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ASX/Media Announcement Immutep Reports Positive TACTI-002 Data Encouraging Overall Response Rates (ORR) reported from stage 1 Parts A and C, with responses in 47% of 1 st line non-small cell lung cancer (NSCLC) patients

Key Takeaway: ASX/Media Announcement Immutep Reports Positive TACTI-002 Data SYDNEY, AUSTRALIA February 19th, 2020 Immutep Limited (ASX: IMM; NASDAQ: IMMP) ( Immutep or the Company ), a biotechnology company developing novel immunotherapy treatments for cancer and autoimmune diseases, annou

Full Press Release Details

ASX/Media Announcement
Immutep Reports Positive TACTI-002 Data
SYDNEY, AUSTRALIA February 19th, 2020 Immutep Limited (ASX:
IMM; NASDAQ: IMMP) ( Immutep or the Company ), a biotechnology company developing novel immunotherapy treatments for cancer and autoimmune diseases, announces interim data from its ongoing Phase II TACTI-002 study. The results are being presented today at the 34th German Cancer Congress in Berlin by Principal Investigator, Dr. Bernhard Doger of START Madrid, Spain. The Company will also present this
interim data and provide a further update on its clinical programs in a global webcast, details below.
The data relates to use of the Company s lead
product candidate eftilagimod alpha ( efti or IMP321 ), a soluble LAG-3 protein, as part of a combination treatment with pembrolizumab. The activation of antigen-presenting cells (APC)
and subsequent T cell recruitment with efti may lead to stronger anti-tumour responses than observed with pembrolizumab alone.
Immutep CSO and CMO, Dr
Frederic Triebel said: The results we are seeing from our TACTI-002 trial are highly encouraging, with 47% of first line non-small cell lung cancer patients
responding. These results are remarkable given that usually only 20% of patients respond to pembrolizumab monotherapy, if not pre-selected for high PD-L1 expression.
Interestingly, patient responses are being seen in all three PD-L1 expression level groups, meaning the combination treatment seems to work even in patients not expected to respond to pembrolizumab
The initial overall response rate of 33% of second line head and neck squamous cell carcinoma patients is also very exciting, albeit from a
smaller patient group. It compares well to an expected pembrolizumab monotherapy response rate of 15-18%, especially taking into account that three patients could not yet be assessed.
Immutep CEO, Marc Voigt stated: We are very excited by the results from TACTI-002 as pembrolizumab
monotherapy is approved only for PD-L1 subgroups in first line NSCLC. Seeing substantial response rates also in low PD-L1 expression groups from the combination therapy
is very encouraging, particularly in light of the good safety profile to date for efti.
Level 12, 95 Pitt Street, Sydney NSW 2000
Overview of the Trial
TACTI-002 is being conducted in collaboration with Merck & Co., Inc., Kenilworth, NJ, USA (known as
MSD outside the United States and Canada). It is evaluating the combination of efti with MSD s KEYTRUDA (or pembrolizumab, an anti-PD-1 therapy) in up to 109 patients. All patients receive 200 mg of pembrolizumab every three weeks, along with 30 mg of efti every two weeks for the first eight cycles (1 cycle = 3 weeks) and every 3
weeks thereafter (starting cycle 9).
The trial is a Simon s two-stage, open-label, single-arm study, with patients participating in three Parts:
TACTI-002 is an all comer study in
terms of PD-L1 status, a well-known predictive marker for response to pembrolizumab monotherapy especially in NSCLC. PD-L1 expression is typically reported in three
groups for NSCLC: < 1%, 1-49% and 50% (Tumour Proportion Score or TPS). Patients with a high PD-L1 status are typically
more responsive to anti-PD-1 monotherapy such as pembrolizumab, whereas those with low PD-L1 status are overall significantly
less responsive. Pembrolizumab monotherapy is registered in the US and the EU for first-line NSCLC patients with a TPS score 1% (US) and 50% (EU), reflecting
65% and 30% of all first line NSCLC patients, respectively.
Stage 1 Part A (1st line NSCLC):
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Patients by PD-L1 category No. of Responses 1 ORR 1 Frequency in TACTI-002 N (%) 2 Historical 3 Distribution
Low (< 1%) 1 33% 3 (23%) 35%
Medium (1-49%) 3 50% 6 (46%) 35%
High ( 50%) 3 75% 4 (31%) 30%
NE 4 1 25% 4 (n/a) n/a
