– TNG462 demonstrated durable clinical activity
across multiple tumor types, including non-small cell lung cancer
(NSCLC) and pancreatic cancer, in ongoing phase 1/2 clinical trial,
moving into full development –
– Multiple TNG462 combination studies planned
in 1H 2025 –
– Clinical collaboration established with
Revolution Medicines to evaluate TNG462 in combination with RAS(ON)
multi- and G12D-selective inhibitors –
– TNG456, a next-generation brain penetrant
MTA-cooperative PRMT5 inhibitor with enhanced potency and
MTAP-deleted-selectivity, entering phase 1/2 clinical trial 1H 2025
to be evaluated both as a monotherapy and in combination with
CDK4/6 inhibitor abemaciclib –
– TNG908 enrollment being stopped to fully
resource TNG462 and TNG456 –
Tango Therapeutics, Inc. (NASDAQ: TNGX), a clinical-stage
biotechnology company committed to discovering and delivering the
next generation of precision cancer medicines, announced an update
on its PRMT5 program. Based on positive data from the dose
escalation and early dose expansion cohorts of the TNG462 phase 1/2
clinical trial, the Company has selected TNG462 to move forward
into full development. TNG908, an MTA-cooperative brain penetrant
PRMT5 inhibitor, is clinically active and well-tolerated in non-CNS
solid tumors including NSCLC and pancreatic cancer. However, TNG908
did not meet the pharmacokinetic exposure threshold for clinical
efficacy in glioblastoma (GBM) in the phase 1/2 trial. Thus, the
Company is introducing TNG456, a next-generation brain penetrant
MTA-cooperative PRMT5 inhibitor with enhanced potency and
selectivity for the treatment of GBM, NSCLC and selected other
solid tumors. TNG908 enrollment is being stopped in order to fully
resource TNG462 and TNG456.
“Early data from the TNG462 phase 1/2 clinical trial demonstrate
activity, durability and tolerability, with the potential to be a
best-in-class molecule. In this ongoing clinical trial, patients
remain on treatment with a current median of 24 weeks and is still
increasing,” said Adam Crystal, M.D., Ph.D., President, Research
and Development of Tango Therapeutics. “In addition, we are
introducing TNG456, our next-generation brain-penetrant molecule,
which is anticipated to enter the clinic in the first half of next
year. Given the increased potency, selectivity and predicted brain
penetrance of TNG456, we expect CNS exposure to be in the range
needed for meaningful efficacy in glioblastoma and brain
metastases. While it’s disappointing that, unlike in other solid
tumors, TNG908 is not active in GBM, we believe this is due to
lower-than-predicted central nervous system exposure. We remain
steadfastly committed to bringing an effective treatment to people
with glioblastoma and we are strongly positioned to achieve our
goal of reaching as many patients as possible with MTAP-deleted
cancers.”
“Clinical data from the phase 1/2 trial demonstrate that TNG462
has potentially best-in-class characteristics including clinical
activity across multiple tumor types included in the trial,
substantive durability, and a good safety and tolerability profile,
thus we are moving rapidly into the next phase of development. This
includes clinical evaluation of TNG462 as a monotherapy and in
multiple combinations of both targeted and standard of care agents
to begin in 1H 2025, in preparation for registrational trials in
NSCLC and pancreatic cancer. It also includes building key
capabilities within Tango to bring TNG462 to a broad range of
patients in the coming years. As part of this effort, we have
entered into a clinical collaboration with Revolution Medicines
under which we plan to conduct the first combination trials of an
MTA-cooperative PRMT5 inhibitor with the exciting class of RAS(ON)
tri-complex inhibitors. Given that nearly all MTAP-deleted
pancreatic cancers have a co-occurring RAS mutation, we believe
this could be a powerful approach to changing the treatment
landscape for this challenging cancer,” said Barbara Weber, M.D.,
President and Chief Executive Officer of Tango Therapeutics.
TNG462, a potentially best-in-class MTA-cooperative PRMT5
inhibitor
- TNG462 dose escalation began in July 2023 and enrollment in the
dose expansion cohorts began in June 2024. With a data cutoff of 20
October 2024, a total of 59 patients have been enrolled, 39
evaluable patients across 13 histologies at active doses (160-300
mg QD).
- TNG462 is active and well-tolerated across multiple tumor
types, including NSCLC and pancreatic cancer, with a current median
time on treatment of 24 weeks, and is still increasing.
