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Immutep Announces First Participant Dosed in Phase I Study of IMP761, a First in Class Agonist LAG-3 Antibody

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Immutep has announced the successful dosing of the first participant in the Phase I clinical trial of IMP761, a first-in-class agonist LAG-3 antibody.

This trial aims to restore immune system balance by enhancing the LAG-3 brake function to address autoimmune diseases. Conducted by the Centre for Human Drug Research (CHDR) in Leiden, Netherlands, the study plans to enroll 49 healthy volunteers. The trial will assess safety, pharmacokinetics, and pharmacodynamics of IMP761 with initial safety data expected by year-end and further data by the first half of CY2025.

Preclinical studies have shown IMP761 to significantly reduce inflammatory cytokines and suppress antigen-specific T cell–mediated immune responses. The trial targets conditions like rheumatoid arthritis, Type 1 diabetes, and multiple sclerosis.

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Positive

  • First participant successfully dosed in Phase I trial of IMP761
  • Initial safety data expected by year-end
  • Study to enroll 49 healthy volunteers
  • Preclinical studies showed significant reduction in inflammatory cytokines

Negative

  • Pharmacokinetics and pharmacodynamics data not expected until first half of CY2025

Insights

The dosing of the first participant in the Phase I study of IMP761 marks a significant milestone for Immutep. This first-in-class agonist LAG-3 antibody represents a novel approach to treating autoimmune diseases by enhancing the "brake" function of LAG-3 on T cells. The study's design, including the KLH challenge model, will provide valuable early insights into the drug's pharmacodynamic activity.

Key points to consider:

  • The study aims to enroll 49 healthy volunteers, focusing on safety, PK and PD.
  • Initial safety data is expected by year-end, with PK/PD data in H1 2025.
  • Preclinical studies have shown promising results in reducing inflammatory cytokines and suppressing antigen-specific T cell responses.
While it's too early to predict clinical success, this study could potentially lead to a new paradigm in autoimmune disease treatment if successful.

From a financial perspective, this news is moderately positive for Immutep. Key considerations include:

  • The initiation of a Phase I trial expands Immutep's clinical pipeline, potentially increasing the company's value proposition to investors.
  • The novel mechanism of IMP761 could address a significant market need in autoimmune diseases, which represent a multi-billion dollar market opportunity.
  • However, investors should note that early-stage clinical trials carry significant risks and it will be years before any potential commercialization.
While this news doesn't immediately impact Immutep's financials, it does demonstrate progress in their R&D efforts. Investors should closely monitor the upcoming safety data expected by year-end, as positive results could serve as a catalyst for the stock.

Media Release

  • IMP761 is designed to enhance the “brake” function of LAG-3 on T cells to restore balance to the immune system and address the underlying cause of many autoimmune diseases
  • Safety data from this first-in-human study anticipated by year-end and pharmacokinetics and pharmacodynamics data in first half CY2025

SYDNEY, AUSTRALIA, Aug. 14, 2024 (GLOBE NEWSWIRE) -- Immutep Limited (ASX: IMM; NASDAQ: IMMP) ("Immutep” or “the Company”), a clinical-stage biotechnology company developing novel LAG-3 immunotherapies for cancer and autoimmune disease, today announces that the first participant has been successfully dosed in the first-in-human Phase I trial of IMP761. This first-in-class agonist LAG-3 antibody is designed to restore balance to the immune system by enhancing the “brake” function of LAG-3 to silence dysregulated self-antigen-specific memory T cells that cause many autoimmune diseases.

The single and multiple ascending dose, placebo-controlled, double-blind Phase I study is being conducted by the Centre for Human Drug Research (CHDR), a world-class institute in Leiden, the Netherlands, specializing in cutting-edge early-stage clinical drug research. The study aims to enrol 49 healthy volunteers, to assess safety, pharmacokinetics (PK) and pharmacodynamics (PD).

CHDR will implement its unique keyhole limpet haemocyanin (KLH) challenge model allowing for the evaluation of IMP761’s pharmacodynamic activity at the earliest stages of clinical development. Immutep anticipates the first safety data from the Phase I study to be available before end of the year with assessment of PK/PD relationships to follow in the first half of CY2025.

