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Regular and young investigator award abstracts
Clinical trials in progress
399 Cosibelimab, an anti-PD-L1 antibody: preliminary safety and efficacy results from a global, multicohort phase 1 clinical trial
  1. Dean Harris1,
  2. Daniel Brungs2,
  3. Rahul Ladwah3,
  4. Andrew Mant4,
  5. Margaret McGrath5,
  6. Andrea Tazbirkova6,
  7. Andrey Akopov7,
  8. Natalia Fadeeva8,
  9. Boris Kasparov9,
  10. Nadezhda Kovalenko10,
  11. Vadim Kozlov11,
  12. Fedor Moiseenko12,
  13. Vasiliy Oschepkov13,
  14. Piotr Koralewski14,
  15. Dariusz Kowalski15,
  16. Iwona Lugowska15,
  17. Chaiyut Charoentumn16,
  18. Arunee Dechaphunkul17,
  19. Virote Sriuranpong18,
  20. James Oliviero19 and
  21. Philip Clingan2
  1. 1Christchurch Hospital, Christchurch, New Zealand
  2. 2Southern Medical Day Care Centre, Wollongong, Australia
  3. 3Princess Alexandra Hospital, Woolloongabba, Australia
  4. 4Eastern Health, Box Hill, Australia
  5. 5Greenslopes Private Hospital, Greenslopes, Australia
  6. 6Pindara Private Hospital, Benowa, Australia
  7. 7First St. Petersburg State Med Univ, Saint-Petersburg, Russian Federation
  8. 8Chelyabinsk Reg Clinical Oncology Center, Chelyabinsk, Russian Federation
  9. 9NMRC of Oncology n.a. N.N. Petrov, Saint-Petersburg, Russian Federation
  10. 10Volgograd Reg Clinical Onc Dispensary, Volgograd, Russian Federation
  11. 11Novosibirsk Reg Clinical Onc Dispensary, Novosibirsk, Russian Federation
  12. 12St. Petersburg Clin Res and Practical Ct, Saint-Petersburg, Russian Federation
  13. 13Multidisciplinary Clin Med Ctr, Tyumen, Russian Federation
  14. 14Szpital Specjalistyczny Ludwika Rydygier, Kraków, Poland
  15. 15National Research Institute of Oncology, Warsaw, Poland
  16. 16Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand
  17. 17Prince of Songkla University, Songkhla, Thailand
  18. 18King Chulalongkorn Memorial Hospital, Bangkok, Thailand
  19. 19Checkpoint Therapeutics, New York, NY, USA

Abstract

Background Cosibelimab is a high affinity, fully-human IgG1 monoclonal antibody that directly binds to programmed death ligand-1 (PD-L1) and blocks its interaction with the programmed death receptor-1 (PD-1) and B7.1 receptors to restore an anti-tumor immune response. Cosibelimab has the additional benefit of a functional Fc domain capable of inducing antibody-dependent cellular cytotoxicity and complement-dependent cytotoxicity against tumor cells. Study CK-301–101 is a global, multicenter, multicohort trial that is enrolling patients (pts) with select advanced cancers, including pivotal cohorts of pts with metastatic and locally advanced cutaneous squamous cell carcinoma (cSCC) and a cohort of pts with previously untreated advanced non-small cell lung cancer (NSCLC).

Methods Eligible pts were aged ≥18 years with an Eastern Cooperative Oncology Group performance status of 0–1. The cSCC cohorts enrolled pts with histologically confirmed metastatic or locally advanced cSCC not amenable to local therapy. The NSCLC cohort enrolled previously untreated NSCLC pts with advanced disease and a PD-L1 tumor proportion score of at least 50%. Pts received a fixed dose of 800 mg cosibelimab administered intravenously every two weeks. Anti-tumor activity was assessed by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 and were conducted every 8 weeks for the initial 32 weeks on study, and every 12 weeks thereafter.

Results As of August 2020, 114 pts (73M/41F, median age 66 years) with diverse tumor types have been enrolled and treated with cosibelimab. Among these pts, 103 (90%) experienced ≥1 treatment-emergent adverse event (AE), 42 (37%) experienced a grade ≥3 AE, and 6 (5%) experienced a grade ≥3 drug-related AE. The most common AEs were fatigue (25%), anemia (21%), rash (18%) and nausea (16%) and the most common drug-related AEs were fatigue (15%) and rash (14%). In 42 cSCC pts evaluable for response, ORR based on investigator assessment of tumor response was 55% (95% confidence interval [CI]: 39, 70), including 5 (12%) complete responses, with 20/23 (87%) responses ongoing and 10 responses ≥6 months in duration as of data cutoff. In 25 NSCLC pts evaluable for response, ORR based on investigator assessment was 44% (95% CI: 24, 65), with 5/11 (45%) responses ongoing and 10 responses ≥6 months in duration.

Conclusions Cosibelimab has a predictable and manageable safety profile and demonstrated robust clinical activity in cSCC and NSCLC pts, including durable complete and partial responses. Updated results will be presented.

Trial Registration NCT03212404

Ethics Approval The study was approved by an appropriate ethics committee for each participating institution. Informed consent was obtained for all subjects.

Consent Written informed consent was obtained from the patient for publication of this abstract and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.

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

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

http://dx.doi.org/10.1136/jitc-2020-SITC2020.0399

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