On December 12, 2022 Tessa Therapeutics Ltd. (Tessa), a clinical-stage cell therapy company developing next-generation cancer treatments for hematological malignancies and solid tumors, reported updated clinical data from the pilot stage of the ongoing Phase 2 CHARIOT trial (NCT04268706) of TT11, the Company’s autologous CD30 chimeric antigen receptor T-cell (CAR-T) therapy, were presented in a poster and oral podium presentation at the 64rd Annual Meeting of the American Society of Hematology (ASH) (Free ASH Whitepaper) (Press release, Tessa Therapeutics, DEC 12, 2022, View Source [SID1234625148]). The results demonstrated TT11 to be well-tolerated with promising efficacy in relapsed or refractory (r/r) CD30-positive classical Hodgkin lymphoma (cHL). Moreover, research identified circulating tumor DNA (ctDNA) analysis as a potential measure of response in cHL after CD30 targeted CAR T-cell therapy.
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The ASH (Free ASH Whitepaper) poster, titled, "Updated Results and Correlative Analysis: Autologous CD30.CAR-T Cell Therapy in Patients with Relapsed or Refractory Classical Hodgkin Lymphoma (CHARIOT Trial)," reported expanded data from the pilot segment of a Phase 2 trial of autologous CD30.CAR-T in patients with r/r cHL. The CD30.CAR-T cell therapy was demonstrated to be well tolerated with no unexpected safety signals. An ORR of 73.3% and a CR of 60% was observed in 15 heavily pre-treated r/r cHL patients, suggesting strong anti-tumor responses. Additionally, CD30.CAR-T expansion and persistence was observed after CD30.CAR-T infusion.
In an oral podium presentation on December 12, titled, "Ultrasensitive ctDNA Dynamics after Autologous CD30.CAR-T Cell Therapy for Relapsed or Refractory (r/r) Classical Hodgkin Lymphoma (CHARIOT Trial)," research examining the potential of ctDNA as a biomarker in r/r cHL after CD30 CAR-T therapy were reported. Foresight Diagnostics’ PhasED-Seq MRD assay was used to measure ctDNA at multiple timepoints throughout therapy. Data showed that ctDNA responses mirrored radiographic responses, suggesting that ctDNA levels could be predictive of patient response to CAR-T therapy. Researchers also determined that PhasED-Seq ctDNA analysis is a viable biomarker to monitor responses and predict outcomes in patients with r/r cHL treated with CD30.CAR-T Cell Therapy.
"The data presented at ASH (Free ASH Whitepaper) 2022 continue to demonstrate the CD30.CAR-T cell therapy to be well tolerated with excellent anti-tumor responses in patients with relapsed or refractory classical Hodgkin lymphoma. This includes an overall response rate of 73.3% in heavily pretreated patients, as well as good expansion and persistence after infusion," stated Sairah Ahmed, M.D., principal investigator, lead presentation author, and Associate Professor, The University of Texas MD Anderson Cancer Center.
"We are pleased to present research demonstrating the potential of minimally invasive ctDNA analysis as a viable method to monitor responses, rapidly risk stratify, and predict outcomes of patients with r/r cHL treated with CD30.CAR-T therapy," stated David M. Kurtz, M.D., Ph.D., lead presenter and Assistant Professor, Department of Medicine (Oncology), Stanford University.
CD30 is a well validated lymphoma target with homogeneous expression in 98% of cHL and a significant proportion of subsets of non-Hodgkin lymphoma (NHL). TT11 is an autologous CD30 chimeric antigen receptor T-cell (CAR-T) therapy that harvests the patient’s own T-cells and modifies them to target cancer cells expressing the CD30 protein.
"We continue to be intrigued by the data being generated from our ongoing Phase 2 CHARIOT trial of TT11, which show the therapy to be safe and well tolerated, along with clear signals of efficacy, in patients with relapsed or refractory CD30-positive classical Hodgkin lymphoma," said Ivan Horak, M.D., Chief Medical Officer and Chief Scientific Officer of Tessa Therapeutics.
TT11 was granted Regenerative Medicine Advanced Therapy (RMAT) designation by the U.S. Food and Drug Administration (FDA) and PRIority MEdicines (PRIME) designation by the European Medicines Agency (EMA).