Atara Biotherapeutics Receives FDA Clearance of IND Application in Lupus Nephritis for ATA3219, an Allogeneic CAR T Therapy
Atara Biotherapeutics, Inc. receives second IND clearance for ATA3219, a CAR T-cell therapy for lupus nephritis. Clinical data expected in 2024 and 2025. The therapy aims to address unmet needs in autoimmune diseases, offering potentially curative off-the-shelf treatment options.
The recent FDA clearance of Atara Biotherapeutics' Investigational New Drug (IND) application for ATA3219 marks a pivotal advancement in the field of autoimmune disease treatment, specifically for lupus nephritis (LN). This development is underpinned by the promising in vitro data showcasing ATA3219's CD19 antigen-specific functional activity and its potential to deplete B cells in SLE patients more effectively than current treatments. The innovative nature of this allogeneic CAR T-cell therapy could disrupt the existing treatment paradigm for LN, given that up to 70% of patients are refractory to standard immunosuppressive therapies.
From a research perspective, the move to allogeneic, or 'off-the-shelf', therapies represents a significant shift away from patient-specific autologous treatments, which are often costly and time-consuming due to the need for leukapheresis and manufacturing. Moreover, the one-time infusion nature of ATA3219 could offer a more convenient and potentially cost-effective treatment option, which is crucial for chronic conditions like LN. The anticipated clinical data in the second half of 2024 will be critical in assessing the safety and preliminary efficacy of the therapy, which could lead to a new standard of care if successful.
The FDA's clearance for the IND application of ATA3219 has significant financial implications for Atara Biotherapeutics. The company's focus on a novel allogeneic Epstein-Barr virus (EBV) T-cell platform to address cancers and autoimmune diseases such as LN is a strategic move to tap into a market with a substantial unmet medical need. Considering the prevalence of SLE in the U.S. and the high percentage of LN patients who do not respond to existing therapies, the successful development of ATA3219 could capture a considerable market share.
Investors should note the potential for reduced treatment costs and improved patient access with ATA3219, which could lead to increased adoption and revenue generation for Atara. However, it is essential to monitor the progression of the Phase 1 trial and subsequent clinical data releases, as these will be key indicators of the therapy's efficacy and safety, impacting the company's stock valuation. Furthermore, the long-term success of ATA3219 would depend on its ability to demonstrate cost-effectiveness and superior outcomes compared to current standards of care.
Allogeneic CAR T-cell therapies like ATA3219 have the potential to transform the economic landscape of treating autoimmune diseases such as lupus nephritis. The economic burden of SLE and its complications, including LN, is significant due to chronic management, long-term morbidity and associated healthcare costs. The introduction of an off-the-shelf therapy that eliminates the need for continuous administration and reduces the risk of treatment failures could lead to decreased healthcare expenditures in the long run.
Moreover, the potential for ATA3219 to provide a one-time, durable remission could shift the cost-benefit ratio favorably when compared to lifelong treatments currently in use. It is important to consider the broader economic impact, including potential reductions in indirect costs such as lost productivity and disability. If ATA3219 proves to be effective in clinical trials, it could set a precedent for how autoimmune diseases are managed from an economic standpoint, emphasizing the value of innovation in reducing long-term healthcare costs.
02/29/2024 - 09:05 AM
Second IND Clearance for ATA3219 Following Non-Hodgkin’s Lymphoma (NHL) and First in an Autoimmune Disease Indication
Initial Clinical Data in NHL Anticipated in H2 2024 and for Lupus Nephritis in H1 2025
THOUSAND OAKS, Calif. --(BUSINESS WIRE)--
Atara Biotherapeutics, Inc. (Nasdaq: ATRA), a leader in T-cell immunotherapy, leveraging its novel allogeneic Epstein-Barr virus (EBV) T-cell platform to develop transformative therapies for patients with cancer and autoimmune diseases, today announced the U.S. Food and Drug Administration (FDA) has cleared an Investigational New Drug (IND) application for ATA3219, an allogeneic, anti-CD19 chimeric antigen receptor (CAR) T-cell monotherapy for the treatment of systemic lupus erythematosus (SLE) with kidney involvement (lupus nephritis [LN]).
