– 88% of patients with advanced stage classical
Hodgkin Lymphoma in trial remained progression free at 24 months
–
– Investigational regimen that eliminates two
commonly used chemotherapy agents, vinblastine and bleomycin,
continues to show consistent safety and tolerability profile, with
no cases of febrile neutropenia and no new safety signals observed
–
Seagen Inc. (NASDAQ: SGEN) today announced that clinically
meaningful progression-free survival (PFS), a secondary endpoint,
was observed in a Phase 2 study evaluating the antibody-drug
conjugate (ADC) ADCETRIS® (brentuximab vedotin) in combination with
the PD-1 inhibitor nivolumab and standard chemotherapy agents
doxorubicin and dacarbazine (AN+AD) as first-line treatment for
early and advanced stage classical Hodgkin lymphoma (cHL). This is
the first time 12-month PFS results were presented for the
treatment combination, which avoids use of vinblastine and
bleomycin in patients with early stage cHL. Results from the trial,
called SGN35-027, were presented in an oral session at the 65th
American Society of Hematology Annual Meeting & Exposition in
San Diego.
“Hodgkin lymphoma commonly strikes young adults, and our goal is
to achieve the highest cure rate possible while reducing treatment
and toxicity burden,” said Jeremy Abramson, M.D., Director, Jon and
Jo Ann Hagler Center for Lymphoma at Massachusetts General
Hospital, and principal investigator of the part of the trial that
evaluated patients with early stage cHL. “These data show
encouraging activity and safety for combining an ADC and
immunotherapy, two medicines that have distinct and complementary
mechanisms of action, allowing reduced reliance on traditional
cytotoxic chemotherapies.”
“These data continue to demonstrate favorable clinical outcomes
of an ADCETRIS plus nivolumab immunotherapy combination that
reduces chemotherapy treatment burden and warrant further study,”
said Roger Dansey, M.D., President, Research and Development and
Chief Medical Officer at Seagen.
Oral #611: Brentuximab vedotin, nivolumab, doxorubicin, and
dacarbazine (AN+AD) for early-stage classical Hodgkin lymphoma:
Updated results reporting progression-free survival in an ongoing
Phase 2 study (SGN35-027 Part C)
SGN35-027 Part C is investigating the novel ADCETRIS combination
in 154 patients with early stage (non-bulky Stage I or II) cHL.
- Among 150 efficacy-evaluable patients, 98% had an overall
response (OR) (95% CI: 94.3, 99.6) and 93% had a complete response
(CR) (95% CI:88.1, 96.8) at the end of treatment.
- 99% of patients who responded (95% CI: 95.0, 99.9) had a
duration of response (DOR) beyond 12 months; 98% of patients who
had a complete response (95% CI: 93.7, 99.6) had a duration of CR
(DOCR) beyond 12 months.
- The PFS rate was 100% (95% CI: 100, 100) at 12 months and 97%
(95% CI: 90.3, 99.1) at 18 months.
- The most frequently reported treatment-emergent adverse events
(TEAEs) Grade 3 or higher were neutropenia (9%), increased alanine
aminotransferase (7%), and increased aspartate aminotransferase
(5%).
- Peripheral sensory neuropathy was primarily low grade (3% Grade
≥3).
- There were no cases of febrile neutropenia and no deaths.
- Treatment-emergent immune-mediated adverse events (IMAEs) were
primarily low-grade and consistent with the individual safety
profile of nivolumab.
Oral #608: Brentuximab vedotin, nivolumab, doxorubicin, and
dacarbazine for advanced stage classical Hodgkin lymphoma: Updated
efficacy and safety results from the single arm Phase 2 study
(SGN35-027 Part B)
SGN35-027 Part B is investigating the novel ADCETRIS combination
in 57 patients with advanced-stage cHL (Stage II with bulky
disease, Stage III or IV).
- Among 56 efficacy-evaluable patients, 95% had an OR (95% CI:
85.1, 98.9) and 89% had a CR (95% CI: 78.1, 96.0).
- 88% of patients who responded (95% CI: 75.7, 94.6) had a DOR
beyond 24 months; 88% of patients who had a CR (95% CI: 76.0, 94.6)
had a DOCR beyond 24 months.
- The estimated PFS rate at 24 months was 88% (95% CI: 75.7,
94.6), with a median follow-up of 24.2 months (95% CI: 23.4,
26.9).
- The most frequently reported TEAEs Grade 3 or higher were
increased alanine aminotransferase (11%) and neutropenia (9%).
- Peripheral sensory neuropathy was primarily low grade (4% Grade
≥3).
