Innovent Biologics has revealed Phase I results of IBI322, a recombinant anti-human CD47/PD-L1 bispecific antibody, to treat anti-PD-(L)1-resistant patients with classic Hodgkin lymphoma.

The results were supported by a dose-expansion cohort from a Phase I trial aiming to assess the preliminary antitumor activity and safety of IBI322 in these patients.

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During the trial, the patients were treated with IBI322 until unacceptable toxicity or disease progression, or up to a period of 24 months.

Out of the 24 patients currently enrolled in the trial, 23 were reported to be efficacy evaluable.

The objective response rate (ORR) was 47.8% and the disease control rate (DCR) was 91.3% among the 23 patients.

The ORR touched as high as 57.1% in the seven patients with primary resistance, while three patients attained complete response (CR).

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Regarding safety, the incidence of treatment-related adverse reactions (TRAE) was 91.7%. The most common TRAE were decreased lymphocyte count, which was 62.5%, and anaemia, which was also 62.5%.

The decreased white blood cell count and decreased platelet count were 20.8% and 20.8%, respectively.

Furthermore, the event of grade ≥ 3 TRAE was 41.7%, with the most common ≥ grade 3 TRAE more than 5% associated with decreased lymphocyte count being 29.2%.

No TRAE resulting in permanent treatment discontinuation or death was reported in the trial.

Until the trial’s data cut-off, 12 patients were still treated with IBI322 monotherapy.

Overall, IBI322 monotherapy demonstrated encouraging anti-tumour efficacy with a manageable safety profile in the targeted patients.

West China Hospital of Sichuan University professor and the trial’s principal investigator Ting Niu said: “This phase I study shows that IBI322 monotherapy is effective and safe in the treatment of PD-1 or PD-L1 treatment-resistant classical Hodgkin lymphoma, and we look forward to longer follow-up results and larger sample sizes in the future.

“IBI322 has the potential to be an effective treatment option for the treatment of immunotherapy-resistant classical Hodgkin lymphoma and other types of lymphoma to meet the unmet clinical needs.”

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