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BriaCell Presents Unprecedented Overall Survival Data in Metastatic Breast Cancer in Spotlight Poster at 2024 SABCS®

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BriaCell Therapeutics (NASDAQ: BCTX) presented impressive Phase 2 clinical trial results for its Bria-IMT™ cancer immunotherapy at the 2024 SABCS®. The study showed a median overall survival of 13.4 months for Phase 2 patients treated with the Phase 3 formulation, doubling the survival rate compared to literature data. Notably, patients treated since 2022 achieved 15.6 months median survival.

The trial included 54 heavily pre-treated metastatic breast cancer patients, with 37 receiving the current Phase 3 formulation. Particularly significant was the 13.7 months median survival in patients with CNS metastasis. The treatment demonstrated strong safety with no toxicity-related discontinuations, and showed promising results especially in HER2+ and HR+/HER2- patient subsets.

BriaCell Therapeutics (NASDAQ: BCTX) ha presentato risultati impressionanti della fase 2 dello studio clinico per la sua immunoterapia contro il cancro Bria-IMT™ al 2024 SABCS®. Lo studio ha mostrato una sopravvivenza generale mediana di 13,4 mesi per i pazienti della fase 2 trattati con la formulazione della fase 3, raddoppiando il tasso di sopravvivenza rispetto ai dati della letteratura. È importante notare che i pazienti trattati dal 2022 hanno raggiunto una sopravvivenza mediana di 15,6 mesi.

La sperimentazione ha coinvolto 54 pazienti con cancro al seno metastatico con un elevato livello di pre-trattamento, di cui 37 hanno ricevuto l'attuale formulazione della fase 3. Particolarmente significativo è stato il tempo mediano di sopravvivenza di 13,7 mesi nei pazienti con metastasi CNS. Il trattamento ha dimostrato una forte sicurezza senza interruzioni correlate alla tossicità e ha mostrato risultati promettenti, in particolare nei sottogruppi di pazienti HER2+ e HR+/HER2-.

BriaCell Therapeutics (NASDAQ: BCTX) presentó resultados impresionantes del ensayo clínico de fase 2 para su inmunoterapia contra el cáncer Bria-IMT™ en el 2024 SABCS®. El estudio mostró una supervivencia general mediana de 13.4 meses para los pacientes de fase 2 tratados con la formulación de fase 3, duplicando la tasa de supervivencia en comparación con los datos de la literatura. Es notable que los pacientes tratados desde 2022 lograron una supervivencia mediana de 15.6 meses.

El ensayo incluyó a 54 pacientes con cáncer de mama metastásico con un alto grado de pretratamiento, de los cuales 37 recibieron la formulación actual de fase 3. Particularmente significativo fue el tiempo de supervivencia mediano de 13.7 meses en pacientes con metástasis CNS. El tratamiento demostró una fuerte seguridad sin interrupciones relacionadas con la toxicidad y mostró resultados prometedores, especialmente en los subgrupos de pacientes HER2+ y HR+/HER2-.

BriaCell Therapeutics (NASDAQ: BCTX)는 2024 SABCS®에서 Bria-IMT™ 암 면역 치료에 대한 2상 임상 시험의 인상적인 결과를 발표했습니다. 연구에 따르면, 3상 제형으로 치료받은 2상 환자들의 중위 생존 기간은 13.4개월로 나타났으며, 이는 문헌 데이터에 비해 생존율을 두 배로 늘린 것입니다. 특히 2022년부터 치료를 받은 환자들은 15.6개월의 중위 생존 기간을 기록했습니다.

이번 시험은 치료를 많이 받은 전이성 유방암 환자 54명을 포함했으며, 이 중 37명은 현재 3상 제형을 받았습니다. 특히 CNS 전이가 있는 환자의 중위 생존 기간은 13.7개월으로 상당히 중요했습니다. 이 치료는 독성 관련 중단 없이 강한 안전성을 입증했으며, 특히 HER2+ 및 HR+/HER2- 환자 아형에서 유망한 결과를 나타냈습니다.

