- RE-MIND2 compared patient outcomes from pivotal L-MIND study
with matched patient populations treated with NCCN/ESMO recommended
therapies
- Results from the retrospective cohort analysis indicate
significant overall survival improvement compared with Pola-BR and
R2
MorphoSys US Inc., a fully owned subsidiary of MorphoSys AG
(FSE: MOR; NASDAQ: MOR), and Incyte (NASDAQ:INCY) today announced
additional real-world evidence results from the RE-MIND2 study
comparing tafasitamab (Monjuvi®) in combination with lenalidomide
against the most frequently used treatments in adult patients with
relapsed or refractory diffuse large B-cell lymphoma (DLBCL). These
treatments include polatuzumab vedotin plus bendamustine and
rituximab (Pola-BR), rituximab plus lenalidomide (R2), and CD19
chimeric antigen receptor T-cell (CAR-T) therapies. The data, which
builds on the primary analysis presented at the 2021 Annual Meeting
of the Society of Hematologic Oncology (SOHO 2021), will be
presented as an oral presentation at the 63rd American Society of
Hematology Annual Meeting and Exposition (ASH 2021), held December
11-14, 2021 in Atlanta, Georgia and virtually.
“In this retrospective cohort analysis, a statistically
significant OS difference was observed, favoring tafasitamab plus
lenalidomide over pola-BR and R2 in patients with relapsed or
refractory DLBCL who are ineligible for transplant – a
traditionally difficult-to-treat population,” said Grzegorz
Nowakowski, M.D., Professor of Medicine and Oncology at the Mayo
Clinic, and lead investigator for the RE-MIND2 study*. “I am
encouraged by the OS difference favoring tafasitamab plus
lenalidomide and the comparable OS between tafasitamab and
lenalidomide and CAR-T, specifically the potential prolonged
survival benefit the tafasitamab plus lenalidomide combination may
offer my patients.”
Findings from the RE-MIND2 study presented at ASH 2021 indicated
that tafasitamab plus lenalidomide resulted in statistically
significant differences across several endpoints. Specifically,
results showed:
- The primary endpoint, overall survival (OS), was met with
significant improvement observed for tafasitamab plus lenalidomide
at 20.1 months compared to Pola-BR at 7.2 months (p=0.038), and
24.6 months for tafasitamab plus lenalidomide compared to 7.4
months for R2 (p=0.014).
- A comparable median OS benefit was observed with tafasitamab
plus lenalidomide at 22.5 months compared to CAR-T at 15 months
without statistical significance.
- Objective response rate (ORR), a key secondary endpoint, was
observed with statistical significance for tafasitamab plus
lenalidomide at 63.6% versus R2 at 30.3% (p=0.013).
- Tafasitamab plus lenalidomide also achieved significantly
higher complete response rate (CR), a key secondary endpoint, at
39.4% versus 15.2% for R2 (p=0.0514).
- While safety endpoints were not included in this study, the
most common adverse events (AEs) associated with tafasitamab plus
lenalidomide are feeling tired or weak, diarrhea, cough, fever,
swelling of lower legs or hands, respiratory tract infection and
decreased appetite.
Of 3,454 patients enrolled from 200 sites, 106, 106 and 149
patients were treated with pol-BR, R2 and CAR-T, respectively. For
the comparative analysis, matched patient pairs were created using
1:1 nearest neighbor matching with a caliper. Matched pairs
consisted of: tafasitamab + len vs pol-BR, n=24 pairs; vs R2, n=33;
and vs CAR-T, n=37 pairs.
“The RE-MIND 2 Study is an example of our continued commitment
to generating practice relevant real-world evidence which, in
general, more realistically captures the clinical heterogeneity in
cancer and allows us expanded opportunities to dynamically assess
the patient experience. These data indicate that tafasitamab plus
lenalidomide is a meaningful option for patients and has the
potential to become a future backbone therapy in DLBCL,” said Nuwan
Kurukulasuriya, Ph.D., Senior Vice President, Global Head of
Medical Affairs, MorphoSys.
“We are pleased to see the survival benefit for patients with
relapsed or refractory DLBCL in the data from the RE-MIND2 study,”
said Peter Langmuir, M.D., Group Vice President, Oncology Targeted
Therapies, Incyte. “As we continue to establish tafasitamab in
combination with lenalidomide as the standard of care in
second-line treatment for DLBCL, we look forward to exploring the
body of clinical evidence and bringing this novel treatment to
patients with DLBCL and potentially even to other indications.”
Presentations are available on the ASH website at
https://www.hematology.org/meetings/annual-meeting; #183 (oral
presentation).
In July 2020, the U.S. Food and Drug Administration (FDA)
approved Monjuvi® (tafasitamab-cxix) in combination with
lenalidomide for the treatment of adult patients with relapsed or
refractory DLBCL not otherwise specified, including DLBCL arising
from low grade lymphoma, and who are not eligible for ASCT. This
indication is approved under accelerated approval based on ORR.
