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Incyte Late-Breaking Tafasitamab (Monjuvi®) Data at ASH 2024 Demonstrate Significantly Improved Progression-Free Survival in Patients with Relapsed or Refractory Follicular Lymphoma

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Incyte (INCY) announced positive results from the Phase 3 inMIND trial of tafasitamab (Monjuvi®) for relapsed or refractory follicular lymphoma. The study met its primary endpoint, showing significantly improved progression-free survival (PFS) of 22.4 months compared to 13.9 months in the control arm, representing a 57% reduction in risk.

The trial demonstrated improvements across secondary endpoints, including complete response (49.4% vs 39.8%), overall response rate (83.5% vs 72.4%), and duration of response (21.2 vs 13.6 months). The treatment was generally well-tolerated, with common side effects including neutropenia (48.5%), diarrhea (37.6%), and COVID-19 (31.4%).

Based on these results, Incyte plans to file a supplemental Biologics License Application for tafasitamab in FL by year-end 2024.

Incyte (INCY) ha annunciato risultati positivi dallo studio di fase 3 inMIND riguardante tafasitamab (Monjuvi®) per linfoma follicolare recidivato o refrattario. Lo studio ha raggiunto il suo obiettivo principale, mostrando un miglioramento significativo nella sopravvivenza libera da progressione (PFS) di 22,4 mesi rispetto ai 13,9 mesi del gruppo di controllo, rappresentando una riduzione del rischio del 57%.

La sperimentazione ha dimostrato miglioramenti in vari endpoint secondari, inclusa la risposta completa (49,4% vs 39,8%), il tasso di risposta globale (83,5% vs 72,4%) e la durata della risposta (21,2 vs 13,6 mesi). Il trattamento è stato generalmente ben tollerato, con effetti collaterali comuni tra cui neutropenia (48,5%), diarrea (37,6%) e COVID-19 (31,4%).

In base a questi risultati, Incyte prevede di presentare una domanda supplementare per la Licenza Biologica per tafasitamab nel linfoma follicolare entro la fine del 2024.

Incyte (INCY) anunció resultados positivos del ensayo de fase 3 inMIND sobre tafasitamab (Monjuvi®) para el linfoma folicular en recaída o refractario. El estudio alcanzó su objetivo primario, mostrando una mejora significativa en la supervivencia libre de progresión (PFS) de 22.4 meses en comparación con 13.9 meses en el grupo de control, lo que representa una reducción del 57% en el riesgo.

El ensayo demostró mejoras en varios criterios secundarios, incluyendo respuesta completa (49.4% vs 39.8%), tasa de respuesta global (83.5% vs 72.4%) y duración de la respuesta (21.2 vs 13.6 meses). El tratamiento fue generalmente bien tolerado, con efectos secundarios comunes que incluyen neutropenia (48.5%), diarrea (37.6%) y COVID-19 (31.4%).

Con base en estos resultados, Incyte planea presentar una solicitud suplementaria de licencia biológica para tafasitamab en linfoma folicular a finales de 2024.

Incyte (INCY)는 재발성 또는 불응성 여포 림프종에 대한 tafasitamab (Monjuvi®)의 3상 inMIND 시험에서 긍정적인 결과를 발표했습니다. 이 연구는 주요 기준점을 충족했으며, 대조군의 13.9개월과 비교하여 22.4개월의 전이 없음 생존(PFS) 시간이 크게 개선되었고, 이는 위험이 57% 감소한 것을 나타냅니다.

시험은 완전 반응(49.4% vs 39.8%), 전체 반응률(83.5% vs 72.4%), 반응 지속 기간(21.2 vs 13.6개월)을 포함한 보조 기준에서 개선된 결과를 보여주었습니다. 치료는 일반적으로 잘 견뎌졌으며, 일반적인 부작용으로는 호중구감소증(48.5%), 설사(37.6%), COVID-19(31.4%)가 있습니다.

