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IMP321

Phase 3

Adenocarcinoma Breast Stage IV | Monoclonal antibody | Oncology |Immutep Limited|Trials Updated: Oct 5, 2021

IMP321 development status

Highest phase Phase 3 (NCT06726265)
Phase scored for IMMPPhase 2
Registered trials 11 across 4 sponsors since Jul 2006

IMP321 target and mechanism

Molecular targetLAG-3
Target classProtein
ModalityMonoclonal antibody

Also known as IMP321 (eftilagimod alpha), LAG-3, hLAG-3Ig, CD223, eftilagimod alpha, efti, eftilagimod alfa, LAG-3Ig

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment323

FDA Designations

No designations recorded

IMP321 clinical trials

IMP321 · 4 trials · 5 indications

Phase 2 1Phase 1 3
NCT02614833IMP321 (Eftilagimod Alpha) as Adjunctive to a Standard Chemotherapy Paclitaxel Metastatic Breast CarcinomaAdenocarcinoma Breast Stage IV
COMPLETED242 Analytics
PHASE2COMPLETED
IMP321 (Eftilagimod Alpha) as Adjunctive to a Standard Chemotherapy Paclitaxel Metastatic Breast Carcinoma
Adenocarcinoma Breast Stage IVUnlock trial analytics

Study Endpoints

Primary Endpoints

Stage 1 to determine the recommended phase two dose for the randomised phase
Up to 12 months
Assessment of Progression-Free Survival (PFS)
Up to 37 month
To assess the recommended phase 2 dose
From the time of inform consent form signature until 30 days after end of treatment
To asses frequency of adverse events
From the time of inform consent form signature until 30 days after end of treatment
To asses severity of adverse events
From the time of inform consent form signature until 30 days after end of treatment
To asses duration of adverse events
From the time of inform consent form signature until 30 days after end of treatment
Evaluate clinical and laboratory safety and tolerability profiles
6 months
Determine pharmacodynamic parameters
6 months
Determine pharmacokinetic and pharmacodynamic parameters
3 months

Secondary Endpoints

Assessment of the safety and tolerability of IMP321 as compared to placebo
Up to 19 months
Assessment of the overall survival (OS)
Up to 48 month
Stage 1: Evaluation of the pharmacokinetic e.g. Peak Plasma Concentration [Cmax]
Up to 12 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Paclitaxel + IMP321 at the RPTDEXPERIMENTALThe chemo-immunotherapy phase consists of 6 cycles of 4 weeks. Patient will receive weekly paclitaxel at Days 1, 8 and 15 with adjunctive treatment of study agent, either IMP321, on Days 2 and 16 of each 4-week cycle. After completion of the 6-cycle chemo-immunotherapy phase, responding or stable patients will receive study agent (IMP321) every 4 weeks during the maintenance phase for an additional period of up to 12 injections
Comparator: Paclitaxel + PlaceboACTIVE_COMPARATORThe chemo-immunotherapy phase consists of 6 cycles of 4 weeks. Patient will receive weekly paclitaxel at Days 1, 8 and 15 with adjunctive treatment of study agent, placebo, on Days 2 and 16 of each 4-week cycle. After completion of the 6-cycle chemo-immunotherapy phase, responding or stable patients will receive study agent (placebo) every 4 weeks during the maintenance phase for an additional period of up to 12 injections
IMP321 dose escalationEXPERIMENTALIMP321 administered fortnightly in addition to SOC pembrolizumab.
AEXPERIMENTALIMP321

Interventions

NameTypeDescription
IMP321 (eftilagimod alpha)BIOLOGICALIn the placebo-controlled, double-blind randomisation stage, paclitaxel + IMP321 at the RPTD will be compared to paclitaxel + placebo
PlaceboDRUGIn the placebo-controlled, double-blind randomisation stage, paclitaxel + placebo will be compared to paclitaxel + IMP321 at the RPTD
PaclitaxelDRUGPaclitaxel will be given in both treatment arms (classified as Non IMP)
PembrolizumabDRUGAdministered according to the approved label.
IMP321BIOLOGICALThis study is an open label, non-randomized, fixed dose-escalation phase I study, performed in ambulatory setting with patients receiving as a first line chemotherapy for metastatic breast carcinoma the standard 6 cycles of paclitaxel (80 mg/m² at D1, D8 and D15 of every 4-week cycle). Three IMP321 dose levels (250 µg, 1,250 µg and 6,250 µg) will be evaluated in three cohorts of 8 patients. At any given dose level the patients will be administered one dose every two weeks for a total of 24 weeks (12 s.c. injections in total), separated by 13-day intervals free of IMP321 administration. The repeated single doses will be administered on D2 and D16 of the 4-week cycles, on the day which follows chemotherapy.
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites29

Inclusion Criteria: 1. Able to give written informed consent and to comply with the protocol 2. Metastatic oestrogen receptor positive and/or progesterone receptor positive breast adenocarcinoma, histologically proven by biopsy of the primary tumour and/or metastasis 3. Female of age 18 years or ab...

Countries:BelgiumFranceGermanyHungaryNetherlandsPolandUnited KingdomAustralia
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Frequently asked questions about IMP321

What is IMP321 (eftilagimod alpha) used for?

IMP321 (eftilagimod alpha) is an investigational immunotherapy being studied in oncology. Its clinical trials have enrolled patients with Stage IV melanoma, metastatic breast cancer, and Stage IV renal cell carcinoma. It has been tested as an adjunct to standard chemotherapy and in combination with anti-PD-1 therapy. It is not approved for any indication.

What does IMP321 target?

IMP321 (eftilagimod alpha) targets LAG-3, a protein receptor on immune cells. It is a monoclonal antibody designed to bind LAG-3 and is being developed as an immunotherapy for solid tumors. By engaging this target, it is intended to support immune responses against cancer.

Who is developing IMP321?

IMP321 (eftilagimod alpha) is being developed by Immutep Limited, which trades under the ticker IMMP. Immutep is the sponsor of the clinical trials evaluating the drug in melanoma, breast cancer, and renal cell carcinoma.

What phase is IMP321 in?

IMP321 (eftilagimod alpha) is in Phase 2 clinical development. It remains investigational and has not been approved by the FDA or any regulatory authority. The Phase 2 trial in metastatic breast carcinoma has been completed, and Phase 1 studies in melanoma and renal cell carcinoma have also been completed.

What clinical trials is IMP321 in?

IMP321 (eftilagimod alpha) has been studied in four completed clinical trials. These include NCT02676869 in Stage IV melanoma, NCT02614833 in Stage IV breast adenocarcinoma, NCT00351949 in metastatic renal cell carcinoma, and NCT00349934 in metastatic breast carcinoma. All trials have finished, and no trials are currently active.

Is IMP321 the same as eftilagimod alpha?

Yes, IMP321 and eftilagimod alpha are the same drug. IMP321 is the original code name, and eftilagimod alpha is the international nonproprietary name. Both refer to the LAG-3 targeting monoclonal antibody developed by Immutep Limited.