Duality Biologics and BioNTech say interim data on one of their partnered ADCs look encouraging, with a preliminary cut from the trial showing that nearly a third of treated patients had unconfirmed responses.
In the 238 evaluable patients with at least one post-baseline tumor assessment, 32.4% had an unconfirmed overall response, and the disease control rate was 82.4%. Among the 73 patients with small-cell lung cancer, the unconfirmed ORR was 56.2% and the DCR was 89%.
Notably, in patients with castration-resistant prostate cancer (CRPC), radiographic progression-free survival data are not yet mature, but data presented on Friday at ESMO Asia in Singapore
show
that a median rPFS reached 7.2 months, and the six-month rPFS rate was 94.7%.
The
Phase 1/2a basket trial
is testing various doses of BNT324, also called DB-1311, in 277 heavily pretreated patients. Early positive data were also reported on patients with cervical cancer, hepatocellular carcinoma, head and neck squamous carcinoma, and melanoma. Roughly 61% of enrolled patients had undergone two or more lines of prior therapy.
But more data need to be collected. The study’s primary endpoints are safety and objective response rate, so the responses will have to be confirmed. Secondary measures include duration of response, disease control rate and progression-free and overall survival.
BNT324 is a topoisomerase I inhibitor-based conjugate targeting the transmembrane glycoprotein B7-H3. Several companies are investigating B7-H3 as a target, including Merck with ifinatamab deruxtecan. A trial of MacroGenics’ B7-H3-directed antibody in head and neck cancer was
shuttered
after several patient deaths.
According to DualityBio, its candidate showed a “manageable” safety profile across all evaluated patients and tumor types in its early trial. The most common treatment-related side effects were nausea, decreased neutrophil count, anemia, decreased white blood cell count, decreased appetite and decreased platelet count.
BNT324 has US fast track status for advanced/unresectable or metastatic CRPC and orphan drug designation for advanced or metastatic esophageal squamous cell carcinoma. It is one of three clinical-stage ADCs being developed by BioNTech and DualityBio under
a partnership
they set up in April 2023.
They plan to test some of these ADCs in combination with a bispecific antibody targeting PD-L1 and VEGF-A, dubbed BNT327 or PM8002, in solid tumors. The bispecific is under joint development by BioNTech and Biotheus.