Continued approval for this indication may be contingent upon
verification and description of clinical benefit in a confirmatory
trial(s). The U.S. approval is based on an efficacy subgroup of 71
patients confirmed by central lab. The FDA decision represented the
first approval of a second-line treatment for adult patients with
DLBCL who progressed during or after first-line therapy.
About Diffuse Large B-cell Lymphoma (DLBCL)
DLBCL is the most common type of non-Hodgkin lymphoma in adults
worldwide1, characterized by rapidly growing masses of malignant
B-cells in the lymph nodes, spleen, liver, bone marrow or other
organs. It is an aggressive disease with about 40% of patients not
responding to initial therapy or relapsing thereafter2, leading to
a high medical need for new, effective therapies3, especially for
patients who are not eligible for an autologous stem cell
transplant in this setting.
About RE-MIND2
The RE-MIND2 study is an observational, retrospective cohort
study (NCT04697160) that compares outcomes with those from the
L-MIND study for autologous stem cell transplant (ASCT)-ineligible
patients with relapsed or refractory diffuse large B-cell lymphoma
(DLBCL), who are treated with therapies recommended by the National
Comprehensive Cancer Network/European Society for Medical Oncology
(NCCN/ESMO). The study utilized real-world data to generate
external comparators for patients in the L-MIND trial. The primary
analysis of the study compared patient outcomes from L-MIND with
matched patient populations treated with gemcitabine-oxaliplatin
plus rituximab (R-GemOx), bendamustine and rituximab (BR) and
pooled systemic NCCN/ESMO recommended therapies. The additional
analysis evaluated tafasitamab in combination with lenalidomide
versus Pola-BR, R2 and CAR-T therapies. Patients enrolled in the
study were aged 18 years or older with histologically confirmed
DLBCL and had received two or more systemic therapies for DLBCL,
including one or more anti-CD20 therapy. The study’s primary
endpoint is overall survival (OS). Secondary outcome measures
include overall response rate (ORR), complete response rate (CRR),
duration of response (DoR), event-free survival (EFS),
progression-free survival (PFS), time to next treatment (TTNT),
treatment discontinuation rate due to adverse events and duration
of treatment exposure.
For more information about RE-MIND2, visit
https://clinicaltrials.gov/ct2/show/NCT04697160.
About Tafasitamab
Tafasitamab is a humanized Fc-modified cytolytic CD19 targeting
monoclonal antibody. In 2010, MorphoSys licensed exclusive
worldwide rights to develop and commercialize tafasitamab from
Xencor, Inc. Tafasitamab incorporates an XmAb® engineered Fc
domain, which mediates B-cell lysis through apoptosis and immune
effector mechanism including Antibody-Dependent Cell-Mediated
Cytotoxicity (ADCC) and Antibody-Dependent Cellular Phagocytosis
(ADCP).
In the United States, Monjuvi® (tafasitamab-cxix) is approved by
the U.S. Food and Drug Administration in combination with
lenalidomide for the treatment of adult patients with relapsed or
refractory DLBCL not otherwise specified, including DLBCL arising
from low grade lymphoma, and who are not eligible for autologous
stem cell transplant (ASCT). This indication is approved under
accelerated approval based on overall response rate. Continued
approval for this indication may be contingent upon verification
and description of clinical benefit in a confirmatory trial(s).
In Europe, Minjuvi® (tafasitamab) received conditional marketing
authorization in combination with lenalidomide, followed by Minjuvi
monotherapy, for the treatment of adult patients with relapsed or
refractory diffuse large B-cell lymphoma (DLBCL) who are not
eligible for autologous stem cell transplant (ASCT).
Tafasitamab is being clinically investigated as a therapeutic
option in B-cell malignancies in several ongoing combination
trials.
Monjuvi® and Minjuvi® are registered trademarks of MorphoSys AG.
Tafasitamab is co-marketed by Incyte and MorphoSys under the brand
name Monjuvi® in the U.S., and marketed by Incyte under the brand
name Minjuvi® in the EU.
XmAb® is a registered trademark of Xencor, Inc.
Important Safety Information
What are the possible side effects of MONJUVI?
MONJUVI may cause serious side effects, including:
- Infusion reactions. Your healthcare provider will monitor you
for infusion reactions during your infusion of MONJUVI. Tell your
healthcare provider right away if you get fever, chills, rash,
flushing, headache, or shortness of breath during an infusion of
MONJUVI.
- Low blood cell counts (platelets, red blood cells, and white
blood cells). Low blood cell counts are common with MONJUVI, but
can also be serious or severe. Your healthcare provider will
monitor your blood counts during treatment with MONJUVI. Tell your
healthcare provider right away if you get a fever of 100.4°F (38°C)
or above, or any bruising or bleeding.
