1-year progression-free survival (PFS) rate of 70% with induction of serum levels of WT1 Antigen-Specific
Immunoglobulin G (IgG) in 86% of patients treated with GPS in combination with programmed cell death protein-1 (PD-1)
inhibition
No serious adverse events observed
Data support continued development of GPS in combination with PD-1 inhibitors
NEW YORK, June 04, 2018 (GLOBE NEWSWIRE) -- SELLAS Life Sciences Group, Inc. (NASDAQ:SLS) (“SELLAS” or “the Company”) today
announces interim Phase 1 data of GPS in combination with nivolumab in patients with WT1+ ovarian cancer in second or third
remission after salvage chemotherapy at the 2018 American Society of Clinical Oncology (ASCO) Annual Meeting. The presentation, “A
phase I study of concomitant galinpepimut-S (GPS) in combination with nivolumab (nivo) in patients (pts) with WT1+ ovarian cancer
(OC) in second or third remission,” is being delivered by Roisin E. O’Cearbhaill, M.D., Gynecologic Medical Oncology Service,
Memorial Sloan Kettering Cancer Center, during the “Gynecologic Cancer” session from 1:15 to 4:45 p.m. CT. The primary endpoint of
the study is safety and assessment of toxicity, and treatment is continued until disease progression or toxicity. The secondary
endpoint is immune response, and the exploratory endpoints include landmark 1-year PFS rate compared to historical controls and
correlative analyses between clinical and immune responses.
Exploratory efficacy interim data from this open-label Phase 1 investigator-sponsored trial showed that GPS, when combined with
a PD-1 inhibitor, demonstrated PFS of 64% at one year in an intent to treat (ITT) group of 11 evaluable patients with WT1+ ovarian
cancer in second or greater remission. Among patients who received at least three doses of GPS in combination with nivolumab, PFS
at one year was 70% (7/10). The historical rates with best standard treatment do not exceed 50% in this disease setting. The
most common adverse events were Grade 1 or 2, including fatigue and injection site reactions. Dose limiting toxicity was observed
in one patient, following the second dose of the combination. No additional adverse event burden was observed for the combination
as compared to nivolumab monotherapy. WT1 is a tumor antigen that is expressed in about half of ovarian cancers. The
combination induced a high frequency of T- and B-cell immune responses.
Based on these safety, clinical activity and immunogenicity data, SELLAS expects to initiate a Phase 1/2 clinical study of GPS
in combination with the PD-1 inhibitor pembrolizumab in a variety of tumor types, including WT1+ ovarian cancer in the third
quarter of 2018.
“Patients with advanced relapsed ovarian cancer, in which WT1 is highly expressed, have few treatment options with limited
efficacy,” said Angelos Stergiou, MD, ScD h.c., President & Chief Executive Officer of SELLAS. “The interim data being presented
today further support the therapeutic potential of GPS in high-risk cancer populations, including ovarian cancer. In this Phase 1
trial, the combination of GPS and nivolumab showed promising clinical and immune response activity with no additional adverse event
burden as compared to nivolumab monotherapy, warranting further evaluation. These data bolster our commitment to developing GPS,
alone and in combination, across a wide range of cancers, and we look forward to initiating our Phase 1/2 basket trial
investigating the combination of GPS with pembrolizumab in five WT1+ tumor types, including ovarian, small cell lung, colorectal
and triple negative breast cancer and acute myeloid leukemia.”
Of the 11 patients evaluated:
- 7 patients were in second remission and 4 patients were in third remission
- 10 patients received six total doses of GPS (800 mcg) over 12 weeks in combination with seven infusions of I.V. nivolumab (3
mg/kg) over 14 weeks
- all underwent toxicity assessments with each dose of GPS, and three weeks after the completion of therapy at Week 15.
Non-progressors at Week 15 were permitted to receive four additional GPS doses, administered every eight weeks.
