Full Press Release Details
Cellectar Biosciences
Announces CLR 131 Achieves Primary Efficacy Endpoints from Its Phase 2 CLOVER-1 Study in relapsed/refractory B-cell Lymphomas and
Completion of the Phase 1 relapsed/refractory Multiple Myeloma Dose Escalation Study
42.8% ORR in multiple myeloma at the
75mCi total body dose
42.0% ORR and 11% CRR in all non-Hodgkin's
lymphoma (NHL) patients
100% ORR seen in Lymphoplasmacytic
Lymphoma/Waldenstrom's Macroglobulinemia (LPL/WM) patients
76.7% of the multiple myeloma patients
across all doses tested experienced tumor reduction with a strong dose response
FLORHAM PARK, N.J., February 19, 2020 --
Cellectar Biosciences, Inc. (NASDAQ: CLRB), a clinical-stage biopharmaceutical company focused on the discovery, development
and commercialization of drugs for the treatment of cancer, today announced positive data from its Phase 2 CLOVER-1 study in patients
with relapsed/refractory B-cell lymphomas. Additionally, the company announced the successful completion of its Phase 1 dose escalation
study. Data from the studies demonstrated activity in all indications tested: multiple myeloma (MM), diffuse large B-cell lymphoma
(DLBCL), chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL), marginal zone
lymphoma (MZL), mantle cell lymphoma (MCL), and lymphoplasmacytic lymphoma/Waldenstrom's macroglobulinemia (LPL/WM).
CLR 131 achieved notable response rates
in patients with multiple myeloma - 34.5% overall response rate (ORR) over all therapeutic doses (n=33), and non-Hodgkin's
lymphoma (NHL) - 42% ORR over all doses (n=20) while maintaining a well-tolerated safety profile across all patients. Based upon
these positive results and corroborating data showing the potential to further improve upon current overall response rates and
durability of those responses, the study has been expanded to test a two-cycle dosing optimization regimen of CLR 131.
in the studies were heavily pre-treated, with multiple myeloma patients having a median of five prior treatment regimens (range:
3 to 17), which included immunomodulatory drugs, proteasome inhibitors and CD38 antibodies for the majority of patients. Additionally,
a majority of the patients (51%) were quad refractory or greater and 44% of all treated multiple myeloma patients were triple class
refractory. NHL patients in the study were also heavily pre-treated, having had a median of 3 prior lines of treatment (range,
1 to 9) with the majority of patients being refractory to rituximab and/or ibrutinib. In both groups, the patients had a median
age of 70 with a range of 51 to 86.
Relapsed/refractory multiple myeloma patients
were treated with three different doses (<50mCi, ~50mCi and ~75mCi total body dose (TBD)); the <50mCi total body dose was
a deliberately planned sub-therapeutic dose. Patients who received the highest dose of CLR 131 showed a 42.8% ORR, and those who
received ~50mCi TBD had a 26.3% ORR with 100% of all evaluable patients (n=43) achieving clinical benefit (primary outcome measure)
as defined by having stable disease or better. 85.7% of multiple myeloma patients receiving the higher total body dose levels of
CLR 131 experienced tumor reduction. The 75mCi TBD demonstrated positive activity in both high-risk patients and triple class refractory
patients with a 50% and 33% ORR, respectively.
"The data reported today are very
promising and we believe the product profile for CLR 131 can improve further with the administration of a second cycle. These results
are even more impressive considering the challenging patient population tested, as all were heavily pre-treated with the vast majority
being refractory to their most recent therapy," said James Caruso, president and CEO of Cellectar Biosciences. "Based
upon these compelling data and the need for new and innovative treatment options for patients, we plan to execute upon a well-defined
and approvable regulatory path forward in a prioritized hematologic indication. We
hope that this potentially first-in-class PLE-targeted radiotherapeutic will provide a new and meaningful treatment option for
patients living with multiple myeloma and/or NHL."
The most frequently reported adverse events
in relapsed/refractory multiple myeloma patients were cytopenias, which followed a predictable course and timeline. The
most common grade 3 events at the highest dose (75mCi TBD) were hematologic toxicities including thrombocytopenia (65%), neutropenia
(41%), leukopenia (30%), anemia (24%) and lymphopenia (35%). No patients experienced cardiotoxicities, neurological toxicities,
infusion site reactions, peripheral neuropathy, allergic reactions, cytokine release syndrome, keratopathy, renal toxicities, or
changes in liver enzymes. The safety and tolerability profile in patients with relapsed/refractory NHL was the same except for
fewer cytopenias of any grade.
