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Positive Data from Phase II Trial in Soft Tissue Sarcoma Presented at CTOS 2024 Annual Meeting Efti in combination with pembrolizumab and radiotherapy demonstrates significant efficacy in the neoadjuvant setting in patie

Key Takeaway: Immutep Limited presented positive data from its Phase II EFTISARC-NEO trial at the CTOS 2024 Annual Meeting, highlighting the efficacy of eftilagimod alpha in combination with pembrolizumab and radiotherapy for patients with soft tissue sarcoma. The trial reported that 71.4% of patients achieved a significant pathologic response, while the combination resulted in a median hyalinization/fibrosis rate three times higher than that of standard radiotherapy. The ongoing study aims to enroll a total of 40 patients by Q1 2025, primarily funded by a Polish government grant.

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POSITIVE FACTORS

  • The triple combination therapy demonstrated significant efficacy in the neoadjuvant setting for resectable soft tissue sarcoma.
  • 71.4% of patients achieved a pathologic response, indicating a promising outcome.
  • The therapy showed no grade 3 toxicities related to efti and pembrolizumab.
  • The combination therapy resulted in a three-fold increase in tumour hyalinization/fibrosis compared to historical results from standard treatment.

Full Press Release Details

Positive Data from Phase II Trial in Soft Tissue Sarcoma Presented
at CTOS 2024 Annual Meeting
SYDNEY, AUSTRALIA 14 November
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 the presentation of new data from EFTISARC-NEO, a Phase II investigator-initiated trial of eftilagimod alpha (efti) in combination with radiotherapy plus KEYTRUDA (pembrolizumab) for patients with soft tissue sarcoma (STS), at the Connective Tissue Oncology Society (CTOS) 2024 Annual Meeting. Based on preliminary analysis among 21 patients available for
primary endpoint assessment, the triple combination therapy demonstrates significant efficacy in the neoadjuvant setting for resectable STS.
Kozak, M.D., Ph.D., and Pawe Sobczuk, M.D., Ph.D., medical oncologists at the Department of Soft Tissue/Bone Sarcoma and Melanoma at MSCNRIO (Warsaw) and the trial s principal investigators, stated: Our belief in efti s unique
mechanism of action to complement radiotherapy and pembrolizumab in order drive better outcomes for patients with this rare aggressive disease was the foundation of the EFTISARC-NEO trial. These very
encouraging results we are presenting today build our confidence in the synergistic effects of this new therapeutic approach and its potential to treat these patients in dire need of more effective therapies. In particular, the high level of
hyalinization/fibrosis achieved with this novel combination therapy, three-times above historical results from standard radiotherapy, demonstrates remarkable efficacy in patients with resectable soft tissue sarcomas.
In the neoadjuvant setting for patients with resectable STS, the combination achieved a greater than three-fold increase in tumour hyalinization/fibrosis
(median 50%) at the time of surgical resection as compared to a historical median 15% from standard radiotherapy alone. In addition to being the primary endpoint of the EFTISARC-NEO study, the tumour
hyalinization/fibrosis rate has also been identified as an important predictor of overall survival for STS patients.1,2
The EFTISARC-NEO trial, with a data cut-off of 20 October 2024, also
showed 71.4% of patients achieved a pathologic response defined as 35% of hyalinization/fibrosis and 9.5% of patients achieved a complete pathologic response. The triple combination therapy is safe with no grade 3 toxicities related to
efti and pembrolizumab.
Dr. Fr d ric Triebel, CSO of Immutep, said: We are pleased with the strength of these preliminary
results in this difficult-to-treat cancer. To see 71.4% of soft tissue sarcoma patients achieving a pathologic response defined as 35% of hyalinization/fibrosis
combined with low viable tumour cells at 8% is very promising, especially as strong efficacy has been observed in different STS subtypes. We look forward to further evaluation of efti s potential as neoadjuvant immunotherapy to help drive
improved clinical outcomes.
The ongoing open-label EFTISARC-NEO Phase II study, conducted by the
Maria Sk odowska-Curie National Research Institute of Oncology (MSCNRIO) in Warsaw, is expected to reach the planned enrolment of 40 patients in Q1 CY2025. The trial is primarily funded with an approved grant from the Polish government awarded
by the Polish Medical Research Agency program. For more information, visit clinicaltrials.gov (NCT06128863).
The CTOS poster is available on the
Posters & Publications section of Immutep s website.
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, Sodali & Co
Chris Basta, VP, Investor Relations and Corporate Communications
+1 (631) 318 4000; chris.basta@immutep.com
This announcement was authorised for release by the Board of Immutep Limited.
Immutep Limited, Level 32, Australia Square, 264 George Street, Sydney NSW 2000, Australia

Frequently Asked Questions

What is the EFTISARC-NEO trial?

The EFTISARC-NEO trial is a Phase II study assessing eftilagimod alpha combined with radiotherapy and KEYTRUDA for soft tissue sarcoma patients.

What were the preliminary results of the trial?

Preliminary results showed 71.4% of patients had a pathologic response, with a median hyalinization/fibrosis of 50%.

How does efti's combination therapy compare to standard treatment?

The combination therapy demonstrated over three times the hyalinization/fibrosis rate compared to standard radiotherapy, indicating significant efficacy.

Is the triple combination therapy safe?

Yes, the triple combination therapy showed no grade 3 toxicities related to efti and pembrolizumab.

When is the EFTISARC-NEO trial expected to complete patient enrollment?

The trial aims to complete enrollment of 40 patients by Q1 CY2025.

Last updated: Nov 15, 2024