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  • 710 Keynote-B59: dose escalation of a phase 1/2 first-in-human, open-label study of GI-101, a novel immunocytokine combining CD80-IL2v, in combination with pembrolizumab in advanced solid tumors

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Regular and Young Investigator Award Abstracts
Clinical Trial In Progress
710 Keynote-B59: dose escalation of a phase 1/2 first-in-human, open-label study of GI-101, a novel immunocytokine combining CD80-IL2v, in combination with pembrolizumab in advanced solid tumors
  1. Byoung Chul Cho1,
  2. Jae Lyun Lee2,
  3. Sang Joon Shin1,
  4. Byoung Yong Shim3,
  5. Hyo Jin Lee4,
  6. Jung-Yun Lee5,
  7. John Powderly6,
  8. Soohyeon Lee7,
  9. Julia Cohen8,
  10. Nari Yun9,
  11. Mina Ham9,
  12. Kyoyoung Lee9,
  13. Hyunjin Kang9,
  14. Kyoung-Ho Pyo10,
  15. Jea Hwan Kim10,
  16. Mi hyun Kim10,
  17. Dong Kim11 and
  18. Myoung Ho Jang9
  1. 1Yonsei Cancer Center and Severance Hospital, Seoul, Republic of Korea
  2. 2Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
  3. 3St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Republic of Korea
  4. 4Chungnam National University Hospital, Daejeon, Republic of Korea
  5. 5Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Republic of Korea
  6. 6Carolina BioOncology Institute, Huntersville, NC, USA
  7. 7Korea University Anam Hospital, Seoul, Republic of Korea
  8. 8Merck and Co., Inc., Rahway, NJ, USA
  9. 9GI Innovation, Inc, Seoul, Republic of Korea
  10. 10Severance Biomedical Science Institute, Yonsei University College of Medicine, Seoul, Republic of Korea
  11. 11Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Republic of Korea

  • Journal for ImmunoTherapy of Cancer (JITC) preprint. The copyright holder for this preprint are the authors/funders, who have granted JITC permission to display the preprint. All rights reserved. No reuse allowed without permission.

Abstract

Background GI-101 (CD80-IL2v) is a novel immunocytokine, designed to direct IL-2v to tumor and immune cells. IL-2v of GI-101 is engineered to maximize the expansion of cytotoxic T and NK cells but not Treg cells, and CD80 further inhibits Treg cell function. GI-101 demonstrated single agent activity in an anti-PD-L1 experienced patient (ORR 5.9% in heavily-treated population).1 Here we report clinical outcomes from dose escalation of Part B of the study.

Methods Keynote-B59 is an ongoing, phase 1/2 study of GI-101 monotherapy and in combination with various agents in patients (pts) with advanced solid tumors. In dose escalation of Part B, pts received intravenous GI-101 (0.002~0.15 mg/kg) and pembrolizumab (200 mg) on day 1 of each 21-day cycle. The primary objective is to assess safety, tolerability and maximum tolerated dose (MTD) and/or combination RP2D (cRP2D).

Results As of 20 Apr 2023, 25 pts with any solid tumors who failed on standard of care received GI-101 plus pembrolizumab. The median number of prior therapies were 3 [1–9], and 64% were previously treated with immune checkpoint blockade (ICI) therapy. Treatment-related adverse events occurred in 23 pts (92%), with the most common events (≥ 20%) being pyrexia (48%), AST/AST increased (28%, 24%). One case of dose-limiting toxicity was observed; MTD was not reached. 0.15 mg/kg GI-101 Q3W was established as the cRP2D based on the desirable expansion of peripheral immune cells and anti-cancer activities. Objective responses were observed in 4 of 24 evaluable pts (ORR 16.7%) regardless of prior anti-PD(L)1 therapy; 2 confirmed PR in pts with NSCLC and clear cell RCC (ccRCC), both failed on previous anti-PD(L)1 therapy, and 2 unconfirmed PR in pts with metastatic carcinoma of unknown origin (MUO) and ccRCC. The ORR in pts who failed on previous ICI therapy was 13.3% while that of ICI-naïve population was 22.2%. Overall disease control rate was 66.7% including 4 pts of SD > 6 months. Pts who had objective response showed significantly higher level of central memory T and CD8+ T cell expansion in peripheral blood. In a patient achieved PR, significant infiltration of CD8+ T and NK cells were observed in tumor microenvironment with minimal impact on Treg cells.

Conclusions GI-101 was well tolerated when combined with pembrolizumab in pts with advanced solid tumors. GI-101 plus pembrolizumab demonstrated anti-tumor activity in a heavily pre-treated patient population, with prior anti-PD(L)1 therapies. The dose expansion phase of the study is currently ongoing.

Trial Registration Clinical trial identification: NCT04977453

Reference

  1. Cho BC, Shin S, Lee JL, et al. Preliminary results of GII-101-P101 (Keynote-B59): GI-101 (CD80-IgG4 Fc-IL2v) as a single agent and in combination with pembrolizumab in patients with advanced and/or metastatic solid tumors. Journal for ImmunoTherapy of Cancer 2022;10:doi: 10.1136/jitc-2022-SITC2022.0718

http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See http://creativecommons.org/licenses/by-nc/4.0/.

http://dx.doi.org/10.1136/jitc-2023-SITC2023.0710

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