Chief Executive Officer Thomas K. Equels will present at the Virtual Investor 2023 Companies to Watch Event on Wednesday, January 18, 2023, at 11:00 AM ET (Press release, AIM ImmunoTech, JAN 5, 2023, View Source [SID1234625863]).

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A live video webcast of the presentation will be available on the Events & Presentations page of the Company’s website (aimimmuno.com). A webcast replay will be available two hours following the live presentation and will be accessible for 90 days.

First Made-in-Singapore Antibody-Drug Conjugate (ADC) Approved to Enter Clinical Trials

On January 4, 2023 Experimental Drug Development Centre reported the company reached a new milestone as EBC-129, the first made-in-Singapore antibody-drug conjugate, was cleared by the US FDA to progress into first-in-human studies (Press release, Experimental Drug Development Centre, JAN 4, 2023, View Source [SID1234654035]).

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The epitope that EBC-129 binds to is a specific glycosylation site that is conserved on both carcinoembryonic antigen-related cell adhesion molecules (CEACAM) 5 and 6, which are cell surface receptors over-expressed in cancer cells. While drugs targeting only CEACAM5 are in advanced clinical testing, it has been challenging to develop drugs targeting CEACAM6 as it is also expressed on the surface of normal cells. However, by targeting only the glycosylated form of CEACAM5/6, EBC-129 is able to target cancer cells exclusively, and also acts on a wider range of cancers as it can target cells that express CEACAM5 or CEACAM6 alone, as well as those that express both CEACAM5 and 6. The payload used in EBC-129 is monomethyl auristatin E (MMAE), which has been extensively tested and approved for clinical use in other marketed ADCs. As such, development can be fast-tracked as the side effects, which are mostly mediated by the payload, can be predicted in advance and the effective dose is known. Furthermore, MMAE was shown to mediate a superior immunogenic cell death in combination with checkpoint inhibitors (immunotherapy), raising the possibility of combination therapy.

How EBC-129 was developed
EBC-129 was the result of a multi-institutional collaboration in Singapore which began when A*STAR’s Bioprocessing Technology Institute (BTI) and the National Cancer Centre Singapore (NCCS) identified the antibody that EBC-129 is based on as well as its target epitope. Through a co-development programme between BTI and the Experimental Drug Development Centre (EDDC), Singapore’s national platform for drug discovery and development hosted by A*STAR, the team subsequently characterised the antibody and elucidated its mechanism of action including testing it in vivo. Finally, the team oversaw the preclinical development of the ADC. EDDC also led discussions with regulatory authorities, designed the clinical trial and will be responsible for the set-up and clinical operations of the trial.

The parties also collaborated with A*STAR’s Institute of Molecular and Cell Biology (IMCB) to develop an immunohistochemistry (IHC) assay required for patient selection.

"The antibody development team at BTI has built strong capabilities to generate and characterise monoclonal antibodies (mAbs) against novel glycosylated targets on cancer cells. This differentiated property enhances the mAbs selectively, giving us better tools to kill cancer cells. The US FDA’s approval for the initiation of trials for EBC-129 is a validation of our platform and the maturity of the drug development ecosystem in Singapore to collaboratively enhance the impact of research and drug discovery for potential patient outcomes," said Dr Koh Boon Tong, Executive Director, BTI.

"The approval of an IND (Investigational New Drug) application for EBC-129 by the FDA is a testament to strong inter-institution collaborations in Singapore that can drive a bench-to-bedside pipeline of therapeutic development," said Associate Professor Daniel Tan, Director of the Experimental Cancer Therapeutics Unit (Phase I), NCCS. "Most importantly, EBC-129 addresses an unmet need for patients who have exhausted standard therapies, by providing a novel ADC agent that directly targets cancer cells while sparing normal, healthy cells."

About the Clinical Trial
The clinical trial will determine the safety and tolerability of EBC-129 in cancer patients, and subsequently evaluate its anti-cancer activity in different tumour types. The study will also evaluate the safety of combining EBC-129 with a checkpoint inhibitor. Additional information will be gathered including determining the drug levels in the blood and the levels of CEACAM5 and CEACAM6 in the serum. The study will be open to patients with metastatic solid tumours that cannot be cured surgically, including cancers of the lung, stomach, biliary tract, ovary, breast, prostate, colorectum and oesophagus amongst others.

Moving forward, approvals will be sought from the Health Sciences Authority (HSA) and relevant ethics boards for the trial to open to patients in Singapore through the NCCS and National University Cancer Institute, Singapore (NCIS). Ethics board approvals will be obtained for trial sites in the US, which will include major cancer centres.

Dr Yong Wei Peng, Senior Consultant, Department of Haematology-Oncology, NCIS, said, "This first-in-human study will help to determine the safety of this therapy in patients and potentially provide a new strategy to address unmet clinical needs. We are excited to be involved in this process and we look forward to promising outcomes."

Professor Damian O’Connell, CEO EDDC, said, "As Singapore’s national drug discovery and development platform, we are very glad to have played a key role in translating the great, collaborative science of our partners into a therapeutic candidate that is now ready to enter first-in-human studies. This is a milestone for Singapore – ADCs are complex to design and develop, and we have successfully brought one from initial discovery to the initiation of clinical development. We look forward to rapidly recruiting patients for this clinical trial."