On July 10, 2023 ImmunityBio, Inc. (NASDAQ: IBRX), a clinical-stage immunotherapy company, reported findings from a Phase 1 study showing that allogeneic cytokine-induced memory-like (CIML) natural killer (NK) cells used in combination with ImmunityBio’s IL-15 superagonist N-803 may induce tumor regression associated with persistent CIML NK cell expansion in advanced head-and-neck cancer patients (Press release, ImmunityBio, JUL 10, 2023, View Source [SID1234633125]). The results indicate the potential for a new treatment approach for the disease in advanced cases that currently have extremely poor prognoses.
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The data from the proof-of-concept study were presented by Glenn J. Hanna, M.D., Medical Oncologist with Dana-Farber Cancer Institute and Assistant Professor of Medicine at Harvard Medical School at the American Association for Cancer Research (AACR) (Free AACR Whitepaper) and the American Head and Neck Society (AHNS) joint conference in Montreal, July 7-8, 2023.
Patients with recurrent incurable or metastatic (R/M) head and neck cancers (HNCs) that do not respond to platinum chemotherapy and immunotherapy have poor survival rates. Cellular therapies have emerged as treatments with potential activity in solid tumors.
"It was exciting to observe some tumor regression among heavily pre-treated patients with advanced head-and-neck cancer using a live cell therapy approach," said Dr. Hanna. "I am hopeful that future studies can build on this work to further evaluate NK and other immune cell therapies for these cancers."
This study (NCT04290546) sponsored by Dana-Farber Cancer Institute investigated allogeneic CIML NK cell infusion followed by N-803 after lead-in CTLA-4 inhibition (ipilimumab) plus lymphodepleting (LD) chemotherapy in advanced HNC. The study showed that tumor regression was associated with expansion of the NK cell type with cytolytic activity, CD56dimCD16+ NK cells, that target and kill tumor cells.
This phase 1 single-center trial enrolled 10 patients with R/M HNC (n=7 HNSCC, n=3 salivary cancer) regardless of human papillomavirus (HPV) status who had prior platinum chemotherapy and immunotherapy. Patients in cohort 1 received LD fludarabine (25 mg/m2) and cyclophosphamide (60 mg/m2/kg) on days -6 to -2 prior to haploidentical CIML NK cell infusion on day 0 (5-10 x 106 viable cells/kg=dose level 0) followed by N-803 (15 mcg/kg subcutaneously) starting on day +1 every 21-days for 4-doses. Patients in cohort 2 received the same regimen with a dose of lead-in ipilimumab on day -7. A total of 6 patients were treated in cohort 1 and 4 patients in cohort 2.
The primary objective was safety and maximum tolerated dose of CIML NK cells. The secondary objective was objective response rate (ORR), progression-free survival (PFS), overall survival (OS), and phenotypic expansion and function of adoptively transferred NK cells.
"It is encouraging that allogeneic CIML NK cells supported by N-803 may induce tumor regression in advanced head-and-neck cancer patients," said Patrick Soon-Shiong, M.D., Executive Chairman and Global Chief Scientific and Medical Officer at ImmunityBio. "These results may have potential implications for many of the estimated 68,000 men and women in the United States who are diagnosed with head-and-neck cancers annually, and it is an ongoing pursuit of ImmunityBio’s technology platform to orchestrate T and NK cells to fight cancer."