Clinical Trials
Oncology
TACTI-004 Phase III Trial (KEYNOTE-F91)
Two ACTive Immunotherapies-004 (TACTI-004) is an active trial that is recruiting patients and is being conducted in collaboration with MSD (Merck & Co., Inc., Kenilworth, NJ, USA). TACTI-004 is a 1:1 randomised, double-blind, multinational, controlled Phase III clinical trial in First line Non-Small Cell Lung Cancer (1L NSCLC). The trial is designed to evaluate eftilagimod alfa (efti) in combination with MSD’s anti-PD-1 therapy KEYTRUDA® (pembrolizumab) and standard chemotherapy compared to the standard-of-care combination of KEYTRUDA and chemotherapy and placebo in metastatic or advanced 1L NSCLC, regardless of PD-L1 expression. The dual primary endpoints are progression-free survival (PFS) and overall survival (OS) and this pivotal PD-L1 all comer trial includes a pre-specified futility boundary and pre-planned interim analysis. The globally conducted study will enrol approximately 750 NSCLC patients (including both squamous and non-squamous subtypes).
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TACTI-003 (KEYNOTE-C34)
Two ACTive Immunotherapies-003 (TACTI-003) is an active trial that has completed patient recruitment and is being conducted in collaboration with MSD (Merck & Co., Inc., Kenilworth, NJ, USA). TACTI-003 is a randomised, controlled Phase IIb clinical trial in First Line Head and Neck Cancer (1L HNSCC), which is evaluating the safety and efficacy of eftilagimod alfa (efti) in combination with MSD’s anti-PD-1 therapy KEYTRUDA® (pembrolizumab) as a first line therapy in unresectable recurrent or metastatic HNSCC patients with PD-L1 positive (CPS ≥1) tumours (Cohort A) and PD-L1 negative (CPS <1) tumours (Cohort B). The primary endpoint is Overall Response Rate (ORR) according to RECIST 1.1. Secondary endpoints include OS and Progression Free Survival (PFS). Efti was granted Fast Track designation by the FDA for the treatment of 1L HNSCC in April 2021.
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TACTI-002 (KEYNOTE-798)
Two ACTive Immunotherapies-002 (TACTI-002) is a completed trial that was conducted in collaboration with MSD (Merck & Co., Inc., Kenilworth, NJ, USA). TACTI-002 is an all-comer study in terms of PD-L1 status evaluating the combination of eftilagimod alfa (efti) with MSD’s anti-PD-1 therapy KEYTRUDA® (pembrolizumab) in patients with first and second line non-small cell lung cancer (1L and 2L NSCLC, Parts A and B) and second line head & neck squamous cell carcinoma (2L HNSCC, Part C). This Phase II, Simon’s two-stage, non-comparative, open-label, single-arm, multicentre clinical study recruited patients across Australia, Europe, and the US, and completed enrolment in November 2021. Efti has received Fast Track status from the United States Food and Drug Administration (FDA) in 1L HNSCC and in combination with pembrolizumab in 1L NSCLC.
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TACTI-mel
Two ACTive Immunotherapies in melanoma (TACTI-mel) is a completed Phase I safety and dose finding clinical trial of efti in combination with pembrolizumab (KEYTRUDA®) in patients with locally advanced (unresectable Stage III) or metastatic (Stage IV) melanoma. Patients having a suboptimal response or disease progression with pembrolizumab monotherapy were eligible for the study and received the combination of pembrolizumab plus efti. TACTI-mel took place in Australia and involved four cohorts of six patients.
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INSIGHT-003
INSIGHT-003 is an active trial that has completed patient recruitment. This investigator-initiated Phase I trial is a multicentre study being conducted by the Institute of Clinical Cancer Research IKF at Krankenhaus Nordwest in Frankfurt. It is being run as the third arm (Stratum C) of the ongoing Phase 1 INSIGHT trial with Prof. Dr. Salah-Eddin Al-Batran as lead investigator. INSIGHT-003 is the first trial evaluating Immutep’s lead product candidate, eftilagimod alfa (efti/IMP321), as part of a triple combination therapy with standard-of-care anti-PD-1 therapy and doublet chemotherapy (carboplatin/pemetrexed) in advanced first line non-squamous non-small cell lung cancer.
