2025 ASCO Oral Presentation: Innovent Biologics Announces Updated Date of IBI363 (First-in-class PD-1/IL-2α-bias Bispecific Antibody Fusion Protein) from Phase 1 Clinical Studies in Advanced Colorectal Cancer
- IBI363 monotherapy demonstrated significant survival benefit with 16.1 months median OS vs 6.4-9.3 months for standard treatments
- Combination therapy with bevacizumab showed promising efficacy with 15.1% ORR and 61.6% DCR
- Strong efficacy in non-liver metastasis patients with 31.3% ORR and 7.4 months PFS
- Manageable safety profile with no new safety signals observed
- Relatively modest ORR of 13.6% for monotherapy at 1 mg/kg Q2W dosing
- Overall response rates remain relatively low compared to standard treatments in other cancer types
- Grade 3 or higher adverse events affected 27.9% of monotherapy and 35.6% of combination therapy patients
Innovent Biologics is conducting clinical studies in
PD-1/IL-2α-bias bispecific antibody fusion protein IBI363 monotherapy and combined with bevacizumab in participants with advanced colorectal cancer: results from Phase 1 studies
Two Phase 1 studies (NCT05460767, NCT06717880) were conducted to evaluate the safety, tolerability and preliminary efficacy of IBI363 monotherapy and combined with bevacizumab in patients with advanced colorectal cancer.
IBI363 monotherapy has demonstrated breakthrough antitumor therapeutic potential, showing a significant extension of overall survival compared to data of standard-of-care therapies
- As of the data cutoff date (Apr 7th, 2025), a total of 68 participants with advanced colorectal cancer received IBI363 monotherapy at the dose levels from 0.1 mg/kg to 3mg/kg. No patients were confirmed as microsatellite instability-high (MSI-H) or deficient mismatch repair (dMMR).
86.8% of patients were microsatellite stable (MSS) or proficient mismatch repair (pMMR).61.8% of patients had liver metastases.63.2% of patients had previously received 3 or more lines of systemic anti-tumor treatments.23.9% of patients had received prior immunotherapy. - Notably, among patients receiving monotherapy with IBI363 (n=68), with a median follow-up time of 20.1 months, the median overall survival (OS) reached 16.1 months, demonstrating a significant improvement compared to the historical data of standard treatments (ranging from 6.4 to 9.3 months1-3).
- Subgroup analyses revealed that patients with or without liver metastasis both showed excellent overall survival (OS), indicating significant clinical benefit. The median OS were 14.4 months (with liver metastasis) and 17.0 months (without liver metastasis).
- Among patients treated with monotherapy of IBI363 1 mg/kg every 2 weeks (Q2W) (n=22), the confirmed objective response rate (cORR) was
13.6% .
Liver metastasis | without liver metastasis | Total (n = 68) | |
Median OS, month ( | 14.4 (8.0, 18.8) | 17.0 (9.9, NC) | 16.1 (10.1, 18.8) |
6-month OS rate, % ( | 81.3 (64.6, 90.6) | 80.0 (58.4, 91.1) | 80.7 (68.5, 88.6) |
12-month OS rate, % ( | 54.8 (36.9, 69.5) | 59.5 (37.8, 75.8) | 56.6 (43.0, 68.1) |
18-month OS rate, % ( | 37.6 (21.3, 53.9) | 44.8 (24.0, 63.6) | 40.3 (27.2, 53.0) |
OS median follow-up time, month ( | 20.2 (17.9, 20.7) | 20.1 (16.8, 21.7) | 20.1 (17.7, 20.6) |
The combination of IBI363 and bevacizumab demonstrated encouraging efficacy signals and a manageable safety profile, with excellent data on objective response rate and progression-free survival
- As of the data cutoff date (Apr 7th, 2025), a total of 73 patients with advanced colorectal cancer received IBI363 (dose levels from 0.6 mg/kg to 3mg/kg) and bevacizumab combination therapy. No patients were confirmed as MSI-H or dMMR.
91.8% of patients were MSS or pMMR.56.2% of patients had liver metastases.54.8% of patients had previously received 3 or more lines of systemic anti-tumor treatments.16.4% of patients had received prior immunotherapy. - In all participants treated with IBI363 in combination with bevacizumab (n=73), the cORR was
15.1% and the disease control rate (DCR) was61.6% . With a median follow-up time of 9.9 months, the median progression free survival (PFS) reached 4.7 months. With a median follow-up time of 9.4 months, OS was not mature, with events in only 13 participants (17.8% ). - As for the combination therapy in patients without liver metastases (n=32), the confirmed ORR was
31.3% , with a DCR of81.3% . The median PFS reached to 7.4 months. - In those participants who received IBI363 at 3 mg/kg Q3W plus bevacizumab (n=31), confirmed ORR and DCR increased to
19.4% and71.0% , respectively. The median PFS increased to 5.6 months.