이러한 결과를 바탕으로 Incyte는 2024년 말까지 FL에 대한 tafasitamab의 보충 생물학적 라이센스 신청을 제출할 계획입니다.

Incyte (INCY) a annoncé des résultats positifs de l'essai de phase 3 inMIND concernant tafasitamab (Monjuvi®) pour le lymphome folliculaire en rechute ou réfractaire. L'étude a atteint son principal objectif, montrant une amélioration significative de la survie sans progression (PFS) de 22,4 mois par rapport à 13,9 mois dans le groupe témoin, ce qui représente une réduction du risque de 57%.

Essai a démontré des améliorations dans plusieurs critères secondaires, y compris la réponse complète (49,4% vs 39,8%), le taux de réponse global (83,5% vs 72,4%) et la durée de réponse (21,2 vs 13,6 mois). Le traitement a généralement été bien toléré, avec des effets secondaires communs comme la neutropénie (48,5%), la diarrhée (37,6%) et COVID-19 (31,4%).

Sur la base de ces résultats, Incyte prévoit de soumettre une demande de licence biologique supplémentaire pour le tafasitamab dans le lymphome folliculaire d'ici la fin de 2024.

Incyte (INCY) hat positive Ergebnisse aus der Phase-3-Studie inMIND zu tafasitamab (Monjuvi®) für rezidiviertes oder refraktäres follikuläres Lymphom bekannt gegeben. Die Studie erreichte ihren primären Endpunkt und zeigte eine signifikant verbesserte progressionsfreie Überlebenszeit (PFS) von 22,4 Monaten im Vergleich zu 13,9 Monaten in der Kontrollgruppe, was eine Risikominderung von 57% darstellt.

Die Studie zeigte Verbesserungen in mehreren sekundären Endpunkten, darunter die vollständige Remission (49,4% vs 39,8%), die Gesamtansprechrate (83,5% vs 72,4%) und die Dauer der Reaktion (21,2 vs 13,6 Monate). Die Behandlung wurde im Allgemeinen gut vertragen, mit häufigen Nebenwirkungen wie Neutropenie (48,5%), Durchfall (37,6%) und COVID-19 (31,4%).

Basierend auf diesen Ergebnissen plant Incyte, bis Ende 2024 einen ergänzenden Biologika-Antrag für tafasitamab bei FL einzureichen.

Positive
  • Significant improvement in progression-free survival (22.4 months vs 13.9 months)
  • 57% reduction in risk of progression, relapse, or death
  • Higher complete response rate (49.4% vs 39.8%)
  • Improved overall response rate (83.5% vs 72.4%)
  • Longer duration of response (21.2 vs 13.6 months)
  • Positive trend in overall survival
Negative
  • None.

Insights

The Phase 3 inMIND trial results represent a significant breakthrough for INCY's tafasitamab in follicular lymphoma treatment. The 57% reduction in progression risk (HR: 0.43) and extension of PFS from 13.9 to 22.4 months are clinically meaningful improvements. The consistency across all patient subgroups strengthens the data's reliability.

Secondary endpoints reinforce the primary findings with improved complete response rates (49.4% vs 39.8%) and overall response rates (83.5% vs 72.4%). The favorable safety profile, comparable to existing immunotherapy combinations, positions tafasitamab as a potentially strong competitor in the FL treatment landscape.

These results significantly strengthen INCY's market position in hematological malignancies. With planned sBLA filing by year-end 2024, Monjuvi could see expanded indications, potentially driving substantial revenue growth. The follicular lymphoma market represents a significant commercial opportunity, being the most common B-cell non-Hodgkin lymphoma.

The robust efficacy data and favorable safety profile should support strong market adoption if approved. This could meaningfully impact INCY's revenue stream, particularly given the recurring nature of FL treatments and current treatment options for relapsed/refractory patients.

