RE: Iovances Amtagvi FDA approval first cell therapy solid tumour19 Feb 2024 17:05
Desouzaa -
I'm not sure whether that was actually a rhetorical question , but in case it wasn't, no the patients aren't the same. The lovance trial was run in a different setting to the SCIB1 trial and so it's not possible to compare the results. The SCIB1 study is in patients being treated with the Opdivo/Yervoy combination as a first line therapy and the patients haven't received any previous treatments for advanced melanoma. The lovance trial is in patients who have previously been treated with anti PD-1/targeted therapy but have still progressed. I think I read somewhere that on average the lovance patients had already undergone and failed on 3 prior lines of treatment and so really were out of all options.
It's makes a big difference when looking at results. With Scancell's trial we know that around 40% to 50% of patients will respond to the checkpoint inhibitors alone and the aim is to improve that response rate to at least 70% by adding SCIB1. So far the results have been fabulous and they are comfortably exceeding that target. However, given that the lovance trial is in a tougher setting and that patients have already failed on PD-1 therapy, a 31% response rate is also impressive.
Worth noting that lovance have received accelerated approval from the FDA and need to back up the results with a confirmatory trial which I think is ongoing. It will be interesting to see if that trial produces good enough results to maintain the marketing approval. Also and in the meantime how well lovance are able to commercialise Amtagvi and how it performs in the real world setting, especially in terms of safety.