- As has been reported with other MTA-cooperative PRMT5
inhibitors, tumors continue to shrink over time in multiple tumor
types. Median time to response is 16 weeks (8-32 weeks) and ~60% of
patients with partial responses were initially assessed with stable
disease.
- While there is not yet a sufficient number of evaluable
patients and follow-up to accurately estimate ORR for most cancer
types, we have enrolled seven cholangiocarcinoma patients and
observed confirmed partial responses in 3/7 of these patients (ORR
43%). 4/7 cholangiocarcinoma patients are ongoing with a median
time on study of 24 weeks, and is still increasing.
- TNG462 has a good safety profile and is well-tolerated at
active doses, with thrombocytopenia as the dose limiting toxicity.
Other adverse events reported for the class, including nausea,
vomiting, diarrhea, and fatigue, occurred in less than 20% of
patients and were predominantly grade 1. Dysgeusia has not been
reported with the doses being evaluated in expansion.
- TNG462 efficacy and tolerability continue to be evaluated at
200 mg, 250 mg and 300 mg daily, predominantly in NSCLC and
pancreatic cancer. The next clinical update is planned for
2025.
- Development plans for TNG462 being implemented include targeted
combinations with two RAS(ON) inhibitors – RAS(ON) multi-selective
inhibitor, RMC-6236, and RAS(ON) G12D-selective inhibitor, RMC-9805
(Revolution Medicines) – osimertinib (AstraZeneca) and
pembrolizumab (Merck), with enrollment planned to start in 1H
2025.
- Combinations of TNG462 and standard of care chemotherapy for
NSCLC and pancreatic cancer also are being planned as potential
paths to approval in the first line setting and we are initiating
conversations with the FDA in preparation for multiple
registrational studies.
TNG908, a blood-brain barrier penetrant, MTA-cooperative
PRMT5 inhibitor
- TNG908 dose escalation began in August 2022 and enrollment in
the dose expansion cohorts began in April 2024. With a data cutoff
of 20 October 2024, a total of 103 patients have been enrolled, 70
non-CNS patients across 24 histologies and 33 glioblastoma
patients.
- TNG908 is active and well-tolerated across multiple non-CNS
solid tumors, including NSCLC and pancreatic cancer, with a median
time on study of 16 weeks.
- Of the 70 patients with non-CNS solid tumors, 31 were treated
at active doses (400-600 mg BID) and had at least one tumor
assessment. Four partial responses were observed. Responses
occurred in pancreatic cancer (2/9), NSCLC (1/4) and urothelial
cancer (1/1).
- Of note, there were a total of nine evaluable pancreatic cancer
patients, two with partial responses (ORR 22%) and five with stable
disease as best response to date. The five ongoing pancreatic
cancer patients have been on study for an average of 24 weeks, the
longest for 72 weeks.
- Of the 33 patients with glioblastoma, 23 were treated at active
doses (400-600 mg BID) and had at least one tumor assessment. No
partial responses by RANO criteria were observed and median time on
study was less than 8 weeks.
- In preclinical primate studies of TNG908, cerebral spinal fluid
(CSF) exposure was 50-70% of plasma exposure. In CSF samples from
three glioblastoma patients on study, exposure was ~30% of plasma
exposure and below the threshold required for efficacy.
- Dose-limiting toxicities were elevated creatine kinase and
aspartate aminotransferase in one patient and altered mental status
in a second patient, both at 900 mg BID. Nausea and fatigue were
reported in ~40% of patients at 600 mg BID, the expansion
dose.
- While TNG908 is an active and well-tolerated MTA-cooperative
PRMT5 inhibitor in non-CNS solid tumors, enrollment is being
stopped to allow full resourcing of TNG462 as a potential
best-in-class molecule. In particular, the notably longer time on
treatment observed – 24 weeks and still increasing for TNG462
versus 16 weeks for TNG908 – the superior target coverage and the
safety and tolerability profile all support selection of TNG462 for
further development.
TNG456, a next-generation, brain penetrant MTA-cooperative
PRMT5 inhibitor
- TNG456 is a novel, brain-penetrant MTA-cooperative PRMT5
inhibitor that is 55X selective for MTAP deletion with 20 nM
potency (GI50) in preclinical studies.