  • The pivotal Phase 3 inMIND trial met its primary endpoint of progression-free survival (PFS) and key secondary endpoints in patients with relapsed or refractory follicular lymphoma (FL) treated with tafasitamab (Monjuvi®) in combination with lenalidomide and rituximab
  • Positive data featured in a late-breaking oral presentation at the 2024 American Society of Hematology (ASH) Annual Meeting support the planned U.S. filing of a supplemental Biologics License Application (sBLA) for tafasitamab in FL by year-end 2024
  • Incyte to host virtual analyst and investor event on Thursday, December 12, 2024, from 4:00-5:00 p.m. ET to discuss key data presented at ASH

WILMINGTON, Del.--(BUSINESS WIRE)-- Incyte (Nasdaq:INCY) today announced additional results from the pivotal Phase 3 inMIND trial evaluating treatment with tafasitamab (Monjuvi®), a humanized Fc-modified cytolytic CD19 targeting monoclonal antibody, in combination with lenalidomide and rituximab compared with placebo plus lenalidomide and rituximab in patients with relapsed or refractory follicular lymphoma (FL). These data are featured today in the Late-breaking Session (LBA-1) at the 2024 American Society of Hematology (ASH) Annual Meeting in San Diego.

The late-breaking results, which build on previously announced topline data, show that the study met its primary endpoint by demonstrating a statistically significant and clinically meaningful improvement in progression-free survival (PFS) by investigator assessment in 548 patients with FL. Patients treated with tafasitamab achieved a median PFS by investigator assessment of 22.4 months compared to 13.9 months in the control arm (Hazard Ratio [HR]: 0.43; 95% Confidence Interval [CI] (0.32—0.58); P<0.0001), representing a 57% reduction in risk of progression, relapse, or death. The PFS assessed by an Independent Review Committee (IRC) was consistent with investigator-based results, with a HR of 0.41 (95% CI 0.29, 0.56, P<0.0001). Median PFS by IRC was not reached in the tafasitamab group versus 16.0 months in the control arm, [95% CI (19.3-NE) and (13.9, 21.1), respectively; P<0.0001]. The PFS benefit was consistent across all patient subgroups regardless of the number of previous lines of therapy.

“In the Phase 3 inMIND trial, tafasitamab demonstrated impressive efficacy and safety for treating certain patients with follicular lymphoma, the most common type of B-cell non-Hodgkin lymphoma,” said Steven Stein, M.D., Chief Medical Officer, Incyte. “These data, the first to evaluate the novel approach of combining CD19 and CD20 immunotherapies, show the potential of tafasitamab in combination with lenalidomide and rituximab to become a new standard of care for these patients. We look forward to working with regulatory authorities to potentially bring this treatment forward to patients with FL.”

The trial also showed improvement across secondary endpoints, including:

  • Complete response (CR), overall response rate (ORR) and duration of response (DOR) each showed improvement in the tafasitamab group versus the control arm (CR of 49.4% vs. 39.8% [95% CI (43.1, 55.8) and (33.7, 46.1), respectively; OR=1.5, P=0.0286); (ORR of 83.5% vs. 72.4% [95% CI (78.6, 87.7) and (66.7, 77.6), respectively]); (DOR of 21.2 months vs. 13.6 months [95% CI (19.5—NE) and (12.4—18.6), respectively]).
  • Median overall survival (OS) was not reached in either group, but a positive trend was observed with the tafasitamab group versus the control arm (HR=0.59 [95% CI (0.31, 1.13)]).

Additionally, median time to next treatment (TTNT) was not reached in the tafasitamab group and was 28.8 months in the control arm (HR [95% CI], 0.45 [0.31, 0.64], nominal P<0.0001).

Tafasitamab was generally well-tolerated, and safety was consistent with other CD19 and immunotherapy combination regimens. The most common treatment-emergent adverse events (TEAEs) in the tafasitamab and immunotherapy combination group were neutropenia (48.5%), diarrhea (37.6%), COVID-19 (31.4%) and constipation (29.2%).

