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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934
Date of Report (Date of earliest event
reported): June 6, 2024
REPLIMUNE GROUP, INC.
(Exact name of registrant as specified in its charter)
Delaware |
|
001-38596 |
|
82-2082553 |
(State or other jurisdiction
of incorporation) |
|
(Commission
File Number) |
|
(IRS Employer
Identification Number) |
500
Unicorn Park Drive
Suite 303
Woburn, MA 01801
(Address of principal executive offices, including Zip Code)
Registrant’s telephone number, including
area code: (781) 222-9600
Check the appropriate box below if the Form 8-K filing is
intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
| ¨ | Written communications pursuant to Rule 425 under the Securities Act (17 CFR
230.425) |
| ¨ | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR
240.14a-12) |
| ¨ | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR
240.14d-2(b)) |
| ¨ | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR
240.13e-4(c)) |
Securities registered pursuant to Section 12(b) of the Act:
Title of each class |
|
Trading
Symbol(s) |
|
Name of each exchange on which registered |
Common Stock, par value $0.001 per share |
|
REPL |
|
The Nasdaq Stock Market LLC
(Nasdaq Global Select Market) |
Indicate
by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933
(§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this
chapter). Emerging growth company ¨
If an
emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for
complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨
| Item 7.01 | Regulation FD Disclosure. |
On June 6, 2024, Replimune Group, Inc.
(the “Company”) issued a news release announcing data updates from certain of its RP1 and RP2 programs, and made available
a new presentation with respect to such updates. A copy of the press release and the presentation are furnished as Exhibits 99.1 and 99.2
to this Current Report on Form 8-K, respectively and will be available on the Company’s website at www.replimune.com under “Investors
and Media.” The Company undertakes no obligation to update, supplement or amend the materials furnished herewith.
The information contained in this Item 7.01
and in the accompanying Exhibits 99.1 and 99.2 shall not be incorporated by reference into any filing of the Company, whether made before
or after the date hereof, regardless of any general incorporation language in such filing, unless expressly incorporated by specific reference
to such filing. The information in this Item 7.01 and the accompanying Exhibits 99.1 and 99.2 shall not be deemed to be “filed”
for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that section
or Sections 11 and 12(a)(2) of the Securities Act of 1933, as amended.
On June 6, 2024, the Company announced the topline results from the
primary analysis of its IGNYTE clinical trial of RP1 plus nivolumab in anti-PD1 failed melanoma. The results by independent central review
show one-third of patients receiving RP1 plus nivolumab responded to treatment, improving upon the investigator-assessed data presented
at ASCO 2024, with all responses lasting greater than 6 months from baseline.
The anti-PD1 failed melanoma cohort from the IGNYTE clinical trial
includes 140 patients who received RP1 plus nivolumab after confirmed progression while being treated with at least 8 weeks of prior anti-PD1
therapy (+/- anti-CTLA-4). The primary analysis by independent central review was triggered once all patients had been followed for at
least 12 months.
The topline results show the overall response rate was 33.6% by modified
RECIST 1.1 criteria, the primary endpoint as defined in the protocol, and 32.9% by RECIST 1.1 criteria, an additional analysis requested
by the United States Federal Drug Agency (the “FDA”). Responses from baseline were highly durable, with all responses lasting
more than 6 months and median duration of response exceeding 35 months. The Company plans to submit the full primary analysis data from
the anti-PD1 failed melanoma cohort including key secondary endpoint data and subgroups for presentation at an upcoming medical congress.
RP1 combined with nivolumab continues to be well-tolerated, with mainly
Grade 1-2 constitutional-type side effects observed. Treatment-related adverse events associated with RP1 in combination with nivolumab
were predominantly Grade 1-2 constitutional type events (> 5% of patients), including fatigue, chills, pyrexia, nausea, influenza-like
illness, injection-site pain, diarrhea, vomiting, headache, pruritis, asthenia, arthralgia, myalgia, decreased appetite, and rash, with
a low incidence of Grade 3-5 events. Grade 4 events were one each of lipase increased, alanine aminotransferase increased, blood bilirubin
increased, cytokine release syndrome, myocarditis, hepatic cytosis and splenic rupture. There were no Grade 5 events.
| Item 9.01 | Financial Statements and Exhibits. |
SIGNATURES
Pursuant to the requirements of the Securities
Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly
authorized.
