Interim data on two T cell engagers that Vir Biotechnology
licensed from Sanofi last year
have begun to justify the biotech’s strategic shift into oncology.
But the data are very early, and one of the assets appears less effective than a similar product being developed by Janux Therapeutics.
The company’s stock
$VIR
climbed around 60% in early trading.
VIR-5818 targets HER2, and is in a Phase 1 basket trial in several solid tumors expressing the antigen, including breast and colorectal cancer. Among the first 20 patients treated with weekly IV doses of at least 400 µg/kg, 10 had dose-dependent tumor shrinkage.
And in a subset of six patients with HER2-positive colorectal cancer who had exhausted standard of care, confirmed partial responses (cPRs) were seen in 33%. One patient continued in cPR for over 18 months.
The patients had received up to nine prior lines of therapy, and Vir CEO Marianne De Backer told
Endpoints News
that this included other HER2-targeting therapies.
Early safety data showed that grade 1 or 2 cytokine release syndrome was seen in 20% and 10% of VIR-5818 recipients, respectively. No grade 3 or greater CRS was seen in any of the 79 patients dosed up to 1000 µg/kg, and most side effects were low-grade and manageable, the company said.
This is important, De Backer said: “What has been holding the promise of T cell engagers back is [their] side effect profile. T cell engagers are very toxic.”
Vir has mitigated this toxicity by using a so-called masking technology — PRO-XTEN, licensed from Sanofi along with the assets. T cell engagers are bispecific antibodies that bind to the tumor antigen and CD3 on T cells, attracting T cells to the tumor to kill it. The PRO-XTEN technology uses a protease-cleavable linker on both the tumor antigen and T cell binding domains of the antibody, keeping it in a dormant state until it reaches the protease-rich tumor microenvironment. This reduces systemic toxicity.
Early Phase 1 data
also released Wednesday
suggests another asset, the PSMA-targeting VIR-5500, has potential in metastatic castration-resistant prostate cancer. But the data might not be quite as good as those released last month on Janux Therapeutics’ T cell engager.
Data on the first 12 patients that were given VIR-5500 showed all had prostate-specific antigen reductions after an initial dose of at least 120 µg/kg. PSA50 response was confirmed in 58%.
Recent interim data from the Phase 1a mCRPC trial of Janux’s JANX007, which also targets PSMA and CD3, showed that
all 16 patients treated achieved PSA50
. JANX007 also uses a masking technology, though only for the T cell-binding domain. However, Vir said that an earlier cut of JANX007 data, in which 56% of 18 patients receiving lower doses achieved PSA50, was a fairer comparison.
Vir said that no dose-limiting toxicities were seen with VIR-5500 doses up to 1000 µg/kg, and grade 1 or 2 CRS was seen in 17% and 11% of subjects, respectively, with no grade 3 or greater CRS.
Weekly dose escalation in both studies is ongoing and dosing every three weeks will also be evaluated. The study of VIR-5818 also includes an arm in which the engager will be combined with Merck’s Keytruda and data are expected this year.
Vir is also gearing up for a Phase 1 trial of the third asset it licensed from Sanofi, the EGFR-targeting VIR-5525. Initiation of this trial, expected in the first half of 2025, will trigger a $75 million milestone payment to Sanofi.
Editor’s note: The headline and article were updated to include comments from Vir and note the company’s stock movement.