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TG Therapeutics Reports Positive Interim Data from UNITY-NHL Phase 2b Trial Evaluating Umbralisib Monotherapy in Patients with Marginal Zone Lymphoma at the 2019 AACR Annual Meeting Overall response rate (ORR) of 52% (N=

Key Takeaway: TG Therapeutics Reports Positive Interim Data from UNITY-NHL Phase 2b Trial Evaluating Umbralisib Monotherapy in Patients with Marginal Zone Lymphoma at the 2019 AACR Annual Meeting Overall response rate (ORR) of 52% (N=42), with complete response (CR) rate of 19%, by central

Full Press Release Details

TG Therapeutics Reports Positive Interim Data from UNITY-NHL Phase
2b Trial Evaluating Umbralisib Monotherapy in Patients with
Marginal Zone Lymphoma at the 2019 AACR Annual Meeting
Overall response rate (ORR) of 52%
(N=42), with complete response (CR) rate of 19%, by central
independent review committee (IRC)
Responses were durable, with median duration of response (DOR) not
reached at median 12.5 months follow-up, and all patients in
complete response remain on study
Umbralisib was well tolerated with a safety profile that appeared
to be maintained with prolonged exposure
Umbralisib previously granted Breakthrough Therapy Designation for
the treatment of patients with relapsed/refractory MZL
Company to host conference call today, April 1, 2019 at 12:00pm
(noon) ET, with Dr. Nathan Fowler of MD Anderson Cancer Center and
Study Chair of the MZL cohort, to discuss the interim
YORK, NY, April 1, 2019 (GLOBE NEWSWIRE)
TG Therapeutics, Inc.
(NASDAQ: TGTX) today reported positive interim data from the
ongoing single-arm marginal zone lymphoma (MZL) cohort of its Phase
2b clinical trial known as UNITY-NHL. The MZL cohort of UNITY-NHL
is designed to investigate umbralisib as a single agent in patients
with relapsed or refractory MZL. Umbralisib is an investigational,
oral, once daily PI3K delta inhibitor with unique inhibition of CK1
epsilon and is currently under development for the treatment of
non-Hodgkin lymphoma (NHL) and chronic lymphocytic leukemia
The interim data were reported this morning by Dr. Nathan Fowler,
Associate Professor of Medicine and Director of Clinical Research
in the Department of Lymphoma/Myeloma at the University of Texas MD
Anderson Cancer Center and Study Chair of the UNITY-NHL MZL cohort,
during this morning's official 2019 Press Program at the
American Association of Cancer Research (AACR) Annual Meeting. Dr.
Fowler will also present the data during an oral session this
afternoon (details below).
Summary of Data Presented:
The MZL cohort of UNITY-NHL enrolled patients with relapsed or
refractory MZL who had received prior treatment
with one or more lines of therapy including at least one
anti-CD20 regimen. In August 2018, the
trial completed enrollment with 69 treated patients. The interim
data reported today included safety and tolerability data on all 69
treated patients (safety population) and efficacy data on 42
patients who were enrolled at least 9 cycles (28 day cycles) prior
to the data cut-off date (interim efficacy population). The primary
endpoint is overall response rate (ORR) as assessed by IRC using
criteria adopted from the International Working Group criteria for
Analysis of the interim efficacy population (n=42) with a median
follow-up of 12.5 months showed the following:
Interim Efficacy Population (n=42)
Overall Response Rate by IRC (CR + PR), % 52%
Complete Response by IRC (CR), (%) 19%
Partial Response by IRC (PR), (%) 33%
Median duration of response, months NR (95% CI: 8.4 NE)
CI = confidence interval; NR = not reached; NE = not estimable; SD
Additional Efficacy Highlights:
clinical benefit rate by IRC (defined as patients obtaining
Complete Response + Partial Response + Stable Disease)
patients achieving a Complete Response by IRC remain on study
(range: 10.1+ to 15.7+ months)
of patients had a reduction in tumor burden
time to initial response was 2.7 months
(KM) estimate of progression-free survival (PFS) at 12 months was
66%, with the median PFS not reached
Interim safety data were presented for all 69 treated patients with
a median duration of exposure of 6.9 months. No unexpected
toxicities were observed. The most common adverse events were
diarrhea, nausea, and fatigue, with the majority of events Grade 1
in severity. The most frequent grade 3 or higher adverse events
were neutropenia, diarrhea and ALT/AST increase, observed in 13%,
10% and 10% of patients, respectively.
A subgroup analysis of patients treated for greater than 6 cycles
(n=41) was also conducted to evaluate long-term incidence of key
toxicities of interest occurring after 6 cycles of treatment.
Median duration of treatment of this subgroup was 10.1 months
(range: 5.6 19.1 months). In this subgroup, grade 3 or
higher adverse events of interest were rare, limited to 2 patients
with diarrhea and 1 patient with pneumonitis, with no events of
ALT/AST elevation, pneumonia, or colitis.
Key Safety Findings (n=69):
colitis were reported and only 1 event of Grade 3 pneumonitis was
were limited, occurring in 3 patients (bronchitis, pneumonia, and
due to umbralisib-related AEs were limited (14%) with no
discontinuations after 6 months due to a treatment-related
Dr. Nathan Fowler, Associate Professor of Medicine and Director of
Clinical Research in the Department of Lymphoma/Myeloma at The
University of Texas MD Anderson Cancer Center and the Study Chair
of the UNITY-NHL MZL cohort, stated, MZL remains an
incurable disease with few treatment options for patients who
relapse after first-line chemoimmunotherapy. The exciting results
presented today suggest that this oral targeted therapeutic has
significant activity against relapsed/refractory marginal zone
lymphoma and offers hope for patients. Dr. Fowler continued,
The adverse event and clinical activity data are highly
encouraging at this point and we are excited to continue following
patients for a longer time. With the results reported thus far,
umbralisib has the potential to make a real difference for patients
with relapsed/refractory marginal zone
Michael S. Weiss, Executive Chairman and Chief Executive Officer
of TG Therapeutics stated, "We are very excited about
these interim data and believe the results today demonstrate the
activity and differentiated safety and tolerability profile of
umbralisib at our Phase 3 dose of 800 mg once per day. Mr.
Weiss continued, As announced previously, the efficacy for
the entire population has already reached our target range of
Last updated: Apr 1, 2019