On June 26, 2023 Adicet Bio, Inc. (Nasdaq: ACET), a clinical stage biotechnology company discovering and developing allogeneic gamma delta T cell therapies for cancer, reported positive safety and efficacy data from the Company’s ongoing Phase 1 study of ADI-001 for the potential treatment of relapsed or refractory aggressive B-cell non-Hodgkin’s lymphoma (NHL) (Press release, Adicet Bio, JUN 26, 2023, View Source [SID1234632915]).
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"These data are exciting and beyond what one might expect to see given that patients enrolled in the study were heavily pre-treated," said Francesco Galimi, M.D., Ph.D., Senior Vice President and Chief Medical Officer of Adicet Bio. "Autologous CD19 CAR T therapies were studied on CAR T naïve patients with a median of 3 prior lines of therapy. In contrast, the ADI-001 Phase 1 trial enrolled patients with a median of 4 lines of prior therapy and, importantly, 50% had previously progressed on autologous CAR T therapy. Despite the advanced nature of the patients at baseline in the ADI-001 Phase 1 study, at our recommended Phase 2 dose (DL4) ADI-001 demonstrated an overall CR rate of 63%, a 6-month CR rate of 25%, and in patients that had progressed following autologous CD19 CAR T therapy, the CR rate of ADI-001 was 67% with a 6-month CR rate of 33%."
Added Galimi, "We plan to transition the ADI-001 program into a potential pivotal Phase 2 study in post-CAR T LBCL in the first half of 2024. In addition, we expect to provide a clinical update which will include efficacy, 6-month CR rate, and safety data, from additional post-CAR T LBCL patients in the second half of 2024."
"The autologous CD19 CAR T market is estimated to have an annual run rate in excess of $2.2 billion and is growing given recent approvals in the second line setting. Unfortunately, approximately 60-70% of these patients progress, which represents a significant unmet medical need," said Chen Schor, President and Chief Executive Officer of Adicet Bio. "In May we met with the FDA and discussed the design of our first potentially pivotal Phase 2 study with an accelerated approval pathway. We are very encouraged by these data and look forward to advancing ADI-001 into the next stage of clinical development and progressing our pipeline of novel gamma delta T cell product candidates in both hematologic malignancies and solid tumors."
Data highlights as of the May 4, 2023 data-cut date were as follows:
Of the 24 efficacy-evaluable patients, 3 received ADI-001 at dose level 1 (DL1) (30 million CAR+ cells), 3 received ADI-001 at dose level 2 (DL2) (100 million CAR+ cells), 6 received ADI-001 at dose level 3 (DL3) (300 million CAR+ cells), 4 received two infusions of ADI-001 at DL3 (two doses of 300 million CAR+ cells, one on day 1 and the second dose on day 7 following a single lymphodepletion), and 8 received ADI-001 at dose level 4 (DL4) (1 billion CAR+ cells).
Patients were heavily pretreated with a median of 4 prior lines of therapy (range 2-9), had relatively high tumor burden, and had a poor prognostic outlook based on their median International Prognostic Index (IPI) score. 50% of patients enrolled in the study had progressed on prior CAR T.
ADI-001 treatment demonstrated a 71% ORR and 63% CR rate in the study across all dose levels.
ADI-001 demonstrated an 83% ORR and 67% CR rate in heavily pre-treated patients (4 median prior lines of therapy) who had progressed on prior CAR T.
ADI-001 demonstrated a 6-month CR rate consistent with autologous CAR T when factoring number of prior lines of therapy and percent of patients enrolled in the study who progressed on prior CAR T.
Adicet selected the recommended Phase 2 dose (RP2D) as 1 billion CAR positive cells (DL4).
At the RP2D (DL4) (with 4 median prior lines of therapy, 38% post-CAR T) the 6-month CR rate was 25%. At this dose level, in patients who had progressed on prior CAR T, the CR rate was 67% and the 6-month CR rate was 33%.
The expansion and persistence of ADI-001 at the RP2D exceed values reported for approved autologous CD19 CAR T cell therapy. DL4 demonstrated a mean Cmax of 483 cells/ul with a mean time-to-peak at approximately day 9 and demonstrated persistence through day 28 with a mean concentration of 21 cells/ul.
ADI-001 was generally well-tolerated in the study and there were no occurrences of dose-limiting toxicities or graft vs host disease (GvHD). Of the 24 patients evaluable for safety, there was 1 report of Grade 3 or higher CRS and 1 report of Grade 3 or higher ICANS.
In May, the Company completed a Type B meeting with the FDA and expects to transition the ADI-001 program into a potentially pivotal Phase 2 study in post- CAR T LBCL in the first half of 2024.