BriaCell Therapeutics (NASDAQ: BCTX) a présenté des résultats impressionnants de l'essai clinique de phase 2 pour son immunothérapie contre le cancer Bria-IMT™ lors du 2024 SABCS®. L'étude a montré une survie globale médiane de 13,4 mois pour les patients de phase 2 traités avec la formulation de phase 3, doublant ainsi le taux de survie par rapport aux données littéraires. Il est à noter que les patients traités depuis 2022 ont atteint une survie médiane de 15,6 mois.

L'essai a inclus 54 patients atteints de cancer du sein métastatique ayant fortement prétraités, dont 37 ont reçu la formulation actuelle de phase 3. Particulièrement significatif était le temps de survie médian de 13,7 mois chez les patients avec métastases CNS. Le traitement a démontré une forte sécurité sans interruptions liées à la toxicité et a montré des résultats prometteurs, notamment dans les sous-groupes de patients HER2+ et HR+/HER2-.

BriaCell Therapeutics (NASDAQ: BCTX) hat beeindruckende Ergebnisse der Phase-2-Studie für seine Bria-IMT™ Krebsimmuntherapie auf dem 2024 SABCS® präsentiert. Die Studie zeigte eine medianen Gesamtüberlebenszeit von 13,4 Monaten für die Phase-2-Patienten, die mit der Phase-3-Formulierung behandelt wurden, was die Überlebensrate im Vergleich zu Literaturdaten verdoppelt. Besonders bemerkenswert ist, dass Patienten, die seit 2022 behandelt wurden, eine mediane Überlebenszeit von 15,6 Monaten erreichten.

Die Studie umfasste 54 stark vorbehandelte Patienten mit metastasiertem Brustkrebs, von denen 37 die aktuelle Phase-3-Formulierung erhielten. Besonders signifikant war die medianen Überlebenszeit von 13,7 Monaten bei Patienten mit CNS-Metastasen. Die Behandlung zeigte eine starke Sicherheit ohne disruptionsbedingte Toxizität, und die Ergebnisse waren vielversprechend, insbesondere bei den HER2+ und HR+/HER2- Patientenuntergruppen.

Positive
  • Doubled median overall survival (13.4 months) compared to literature data
  • 15.6 months median survival for patients treated since 2022
  • 13.7 months median survival in patients with CNS metastasis
  • No toxicity-related discontinuations reported
  • Strong clinical benefit in HER2+ and HR+/HER2- patient subsets
  • Successful identification of biomarkers to predict treatment outcomes
Negative
  • Final Phase 2 overall survival calculations still pending
  • patient sample size (54 patients total)

Insights

The Phase 2 trial results for Bria-IMT™ show remarkable promise with a median overall survival of 13.4 months using the Phase 3 formulation and even more impressively, 15.6 months for patients treated since 2022. This is particularly significant as it's double the survival rate reported in comparable literature. The treatment's efficacy in patients with CNS metastases, achieving a 13.7-month median survival, is especially noteworthy given the typically poor prognosis for these cases. The absence of toxicity-related discontinuations and positive responses across multiple breast cancer subtypes, particularly in HER2+ and HR+/HER2- patients, suggests a favorable safety profile and broad applicability.

The identification of predictive biomarkers, including DTH response and CTC levels, represents a significant advancement for patient selection and treatment optimization. The unique mechanism of Bria-IMT™ as a cell-based vaccine shows advantages over RNA and peptide-based alternatives, particularly in presenting a diverse antigen repertoire. The correlation between PD-L1 upregulation and improved clinical responses in combination with checkpoint inhibitors validates the treatment strategy. These findings substantially de-risk the ongoing Phase 3 trial and suggest potential for expanded applications beyond breast cancer, particularly in CNS metastases.
  • Median overall survival (OS) to date of 13.4 months for Phase 2 patients treated with the Phase 3 formulation (15.6 months for those treated since 2022), double that of comparable patients in the literature
  • Final Phase 2 OS calculation is pending as many patients remain alive well over 1 year after starting the study
  • Median OS of 13.7 months in breast cancer patients with central nervous system (CNS) metastasis treated with the Bria-IMT™ regimen alone or in combination with an immune check point inhibitor (CPI)
  • Five BriaCell posters (four today and one on Dec 13th) showcase robust survival and clinical benefit data, plus key biomarker data from Phase 2 trial of Bria-IMT™ in metastatic breast cancer (MBC)
  • Biomarkers identify patients who benefit from treatments with the Bria-IMT™ regimen
  • No toxicity related discontinuations