- Based on primate CSF exposure that is 50%-110% of plasma levels
and the markedly increased potency and selectivity of TNG456
compared to TNG908 (GI50 120 nM, 15X MTAP-deleted selectivity),
TNG456 CNS exposure is predicted to be in the range needed for
efficacy in glioblastoma and brain metastases.
- TNG456 will be evaluated in glioblastoma, NSCLC and select
other solid tumors as a monotherapy and in combination with the
brain-penetrant CDK4/6 inhibitor abemaciclib (Lilly). The
combination with abemaciclib is based on the co-deletion of CDKN2A
and MTAP in essentially all MTAP-deleted cancers and on strong
synergy observed in preclinical models.
- The Company plans to begin enrolling patients in the TNG456
phase 1/2 study in 1H 2025.
About Tango Therapeutics
Tango Therapeutics is a clinical-stage biotechnology company
dedicated to discovering novel drug targets and delivering the next
generation of precision medicine for the treatment of cancer. Using
an approach that starts and ends with patients, Tango leverages the
genetic principle of synthetic lethality to discover and develop
therapies that take aim at critical targets in cancer. This
includes expanding the universe of precision oncology targets into
novel areas such as tumor suppressor gene loss and their
contribution to the ability of cancer cells to evade immune cell
killing. For more information, please visit www.tangotx.com.
Forward-Looking Statements
Certain statements in this press release may be considered
forward-looking statements. Forward-looking statements generally
relate to future events, Tango’s future operating performance and
goals, the anticipated benefits of therapies and combination
therapies (that include a Tango pipeline product), as well as the
expectations, beliefs and development objectives for Tango’s
product pipeline and clinical trials. In some cases, you can
identify forward-looking statements by terminology such as “may”,
“should”, “expect”, “intend”, “will”, “goal”, “estimate”,
“anticipate”, “believe”, “predict”, “designed,” “potential” or
“continue”, or the negatives of these terms or variations of them
or similar terminology. For example, implicit or explicit
statements concerning the following include or constitute
forward-looking statements: the Company is advancing TNG462 into
clinical trials as a monotherapy and with multiple targeted and
standard of care combinations, including two RAS(ON) tri-complex
inhibitors from Revolution Medicines, Inc.; the Company believes
the combination of TNG462 with RAS(ON) inhibitors could be a
powerful approach to changing the treatment landscape for
pancreatic cancer; potential combination strategies for PRMT5
inhibitors; the Company’s view that TNG462 has the potential to be
a best-in-class MTA-cooperative PRMT5 inhibitor in multiple tumor
types, including pancreatic and non-small cell lung cancers; the
Company is moving TNG462 into full development; the Company expects
cash runway into the third quarter of 2026; the Company expects to
share another clinical update on TNG462 in 2025; the Company
continues to advance TNG260 for cancers with STK11 loss-of-function
mutations, with the phase 1/2 clinical trial ongoing; Tango is
committed to discovering and delivering the next generation of
precision cancer medicines; Tango’s commitment to bringing
effective treatment to people with glioblastoma; the Company’s
planned and ongoing clinical trials, including the anticipated
timing for enrollment and the timing to report results and updates
of such trials; the Company’s understanding of the central nervous
system exposure required to provide meaningful efficacy in
glioblastoma and brain metastases; the Company’s belief that it is
strongly positioned to achieve its goal of reaching as many
patients as possible with MTAP-deleted cancers; the Company’s
ability to build key internal capabilities; the Company’s plans to
enter the clinic in a Phase 1/2 clinical trial for TNG456 in the
first half of 2025; the Company’s plans to evaluate TNG456 in
certain solid tumors as a monotherapy and in combination with
abemaciclib; Dr. Weber’s and Dr. Crystal’s statements in this press
release; the Company’s initiation of conversations with the FDA in
preparation for multiple registrational studies; the potential
paths to approval in a first line setting for combinations of
TNG462 and standard of care chemotherapy for NSCLC and pancreatic
cancer; and the expected timing of: (i) development candidate
declaration for certain targets; (ii) initiating IND-enabling
studies; (iii) filing INDs; (iv) clinical trial initiation, dose
escalation and dose expansion (including for combination studies)
and (v) disclosing initial, interim, additional and final clinical
trial results; and the expected benefits of the Company's
development candidates and other product candidates (including for
combination studies). Such forward-looking statements are subject
to risks, uncertainties, and other factors which could cause actual
results to differ materially from those expressed or implied by
such forward-looking statements. These forward-looking statements
are based upon estimates and assumptions that, while considered
reasonable by Tango and its management, are inherently uncertain.