|
REPLIMUNE GROUP, INC. |
|
|
|
Date: June 6, 2024 |
By: |
/s/ Sushil Patel |
|
|
Sushil Patel |
|
|
Chief Executive Officer |
Exhibit 99.1
Replimune Announces
Positive Topline Primary Analysis Data by Independent Central Review from IGNYTE Clinical Trial of RP1 plus Nivolumab in Anti-PD1 Failed
Melanoma
Primary endpoint
data shows 12-month overall response rate (ORR) of 33.6%
Biologics
license application (BLA) submission intended for 2H 2024; first patient expected to be enrolled in IGNYTE-3 confirmatory trial in Q3
2024
Company to host
conference call and webcast today at 8:00 a.m. ET
Woburn,
MA, June 6, 2024 – Replimune Group, Inc. (Nasdaq: REPL), a clinical stage biotechnology
company pioneering the development of a novel class of oncolytic immunotherapies, today announced the topline results from the primary
analysis of the IGNYTE clinical trial of RP1 plus nivolumab in anti-PD1 failed melanoma. The results by independent central review show
one-third of patients receiving RP1 plus nivolumab responded to treatment, improving upon the investigator-assessed data presented at
ASCO 2024, with all responses lasting greater than 6 months from baseline.
“The overall strength of the IGNYTE
data and safety profile further highlights the potential of RP1 in a difficult treatment setting with limited options for patients,”
said Sushil Patel, Ph.D., CEO of Replimune. “Based on these compelling results and recent FDA interactions, we are increasingly
confident in our path forward. We have shared the results with the agency and plan to request a pre-BLA meeting, in advance of our intended
BLA submission. With these data in hand, we are preparing for a commercial launch next year.”
The anti-PD1 failed melanoma cohort
from the IGNYTE clinical trial includes 140 patients who received RP1 plus nivolumab after confirmed progression while being treated
with at least 8 weeks of prior anti-PD1 therapy (+/- anti-CTLA-4). The primary analysis by independent central review was triggered once
all patients had been followed for at least 12 months.
The topline results show the overall
response rate was 33.6% by modified RECIST 1.1 criteria, the primary endpoint as defined in the protocol, and 32.9% by RECIST 1.1 criteria,
an additional analysis requested by the FDA. Responses from baseline were highly durable, with all responses lasting more than 6 months
and median duration of response exceeding 35 months. The Company plans to submit the full primary analysis data from the anti-PD1 failed
melanoma cohort including key secondary endpoint data and subgroups for presentation at an upcoming medical congress.
RP1 combined
with nivolumab continues to be well-tolerated, with mainly Grade 1-2 constitutional-type side effects, observed. Treatment-related adverse
events associated with RP1 in combination with nivolumab were predominantly Grade 1-2 constitutional type events (> 5% of patients),
including fatigue, chills, pyrexia, nausea, influenza-like illness, injection-site pain, diarrhea, vomiting, headache, pruritis, asthenia,
arthralgia, myalgia, decreased appetite, and rash, with a low incidence of Grade 3-5 events. Grade 4 events were one each of lipase increased,
alanine aminotransferase increased, blood bilirubin increased, cytokine release syndrome, myocarditis, hepatic cytosis and splenic rupture.
There were no Grade 5 events.
Conference
Call Details
Replimune will host a conference call
and webcast today at 8:00 a.m. ET. Listeners can register for the conference call via this link. Analysts wishing to
participate in the question-and-answer session should use this link. The webcast and slides of the presentation can be accessed
in the Investors section of the Company’s website at www.replimune.com. A replay of the webcast will be available on
the Company’s investor website approximately two hours after the call's conclusion. Those who plan on participating are advised
to join 15 minutes prior to the start time.
About RP1
RP1 is Replimune’s lead product
candidate and is based on a proprietary strain of herpes simplex virus engineered and genetically armed with a fusogenic protein (GALV-GP
R-) and GM-CSF intended to maximize tumor killing potency, the immunogenicity of tumor cell death, and the activation of a systemic anti-tumor
immune response.
About Replimune
Replimune
Group, Inc., headquartered in Woburn, MA, was founded in 2015 with the mission to transform cancer treatment by pioneering the development
of a novel portfolio of oncolytic immunotherapies. Replimune’s proprietary RPx platform is based on a potent HSV-1 backbone intended
to maximize immunogenic cell death and the induction of a systemic anti-tumor immune response. The RPx platform is designed to have a
unique dual local and systemic activity consisting of direct selective virus-mediated killing of the tumor resulting in the release of
tumor derived antigens and altering of the tumor microenvironment to ignite a strong and durable systemic response. The RPx product candidates
are expected to be synergistic with most established and experimental cancer treatment modalities, leading to the versatility to be developed
alone or combined with a variety of other treatment options. For more information, please visit www.replimune.com.