- Infections. Serious infections, including infections that can
cause death, have happened in people during treatments with MONJUVI
and after the last dose. Tell your healthcare provider right away
if you get a fever of 100.4°F (38°C) or above, or develop any signs
and symptoms of an infection.
The most common side effects of MONJUVI include:
- Feeling tired or weak
- Diarrhea
- Cough
- Fever
- Swelling of lower legs or hands
- Respiratory tract infection
- Decreased appetite
These are not all the possible side effects of MONJUVI.
Call your doctor for medical advice about side effects. You may
report side effects to FDA at 1-800-FDA-1088.
Before you receive MONJUVI, tell your healthcare provider
about all your medical conditions, including if you:
- Have an active infection or have had one recently.
- Are pregnant or plan to become pregnant. MONJUVI may harm your
unborn baby. You should not become pregnant during treatment with
MONJUVI. Do not receive treatment with MONJUVI in combination with
lenalidomide if you are pregnant because lenalidomide can cause
birth defects and death of your unborn baby.
- You should use an effective method of birth control
(contraception) during treatment and for at least 3 months after
your final dose of MONJUVI.
- Tell your healthcare provider right away if you become pregnant
or think that you may be pregnant during treatment with
MONJUVI.
- Are breastfeeding or plan to breastfeed. It is not known if
MONJUVI passes into your breastmilk. Do not breastfeed during
treatment for at least 3 months after your last dose of
MONJUVI.
You should also read the lenalidomide Medication Guide for
important information about pregnancy, contraception, and blood and
sperm donation.
Tell your healthcare provider about all the medications you
take, including prescription and over-the-counter medicines,
vitamins, and herbal supplements.
Please see the full Prescribing Information for Monjuvi,
including Patient Information, for additional Important Safety
Information.
About MorphoSys
MorphoSys (FSE & NASDAQ: MOR) is a commercial-stage
biopharmaceutical company dedicated to the discovery, development
and commercialization of innovative therapies for patients
suffering from cancer and autoimmune diseases. Based on its leading
expertise in antibody, protein and peptide technologies, MorphoSys,
together with its partners, has developed and contributed to the
development of more than 100 product candidates, of which 27 are
currently in clinical development. In 2017, Tremfya®, developed by
Janssen Research & Development, LLC and marketed by Janssen
Biotech, Inc., for the treatment of plaque psoriasis, became the
first drug based on MorphoSys’ antibody technology to receive
regulatory approval. In July 2020, the U.S. Food and Drug
Administration (FDA) granted accelerated approval of MorphoSys’
proprietary product Monjuvi® (tafasitamab-cxix) in combination with
lenalidomide in patients with a certain type of lymphoma.
Headquartered near Munich, Germany, the MorphoSys group, including
the fully owned U.S. subsidiary MorphoSys US Inc., has more than
600 employees. More information at www.morphosys.com or
www.morphosys-us.com.
Monjuvi® and Minjuvi® is a registered trademarks of MorphoSys
AG.
Tremfya® is a registered trademark of Janssen Biotech, Inc.
About Incyte
Incyte is a Wilmington, Delaware-based, global biopharmaceutical
company focused on finding solutions for serious unmet medical
needs through the discovery, development and commercialization of
proprietary therapeutics. For additional information on Incyte,
please visit Incyte.com and follow @Incyte.
MorphoSys Forward-looking Statements
This communication contains certain forward-looking statements
concerning the MorphoSys group of companies, including the
expectations regarding Monjuvi's ability to treat patients with
relapsed or refractory diffuse large B-cell lymphoma, the further
clinical development of tafasitamab-cxix, including ongoing
confirmatory trials, additional interactions with regulatory
authorities and expectations regarding future regulatory filings
and possible additional approvals for tafasitamab-cxix as well as
the commercial performance of Monjuvi. The words "anticipate,"
"believe," "estimate," "expect," "intend," "may," "plan,"
"predict," "project," "would," "could," "potential," "possible,"
"hope" and similar expressions are intended to identify
forward-looking statements, although not all forward-looking
statements contain these identifying words. The forward-looking
statements contained herein represent the judgment of MorphoSys as
of the date of this release and involve known and unknown risks and
uncertainties, which might cause the actual results, financial
condition and liquidity, performance or achievements of MorphoSys,
or industry results, to be materially different from any historic
or future results, financial conditions and liquidity, performance
or achievements expressed or implied by such forward-looking
statements. In addition, even if MorphoSys' results, performance,
financial condition and liquidity, and the development of the
industry in which it operates are consistent with such
forward-looking statements, they may not be predictive of results
or developments in future periods. Among the factors that may
result in differences are MorphoSys' expectations regarding risks
and uncertainties related to the impact of the COVID-19 pandemic to
MorphoSys' business, operations, strategy, goals and anticipated
milestones, including its ongoing and planned research activities,
ability to conduct ongoing and planned clinical trials, clinical
supply of current or future drug candidates, commercial supply of
current or future approved products, and launching, marketing and
selling current or future approved products, the global
collaboration and license agreement for tafasitamab, the further
clinical development of tafasitamab, including ongoing confirmatory
trials, and MorphoSys' ability to obtain and maintain requisite
regulatory approvals and to enroll patients in its planned clinical
trials, additional interactions with regulatory authorities and
expectations regarding future regulatory filings and possible
additional approvals for tafasitamab-cxix as well as the commercial
performance of Monjuvi, MorphoSys' reliance on collaborations with
third parties, estimating the commercial potential of its
development programs and other risks indicated in the risk factors
included in MorphoSys' Annual Report on Form 20-F and other filings
with the U.S. Securities and Exchange Commission. Given these
uncertainties, the reader is advised not to place any undue
reliance on such forward-looking statements. These forward-looking
statements speak only as of the date of publication of this
document. MorphoSys expressly disclaims any obligation to update
any such forward-looking statements in this document to reflect any
change in its expectations with regard thereto or any change in
events, conditions or circumstances on which any such statement is
based or that may affect the likelihood that actual results will
differ from those set forth in the forward-looking statements,
unless specifically required by law or regulation.
