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ASX/Media Release Immutep Receives Regulatory Clearance for Phase I Study of First-in-Class LAG-3 Agonist Antibody Designed to Treat Autoimmune Diseases Study expected to enrol first participants during Q3 CY2024 SYDNEY,

Key Takeaway: Immutep Limited has secured regulatory clearance to commence a Phase I clinical study for IMP761, the first therapeutic LAG-3 agonist antibody, aimed at treating autoimmune diseases. This study, set to enroll 49 healthy volunteers, will assess the safety, pharmacokinetics, and pharmacodynamics of the drug. Preclinical data supports the potential of IMP761 to silence aggressive T cells and restore immune balance. Initial enrollment is anticipated in Q3 2024, with first results expected later in the year.

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POSITIVE FACTORS

  • Immutep has received regulatory clearance to initiate a Phase I study of IMP761.
  • IMP761 is the first therapeutic LAG-3 agonist antibody, offering a novel approach for treating autoimmune diseases.
  • Preclinical studies indicate that IMP761 effectively suppresses harmful T cell responses and reduces inflammation.
  • The Phase I study aims to assess the safety and pharmacological effects of IMP761, with initial participant enrollment expected in Q3 2024.

Full Press Release Details

Regulatory Clearance for Phase I Study of First-in-Class
LAG-3 Agonist Antibody Designed to Treat Autoimmune Diseases
SYDNEY, AUSTRALIA 17 July 2024 Immutep Limited (ASX: IMM; NASDAQ: IMMP) ( Immutep or
the Company ), a clinical-stage biotechnology company developing novel LAG-3 immunotherapies for cancer and autoimmune disease, today announces it has received regulatory clearance from the ethics
and competent authority in the Netherlands to initiate the first-in-human Phase I study of IMP761.
IMP761 is the world s first therapeutic LAG-3 agonist antibody and as such is uniquely positioned in the
treatment landscape for autoimmune diseases. The immune checkpoint LAG-3 has been identified as a promising target for agonist immunotherapy to treat rheumatoid arthritis, Type 1 diabetes, and multiple
sclerosis, among other autoimmune diseases.1,2,3 IMP761 is designed to restore balance to the immune system by enhancing the brake function of
LAG-3 to silence unregulated self-antigen-specific memory T cells. These T cells accumulate at disease sites and are the underlying cause of many autoimmune diseases.
Professor Bent Deleuran, MD, Department of Biomedicine, Aarhus University (DK) stated, Immune checkpoint molecules such as LAG-3 play pivotal roles in determining the outcome of antigen activation, and as a result hold significant potential in the treatment of autoimmune diseases. In preclinical studies, the agonistic LAG-3 antibody IMP761 has shown, both in vitro and in vivo, to be highly effective in suppressing antigen-specific T cell mediated immune responses and driving a meaningful decrease in inflammatory cytokines.
It is exciting to see IMP761 move into the clinical setting to evaluate the potential of this new immunotherapy to address autoimmune diseases.
The regulatory and ethical clearance for the first-in-human trial of
IMP761 is a significant milestone for Immutep and marks an important step in the development of this novel autoimmune disease approach, said Dr. Fr d ric Triebel, Immutep s CSO. Blocking LAG-3 with an antagonist antibody in cancer patients unleashes the power of the anti-tumor T cell responses, but also leads to autoimmunity in a fraction of the patients. This has put
LAG-3 at the center of autoimmune disorders as a co-inhibitory receptor that downplays the T cell receptor response. Using IMP761, an agonist LAG-3 antibody, to reinforce this physiological upstream control of the T cell response represents a new approach to silence the few aggressive T cells that lead to autoimmune diseases, added Dr. Triebel.
The single and multiple ascending dose, placebo-controlled, double-blind, Phase I study is being conducted by the Centre for Human Drug Research
(CHDR), a world-class institute in Leiden, the Netherlands specializing in cutting-edge early-stage clinical drug research. The study aims to enrol 49 healthy volunteers, with the objective of assessing safety, pharmacokinetics (PK) and
pharmacodynamics (PD). CHDR will implement its unique keyhole limpet haemocyanin (KLH) challenge model allowing for the evaluation of IMP761 s pharmacological activity at the earliest stages of clinical development.
Immutep anticipates that CHDR will enrol first participants into the Phase I study during Q3 of CY2024 with
first data being available before end of the year.
IMP761, a first-in-class immunosuppressive
LAG-3 agonist antibody, has the potential to address the root cause of many autoimmune diseases by specifically silencing autoimmune memory T cells that accumulate at disease sites and restoring balance to the
immune system. As published in the Journal of Immunology, encouraging pre-clinical in vivo and in vitro studies show IMP761 inhibits peptide-induced T cell proliferation, activation of
human primary T cells, and an antigen-specific delayed-type hypersensitivity (DTH) reaction. Additional preclinical data in oligoarticular juvenile idiopathic arthritis (o-JIA) published in
Pediatric Research details how IMP761 led to a decrease in a broad spectrum of effector cytokines in just 48 hours. This study also showed children with o-JIA have a skewed LAG-3 metabolism and suggested they can benefit from agonistic LAG-3 activity.
Immutep is a clinical-stage biotechnology
company developing novel LAG-3 immunotherapy for cancer and autoimmune disease. We are pioneers in the understanding and advancement of therapeutics related to Lymphocyte Activation Gene-3 (LAG-3), and our diversified product portfolio harnesses its unique ability to stimulate or suppress the immune response. Immutep is dedicated to leveraging its
expertise to bring innovative treatment options to patients in need and to maximise value for shareholders. For more information, please visit www.immutep.com.
Australian Investors/Media:
Catherine Strong, Morrow
+61 (0)406 759 268; c.strong@morrowsodali.com
U.S. Investors/Media:
Chris Basta, VP, Investor
Relations and Corporate Communications
+1 (631) 318 4000; chris.basta@immutep.com
1. Pedersen, J.M., Hansen, A.S., Skej , C. et al. Lymphocyte activation gene 3 is increased and affects cytokine production in rheumatoid arthritis.
Arthritis Res Ther 25, 97 (2023). https://doi.org/10.1186/s13075-023-03073-z
2. Jones BE, Maerz MD et al. Fewer LAG-3+ T Cells in Relapsing-Remitting Multiple Sclerosis and Type 1 Diabetes. J
Immunol. 2022 Feb 1;208(3):594-602. doi: 10.4049/jimmunol.2100850. Epub 2022 Jan 12. PMID: 35022272; PMCID: PMC8820445.
3. Zhou X, Gu Y et al. From bench to bedside: targeting lymphocyte activation gene 3 as a therapeutic strategy for autoimmune diseases. Inflamm Res. 2023
Jun;72(6):1215-1235. doi: 10.1007/s00011-023-01742-y. Epub 2023 Jun 14. PMID: 37314518.
This announcement was authorised for release by the Board of Immutep Limited.
Level 32, Australia Square, 264 George Street, Sydney NSW 2000, Australia

Frequently Asked Questions

What is IMP761 designed to treat?

IMP761 is intended for treating autoimmune diseases through LAG-3 agonist therapy.

Who is conducting the Phase I study of IMP761?

The Phase I study is being conducted by the Centre for Human Drug Research in the Netherlands.

How many volunteers will participate in the Phase I study?

The study aims to enroll 49 healthy volunteers.

What milestone did Immutep achieve recently?

Immutep received regulatory clearance for the first-in-human trial of IMP761.

What is the purpose of LAG-3 in autoimmune therapies?

LAG-3 helps regulate immune responses, making it a promising target for therapy.

Last updated: Jul 17, 2024