Forward Looking Statements
This press release contains forward
looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities
Exchange Act of 1934, as amended, including statements regarding our expectations about our cash runway, the design and advancement of
our clinical trials, the timing and sufficiency of our clinical trial outcomes to support potential approval of any of our product candidates,
our goals to develop and commercialize our product candidates, patient enrollments in our existing and planned clinical trials and the
timing thereof, and other statements identified by words such as “could,” “expects,” “intends,” “may,”
“plans,” “potential,” “should,” “will,” “would,” or similar expressions and
the negatives of those terms. Forward-looking statements are not promises or guarantees of future performance, and are subject to a variety
of risks and uncertainties, many of which are beyond our control, and which could cause actual results to differ materially from those
contemplated in such forward-looking statements. These factors include risks related to our limited operating history, our ability to
generate positive clinical trial results for our product candidates, the costs and timing of operating our in-house manufacturing facility,
the timing and scope of regulatory approvals, the availability of combination therapies needed to conduct our clinical trials, changes
in laws and regulations to which we are subject, competitive pressures, our ability to identify additional product candidates, political
and global macro factors including the impact of the coronavirus as a global pandemic and related public health issues and the Russian-Ukrainian
and Israel-Hamas political and military conflicts, and other risks as may be detailed from time to time in our Annual Reports on Form 10-K
and Quarterly Reports on Form 10-Q and other reports we file with the Securities and Exchange Commission. Our actual results could
differ materially from the results described in or implied by such forward-looking statements. Forward-looking statements speak only
as of the date hereof, and, except as required by law, we undertake no obligation to update or revise these forward-looking statements.
Investor Inquiries
Chris Brinzey
ICR Westwicke
339.970.2843
chris.brinzey@westwicke.com
Media Inquiries
Arleen Goldenberg
Replimune
917.548.1582
media@replimune.com
Exhibit 99.2
| IGNYTE Investor Event (6/6/24) 1
Primary Analysis of the IGNYTE
Registrational Cohort in Anti-PD1
Failed Melanoma
June 6, 2024 |
| IGNYTE Investor Event (6/6/24) 2
Safe Harbor
Any statements contained herein that are not statements of historical facts may be deemed to be forward-looking statements within the
meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended,
including statements regarding the advancement, timing and sufficiency of our clinical trials, patient enrollments in our existing and
planned clinical trials and the timing thereof, the results of our clinical trials, the timing and release of our clinical data, statements
regarding our expectations about our cash runway, our goals to develop and commercialize our product candidates, our expectations
regarding the size of the patient populations for our product candidates if approved for commercial use and other statements identified
by words such as “could,” “expects,” “intends,” “may,” “plans,” “potential,” “should,” “will,” “would,” or similar expressions and the
negatives of those terms. Forward-looking statements are not promises or guarantees of future performance, and are subject to a
variety of risks and uncertainties, many of which are beyond our control, and which could cause actual results to differ materially from
those contemplated in such forward-looking statements. These factors include risks related to our limited operating history, our ability
to generate positive clinical trial results for our product candidates, the costs and timing of operating our in-house manufacturing
facility, the timing and scope of regulatory approvals, changes in laws and regulations to which we are subject, competitive pressures,
our ability to identify additional product candidates, political and global macro factors including the impact of global pandemics and
related public health issues, the ongoing military conflicts between Russia-Ukraine and Israel-Hamas and the impact on the global
economy and related governmental imposed sanctions, and other risks as may be detailed from time to time in our Annual Reports on
Form 10-K, Quarterly Reports on Form 10-Q, and other reports we file with the Securities and Exchange Commission. Our actual results
could differ materially from the results described in or implied by such forward-looking statements. Forward-looking statements speak
only as of the date hereof, and, except as required by law, we undertake no obligation to update or revise these forward-looking
statements. |
| IGNYTE Investor Event (6/6/24) 3
Today’s Speakers/Q&A Panel
CAROLINE ROBERT
Professor
Head of Dermatology Unit, Institute Gustave Roussy and Co-Director Melanoma Research Unit INSERM, Paris-Sud University.
