Arcus Biosciences Completes Patient Enrollment in Phase 3 Trial Evaluating a Domvanalimab-Containing Regimen in First-Line Metastatic Upper GI Cancers
10 Junio 2024 - 7:30AM
Business Wire
- Domvanalimab is the only anti-TIGIT antibody in Phase 3 for
upper gastrointestinal (GI) adenocarcinomas with the potential to
be first-to-market for this patient population
Arcus Biosciences, Inc. (NYSE:RCUS), a clinical-stage, global
biopharmaceutical company focused on developing differentiated
molecules and combination therapies for people with cancer, today
announced the completion of patient enrollment for STAR-221, a
Phase 3 study in collaboration with Gilead Sciences, evaluating the
combination of the Fc-silent anti-TIGIT antibody domvanalimab plus
the anti-PD-1 monoclonal antibody zimberelimab and chemotherapy in
patients with locally advanced unresectable or metastatic gastric,
gastroesophageal junction or esophageal adenocarcinoma.
“STAR-221 completed enrollment well ahead of schedule, driven by
significant interest from the global medical community in the
potential for an anti-TIGIT-based regimen to address the high unmet
need in this setting,” said Dimitry S.A. Nuyten, M.D., Ph.D., chief
medical officer of Arcus Biosciences. “Domvanalimab is the first
and only anti-TIGIT antibody to be studied in a Phase 3 trial in
upper gastrointestinal adenocarcinoma. We are now preparing for the
readout and look forward to the potential opportunity to make a
meaningful difference for patients with this disease.”
Earlier this month at the American Society of Clinical Oncology
(ASCO) Annual Meeting, Arcus and Gilead presented results from Arm
A1 of the Phase 2 EDGE-Gastric study evaluating the same regimen in
the same setting as the STAR-221 Phase 3 study. Data from this arm
of EDGE-Gastric showed that patients treated with domvanalimab plus
zimberelimab and chemotherapy had a median progression-free
survival (PFS) of 12.9 months, which exceeds the historical
benchmarks for anti-PD-1 plus chemotherapy alone. Notably, nearly
60% of patients in the EDGE-Gastric study achieved PFS at 12
months, and the domvanalimab plus zimberelimab and chemotherapy
regimen demonstrated sustained improvement across efficacy
measures, including in those patients who have low PD-L1
expression. No unexpected safety signals were observed at the time
of data cutoff, March 12, 2024. The domvanalimab plus zimberelimab
and chemotherapy regimen was generally well tolerated and showed an
overall safety profile consistent with the known safety profiles of
each individual molecule to date.
Domvanalimab and zimberelimab are investigational molecules.
Neither Gilead nor Arcus has received approval from any regulatory
authority for any use of these molecules, and their safety and
efficacy for the treatment of gastrointestinal cancers have not
been established.
About the STAR-221 Study
The ongoing, global STAR-221 trial (NCT05568095) enrolled
approximately 1,050 participants with locally advanced unresectable
or metastatic gastric, gastroesophageal junction, or esophageal
adenocarcinoma. The primary endpoints of the study are overall
survival in PD-L1-high tumors and in the intent-to-treat population
(all PD-L1 levels); secondary endpoints include progression-free
survival, objective response rate and duration of response.
Participants were randomized 1:1 between two arms:
- 1600 mg of domvanalimab intravenously (IV) every four weeks
plus 480 mg of zimberelimab IV every four weeks plus FOLFOX
(oxaliplatin, leucovorin, fluorouracil) every two weeks or 1200 mg
of domvanalimab plus 360 mg of zimberelimab every three weeks plus
CAPOX (capecitabine and oxaliplatin) every three weeks
- 240 mg of nivolumab IV every two weeks plus FOLFOX every two
weeks or 360 mg of nivolumab plus CAPOX every three weeks
About Domvanalimab
Domvanalimab is the first and most clinically advanced Fc-silent
investigational monoclonal antibody that is specifically designed
with Fc-silent properties to block and bind to the T-cell
immunoreceptor with Ig and ITIM domains (TIGIT), a checkpoint
receptor on immune cells that acts as a brake on the anticancer
immune response. By binding to TIGIT with Fc-silent properties,
domvanalimab is believed to work by freeing up immune-activating
pathways and activate immune cells to attack and kill cancer cells
without depleting the peripheral regulatory T cells important in
avoiding immune-related toxicity.
