Full Press Release Details
Two Confirmed Responses and Five out
of Six Patients with Initial Tumor Reductions from Early Dose Cohorts of SURPASS Trial, Presented at SITC
- Data support continued development of
- On track to start Phase 2 trial in gastroesophageal
cancers in the first half of 2021 -
PHILADELPHIA, Pa. and OXFORDSHIRE, UK., November
09, 2020 - Adaptimmune Therapeutics plc (Nasdaq: ADAP), a leader in cell therapy to treat cancer, presented data from the
dose escalation cohorts of its Phase 1 SURPASS trial using ADP-A2M4CD8 in a poster at the Society for the Immunotherapy of Cancer
("SITC") Conference.
In these cohorts of heavily pre-treated patients
with advanced cancers (n=6), three were treated with target doses of 1 billion SPEAR T-cells, and three with target doses
of 5 billion. Most adverse events were consistent with those typically experienced by cancer patients undergoing cytotoxic chemotherapy
or cancer immunotherapy.
"We have seen responses in two out of
six patients treated in the safety cohorts of the SURPASS trial as well as antitumor activity in five of them. The responses and
antitumor activity we have seen with our next-generation ADP-A2M4CD8 SPEAR T-cells, across a range of solid tumors, support our
belief that this is a highly active product," said Ad Rawcliffe, Adaptimmune's Chief Executive Officer. "Based
on these data, we will initiate the Phase 2 trial in gastroesophageal cancers in the first half of 2021 and look forward to identifying
additional indications to take into late-stage development."
There were two confirmed partial responses
(PRs): one in a patient with esophagogastric junction (EGJ) cancer, previously reported, and one in a patient with head and neck
cancer, reported as unconfirmed in May. The four other patients had best overall responses of stable disease (SD). Overall, five
out of six patients treated had initial tumor shrinkage.
In vitro translational data using the
manufactured products from patients in the SURPASS trial indicate that co-expression of the CD8 co-receptor on CD4+
ADP-A2M4 SPEAR T-cells enables them to kill MAGE-A4 expressing target cells with equal potency as CD8+ SPEAR T-cells
targeting MAGE-A4. These data, combined with the responses and antitumor activity observed at low doses, indicate that ADP A2M4D8
may be a more potent product than the first-generation ADP A2M4 SPEAR T-cells.
Best Overall Response (BOR) and maximum changes
from baseline in target lesions in Cohorts 1 and 2
| Indication | Dose x 10 9 | BOR | Tumor reduction |
| Head and neck | 4.6 | PR | -63.16% |
| EGJ | 1.2 | PR | -51.52% |
| EGJ | 1.0 | SD | -34.07% |
| Ovarian | 1.1 | SD | -16.13% |
| Esophageal | 6.0 | SD | -13.37% |
| MRCLS | 5.7 | SD | +1.35% |
As of data cut-off: October 1, 2020
At SITC, Adaptimmune also presented a poster entitled "Inhibition
of AKT signaling during expansion of TCR-engineered T-cells from patient leukocyte material generates SPEAR T-cells with enhanced
functional potential in vitro." These preclinical data indicate that AKT inhibition during the manufacture of SPEAR T-cells
results in a more consistent expansion and phenotype of the final product. This process is currently being used for manufacture
of ADP-A2M4CD8 for the SURPASS trial.
The Company also presented two posters summarizing data for
the two completed Phase 1 trials with ADP-A2M10 (a previously terminated program).
Adaptimmune is a clinical-stage biopharmaceutical company focused
on the development of novel cancer immunotherapy products for people with cancer. The Company's unique SPEAR (Specific
Peptide Enhanced Affinity Receptor) T-cell platform enables the engineering of T-cells to target and destroy cancer across multiple
Forward-Looking Statements
This release contains "forward-looking statements"
within the meaning of the Private Securities Litigation Reform Act of 1995 (PSLRA). These forward-looking statements involve certain
risks and uncertainties. Such risks and uncertainties could cause our actual results to differ materially from those indicated
by such forward-looking statements, and include, without limitation: the success, cost and timing of our product development activities
and clinical trials and our ability to successfully advance our TCR therapeutic candidates through the regulatory and commercialization
processes. For a further description of the risks and uncertainties that could cause our actual results to differ materially from
those expressed in these forward-looking statements, as well as risks relating to our business in general, we refer you to our
Quarterly Report on Form 10-Q filed with the SEC on November 5, 2020, and our other SEC filings. The forward-looking statements
contained in this press release speak only as of the date the statements were made and we do not undertake any obligation to update
such forward-looking statements to reflect subsequent events or circumstances.