MICHAEL WONG
Professor
Melanoma Medical Oncology, University of
Texas MD Anderson Cancer Center
SUSHIL PATEL
CEO
Replimune
KOSTAS XYNOS
Chief Medical Officer
Replimune
ROBERT COFFIN
Founder and Chief Scientist
Replimune |
| IGNYTE Investor Event (6/6/24) 4
Today’s Agenda
• Data Summary
• ASCO 2024 Recap: IGNYTE 12-month Investigator-assessed Data
• Topline IGNYTE Primary Analysis by Independent Central Review
• Progress to BLA
• Q&A |
| IGNYTE Investor Event (6/6/24) 5
Data Summary
• Strong primary analysis data: ORR of 33.6% (mRECIST 1.1) and 32.9% (RECIST 1.1) by
independent central review
• Improvement versus investigator-assessed ORR of 32.1% (mRECIST 1.1)
• Median DOR >35 months; 100% of responses last >6 months (from baseline)
• DOR by independent central review consistent with investigator assessment
• Phase 3 confirmatory study (IGNYTE-3) with first patient expected to be enrolled in
Q3 2024; BLA submission planned for 2H 2024
*N=140 |
| IGNYTE Investor Event (6/6/24) 6
ASCO Recap: Anti-PD1 Failed
Melanoma Patients from the
IGNYTE Clinical Trial |
| IGNYTE Investor Event (6/6/24) 7
Options are Limited in Melanoma Following
Progression on Anti-PD1 Therapy
• Further single agent anti-PD1 for patients having confirmed PD on prior anti-PD1 gives a response
rate of 6-7%1,2
• Nivolumab + ipilimumab is a potential option3, but toxicity is high4-5
• Anti-LAG3 plus anti–PD1 has not demonstrated meaningful efficacy in the anti–PD1 failed setting6
• For BRAF mutant tumors, BRAF-targeted therapy responses are generally transient7
• T-VEC + pembrolizumab has limited activity outside of the adjuvant setting, with no responses seen in patients
with visceral disease8-9
• TIL therapy for select patients gives response rates of ~30%, but comes with toxicity (nearly all patients have
grade 4 toxicity)10
CTLA-4, cytotoxic T-lymphocyte an6gen 4; LAG3, lymphocyte-ac6va6on gene 3; PD-1, programmed cell death protein 1; TIL, tumor infiltra6ng lymphocyte
1. Mooradian MJ, et al. Oncology. 2019;33(4):141-8. 2. Beaver JA, et al. Lancet Oncol. 2018;19(2):229-39. 3. Na6onal Comprehensive Cancer Network. NCCN Clinical Prac6ce Guidelines in Oncology (NCCN Guidelines®). Melanoma: Cutaneous. Version 2.2024. 4. Pires da Silva I, et al. Lancet Oncol. 2021;22(6):836-47. 5.
VanderWalde AM, et al. Presented at the American Associa6on of Cancer Research Annual Mee6ng 2022. New Orleans. 6. Ascierto PA, et al. J Clin Oncol. 2023;41(15)2724-35. 7. Dixon-Douglas JR, et al. Curr Oncol Rep. 2022;24(8):1071-9. 8. Gastman B, et al. J Clin Oncol. 2022;40(16_suppl):9518. 9. Hu-Lieskovan S, et
al. Cancer Res. 2023;83(7_suppl):3275. 10. US Food and Drug Administra6on. BLA clinical review and evalua6on - AMTAGVI. BLA 125773. Updated February 6, 2024. Accessed May 31, 2024].hcps://www.fda.gov/media/176951/download. |
| IGNYTE Investor Event (6/6/24) 8
IGNYTE Study Design
Anti-PD1 Failed Melanoma Cohort
Key eligibility criteria
Confirmed progression while on prior anti-PD1 therapyc
At least 8 weeks of prior anti–PD1, confirmed progression while on anti–
PD1; anti–PD1 must be the last therapy before clinical trial. Patients on
prior adjuvant therapy must have progressed while on prior adjuvant
treatment.