Incyte Forward-looking Statements
Except for the historical information set forth herein, the
matters set forth in this press release, including statements
regarding the Company’s expectations regarding the use of
tafasitamab for treatment of adult patients with relapsed or
refractory diffuse large B-cell lymphoma (DLBCL), its ongoing
clinical development program for tafasitamab, its L-MIND program,
its diffuse large B-cell lymphoma (DLBCL) program generally and its
further discussions with regulators regarding tafasitamab as a
treatment for patients with DLBCL or for any other indication,
contain predictions, estimates and other forward-looking
statements.
These forward-looking statements are based on the Company’s
current expectations and subject to risks and uncertainties that
may cause actual results to differ materially, including
unanticipated developments in and risks related to: unanticipated
delays; further research and development and the results of
clinical trials possibly being unsuccessful or insufficient to meet
applicable regulatory standards or warrant continued development;
the ability to enroll sufficient numbers of subjects in clinical
trials and the ability to enroll subjects in accordance with
planned schedules; the effects of the COVID-19 pandemic and
measures to address the pandemic on the Company’s clinical trials,
supply chain, and other third-party providers and development and
discovery operations; determinations made by the FDA, European
Medicines Agency (EMA), or other regulatory authorities; the
Company’s dependence on its relationships with its collaboration
partners; the efficacy or safety of the Company’s products and the
products of the Company’s collaboration partners; the acceptance of
the Company’s products and the products of the Company’s
collaboration partners in the marketplace; market competition;
sales, marketing, manufacturing and distribution requirements; and
other risks detailed from time to time in the Company’s reports
filed with the Securities and Exchange Commission, including its
annual report and its quarterly report on Form 10-Q for the quarter
ended September 30, 2021. The Company disclaims any intent or
obligation to update these forward-looking statements.
*Dr. Nowakowski has provided consulting and advisory services to
MorphoSys.
1 Sarkozy C, et al. Management of relapsed/refractory DLBCL.
Best Practice Research & Clinical Haematology. 2018 31:209–16.
doi.org/10.1016/j.beha.2018.07.014.
2 Skrabek P, et al. Emerging therapies for the treatment of
relapsed or refractory diffuse large B cell lymphoma. Current
Oncology. 2019 26(4): 253–265. doi.org/10.3747/co.26.5421.
3 Skrabek P, et al. Emerging therapies for the treatment of
relapsed or refractory diffuse large B cell lymphoma. Current
Oncology. 2019 26(4): 253–265. doi.org/10.3747/co.26.5421.
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Incyte Media
Contacts: Catalina Loveman Executive Director, Public Affairs
Tel: +1 302 498 6171 cloveman@incyte.com
Jenifer Antonacci Senior Director, Public Affairs Tel: +1 302
498 7036 JAntonacci@incyte.com
Investor Contact: Christine Chiou Senior Director,
Investor Relations Tel: +1 302 274 4773 cchiou@incyte.com
MorphoSys Media
Contacts: Thomas Biegi Vice President Tel.: +49 (0)89 / 89927
26079 Thomas.Biegi@morphosys.com
Jeanette Bressi Director, U.S. Communications Tel: +1
617-404-7816 jeanette.bressi@morphosys.com
Investor Contacts: Dr. Julia Neugebauer Senior Director
Tel: +49 (0)89 / 899 27 179 julia.neugebauer@morphosys.com
Myles Clouston Senior Director Tel: +1-857-772-0240
myles.clouston@morphosys.com
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