S bastien Desprez - VP, Communications and Investor
Juli P. Miller, Ph.D. - Senior Director, Investor Relations
safety, efficacy, and product attributes from the SURPASS trial with ADP A2M4CD8, a SPEAR
T-cell therapy incorporating an affinity optimized TCR targeting MAGE-A4 and a CD8
S. Hong1, Jeffrey Clarke2, Tanner Johanns3, Partow Kebriaei1, John V. Heymach1,
Ahmed Galal2, Samuel D. Saibil4, Adrian Sacher4, Francine E. Brophy5, Gareth Betts6,
Natalie Bath6, Will Spinner6, Alex Tipping6, Jessica Tucci5, Raymond Luke5,
Trupti Trivedi5, Quan Lin5, Jean Marc Navenot5, Paula M. Fracasso5,
Karen Miller6, Elliot Norry5, Mark Dudley5, Marcus O. Butler4
Affiliations (Institution, City, State, Country):
1The University of Texas MD Anderson Cancer Center,
Houston, TX, United States of America, 2Duke Cancer Center, Durham, NC, United States of America, 3Washington
University School of Medicine, St. Louis, MO, United States of America,4Princess Margaret Cancer Centre, Toronto, Ontario,
Canada, 5Adaptimmune, Philadelphia, PA, United States of America, 6Adaptimmune, Abingdon, United Kingdom
ongoing SURPASS trial (NCT04044859) evaluates safety and efficacy of next-generation
ADP-A2M4CD8 SPEAR T-cells co-expressing the CD8 co-receptor with the engineered MAGE-A4c1032 T cell receptor
First-in-human trial in HLA-A*02 positive patients (pts) with advanced cancers expressing MAGE-A4 antigen by immunohistochemistry.
Eligible pts undergo apheresis, T cells are isolated, transduced with a Lentiviral vector containing the MAGE-A4c1032
TCR and CD8 co receptor, and expanded. Expansion, transduction level, cellular composition and function of the manufactured
product (MP) are assessed in vitro. Prior to infusion, pts receive lymphodepletion with fludarabine 30 mg/m2/day
for 4 days and cyclophosphamide 600 mg/m2/day for 3 days.
16 July 2020, 5 pts (1 with MRCLS, 2 with esophagogastric junction [EGJ] cancers,
1 with ovarian cancer, and 1 with head and neck cancer) were treated with ADP-A2M4 CD8 (range ~1 to 5.7 billion transduced
cells). No DLTs or SAEs have been reported. To date, 1 pt with EGJ cancer had a partial response (PR per RECIST) and has had progression-free
survival >6 months. One pt with head and neck cancer also had a PR. All other pts have had best overall response of stable disease.
MP expanded by an average of 15.3 fold during manufacturing
(range 5.9 to 25.6-fold). On average, 43% of T cells in the MP expressed the TCR (range 23 to 63%). The fraction of CD4+
cells in the final MP varied (range 45 to 84%). Co expression of the MAGE-A4 TCR and CD8 in CD4+ T-cells
in the patient MP enabled CD4+ T-cells to kill tumor target cells directly in vitro. MAGE-A4 expression in tumor
biopsies varied (H-score range 55 to 300). Transduced T-cells were detected in peripheral blood of all pts. IFN gamma increased
transiently in the serum of 1 pt who responded.
Conclusions: ADP-A2M4CD8
SPEAR T-cells have shown an acceptable safety profile and pts with EGJ cancer and head and neck cancer have demonstrated evidence
of antitumor activity. Translational data and early clinical results indicate that co-expression of the CD8 co-receptor on
CD4+ SPEAR T-cells may increase the potency of the product by conferring additional killing activity to the helper T-cell
subset. This dose escalation trial is ongoing and updated clinical and translational data will be presented.