Transgene Reports Randomized Phase 2b Data with Its Therapeutic HPV Vaccine TG4001 in Women with CIN2/3 Intraepithelial Cervi...
09 Mai 2012 - 8:00AM
Business Wire
Regulatory News:
Transgene S.A. (Paris:TNG) (Euronext Paris: FR0005175080)
announces today that it has received from Roche, the former
exclusive licensee of the product, 6-month headline results of the
placebo-controlled study of TG4001 (RG3484) in women with CIN2/3
intra-epithelial neoplasia of the cervix due to infection with
high-risk HPV (as defined by the Roche Linear-Array® test).
This ongoing study conducted in the US and Europe enrolled 206
patients and aims at demonstrating the safety and activity of
TG4001 in terms of histological resolution and viral clearance. The
primary endpoint of the study is the histological resolution rate
at 6 months in the sub-group of women with HPV16
mono-infection.
The main efficacy results of the study in terms of histological
and anti-viral efficacy at 6 months (6 months after treatment) are
summarized in the following table:
HPV16 mono-infected
All genotypes
TG4001 Placebo
p value TG4001
Placebo p
value
Histologicalresolution
11/55 (
20%)
1/27(
4%)
0.0498
32/129 (
25%) 6/63 (
10%)
0.0126
Viralclearance
20/52 (
38%) 2/23
(
9%)
0.009
45/121 (
37%) 8/58 (
14%)
0.0013
Results in the modified Intent-To-Treat
(mITT) population: Patients who received at least one dose of study
drug and had baselinediagnosis of CIN2/3 confirmed by central
pathology review.
Histological resolution and viral clearance in both groups
(HPV16 mono-infected and all genotypes) are significantly higher in
the experimental arm than in the placebo arm, with notably a
fourfold difference between the arms in the HPV16 mono-infected
patients group, all this with high significant statistical
value.
Given the short dosing schedule (only three administrations of
the therapeutic vaccine) and the fact that TG4001 was, unlike in
other clinical trials conducted by Transgene with its other MVA
products, only injected in monotherapy, such data represent a
strong proof-of-concept for the activity of the therapeutic
vaccine, and are therefore extremely encouraging for TG4001 and the
MVA platform.
TG4001 has shown a similarly good safety profile as in the
previous trials, with non-serious injection site reactions being
the most frequent adverse events associated with the product.
To move the product into phase 3 clinical trials and towards
registration in CIN 2/3, it was expected, in addition to at least a
doubling of the resolution rate compared to placebo (which was
attained), a 60% resolution rate in the HPV16 mono-infected
population. This latter objective, not reached, was set in light of
the well-established high efficiency of conization, the existing
surgical option for CIN 2/3 patients. As a consequence, Transgene
does not expect to further develop TG4001 in this indication and
would rather address higher unmet medical needs, such as certain
head and neck cancers and cervical cancer related to infection by
HPV. Indeed, for these latter indications, the market potential is
far greater than for CIN 2/3 and the product could efficiently be
combined with chemotherapy (as it has been demonstrated that MVA
therapeutic vaccines synergize the effect of chemotherapy).
Further analysis of the data is necessary and will be conducted.
Transgene expects to receive follow up data (notably on safety and
viral clearance) on this trial within the next two years.
“The study conducted by Roche has clearly demonstrated that
TG4001 is active, which obviously is a positive sign for the
product as well as for the whole MVA platform” said Dr. Jean-Marc
Limacher, CMO of Transgene S.A. He added: “We are not going to move
this product into phase 3 in CIN 2/3 but we believe that its
clinical development in other HPV-induced malignancies, such as
head and neck cancer or cervical cancer, particularly in
combination with chemotherapy, makes sense”.
