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Interim Data from Phase 1 Dose Escalation Clinical Trial of TGR-1202, the Once-Daily PI3K Delta Inhibitor, Demonstrates Significant Clinical Activity and Lack of Hepatic Toxicity in Patients With Relapsed/Refractory Chro

Key Takeaway: Interim Data from Phase 1 Dose Escalation Clinical Trial of TGR-1202, the Once-Daily PI3K Delta Inhibitor, Demonstrates Significant Clinical Activity and Lack of Hepatic Toxicity in Patients With Relapsed/Refractory Chronic Lymphocytic Leukemia and Non-Hodgkin's Lymphoma SAN F

Full Press Release Details

Interim Data from Phase 1 Dose Escalation Clinical Trial
of TGR-1202, the Once-Daily PI3K Delta Inhibitor, Demonstrates Significant Clinical Activity and Lack of Hepatic Toxicity in Patients
With Relapsed/Refractory Chronic Lymphocytic Leukemia and Non-Hodgkin's Lymphoma
SAN FRANCISCO, CA, December 6, 2014-- TG
Therapeutics, Inc. (Nasdaq:TGTX), today announced updated clinical results from its ongoing Phase I single agent dose escalation
study of TGR-1202, the Company's oral, once-daily, PI3K delta inhibitor. Data from this Phase I study is being presented today
at a poster session during the 56th American Society of Hematology (ASH) Annual Meeting and Exposition in San Francisco, CA.
Dr. Howard A. Burris, the Principal Investigator
for the study and Chief Medical Officer and Executive Director of the Drug Development Program at the Sarah Cannon Research
Institute in Nashville, TN stated, "We continue to be excited by the activity and safety seen with TGR-1202,
particularly in patients with CLL. The absence to date of liver toxicity and colitis, which have been observed with other PI3K-delta
inhibitors, is very encouraging. The overall safety profile demonstrated by TGR-1202 makes it well suited for combination therapy
regimens. We are excited to expand enrollment in this Phase 1 study."
Michael S. Weiss, the Company's Executive Chairman
and Interim CEO commented on the data, "Today's data presentation on TGR-1202 in both an expanded number of patients
and with longer treatment durations provides further confirmation of what we and investigators believe are best-in-class attributes
in comparison to other PI3K-delta inhibitors both approved and in development. From an activity perspective, the nodal PRs and
true PRs are shaping up to be comparable to the best single agent drugs for CLL and as we dose escalate we continue to see a dose
and time response relationship further supporting our original hypothesis that we may be able to drive greater activity than other
PI3k delta's due to our unique pharmacokinetic and safety profile. Given our focus in creating best-in-class novel combinations
that offer a high level of activity with low toxicity, we are particularly encouraged by the continued absence of liver toxicity
and lack of colitis seen to date with TGR-1202, especially considering that the median time on study for patients has been approximately
6 months and some patients have been on study for over a year and a half. Accordingly, we believe the single agent profile of TGR-1202
positions it well as an ideal agent for combination therapy, especially in combination with our proprietary, glycoengineered anti-CD20
monoclonal antibody, TG-1101 for which preliminary data will be presented on Tuesday morning."
of the data presented on TGR-1202
Today's poster presentation includes data from
55 patients with relapsed or refractory hematologic malignancies treated with TGR-1202 at doses ranging from 50 mg to 1800 mg QD
of the initial formulation and 200 mg to 1200 mg of the recently introduced micronized formulation of TGR-1202, which exhibits
enhanced absorption over the initial formulation.
Safety and Tolerability
TGR-1202 has been well-tolerated with no dose-related
trends in adverse events observed and no MTD reached to date. Grade 3/4 events continue to be limited, with neutropenia
(13%) and thrombocytopenia (7%) the only Grade 3/4 events occurring in >5% of patients. Notably, of the 55 patients evaluable
for safety, no drug related hepatic (liver) toxicity or events of colitis have been observed, with the median time on study of
approximately 6 months and some patients on daily TGR-1202 for over 1.5 years. To date, out of 55 patients treated with TGR-1202,
only 2 (<4%) patients were withdrawn due to an adverse event (one deemed unrelated, and one possibly related to TGR-1202).
Significant clinical activity was observed in
patients with CLL treated at doses 800 mg of the initial formulation of TGR-1202 or with any dose of the improved micronized
formulation, with all (14/14) patients exhibiting significant nodal reductions. Thirteen of fourteen evaluable patients (93%) exhibited
a nodal response (>50% reduction in nodal size) and 50% of patients (7/14) achieved a partial response per the iwCLL (Hallek
Among all disease types, 43 patients had been
treated at doses 800 mg of the initial formulation of TGR-1202 or with any dose of the micronized formulation and were evaluable
for efficacy (including patients who started at lower doses and were escalated), with 31/43 (72%) achieving a reduction in tumor
burden with TGR-1202. In both CLL and indolent NHL (iNHL), an exposure/time/response relationship was noted where patients with
higher TGR-1202 plasma concentrations on day 30 of treatment were observed to exhibit greater responses to TGR-1202 at early efficacy
