Baseline tumor-immune signatures associated with response to bempegaldesleukin (NKTR-214) and nivolumab.

Authors

null

Michael E. Hurwitz

Yale School of Medicine, New Haven, CT

Michael E. Hurwitz , Daniel C. Cho , Arjun Vasant Balar , Brendan D. Curti , Arlene O. Siefker-Radtke , Mario Sznol , Harriet M. Kluger , Chantale Bernatchez , Christie Fanton , Ernesto Iacucci , Yi Liu , Tuan Nguyen , Willem Overwijk , Jonathan Zalevsky , Mary Ann Tagliaferri , Ute Hoch , Adi Diab

Organizations

Yale School of Medicine, New Haven, CT, Perlmutter Cancer Center New York University Langone Health, New York, NY, Perlmutter Cancer Center at NYU Langone Health, New York, NY, Earle A. Chiles Research Institute at Robert W. Franz Cancer Center, Providence Cancer Institute, Portland, OR, The University of Texas MD Anderson Cancer Center, Houston, TX, Yale School of Medicine and Smilow Cancer Center, Yale New Haven Hospital, New Haven, CT, Nektar Therapeutics, San Francisco, CA

Research Funding

Pharmaceutical/Biotech Company

Background: PIVOT-02 is an ongoing phase 1/2 study of bempegaldesleukin (NKTR-214), a CD122-preferential IL-2 pathway agonist, plus nivolumab in patients with advanced solid tumors. Bempegaldesleukin (NKTR-214) increases proliferative tumor infiltrating lymphocytes (TIL) and cell surface PD-1 on immune cells and PD-L1 on tumor cells, demonstrating potential synergy with anti-PD-1 therapy. Pre-treatment tumor biopsies from metastatic 1L melanoma (MEL) and urothelial carcinoma (UC) patients were analyzed to correlate baseline immune phenotype to response. Methods: Pre-treatment TIL (CD8+ T cells/mm2 and %CD3+ by IHC; 29 MEL; 22 UC) were measured and divided into high and low groups based on median values. PD-L1 (% PD-L1 on tumor cells by IHC [28-8 PharmDx]; 33 MEL; 23 UC) was scored negative (<1%) or positive (≥1%). Interferon gamma gene score (IFNG; 11 MEL) was scored as high or low based on median p value of <0.1 for 15 genes (EdgeSeq). High and low groups were correlated with responses per RECIST 1.1. Results: Baseline demographics and prognostic factors were balanced in the biomarker subgroups. Response rates for response evaluable MEL and UC were 53% (SITC 2018) and 48% (ASCO-GU 2019), respectively. In MEL, median values of CD3-TIL and CD8-TIL were 19% and 203 cells/mm2, respectively. Response rate correlations were 67% and 20% with IFNG high and low, 79% and 29% with CD3-TIL high and low, 79% and 33% with CD8-TIL high and low, and 68% and 43% with PD-L1 positive and negative. Most importantly, responses were observed in patients with the least favorable tumor microenvironment, characterized as both PD-L1 negative and TIL low, with responses of 17% (1/6 CD8-TIL), and 25% (2/8 CD3-TIL), respectively. Similar correlative trends were observed in UC, with 50% (4/8 CD8-TIL) and 38% (3/8 CD3-TIL) responses in patients with least favorable microenvironment. Conclusions: The biomarker program included in PIVOT-02 identified baseline immune signatures correlated with response for MEL and UC. The response rates observed in both the favorable and unfavorable tumor microenvironments indicate the potential of this combination and support its broad development. Clinical trial information: NCT02983045

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2019 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Developmental Immunotherapy and Tumor Immunobiology

Track

Developmental Therapeutics—Immunotherapy

Sub Track

Tissue-Based Biomarkers

Clinical Trial Registration Number

NCT02983045

Citation

J Clin Oncol 37, 2019 (suppl; abstr 2623)

DOI

10.1200/JCO.2019.37.15_suppl.2623

Abstract #

2623

Poster Bd #

267

Abstract Disclosures