“Given the effective existing surgical treatment, CIN 2/3 is an
indication with a very high entry bar for any novel therapeutic
approach.” said Philippe Archinard, Chairman and CEO of Transgene
S.A. He added: “We have other development options for TG4001, but
in the short term Transgene wants to focus its resources on its
most advanced developments with TG4010 (lung cancer), JX594/TG6006
(liver cancer) and TG4040 (hepatitis C). Hence, development of
TG4001 in other indications is more likely to be conducted through
partnerships. In the short term, these results will have a limited
impact on our portfolio which only marginally factored in the
CIN2/3 development.”
About TG4001:
TG4001 is a therapeutic vaccine based on a non-propagative,
highly attenuated vaccinia vector (MVA), which is engineered to
express HPV16 antigens (E6 & E7) and an adjuvant (IL-2). TG4001
is designed to have a two-pronged anti-viral approach: to alert the
immune system specifically to HPV16-infected cells that have
started to undergo precancerous transformation (cells presenting
the HPV16 E6 and E7 antigens) and to further stimulate the
infection-clearing activity of the immune system through
interleukin 2.
About HPV-mediated
diseases:
HPV infection is recognized as the necessary cause of
precancerous cervical lesions and cervical cancers and is the most
common sexually transmitted disease affecting about 400 million
women worldwide. HPV participates also in the development of a
substantial and increasing proportion of head and neck cancers.
Most infections are spontaneously eliminated in less than one year.
In the remaining cases, persistent HPV infection can lead, after
several years or decades to precancerous lesions of the cervix -
called cervical intraepithelial neoplasia of grades 2 and 3 (CIN
2/3) - and eventually to cervical cancer. In the United States and
in Europe, some 580 000 new cases of CIN 2/3 are reported yearly,
of which over 80% are linked to HPV16 and HPV16 related genotypes.
The HPV16 genotype, along with HPV18, 31 and 33 genotypes, have the
highest risk of transforming infected cervical cells into cancerous
cells.
HPV16 and related HPV are also associated with a subset of head
and neck cancers, especially those arising from the oropharynx, the
most incident, and the larynx. The incidence of HPV16-related
oropharyngeal squamous cell cancer has significantly increased
among white men and at younger ages, over the last past years
(+1.5% CAGR expected) and is estimated to reach ~35 000
patients by 2020 in the US and the five major countries in Europe.
The global market value of head and neck cancer indications
amounted to 1B$ in 2010, with chemotherapies as the most widely
used options.
About Transgene:
Transgene, a member of the Institut Mérieux Group, is a publicly
traded French biopharmaceutical company dedicated to the
development of therapeutic vaccines and immunotherapeutic products
in oncology and infectious diseases and has four compounds in phase
2 clinical development: TG4010 and JX594/TG6006 having already
completed initial phase 2 trials, TG4001 and TG4040. Transgene has
concluded strategic agreements for the development of two of its
immunotherapy products: an option agreement with Novartis for the
development of TG4010 to treat various cancers and an in-licensing
agreement with US-based Jennerex, Inc. to develop and market
JX594/TG6006, an oncolytic virus. Transgene has bio-manufacturing
capacities for viral-based products. Additional information about
Transgene is available at transgene.fr.
Disclaimer:
This press release contains certain forward-looking statements.
Although the company believes its expectations are based on
reasonable assumptions, these forward-looking statements are
subject to numerous risks and uncertainties, which could cause
actual results to differ materially from those anticipated. In
particular, the Company’s ability to commercialize its first
product depends on the continuing success of clinical studies,
ongoing financing for further product developments and marketing
launch, a positive response from the medical community regarding
the product’s costs and effectiveness. For a discussion of risks
and uncertainties which could cause the company's actual results,
financial condition, performance or achievements to differ from
those contained in the forward-looking statements, please refer to
the Risk Factors (“Facteurs de Risque") section of the Document de
Reference prospectus, which is available on the AMF website
(http://www.amf-france.org) or on Transgene’s website
(www.transgene.fr). This press release and the information
contained herein do not constitute an offer to sell or a
solicitation of an offer to buy or subscribe to shares in Transgene
in any country.
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