- The pivotal Phase 3 inMIND trial met its primary endpoint of
progression-free survival (PFS) and key secondary endpoints in
patients with relapsed or refractory follicular lymphoma (FL)
treated with tafasitamab (Monjuvi®) in combination with
lenalidomide and rituximab
- Positive data featured in a late-breaking oral presentation at
the 2024 American Society of Hematology (ASH) Annual Meeting
support the planned U.S. filing of a supplemental Biologics License
Application (sBLA) for tafasitamab in FL by year-end 2024
- Incyte to host virtual analyst and investor event on Thursday,
December 12, 2024, from 4:00-5:00 p.m. ET to discuss key data
presented at ASH
Incyte (Nasdaq:INCY) today announced additional results from the
pivotal Phase 3 inMIND trial evaluating treatment with tafasitamab
(Monjuvi®), a humanized Fc-modified cytolytic CD19 targeting
monoclonal antibody, in combination with lenalidomide and rituximab
compared with placebo plus lenalidomide and rituximab in patients
with relapsed or refractory follicular lymphoma (FL). These data
are featured today in the Late-breaking Session (LBA-1) at the 2024
American Society of Hematology (ASH) Annual Meeting in San
Diego.
The late-breaking results, which build on previously announced
topline data, show that the study met its primary endpoint by
demonstrating a statistically significant and clinically meaningful
improvement in progression-free survival (PFS) by investigator
assessment in 548 patients with FL. Patients treated with
tafasitamab achieved a median PFS by investigator assessment of
22.4 months compared to 13.9 months in the control arm (Hazard
Ratio [HR]: 0.43; 95% Confidence Interval [CI] (0.32—0.58);
P<0.0001), representing a 57% reduction in risk of progression,
relapse, or death. The PFS assessed by an Independent Review
Committee (IRC) was consistent with investigator-based results,
with a HR of 0.41 (95% CI 0.29, 0.56, P<0.0001). Median PFS by
IRC was not reached in the tafasitamab group versus 16.0 months in
the control arm, [95% CI (19.3-NE) and (13.9, 21.1), respectively;
P<0.0001]. The PFS benefit was consistent across all patient
subgroups regardless of the number of previous lines of
therapy.
“In the Phase 3 inMIND trial, tafasitamab demonstrated
impressive efficacy and safety for treating certain patients with
follicular lymphoma, the most common type of B-cell non-Hodgkin
lymphoma,” said Steven Stein, M.D., Chief Medical Officer, Incyte.
“These data, the first to evaluate the novel approach of combining
CD19 and CD20 immunotherapies, show the potential of tafasitamab in
combination with lenalidomide and rituximab to become a new
standard of care for these patients. We look forward to working
with regulatory authorities to potentially bring this treatment
forward to patients with FL.”
The trial also showed improvement across secondary endpoints,
including:
- Complete response (CR), overall response rate (ORR) and
duration of response (DOR) each showed improvement in the
tafasitamab group versus the control arm (CR of 49.4% vs. 39.8%
[95% CI (43.1, 55.8) and (33.7, 46.1), respectively; OR=1.5,
P=0.0286); (ORR of 83.5% vs. 72.4% [95% CI (78.6, 87.7) and (66.7,
77.6), respectively]); (DOR of 21.2 months vs. 13.6 months [95% CI
(19.5—NE) and (12.4—18.6), respectively]).
- Median overall survival (OS) was not reached in either group,
but a positive trend was observed with the tafasitamab group versus
the control arm (HR=0.59 [95% CI (0.31, 1.13)]).
Additionally, median time to next treatment (TTNT) was not
reached in the tafasitamab group and was 28.8 months in the control
arm (HR [95% CI], 0.45 [0.31, 0.64], nominal P<0.0001).
Tafasitamab was generally well-tolerated, and safety was
consistent with other CD19 and immunotherapy combination regimens.