Overall 8 47% 17
Stage 1 Part C (2nd line HNSCC):
Recruitment is ongoing for stage 1 of
Part B, along with stage 2 of Parts A and C. The table below summarises the number of patients recruited to date for the TACTI-002 cohorts.
Stage 1 (recruited to date / targeted total) Stage 2 (recruited to date / targeted total)
Part A (1 st line NSCLC) 17 / 17 -> completed 7 / 19
Part B (2 nd line NSCLC) 13 / 23 Not Opened
Part C (2 nd line HNSCC) 18 / 18 -> completed 1 / 19
Level 12, 95 Pitt Street, Sydney NSW 2000
The presentation entitled, Initial results from a Phase II study
(TACTI-002) in metastatic non-small cell lung or head and neck carcinoma patients receiving eftilagimod alpha (soluble LAG-3
protein) and pembrolizumab will be made available on the Company s website at https://www.immutep.com/investors-media/presentations.html.
The Company will also present this
interim TACTI-002 data and provide a further update on its clinical programs in a global webcast. The details for the webcast are as follows:
Date & Time: Wednesday, February 26, 2020, 8:00 am Australian Eastern Daylight Time / Tuesday, February 25, 2020, 4:00 pm US Eastern Daylight Time
Register: Interested parties can register via a link to the webcast on the Company s website or via the following link: https://fnn.webex.com/fnn/onstage/g.php?MTID=e11208a0ff7fcccaca4d5e4b8a14e988f
Questions: Investors are invited to submit questions in advance via immutep@citadelmagnus.com .
A replay of the webcast will also be available at www.immutep.com from the day after the event.
About the TACT-002 trial
TACTI-002 (Two ACTive Immunotherapies) is being conducted in collaboration with Merck & Co., Inc., Kenilworth,
NJ, USA (known as MSD outside the United States and Canada). The study is evaluating the combination of efti with MSD s KEYTRUDA (or pembrolizumab, an anti-PD-1 therapy) in up to 109 patients with second line head and neck squamous cell carcinoma or non-small cell lung cancer in first
and second line. The trial is a Phase II, Simon s two-stage, non-comparative, open-label, single-arm, multicentre clinical
study that is taking place in up to 13 study centres across the U.S., Europe and Australia.
Immutep is a globally active biotechnology company that is a leader in the development of LAG-3 related
immunotherapeutic products for the treatment of cancer and autoimmune disease. Immutep is dedicated to leveraging its technology and expertise to bring innovative treatment options to market for patients and to maximize value to shareholders.
Immutep is listed on the Australian Securities Exchange (IMM), and on the NASDAQ (IMMP) in the United States.
Level 12, 95 Pitt Street, Sydney NSW 2000
Immutep s current lead product candidate is eftilagimod alpha ( efti or IMP321 ),
a soluble LAG-3 protein (LAG-3Ig) based on the LAG-3 immune control mechanism. This mechanism plays a vital role in the
regulation of the T cell immune response. Efti is currently in a Phase IIb clinical trial as a chemoimmunotherapy for metastatic breast cancer termed AIPAC; a Phase II clinical trial being conducted in collaboration with Merck & Co., Inc.,
Kenilworth, NJ, USA (known as MSD outside the United States and Canada) referred to as TACTI-002 (Two ACTive Immunotherapies) to evaluate a combination of efti with KEYTRUDA (or pembrolizumab, an anti-PD-1 therapy) in several different solid tumours (clinicaltrials.gov identifier
NCT03625323); a Phase I clinical trial being conducted in collaboration with Merck KGaA, Darmstadt, Germany and Pfizer Inc. referred to as INSIGHT-004 to evaluate a combination of efti with avelumab (clinical
trials.gov identifier NCT03252938); and a Phase I combination therapy trial in metastatic melanoma termed TACTI-mel (clinicaltrials.gov identifier NCT02676869).
Additional LAG-3 products, including antibodies, for immune response modulation in autoimmunity and cancer are being
developed by Immutep s large pharmaceutical partners. Immutep is also developing an agonist of LAG-3 (IMP761) for autoimmune disease.
Further information can be found on the Company s website www.immutep.com or by contacting:
Australian Investors/Media:
+61 (0)406 759 268; cstrong@citadelmagnus.com
Garth Russell, LifeSci Advisors
+1 (646) 876-3613; garth@lifesciadvisors.com
This announcement was authorised for release by the board of Immutep Limited.
Level 12, 95 Pitt Street, Sydney NSW 2000
Last updated: Feb 21, 2020