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TG Therapeutics, Inc. Announces Presentations of its Proprietary Combination of TG-1101 plus TGR-1202 as well as TGR-1202 as a Single Agent in Ongoing Phase I/Ib Dose Escalation Clinical Studies Triple therapy cohort of

Key Takeaway: TG Therapeutics, Inc. Announces Presentations of its Proprietary Combination of TG-1101 plus TGR-1202 as well as TGR-1202 as a Single Agent in Ongoing Phase I/Ib Dose Escalation Triple therapy cohort of the combination study to be presented separately as an oral presentation

Full Press Release Details

TG Therapeutics, Inc. Announces Presentations
of its Proprietary Combination of
TG-1101 plus TGR-1202 as well as TGR-1202 as a Single Agent in Ongoing Phase
I/Ib Dose Escalation
Triple therapy cohort of the combination study to be
presented separately as an oral presentation tomorrow morning, Monday, June 1st, 2015, at 51st American Society of Clinical
Oncology (ASCO) Annual Meeting
Data from both studies (over 135 patients combined between
single agent and combination studies) continues to demonstrate a favorable safety profile with a high level of activity and a significant
dose-response relationship observed
85% (11 of 13) CLL/SLL patients treated at the higher
doses of 1202 as a single agent and in combination with TG-1101 achieved a nodal response, with most CLL patients achieving a Partial
Response per iwCLL (Hallek 2008) criteria with patients on study pending further assessment
50% (3 of 6) Overall Response Rate (ORR) in Follicular
Lymphoma (FL) patients treated with the higher doses of single agent TGR-1202
41% (3 of 7) ORR in patients with Diffuse Large B-Cell
Lymphoma (DLBCL) treated at the higher doses of the combination of TG-1101 and TGR-1202, and a clinical benefit rate (patients
achieving stable disease or better) of 86% (6 of 7)
TGR-1202 alone and in combination with TG-1101 continues
to be well-tolerated with limited Grade 3/4 events and 5% of the patients across both studies discontinuing for adverse events,
none of which were hepatic toxicity or colitis, with over 50 patients between both studies on therapy 6+ months
NEW YORK, May 31, 2015-- TG Therapeutics,
Inc. (Nasdaq:TGTX), today announced clinical results from two ongoing studies of its oral, once-daily, PI3K delta inhibitor,
TGR-1202, as a single agent and in combination with TG-1101 (ublituximab), the Company's novel glycoengineered anti-CD20
monoclonal antibody. Data from these two Phase I dose escalation studies are being presented today at the morning poster sessions
(8-11:30am CT) during the 51st American Society of Clinical Oncology (ASCO) Annual Meeting in Chicago, IL.
Michael S. Weiss, the Company's Executive Chairman
and Interim CEO commented on the data, "We continue to be impressed with the safety and efficacy profile of TGR-1202, as a
single agent, and in combination with TG-1101, and we believe the high level of activity and our differentiated safety profile
seen to date, where elevations of ALT/AST are rarely seen and colitis has yet to be observed will position our proprietary combination
to play an important role in the management of patients with B-cell malignancies. Unfortunately, in the United States
alone, approximately 100,000 individuals will be diagnosed with NHL and CLL per year and a similar amount will relapse from their
disease annually. Even with the best new treatments options, few of these patients will actually be cured. We believe the
safety, and activity profile seen to date with TG-1101 plus TGR-1202 will compare quite favorably to alternative doublet treatment
options and provides us a strong base regimen to build upon as we push further into novel triple and quad therapies."
Mr. Weiss, continued, "As we are nearing completion of our dosing work, we are excited to turn our attention to the next
phase of development for our proprietary 1303' combination in CLL and NHL, with the goal of launching at least two
Phase 3 studies before the end of this year. These new Phase 3 studies will complement our on-going GENUINE Phase 3 trial
exploring the combination of TG-1101 plus ibrutunib in previously treated patients with high-risk CLL, which is now aggressively
recruiting patients."
The following summarizes the posters presented
Abstract Number 8548: Ublituximab plus
TGR-1202 activity and safety profile in relapsed/refractory B-cell NHL and high-risk CLL
Today's poster presentation includes data from
55 patients with advanced relapsed and refractory high-risk CLL and NHL patients treated with the combination of TG-1101 and TGR-1202
at doses through 1200 mg micronized QD.
Highlights from this poster include:
Overview of the data presented on TGR-1202
in combination with TG-1101 (ublituximab):
Safety and Tolerability
TG-1101 in combination with TGR-1202 (referred
to as "TG-1303") has been well tolerated in the 55 patients evaluable for safety, at all dose levels up through 1200
mg micronized, the highest dose level tested to date. Day 1 infusion related reactions (IRR) have been the most frequently reported