The most common treatment-emergent adverse events (TEAEs) in the
tafasitamab and immunotherapy combination group were neutropenia
(48.5%), diarrhea (37.6%), COVID-19 (31.4%) and constipation
(29.2%).
“Patients with follicular lymphoma have a high risk of relapse,
yet there are limited treatment options in the relapsed and
refractory setting,” said Dr. Laurie Sehn, British Columbia Cancer
Centre for Lymphoid Cancer. “The goal of therapy is primarily to
prolong remission, while maintaining quality of life. The inMIND
trial demonstrated a meaningful improvement in disease control with
the addition of the anti-CD19 monoclonal antibody tafasitamab to
lenalidomide and rituximab, providing patients with a new, well
tolerated, immunotherapy combination.”
About inMIND A global, double-blind, randomized,
controlled Phase 3 study, inMIND (NCT04680052) evaluated the
clinical benefit of tafasitamab and lenalidomide as an add-on to
rituximab compared with lenalidomide alone as an add-on to
rituximab in patients with relapsed or refractory follicular
lymphoma (FL) Grade 1 to 3a or relapsed or refractory nodal,
splenic or extranodal marginal zone lymphoma (MZL). The study
enrolled a total of 654 adults (age ≥18 years).
The primary endpoint of the study is progression-free survival
(PFS) by investigator assessment in the FL population, and the key
secondary endpoints are PFS in the overall population as well as
positron emission tomography complete response (PET-CR) and overall
survival (OS) in the FL population.
For more information about the study, please visit
https://clinicaltrials.gov/study/NCT04680052.
About Tafasitamab (Monjuvi®) Tafasitamab (Monjuvi®) is a
humanized Fc-modified cytolytic CD19 targeting monoclonal antibody.
In 2010, MorphoSys licensed exclusive worldwide rights to develop
and commercialize tafasitamab from Xencor, Inc. Tafasitamab
incorporates an XmAb® engineered Fc domain, which mediates B-cell
lysis through apoptosis and immune effector mechanism including
Antibody-Dependent Cell-Mediated Cytotoxicity (ADCC) and
Antibody-Dependent Cellular Phagocytosis (ADCP). MorphoSys and
Incyte entered into: (a) in January 2020, a collaboration and
licensing agreement to develop and commercialize tafasitamab
globally; and (b) in February 2024, an agreement whereby Incyte
obtained exclusive rights to develop and commercialize tafasitamab
globally.
In the United States, Monjuvi® (tafasitamab-cxix) received
accelerated approval by the U.S. Food and Drug Administration in
combination with lenalidomide for the treatment of adult patients
with relapsed or refractory diffuse large B-cell lymphoma (DLBCL)
not otherwise specified, including DLBCL arising from low grade
lymphoma, and who are not eligible for autologous stem cell
transplant (ASCT). In Europe, Minjuvi® (tafasitamab) received
conditional Marketing Authorization from the European Medicines
Agency in combination with lenalidomide, followed by Minjuvi
monotherapy, for the treatment of adult patients with relapsed or
refractory DLBCL who are not eligible for ASCT.
XmAb® is a registered trademark of Xencor, Inc.
Monjuvi, Minjuvi, the Minjuvi and Monjuvi logos and the
“triangle” design are registered trademarks of Incyte.
IMPORTANT SAFETY INFORMATION
What are the possible side effects of MONJUVI? MONJUVI
may cause serious side effects, including:
- Infusion reactions. Your healthcare provider will monitor you
for infusion reactions during your infusion of MONJUVI. Tell your
healthcare provider right away if you get fever, chills, flushing,
headache, or shortness of breath during an infusion of
MONJUVI.
- Low blood cell counts (platelets, red blood cells, and white
blood cells). Low blood cell counts are common with MONJUVI, but
can also be serious or severe. Your healthcare provider will
monitor your blood counts during treatment with MONJUVI. Tell your
healthcare provider right away if you get a fever of 100.4°F (38°C)
or above, or any bruising or bleeding.