Primary objectives
• Safety and tolerability
• Efficacy as assessed by ORR using modified RECIST 1.1
criteria
Secondary objective
DOR, CR rate, DCR, PFS, by central & investigator review,
ORR by investigator review, and 1-year and 2-year OS
Anti–PD1 failed
melanoma cohort
(140 pts; 16 pts
treated in prior
cohorts: Total=156)
Screening RP1 RP1+nivolumaba Nivolumab
28 days 2 weeks
Cycle 1 Cycles 2–8 Cycle 9 Cycles 10–30b
2 weeks 2 weeks
Nivolumab 28 days 2 weeks 2 weeks 2 weeks
aDosing with nivolumab begins at dose 2 of RP1 (C2D15). bOp?on to reini?ate RP1 for 8 cycles if criteria are met. c. Non-neurological solid tumors CR, complete response; CT, computed tomography; DCR, disease control
rate; DOR, dura?on of response; ECOG, Eastern Coopera?ve Oncology Group; LD, longest diameter; ORR, objec?ve response rate; OS, overall survival; PD-1, programmed cell death protein 1; PFS, progression-free
survival; pfu, plaque-forming unit; Q4W, every 4 weeks; RECIST, Response Evalua?on Criteria in Solid Tumors.
Primary analysis to be conducted when all patients have ≥ 12 months follow up |
| IGNYTE Investor Event (6/6/24) 9
Baseline Clinical Characteristics
A ‘real world’ anti-PD1 failed melanoma population was enrolled
• Good representation of each of the sub-groups of patients who progress on prior anti-PD1 therapy
Median follow up
is 15.4 months (range 0.5-55.5)
Patients, n (%) All patients
(N = 156)
Age (median [range])
Sex
Female
62 (21-91)
52 (33.3)
Male 104 (66.7)
Stage
IIIb/IIIc/IVM1a 75 (48.1)
IVM1b/c/d 81 (51.9)
Prior therapy
Anti–PD1 only as adjuvant therapy 39 (25.0)
Anti–PD1 not as adjuvant therapy 117 (75.0)
Anti–PD1 & anti–CTLA-4 74 (47.4)
Received BRAF-directed therapy 17 (10.9)
Patients, n (%) All patients
(N = 156)
Other disease characteristics
Primary resistance to prior anti–PD1a 105 (67.3)
Secondary resistance to prior anti–PD1b,c 51 (32.7)
BRAF wt 103 (66.0)
BRAF mutant 53 (34.0)
LDH ≤ULN 105 (67.3)
LDH >ULN 50 (32.1)
LDH unknown 1 (0.6)
Data cutoff: March 8th 2024. aPrimary resistance: Progressed within 6 months of star6ng the immediate prior course of an6–PD-1 therapy; bSecondary resistance: Progressed ager 6 months of treatment on the immediate prior course of an6-PD-1 therapy; c
Includes 2 pt unknown resistance status. CTLA-4, cytotoxic T-lymphocyte an6gen 4; LDH, lactate dehydrogenase; PD-1, programmed cell death protein 1; ULN, upper limit of normal; wt, wild-type. |
| IGNYTE Investor Event (6/6/24) 10
Efficacy
Investigator assessed data with all patients having at least 12 months follow up
Data cutoff: March 8th 2024. BOR, best overall response; CR, complete response; CTLA-4, cytotoxic T-lymphocyte an6gen 4; PD-1, programmed cell death protein 1; PD, progressive disease; PR, par6al response; ORR, objec6ve response rate; SD, stable disease.
• 1 in 3 patients achieved an objective response (32.7%)
• Consistent ORR across subgroups, including:
o 27% ORR in patients who had prior anti–PD1 & anti–CTLA-4
o 34% ORR in patients who are primary resistant to their prior anti-PD1 therapy
All patients enrolled in IGNYTE
BOR
n (%)
All patients
(n = 156)
Prior single-agent anti–PD1
(n = 82)
Prior anti–
PD1/CTLA-4
(n = 74)a
Stage IIIb-IVM1a
(n = 75)
Stage IVM1b-d
(n = 81)
1o resistance to
anti–PD1
(n = 105)
2o resistance to
anti–PD1
(n = 51)b
CR 23 (14.7) 18 (22.0) 5 (6.8) 18 (24.0) 5 (6.2) 18 (17.1) 5 (9.8)
PR 28 (17.9) 13 (15.9) 15 (20.3) 13 (17.3) 15 (18.5) 18 (17.1) 10 (19.6)
SD 34 (21.8) 18 (22.0) 16 (21.6) 19 (25.3) 15 (18.5) 17 (16.2) 17 (33.3)
PD 63 (40.4) 31 (37.8) 32 (43.2) 24 (32.0) 39 (48.1) 47 (44.8) 16 (31.4)
ORR 51 (32.7c) 31 (37.8) 20 (27.0) 31 (41.3) 20 (24.7) 36 (34.3) 15 (29.4)
aEight pa)ents were treated with sequen)al an)-CTLA-4 and an)-PD1 (ORR for prior combined an)-CTLA-4/an)-PD1 was 25.8%). bIncludes one pa)ent with unknown resistance status. cORR for the 140-pa)ent
registra)on intended cohort was 32.1% |
| IGNYTE Investor Event (6/6/24) 11
Depth of Response
• Target lesions were
reduced in >50% of
patients
• Responses were seen
across disease stages,
including CRs in
patients with stage
IVM1b/c disease
Patients
Data cutoff: March 8th 2024. The target lesion response is shown for pa6ents with at least one post-baseline assessment. CR, complete response; PD, progressive disease; PR, par6al response; SD, stable disease.
