Atara Biotherapeutics Announces Completion of the ATA188 Phase 2 EMBOLD Study Interim Analysis in Patients with Progressive MS
Atara Biotherapeutics has announced that its Independent Data and Safety Monitoring Committee (IDSMC) recommended continuing the ATA188 Phase 2 study without adjusting the sample size. The IDSMC did not identify any safety concerns during its evaluation, focusing on the expanded disability status scale (EDSS) and biomarker data. The company achieved its target enrollment of 80 patients and anticipates sharing finalized results in October 2023.
- IDSMC recommended continuing the ATA188 study without sample size adjustment.
- No safety concerns were identified during the interim analysis.
- Target enrollment of 80 patients achieved for the EMBOLD study.
- Final results expected in October 2023.
- Insufficient data to confirm predictive value of 6-month EDSS improvement for 12-month outcomes.
Independent Data and Safety Monitoring Committee Recommends Continuing Study Without Sample Size Adjustment
IDSMC Did Not Identify Any Safety Concerns
Phase 2 Study Target Enrollment Achieved; Final Data and Communication Expected in
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The IA’s primary focus was on expanded disability status scale (EDSS) improvement at six months and overall safety, and also included evaluation of EDSS beyond six months for patients with longer treatment duration, as well as other available clinical data and magnetization transfer ratio (MTR) biomarker data. The IA was also designed to assess if a sample size increase was needed based on a conditional power modeling approach. The IA was planned to occur before enrolling patient 80 to enable an increased sample size if needed.
The main assessment at the EMBOLD IA was EDSS improvement at six months, which in the 24-patient open label Phase 1 study, appeared to be predictive of confirmed EDSS improvement at 12 months (the primary endpoint for the EMBOLD study). At the time of the EMBOLD IA, there were EDSS data on 34 patients evaluable at six months and 15 patients at 12 months (across both placebo and active groups with 1:1 randomization).
Based on the analysis of the EMBOLD data available at the time of the IA, there was not a sufficient dataset to draw conclusions about the predictive value of six months EDSS improvement for 12 months EDSS improvement. The IDSMC believes the six-month interim endpoint may be an inaccurate measure of the potential of this intervention in this condition. The IDSMC recommended continuing the study without sample size adjustment until the final analysis of the primary endpoint of confirmed EDSS improvement at 12 months.
“Following the EMBOLD IA, we are proceeding with the IDSMC’s recommendation that the study continue to completion without sample size adjustment,” said
After completing the IA in June, the target enrollment of 80 patients was achieved. Total enrollment will be higher as patients that were already in screening through the end of June will be allowed to continue the enrollment process. Final read out of the study primary endpoint of confirmed EDSS improvement at 12 months is planned to occur in
“We look forward to completing the EMBOLD study as we aspire to demonstrate a potentially transformative profile for ATA188 in patients with progressive MS who have high unmet need and limited options,” said
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Forward-Looking Statements
This press release contains or may imply "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. For example, forward-looking statements include statements regarding the potential benefits, safety and efficacy of ATA188; and the timing and progress of ATA188, including (i) regulatory designations for ATA188 granted by FDA and the impact thereof; (ii) the mechanistic link between EBV and multiple sclerosis and the ability of ATA188 to specifically target such link; (iii) data from ATA188 OLE study; (iv) ATA188 clinical trials, (v) the interim analysis for the EMBOLD study; (vi) the possibility of EDSS improvement at six months to be predictive of EDSS improvement at 12 months; and (vii) Atara’s ability to successfully advance the development of ATA188. Because such statements deal with future events and are based on Atara’s current expectations, they are subject to various risks and uncertainties and actual results, performance or achievements of Atara could differ materially from those described in or implied by the statements in this press release. These forward-looking statements are subject to risks and uncertainties, including, without limitation, risks and uncertainties associated with the costly and time-consuming pharmaceutical product development process and the uncertainty of clinical success; the ongoing COVID-19 pandemic and the current events involving
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