With regard to clinical and immune responses:
- in 11 evaluable patients, the landmark 1-year PFS rate was 64% in the ITT group and 70% in the ten patients who received at
least three doses of GPS + nivolumab. Historical rates do not exceed 50% in this disease setting
- serum levels of antigen-specific IgG, against both individual WT1 peptides within GPS and the full-length WT1 protein, were
induced in 86% of patients
- achievement of high titers of WT1-specific IgG post-GPS results from Immunoglobulin (Ig) M to IgG class switching, the latter
being a surrogate marker of induction of activated T-helper (Th) cells after vaccination
- antigen-specific T-cell responses to individual WT1 peptides were observed between Weeks 6-15, primarily CD4 T-cells and, to
a smaller extent, CD8 T-cells
“Effective consolidation or maintenance strategies are needed to prevent further recurrence or to prolong remission in patients
with ovarian cancer after successful salvage from a previous relapse. In this setting, immune-directed therapy with a combination
of blocker nivolumab and GPS, a multivalent, heteroclitic peptide vaccine targeting WT1, an antigen expressed in about half of
ovarian cancers, led to high rates of antigen-specific immunization. We anticipate that this enhanced immunogenicity will translate
into a reduction in relapses in larger studies,” mentioned Dr. O’Cearbhaill. She added “these encouraging interim data suggest that
the combination of GPS plus PD-1 inhibitors deserves further study in WT1+ ovarian cancer.”
About Galinpepimut-S (GPS):
GPS is a heteroclitic multivalent, multi-peptide cancer immunotherapeutic agent composed of four peptides, addressing over 20
epitopes, and derived from the WT1 protein, which has been ranked by the National Cancer Institute as a top priority among cancer
antigens for immunotherapy. Importantly, because the WT1 antigen is overexpressed in many malignancies, and is not found in
most normal tissues, GPS has the potential to be a broad immunotherapy, effective across a multitude of diverse cancer types and
patient populations.
About SELLAS:
SELLAS is a clinical-stage biopharmaceutical company focused on novel cancer immunotherapeutics for a broad range of cancer
indications. SELLAS’ lead product candidate, galinpepimut-S (GPS), is licensed from Memorial Sloan Kettering Cancer Center and
targets the Wilms Tumor 1 (WT1) protein, which is present in an array of tumor types. GPS has potential as a monotherapy or
in combination to address a broad spectrum of hematologic malignancies and solid tumor indications. SELLAS has Phase 3
clinical trials planned (pending funding availability) for GPS in two indications, acute myeloid leukemia (AML) and malignant
pleural mesothelioma (MPM) and is also developing GPS as a potential treatment for multiple myeloma (MM) and ovarian cancer.
SELLAS plans to study GPS in up to four additional indications. SELLAS has received Orphan Drug designations for GPS from the
U.S. Food & Drug Administration (FDA) for AML, MPM, and MM, as well as from the European Medicines Agency, for AML and MPM; GPS
also received Fast Track designation for AML and MPM from the FDA. SELLAS’ second product candidate, NeuVax™ (nelipepimut-S), is a
HER2-directed cancer immunotherapy being investigated for the prevention of the recurrence of breast cancer after standard of care
treatment in the adjuvant setting. NeuVax™ has received Fast Track status designation by FDA for the treatment of patients with
early stage breast cancer with low to intermediate HER2 expression, otherwise known as HER2 1+ or 2+, following standard of
care.
For more information on SELLAS, please visit www.sellaslifesciences.com.
Forward-Looking Statements
This press release contains forward-looking statements, including, but not limited to, statements related to the results of
clinical studies and as to further development of GPS for ovarian cancer as well as for a broad range of cancer indications,
including the timing of clinical trials. These forward-looking statements are based on current plans, objectives, estimates,
expectations and intentions, and inherently involve significant risks and uncertainties. Actual results and the timing of events
could differ materially from those anticipated in such forward-looking statements as a result of these risks and uncertainties,
which include, without limitation, risks and uncertainties associated with immune-oncology product development and clinical success
thereof, the uncertainty of regulatory approval, and other risks and uncertainties affecting SELLAS and its development programs.
These risks and uncertainties are described more fully in SELLAS’ Annual Report on Form 10-K and other filings with the Securities
and Exchange Commission. Other risks and uncertainties of which SELLAS is not currently aware may also affect SELLAS’
forward-looking statements. The forward-looking statements herein are made only as of the date hereof. SELLAS undertakes no
obligation to update or supplement any forward-looking statements to reflect actual results, new information, future events,
changes in its expectations or other circumstances that exist after the date as of which the forward-looking statements were
made.
Investor Contact:
Will O’Connor
Stern Investor Relations, Inc.
212-362-1200
ir@sellaslife.com
David Moser, JD
Sellas Life Sciences Group
813-864-2571
info@sellaslife.com