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Immatics Highlights Compelling Anti-Tumor Activity of Anzu-cel PRAME Cell Therapy in Metastatic Uveal Melanoma at the ESMO 2025 Presidential Symposium One-time infusion of anzu-cel (anzutresgene autoleucel,

Key Takeaway: Immatics presented updated data regarding their anzu-cel PRAME cell therapy at the ESMO 2025 Presidential Symposium. The therapy showed compelling anti-tumor activity in a trial involving 16 patients suffering from metastatic uveal melanoma. Results indicated significant tumor shrinkage in liver lesions and overall favorable tolerability. The company is set to expand its trials based on these promising outcomes, indicating a potential shift in treatment for this difficult-to-treat patient population.

Market Sentiment Analysis

POSITIVE FACTORS

  • Anzu-cel demonstrates strong anti-tumor activity in patients with difficult-to-treat metastatic uveal melanoma.
  • Majority of participants showed significant liver lesion shrinkage after treatment.
  • Presentations at ESMO 2025 highlight anzu-cel as a promising therapy with favorable tolerability.
  • Initiation of a Phase 2 trial accelerates development of anzu-cel in uveal melanoma.

Full Press Release Details

Immatics Highlights Compelling Anti-Tumor Activity
of Anzu-cel PRAME Cell Therapy
in Metastatic Uveal Melanoma at the ESMO 2025 Presidential Symposium
Texas and Tuebingen, Germany, October 20, 2025 - Immatics
N.V. (NASDAQ: IMTX, "Immatics" or the "Company"), a clinical-stage biopharmaceutical company and the
global leader in precision targeting of PRAME, today announced the presentation of updated data from 16 patients with metastatic uveal
melanoma treated with anzu-cel PRAME cell therapy.
The uveal melanoma data from the ongoing Phase
1b trial will be presented today at the European Society for Medical Oncology (ESMO) Congress 2025 during the Presidential Symposium
III by Sapna Patel, M.D., Professor of Medicine, University of Colorado Cancer Center. The slides are accessible in the Events
& Presentations' section of the Investors & Media section of the Company's website.
"Patients with metastatic uveal melanoma
face a poor prognosis and represent a population in need of better outcomes, given the limited options currently available," said
Sapna Patel, M.D. "I believe the results with anzu-cel presented today signal a much-needed breakthrough for patients with metastatic
uveal melanoma. These findings highlight the potential of anzu-cel to redefine the treatment paradigm for uveal melanoma and bring new
hope to patients who urgently need more effective options."
"Our goal is to leverage every opportunity
to bring innovative PRAME therapies to patients with limited treatment options," said Cedrik Britten, M.D., Chief Medical Officer
at Immatics. "The continued strong clinical data presented today reinforce our conviction in maximizing the potential of our PRAME
cell therapy, anzu-cel, and expanding its development into metastatic uveal melanoma, a rare cancer with very high unmet medical need.
We are excited to further execute on our PRAME franchise and bring meaningful progress to patients in need."
Presidential Symposium III Presentation Summary - Anzu-cel
Patient Population: Difficult-to-treat
patient population with metastatic uveal melanoma
As of September 24, 2025, 16 patients with metastatic
uveal melanoma were administered a one-time infusion of anzu-cel at the recommended Phase 2 dose (RP2D, 1 to 10 billion total TCR T cells)
as part of the anzu-cel Phase 1b dose expansion. Patients received a median infused TCR T-cell dose of ~4 billion (range 1.62 - 8.43 billion
TCR T cells) and had a median of 2 lines of prior systemic treatments. Patients had a median target lesion sum of a diameter of 103 mm
(ranging from 31 to 210 mm), and 81% of patients had liver and extrahepatic metastasis.
Anti-tumor Activity and Durability: Continued strong anti-tumor
activity and durability of anzu-cel PRAME cell therapy
Updated data of a one-time infusion of anzu-cel
PRAME cell therapy demonstrated promising benefit in a difficult-to-treat population with limited effective treatment options:
1Excluding one patient who
withdrew consent with ongoing unconfirmed response.
Anti-tumor activity was observed in liver and extrahepatic
metastases, including lung, lymph node, abdomen/peritoneum and others. 14/16 patients had target lesions in the liver and treatment with
anzu-cel led to a median shrinkage in liver target lesion size of 49.6%.
Notably, 11 out of the 16 patients received a TCR
bispecific (ten gp-100-targeting, one PRAME-targeting) as prior systemic treatment line, and thereof, six achieved a confirmed partial
response, one a partial response and three stable disease. These results demonstrate anti-tumor activity of anzu-cel in patients who received
prior TCR-based therapies.
aPatient out of study at data cutoff
(withdrew consent); BL, baseline; (c)PR, (confirmed) partial response; PD, progressive disease; SD, stable disease.
aMaximum change of target lesions
and RECIST1.1 response at different timepoints. bPatient off study at data cutoff date (withdrew consent). 14/16 patients had
liver target lesions with median best change of longest diameter of liver target lesions (range) of -49.6% (-100, 10). BOR, best overall
response; cPR, (confirmed) partial response; RECIST, Response Evaluation Criteria in Solid Tumors; SD, stable disease; PD, progressive
Safety: Favorable tolerability in uveal
melanoma, generally consistent with full anzu-cel tolerability profile
The most frequent treatment-emergent adverse events