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INSIGHT-005
INSIGHT-005 is an active trial that is recruiting patients. This is an investigator-initiated, open-label Phase I study being conducted by the Institute of Clinical Cancer Research IKF at Krankenhaus Nordwest in Frankfurt that is evaluating the safety and efficacy of Immutep’s lead product candidate, efti, in combination with avelumab (BAVENCIO®) in up to 30 patients with metastatic urothelial cancer. This Phase I trial is Immutep’s second collaboration with Merck KGaA, Darmstadt, Germany, which builds on the encouraging clinical data previously reported from INSIGHT-004 in multiple solid tumour indications.
BAVENCIO® is a checkpoint inhibitor owned by Merck KGaA, Darmstadt, Germany, that works by targeting and blocking a protein called PD-L1 on the surface of cancer cells and certain immune cells, activating the cells to find and kill cancer cells. It is approved as a monotherapy for first-line maintenance treatment for adult patients with advanced urothelial carcinoma that has not progressed with first-line platinum-containing chemotherapy in more than 60 countries around the world. Under the Agreement, Immutep and Merck KGaA, Darmstadt, Germany will jointly fund the INSIGHT-005 study.
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INSIGHT-004
INSIGHT-004 is a completed trial that was the 4th arm (Stratum D) of the investigator-initiated INSIGHT Phase I clinical trial conducted by the Institute of Clinical Cancer Research IKF at Krankenhaus Nordwest in Frankfurt. It was conducted under lmmutep’s clinical trial collaboration and supply agreement with Merck KGaA, Darmstadt, Germany and Pfizer Inc., and evaluated the combination of efti with avelumab, a human anti-PD-L1 antibody, in 12 patients with advanced solid malignancies. Immutep reported final encouraging data from INSIGHT-004 at the European Society For Medical Oncology (ESMO).
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AIPAC-003
AIPAC-003 (Active Immunotherapy and PAClitaxel) is an active trial that has completed patient recruitment. This is an integrated Phase II/III trial to evaluate eftilagimod alfa (“efti”) in combination with paclitaxel for the treatment of metastatic HER2-neg/low breast cancer (MBC) and triple-negative breast cancer, an aggressive cancer with limited treatment options. Depending on the Phase II results, potential regulatory actions and resources, a randomized, double-blinded, placebo-controlled Phase III portion will then follow.
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EFTISARC-NEO
EFTISARC-NEO is an active trial that has completed patient recruitment. This open-label Phase II trial is evaluating efti in combination with pembrolizumab and radiotherapy in soft tissue sarcoma (STS) patients in the neoadjuvant (prior to surgery) setting. The investigator-initiated study is primarily funded by the Maria Skłodowska-Curie National Research Institute of Oncology with an approved grant from the Polish government awarded by the Polish Medical Research Agency program.
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Autoimmune Diseases
IMP761 Phase I
IMP761 is a first-in-class immunosuppressive lymphocyte-activation gene-3 (LAG-3) agonist antibody being evaluated in a placebo-controlled, double-blind first-in-human Phase I study. The study is actively recruiting participants and is being conducted by the Centre for Human Drug Research (CHDR), a world-class institute in Leiden, The Netherlands, specializing in cutting-edge early-stage clinical drug research. The study aims to assess the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) in healthy volunteers.
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IMP731
IMP731 is Immutep’s LAG-3 depleting antibody that eliminates T cells to combat autoimmune diseases. This clinical-stage asset has been tested in a Phase II in active ulcerative colitis and a Phase I/Ib trial in psoriasis.
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