OncoSec Shares Disappointing Results From Skin Cancer Combo Therapy Trial, Sets Stage For Neoadjuvant Setting Study

  • OncoSec Medical Incorporated ONCS shares plummeted Monday following Phase 2 KEYNOTE-695 clinical trial data. The primary endpoint of the overall response rate (ORR) was not met.
  • The company evaluated TAVO-EP, in combination with Merck & Co Inc MRK Keytruda (pembrolizumab) in unresectable or metastatic (Stage III/IV) melanoma.
  • The patients in the trial had confirmed disease progression after at least 12 weeks exposure to immediate prior anti-PD-1 antibody therapy (pembrolizumab or nivolumab).
  • Among 98 efficacy evaluable patients, the confirmed ORR was 10.2% which did not achieve the pre-specified clinically meaningful ORR of ≥17%. 
  • Related: OncoSec Touts Encouraging Early Data For Opdivo Combined Immunotherapy For Skin Cancer.
  • The BICR results for 98 efficacy evaluable patients are lower than the ORR per RECIST v1.1 by investigator assessment of 18.8% for the 101 patients previously reported as the key secondary endpoint of the KEYNOTE–695 trial.
  • As previously reported, the median overall survival for all enrolled 105 patients was 22.7 months after a median follow-up period of 33.4 months. 
  • The company plans to pursue TAVO-EP in combination with anti-PD-1 therapy in the neoadjuvant melanoma setting.
  • A meeting with the FDA to discuss a phase 2 randomized trial in the melanoma neoadjuvant setting is scheduled for May 2023, and potentially initiate the Phase 2 study in 2H of 2023.
  • Price Action: ONCS shares are down 50.4% at $1.28 on the last check Monday.
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