In addition to these findings, subtype
assessments were completed in the r/r B-cell NHL patients. Patients with DLBCL demonstrated a 30% response rate with one patient
achieving a complete response (CR), which continues at nearly 24 months post-treatment. The response rate for CLL/SLL/MZL patients
was 33%. Only two mantle cell patients were enrolled, with stable disease as the best response.
Current data from the company's Phase
2 CLOVER-1 clinical study show that four LPL/WM patients demonstrated 100% ORR with one patient achieving a complete response which
continues at nearly 27 months. This may represent an important improvement in the treatment of relapsed/refractory LPL/WM as no
approved or late-stage development treatments for second- and third-line patients have reported a complete response. LPL/WM is
a rare, indolent and incurable form of non-Hodgkin's lymphoma that is comprised of a niche patient population in need of
new and better treatment options.
patients who have failed the current standard of care treatments for any of these indications, there is a need for additional treatment
options," said lead study investigator Sikander Ailawadhi, M.D., Division of Hematology/Oncology, Department of Internal
Medicine, Mayo Clinic, Jacksonville, Florida. He added, "These data are impressive, especially in these very difficult to
treat patient populations. CLR 131 offers a very attractive safety and efficacy profile."
Summary of Results by Total Body Dose
| 50mCi Total Body Dose | 75mCi Total Body Dose | |
| ORR (# of Patients) | ORR (# of Patients) | |
| Multiple Myeloma (MM) | 26.3% (19) | 42.8% (14) |
| Non-Hodgkin's Lymphoma (NHL) | 42.0% (12) | 43.0% (7) |
| Lymphoplasmacytic Lymphoma/ Waldenstrom's Macroglobulinemia (LPL /WM) | 100% (2) | 100% (2) |
Conference Call Details
The management team will host a conference
call for investors today, Wednesday, February 19 at 10:30 am Eastern Time to review the results and data from both the Phase 2
CLOVER-1 study and the Phase 1 r/r MM dose escalation study. The call will also include a presentation from lead investigator,
Dr. Sikander Ailawadhi, M.D. Conference call, webcast and post-conference call replay details are as follows:
| Domestic dial-in: | 877-705-6003 |
| International dial-in: | 201-493-6725 |
| Conference ID: | 13697717 |
Webcast: http://bit.ly/2uNAGWY
A webcast replay of the event will
be available following the live event on the Events section of the Cellectar website.
About the Phase 2 CLOVER-1 Study
Phase 2 study of CLR 131 being conducted in approximately 10 leading cancer centers in the United States in patients with relapsed/refractory
B-cell hematologic cancers. The hematologic cancers being studied include multiple myeloma (MM), chronic lymphocytic leukemia/small
lymphocytic lymphoma (CLL/SLL), lymphoplasmacytic lymphoma/ Waldenstrom's macroglobulinemia (LPL/WM), marginal zone lymphoma
(MZL), mantle cell lymphoma (MCL), and diffuse large B-cell lymphoma (DLBCL).
enroll up to 80 patients with its primary endpoint being clinical benefit response (CBR), which is defined as the proportion of
MM patients within three months following the initial infusion of CLR 131 with stringent complete response, complete response,
very good partial response, partial response and stable disease per International Myeloma Working Group criteria, or the proportion
of lymphomas patients (CLL/SLL, LPL, MZL, MCL, and DLBCL) within three months following the initial infusion of CLR 131 with CR,
PR and SD per the Lugano classification CT-based response criteria. Additional endpoints include overall response rate (ORR), progression
free survival (PFS), median overall survival (OS) and other markers of efficacy. Patients were treated with three different doses
(<50mCi, ~50mCi and ~75mCi total body dose) administered in either a single 30-minute infusion or two 30-minute infusions at
day 1 and day 7 ( 1), with the option for a second dose cycle approximately 75-180 days later.
results and corroborating data showing the potential to further improve upon the current overall response rates and durability
of those responses, the study has been expanded to test a two-cycle dosing optimization regimen of CLR 131. Patients will be administered
a two-cycle regimen with a total of four infusions, to be administered on day 1 and day 15 ( 1) and again on day 57
awarded approximately $2 million in non-dilutive grant funding from the National Cancer Institute to help fund the study. More
information about the study, including eligibility requirements, can be found at www.clinicaltrials.gov,
reference NCT02952508.
About the Phase 1 r/r MM Dose Escalation Study
The Phase 1 multicenter, open-label, dose-escalation study is
designed to evaluate the safety and tolerability of CLR 131 administered as a 30-minute I.V. infusion, either as a single bolus
dose or as two fractionated doses. The r/r multiple myeloma patients in this study received doses ranging from 25mCi to ~75mCi
total body dose. To date, an independent Data Monitoring Committee determined that all doses have been safe and well-tolerated