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Elicio Therapeutics Announces Preliminary Data from the Ongoing AMPLIFY-7P Phase 1a Study of ELI-002 7P in Patients with mKRAS-driven Solid Tumors at the 2024 ASCO Annual Meeting

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Elicio Therapeutics revealed preliminary data from their AMPLIFY-7P Phase 1a study of ELI-002 7P at the ASCO 2024 Annual Meeting. The cancer vaccine candidate, targeting mKRAS-driven solid tumors, showed promising results. ELI-002 7P was well tolerated and induced a significant (~100x) mKRAS-specific T cell response in all enrolled patients.

Key findings included CD8+ and CD4+ responses in 66.7% of patients at the 4.9 mg dose, and tumor biomarker reductions in 71% of evaluable patients. Antigen-spreading, targeting non-immunizing tumor neoantigens, was observed in all patients at the 4.9 mg dose. The study supports further development, with the recommended Phase 2 dose being 10.0 mg AMP-CpG-7909 with 4.9 mg AMP-Peptides 7P.

Positive
  • ELI-002 7P induced a 100x mKRAS-specific T cell response.
  • All patients showed mKRAS-specific T cell responses.
  • 66.7% of patients had both CD8+ and CD4+ responses at the 4.9 mg dose.
  • 71% of evaluable patients showed tumor biomarker reductions at the 4.9 mg dose.
  • Antigen-spreading was observed in all patients at the 4.9 mg dose.
  • No dose-limiting toxicities or treatment-related serious adverse events were reported.
Negative
  • The data presented is preliminary, necessitating further validation in Phase 2 trials.
  • Only 5 out of 7 evaluable patients showed tumor biomarker reductions, indicating variability in response.
  • Minimum residual disease clearance was observed in only one patient.
  • Observations are to the 4.9 mg dose, requiring additional data for other dosages.

Insights

The preliminary data from Elicio Therapeutics' AMPLIFY-7P Phase 1a study shows promising early results for ELI-002 7P, a cancer vaccine targeting mKRAS-driven tumors. The study reports high levels of T cell engagement and tumor biomarker reductions. Specifically, the vaccine generated a robust T cell response in 100% of patients, showing potential for broad coverage against multiple mKRAS mutations.

This is significant because KRAS mutations are notoriously difficult to target and current treatments often fail due to resistance mechanisms. The ability of ELI-002 7P to target multiple KRAS mutations and induce polyfunctional T cell responses can potentially address this challenge. However, these are early-stage results and further data from the Phase 2 trials will be critical in confirming its efficacy and safety.

ELI-002 7P appears to be a well-tolerated vaccine capable of generating significant T cell responses. This is especially important for patients with KRAS mutations, which are common in various solid tumors like pancreatic and colorectal cancers. The vaccine’s ability to induce responses in both CD8+ and CD4+ T cells at the recommended Phase 2 dose is noteworthy. These cells are essential for a coordinated immune attack on tumors, which might explain the observed tumor biomarker reductions.

For patients with minimal residual disease, this could mean longer remission periods and improved survival rates. The absence of serious adverse events and dose-limiting toxicities adds to the potential for this vaccine to be a game-changer in oncology. Yet, more extensive studies are needed to validate these findings.

From an investment perspective, Elicio Therapeutics' preliminary data presents a cautiously optimistic outlook. Investors should be encouraged by the vaccine’s early efficacy and safety profile, as well as the potential for broad application across multiple KRAS mutations. The mention of significant T cell response and tumor biomarker reductions in a high percentage of patients could drive investor confidence and potentially impact stock prices favorably.

However, it's important to note that these results are preliminary. Investors should closely follow subsequent trial phases and regulatory milestones. The biotech market is inherently volatile and the success of ELI-002 7P will hinge on further validation in larger, more diverse patient populations.

