On September 17, 2020 Checkpoint Therapeutics, Inc. ("Checkpoint") (NASDAQ: CKPT), a clinical-stage immunotherapy and targeted oncology company, reported updated interim results from the ongoing global, open-label, multicohort, Phase 1 clinical trial of its anti-PD-L1 antibody, cosibelimab, in patients with advanced cancers, including the registration-enabling cohort of patients with metastatic cutaneous squamous cell carcinoma ("mCSCC") (Press release, Checkpoint Therapeutics, SEP 17, 2020, View Source [SID1234565276]). Cosibelimab demonstrated a 51.4% objective response rate ("ORR") and 13.5% complete response rate, which is nearly double the complete response rate observed at the time of previous analysis. This trial, upon successfully meeting the pre-defined endpoints, is intended to support marketing approval application submissions for cosibelimab worldwide. The interim results were presented in an e-poster at the European Society for Medical Oncology ("ESMO") Virtual Congress 2020.
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"These exciting new interim results demonstrate the potential best-in-class efficacy and safety profile of cosibelimab. Importantly, the observed ORR and complete response rate in approximately half of the planned pivotal cohort of patients continue to trend higher than the response rates that supported the regulatory approvals of the two currently available anti-PD-1s in mCSCC, which we believe is attributable to cosibelimab’s two-fold mechanism of action of engaging both T-cells and natural killers cells to augment its efficacy. These interim results also continue to demonstrate the potential favorable safety profile of cosibelimab versus available anti-PD-1 therapies, with lower observed rates of severe adverse events," said James F. Oliviero, President and Chief Executive Officer of Checkpoint.
"With U.S. patients paying up to 20% of the cost of a drug as coinsurance, many insured patients are responsible for out-of-pocket costs of up to $2,000 per infusion for anti-PD-1 therapy," continued Mr. Oliviero. "Upon approval of cosibelimab, our planned market-disruptive pricing strategy should substantially lower these burdensome out-of-pocket costs, while also enabling more patients to have access to a potentially life-saving immunotherapy cancer treatment that they might not otherwise be able to afford."
"The interim data presented at ESMO (Free ESMO Whitepaper) is highly encouraging and further confirms the safety and efficacy results seen previously in mCSCC patients treated with cosibelimab," said Professor Philip Clingan, Medical Oncologist at Southern Medical Day Care Centre in Australia and co-principal investigator of the trial. "Cosibelimab’s well-tolerated safety profile and early achievement of complete responses seen to date have provided a real benefit to our patients. We look forward to the full cohort results next year and advancing this important treatment option forward."
Summary of Data Presented at ESMO (Free ESMO Whitepaper):
The mCSCC cohort of the ongoing trial is evaluating cosibelimab in patients with cutaneous squamous cell carcinoma with nodal and/or distant metastatic disease, with a target enrollment of approximately 75 patients and a primary endpoint of ORR as assessed by independent central review using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. Patients receive cosibelimab administered as a fixed dose of 800 mg every two weeks or 1200 mg every three weeks until confirmed and worsening disease progression or clinical deterioration, followed by post-treatment follow-up.
As of the interim analysis, 37 mCSCC patients were enrolled and evaluable for efficacy by investigator assessment with at least one post-baseline tumor assessment or discontinued treatment prior. Key efficacy results were as follows:
•51.4% ORR (95% CI: 34.4, 68.1) per RECIST 1.1.
-13.5% of patients achieved a complete response (all confirmed) and 37.8% of patients achieved a partial response (2 pending confirmation at the next scan).
•Median duration of response has not yet been reached, with 84.2% of responses ongoing, with the longest response duration at 24 months (ongoing) at the time of analysis.
•Responses were durable, with 91.7% of eligible responses having a duration of over 6 months.
Tumor response assessments by investigator assessment are summarized in the table below.
Tumor Response by RECIST 1.1 mCSCC (n=37)
Best overall response, n (%)
Complete response 5 (13.5)
Partial response1 14 (37.8)
Stable disease 4 (10.8)
Progressive disease 10 (27.0)
Not evaluated/done2 4 (10.8)
Objective response rate, % (95% CI) 51.4 (34.4, 68.1)
Response ongoing, n (%) 16 (84.2)
Median duration of response, months (min, max) Not reached (0.3, 24.0)
Patients with duration of response ≥ 6 months, n (%)3 11 (91.7)
Median observed time to response, months (range) 1.8 (1.6, 7.7)
Objective response rate = best overall response of complete response or partial response divided by the number of evaluable patients. 1Two partial responses pending confirmation at next scan. 2Represents patients who discontinued study without a post-baseline tumor assessment. 3Proportion excludes 7 patients with ongoing response duration <6 months at time of data analysis.
At the time of analysis, 114 patients with advanced cancers had been treated with cosibelimab and were evaluable for safety. Cosibelimab appeared to be safe and well-tolerated with a potentially favorable safety profile as compared to currently available anti-PD-1 therapies. The most common treatment-related adverse events ("TRAEs") included fatigue (n=17, 14.9%) and rash (n=16, 14.0%), with only 3 patients (2.6%) discontinuing treatment due to a TRAE. Grade ≥3 TRAEs occurred in only 6 patients (5.3%), most commonly anemia and fatigue (each n=2, 1.8%, grade 3 only).
The trial continues to enroll patients, and full top-line results are expected in mid-2021.
A copy of the e-poster presentation is available on the Publications page of the Pipeline section of Checkpoint’s website, www.checkpointtx.com.
Additional information on the meeting can be found on the ESMO (Free ESMO Whitepaper) website, www.esmo.org.
About Cutaneous Squamous Cell Carcinoma
Cutaneous squamous cell carcinoma ("CSCC") is the second most common human cancer in the United States, with an estimated annual incidence of 700,000 cases. While most cases are localized tumors amenable to curative resection, approximately 8% of patients will experience a local recurrence, 5% of patients will develop nodal metastases, and an estimated 2% of patients will die from their disease. Ten-year survival rates are less than 20% for patients with regional lymph-node involvement. For those patients who develop distant metastases, the median survival time is estimated to be less than two years. In addition to being a life-threatening disease, CSCC causes significant functional morbidities and cosmetic deformities based on tumors commonly arising in the head and neck region and invading blood vessels, nerves and vital organs such as the eye or ear.
About Cosibelimab
Cosibelimab (formerly referred to as CK-301) is a potential best-in-class, high affinity, fully-human monoclonal antibody of IgG1 subtype that directly binds to programmed death ligand-1 (PD-L1) and blocks the PD-L1 interaction with the programmed death receptor-1 (PD-1) and B7.1 receptors. Cosibelimab’s primary mechanism of action is based on the inhibition of the interaction between PD-L1 and its receptors PD-1 and B7.1, which removes the suppressive effects of PD-L1 on anti-tumor CD8+ T-cells to restore the cytotoxic T cell response. Cosibelimab is potentially differentiated from the currently marketed PD-1 and PD-L1 antibodies through sustained >99% target tumor occupancy to reactivate an antitumor immune response and the additional benefit of a functional Fc domain capable of inducing antibody-dependent cell-mediated cytotoxicity ("ADCC") for potential enhanced efficacy in certain tumor types.