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Alligator Bioscience presents Phase 1b/2 data

Søren Bregenholt

Alligator Bioscience has announced a poster presentation on the OPTIMIZE-1 Phase 1b/2 trial of mitazalimab in combination with modified FOLFIRINOX in first-line metastatic pancreatic cancer with the company’s lead asset mitazalimab at the 2022 AACR Special Conference on Pancreatic Cancer, being held in Boston September 13-16.

The presentation, entitled “Mitazalimab (CD40 agonist) in combination with mFOLFIRINOX in patients with metastatic pancreatic ductal adenocarcinoma (mPDAC); Safety data and recommended dose of phase 2 (RP2D) from OPTIMIZE-1, a phase 1b/2 study”, outlines additional results from the Phase 1b dose escalation part of the study that were announced in March, 2022.

Safe and well tolerated

The results presented at AACR, demonstrate that mitazalimab is safe and tolerable at 900 µg/kg, the highest dose tested in OPTIMIZE-1. Most of the mitazalimab related AEs at both dose levels (fever, muscle pain, loss of apetite and fatigue) were mild to moderate (grade 1 or 2) severity and manageable. Only one patient out of the 6 patients in the 900 µg/kg cohort experienced a grade 3 treatment-related adverse event (TRAE) of headache. There were no grade 4 TRAEs or treatment related death reported. Pharmacodynamic markers in peripheral blood confirmed immune activation, in accordance with mitazalimab’s mode of action.

Overall, the data showed that mitazalimab combined with mFOLFIRINOX is safe and well tolerated. The 900 µg/kg dose of mitazalimab was selected as the recommended dose for the Phase 2 study. Enrollment for the Phase 2 is ongoing at sites in Europe with an interim efficacy and safety read-out expected in Q4 2022.

“The AACR Special Conference on Pancreatic Cancer is an extremely well-regarded scientific forum for Alligator to be presenting additional data from our OPTIMIZE-1 trial,” said Søren Bregenholt, PhD, CEO of Alligator Bioscience, in the company’s press release. “Mitazalimab’s differentiated efficacy and tolerability profile allows for the higher and more frequent doses which, when combined with chemotherapy like mFOLFIRINOX, increases the chances of demonstrating clinical benefit in the treatment of metastatic pancreatic cancer. We are very pleased with the successful completion of the Phase 1b section of the trial and we continue to make great progress with the enrollment for Phase 2.”

Photo of Søren Bregenholt, CEO, Alligator Bioscience