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Immutep Announces Strong Operational Progress in Global TACTI-004 (KEYNOTE-F91) Phase III and Enrolment Continues at Robust Pace The registrational TACTI-004 Phase III has enrolled 289 patients globally, over 38% of the

Key Takeaway: Immutep Limited announced significant operational progress in its Phase III TACTI-004 trial, which evaluates the combination of eftilagimod alfa, KEYTRUDA, and chemotherapy for advanced non-small cell lung cancer. The trial has successfully enrolled 289 patients, accounting for over 38% of the target enrollment of 756. With more than 120 clinical sites across 27 countries activated, the company anticipates completing patient enrollment in the third quarter of 2026. The CEO expressed satisfaction with the trial's progress and the strong interest in the study following a recent licensing agreement.

Market Sentiment Analysis

POSITIVE FACTORS

  • Strong operational progress reported in the TACTI-004 trial.
  • Robust enrolment pace with 289 patients already enrolled.
  • Over 120 activated clinical sites across 27 countries.
  • Positive industry sentiment following a recent licensing deal.

Full Press Release Details

Immutep Announces Strong Operational Progress in Global TACTI-004
(KEYNOTE-F91) Phase III and Enrolment Continues at Robust Pace
SYDNEY, AUSTRALIA - December 16, 2025 - Immutep Limited
(ASX: IMM; NASDAQ: IMMP) ("Immutep" or "the Company"), a late-stage immunotherapy company targeting cancer and autoimmune diseases, today reports strong operational progress in the
TACTI-004 (KEYNOTE-F91) Phase III trial evaluating eftilagimod alfa (efti) in combination with MSD's (Merck & Co., Inc., Rahway, NJ, USA) anti-PD-1 therapy, KEYTRUDA (pembrolizumab), and chemotherapy as first line therapy for advanced/metastatic non-small cell lung cancer.
The registrational TACTI-004 trial has enrolled
289 patients (over 38% of the trial's targeted enrolment of 756 patients), and enrolment continues at a robust pace. Additionally, the number of activated clinical sites now exceeds 120 and 27 countries have received full regulatory
This includes the United States where the first of multiple clinical sites has received full regulatory clearance following the recent
completion of the FDA's Project Optimus initiative and subsequent receipt of local and central Institutional Review Board (IRB) approvals.
As announced on 9 October 2025, TACTI-004 had enrolled the necessary 170 patients to conduct the futility
analysis that remains on track for the first quarter of CY2026. Furthermore, Immutep expects to complete patient enrolment in the third quarter of CY2026.
Immutep Chief Executive Officer, Marc Voigt, said, "We are very pleased with the strong operational progress of
TACTI-004 globally and the robust pace of recruitment. Growing interest in this pivotal trial has been enhanced by the recent licensing deal for efti in emerging markets with Dr Reddy's. The Immutep team
is excited about further delivering on key milestones ahead, including the futility analysis and completion of patient enrolment."
KEYTRUDA is a registered trademark of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc., Rahway, NJ, USA.
TACTI-004 (Two ACTive Immunotherapies) is a randomised, double-blind, controlled Phase III study evaluating eftilagimod alfa (efti), a first-in-class MHC Class II agonist, in combination with MSD's (Merck & Co., Inc., Rahway, NJ, USA)
anti-PD-1 therapy, KEYTRUDA (pembrolizumab), and chemotherapy as first line therapy for patients with advanced
or metastatic non-small cell lung cancer with no EGFR, ALK or ROS1 genomic tumour aberrations. The global trial will enrol approximately 756 patients regardless of PD-L1
expression and with non-squamous or squamous
tumours at over 150 clinical sites in over 25 countries. Patients will be randomised 1:1 to receive either efti in combination with pembrolizumab and chemotherapy in the treatment arm or
pembrolizumab in combination with chemotherapy and placebo in the control arm. The study's dual primary endpoints are progression-free survival and overall survival.
About Eftilagimod Alfa (Efti)
immunotherapy that directly activates antigen-presenting cells or APCs (e.g. dendritic cells, monocytes) via the MHC Class II pathway to fight cancer. As an MHC Class II agonist, its activation of APCs engages the adaptive and innate
immune system to initiate a broad anti-cancer immune response. This includes priming and activating cytotoxic T cells as well as generating important co-stimulatory signals & cytokines that further
boost the immune system's ability to combat cancer.
Efti is under evaluation for a variety of solid tumours including non-small cell lung cancer (NSCLC) in a pivotal Phase III trial called TACTI-004 (KEYNOTE-F91), as well as head and neck squamous cell
carcinoma (HNSCC), soft tissue sarcoma, and breast cancer. Its favourable safety profile enables various combinations like with anti-PD-[L]1 immunotherapy, radiotherapy,
and/or chemotherapy. Efti has received Fast Track designation in first line HNSCC and in first line NSCLC from the United States Food and Drug Administration (FDA).
Immutep is a late-stage biotechnology
company developing novel immunotherapies for cancer and autoimmune disease. The Company is a pioneer in the understanding and advancement of therapeutics related to Lymphocyte Activation Gene-3 (LAG-3), and its diversified product portfolio harnesses LAG-3's 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:
U.S. Investors/Media:
Chris Basta, VP, Investor
Relations and Corporate Communications
+1 (631) 318 4000; chris.basta@immutep.com
This announcement was authorised for release by the CEO of Immutep Limited.

Frequently Asked Questions

What is the TACTI-004 trial evaluating?

The TACTI-004 trial evaluates eftilagimod alfa combined with KEYTRUDA and chemotherapy.

How many patients have been enrolled in TACTI-004 so far?

So far, 289 patients have been enrolled, representing over 38% of the target.

What are the primary endpoints of TACTI-004?

The dual primary endpoints are progression-free survival and overall survival.

How many countries are involved in TACTI-004?

The trial involves over 25 countries and more than 150 clinical sites.

What is the expected completion date for patient enrolment?

Patient enrolment is expected to be completed by the third quarter of CY2026.

Last updated: Dec 16, 2025