PHILADELPHIA and VANCOUVER, British Columbia, Dec. 11, 2024 (GLOBE NEWSWIRE) -- BriaCell Therapeutics Corp. (Nasdaq: BCTX, BCTXW) (TSX: BCT) (“BriaCell” or the “Company”), a clinical-stage biotechnology company that develops novel immunotherapies to transform cancer care, is pleased to showcase its impressive survival and clinical benefit data in MBC patients, including those with CNS metastases, treated with the Bria-IMT™ plus CPI regimen. The data is featured in BriaCell’s “Spotlight” poster presentation session, at the 2024 San Antonio Breast Cancer Symposium® (SABCS®) held at Henry B. Gonzalez Convention Center, San Antonio, TX.

“Metastatic breast cancer remains an essentially incurable disease, with a significant unmet medical need in patients who are relapsed/refractory to recently approved therapies such as CPIs and antibody-drug conjugates (ADCs),” stated Dr. William V. Williams, BriaCell’s President & CEO. “We are very pleased with the Bria-IMT™ combination regimen’s tolerability profile, and most importantly its outstanding clinical activity in heavily pre-treated patients who failed other therapeutic options.”

“In addition to our striking survival data in MBC patients, we are excited by potential biomarkers for early identification of patients who would benefit from treatment with the Bria-IMT™ combination regimen,” noted Giuseppe Del Priore, MD, MPH, BriaCell’s Chief Medical Officer. “We expect to replicate Phase 2’s impressive survival and clinical benefit data in our ongoing pivotal Phase 3 study.”

“While CNS metastatic disease has historically had a very poor prognosis, our clinical data to date, shows solid survival and clinical benefit in patients with CNS metastasis,” stated Sailaja Kamaraju, MD, Assistant Professor of Medicine at the Medical College of Wisconsin, Division of Hematology and Oncology. “We are optimistic that the Bria-IMT™ combination regimen, with its unique targeted mechanism of action, may be able to produce meaningful clinical and survival benefits in other cancer patients with CNS metastases who have lost hope with little to no other therapeutic options.”

The data presented is from the fully enrolled BriaCell Phase 2 combination study of Bria-IMT™ plus CPI.

An aggregate of 54 MBC patients were enrolled in the study – all treated with the Bria-IMT™ combination regimen {11 patients received KEYTRUDA® (pembrolizumab), and 43 patients received Incyte’s retifanlimab with one patient cross over from the KEYTRUDA® study to retifanlimab}. Data is available on all 54 of these heavily pre-treated metastatic breast cancer patients (average number of prior treatments = 6). Of these 54 patients, 37 were treated with the formulation currently under investigation in BriaCell’s ongoing pivotal Phase 3 study in metastatic breast cancer (listed on ClinicalTrials.gov as NCT06072612). Final median overall survival calculation for the patients in the Phase 2 portion of the study is pending, as most of these patients remain alive over 1 year following their start on the study. No Bria-IMT™ related discontinuations have been reported to date.

The details about the Spotlight presentation and other poster sessions are as follows:

Abstract Number: SESS-1071 (Spotlight Poster)
Title: Overall survival results of Bria-IMT™ allogenic whole cell-based cancer vaccine
Time: Wednesday, December 11, 2024 7:00 AM – 8:30 AM CST
Presentation ID: PS3-06