  • ELI-002 7P administered as a monotherapy was well tolerated and able to generate a ~100x mKRAS-specific expanded T cell response relative to baseline levels
  • ELI-002 7P generated an mKRAS-specific T cell response in 100% of patients including responses targeting all mKRAS mutations enrolled (G12D, V, R and G13D)
  • mKRAS-specific T cells were polyfunctional with 66.7% (4/6) of evaluable patients having both CD8+ and CD4+ responses at the 4.9 mg Phase 2 dose level
  • Tumor biomarker reductions were observed in 5/7 (71%) of evaluable patients at the 4.9 mg Phase 2 dose level
  • ELI-002 7P was shown to induce antigen-spreading with increased T cell responses targeting non-immunizing, personalized tumor neoantigens in 6/6 (100%) of evaluable patients at the 4.9 mg Phase 2 dose level

BOSTON, May 23, 2024 (GLOBE NEWSWIRE) -- Elicio Therapeutics, Inc. (Nasdaq: ELTX, “Elicio Therapeutics” or “Elicio”), a clinical-stage biotechnology company developing a pipeline of novel immunotherapies for the treatment of cancer, today announced preliminary data from the ongoing AMPLIFY-7P Phase 1a study of its off-the-shelf investigational therapeutic cancer vaccine candidate, ELI-002 7P, in a poster presentation at the American Society of Clinical Oncology (“ASCO”) Annual Meeting, being held May 31-June 4, 2024, in Chicago, IL. The preliminary data showed ELI-002 7P was well tolerated with T cell responses correlating with a reduction in tumor biomarkers at the recommended Phase 2 dose (“RP2D”).

The AMPLIFY-7P study is evaluating the 7-peptide formulation of Elicio’s cancer vaccine candidate, ELI-002 7P, in patients with mKRAS-driven solid tumors that are positive for minimal residual disease following standard locoregional treatment. ELI-002 7P was developed with Elicio’s proprietary lymph node-targeting Amphiphile (“AMP”) technology designed to stimulate an immune response against the seven KRAS mutations (G12D, G12R, G12V, G12A, G12C, G12S and G13D) that drive 25% of all solid tumors. 

“KRAS mutated cancers are difficult to target in part due to the number of diverse mutations and bypass resistance mechanisms. We are encouraged by the first data from the ongoing AMPLIFY-7P trial, which demonstrate ELI-002 7P has a favorable safety profile and early antitumor effects that correlate with induction of T cells specific for multiple KRAS mutations potentially providing broader coverage for patients,” said Craig E. Devoe, M.D., MHCM., Chief, Division of Medical Oncology & Hematology, R.J. Zuckerberg Cancer Center, and Scientific Investigator, Northwell Health.

Christopher Haqq, M.D., Ph.D., Elicio’s Executive Vice President, Head of Research and Development, and Chief Medical Officer, added, “These early immunogenicity and biomarker response data from ELI-002 7P continue to provide encouraging results showing that our lymph node-targeted approach generates a robust and differentiated T cell response that strongly correlates with tumor biomarker reductions. Across two trials, ELI-002 has demonstrated an ability to generate a robust T cell response against all mKRAS mutations of enrolled patients as well as T cell responses against non-immunizing personalized tumor neoantigens. ELI-002’s broader KRAS mutation coverage and higher T cell responses with the 7-peptide vaccine at the Phase 2 dose holds promise for the high unmet need of patients with KRAS-mutated tumors.”

Presentation Details

ASCO 2024 Abstract Title: AMPLIFY-7P, a first-in-human safety and efficacy trial of adjuvant mKRAS-specific lymph node targeted amphiphile ELI-002 7P vaccine in patients with minimal residual disease–positive pancreatic and colorectal cancer
Abstract Number: 2636
Session Type and Title: Poster Session – Developmental Therapeutics—Immunotherapy
Session Date and Time: June 1, 2024, 9:00 AM-12:00 PM CDT (10:00 AM-1:00 PM ET)
Presenter: Craig E. Devoe, M.D., MHCM., Chief, Division of Medical Oncology & Hematology, R.J Zuckerberg Cancer Center, and Scientific Investigator, Northwell Health

