TAK-659 in combination with NKTR-214 and anti-PD-1 therapy leads to complete and sustained tumor regression and immune memory in pre-clinical syngeneic models.

Authors

null

Jie Yu

Takeda Pharmaceuticals, Cambridge, MA

Jie Yu , Jessica Huck Sappal , Mengkun Zhang , Karuppiah Kannan , Jonathan Zalevsky

Organizations

Takeda Pharmaceuticals, Cambridge, MA, Takeda Pharmaceuticals International Co, Cambridge, MA, Takeda Pharmaceuticals, Cambridge, MA, US, Takeda Pharmaceuticals Inc, Cambridge, MA, Nektar Therapeutics, San Francisco, CA

Research Funding

Pharmaceutical/Biotech Company

Background: TAK-659 is a highly potent, reversible inhibitor of spleen tyrosine kinase (SYK) and fms related tyrosine kinase 3 (FLT3) that is being tested in combination with nivolumab in patients with advanced solid tumors (NCT02834247). NKTR-214, a CD-122-biased agonist that targets the IL-2 pathway, provides sustained signaling through the heterodimeric IL-2 receptor pathway (IL-2Rβɣ) to preferentially activate and expand NK and effector CD8+ T cells over T-regulatory cells in the tumor microenvironment, and is currently in multiple Phase I and II clinical trials in combination with checkpoint inhibitors (NCT02983045, NCT03138889). Treatment with TAK-659 in pre-clinical models resulted in a decrease in MDSCs and B220+ B-cells suggesting an immunomodulatory response, and the combination with anti-PD-1 therapy in pre-clinical in vivo models resulted in increased anti-tumor activity and durable complete responses. NKTR-214 monotherapy increases newly proliferative CD8+ T cells in tumors, increases cell surface PD-1 on immune cells and PD-L1 on tumor cells, and the combination with anti-PD-1 therapy shows marked efficacy in mouse syngeneic models. Methods: Here we explored the pre-clinical combination of TAK-659 with NKTR-214 in the presence or absence of anti-PD-1 therapy in multiple syngeneic tumor models. Results: TAK-659 in combination with NKTR-214 with or without anti-PD-1 therapy resulted in significant antitumor activity and durable complete tumor regressions. In the CT-26 murine colon cancer model, the TAK-659 + NKTR-214 or the triple combination with anti-PD-1 therapy resulted in 9 out of 10 mice having a maintained complete response (CR) 55 days post the end of treatment, versus 1 CR for TAK-659 or anti-PD-1 single agents, and none for NKTR-214 single agent. Complete responders, left untreated and re-challenged with another inoculation of tumor cells, did not form tumors, suggesting a potential immune memory. Conclusions: NKTR-214, TAK-659 and anti-PD-1 therapy bring together complementary non-overlapping mechanisms that create a promising potential therapy, supporting the rationale for examining the clinical combination.

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Abstract Details

Meeting

2018 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Developmental Therapeutics—Clinical Pharmacology and Experimental Therapeutics

Track

Developmental Therapeutics and Translational Research

Sub Track

Pharmacology

Citation

J Clin Oncol 36, 2018 (suppl; abstr 2567)

DOI

10.1200/JCO.2018.36.15_suppl.2567

Abstract #

2567

Poster Bd #

393

Abstract Disclosures