“Patients with follicular lymphoma have a high risk of relapse, yet there are limited treatment options in the relapsed and refractory setting,” said Dr. Laurie Sehn, British Columbia Cancer Centre for Lymphoid Cancer. “The goal of therapy is primarily to prolong remission, while maintaining quality of life. The inMIND trial demonstrated a meaningful improvement in disease control with the addition of the anti-CD19 monoclonal antibody tafasitamab to lenalidomide and rituximab, providing patients with a new, well tolerated, immunotherapy combination.”

About inMIND
A global, double-blind, randomized, controlled Phase 3 study, inMIND (NCT04680052) evaluated the clinical benefit of tafasitamab and lenalidomide as an add-on to rituximab compared with lenalidomide alone as an add-on to rituximab in patients with relapsed or refractory follicular lymphoma (FL) Grade 1 to 3a or relapsed or refractory nodal, splenic or extranodal marginal zone lymphoma (MZL). The study enrolled a total of 654 adults (age ≥18 years).

The primary endpoint of the study is progression-free survival (PFS) by investigator assessment in the FL population, and the key secondary endpoints are PFS in the overall population as well as positron emission tomography complete response (PET-CR) and overall survival (OS) in the FL population.

For more information about the study, please visit https://clinicaltrials.gov/study/NCT04680052.

About Tafasitamab (Monjuvi®)
Tafasitamab (Monjuvi®) is a humanized Fc-modified cytolytic CD19 targeting monoclonal antibody. In 2010, MorphoSys licensed exclusive worldwide rights to develop and commercialize tafasitamab from Xencor, Inc. Tafasitamab incorporates an XmAb® engineered Fc domain, which mediates B-cell lysis through apoptosis and immune effector mechanism including Antibody-Dependent Cell-Mediated Cytotoxicity (ADCC) and Antibody-Dependent Cellular Phagocytosis (ADCP). MorphoSys and Incyte entered into: (a) in January 2020, a collaboration and licensing agreement to develop and commercialize tafasitamab globally; and (b) in February 2024, an agreement whereby Incyte obtained exclusive rights to develop and commercialize tafasitamab globally.

In the United States, Monjuvi® (tafasitamab-cxix) received accelerated approval by the U.S. Food and Drug Administration in combination with lenalidomide for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) not otherwise specified, including DLBCL arising from low grade lymphoma, and who are not eligible for autologous stem cell transplant (ASCT). In Europe, Minjuvi® (tafasitamab) received conditional Marketing Authorization from the European Medicines Agency in combination with lenalidomide, followed by Minjuvi monotherapy, for the treatment of adult patients with relapsed or refractory DLBCL who are not eligible for ASCT.

XmAb® is a registered trademark of Xencor, Inc.

Monjuvi, Minjuvi, the Minjuvi and Monjuvi logos and the “triangle” design are registered trademarks of Incyte.

IMPORTANT SAFETY INFORMATION

What are the possible side effects of MONJUVI?
MONJUVI may cause serious side effects, including:

  • Infusion reactions. Your healthcare provider will monitor you for infusion reactions during your infusion of MONJUVI. Tell your healthcare provider right away if you get fever, chills, flushing, headache, or shortness of breath during an infusion of MONJUVI.
  • Low blood cell counts (platelets, red blood cells, and white blood cells). Low blood cell counts are common with MONJUVI, but can also be serious or severe. Your healthcare provider will monitor your blood counts during treatment with MONJUVI. Tell your healthcare provider right away if you get a fever of 100.4°F (38°C) or above, or any bruising or bleeding.
  • Infections. Serious infections, including infections that can cause death, have happened in people during treatment with MONJUVI and after the last dose. Tell your healthcare provider right away if you get a fever of 100.4°F (38°C) or above, or develop any signs and symptoms of an infection.

The most common side effects of MONJUVI include:

  • Feeling tired or weak
  • Diarrhea
  • Cough
  • Fever
  • Swelling of lower legs or hands
  • Respiratory tract infection
  • Decreased appetite

These are not all the possible side effects of MONJUVI. Your healthcare provider will give you medicines before each infusion to decrease your chance of infusion reactions. If you do not have any reactions, your healthcare provider may decide that you do not need these medicines with later infusions. Your healthcare provider may need to delay or completely stop treatment with MONJUVI if you have severe side effects.