“Expanding upon an extensive clinical experience encompassing the treatment of over 600 patients using our allogeneic T-cell platform in both oncology and autoimmune diseases, we are excited to clinically evaluate the potential of our differentiated allogeneic CAR T-cell approach. We are eager to address the significant unmet need in lupus nephritis as we initiate our Phase 1 trial,” said Pascal Touchon, President and Chief Executive Officer of Atara. “We look forward to bringing the promise and accessibility of a potentially curative off-the-shelf cell therapy option to patients with severe autoimmune diseases, potentially eliminating the burdens of autologous CAR T therapies like costly infrastructure and treatment delays.”
The multi-center, Phase 1, open-label, single-arm, dose-escalation study will evaluate the safety and preliminary efficacy of ATA3219 in subjects with LN. Subjects will receive lymphodepletion treatment followed by ATA3219 at a dose of 40, 80, or 160 x 106 CAR+ T cells. ATA3219 is designed to be given as a one-time infusion and followed for safety and efficacy. Each dose level is designed to enroll 3-6 patients, with the first subject expected to be enrolled in the second half of 2024.
“Existing therapeutic agents for lupus nephritis yield suboptimal responses and have limitations due to their requirement for ongoing administration, susceptibility to treatment failures, and limited accessibility to inflamed tissues resulting in incomplete depletion of B cells,” said Rajani Dinavahi, Chief Medical Officer at Atara. “CAR T cells can naturally infiltrate deep into target tissues to mediate B-cell depletion and produce durable responses. Building on the encouraging academic data in lupus nephritis with autologous CD19 CAR T, ATA3219 is an off-the-shelf therapy that could significantly reduce constraints for patients and physicians like leukapheresis and long waiting times, therefore potentially improving access to a large population of patients.”
Proof of concept for a CD19 CAR T approach in autoimmune disease was first demonstrated in early academic results from an investigator-sponsored study showing 100% (8/8) of LN patients rapidly attaining drug-free, durable remission with an autologous CD19-targeted CAR T therapy. The therapy eliminated the pathogenic, autoreactive B cells and allowed healthy B cells to return after treatment, enabling the patients’ immune system to function normally again with associated improvement of clinical symptoms.1 These early proof of concept clinical data with CD19 targeted CAR T support further development of CAR T for LN with differentiated and off-the-shelf allogeneic approaches.
The ATA3219 IND submission included in vitro data reflecting the CD19 antigen-specific functional activity of ATA3219 and CAR-mediated activity against B cells from SLE patients. ATA3219 led to robust CD19-specific B-cell depletion compared to controls.
LN is a serious and most common complication of SLE, a chronic multisystem autoimmune disease. The prevalence of SLE in the U.S. is 73 per 100,000 people, afflicting more than 200,000 U.S. patients alone, and occurs in women much more commonly than men. Up to 60% of adult patients with SLE develop renal disease during the course of their illness, and up to 70% of patients with LN are refractory to standard immunosuppressive therapies. Despite recent advances in treatment strategies, the response rate using existing therapies remains low, with significant risk of long-term morbidity and mortality associated with refractory LN.
About ATA3219
ATA3219 combines the natural biology of unedited T cells with the benefits of an allogeneic therapy. It consists of allogeneic Epstein-Barr virus (EBV)-sensitized T cells that express a CD19 CAR construct for the treatment of CD19+ relapsed or refractory B-cell malignancies, including B-cell non-Hodgkin’s lymphoma and B-cell mediated autoimmune diseases including systemic lupus erythematosus (SLE) with kidney involvement (lupus nephritis [LN]). ATA3219 has been optimized to offer a potential best-in-class profile, featuring off-the-shelf availability. It incorporates multiple clinically validated technologies including a modified CD3ζ signaling domain (1XX) that optimizes expansion and mitigates exhaustion, enrichment during manufacturing for a less differentiated phenotype for robust expansion and persistence and retains the endogenous T-cell receptor without gene editing as a key survival signal for T cells contributing to persistence.
Next-Generation Allogeneic CAR T Approach
Atara is focused on applying Epstein-Barr virus (EBV) T-cell biology, featuring experience in over 600 patients treated with allogeneic EBV T cells, and novel chimeric antigen receptor (CAR) technologies to meet the current limitations of autologous and allogeneic CAR therapies head-on by advancing a potential best-in-class CAR T pipeline in oncology and autoimmune disease. Unlike gene-edited approaches aimed at inactivating T-cell receptor (TCR) function to reduce the risk for graft-vs-host disease, Atara’s allogeneic platform maintains expression of the native EBV TCR that promote in vivo functional persistence while also demonstrating inherently low alloreactivity due to their recognition of defined viral antigens and partial human leukocyte antigen (HLA) matching. A molecular toolkit of clinically-validated technologies—including the 1XX costimulatory domain designed for better cell fitness and less exhaustion while maintaining stemness—offers a differentiated approach to addressing significant unmet need with the next generation CAR T.
