JINAN, China, June 6, 2024 /PRNewswire/ -- The 2024 American Society of Clinical Oncology (ASCO) Annual Meeting convened from May 31 to June 4, 2024 in Chicago, USA, adopting a hybrid format. Among the presented works, three clinical studies from Qilu Pharmaceutical were selected for poster sessions. These studies introduced novel immunotherapeutic agents, specifically QLF31907, a bispecific antibody targeting PD-L1/4-1BB; iparomlimab and tuvonralimab, a MabPair product targeting PD-1/CTLA-4; and iparomlimab, a monoclonal antibody targeting PD-1. The research involved treatments for advanced solid tumors and lymphoma, nasopharyngeal carcinoma, as well as solid tumors characterized by either DNA mismatch repair (dMMR) deficiency or high microsatellite instability (MSI-H). QLF31907, developed by Qilu Pharmaceutical, combines two mechanisms: blockade of PD-L1 to restore T-cell receptor (TCR) signaling, while binding to 4-1BB to provide costimulatory signals essential for T-cell activation. This dual-action mechanism fosters T-cell proliferation and activation, enhancing the anti-tumor immune response. The study, led by Professor Tongyu Lin from Sichuan Cancer Hospital, is a phase I dose-escalation/expansion trial focusing on QLF31907 (PD-1/4-1BB dual antibody) in patients with advanced solid tumors and lymphoma (Abstract No. 2534).
Iparomlimab and tuvonralimab, representing an innovative immunotherapeutic approach, comprises a unique combination of PD-1 antibody IgG4 and CTLA-4 antibody IgG1 in a predetermined ratio, with the latter engineered to have a reduced half-life. This allows sustaining normal PD-1 antibody levels in vivo while minimizing CTLA-4 antibody exposure and is a potential therapy with lower toxicity and improved tolerability. In the phase 1 study, iparomlimab and tuvonralimab exhibited encouraging anti-tumor activity in patients with advanced nasopharyngeal carcinoma. The ongoing multicenter, single-arm, phase II trial (DUBHE-N-302, Abstract No. 6026) led by Professor Yan Huang from Sun Yat-sen University Cancer Center, explores iparomlimab and tuvonralimab in combination with gemcitabine and cisplatin for the first-line treatment of recurrent or metastatic nasopharyngeal carcinoma.
QLF31907study, 29 patieQilu Pharmaceuticalwith 7 (24%) having a baseline ECOG PS PD-L1 of 1. AfterT-cell receptor (TCR)uration of 15.5 months, 18 (64-1BBatients reported grade 3-4 treatment-related adverse events (TRAEs), and the most common TRAE was neutrophil count decreased (41%). A total of 28 patients hadtumoreast 1 post-baseline tumor assessment. The objective response Sichuan Cancer HospitalCancer 82.1% (95% CI: 63.1%-93.9%). Median progression-free survival (mPFSQLF31907.5PD-1/4-1BB5% CI: 5.7-NE), and in 13 patientadvanced solid tumorsressilymphoma50), mPFS reached 16.2 months (95% CI: 9.9-NE). Median overall survival was not reached. The findings suggested that iparomlimab and tuvonralimab plus chemotherapy was well-tolerated and demonstrated promising anti-tumor activity in the first-line treatment of recurrent/metastatic nasopharyngeal carcinoma.