assessments. For instance, at drug concentrations >4000ng/ml, 100% (6/6) of subjects who exhibited such concentrations on day
30 of treatment (4 CLL and 2 iNHL) achieved rapid responses (either nPR or PR at first or second assessment). The concentration
threshold for response appears to be moderately higher with iNHL than with CLL. Of the 3 iNHL responders, 2 patients exhibited
concentrations >4,000ng/ml, while the third responder had lower TGR-1202 exposure and exhibited a longer time to response. An
additional 9 patients of varying NHL histologies with lower initial TGR-1202 exposure remain on study with tumor burden reductions
ranging from 19%-46%, pending further efficacy assessments. Additional responses were noted in patients with Hodgkin's lymphoma
and Mantle Cell Lymphoma.
All patients (3/3) treated at 1200mg of the
micronized formulation in the fed state achieved blood concentrations in excess of 4000ng/ml, the first dose level which appears
to consistently provide blood concentrations above those target levels. To confirm these findings, the 1200mg micronized dose has
been chosen for use in an expansion cohort in patients with NHL. Given activity observed in CLL at lower concentrations, a CLL
expansion cohort is currently enrolling at 800mg micronized. Additionally, all patients currently on study have now been transitioned
to the micronized formulation of TGR-1202.
The posters being presented today for TGR-1202
include the following:
Title: TGR-1202, a Novel Once Daily PI3K
Inhibitor, Demonstrates Clinical Activity with a Favorable Safety Profile, Lacking Hepatotoxicity, in Patients with Chronic Lymphocytic
Leukemia and B-Cell Lymphoma.
Title: Complementary Targeting of PI3K and the
Proteasome Causes Potent Inhibition of mTORC1 and NF-KappaB in Models of B- and T-Cell Lymphoma
A copy of the poster presentations are available
on the Publications Page, located within the Pipeline section of the Company's website at www.tgtherapeutics.com.
EVENT WEBCAST DETAILS
The company will host an investor/analyst
event Monday December 8, 2014 from 7:45pm PT - 9:00pm PT. This event will be audio webcast on the Events Page, located
within the Investors & Media section of the Company's website at www.tgtherapeutics.com,
as well as archived for future review. This event will also be broadcast via conference call. In order to access the
conference line, please call 1-877-407-8029 (U.S.), 1-201-689-8029 (outside the U.S.), and reference Conference Title: TG Therapeutics
2014 Investor & Analyst Event.
ABOUT TG THERAPEUTICS, INC.
TG Therapeutics is a biopharmaceutical company
focused on the acquisition, development and commercialization of novel treatments for B-cell malignancies and autoimmune diseases.
Currently, the company is developing two therapies targeting hematological malignancies. TG-1101 (ublituximab) is a novel, glycoengineered
monoclonal antibody that targets a specific and unique epitope on the CD20 antigen found on mature B-lymphocytes. TG Therapeutics is
also developing TGR-1202, an orally available PI3K delta inhibitor. The delta isoform of PI3K is strongly expressed in cells of
hematopoietic origin and is believed to be important in the proliferation and survival of B-lymphocytes. Both TG-1101 and TGR-1202
are in clinical development for patients with hematologic malignancies. The Company also has a pre-clinical program to develop
IRAK4 inhibitors, also for B-cell malignancies and autoimmune diseases. TG Therapeutics is headquartered in New York City.
Cautionary Statement
Some of the statements included
in this press release, particularly those, anticipating results that might be achieved at higher doses of, and longer exposures
to, TGR-1202, anticipating future clinical trials, the timing of commencing or completing such trials and business prospects for
TG-1101 and TGR-1202 may be forward-looking statements that involve a number of risks and uncertainties. For those statements,
we claim the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform
Act of 1995. Among the factors that could cause our actual results to differ materially are the following: our ability to successfully
and cost-effectively complete pre-clinical and clinical trials for TG-1101 and TGR-1202; the risk that early pre-clinical and clinical
results that supported our decision to move forward with TG-1101 and TGR-1202 will not be reproduced in additional patients or
in future studies; the risk that trends observed which underlie certain assumptions of future performance of TGR-1202 will not
continue, the risk that TGR-1202 will not produce satisfactory safety and efficacy results to warrant further development following
the completion of the current phase 1 study; the risk that the data (both safety and efficacy) from future clinical trials will
not coincide with the data produced from prior pre-clinical and clinical trials; the risk that trials will take longer to enroll
than expected; our ability to achieve the milestones we project over the next year; our ability to manage our cash in line with
our projections, and other risk factors identified from time to time in our reports filed with the Securities and Exchange
Commission. Any forward-looking statements set forth in this press release speak only as of the date of this press release. We
Last updated: Dec 6, 2014