Bria-IMT™ regimen’s impressive OS and tolerability in MBC patients

  • Median overall survival (OS) to date of 13.4 months for Phase 2 patients treated with the Phase 3 formulation (15.6 months for those treated since 2022 with the Phase 3 formulation) double that of comparable patients in the literature (Cortes J, et al. Annals of Oncology 2018; Kazmi S, et al. Breast Cancer Res Treat. 2020; O’Shaughnessy J et al. Breast Cancer Res Treat. 2022; Tripathy D, et al. JAMA Oncol. 2022; Bardia A, et al. J Clin Oncol. 2024)
  • Final Phase 2 OS calculation is pending as many patients remain alive well over 1 year after starting the study
  • Median overall survival (OS) for patients who received the Phase 3 formulation in the Phase 2 portion of the study who also developed an immune response to the vaccine as measured by delayed-type hypersensitivity (DTH) not yet reached with >1 year follow-up
  • 13.7 months median OS in MBC patients with central nervous system (CNS)/intracranial tumors treated with the Bria-IMT™ regimen with or without a CPI
  • Objective response rates (ORR) and clinical benefit rates (CBR) were observed across all MBC patient subsets, but positive clinical outcomes were more prominent in HER2+ and HR+/HER2- patient subsets
  • Bria-IMT™ regimen was well-tolerated and produced clinical benefit in heavily pretreated MBC patients
  • Patients who developed a DTH response had lower neutrophil to lymphocyte ratio (NLR), suggesting improved clinical benefit in these patients
  • Delayed-type hypersensitivity (DTH) response, and circulating tumor cells (CTC) levels were significantly different between patients who responded vs those who did not respond to the Bria-IMT™ combination regimen

In conclusion, clinical findings to date support the potential safety and efficacy of Bria-IMT™, along with its potential use in CNS metastases, as well as the possible use of biomarkers to predict clinical outcomes in BriaCell’s ongoing pivotal Phase 3 study in MBC.

Abstract Number: SESS-1431
Title: Identification of antigenic determinants in SV-BR-1 derived cellular breast cancer vaccines
Time: Wednesday, December 11, 2024 5:30 – 7:00 PM CST
Presentation ID: P2-06-02

Summary:
BriaCell successfully identified immunogenic (i.e. immune system activating) peptides in patients treated with Bria-IMT™, a cell-based cancer vaccine, and showed Bria-IMT™’s ability to produce a targeted immune response against tumor antigens.

  • Key immunogenic peptides detected included those with post-translational modifications (PTMs), such as citrullination and cysteinylation, an important type of neoantigen that may be shared across many patients with cancer
  • Highlighted the advantage of cell-based cancer vaccines over RNA and peptide-based vaccines including their ability to present a broad and diverse repertoire of antigens (i.e. both conventional and unconventional types)
  • Cell-based cancer vaccines also display unknown, patient-specific neoantigens that are hard to reproduce with RNA or peptide vaccines
  • Diverse antigen presentation produces a robust, polyclonal immune response, engaging both CD8+ and CD4+ T cells against multiple tumor target

In conclusion, scientific data presented suggests that the unique mechanism of cell-based cancer vaccines may reduce cancer cells’ immune escape and may potentially lead to strong and long-lasting clinical outcomes in cancer patients.

Abstract Number: SESS-2217
Title: PD-L1 upregulation in circulating tumor associated cells predicts for clinical outcomes in a phase I/II clinical trial using SV-BR-1-GM vaccine with the checkpoint inhibitor retifanlimab in metastatic breast cancer patients, an interim analysis
Time: Wednesday, December 11, 2024 12:00 – 2:00 PM CST
Presentation ID: P1-01-17

Summary:
Interim analysis after at least one year of Bria-IMT™ plus CPI regimen shows the following:

  • Significantly lowered levels of circulating tumor cells (CTCs) and cancer associated macrophage-like cells (CAMLs) in 40% of heavily pre-treated MBC patients
  • Lower CTCs/CAMLs levels were significantly correlated with better survival outcomes (i.e. better PFS and trended for better OS)
  • Bria-IMT™ appeared to increase PD-L1 levels in 15 patients which correlated with better clinical responses to combination treatment with the anti-PD-1 check point inhibitor retifanlimab

In conclusion, clinical data support the combination regimen in our ongoing pivotal Phase 3 study and suggests CTCs and CAMLs and PD-L1 levels may be relevant indicators of clinical outcome in MBC patients treated with Bria-IMT™ plus CPI.

Abstract Number: SESS-1068
Abstract Title: ASTRO-VAC CNS: Bria-IMT™ in the management of tumor agnostic metastatic CNS lesions
Time: Wednesday, December 11, 2024 5:30 – 7:00 PM CST
Presentation ID: P2-10-24

Results: The poster provides the details of a planned Phase 2 study design expanding the use of Bria-IMT™ + CPI to tumor agnostic cancer patients (i.e. kidney cancer, brain cancer, etc.) with central nervous system (CNS) metastasis.