(TEAs) were anticipated cytopenias associated with lymphodepletion. Expected and manageable cytokine release syndrome (CRS) was mostly
Grade 1 or 2, which is consistent with the mechanism of action (Grade 1: 37.5%, Grade 2: 43.8%, Grade 3: 18.8%, Grade 4: 0%). No patients
experienced long-term CRS, and most CRS was resolved by day 14. No anzu-cel-related Grade 5 events were observed.
Tolerability in the uveal melanoma subset was
generally consistent with the full anzu-cel tolerability profile in the Phase 1b.
Development Path for Anzu-cel in Metastatic Uveal Melanoma
Based on the promising clinical data in patients
with metastatic uveal melanoma, Immatics has initiated a Phase 2 cohort with approximately 30 uveal melanoma patients planned. The cohort
is being conducted at select centers in the U.S. and Germany with deep expertise in uveal melanoma. Given the high prevalence of PRAME
expression in uveal melanoma, prospective PRAME testing is no longer required for inclusion in the clinical trial.
The consistent tolerability, anti-tumor activity
and pharmacokinetic profile of anzu-cel across both uveal and cutaneous melanoma provide a strong rationale for pursuing a parallel late-stage
development strategy to serve both patient populations.
PRAME is a target expressed in more than 50 cancers.
Immatics is the global leader in precision targeting of PRAME and has the broadest PRAME franchise with the most PRAME indications
and modalities. The Immatics PRAME franchise currently includes three product candidates, two therapeutic modalities and a combination
therapy that target PRAME: anzu-cel (IMA203) PRAME cell therapy, IMA203CD8 PRAME cell therapy (GEN2), IMA402 PRAME bispecific, anzu-cel
in combination with Moderna's PRAME cell therapy enhancer.
About Anzu-cel (IMA203) PRAME Cell Therapy
Anzu-cel (anzutresgene autoleucel; IMA203) is a
PRAME-directed TCR T-cell therapy engineered to recognize an intracellular PRAME-derived peptide presented by HLA-A*02:01 on the cell
surface and initiate a potent and specific anti-tumor response. Anzu-cel PRAME cell therapy is currently being evaluated in a registration-enabling
randomized controlled Phase 3 trial, "SUPRAME," in patients with unresectable or metastatic cutaneous melanoma who have disease
progression on or after treatment with at least one checkpoint inhibitor. In parallel, the Phase 1b clinical trial in patients with PRAME
cancers is ongoing with a focus on uveal melanoma.
Immatics is committed to making a meaningful impact
on the lives of patients with cancer. We are the global leader in precision targeting of PRAME, a target expressed in more than 50 cancers.
Our cutting-edge science and robust clinical pipeline form the broadest PRAME franchise with the most PRAME indications and modalities,
spanning TCR T-cell therapies and TCR bispecifics.
intends to use its website www.immatics.com as a means of disclosing material non-public information.
Forward-Looking Statements
Certain statements in
this press release may be considered forward-looking statements. Forward-looking statements generally relate to future events or the Company's
future financial or operating performance. For example, statements concerning timing of data read-outs for product candidates, the timing,
outcome and design of clinical trials, the nature of clinical trials (including whether such clinical trials will be registration-enabling),
the timing of IND, CTA or BLA
filings, estimated market
opportunities of product candidates, the Company's focus on partnerships to advance its strategy, and other metrics are forward-looking
statements. In some cases, you can identify forward-looking statements by terminology such as "may", "should",
"expect", "plan", "target", "intend", "will", "estimate", "anticipate",
"believe", "predict", "potential" or "continue", or the negatives of these terms or variations
of them or similar terminology. Such forward-looking statements are subject to risks, uncertainties, and other factors which could cause
actual results to differ materially from those expressed or implied by such forward-looking statements. These forward-looking statements
are based upon estimates and assumptions that, while considered reasonable by Immatics and its management, are inherently uncertain. New
risks and uncertainties may emerge from time to time, and it is not possible to predict all risks and uncertainties. Factors that may
cause actual results to differ materially from current expectations include, but are not limited to, various factors beyond management's
control including general economic conditions and other risks, uncertainties and factors set forth in the Company's Annual Report
on Form 20-F and other filings with the Securities and Exchange Commission (SEC). Nothing in this press release should be regarded as
a representation by any person that the forward-looking statements set forth herein will be achieved or that any of the contemplated results

Frequently Asked Questions

What is anzu-cel PRAME cell therapy?

Anzu-cel is a PRAME-directed TCR T-cell therapy designed to target uveal melanoma.

How many patients were treated with anzu-cel?

A total of 16 patients with metastatic uveal melanoma were treated.

What was the median shrinkage in target lesions?

There was a median shrinkage of 49.6% in liver target lesion size.

What are common side effects of anzu-cel?

Common side effects included cytopenias and mostly manageable cytokine release syndrome.

What is the next step for anzu-cel therapy?

Immatics has initiated a Phase 2 cohort for further evaluation in uveal melanoma patients.

Last updated: Oct 20, 2025