Combined inhibition of both TIGIT and programmed cell death
protein-1 (PD-1) is believed to significantly enhance immune cell
activation, as these checkpoint receptors play distinct,
complementary roles in anti-tumor activity. Domvanalimab is being
evaluated in combination with anti-PD-1 monoclonal antibodies,
including zimberelimab, as well as other investigational cancer
immunotherapies and A2a/A2b adenosine receptor antagonist
etrumadenant, in multiple ongoing and planned early and late-stage
clinical studies in various tumor types.
About Zimberelimab
Zimberelimab is an anti-programmed cell death protein-1 (PD-1)
monoclonal antibody that binds PD-1, with the goal of restoring the
antitumor activity of T cells. Zimberelimab has demonstrated high
affinity, selectivity and potency in various tumor types.
Zimberelimab is being evaluated in the U.S. and globally as a
foundational anti-PD-1 treatment option in multiple ongoing and
planned early and late-stage clinical studies in combination with
other immunotherapies, including investigational Fc-silent
anti-TIGIT monoclonal antibody domvanalimab and A2a/A2b adenosine
receptor antagonist etrumadenant.
Guangzhou Gloria Biosciences Co. Ltd., which holds
commercialization rights for zimberelimab in greater China, has
obtained approval for zimberelimab for the treatment of recurrent
or metastatic cervical cancer and for relapsed or refractory
classical Hodgkin’s lymphoma. Zimberelimab is not approved for any
use in the U.S. or other regions outside of China. Gloria conducts
its development and commercialization activities independent of
Arcus and Gilead.
About Arcus Biosciences
Arcus Biosciences is a clinical-stage, global biopharmaceutical
company developing differentiated molecules and combination
medicines for people with cancer. In partnership with industry
collaborators, patients and physicians around the world, Arcus is
expediting the development of first- or best-in-class medicines
against well-characterized biological targets and pathways and
studying novel, biology-driven combinations that have the potential
to help people with cancer live longer. Founded in 2015, the
company has expedited the development of multiple investigational
medicines into clinical studies, including new combination
approaches that target TIGIT, PD-1, the adenosine axis (CD73 and
dual A2a/A2b receptor), HIF-2a, CD39 and AXL. For more information
about Arcus Biosciences’ clinical and preclinical programs, please
visit www.arcusbio.com.
Arcus Forward-Looking Statements
This press release contains forward-looking statements. All
statements regarding events or results to occur in the future
contained herein are forward-looking statements reflecting the
current beliefs and expectations of management made pursuant to the
safe harbor provisions of the Private Securities Litigation Reform
Act of 1995, including, but not limited to, the statements in Dr.
Nuyten’s quote and statements regarding the potential for
domvanalimab to be first anti-TIGIT to market for upper GI cancers.
All forward-looking statements involve known and unknown risks and
uncertainties and other important factors that may cause Arcus’s
actual results, performance or achievements to differ significantly
from those expressed or implied by the forward-looking statements.
Factors that could cause or contribute to such differences include,
but are not limited to risks associated with: interim data not
being replicated in future studies evaluating the same
investigational molecules or regimen; the unexpected emergence of
adverse events or other undesirable side effects in Arcus’s
investigational products, including domvanalimab and zimberelimab;
risks associated with the manufacturing or supplying product for
such clinical trials; uncertainties in timelines associated with
the conduct of clinical studies and with respect to the regulatory
application process; Arcus’s dependence on the collaboration with
Gilead for the successful development and commercialization of its
optioned molecules; difficulties associated with the management of
the collaboration activities with our strategic partners or
expanded clinical programs; changes in the competitive landscape
for Arcus’s programs; and the inherent uncertainty associated with
pharmaceutical product development and clinical trials. Risks and
uncertainties facing Arcus are described more fully in the “Risk
Factors” section of Arcus’s most recent periodic report filed with
the U.S. Securities and Exchange Commission. You are cautioned not
to place undue reliance on the forward-looking statements, which
speak only as of the date of this press release. Arcus disclaims
any obligation or undertaking to update, supplement or revise any
forward-looking statements contained in this press release except
to the extent required by law.
The Arcus name and logo are trademarks of Arcus Biosciences,
Inc. All other trademarks belong to their respective owners.
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Investor Inquiries: Pia Eaves VP of Investor Relations
& Strategy (617) 459-2006 peaves@arcusbio.com
Media Inquiries: Holli Kolkey VP of Corporate
Communications (650) 922-1269 hkolkey@arcusbio.com
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