New risks and uncertainties may emerge from time to time, and it is
not possible to predict all risks and uncertainties. Factors that
may cause actual results to differ materially from current
expectations include, but are not limited to: the benefits of
product candidates seen in preclinical tests and analyses may not
be evident when tested in later preclinical studies or in clinical
trials or when used in broader patient populations (if approved for
commercial sale); Tango has limited experience conducting clinical
trials (and will rely on a third party to operate its clinical
trials) and may not be able to commence its clinical trials
(including opening clinical trial sites, dosing the first patient,
and continued enrollment and dosing of an adequate number of
clinical trial participants) when expected, may not be able to
continue dosing, initiate dose escalation and/or dose expansion on
anticipated timelines, and may not generate or report clinical
trial results (including final, initial or additional safety,
efficacy data and proof-of-mechanism and proof-of-concept) in the
anticipated timeframe (or at all); future clinical trial data
releases may differ materially from initial or interim data from
our current and future clinical trials; Tango’s pipeline products
may not be safe and/or effective in humans; Tango has a limited
operating history and has not generated any revenue to date from
product sales, and may never become profitable; other companies may
be able to identify and develop product candidates more quickly
than the Company and commercially introduce the product prior to
the Company; the Company’s proprietary discovery platform is novel
and may not identify any synthetic lethal targets for future
development; the Company may not be able to identify development
candidates on the schedule it anticipates due to technical,
financial or other reasons; the Company may not be able to file
INDs for development candidates on time, or at all, due to
technical or financial reasons or otherwise; the Company may
utilize cash resources more quickly than anticipated; Tango will
need to raise capital in the future and if we are unable to raise
capital when needed or on attractive terms, we would be forced to
delay, scale back or discontinue some of our development programs
or future commercialization efforts (which may delay filing of
INDs, dosing patients, initiation of dose expansion, reporting
clinical trial results and filing new drug applications); Tango’s
approach to the discovery and development of product candidates is
novel and unproven, which makes it difficult to predict the time,
cost of development, and likelihood of successfully developing any
products; the Company may be unable to advance our preclinical
development programs into and through the clinic for safety or
efficacy reasons or commercialize our product candidates or we may
experience significant delays in doing so as a result of factors
beyond Tango’s control; the Company may not be able to realize the
benefits of orphan drug or Fast Track designation (and such
designations may not advance any anticipated approval timelines);
the expected benefits of our product candidates in patients as
single agents and/or in combination may not be realized; the
Company may experience delays or difficulties in the initiation,
enrollment, or dosing of patients in clinical trials or the
announcement of clinical trial results; Tango may not identify or
discover additional product candidates or may expend limited
resources to pursue a particular product candidate or indication
and fail to capitalize on product candidates or indications that
may be more profitable or for which there is a greater likelihood
of success; the Company’s product candidates may cause adverse or
other undesirable side effects (or may not show requisite efficacy)
that could, among other things, delay or prevent regulatory
approval; our dependence on one or a limited number third parties
for conducting clinical trials and producing drug substance and
drug product (including drug substance, which is currently sole
sourced); government regulation may negatively impact the Company’s
business, including the potential approval of the BIOSECURE Act;
and our ability to obtain and maintain patent and other
intellectual property protection for our technology and product
candidates or the scope of intellectual property protection
obtained is not sufficiently broad. Additional information
concerning risks, uncertainties and assumptions can be found in
Tango’s filings with the Securities and Exchange Commission (SEC),
including the risk factors referenced in Tango’s Annual Report on
Form 10-K for the fiscal year ended December 31, 2023, as
supplemented and/or modified by its most recent Quarterly Report on
Form 10-Q. You should not place undue reliance on forward-looking
statements in this press release, which speak only as of the date
they are made and are qualified in their entirety by reference to
the cautionary statements herein. Tango specifically disclaims any
duty to update these forward-looking statements.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20241106825271/en/
Investor: Sam Martin/Andrew Vulis Argot Partners
tango@argotpartners.com
Media: Amanda Brown Galgay SVP, Corporate Communications,
Tango Therapeutics media@tangotx.com
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