Table 1 – Summary of Phase 1 ADI-001 Preliminary Efficacy Data as of the May 4, 2023 data-cut date:
Median No. of Prior Lines
Post-CAR T Patients
ORR (%)
CR Rate (%)
3-month
CR Rate (%)
6-month
CR Rate (%)
DL4 (RP2D)
4
3/8 (37.5%)
6/8 (75.0%)
5/8 (62.5%)
4/8 (50.0%)
2/8 (25.0%)
DL4
(RP2D)
Post CAR T
4
3/3 (100.0%)
3/3 (100.0%)
2/3 (67.7%)
1/3 (33.3%)
1/3 (33.3%)
All Doses
4
12/24 (50%)
17/24 (70.8%)
15/24 (62.5%)
9/24 (37.5%)
4/24 (16.7%)
Post CAR T
All Doses
4
12/12 (100.0%)
10/12 (83.3%)
8/12 (66.7%)
4/12 (33.3%)
2/12 (16.7%)
Table 2 – Summary of Phase 1 ADI-001 Safety Data in Efficacy Evaluable Patients as of the May 4, 2023 data-cut date*:
DL1(N=3)
DL2(N=3)
DL3(N=6)
DL3 X2(N=4)
DL4(N=8)
Total (N=24)
Any Grade
Gr>=3
Any Grade
Gr>=3
Any Grade
Gr>=3
Any Grade
Gr>=3
Any Grade
Gr>=3
Any Grade
Gr>=3
CRS
2 (66.7%)
0
0
0
1 (16.7%)
1 (16.7%)
4 (100.0%)
0
4 (50.0%)
0
11 (45.8%)
1 (4.2%)
ICANS
0
0
1 (33.3%)
0
0
0
1 (25.0%)
1 (25.0%)
1 (12.5%)
0
3 (12.5%)
1 (4.2%)
GvHD
0
0
0
0
0
0
0
0
0
0
0
0
DLT
0
0
0
0
0
0
0
0
0
0
0
0
Infection
1 (33.3%)
1 (33.3%)
2 (66.7%)
0
3 (50.0%)
2 (33.3%)
2 (50.0%)
1 (25.0%)
3 (37.5%)
2 (25.0%)
11 (45.8%)
6 (25.0%)
SAE-TEAE
1 (33.3%)
1 (33.3%)
2 (66.7%)
2 (66.7%)
4 (66.7%)
3 (50.0%)
2 (50.0%)
2 (50.0%)
3 (37.5%)
2 (25.0%)
12 (50.0%)
10 (41.7%)
Related SAE-TEAE
1 (33.3%)
0
1 (33.3%)
1 (33.3%)
3 (50.0%)
2 (33.3%)
2 (50.0%)
2 (50.0%)
3 (37.5%)
2 (25.0%)
10 (41.7%)
7 (29.2%)
*Safety assessment was performed using the Common Terminology Criteria for Adverse Events (v5) and the American Society for Transplantation and Cellular Therapy criteria.
Webcast/ Conference Call Information
Adicet will host a webcast presentation on Monday, June 26 at 4:30pm ET to discuss the most recent data-cut from its ongoing Phase 1 study evaluating the safety and tolerability of ADI-001 for the potential treatment of relapsed or refractory B-cell NHL.
The live webcast of the presentation can be accessed by registering under "Presentations & Events" in the investors section of the Company’s website at View Source Upon registration, all participants will receive a confirmation email with a unique passcode to provide access to the webcast event. To participate via telephone, please join by dialing 972-9349-2674 (domestic) or 1-646-876-9923 (international) and referencing the conference ID 97293492674. An archived replay will be available for 30 days following the presentation. The archived webcast will be available on the Company’s website beginning approximately two hours after the event.
About ADI-001
ADI-001 is an investigational allogeneic gamma delta CAR T cell therapy being developed as a potential treatment for relapsed or refractory B-cell NHL. ADI-001 targets malignant B-cells via an anti-CD20 CAR and via the gamma delta innate and T cell endogenous cytotoxicity receptors. Gamma delta T cells engineered with an anti-CD20 CAR have demonstrated potent anti-tumor activity in preclinical models, leading to long-term control of tumor growth. In April 2022, ADI-001 was granted Fast Track Designation by the FDA for the potential treatment of relapsed or refractory B-cell NHL.
About the GLEAN Study
The Phase 1 study is an open-label, multi-center study of ADI-001 enrolling adults diagnosed with B-cell malignancies who have either relapsed, or are refractory to, at least two prior regimens. The primary objectives of the study are to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of ADI-001, and to determine optimal dosing as a monotherapy. For more information about the clinical study design, please visit www.clinicaltrials.gov (NCT04735471).