- No febrile neutropenia and no deaths were reported.
- IMAEs were primarily low-grade and consistent with the
individual safety profile of nivolumab. No subsequent radiation
therapy was given to patients.
ADCETRIS is a proven foundation of care for CD30-expressing
lymphomas with more than 120,000 patients treated globally across
seven indications. In combination with Adriamycin, vinblastine and
dacarbazine (AVD) chemotherapy, ADCETRIS is the first medicine to
include overall survival data in its Prescribing Information for
previously untreated Stage III/IV cHL.1
Please see Important Safety Information, including a
BOXED WARNING for progressive multifocal
leukoencephalopathy (PML), for ADCETRIS below.
About SGN35-027
SGN35-027 is an ongoing open-label, multiple part, multicenter,
single-arm Phase 2 clinical trial evaluating brentuximab vedotin
treatment combinations in patients with early- and advanced-stage
cHL. Parts B and C of the trial are investigating brentuximab
vedotin in combination with the PD-1 inhibitor nivolumab and
chemotherapy agents doxorubicin and dacarbazine. Part B is
evaluating the combination in patients with stage II bulky
(mediastinal mass ≥10 cm), Stage III
or IV cHL. Part C is evaluating the combination in patients with
Stage I or II cHL without bulky mediastinal disease (<10 cm).
The primary endpoint for Parts B and C is the proportion of
participants with complete response at end of treatment according
to the Lymphoma Response to Immunomodulatory Therapy Criteria
(LYRIC).
About Hodgkin Lymphoma
Lymphoma is a general term for a group of cancers that originate
in the lymphatic system affecting a type of white blood cell called
lymphocytes. There are two major categories of lymphoma: Hodgkin
lymphoma and non-Hodgkin lymphoma. Hodgkin lymphoma is
distinguished by the presence of Reed-Sternberg cells that usually
have a protein called CD30 on their surface. Approximately 8,830
cases of classical Hodgkin lymphoma will be diagnosed in the United
States during 2023 and 900 people will die from the disease.2
According to the International Agency for Research on Cancer in
2020, over 83,000 people worldwide were diagnosed with Hodgkin
lymphoma and approximately 23,000 people died from this
cancer.3
About ADCETRIS
ADCETRIS is an antibody-drug conjugate (ADC) comprised of a
CD30-directed monoclonal antibody attached by a protease-cleavable
linker to a microtubule disrupting agent, monomethyl auristatin E
(MMAE), utilizing Seagen's proprietary technology. The ADC employs
a linker system that is designed to be stable in the bloodstream
but to release MMAE upon internalization into CD30-positive tumor
cells.
ADCETRIS is approved for seven indications in the U.S.:
- Pediatric patients 2 years and older with previously untreated
high risk cHL in combination with doxorubicin, vincristine,
etoposide, prednisone and cyclophosphamide (2022)
- Adult patients with previously untreated Stage III/IV cHL in
combination with doxorubicin, vinblastine, and dacarbazine
(2018)
- Adult patients with previously untreated systemic anaplastic
large cell lymphoma (sALCL) or other CD30-expressing peripheral
T-cell lymphomas (PTCL), including angioimmunoblastic T-cell
lymphoma and PTCL not otherwise specified, in combination with
cyclophosphamide, doxorubicin, and prednisone (2018)
- Adult patients with primary cutaneous anaplastic large cell
lymphoma (pcALCL) or CD30-expressing mycosis fungoides (MF) after
prior systemic therapy (2017) Adult patients with cHL at high risk
of relapse or progression as post-autologous hematopoietic stem
cell transplantation (auto-HSCT) consolidation (2015)
- Adult patients with sALCL after failure of at least one prior
multi-agent chemotherapy regimen. (2011)
- Adult patients with cHL after failure of auto-HSCT or after
failure of at least two prior multi-agent chemotherapy regimens in
patients who are not auto-HSCT candidates (2011)
ADCETRIS has marketing authorization in more than 70 countries
for relapsed or refractory Hodgkin lymphoma and systemic anaplastic
large cell lymphoma.
Seagen and Takeda jointly develop ADCETRIS. Under the terms of
the collaboration agreement, Seagen has U.S. and Canadian
commercialization rights, and Takeda has rights to commercialize
ADCETRIS in the rest of the world. Seagen and Takeda are funding
joint development costs for ADCETRIS on a 50:50 basis, except in
Japan where Takeda is solely responsible for development costs.
