IO Biotech’s Cancer Vaccine Misses Trial ‘Significance’
IO Biotech is reporting that its investigational cancer vaccine Cylembio (imsapepimut and etimupepimut, adjuvanted), combined with Merck’s Keytruda (pembrolizumab), improved progression-free survival (PFS) compared with Keytruda alone in a pivotal Phase 3 trial for first-line treatment of advanced melanoma. While the results were clinically meaningful, according to IO Biotech, they narrowly missed the study’s pre-specified threshold on the endpoint’s statistical significance.
In the global trial of 407 patients, those who received the Cylembio-Keytruda combination achieved a median PFS of 19.4 months versus 11.0 months for Keytruda alone, the company says. Notably, in patients who had no prior anti–PD-1 therapy (n=371), the combination extended median PFS to 24.8 months compared with 11.0 months for the control arm, it says. The strongest benefit was seen in patients with PD-L1–negative tumors, where median PFS reached 16.6 months versus 3.0 months for Keytruda alone.
IO Biotech says the combination was well tolerated, with no new safety signals. The most common side effects in the combination arm were transient injection site reactions, reported in 56% of patients, it adds.
The company plans to meet with FDA this fall to discuss the data and potential next steps for submitting a BLA. Detailed study results will be presented at an upcoming medical meeting, it says.