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Montag, 05.06.2023 16:05 von | Aufrufe: 35

Precigen Announces Positive Phase 1 Data for PRGN-3005 Autologous UltraCAR-T® Cells Manufactured Overnight for Infusion Next Day to Advanced Stage Platinum Resistant Ovarian Cancer Patients

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PR Newswire

– PRGN-3005 was well-tolerated with no dose limiting toxicities, no CRS greater than Grade 2, and no neurotoxicity –
– PRGN-3005 cells demonstrated expansion and persistence when delivered via either intraperitoneal or intravenous infusion without lymphodepletion or via intravenous infusion after lymphodepletion demonstrating the effectiveness of mbIL15 –
– A single intravenous infusion following lymphodepletion decreased tumor burden in 67% of the heavily pretreated patients (median of 8 or more prior therapies) with 90% of individual target lesions showing stable disease or partial response –
– PRGN-3005 UltraCAR-T cells are being evaluated in the Phase 1b dose expansion study with intravenous infusion following lymphodepletion and incorporating repeat infusion –
– Best responder achieved stable disease for more than 18 months after failing 9 prior lines of treatment; results achieved with two doses of UltraCAR-T cells in the low millions –

GERMANTOWN, Md., June 5, 2023 /PRNewswire/ -- Precigen, Inc. (Nasdaq: PGEN), a biopharmaceutical company specializing in the development of innovative gene and cell therapies to improve the lives of patients, today presented positive data at the 2023 American Society of Clinical Oncology (ASCO) Annual Meeting from the Phase 1 portion of the Phase 1/1b clinical study evaluating safety and efficacy of PRGN-3005 UltraCAR-T® in advanced stage platinum resistant ovarian cancer patients (Abstract# 5590). The presentation was delivered by John B. Liao, MD, PhD, Cancer Vaccine Institute, University of Washington Medicine, and a lead investigator for the PRGN-3005 clinical trial.

"We are pleased with the results of the Phase 1 study which demonstrate a favorable safety profile for PRGN-3005 UltraCAR-T. Our UltraCAR-T therapies continue to be well-tolerated with no dose limiting toxicities across our clinical stage UltraCAR-T portfolio," said Helen Sabzevari, PhD, President and CEO of Precigen. "At this early stage, we are encouraged that patients in the IV plus lymphodepletion arm showed stable or partial response in 90% of the individual target lesions, and that the case study presented demonstrated that the repeat dosing further decreased tumor burden. UltraCAR-T is the only CAR-T platform that has demonstrated the ability to expand and persist and show a reduction in tumor burden and lesions with low doses of UltraCAR-T cells in this heavily pretreated ovarian cancer patient population. We are currently underway in the Phase 1b dose expansion study at Dose Level 3 via IV infusion with lymphodepletion and incorporating repeat dosing."

"Ovarian cancer symptoms are not always obvious and it is frequently diagnosed at an advanced stage where cancer has spread to distant parts of the body, which results in historically poor outcomes," said Mary L. (Nora) Disis, MD, faculty member at the University of Washington and Fred Hutchinson Cancer Research Center and one of the lead investigators for the PRGN-3005 study. "The patients enrolled were heavily pretreated with a median of 8 or more prior lines of therapy and had significantly advanced stage disease with a high baseline tumor burden and distant metastases. PRGN-3005 resulted in a decrease in tumor burden in 67% of patients who received just one IV infusion following lymphodepletion. We are encouraged by the expansion, persistence and activity of the UltraCAR-T cells manufactured using the overnight process in this heavily pre-treated population of the patients, and in view of the favorable safety profile and preliminary activity, we are looking forward to utilizing PRGN-3005 cells in patients with fewer prior lines of therapy for their disease."

PRGN-3005 UltraCAR-T is an autologous chimeric antigen receptor T (CAR-T) cell therapy manufactured using non-viral gene delivery and is under investigation for the treatment of patients with advanced, recurrent platinum resistant ovarian, fallopian tube or primary peritoneal cancer.

PRGN-3005 utilizes Precigen's transformative UltraCAR-T therapeutic platform, which eliminates ex vivo expansion and reduces manufacturing time to allow for rapid next day administration of UltraCAR-T cells following non-viral gene transfer. PRGN-3005 UltraCAR-T is a multigenic CAR-T cell investigational therapy utilizing Precigen's advanced non-viral gene delivery system to co-express a chimeric antigen receptor, membrane-bound interleukin‐15 (mbIL15), and a kill switch for better precision and control.

Conducted in collaboration with the University of Washington and Fred Hutchinson Cancer Research Center, the Phase 1 study has completed dose escalation, which evaluated the safety and efficacy of PRGN-3005 administered either via intraperitoneal (IP) or intravenous (IV) infusion, in the absence of lymphodepletion (LD) or IV following lymphodepletion with cyclophosphamide only (clinical trial identifier: NCT03907527).


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Patient Demographics
The study population includes patients with advanced stage (III/IV) recurrent ovarian, fallopian tube, and primary peritoneal cancer who are platinum resistant and have progressed after receiving standard-of-care therapies or are not eligible to receive available therapies with known clinical benefit (Table 1). The mean age of patients in the study was 57.4 in the IP arm without lymphodepletion, 67.3 in the IV arm without lymphodepletion and 62.7 in the IV arm with lymphodepletion. Patients were heavily pretreated with a median of greater than or equal to 8 prior lines of therapy across all arms. Patients had significantly advanced stage disease with a high baseline tumor burden with most patients having distant metastases, including liver, spleen, bladder and lung.

Table 1: Phase 1 Dose Escalation Patient Demographics


IP

(N=12)

IV

(N=6)

IV with LD

(N=9)

Age (years)





Mean, Median

57.4, 59.5

67.3, 69.5

62.7, 64


Range

38-70

54-76

47-77

ECOG Status





0

4 (33.3 %)

3 (50 %)

5 (55.6 %)


1

8 (66.7 %)

3 (50 %)

4 (44.4 %)

 Baseline Tumor Burden (mm)





Mean, Median

71.2, 54.3

61.6, 46

97.1, 109.5


Range

15.2- 142.8

33.7 -145.7

44.5 - 149.8

Baseline CA 125





Mean, Median

1845.2, 1208.5

789.2, 199.5

539.3, 486


Range

82-8148

42-3035

60-1301

Prior lines of therapy




Mean, median (range)

8.2, 8.5 (5-11)

7.7, 8 (4-10)

7.7, 8 (5-11)


4-5

2 (16.7 %)

1 (16.7 %)

2 (22.2 %)


6-11

10 (83.3 %)

5 (83.3 %)

7 (77.8 %)

 

Safety Data
PRGN-3005 was well-tolerated with low incidence of treatment related adverse events (TRAEs), no dose limiting toxicities (DLTs), and no neurotoxicity (Table 2). The most common side effects for the IV and IP arms without lymphodepletion were abdominal pain, fever and decreased absolute lymphocyte count (ALC). Serious Adverse Events included five incidences of Cytokine Release Syndrome (CRS), with no incidence of CRS greater than Grade 2. One patient with CRS required specific intervention which resolved following standard CRS management after 24 hours. There was no use of tocilizumab or dexamethasone or kill switch.

Table 2: PRGN-3005 Treatment Related Adverse Events


IP

(N=12)

IV

(N=6)

IV with LD

(N=9)


# of
Events

Patients 

(n, %)

# of
Events

Patients

(n, %)

# of
Event

Patients

(n, %)

Abdominal Pain

7

1 (8 %)

0

0

0

0

Cytokine Release Syndrome 

0

0

1

1 (17 %)

5

5 (56 %)

Grade 1 CRS

0

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