About Atara Biotherapeutics, Inc.
Atara is harnessing the natural power of the immune system to develop off-the-shelf cell therapies for difficult-to-treat cancers and autoimmune conditions that can be rapidly delivered to patients from inventory. With cutting-edge science and differentiated approach, Atara is the first company in the world to receive regulatory approval of an allogeneic T-cell immunotherapy. Our advanced and versatile T-cell platform does not require T-cell receptor or HLA gene editing and forms the basis of a diverse portfolio of investigational therapies that target EBV, the root cause of certain diseases, in addition to next-generation AlloCAR-Ts designed for best-in-class opportunities across a broad range of hematological malignancies and B-cell driven autoimmune diseases. Atara is headquartered in Southern California . For more information, visit atarabio.com and follow @Atarabio on X and LinkedIn .
Forward-Looking Statements
This press release contains or may imply "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. For example, forward-looking statements include statements regarding the development, data, timing and progress, as applicable, of: (1) the ATA3219 program; (2) the potential characteristics and benefits of ATA3219; (3) the Company’s planned clinical study of ATA3219 to treat lupus nephritis, including the timing and enrollment thereof. Because such statements deal with future events and are based on Atara’s current expectations, they are subject to various risks and uncertainties and actual results, performance or achievements of Atara could differ materially from those described in or implied by the statements in this press release. These forward-looking statements are subject to risks and uncertainties, including, without limitation, risks and uncertainties associated with the costly and time-consuming pharmaceutical product development process and the uncertainty of clinical success; the ongoing COVID-19 pandemic and the wars in Ukraine and the Middle East , which may significantly impact (i) our business, research, clinical development plans and operations, including our operations in Southern California and Denver and at our clinical trial sites, as well as the business or operations of our third-party manufacturer, contract research organizations or other third parties with whom we conduct business, (ii) our ability to access capital, and (iii) the value of our common stock; the sufficiency of Atara’s cash resources and need for additional capital; and other risks and uncertainties affecting Atara’s and its development programs, including those discussed in Atara’s filings with the Securities and Exchange Commission , including in the “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” sections of the Company’s most recently filed periodic reports on Form 10-K and Form 10-Q and subsequent filings and in the documents incorporated by reference therein. Except as otherwise required by law, Atara disclaims any intention or obligation to update or revise any forward-looking statements, which speak only as of the date hereof, whether as a result of new information, future events or circumstances or otherwise.
1 Mueller, F., et al. CD19-Targeted CAR-T Cells in Refractory Systemic Autoimmune Diseases: A Monocentric Experience from the First Fifteen Patients. Blood 2023; 142 (Supplement 1): 220.
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Source: Atara Biotherapeutics, Inc.
What is the significance of the second IND clearance received by Atara Biotherapeutics for ATA3219?
The second IND clearance allows Atara to advance its CAR T-cell therapy, ATA3219, for lupus nephritis, addressing the unmet needs in autoimmune diseases.
When can we expect the initial clinical data for ATA3219 in non-Hodgkin’s lymphoma and lupus nephritis?
The initial clinical data for ATA3219 in non-Hodgkin’s lymphoma is anticipated in H2 2024, while for lupus nephritis, it is expected in H1 2025.
What is the purpose of the Phase 1 trial for ATA3219 in lupus nephritis?
The Phase 1 trial aims to evaluate the safety and preliminary efficacy of ATA3219 in subjects with lupus nephritis by administering different doses of the therapy.
How does ATA3219 differ from existing therapeutic agents for lupus nephritis?
ATA3219 is an off-the-shelf CAR T-cell therapy that could potentially reduce constraints for patients and physicians by eliminating the need for leukapheresis and long waiting times.
What is the prevalence of systemic lupus erythematosus (SLE) in the U.S.?
SLE affects more than 200,000 U.S. patients, with up to 60% of adult patients developing renal disease, leading to refractory lupus nephritis in 70% of cases.
