- Patient
dosing has commenced in a combination study of Bria-IMT with
KEYTRUDA or YERVOY in advanced breast cancer
- Company
recently announced positive proof of concept data in the Phase I/IIa
study of Bria-IMT in advanced breast cancer patients, which indicated
excellent targeted anti-tumor activity and outstanding safety and
tolerability
- KEYTRUDA and
YERVOY are highly recognized for their potent immune boosting properties,
which validates BriaCell’s strategy to use these therapeutics in its
combination study
BriaCell Therapeutics Corp. (OTCQB: BCTXF) (TSX.V: BCT), an
immuno-oncology-focused biotechnology company engaged in developing targeted
and safe approaches for cancer management, recently announced (http://ibn.fm/Hej9T) that it has
initiated patient dosing in a Phase I/IIa study of Bria-IMT, its lead clinical
candidate, in combination with pembrolizumab (KEYTRUDA, which is manufactured
by Merck & Co., Inc. [NYSE: MRK]) or ipilimumab (YERVOY, which is
manufactured by Bristol-Myers Squibb Company [NYSE: BMY]). This combination
study is listed on ClinicalTrials.gov as NCT03328026.
BriaCell continues its commitment to exploring new methods
of addressing the advanced breast cancer community’s unmet medical needs, and
the company is eager to test this novel combination treatment approach and
believes that it will offer significant clinical benefits to patients who have
advanced breast cancer.
Bria-IMT is essentially a breast cancer cell line that has
been engineered to produce an immune-activating factor (GM-CSF) and has been
shown to stimulate T-cells, which are vital cells within the immune system.
Earlier this year, BriaCell published these findings in a leading immunology
journal (http://ibn.fm/XicgM).
Based on Bria-IMT’s published, proposed mechanism of action, BriaCell
anticipates that Bria-IMT, combined with immune checkpoint inhibitors, can
exert additive or synergistic tumor-directed effects resulting in even more
potent anti-cancer immune responses and leading to the company’s strategy of
combination studies of Bria-IMT with KEYTRUDA or YERVOY. It is important to
note that pembrolizumab and ipilimumab have not been shown to work independently
in breast cancer but are each approved for other indications.
On September 26, BriaCell announced positive proof of
concept data in a phase I/IIa study of Bria-IMT in advanced breast cancer,
which resulted in outstanding safety and efficacy in patients with HLA matches
with Bria-IMT. An impressive point to note is that the safety and efficacy data
appeared superior to that of other advanced or approved drugs for breast cancer
when they were at a similar clinical development stage.
Analysis of blood samples collected in the phase I/IIa study
showed that circulating tumor-associated cells expressed the immune
checkpoint molecule programmed death-ligand 1 (PD-L1). PD-L1 molecules block
immune cells from attacking cancer cells. KEYTRUDA neutralizes the blocking
mechanism of PD-L1, while YERVOY blocks other aspects of immune suppression
and, therefore, may also activate the immune system to destroy cancer cells.
Bria-IMT with KEYTRUDA or YERVOY Combination Study
Details
- KEYTRUDA
Combination: Patients with expression of PD-L1 or PD-L2 on their cancer
will be treated with the combination of Bria-IMT and the anti-PD-1
antibody KEYTRUDA.
- YERVOY
Combination: Patients without expression of PD-L1 or PD-L2 on their cancer
will be treated with the combination of Bria-IMT and YERVOY, which is also
expected to enhance the immune response induced by Bria- IMT.
It is hypothesized by the BriaCell team that patients in the
combination therapy trial may receive particular benefit from these
combinations with Bria-IMT.
Bria-IMT with KEYTRUDA or YERVOY Combination Study
Rationale
Immune checkpoint inhibitors like pembrolizumab (KEYTRUDA;
anti-PD-1) and ipilimumab (YERVOY; anti-CTLA-4), which are designed to overcome
immune suppression in cancer patients, have become forerunners in the fight
against cancer, offering substantial benefits for certain patients. The
significance of immune checkpoint inhibitors was most recently recognized by
the Nobel committee in awarding the 2018 Nobel Prize in Physiology or Medicine
to Dr. Tasuku Honjo (PD-1) and Dr. James P. Allison (CTLA-4) (http://ibn.fm/pZKh4). This
greatly validated BriaCell’s decision to launch a combination therapy with
immune checkpoint inhibitors.
An important preclinical study conducted in 2010 by Dr.
Allison’s group showed that combination with anti-PD-1 and anti-CTLA-4
antibodies potentiated the tumor-rejection effect of irradiated melanoma cells
engineered to produce immune-activating factors.
BriaCell envisions that Bria-IMT and immune checkpoint
inhibitors can exert additive or synergistic tumor-directed effects. In a
recent interview, company CEO Dr. William Williams discussed the company’s
immunotherapies in detail, and how the company is building offerings for the
$30 billion immunotherapy market (http://ibn.fm/9D4Wk).
For more information, visit the company’s website at www.BriaCell.com
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