ADCETRIS (brentuximab vedotin) for injection U.S. Important
Safety Information
BOXED WARNING
PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY (PML): JC virus
infection resulting in PML and death can occur in ADCETRIS-treated
patients.
CONTRAINDICATION
Contraindicated with concomitant bleomycin due to pulmonary
toxicity (e.g., interstitial infiltration and/or inflammation).
WARNINGS AND PRECAUTIONS
Peripheral neuropathy (PN): ADCETRIS causes PN that is
predominantly sensory. Cases of motor PN have also been reported.
ADCETRIS-induced PN is cumulative. Monitor for symptoms such as
hypoesthesia, hyperesthesia, paresthesia, discomfort, a burning
sensation, neuropathic pain, or weakness. Patients experiencing new
or worsening PN may require a delay, change in dose, or
discontinuation of ADCETRIS.
Anaphylaxis and infusion reactions: Infusion-related
reactions (IRR), including anaphylaxis, have occurred with
ADCETRIS. Monitor patients during infusion. If an IRR occurs,
interrupt the infusion and institute appropriate medical
management. If anaphylaxis occurs, immediately and permanently
discontinue the infusion and administer appropriate medical
therapy. Premedicate patients with a prior IRR before subsequent
infusions. Premedication may include acetaminophen, an
antihistamine, and a corticosteroid.
Hematologic toxicities: Fatal and serious cases of
febrile neutropenia have been reported with ADCETRIS. Prolonged (≥1
week) severe neutropenia and Grade 3 or 4 thrombocytopenia or
anemia can occur with ADCETRIS.
Administer G-CSF primary prophylaxis beginning with Cycle 1 for
adult patients who receive ADCETRIS in combination with
chemotherapy for previously untreated Stage III/IV cHL or
previously untreated PTCL, and pediatric patients who receive
ADCETRIS in combination with chemotherapy for previously untreated
high risk cHL.
Monitor complete blood counts prior to each ADCETRIS dose.
Monitor more frequently for patients with Grade 3 or 4 neutropenia.
Monitor patients for fever. If Grade 3 or 4 neutropenia develops,
consider dose delays, reductions, discontinuation, or G-CSF
prophylaxis with subsequent doses.
Serious infections and opportunistic infections:
Infections such as pneumonia, bacteremia, and sepsis or septic
shock (including fatal outcomes) have been reported in
ADCETRIS-treated patients. Closely monitor patients during
treatment for infections.
Tumor lysis syndrome: Patients with rapidly proliferating
tumor and high tumor burden may be at increased risk. Monitor
closely and take appropriate measures.
Increased toxicity in the presence of severe renal
impairment: The frequency of ≥Grade 3 adverse reactions and
deaths was greater in patients with severe renal impairment. Avoid
use in patients with severe renal impairment.
Increased toxicity in the presence of moderate or severe
hepatic impairment: The frequency of ≥Grade 3 adverse reactions
and deaths was greater in patients with moderate or severe hepatic
impairment. Avoid use in patients with moderate or severe hepatic
impairment.
Hepatotoxicity: Fatal and serious cases have occurred in
ADCETRIS-treated patients. Cases were consistent with
hepatocellular injury, including elevations of transaminases and/or
bilirubin, and occurred after the first ADCETRIS dose or
rechallenge. Preexisting liver disease, elevated baseline liver
enzymes, and concomitant medications may increase the risk. Monitor
liver enzymes and bilirubin. Patients with new, worsening, or
recurrent hepatotoxicity may require a delay, change in dose, or
discontinuation of ADCETRIS.
PML: Fatal cases of JC virus infection resulting in PML
have been reported in ADCETRIS-treated patients. First onset of
symptoms occurred at various times from initiation of ADCETRIS,
with some cases occurring within 3 months of initial exposure. In
addition to ADCETRIS therapy, other possible contributory factors
include prior therapies and underlying disease that may cause
immunosuppression. Consider PML diagnosis in patients with
new-onset signs and symptoms of central nervous system
abnormalities. Hold ADCETRIS if PML is suspected and discontinue
ADCETRIS if PML is confirmed.
Pulmonary toxicity: Fatal and serious events of
noninfectious pulmonary toxicity, including pneumonitis,
interstitial lung disease, and acute respiratory distress syndrome,
have been reported. Monitor patients for signs and symptoms,
including cough and dyspnea. In the event of new or worsening
pulmonary symptoms, hold ADCETRIS dosing during evaluation and
until symptomatic improvement.
Serious dermatologic reactions: Fatal and serious cases
of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis
(TEN) have been reported with ADCETRIS. If SJS or TEN occurs,
discontinue ADCETRIS and administer appropriate medical
therapy.