The immune checkpoint LAG-3 has been identified as a promising target for agonist LAG-3 immunotherapy to treat rheumatoid arthritis, Type 1 diabetes, and multiple sclerosis, among other autoimmune diseases.1,2,3 In preclinical studies, IMP761 has led to a large decrease in inflammatory cytokines and demonstrated its effectiveness in suppressing antigen-specific T cell–mediated immune responses.4,5

About IMP761
IMP761, a first-in-class immunosuppressive LAG-3 agonist antibody, has the potential to address the root cause of many autoimmune diseases by specifically silencing autoimmune memory T cells that accumulate at disease sites and restoring balance to the immune system. As published in the Journal of Immunology, encouraging pre-clinical in vivo and in vitro studies show IMP761 inhibits peptide-induced T cell proliferation, activation of human primary T cells, and an antigen-specific delayed-type hypersensitivity (DTH) reaction. Additional preclinical data in oligoarticular juvenile idiopathic arthritis (o-JIA) published in Pediatric Research details how IMP761 led to a decrease in a broad spectrum of effector cytokines in just 48 hours. This study also showed children with o-JIA have a skewed LAG-3 metabolism and suggested they can benefit from agonistic LAG-3 activity.

About Immutep
Immutep is a clinical-stage biotechnology company developing novel LAG-3 immunotherapy for cancer and autoimmune disease. We are pioneers in the understanding and advancement of therapeutics related to Lymphocyte Activation Gene-3 (LAG-3), and our diversified product portfolio harnesses its unique ability to stimulate or suppress the immune response. Immutep is dedicated to leveraging its expertise to bring innovative treatment options to patients in need and to maximise value for shareholders. For more information, please visit www.immutep.com.

Australian Investors/Media:
Catherine Strong, Morrow Sodali
+61 (0)406 759 268; c.strong@morrowsodali.com

U.S. Investors/Media:
Chris Basta, VP, Investor Relations and Corporate Communications
+1 (631) 318 4000; chris.basta@immutep.com

1. Pedersen, J.M., Hansen, A.S., Skejø, C. et al. Lymphocyte activation gene 3 is increased and affects cytokine production in rheumatoid arthritis. Arthritis Res Ther 25, 97 (2023). https://doi.org/10.1186/s13075-023-03073-z
2. Jones BE, Maerz MD et al. Fewer LAG-3+ T Cells in Relapsing-Remitting Multiple Sclerosis and Type 1 Diabetes. J Immunol. 2022 Feb 1;208(3):594-602. doi: 10.4049/jimmunol.2100850. Epub 2022 Jan 12. PMID: 35022272; PMCID: PMC8820445.
3. Zhou X, Gu Y et al. From bench to bedside: targeting lymphocyte activation gene 3 as a therapeutic strategy for autoimmune diseases. Inflamm Res. 2023 Jun;72(6):1215-1235. doi: 10.1007/s00011-023-01742-y. Epub 2023 Jun 14. PMID: 37314518.
4. Mathieu Angin, Chrystelle Brignone, Frédéric Triebel; A LAG-3–Specific Agonist Antibody for the Treatment of T Cell–Induced Autoimmune Diseases. J Immunol 15 February 2020; 204 (4): 810–818. https://doi.org/10.4049/jimmunol.1900823
5. Sag, E., Demir, S., Aspari, M. et al. Juvenile idiopathic arthritis: lymphocyte activation gene-3 is a central immune receptor in children with oligoarticular subtypes. Pediatr Res 90, 744–751 (2021). https://doi.org/10.1038/s41390-021-01588-2



FAQ

What is the purpose of Immutep's Phase I study of IMP761?

The Phase I study aims to evaluate the safety, pharmacokinetics, and pharmacodynamics of IMP761, a first-in-class agonist LAG-3 antibody designed to restore immune system balance in autoimmune diseases.

When was the first participant dosed in the IMP761 Phase I study?

The first participant was successfully dosed on August 14, 2024.

What autoimmune diseases could IMP761 potentially treat?

IMP761 targets autoimmune diseases such as rheumatoid arthritis, Type 1 diabetes, and multiple sclerosis.

When will the initial safety data from the IMP761 Phase I study be available?

Initial safety data is anticipated by the end of 2024.

What are the expected timelines for pharmacokinetics and pharmacodynamics data for IMP761?

Pharmacokinetics and pharmacodynamics data are expected in the first half of CY2025.
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