On June 17, 2020 HOOKIPA Pharma Inc. (NASDAQ: HOOK), a company developing a new class of immunotherapeutics targeting infectious diseases and cancers based on its proprietary arenavirus platform, reported that the U.S. Food and Drug Administration (FDA) has cleared its Investigational New Drug (IND) Application for HB-202 (Press release, Hookipa Pharma, JUN 17, 2020, View Source [SID1234561174]). This IND allows HOOKIPA to initiate an additional arm in its Phase 1/2 clinical trial for HB-201 (NCT04180215) for the treatment of Human Papillomavirus 16-positive (HPV 16+) cancers. With the IND clearance of HB-202, HOOKIPA will be able to examine not only the safety and efficacy of HB-201 alone but also HB-201 in combination with HB-202 as an alternating two-vector therapy.
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In preclinical studies, HOOKIPA has observed that the sequential administration of HB‑202 and HB‑201 induced tumor specific CD8 T cell levels that were greater than levels achieved after the repeat administration of either agent alone. The presence of tumor specific CD8 T cells are believed to be an indicator of anti-tumor activity.
HB-202 and HB-201 have been engineered from different viruses of the arenavirus family. Both constructs express the same non-oncogenic but highly antigenic, E7/E6 fusion protein derived from HPV16. In a mouse model of HPV16+ tumors, single doses of HB‑202 were shown to be similarly effective as single doses of HB‑201. The combination of HB-202 and HB-201 in the same model has been shown to eliminate the tumor and prevent recurrence in a certain number of mice. In 2021, HOOKIPA expects to also combine HB-202/201 with an approved checkpoint inhibitor.
Joern Aldag, HOOKIPA’s Chief Executive Officer, said: "This is a tremendous achievement for HOOKIPA’s oncology platform and new applications of our arenavirus technologies. I commend the HOOKIPA team for its steadfast focus on the execution of this project under difficult, COVID-19 pandemic circumstances. We are eager to continue screening and treating patients at our HB-201 clinical sites as they are coming back online, and look forward to treating the first HB-202/201 patient later this year."
About Human Papillomavirus (HPV) – associated head and neck cancers
HPV is estimated to cause about 5% of the worldwide burden of cancers, including approximately 99% of cervical cancers, 25% to 60% of head and neck cancers, 70% of vaginal cancers, and 88% of anal cancers. The majority of these cancers are caused by the HPV serotype 16. Most infections with HPV are cleared from the body with no lasting consequences. However, in some cases, HPV DNA becomes integrated into chromosomal DNA. When host cells take up this DNA, they express the HPV E6 and E7 proteins. This can potentially lead to cancer, since expression of these proteins leads to alterations in cell cycle control, which in turn predisposes these cells to becoming cancerous.