  • At data cutoff December 18, 2023, polyfunctional mKRAS-specific T cells were observed in 100% (n = 11/11) of evaluable patients.
  • Both CD8+ and CD4+ responses were induced in 66.7% (4/6) of evaluable patients, at the RP2D 4.9 mg dose level, with higher median fold-change from baseline.
  • Biomarker reductions were observed in 2/5 (40%) at the 1.4 mg AMP-Peptides 7P dose level and in 5/7 (71%) at the RP2D 4.9 mg dose level in patients with reductions/clearance observed for all the common G12 (G12D, G12V, G12R) and G13 (D) KRAS mutations enrolled in the study to date.
  • Minimum residual disease clearance was observed in one (1) G12V pancreatic (PDAC) patient at 4.9 mg.
  • Antigen-spreading was observed with increased T cell responses targeting non-immunizing, personalized tumor neoantigens observed in 7/10 (70%) evaluable patients, 6/6 (100%) evaluable patients treated at the 4.9 mg RP2D dose level.
  • There were no dose-limiting toxicities, no treatment-related serious adverse events or cytokine release syndrome.
  • The recommended Phase 2 dose (RP2D) is 10.0 mg AMP-CpG-7909 with 4.9 mg AMP-Peptides 7P.

About ELI-002 
Our lead product candidate, ELI-002, is a structurally novel investigational Amphiphile (“AMP”) cancer vaccine that targets cancers that are driven by mutations in the mKRAS-gene—a prevalent driver of many human cancers. ELI-002 is comprised of two powerful components that are built with our AMP technology consisting of AMP-modified mutant KRAS peptide antigens and an AMP-modified CpG adjuvant that is available as an off-the-shelf subcutaneous administration. 

ELI-002 2P (2 peptide formulation) is currently being studied in an ongoing Phase 1 (AMPLIFY-201) trial in patients with high relapse risk mKRAS-driven solid tumors, following surgery and chemotherapy (NCT04853017). ELI-002 7P (7 peptide formulation) is currently being studied in a Phase 1/2 (AMPLIFY-7P) trial in patients with mKRAS-driven pancreatic cancer (NCT05726864). The ELI-002 7P formulation is designed to provide immune response coverage against seven of the most common KRAS mutations present in 25% of all solid tumors, thereby increasing the potential patient population for ELI-002.

About Elicio Therapeutics 
Elicio Therapeutics, Inc. (Nasdaq: ELTX) is a clinical-stage biotechnology company advancing a pipeline of novel lymph node-targeted immunotherapies for the treatment of some of the most aggressive cancers. By combining expertise in immunology and immunotherapy, Elicio is harnessing the natural power of the immune system with the AMP technology, which allows for therapeutic payloads to be delivered directly to the lymph nodes, with the goal of enhancing the immune system’s cancer-fighting capabilities. By targeting cancer immunotherapies to the core of the immune response, AMP aims to optimize the lymph nodes’ natural ability to educate, activate and amplify cancer-specific T cells, which are essential for recognizing and eliminating tumor cells. Engineered to synchronize immunity in these highly potent sites, AMP is built to enhance the magnitude, potency, quality and durability of the immune response to drive antitumor activity. The Company’s R&D pipeline includes off-the-shelf therapeutic cancer vaccines ELI-002, (targeting mKRAS-driven cancers) as well as ELI-007 and ELI-008 (targeting BRAF-driven cancers and p53 hotspot mutations, respectively). For more information, please visit www.elicio.com