Best overall response Best overall response Best overall response Best overall response PDo PD ++ SDSD □ PRPR PR△ CR CR |
| IGNYTE Investor Event (6/6/24) 12
• 70.4% of responding patients had non-injected
lesions
• Injected and non-injected lesions responded with
similar duration and kinetics
• Depth of response independent of injection status
Responses in non-injected lesions
demonstrate systemic benefit
Responses are Systemic
Change in size of individual injected and non-injected lesions
Includes both target and non-target lesions for RECIST assessment, measured from CT/MRI scans for radiologically assessable lesions (responders from the first 75 pa6ents enrolled into the registra6on intended cohort). 58/75 pa6ents had at ≥ 1 non-injected lesion, of whom 15 achieved a response based on those lesions only (excludes possible response in injected lesions); ORR of 25.9% on the basis of non-injected lesions only. First presented at ASCO 2023.
First 28 responders from
the study
• All lesions were
measured, not only
target lesions
• Each line represents
an individual lesion
RP1 Injected
RP1 Non-injected |
| IGNYTE Investor Event (6/6/24) 13
Duration of Response
From baseline
• Responses are durable, with a
median DOR of 36.6 months
Probability (%)
>6 months >12 months >18 months >24 months
100% 84.2% 74.9% 65.2%
Data cutoff: March 8th 2024. Dura6on of response defined as 6me from baseline to end of response for responders. DOR, dura6on of response.
# at risk
The median follow up for responders is 27.9 months (range 10.5-55.5) |
| IGNYTE Investor Event (6/6/24) 14
Safety: Treatment-related AEs (N = 156)
RP1 combined with nivolumab continues to
be a generally well tolerated regimen
• Predominantly grade 1 and 2
constitutional-type side effects
• Low incidence of grade 3 and 4 events
• No grade 5 events
Additional grade 3 and 4 events <5%
Grade 3: Two each of rash maculo-papular and hypophysitis; 1 each of tumor pain,
infusion-related reaction, muscular weakness, abdominal pain, amylase increased,
dermatitis bullous, eczema, immune-mediated enterocolitis, immune-mediated hepatitis,
paresthesia, acute left ventricular failure, arthritis, cancer pain, enterocolitis, extranodal
marginal zone B-cell lymphoma (MALT type), hyponatremia, injection site necrosis, left
ventricular dysfunction, memory impairment, meningitis aseptic, edema, palmar-plantar
erythrodysesthesia syndrome, peripheral sensory neuropathy, radiculitis brachial, sinus
arrhythmia, tricuspid valve incompetence, and type 1 diabetes mellitus
Grade 4: One each of lipase increased, alanine aminotransferase increased, blood
bilirubin increased, cytokine release syndrome, myocarditis, and hepatic cytolysis,
splenic rupture
Data cutoff: March 8th 2024. MALT, mucosa-associated lymphoid tissue; TRAE, treatment-related adverse event.