To view the posters, please visit https://briacell.com/scientific-publications/.

About BriaCell Therapeutics Corp.

BriaCell is a clinical-stage biotechnology company that develops novel immunotherapies to transform cancer care. More information is available at https://briacell.com/.

Safe Harbor

This press release contains “forward-looking statements” that are subject to substantial risks and uncertainties. All statements, other than statements of historical fact, contained in this press release are forward-looking statements. Forward-looking statements contained in this press release may be identified by the use of words such as “anticipate,” “believe,” “contemplate,” “could,” “estimate,” “expect,” “intend,” “seek,” “may,” “might,” “plan,” “potential,” “predict,” “project,” “target,” “aim,” “should,” “will,” “would,” or the negative of these words or other similar expressions, although not all forward-looking statements contain these words. Forward-looking statements, including those about the potential safety and efficacy of Bria-IMT™, along with its potential use in CNS metastases; biomarkers assisting with early identification of patients who would benefit from treatment with the Bria-IMT™ combination regimen; BriaCell expecting to replicate Phase 2’s survival and clinical benefit data in its ongoing pivotal Phase 3 study and the Company’s plans to share the data in the coming months; the Bria-IMT™ combination regimen’s ability to produce meaningful clinical and survival benefits in other cancer patients with CNS metastasis; the Company’s ongoing evaluation of biomarkers to predict clinical outcomes in its ongoing pivotal Phase 3 study in MBC; cell-based cancer vaccines potentially reducing cancer cells’ immune escape and leading to strong and long-lasting clinical outcomes in cancer patients; and CTCs, CAMLs and PD-L1 levels having the potential to be relevant indicators of clinical outcomes in MBC patients treated with Bria-IMT™ plus CPI are based on BriaCell’s current expectations and are subject to inherent uncertainties, risks, and assumptions that are difficult to predict. Further, certain forward-looking statements, such as those are based on assumptions as to future events that may not prove to be accurate. These and other risks and uncertainties are described more fully under the heading “Risks and Uncertainties” in the Company’s most recent Management’s Discussion and Analysis, under the heading “Risk Factors” in the Company’s most recent Annual Information Form, and under “Risks and Uncertainties” in the Company’s other filings with the Canadian securities regulatory authorities and the U.S. Securities and Exchange Commission, all of which are available under the Company's profiles on SEDAR+ at www.sedarplus.ca and on EDGAR at www.sec.gov. Forward-looking statements contained in this announcement are made as of this date, and BriaCell Therapeutics Corp. undertakes no duty to update such information except as required under applicable law.

Neither the Toronto Stock Exchange nor its Regulation Services Provider (as that term is defined in the policies of the Toronto Stock Exchange) accepts responsibility for the adequacy or accuracy of this release.

Contact Information

Company Contact:
William V. Williams, MD
President & CEO
1-888-485-6340
info@briacell.com

Media Relations:
Jules Abraham
CORE IR
julesa@coreir.com

Investor Relations Contact:
CORE IR
investors@briacell.com


FAQ

What is the median overall survival rate for BCTX's Bria-IMT Phase 2 trial?

The median overall survival is 13.4 months for Phase 2 patients treated with the Phase 3 formulation, with patients treated since 2022 showing 15.6 months survival.

How many patients were enrolled in BCTX's Phase 2 combination study?

54 metastatic breast cancer patients were enrolled, with 37 receiving the formulation currently under investigation in the Phase 3 study.

What is the survival rate for BCTX's treatment in patients with CNS metastasis?

Patients with CNS/intracranial tumors showed a median overall survival of 13.7 months when treated with the Bria-IMT regimen with or without a CPI.

Are there any safety concerns with BCTX's Bria-IMT treatment?

No Bria-IMT related discontinuations have been reported to date, indicating a well-tolerated safety profile.

Which patient groups showed the best response to BCTX's treatment?

Clinical outcomes were more prominent in HER2+ and HR+/HER2- patient subsets.

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