Cautionary Note on Forward-Looking Statements

Certain statements contained in this communication regarding matters that are not historical facts, are forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, known as the PSLRA. These include statements regarding Elicio’s planned clinical programs, including planned clinical trials, the potential of Elicio’s product candidates, including the promise of ELI-002 7P for the high unmet need of patients with KRAS-mutated tumors, the expected participation and presentation at upcoming conferences, and other statements regarding management’s intentions, plans, beliefs, expectations or forecasts for the future, and, therefore, you are cautioned not to place undue reliance on them. No forward-looking statement can be guaranteed, and actual results may differ materially from those projected. Elicio undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise, except to the extent required by law. We use words such as “anticipates,” “believes,” “plans,” “expects,” “projects,” “future,” “intends,” “may,” “will,” “should,” “could,” “estimates,” “predicts,” “potential,” “continue,” “guidance,” and similar expressions to identify these forward-looking statements that are intended to be covered by the safe-harbor provisions of the PSLRA. Such forward-looking statements are based on our expectations and involve risks and uncertainties; consequently, actual results may differ materially from those expressed or implied in the statements due to a number of factors, including, but not limited to, Elicio’s financial condition, including its ability to obtain the funding necessary to advance the development of ELI-002 and any other future product candidates, and Elicio’s ability to continue as a going concern; Elicio’s plans to develop and commercialize its product candidates, including ELI-002; the timing of initiation of Elicio’s planned clinical trials; the timing of the availability of data from Elicio’s clinical trials; the timing of any planned investigational new drug application or new drug application; Elicio’s plans to research, develop and commercialize its current and future product candidates; Elicio’s ability to successfully collaborate with existing collaborators or enter into new collaborations, and to fulfill its obligations under any such collaboration agreements; the clinical utility, potential benefits and market acceptance of Elicio’s product candidates; Elicio’s commercialization, marketing and manufacturing capabilities and strategy; Elicio’s ability to identify additional products or product candidates with significant commercial potential; Elicio’s ability to advance ELI-002 outside of PDAC monotherapy and Elicio’s pipeline programs; developments and projections relating to Elicio’s competitors and our industry; the impact of government laws and regulations; Elicio’s ability to protect its intellectual property position; and Elicio’s estimates regarding future revenue, expenses, capital requirements and need for additional financing.

New factors emerge from time to time, and it is not possible for us to predict all such factors, nor can we assess the impact of each such factor on the business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. These risks are more fully discussed in our Annual Report on Form 10-K filed with the SEC on March 29, 2024, under the heading “Risk Factors”, and any subsequent reports and other documents filed from time to time with the SEC. Forward-looking statements included in this release are based on information available to Elicio as of the date of this release. Elicio does not undertake any obligation to update such forward-looking statements to reflect events or circumstances after the date of this release, except to the extent required by law.

Media Contact
Kristin Politi
LifeSci Communications
kpoliti@lifescicomms.com
646-876-4783

Investor Relations Contact
Heather DiVecchia
Elicio Therapeutics
IR@elicio.com
857-209-0153


FAQ

What is ELI-002 7P?

ELI-002 7P is an investigational therapeutic cancer vaccine candidate targeting mKRAS-driven solid tumors.

What are the key findings from the AMPLIFY-7P Phase 1a study?

Key findings include a 100x mKRAS-specific T cell response, tumor biomarker reductions in 71% of patients, and antigen-spreading in all patients at the 4.9 mg dose.

What is the significance of the 4.9 mg dose in the AMPLIFY-7P study?

The 4.9 mg dose level showed a 66.7% CD8+ and CD4+ T cell response and tumor biomarker reductions in 71% of patients.

Were there any adverse events reported for ELI-002 7P?

No dose-limiting toxicities or treatment-related serious adverse events were reported.

What is the recommended Phase 2 dose for ELI-002 7P?

The recommended Phase 2 dose is 10.0 mg AMP-CpG-7909 with 4.9 mg AMP-Peptides 7P.

When was the preliminary data from the AMPLIFY-7P study presented?

The preliminary data was presented at the 2024 ASCO Annual Meeting, held from May 31 to June 4, 2024.

How does ELI-002 7P target KRAS mutations?

ELI-002 7P uses proprietary AMP technology to stimulate immune responses against seven KRAS mutations that drive 25% of all solid tumors.

Elicio Therapeutics, Inc.

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