adverse event in 29% of patients, with all but 1 event being Grade 1 or 2 in severity and occurring more frequently in patients
with CLL. Neutropenia was the only Grade 3/4 event reported in > 5% of patients (24%), however, the inclusion criteria in this
study allowed enrollment of patients with existing baseline Grade 3 neutropenia. Of the 55 patients to date, only 3 (5%) have discontinued
due to an adverse event. Notably, with respect to preliminary long-term tolerability, 18 patients (33%) have now been on TG-1101
plus TGR-1202 for 6+ months, with no reported events of colitis.
The study design evaluated sequential dosing
cohorts with fixed doses of TG-1101 and escalating doses of TGR-1202 with both the original formulation and the micronized formulation,
which have been classified based on exposure into "lower dose" and "higher dose" cohorts (higher dose classified
as 1200 mg of the original formulation or 600 mg of the micronized formulation). A significant dose-response relationship was
observed between the high and low doses in all 39 patients evaluable for efficacy at the time of the study cut-off, particularly
in the NHL patients (FL, DLBCL), where a significant increase in complete response rates was observed in the higher dose group.
A breakdown of responses by high and low dose is illustrated in the table below:
Type TGR-1202 Higher* Dose Type TGR-1202 Lower** Dose
Pts (n) CR (n) PR (n) ORR n (%) SD (n) PD (n) Pts (n) CR (n) PR (n) ORR n (%) SD (n) PD (n)
CLL/SLL 6 - 5 5 (83%) 1 - CLL/SLL 7 1 3 4 (57%) 3 -
DLBCL 7 2 1 3 (43%) 3 1 DLBCL 3 - - - 1 2
FL/MZL 11 2 5 7 (64%) 4 - FL/MZL 4 - 1 1 (25%) 3 -
Richter's 1 - 1 1 (100%) - - Richter's - - - - - -
Overall 25 4 12 16 (64%) 8 1 Overall 14 1 4 5 (36%) 7 2
*Higher Dose = 1200 original formulation and 600 or > micronized **Lower Dose = 800 original formulation and 400 micronized
Of the 15 patients evaluable for efficacy with
FL and Marginal Zone lymphoma (MZL), the dose-response relationship observed was significant, with the higher dose cohorts demonstrating
a 64% ORR, with 2 Complete Responses compared to a 25% ORR in the lower dose cohort. The same trend has been observed in the more
aggressive lymphomas (DLBCL and Richter's) where 50% (4 of 8) achieved an objective response (2 CR and 2 PR) compared to
no responses seen in the lower dose cohorts. Of note, 86% (6 of 7) of the DLBCL patients in the higher dose cohorts who had at
least one efficacy assessment (week 8) remain on study progression free, with 71% (5 of 7) having GCB subtype, which has historically
been less responsive to BCR targeted therapy.
As seen with TGR-1202 as a single agent, responses
have been shown to improve over time, with 3 of the 5 CR's achieved at subsequent efficacy assessments.
Commenting on the combination data, Dr. Matthew
Lunning, Division of Hematology/Oncology, University of Nebraska Medical Center and lead author of the presentation stated, "We
continue to remain impressed not only by the safety profile of the combination, but especially by the efficacy demonstrated in
this very advanced CLL and NHL patient population. We look forward to continuing enrolling in the CLL and NHL expansion cohorts,
with a focus on refractory DLBCL patients who have very limited options, to further evaluate this novel and exciting combination."
Dr. Lunning continued, "The safety and efficacy profile of the combination of TG-1101 and TGR-1202 is well suited as a platform
regimen for further combination studies and I look forward to the presentation of the first ever triple combination of TG-1101
plus TGR-1202 plus ibrutinib in an oral presentation tomorrow to be given by Dr. Nathan Fowler of MD Anderson."
Abstract Number 7069: "Clinical activity
and safety profile of TGR-1202, a novel once daily PI3K delta inhibitor, in patients with CLL and B-cell lymphoma"
Today's poster presentation includes data from
66 patients with relapsed and refractory hematologic malignancies treated with single agent TGR-1202 at escalating doses up through
1200 mg micronized QD. Highlights from this poster include:
Overview of the data presented on single
Safety and Tolerability
In the 66 patients evaluable for safety, TGR-1202
has been well-tolerated with no dose-related trends in adverse events observed and patients on study for upwards of 2+ years. Grade
3 events continue to be limited with only 3 patients (< 5%) having discontinued study due to an adverse event, none of which
were for hepatic toxicity or colitis which have been common and potentially serious and life threatening with other PI3K-delta
inhibitors. Neutropenia was the only Grade 3/4 event reported in >10% of patients (11%). Notably, with respect to preliminary
long-term tolerability, 29 patients (44%) have now been on TGR-1202 for 6+ months, with some patients on TGR-1202 for 2+ years,
with no reported events of colitis.
Significant clinical activity was observed in
patients with CLL treated at doses 800 mg with 88% of CLL patients (14 of 16) achieving a nodal PR, and 10 of 16 (63%) of patients
achieving a response per iwCLL (Hallek 2008) criteria. The remaining two patients exhibited nodal reductions and remain on study
Last updated: May 31, 2015