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eftilagimod alpha

Phase 2

HNSCC | Small molecule | Oncology |Immutep Limited|Last Updated: Apr 22, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment171

FDA Designations

FAST_TRACK

Clinical trial landscape

eftilagimod alpha · 2 trials · 2 indications

Phase 2 2
NCT04811027Combination Study With Eftilagimod Alpha (a Soluble LAG-3 Fusion Protein) and Pembrolizumab in Patients With Recurrent or Metastatic HNSCCHNSCC
COMPLETED171 Analytics
NCT03625323Combination Study With Soluble LAG-3 Fusion Protein Eftilagimod Alpha (IMP321) and Pembrolizumab in Patients With Previously Untreated Unresectable or Metastatic NSCLC, or Recurrent PD-X Refractory NSCLC or With Recurrent or Metastatic HNSCCNSCLC
COMPLETED187 Analytics
PHASE2COMPLETED
Combination Study With Eftilagimod Alpha (a Soluble LAG-3 Fusion Protein) and Pembrolizumab in Patients With Recurrent or Metastatic HNSCC
HNSCCUnlock trial analytics
PHASE2COMPLETED
Combination Study With Soluble LAG-3 Fusion Protein Eftilagimod Alpha (IMP321) and Pembrolizumab in Patients With Previously Untreated Unresectable or Metastatic NSCLC, or Recurrent PD-X Refractory NSCLC or With Recurrent or Metastatic HNSCC
NSCLCUnlock trial analytics

Study Endpoints

Primary Endpoints

Objective response rate (ORR) according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Up to 24 months
Evaluation of Objective Response Rate (ORR) According to iRECIST (Unconfirmed)
Data collected from screening until time of disease progression, death, lost to follow up, study discontinuation, whichever occurs first, assessed up to approximately 68 months

ORR was defined as the percentage of participants for each dose level whose best overall response is rated as iCR or iPR per immune Response Evaluation Criteria In Solid Tumors (iRECIST) for target lesions and assessed by CT or MRI. iCR was defined as disappearance of all target and non-target lesions and any pathological lymph nodes must be \<10 mm in the short axis. iPR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters.

Evaluation of Objective Response Rate (ORR) According to iRECIST (Confirmed)
Data collected from screening until time of disease progression, death, lost to follow up, study discontinuation, whichever occurs first, assessed up to approximately 68 months

ORR was defined as the percentage of participants for each dose level whose best overall response is rated as iCR or iPR per immune Response Evaluation Criteria In Solid Tumors (iRECIST) for target lesions and assessed by CT or MRI. iCR was defined as disappearance of all target and non-target lesions and any pathological lymph nodes must be \<10 mm in the short axis. iPR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters.

Secondary Endpoints

Overall survival (OS)
Up to 24 months
Objective response rate (ORR) according to iRECIST
Up to 24 months
Duration of responses according to iRECIST and RECIST 1.1
Up to 24 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
(CPS ≥1): pembrolizumab (KEYTRUDA®) + eftiEXPERIMENTALeftilagimod alpha: 30 mg every 2 weeks for the first 4 cycles;thereafter every 3 weeks for up to 18 cycles (1 cycle = 6 weeks). pembrolizumab (KEYTRUDA®): 400 mg every 6 weeks for up to 18 cycles (1 cycle = 6 weeks).
(CPS ≥1): pembrolizumab (KEYTRUDA®)ACTIVE_COMPARATORpembrolizumab (KEYTRUDA®): 400 mg every 6 weeks for up to 18 cycles (1 cycle = 6 weeks).
(CPS <1): pembrolizumab (KEYTRUDA®) + eftiEXPERIMENTALeftilagimod alpha: 30 mg every 2 weeks for the first 4 cycles;thereafter every 3 weeks for up to 18 cycles (1 cycle = 6 weeks). pembrolizumab (KEYTRUDA®): 400 mg every 6 weeks for up to 18 cycles (1 cycle = 6 weeks).
1st line NSCLCEXPERIMENTALeftilagimod alpha: 30 mg every 2 weeks for the first 8 cycles (1 cycle = 3 weeks) and every 3 weeks thereafter (starting cycle 9). pembrolizumab (KEYTRUDA®): 200 mg every 3 weeks.
2nd line NSCLCEXPERIMENTALeftilagimod alpha: 30 mg every 2 weeks for the first 8 cycles (1 cycle = 3 weeks) and every 3 weeks thereafter (starting cycle 9). pembrolizumab (KEYTRUDA®): 200 mg every 3 weeks.
HNSCCEXPERIMENTALeftilagimod alpha: 30 mg every 2 weeks for the first 8 cycles (1 cycle = 3 weeks) and every 3 weeks thereafter (starting cycle 9). pembrolizumab (KEYTRUDA®): 200 mg every 3 weeks.

Interventions

NameTypeDescription
eftilagimod alphaDRUGAPC activator, MHC II agonist, LAG-3 fusion protein
pembrolizumab (KEYTRUDA®)DRUGanti-PD-1 antibody
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites28

Main Inclusion Criteria: 1. Histologically- or cytologically-confirmed recurrent disease not amenable to curative treatment with local or systemic therapy, or metastatic (disseminated) HNSCC of the oral cavity, oropharynx, hypopharynx, or larynx that is considered incurable by local therapies and t...

Countries:United StatesAustraliaBelgiumDenmarkGermanyRomaniaSpainUkraineUnited Kingdom
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Frequently asked questions about eftilagimod alpha

What is eftilagimod alpha used for?

Eftilagimod alpha is an investigational drug being studied for use in oncology, specifically in head and neck squamous cell carcinoma (HNSCC) and non-small cell lung cancer (NSCLC). It is being evaluated in combination with pembrolizumab for patients with these cancers.

What does eftilagimod alpha target?

Eftilagimod alpha is a soluble LAG-3 fusion protein, meaning it targets the LAG-3 pathway. It is designed to modulate immune responses by engaging LAG-3, which plays a role in regulating T-cell activity.

Who makes eftilagimod alpha?

Eftilagimod alpha is being developed by Immutep Limited, a biopharmaceutical company. The company's stock is listed under the ticker symbol IMMP.

What phase is eftilagimod alpha in?

Eftilagimod alpha is in Phase 2 clinical development. It has received Fast Track designation from the FDA, but it is not yet approved and remains investigational.

What clinical trials is eftilagimod alpha in?

Eftilagimod alpha has been studied in two completed Phase 2 trials. NCT03625323 enrolled 187 patients with NSCLC or HNSCC in the United States. NCT04811027 enrolled 171 patients with HNSCC across multiple countries including the US, Australia, and several European nations.

Is eftilagimod alpha the same as IMP321?

Yes, eftilagimod alpha is also known as IMP321. The clinical trial NCT03625323 refers to it as a soluble LAG-3 fusion protein IMP321, confirming that both names refer to the same drug.