Preferred term,
n (%)
TRAEs occurring in >5% of patients
Grade 1–2 Grade 3 Grade 4 Grade 5 Total (N = 156)
Chills 53 (34.0) 1 (0.7) 0 0 53 (34.0)
Fatigue 51 (32.7) 2 (1.3) 0 0 52 (33.3)
Pyrexia 49 (31.4) 0 0 0 49 (31.4)
Nausea 35 (22.4) 0 0 0 35 (22.4)
Influenza-like illness 30 (19.2) 0 0 0 30 (19.2)
Injection-site pain 23 (14.7) 0 0 0 23 (14.7)
Diarrhea 21 (13.5) 1 (0.6) 0 0 21 (13.5)
Vomiting 21 (13.5) 0 0 0 21 (13.5)
Headache 20 (12.8) 0 0 0 20 (12.8)
Pruritus 20 (12.8) 0 0 0 20 (12.8)
Asthenia 13 (8.3) 1 (0.6) 0 0 14 (9.0)
Arthralgia 11 (7.1) 1 (0.7) 0 0 11 (7.1)
Myalgia 11 (7.1) 0 0 0 11 (7.1)
Decreased appetite 9 (5.8) 1 (0.6) 0 0 10 (6.4)
Rash 9 (5.8) 1 (0.6) 0 0 10 (6.4) |
| IGNYTE Investor Event (6/6/24) 15
Conclusions
• RP1 combined with nivolumab in melanoma patients who had confirmed progression on prior anti-PD1 continues to show:
• Deep and durable, systemic responses
• A favorable safety profile, with generally ‘on target’ and transient grade 1–2 side effects indicative of systemic
immune activation
• 1 in 3 patients experienced a response (ORR: 32.7%)
• 27% ORR in patients had prior anti–PD1/anti–CTLA-4
• 34% ORR in patients who had primary resistance to their immediate prior anti-PD1 therapy
• Clinically meaningful activity was seen across all enrolled subgroups
• 55% of patients experienced clinical benefit (CR + PR + SD)
• Responses were highly durable
• All patients followed for at least 12 months
• All responses lasted at least 6 months, with median DOR >36 months |
| IGNYTE Investor Event (6/6/24) 16
Topline Data for the IGNYTE
Registrational Cohort in Anti-PD1
Failed Melanoma Assessed by
Independent Central Review |
| IGNYTE Investor Event (6/6/24) 17
Strong IGNYTE Primary Analysis Data by
Independent Central Review
Overall Response Rate
(registration-intended cohort: n=140) (%)
Investigator Assessment Independent Central Review1
Modified* RECIST 1.1
32.1%
Primary Endpoint
Modified* RECIST 1.1
33.6%
RECIST 1.1**
32.9%
* Confirmation of PD requires further tumor increase from the first observation of PD; responses can be captured at any time up until next anti-cancer therapy2
** Requested by FDA, with confirmation of PD required; responses not included in ORR after the first confirmed PD
All patients with at least 12 months follow up
Data cutoff: March 8th 2024. Median follow up for the 140 pa?ents in the registra?on intended cohort is 15.8 months (range 0.5-47.6); 1Each central reviewer selects their own target lesions without knowledge of RP1 injec?on
status. 2This was to allow for the poten?al for prolonged pseudo-progression (>1 scan interval) before response; however, in prac?ce the pseudo-progression seen was transient (generally <1 scan interval) |
| IGNYTE Investor Event (6/6/24) 18
Patient Example
Prior atezolizumab+cobimetinib, ipilimumab, SX682 (CXCR-inhibitor)+
atezolizumab, ipilimumab+nivolumab
Baseline
9 Months
Baseline
9 Months
Responses in
uninjected distant
and visceral tumors
including healing of
lytic bone lesions
(increasing
sclerosis & new
internal bone
formation seen)
RP1 injected
Non-injected |
| IGNYTE Investor Event (6/6/24) 19
Patient Example
Prior pembrolizumab (1L), encorafenib+binimetinib (2L),
and nivolumab+relatlimab (3L)
Baseline 4 months 15 months |
| IGNYTE Investor Event (6/6/24) 20
IGNYTE Data Shows Clinically Meaningful Benefit
• One third of patients respond (ORR: 33.6%)
• Responses are durable
• 100% last >6 months, median DOR >35 months (from baseline)
• RP1 combined with nivolumab continues to be a generally well tolerated regimen
• Predominantly grade 1/2 constitutional-type side effects
• Low incidence of grade 3 and 4 events; no grade 5 events
• Full data to be submitted for presentation at an upcoming medical congress |
| IGNYTE Investor Event (6/6/24) 21
Progress to BLA |
| IGNYTE Investor Event (6/6/24) 22
IGNYTE Data and Phase 3 Confirmatory Trial
Incorporates FDA Feedback
Type B meeting in 2021
A real-world population, representative of the IO
progressed landscape should be enrolled
Patients should have confirmed progression while
on anti-PD1 therapy, with minimum 8 weeks
exposure
Responses should be durable
Clinically meaningful activity should be seen
across all melanoma sub-groups enrolled
Responses should be demonstrably systemic, i.e.