Gastrointestinal (GI) complications: Fatal and serious
cases of acute pancreatitis have been reported. Other fatal and
serious GI complications include perforation, hemorrhage, erosion,
ulcer, intestinal obstruction, enterocolitis, neutropenic colitis,
and ileus. Lymphoma with preexisting GI involvement may increase
the risk of perforation. In the event of new or worsening GI
symptoms, including severe abdominal pain, perform a prompt
diagnostic evaluation and treat appropriately.
Hyperglycemia: Serious cases, such as new-onset
hyperglycemia, exacerbation of preexisting diabetes mellitus, and
ketoacidosis (including fatal outcomes) have been reported with
ADCETRIS. Hyperglycemia occurred more frequently in patients with
high body mass index or diabetes. Monitor serum glucose and if
hyperglycemia develops, administer anti-hyperglycemic medications
as clinically indicated.
Embryo-fetal toxicity: Based on the mechanism of action
and animal studies, ADCETRIS can cause fetal harm. Advise females
of reproductive potential of this potential risk, and to use
effective contraception during ADCETRIS treatment and for 2 months
after the last dose of ADCETRIS. Advise male patients with female
partners of reproductive potential to use effective contraception
during ADCETRIS treatment and for 4 months after the last dose of
ADCETRIS.
ADVERSE REACTIONS
The most common adverse reactions (≥20% in any study) are
peripheral neuropathy, fatigue, nausea, diarrhea, neutropenia,
upper respiratory tract infection, pyrexia, constipation, vomiting,
alopecia, decreased weight, abdominal pain, anemia, stomatitis,
lymphopenia, mucositis, thrombocytopenia, and febrile
neutropenia.
DRUG INTERACTIONS
Concomitant use of strong CYP3A4 inhibitors has the potential to
affect the exposure to monomethyl auristatin E (MMAE). Closely
monitor adverse reactions.
USE IN SPECIAL POPULATIONS
Lactation: Breastfeeding is not recommended during
ADCETRIS treatment.
Please see the full Prescribing Information, including BOXED
WARNING, for ADCETRIS here.
About Seagen
Founded 25 years ago, Seagen Inc. is a global biotechnology
company that discovers, develops, manufactures and commercializes
targeted cancer therapeutics, with antibody-drug conjugates (ADCs)
at our core. Our colleagues work together with urgency to improve
and extend the lives of people living with cancer. An ADC
technology trailblazer, approximately one-third of FDA-approved and
marketed ADCs use Seagen technology. Seagen is headquartered in
Bothell, Washington and has locations in California, Canada,
Switzerland and across Europe. For additional information, visit
seagen.com and follow us on X and LinkedIn.
Forward-Looking Statements
Certain statements made in this press release are forward
looking, such as those, among others, relating to the therapeutic
potential of ADCETRIS, alone or in combination; its safety,
efficacy and therapeutic uses; and planned and ongoing clinical
trials. Actual results or developments may differ materially from
those projected or implied in these forward-looking statements.
Factors that may cause such a difference include, without
limitation, the risk of delays, setbacks or failures in product
development activities, even after encouraging results in
earlier-stage trials, for a variety of reasons, including without
limitation the difficulty and uncertainty of pharmaceutical product
development, the possibility that clinical results may not support
continued development or regulatory approvals, the risk of adverse
events or safety signals, and the possibility of adverse regulatory
actions. More information about the risks and uncertainties faced
by Seagen is contained under the caption “Risk Factors” included in
Seagen’s Quarterly Report on Form 10-Q for the quarter ended
September 30, 2023, and Seagen’s subsequent reports, filed with the
Securities and Exchange Commission. Seagen disclaims any intention
or obligation to update or revise any forward-looking statements,
whether as a result of new information, future events or otherwise
except as required by applicable law.
1 ADCETRIS [package insert]. Bothell, WA: Seagen Inc. 2 American
Cancer Society. Key Statistics for Hodgkin Lymphoma.
https://www.cancer.org/cancer/hodgkin-lymphoma/about/key-statistics.html.
Accessed November 2023. 2 International Agency for Research on
Cancer. Hodgkin Lymphoma.
https://gco.iarc.fr/today/data/factsheets/cancers/33-Hodgkin-lymphoma-fact-sheet.pdf.
Accessed November 2023.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20231210494461/en/
For Media David Caouette (310) 430-3476 dcaouette@seagen.com
For Investors Douglas Maffei, Ph.D. (425) 527-4160
dmaffei@seagen.com
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