Significant Tumor Reductions in Neoadjuvant MSS Colon Cancer Patients Treated with Botensilimab/Balstilimab Presented at ESMO GI Conference
28 Junho 2024 - 12:10PM
Business Wire
Extended BOT/BAL Therapy Yields Pronounced
Improvements in Tumor Reductions
Agenus Inc. (“Agenus”) (Nasdaq: AGEN), a leader in developing
novel immunological agents to treat various cancers, today
announced results from an investigator-sponsored trial (IST) of
botensilimab and balstilimab (BOT/BAL) in the neoadjuvant setting
for colon cancer. Data were presented at the 2024 European Society
for Medical Oncology (ESMO) Gastrointestinal Cancers Congress in
Munich, Germany.
Dr. Pashtoon Kasi, the originator of this groundbreaking study,
stated, “The rapid and complete resolution of aggressive MSS
colorectal cancer tumors observed in this study is unprecedented in
the field. The exceptional activity of the BOT/BAL combination
therapy in the neoadjuvant setting offers new hope for patients
facing this challenging cancer subtype. Furthermore, the pattern of
response and the lack of clinical recurrence speaks to the curative
potential of one’s own body to fight cancer.”
Study Highlights:
- Enrollment: 20 patients were evaluable at the data cutoff with
available pathology results, 17 microsatellite stable (MSS) and 3
high microsatellite instability (MSI-H).
- Treatment Regimens: Both cohorts received one dose of
botensilimab with balstilimab. The NEST-1 cohort received one
additional dose of balstilimab two weeks later, whereas the NEST-2
cohort received up to 3 additional doses of balstilimab.
Clinical Findings:
- Pathologic Response: In the NEST-2 cohort, 78% (7/9) of MSS
patients achieved pathologic responses of at least 50% tumor
regression, with 56% (5/9) reaching complete pathologic
responses.
- Surgical Outcomes and Safety: No surgeries were delayed due to
adverse events, and no patients had unresolved immune related
adverse events. Side effects were manageable, and no new safety
concerns emerged.
Pathologic Response
(>50% Regression)
Complete Pathologic
Response
(100% Regression)
NEST-1 (N=10)
MSS (N=8)
5 (63%)
1 (13%)
MSI-H (N=2)
2 (100%)
1 (50%)
NEST-2 (N=10)
MSS (N=9)
7 (78%)
5 (56%)
MSI-H (N=1)
1 (100%)
1 (100%)
Overall
MSS (N=17)
12 (71 %)
6 (35%)
MSI-H (N=3)
3 (100%)
2 (67%)
“The significant tumor reductions observed with the early use of
BOT/BAL therapy before surgery underscore its paradigm-changing
potential in neoadjuvant colon cancer, potentially minimizing the
rate of disease recurrence and the need for invasive procedures and
chemotherapy in the future,” said Dr. Steven O’Day Chief Medical
Officer at Agenus. “The responses in MSS patients were particularly
profound, and extending the treatment duration in the NEST-2 cohort
further amplified these effects. We are focused on expanding
BOT/BAL’s application in the neoadjuvant setting to improve
treatment for individuals living with cancer.”
The presentation is available on the Agenus website at
https://agenusbio.com/publications.
About Botensilimab
Botensilimab is a human Fc enhanced CTLA-4 blocking antibody
designed to boost both innate and adaptive anti-tumor immune
responses. Its novel design leverages mechanisms of action to
extend immunotherapy benefits to "cold" tumors which generally
respond poorly to standard of care or are refractory to
conventional PD-1/CTLA-4 therapies and investigational therapies.
Botensilimab augments immune responses across a wide range of tumor
types by priming and activating T cells, downregulating
intratumoral regulatory T cells, activating myeloid cells and
inducing long-term memory responses.
Approximately 900 patients have been treated with botensilimab
in phase 1 and phase 2 clinical trials. Botensilimab alone, or in
combination with Agenus’ investigational PD-1 antibody,
balstilimab, has shown clinical responses across nine metastatic,
late-line cancers. For more information about botensilimab trials,
visit www.clinicaltrials.gov with the identifiers NCT03860272,
NCT05608044, NCT05630183, and NCT05529316.
About Colorectal Cancer
Colorectal cancer (CRC) is the second leading cause of cancer
death in the United States, comprising an estimated 8.3% of
cancer-related deaths annually. Although overall mortality from CRC
has declined, survival remains poor for advanced disease, and the
burden is shifting to a younger population. Alarmingly, from 1995
to 2019, the number of patients under the age of 55 who were
diagnosed with CRC in the United States nearly doubled.
About Agenus
Agenus is a leading immuno-oncology company targeting cancer and
infectious diseases with a comprehensive pipeline of immunological
agents. The company’s mission is to expand patient populations
benefiting from cancer immunotherapy through combination
approaches, using a broad repertoire of antibody therapeutics,
adoptive cell therapies (through MiNK Therapeutics) and adjuvants
(through SaponiQx). Agenus is headquartered in Lexington, MA. For
more information, visit www.agenusbio.com or @agenus_bio.
Information that may be important to investors will be routinely
posted on our website and social media channels.
Forward-Looking Statements
This press release contains forward-looking statements that are
made pursuant to the safe harbor provisions of the federal
securities laws, including statements regarding a its botensilimab
and balstilimab programs, expected regulatory timelines and
filings, and any other statements containing the words "may,"
"believes," "expects," "anticipates," "hopes," "intends," "plans,"
"forecasts," "estimates," "will," “establish,” “potential,”
“superiority,” “best in class,” and similar expressions are
intended to identify forward-looking statements. These
forward-looking statements are subject to risks and uncertainties
that could cause actual results to differ materially. These risks
and uncertainties include, among others, the factors described
under the Risk Factors section of our most recent Annual Report on
Form 10-K for 2023, and subsequent Quarterly Reports on Form 10-Q
filed with the Securities and Exchange Commission. Agenus cautions
investors not to place considerable reliance on the forward-looking
statements contained in this release. These statements speak only
as of the date of this press release, and Agenus undertakes no
obligation to update or revise the statements, other than to the
extent required by law. All forward-looking statements are
expressly qualified in their entirety by this cautionary
statement.
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