Innate Pharma Highlights Durable Responses to Lacutamab in Sezary Syndrome and Mycosis Fungoides
- Long term follow-up data from the TELLOMAK Phase 2 trial in Sézary syndrome (SS) and mycosis fungoides (MF) will be presented at the ASCO Annual Meeting 2025.
- Long-term follow-up data from TELLOMAK study confirms the meaningful clinical activity in heavily pretreated SS patients with a global overall response rate (ORR) of 42.9% and an impressive median duration of response of 25.6 months.
- Data also confirms meaningful activity in heavily pretreated MF patients with a global ORR of 19.6% and confirms that the anti-tumor activity is observed in all patients (KIR3DL2 ≥1% or < 1% at baseline).
- These compelling data, in a patient population with multiple prior systemic treatments strongly support the development of lacutamab for MF and SS.
Lacutamab was recently granted Breakthrough Therapy Designation by the
As of
In addition, lacutamab was very well tolerated supporting the strong rationale for further investigations in combination beyond CTCL, especially in combination with other anti-lymphoma agents in peripheral T-cell lymphomas (PTCL).
“Patients with advanced mycosis fungoides and Sézary syndrome often face a poor prognosis and limited treatment options after multiple prior lines of therapy,” said Prof.
“The long-term follow-up data from the TELLOMAK clinical study confirms lacutamab’s meaningful clinical benefit in Sézary syndrome and mycosis fungoides and were the basis of the FDA Breakthrough Therapy Designation. We are encouraged by these results and are actively preparing a Phase 3 trial in collaboration with health authorities to bring this promising therapy to patients as swiftly as possible,” added Dr
1 Compared to results previously presented at ASH 2023 and ASCO 2024.
Efficacy results in SS patients (Data cut-off:
Best Response |
Global
|
in Skin
|
in Blood
|
in Lymph Nodes
|
CR (complete response), N (%) |
6 (9.5) |
9 (14.3) |
21 (33.3) |
9 (17.3) |
PR (partial response), N (%) |
21 (33.3) |
24 (38.1) |
11 (17.5) |
6 (11.5) |
SD (stable disease), N (%) |
28 (44.4) |
27 (42.9) |
26 (41.3) |
27 (51.9) |
PD (progressive disease), N (%) |
8 (12.7) |
3 (4.8) |
5 (7.9) |
6 (11.5) |
NE (not evaluable), N (%) |
0 |
0 |
0 |
4 (7.7) |
ORR, % [95% CI] |
42.9 [31.4-55.1] |
52.4 [40.3-64.2] |
50.8 [38.8-62.7] |
28.8 [18.3-42.3] |
Time to response, months, median (range) |
2.8 (1-10) |
|
|
|
DoR, months, median [95% CI] |
25.6 [11.0 – NE] |
|
|
|
PFS, months, median [95% CI] |
8.3 [5.1-18.7] |
|
|
|
Efficacy results in MF patients (Data cut-off:
Best Response |
All MF N=107 |
KIR3DL2 ≥1% N=48 |
KIR3DL2 <1% N=59 |
CR (complete response), N (%) |
3 (2.8) |
3 (6.3) |
0 (0.0) |
PR (partial response), N (%) |
18 (16.8) |
7 (14.6) |
11 (18.6) |
SD (stable disease), N (%) |
71 (66.4) |
30 (62.5) |
41 (69.5) |
PD (progressive disease), N (%) |
13 (12.1) |
6 (12.5) |
7 (11.9) |
ORR (Objective Response Rate), % [95%CI] Olsen 2011 |
19.6 [13.2, 28.1] |
20.8 [11.7, 34.3] |
18.6 [10.7, 30.4] |
ORR, % [95%CI] Olsen 2022 |
24.3 [17.2, 33.2] |
29.2 [18.2, 43.2] |
20.3 [12.0, 32.3] |
Time to response, months, median (range) |
2.8 (1-37) |
1.0 (1-5) |
2.8 (1-37) |
DoR, months, median [95% CI] |
13.8 [7.4, NE] |
13.8 [4.6, NE] |
15.7 [5.1, NE] |
PFS, months, median [95% CI] |
10.2 [8.0, 15.4] |
11.8 [5.6, 16.8] |
9.5 [6.5, 16.6]
|
Abstract details:
Abstract: 2522
Abstract Title: Lacutamab in patients with relapsed and refractory Sézary syndrome: Long term follow-up from the TELLOMAK phase 2 trial
Session Type: Poster Session
Session Title: Developmental Therapeutics—Immunotherapy
Session Date and Time:
Abstract: 2523
Abstract Title: Lacutamab in patients with relapsed and/or refractory mycosis fungoides: Long-term follow-up and translational data from the TELLOMAK phase 2 trial
Session Type: Poster Session
Session Title: Developmental Therapeutics—Immunotherapy
Session Date and Time:
About Lacutamab
Lacutamab is a first-in-class anti-KIR3DL2 humanized cytotoxicity-inducing antibody that is currently in clinical trials for treatment of cutaneous T-cell lymphoma (CTCL), an orphan disease, and peripheral T cell lymphoma (PTCL). Rare cutaneous lymphoma of T lymphocytes have a poor prognosis with few efficacious and safe therapeutic options at advanced stages.
KIR3DL2 is an inhibitory receptor of the KIR family, expressed by approximately 65% of patients across all CTCL subtypes and expressed by up to 90% of patients with certain aggressive CTCL subtypes, in particular, Sézary syndrome. KIR3DL2 is expressed in up to 50% of patients with mycosis fungoides and peripheral T-cell lymphoma (PTCL). It has a restricted expression on normal tissues.
Lacutamab has been granted
About TELLOMAK
TELLOMAK (NCT03902184) is a global, open-label, multi-cohort Phase 2 clinical trial in patients with Sézary syndrome and mycosis fungoides (MF) in
- Cohort 1: lacutamab being evaluated as a single agent in approximately 60 patients with Sézary syndrome who have received at least two prior systemic therapies, including mogamulizumab. The Sézary syndrome cohort of the study could enable the registration of lacutamab in this indication.
- Cohort 2: lacutamab being evaluated as a single agent in patients with MF that express KIR3DL2, as determined at baseline with a Simon 2-stage design.
- Cohort 3: lacutamab being evaluated as a single agent in patients with MF that do not express KIR3DL2, as determined at baseline, with a Simon-2 stage design.
- All comers: lacutamab being evaluated as a single agent in patients with both KIR3DL2 expressing and non-expressing MF to explore the correlation between the level of KIR3DL2 expression and treatment outcomes utilizing a formalin-fixed paraffin embedded (FFPE) assay under development as a companion diagnostic.
The trial is fully enrolled. The primary endpoint of the trial is objective global response rate. Key secondary endpoints are progression-free survival, duration of response, overall survival, quality of life, pharmacokinetics and immunogenicity and adverse events.
About
Innate’s portfolio includes several ANKET® drug candidates to address multiple tumor types as well as IPH4502, a differentiated ADC in development in solid tumors. In addition, anti-KIR3DL2 mAb lacutamab is developed in advanced form of cutaneous T cell lymphomas and peripheral T cell lymphomas, and anti-NKG2A mAb monalizumab is developed with AstraZeneca in non-small cell lung cancer.
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