Before you receive MONJUVI, tell your healthcare provider about all of your medical conditions, including if you:

  • Have an active infection or have had one recently.
  • Are pregnant or plan to become pregnant. MONJUVI may harm your unborn baby. You should not become pregnant during treatment with MONJUVI. Do not receive treatment with MONJUVI in combination with lenalidomide if you are pregnant because lenalidomide can cause birth defects and death of your unborn baby.
    • You should use an effective method of birth control (contraception) during treatment and for at least 3 months after your final dose of MONJUVI.
    • Tell your healthcare provider right away if you become pregnant or think that you may be pregnant during treatment with MONJUVI.
  • Are breastfeeding or plan to breastfeed. It is not known if MONJUVI passes into your breastmilk. Do not breastfeed during treatment for at least 3 months after your last dose of MONJUVI.

You should also read the lenalidomide Medication Guide for important information about pregnancy, contraception, and blood and sperm donation.

Tell your healthcare provider about all the medications you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at (800) FDA-1088 or www.fda.gov/medwatch. You may also report side effects to Incyte Medical Information at 1-855-463-3463.

Please see the full Prescribing Information for Monjuvi, including Patient Information, for additional Important Safety Information.

About Incyte
A global biopharmaceutical company on a mission to Solve On., Incyte follows the science to find solutions for patients with unmet medical needs. Through the discovery, development and commercialization of proprietary therapeutics, Incyte has established a portfolio of first-in-class medicines for patients and a strong pipeline of products in Oncology and Inflammation & Autoimmunity. Headquartered in Wilmington, Delaware, Incyte has operations in North America, Europe and Asia.

For additional information on Incyte, please visit Incyte.com or follow us on social media: LinkedIn, X, Instagram, Facebook, YouTube.

Incyte Forward-looking Statements
Except for the historical information set forth herein, the matters set forth in this press release, including statements regarding tafasitamab, the inMIND clinical trial, the potential for tafasitamab to become an approved treatment option for FL, Incyte’s plans to share data with the scientific community and Incyte’s expectations with respect to filing an sBLA or otherwise engaging with regulators, contain predictions, estimates and other forward-looking statements.

These forward-looking statements are based on Incyte's current expectations and subject to risks and uncertainties that may cause actual results to differ materially, including unanticipated developments in and risks related to: unanticipated delays; further research and development and the results of clinical trials possibly being unsuccessful or insufficient to meet applicable regulatory standards or warrant continued development; the ability to enroll sufficient numbers of subjects in clinical trials; determinations made by the U.S. FDA and other regulatory authorities outside of the United States; the efficacy or safety of Incyte and its partners' products; the acceptance of Incyte and its partners' products in the marketplace; market competition; sales, marketing, manufacturing and distribution requirements; and other risks detailed from time to time in Incyte's reports filed with the Securities and Exchange Commission, including its annual report on Form 10-K and its report on Form 10-Q for the quarter ended September 30, 2024. Incyte disclaims any intent or obligation to update these forward-looking statements.

Incyte Contacts:

Media

media@incyte.com

Investors

ir@incyte.com

Source: Incyte

FAQ

What were the primary results of Incyte's (INCY) Phase 3 inMIND trial for tafasitamab?

The trial showed significantly improved progression-free survival of 22.4 months compared to 13.9 months in the control arm, representing a 57% reduction in risk of progression, relapse, or death.

When will Incyte (INCY) file for FDA approval of tafasitamab for follicular lymphoma?

Incyte plans to file a supplemental Biologics License Application (sBLA) for tafasitamab in follicular lymphoma by year-end 2024.

What were the main side effects reported in the Incyte (INCY) tafasitamab trial?

The most common side effects were neutropenia (48.5%), diarrhea (37.6%), COVID-19 (31.4%), and constipation (29.2%).

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