Allogene Therapeutics Provides Additional ALLO-501/501A Phase 1 Data in an Oral Presentation at the International Conference on Malignant Lymphoma (ICML) Lugano
- Presentation Includes Data on All 33 CAR T-Naïve Patients Treated with the Alloy™ Manufactured Material and Recaps Data on 12 Large B Cell Lymphoma Patients Treated with Phase 2 Dose Regimen
- Results Indicate an Off-the-Shelf Allogeneic CAR T Can Potentially Deliver Durable Complete Responses Comparable to Autologous CAR T Therapies
- Potentially Pivotal Phase 2 ALPHA2 Trials Ongoing in the
U.S. ; Sites inEurope ,Canada and Australia Expected to Enroll During 2023
“We believe these data provide strong support for the ability of our product candidates to induce durable complete remissions at a rate similar to approved autologous CD19 CAR T therapies,” said
The updated analysis (data cutoff
The median time from enrollment to the start of therapy was three days and 100% of patients received product per specifications. No patients received bridging therapy. The dosing breakdown for the 33 patients included in this data set is as follows:
- 12 patients treated with a single dose of ALLO-501/501A and FCA90 lymphodepletion (Phase 2 regimen; recap of the ASCO 2023 data presentation)
- 6 patients treated with a single dose of ALLO-501/501A and
FCA <90 lymphodepletion - 15 patients treated with consolidation dosing of ALLO-501/501A and split lymphodepletion
CAR T- Naïve Patients with r/r LBCL Alloy Manufacturing Process |
||||
All (N=33) |
Phase 2 Regimen (N=12) |
(N=6) |
Consolidation Dosing (N=15) |
|
Overall Response Rate (ORR), n (%) | 19 (58) | 8 (67) | 3 (50) | 8 (53) |
Complete Response Rate (CR), n (%) | 14 (42) | 7 (58) | 1 (17) | 6 (40) |
6 Month Complete Response, n (%) | 10 (30) | 5 (42) | 0 | 5 (33) |
Seven of 12 (58%) patients receiving the Phase 2 regimen achieved a CR and five (42%) maintained a CR through Month 6. Of the five patients who were in CR at 6 months, four (80%) remained in CR. The fifth patient had disease progression at 24 months. The median duration of response was 23.1 months with three patients remaining in remission for over 24 months and the longest remaining in remission for over 31 months. Across all 33 patients the CR rate was 42% with 30% maintaining a CR at Month 6. These results indicate complete responses are more common with lymphodepletion regimens containing 90 mg of ALLO-647 (FCA90). Median duration of response for both the overall population (n=33) and the patients treated with the Phase 2 regimen (n=12) was 23.1 months.
CAR T- Naïve Patients with r/r LBCL | ||||||||
All (N=33) |
Phase 2 Regimen (N=12) |
(N=6) |
Consolidation (N=15) |
|||||
All Gr N (%) |
Gr 3+ N (%) |
All Gr N (%) |
Gr 3+ N (%) |
All Gr N (%) |
Gr 3+ N (%) |
All Gr N (%) |
Gr 3+ N (%) |
|
CRS | 8 (24) | 0 | 4 (33) | 0 | 1 (17) | 0 | 3 (20) | 0 |
Neurotoxicity | 13 (39) | 2 (6) | 4 (33) | 0 | 2 (33) | 0 | 7 (47) | 2 (13) |
ICANS | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
GvHD | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
IRR | 16 (49) | 3 (9) | 8 (67) | 0 | 3 (50) | 1 (17) | 5 (33) | 2 (13) |
Infection | 19 (58) | 5 (15) | 8 (67) | 1 (8) | 3 (50) | 1 (17) | 8 (53) | 3 (20) |
Prolonged Gr3+ Cytopenia | - | 4 (12) | - | 2 (17) | - | 0 | - | 2 (13) |
Across the 33 patients, treatment was generally well tolerated with no incidences of Grade 3 or greater cytokine release syndrome, and no cases of immune effector cell-associated neurotoxicity syndrome or graft versus host disease. Cytopenia and infections were manageable and comparable to the experience with autologous CAR T cell therapies in patients with r/r LBCL.
The ALPHA/ALPHA2 Phase 1 trials were designed to assess the safety, tolerability, and preliminary efficacy at increasing dose levels of ALLO-501 and ALLO-501A, allogeneic CAR T cell product candidates that target CD19. In addition to exploring multiple cell doses, these studies evaluated various doses of ALLO-647, Allogene’s proprietary lymphodepleting antibody designed to prevent premature rejection of AlloCAR T cells. Allogene is currently enrolling the potentially pivotal Phase 2 ALPHA2 trial of ALLO-501A in LBCL and expects to complete enrollment in 1H2024. The Company expects to open trial sites in
About ALLO-501 and ALLO-501A
ALLO-501 and ALLO-501A are anti-CD19 AlloCAR T investigational products for the treatment of large B cell lymphoma. ALLO-501A, a next-generation anti-CD19 AlloCAR T, eliminates the rituximab recognition domains in ALLO-501, which could allow for use in a broader patient population, including NHL patients with recent rituximab exposure. This product candidate is currently being studied in an ongoing potentially pivotal Phase 2 trial. In
About
Cautionary Note on Forward-Looking Statements
This press release contains forward-looking statements for purposes of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. The press release may, in some cases, use terms such as “could,” “designed,” “expects,” “potential,” “preliminary,” “will” or other words that convey uncertainty of future events or outcomes to identify these forward-looking statements. Forward-looking statements include statements regarding intentions, beliefs, projections, outlook, analyses or current expectations concerning, among other things: the potential of allogeneic CD19 CAR T product candidates to generate durable complete responses similar to approved autologous therapies; the potential of the Phase 2 ALPHA2 trial to be a pivotal trial; Allogene’s expectation to complete enrollment of the Phase 2 ALPHA2 trial in the first half of 2024; Allogene’s expectation to open trial sites for the Phase 2 ALPHA2 trial in
Caution should be exercised regarding statements comparing autologous CAR T data. There are differences in the clinical trial design, patient populations, published data, follow-up times and the product candidates themselves, and the results from the clinical trials of autologous products may have no interpretative value on Allogene’s existing or future results.
AlloCAR T™ and Alloy™ are trademarks of Allogene Therapeutics, Inc.
Allogene’s AlloCAR T™ programs utilize the Cellectis TALEN® technologies. ALLO-501 and ALLO-501A are anti-CD19 products being jointly developed under a collaboration agreement between
Allogene Media/Investor Contact:
Chief Communications Officer
(714) 552-0326
Christine.Cassiano@allogene.com
Additional Allogene Media Contact:
Manager,
Madeleine.Goldstein@allogene.com
Source: Allogene Therapeutics, Inc.