IBI363 3 mg/kg Q3W +Bevacizumab (n = 31) | Without liver metastasis | Total (n = 73) | |
Confirmed ORR, % ( | 19.4 (7.5, 37.5) | 31.3 (16.1, 50.0) | 15.1 (7.8, 25.4) |
DCR, % ( | 71.0 (52.0, 85.8) | 81.3 (63.6, 92.8) | 61.6 (49.5, 72.8) |
Median PFS, month ( | 5.6 (2.5,6.8) | 7.4 (4.1, 9.8) | 4.7 (2.5,6.7) |
PFS median follow-up time, month ( | 8.6 (7.2, 10.2) | 9.9 (7.2, 13.1) | 9.9 (7.2, 13.9) |
- In terms of safety, among participants receiving monotherapy and combination therapy, 19 (
27.9% ) and 26 (35.6% ) reported treatment-related adverse events (TRAEs) of Grade 3 or higher, respectively. The most common TRAEs were arthralgia, anemia, rash, and hypothyroidism. No new safety signals were observed, with a manageable risk-benefit profile in IBI363 alone or in combination with bevacizumab.
Tumor immune cell infiltration analysis supports the IBI363 MOA of turning "cold tumor" into "hot tumor", demonstrating enrichment of PD1+CD25+CD8+ cells in baseline tumor tissue association with clinical efficacy
- In baseline tumor tissues, elevated infiltration of CD8+ cells, CD25+CD8+ cells, and PD1+CD25+CD8+ cells were associated with improved clinical response to IBI363 monotherapy (partial response or stable disease). This supports the potential anti-tumor effects of IBI363 in the treatment of colorectal cancer from the perspective of its mechanism of action.
Professor Tao Zhang, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, stated: "Colorectal cancer is the third most common cancer type globally and ranks fourth in cancer-related mortality4. About
Dr. Hui Zhou, Senior Vice President of Innovent, stated: "On top of the preliminary data reported at 2024 ASCO and 2024 ESMO, we are presenting more updated follow-up data and combination therapy results of IBI363 at the ASCO Congress this year. From a comprehensive body of clinical evidence that includes ORR, PFS, OS, IBI363 demonstrated robust antitumor activity of both monotherapy and combination therapy in patients with advanced colorectal cancer who are non-MSI-H/dMMR. We are eyeing on long-term survival data from high dose in longer follow-up period. And the pivotal study of IBI363 targeting advanced CRC is in plan. Observing such results in the context of colorectal cancer, which is typically considered an immunologically 'cold' tumor, further highlights the broad development potential of IBI363. It offers hope for expanding into areas where immunotherapy has been less effective or even unresponsive."
About IBI363 (First-in-class PD-1/IL-2α-bias bispecific antibody fusion protein)
IBI363 is a first-in-class PD-1/IL-2α-bias bispecific antibody fusion protein independently developed by Innovent Biologics. It functions by both blocking the PD-1/PD-L1 pathway and activating the IL-2 pathway. The IL-2 arm of IBI363 is designed to maintain its affinity for IL-2Rα while reducing binding to IL-2Rβ and IL-2Rγ, thereby minimizing toxicity. The PD-1 binding arm not only blocks PD-1 but also selectively delivers IL-2. This approach targets and activates tumor-specific T cells that express both PD-1 and IL-2α, leading to more precise and effective activation of this T cell subpopulation. IBI363 has demonstrated robust antitumor activity in various tumor-bearing pharmacological models, but also showed outstanding efficacy in PD-1 resistance and metastasis models.
In response to urgent clinical needs, Innovent is conducting clinical studies in
IBI363 has received two fast track designations (FTD) from the
About Innovent
Innovent is a leading biopharmaceutical company founded in 2011 with the mission to empower patients worldwide with affordable, high-quality biopharmaceuticals. The company discovers, develops, manufactures and commercializes innovative medicines that target some of the most intractable diseases. Its pioneering therapies treat cancer, cardiovascular and metabolic, autoimmune and eye diseases. Innovent has launched 15 products in the market. It has 3 new drug applications under regulatory review, 4 assets in Phase III or pivotal clinical trials and 15 more molecules in early clinical stage. Innovent partners with over 30 global healthcare companies, including Eli Lilly, Sanofi, Incyte, Adimab, LG Chem and MD Anderson Cancer Center.
Guided by the motto, "Start with Integrity, Succeed through Action," Innovent maintains the highest standard of industry practices and works collaboratively to advance the biopharmaceutical industry so that first-rate pharmaceutical drugs can become widely accessible. For more information, visit www.innoventbio.com, or follow Innovent on Facebook and LinkedIn.
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(2)Ramucirumab (Cyramza®) and Selpercatinib (Retsevmo®) and Pirtobrutinib (Jaypirca®) were developed by Eli Lilly and Company.
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References
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5. Huyghe N, et al. Biomarkers of Response and Resistance to Immunotherapy in Microsatellite Stable Colorectal Cancer: Toward a New Personalized Medicine. Cancers ( |
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