Unleashing Anti-CTLA-4 Therapy By Enhancing the Therapeutic Index

July 2023

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Why Focus on Next Generation Anti-CTLA-4 Therapies?

  • CTLA-4is a proven target with a need to "troubleshoot" safety to maximize its therapeutic potential
    • Only approved checkpoint inhibitor for both single agent & combination use besides anti-PD-(L)1 therapies
  • Treg depletion is crucial for overcoming immune suppression
    • CTLA-4is over-expressed on Treg cells, especially in tumor microenvironment (TME) of "cold" tumors
    • Traditional CTLA-4 therapies struggle to achieve meaningful intra-tumoral Treg depletion
  • To address these challenges, we target a unique epitope of CTLA-4 with enhanced Treg depletion and then add precision masking technology

Sharma et al. Clin Cancer Res. 2019 Feb 15;25(4):1233-1238. doi: 10.1158/1078-0432.CCR-18-0762.

Marabelle. Targets for Cancer Immunology: A deep dive into enhanced CTLA-4 targeted therapeutics. SITC webinar on Oct 5, 2022

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A New Paradigm for Anti-CTLA-4 Therapy:

Targeting CTLA-4 in the Tumor Microenvironment

Thesis for first generation anti-CTLA-4 therapies:

Efficacy is driven by T cell activation through CTLA-4 blockade.

By widening the therapeutic window, Adagene is taking anti- CTLA-4 therapy to the next level with an enhanced ratio of effector T cells (Teff) over regulatory T cells (Treg) within the TME.

"Anti-CTLA-4 Immunotherapy Does Not Deplete FOXP3+ Regulatory T Cells (Tregs) in Human Cancers" Sharma et al. Clin Cancer Res. 2019 Feb 15;25(4):1233-1238. doi: 10.1158/1078-0432.CCR-18-0762.

Marabelle. Targets for Cancer Immunology: A deep dive into enhanced CTLA-4 targeted therapeutics. SITC webinar on Oct 5, 2022

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Adagene Product Candidates are Focused on Unleashing the Potential of Anti-CTLA-4 Therapy by Enhancing the Therapeutic Index (TI)

  • Two unique anti-CTLA-4 candidates in phase 1b/2 studies:
    • ADG116 NEObody targets a unique binding site
    • ADG126 SAFEbody® is masked version of ADG116
    • Dose escalation completed for both as monotherapy and in combination with anti-PD-1
    • Dose expansion ongoing with anti-PD-1 therapies in targeted tumors, including MSS CRC
    • Roche sponsoring & conducting randomized clinical trial in 1L HCC of ADG126 + atezolizumab + bevacizumab
  • Both ADG116 and ADG126 in combination with anti-PD-1 agents demonstrated fast and robust clinical responses while maintaining superior safety profiles
    • Efficacy shown in both PD-1 naïve and PD-1 resistant patients, as well as cold tumors (MSS CRC)
  • Collaborations validate SAFEbody masking technology
    • Sanofi and Exelixis technology licensing agreements
    • Adagene eligible to receive ≥$2.5B in potential milestones

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Adagene Inc. published this content on 11 July 2023 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 11 July 2023 01:56:10 UTC.