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Updated Clinical Data from Combination of Margetuximab and Pembrolizumab in Gastric Cancer Presented at 2019 ASCO Gastrointestinal Cancers Symposium
- 32.7% Objective response rate in HER2+ IHC 3+ second-line gastric cancer patients
- Well tolerated in dose escalation and expansion cohorts
ROCKVILLE, MD, Jan. 17, 2019 (GLOBE NEWSWIRE) --
MacroGenics, Inc. (NASDAQ: MGNX), a clinical-stage biopharmaceutical company focused on discovering and developing innovative monoclonal antibody-based therapeutics for the treatment of cancer, today announced presentation of updated data from its Phase 2 clinical trial of margetuximab plus pembrolizumab for patients with advanced HER2+ gastric carcinoma in a poster session at the 2019 ASCO Gastrointestinal Cancers Symposium in San Francisco, California. The poster was titled "Antitumor Activity of Margetuximab plus Pembrolizumab in Patients with Advanced HER2+ (IHC3+) Gastric Carcinoma."
This Phase 2 open-label, dose escalation study evaluates the combination of margetuximab, an investigational Fc-optimized anti-HER2 monoclonal antibody, with pembrolizumab, an anti-PD-1 antibody, a regimen that is designed to coordinately engage innate and adaptive immunity for the treatment of patients with gastroesophageal cancer. The trial seeks to characterize the safety, tolerability, maximum tolerated dose, and antitumor activity of this combination. Enrolled patients had relapsed or refractory advanced HER2+ gastric or gastroesophageal junction cancer with disease progression after or resistance to treatment with trastuzumab plus chemotherapy. The 25 patients in the most recently enrolled expansion cohort had HER2+ gastric carcinoma that was 3+ by immunohistochemistry (IHC). Patients in the study were enrolled irrespective of PD-L1 expression status.
Acceptable tolerability was observed in the safety population of 95 patients, 92 of whom were treated at the recommended Phase 2 dose of 15 mg/kg for margetuximab and 200mg for pembrolizumab, both on an every three week schedule of administration. Grade 3 or higher treatment-related adverse events (TRAE) occurred in 17.9% of patients, the most common of which was infusion-related reaction (3.2%).
As of the January 8, 2019 data cut-off date for the current update of this ongoing study, objective responses were observed in 18/55 HER2+ (IHC 3+) response-evaluable gastric cancer patients, including 14 confirmed and 4 unconfirmed. The Objective Response Rate (ORR) for this population was 32.7%, with a Disease Control Rate (or DCR, which includes partial responses and stable disease) of 69.1%. Median Progression-Free Survival (PFS) was 4.7 months. In the subset of these patients who were also PD-L1 positive, objective responses were observed in 12/23 (52.2%) patients, with a DCR of 82.6% and PFS of 4.14 months. As of the data cut-off date, the study was ongoing with 13 gastric cancer patients remaining on therapy. The median Overall Survival (OS) had not been reached in either of these groups.
"We continue to be very encouraged by the tolerability and antitumor activity of margetuximab with an anti-PD-1 mAb, an investigational, chemotherapy-free approach that is designed to coordinately engage innate and adaptive immunity for treatment of patients with advanced HER2+ gastric cancer," said Scott Koenig, M.D., Ph.D., President and CEO of MacroGenics. "Later this quarter, we plan to discuss proposed development plans for testing margetuximab in combination with an anti-PD-1 agent with the U.S. FDA. We also intend to discuss plans with ex-U.S. regulatory agencies in collaboration with our partner in the Greater China region, Zai Lab, later this year.”
The poster presented at the 2019 ASCO Gastrointestinal Cancers Symposium is available for download from the Events & Presentations page on MacroGenics' website at http://ir.macrogenics.com/events.cfm.
Margetuximab is an investigational Fc-optimized monoclonal antibody that targets the human epidermal growth factor receptor 2, or HER2 oncoprotein. HER2 is expressed by tumor cells in breast, gastric, gastroesophageal, bladder and other forms of solid tumor cancers, making it a key marker for biologic therapy. The Phase 2 study of margetuximab in gastric cancer incorporates pembrolizumab, which is provided by Merck & Co., under a previously announced arrangement. MacroGenics is also studying margetuximab as a potential treatment for metastatic breast cancer in a Phase 3 study called SOPHIA, which has been fully enrolled and for which topline PFS results will be disclosed in the first quarter of 2019.
About MacroGenics, Inc.
MacroGenics is a clinical-stage biopharmaceutical company focused on discovering and developing innovative monoclonal antibody-based therapeutics for the treatment of cancer. The Company generates its pipeline of product candidates primarily from its proprietary suite of next-generation antibody-based technology platforms, which have applicability across broad therapeutic domains. The combination of MacroGenics' technology platforms and protein engineering expertise has allowed the Company to generate promising product candidates and enter into several strategic collaborations with global pharmaceutical and biotechnology companies. For more information, please see the Company's website at www.macrogenics.com. MacroGenics and the MacroGenics logo are trademarks or registered trademarks of MacroGenics, Inc.
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