- Infections. Serious infections, including infections that can
cause death, have happened in people during treatment with MONJUVI
and after the last dose. Tell your healthcare provider right away
if you get a fever of 100.4°F (38°C) or above, or develop any signs
and symptoms of an infection.
The most common side effects of MONJUVI include:
- Feeling tired or weak
- Diarrhea
- Cough
- Fever
- Swelling of lower legs or hands
- Respiratory tract infection
- Decreased appetite
These are not all the possible side effects of MONJUVI. Your
healthcare provider will give you medicines before each infusion to
decrease your chance of infusion reactions. If you do not have any
reactions, your healthcare provider may decide that you do not need
these medicines with later infusions. Your healthcare provider may
need to delay or completely stop treatment with MONJUVI if you have
severe side effects.
Before you receive MONJUVI, tell your healthcare provider
about all of your medical conditions, including if you:
- Have an active infection or have had one recently.
- Are pregnant or plan to become pregnant. MONJUVI may harm your
unborn baby. You should not become pregnant during treatment with
MONJUVI. Do not receive treatment with MONJUVI in combination with
lenalidomide if you are pregnant because lenalidomide can cause
birth defects and death of your unborn baby.
- You should use an effective method of birth control
(contraception) during treatment and for at least 3 months after
your final dose of MONJUVI.
- Tell your healthcare provider right away if you become pregnant
or think that you may be pregnant during treatment with
MONJUVI.
- Are breastfeeding or plan to breastfeed. It is not known if
MONJUVI passes into your breastmilk. Do not breastfeed during
treatment for at least 3 months after your last dose of
MONJUVI.
You should also read the lenalidomide Medication Guide for
important information about pregnancy, contraception, and blood and
sperm donation.
Tell your healthcare provider about all the medications you
take, including prescription and over-the-counter medicines,
vitamins, and herbal supplements.
Call your doctor for medical advice about side effects. You
may report side effects to the FDA at (800) FDA-1088 or
www.fda.gov/medwatch. You may also report side effects to
Incyte Medical Information at 1-855-463-3463.
Please see the full Prescribing Information for
Monjuvi, including Patient Information, for additional
Important Safety Information.
About Incyte A global biopharmaceutical company on a
mission to Solve On., Incyte follows the science to find solutions
for patients with unmet medical needs. Through the discovery,
development and commercialization of proprietary therapeutics,
Incyte has established a portfolio of first-in-class medicines for
patients and a strong pipeline of products in Oncology and
Inflammation & Autoimmunity. Headquartered in Wilmington,
Delaware, Incyte has operations in North America, Europe and
Asia.
For additional information on Incyte, please visit Incyte.com or
follow us on social media: LinkedIn, X, Instagram, Facebook,
YouTube.
Incyte Forward-looking Statements Except for the
historical information set forth herein, the matters set forth in
this press release, including statements regarding tafasitamab, the
inMIND clinical trial, the potential for tafasitamab to become an
approved treatment option for FL, Incyte’s plans to share data with
the scientific community and Incyte’s expectations with respect to
filing an sBLA or otherwise engaging with regulators, contain
predictions, estimates and other forward-looking statements.
These forward-looking statements are based on Incyte's current
expectations and subject to risks and uncertainties that may cause
actual results to differ materially, including unanticipated
developments in and risks related to: unanticipated delays; further
research and development and the results of clinical trials
possibly being unsuccessful or insufficient to meet applicable
regulatory standards or warrant continued development; the ability
to enroll sufficient numbers of subjects in clinical trials;
determinations made by the U.S. FDA and other regulatory
authorities outside of the United States; the efficacy or safety of
Incyte and its partners' products; the acceptance of Incyte and its
partners' products in the marketplace; market competition; sales,
marketing, manufacturing and distribution requirements; and other
risks detailed from time to time in Incyte's reports filed with the
Securities and Exchange Commission, including its annual report on
Form 10-K and its report on Form 10-Q for the quarter ended
September 30, 2024. Incyte disclaims any intent or obligation to
update these forward-looking statements.
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