of both injected and uninjected lesions
Type C meeting in Sept 2023
FDA acknowledged that the IGNYTE population
represents one of unmet need
Contribution of components demonstrated by
reference to the literature*
Centrally reviewed data by RECIST 1.1 and
mRECIST 1.1
All patients followed for at least 12 months
(protocol primary analysis timepoint)
All responding patients followed for at least 6
months from response initiation
Phase 3 confirmatory study will be underway by
BLA submission
*The response rate for further single agent anti-PD1 for patients having confirmed PD on prior anti-PD1 is expected to be 6-7%; Ribas et al Lancet Oncology 2018 (19), Hodi et al JCO 2016 (34) |
| IGNYTE Investor Event (6/6/24) 23
Advanced cutaneous
melanoma
Progressed on anti-PD1 AND
anti-CTLA-4 OR not
candidates for anti-CTLA-4
Up to 2 prior lines of systemic
therapy for advanced disease
BRAF mutant patients must
have been treated with
BRAF/MEK-directed therapy1
N=~400
Randomized
1:1
3-year follow-up post last patient enrolled
IGNYTE-3: Confirmatory Phase 3 Trial Design*
1 For BRAF mutant patients prior BRAF/MEK-directed therapy is required unless deemed not clinically indicated at investigator’s discretion due to documented concurrent medical
condition or prior toxicity; *ClinicalTrials.gov ID: NCT6264180
RP1 and Nivolumab in Ipi-Nivo Pretreated Patients
RP1 + Nivolumab
Treatment of Physician’s Choice (TPC)
- Nivolumab-Relatlimab (Opdualag)
- Chemotherapy (DTIC, TMZ, paclitaxel/nab-paclitaxel)
- Rechallenge with anti-PD1 monotherapy (nivolumab or
pembrolizumab)
Primary Endpoint
Overall Survival
Key Secondary
Endpoints
Progression Free
Survival and Objective
Response Rate |
| IGNYTE Investor Event (6/6/24) 24
Manufacturing on Track to Support RP1 BLA and
Commercialization
• Type C meeting with FDA confirmed alignment on Chemistry,
Manufacturing and Controls (CMC) plans to support RP1 BLA
submission
• 63,000 square foot state-of-the-art facility for GMP manufacturing in
Framingham, MA
• RP1 BLA consistency lot runs complete
• Commercial inventory build underway
• Scale expected to be sufficient to cover global commercialization of RP1
and RP2
• Commercially attractive cost of goods & ‘off the shelf’ product
practicality
Commercial
scale in-house
manufacturing
established |
| IGNYTE Investor Event (6/6/24) 25
U.S. Melanoma RP1 Patient Opportunity
Compelling potential option for a broad range of anti-PD1 failed patients
~13K patients1
Addresses a high unmet need
in anti-PD1 failed settings
1L prior adjuvant
2L+ BRAF WT
2L+ BRAF MT
An#-PD1 failed
melanoma
Source: 1Melanoma US treated patient population for 2030 based on CancerMPact® Patient Metrics, Cerner Enviza (available from www.cancermpact.com Accessed 15 Oct 2023), with adjustments
to future 2L+ treatment rates based on primary market research.
RP1+nivolumab is well positioned to be the first
option for patients who progress on a PD1-based
regimen (in adjuvant or 1L setting), given:
1. Deep & durable responses
2. Safety profile
3. Ease of administration |
| IGNYTE Investor Event (6/6/24) 26
RP1 Well Positioned for BLA Submission and
Commercialization
• Strong IGNYTE primary endpoint ORR data by independent central review of 33.6% (mRECIST 1.1)
• Durable responses: 100% last >6 months, median DOR >35 months (from baseline)
• Manufacturing on track to support RP1 BLA & global commercialization
• Type C meeting with FDA confirmed alignment on CMC plans
• First patient expected to be enrolled in the phase 3 confirmatory study (IGNYTE-3) in Q3 2024,
with BLA submission planned for 2H 2024
• Attractive commercial RP1 opportunity in anti-PD1 failed melanoma
• Significant patient population and unmet need
• Compelling risk:benefit profile |
| IGNYTE Investor Event (6/6/24) 27
Thank You |
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Grafico Azioni Replimune (NASDAQ:REPL)
Storico
Da Dic 2024 a Gen 2025
Grafico Azioni Replimune (NASDAQ:REPL)
Storico
Da Gen 2024 a Gen 2025