Cancer Immunotherapy Studies Report Positive Results 

Gritstone Oncology GRANITE and SLATE are both personalized neoantigen-based immunotherapies
dart board with darts on it around the bulls eye

A California based biotechnology company announced positive findings from a phase 1 study in an oral session at the European Society for Medical Oncology Immuno-Oncology Congress on December 12, 2019.

Gritstone Oncology, Inc. presented preliminary Phase 1 GRANITE immunogenicity data demonstrating the rapid, robust and consistent induction of large numbers of CD8+ T cells against multiple neoantigens in 4 solid tumor patients with available IFN-g ELISpot data (up to 3,000 IFN-g spot forming units per 106 PBMCs were generated, as measured by overnight ELISpot) within the first two dosing cohorts. Importantly, these T cells were also able to produce IL-2 and Granzyme B, demonstrating that they have cytotoxic potential. 

In addition to priming naive CD8+ T cells against encoded neoantigens, the data demonstrate that GRANITE can also stimulate the expansion of pre-existing T-cell populations. 

Safety data from five patients receiving GRANITE and three patients receiving SLATE across the first two dose levels indicate that the immunotherapies were well-tolerated with no dose-limiting toxicities observed. Dose escalation continues. 

“We are thrilled to observe very robust, polyfunctional CD8+ T cells against predicted neoantigens even at the first dose level of our phase 1 study,” said Andrew Allen, M.D., Ph.D., co-founder, president and chief executive officer of Gritstone Oncology, in a related press release.

“We view these preliminary results as important de-risking data, demonstrating the unprecedented immunogenicity of our heterologous prime/boost vaccine platform at its lowest dose, in combination with nivolumab.”

“Pre-clinical data have shown a clear dose-response where higher doses of the self-amplifying RNA boost vaccination, as well as the addition of anti-CTLA-4, further increasing the number and function of CD8+ T cells.”

“Notably, the starting dose of self-amplifying RNA was conservative since this is the first-in-human study with this therapeutic approach.” 

“Therefore, we look forward to presenting mature data at higher doses with additional patients receiving the full immunotherapy regimen in several months.”

In the GRANITE Phase 1 GO-004 study, the first dosing cohort consisted of three advanced cancer patients, including two gastroesophageal adenocarcinoma patients and one non-small cell lung cancer patient who had previously progressed on prior anti-PD-L1 therapy. 

From the second GRANITE dosing cohort, early ELISpot data was available from one microsatellite-stable colorectal cancer patient. 

The most common adverse events in the GO-004 study were grade 1/2 fever and skin rash, consistent with an inflammatory immune reaction. 

In the SLATE Phase 1 GO-005 study, patients are still early in their course of treatment, and treatment-related adverse events have been limited to one injection site reaction and one case of grade 1/2 pruritus.

Gritstone’s GRANITE personalized immunotherapy delivers a cassette of 20 TSNA identified by the company using its proprietary Gritstone EDGE™ artificial intelligence platform and tumor HLA peptide sequencing, representing tumor-specific neoantigens that are derived from the patient’s own tumor. 

GRANITE is being evaluated in combination with immune checkpoint blockade in a Phase 1/2 clinical study, referred to as GO-004, for the treatment of patients with advanced solid tumors, including microsatellite-stable colorectal cancer (MSS CRC), gastroesophageal cancer, metastatic non-small cell lung cancer, and bladder cancer. 

Gritstone Oncology is a clinical-stage biotechnology company, is developing the next generation of cancer immunotherapies to fight multiple cancer types.

Cancer Immunotherapy news published by Vax-Before-Cancer