IK-175 combined with nivolumab showed durable antitumor activity with a 20% ORR and 40% DCR in heavily pretreated urothelial carcinoma

IK-175 monotherapy activity observed; confirmed partial response with DoR of 14.9 months and ongoing

Program in collaboration with Bristol Myers Squibb and eligible for opt-in through early 2024

BOSTON, MA, USA I November 10, 2022 I Ikena Oncology, Inc. (Nasdaq: IKNA, “Ikena”), a targeted oncology company forging new territory in patient-directed cancer treatment, today presented initial clinical data from its ongoing IK-175 clinical program in urothelial carcinoma at the Society for Immunotherapy of Cancer (SITC) 37th Annual Meeting in Boston, MA.

“We are glad to share the initial results from this study showing encouraging antitumor activity of IK-175 in urothelial carcinoma. These patients have exhausted all therapeutic options and progressed within 12 weeks of their last checkpoint treatment. It is an exciting development to observe IK-175 as well tolerated, achieving prolonged objective responses and disease control in this refractory patient population,” said Sergio Santillana, MD, Chief Medical Officer of Ikena. “These initial data suggest we are making progress towards demonstrating that IK-175 in combination with nivolumab could overcome resistance to immune checkpoint inhibitors in urothelial carcinoma. Ultimately, we hope these data are a step towards IK-175 expanding the number of cancer patients who could benefit from immunotherapy.”

Initial results demonstrate durable antitumor activity in heavily pretreated patients in both monotherapy and combination arms in urothelial carcinoma patients who all progressed on prior checkpoint inhibitors.

Key Data Highlights: IK-175 Dose Escalation, Stage 1 of Dose Expansion Monotherapy in Urothelial Carcinoma, and Stage 1 of Combination with Nivolumab Expansion in Urothelial Carcinoma

  • Durable antitumor activity across evaluable patients
    • Initial analysis includes 43 patients treated across all arms
    • Dose expansion in urothelial carcinoma: 20 response evaluable patients (10 monotherapy, 10 combination)
      • Expansion cohorts each follow a Simon 2-stage design
      • Patients included in analysis from stage 1 of each expansion cohort; stage 2 of the cohorts continue to enroll
      • IK-175 monotherapy
        • 1 confirmed partial response with a duration of response (DoR) of 14.9 months and ongoing; 1 stable disease patient
        • 10% overall response rate (ORR), 20% disease control rate (DCR)
      • IK-175 combination with nivolumab
        • 2 confirmed partial responses with DoR 4.5-6 months and ongoing; 2 stable disease patients
        • Overall response rate 20% (ORR), disease control rate 40% (DCR)
    • Dose escalation in all solid tumors; 20 evaluable patients (15 monotherapy, 5 combination)
      • All solid tumors enrolled, including non-small-cell lung cancer, ovarian, colon, appendiceal carcinoma, pancreatic carcinoma and others; included patients who received up to 10 lines of prior therapy
      • In dose escalation 3/15 (monotherapy, 20% DCR) and 2/5 (combination, 40% DCR) patients had prolonged stable disease up to over 19 months
  • IK-175 was well tolerated, with a predictable and manageable safety profile
    • Maximum tolerated dose was not reached and no dose limiting toxicities were observed; 1200mg was selected as the expansion dose
    • Most frequently occurring treatment-related adverse events were low-grade rash and nausea (monotherapy) and low-grade fatigue and dysgeusia (combination); there were only 2 serious adverse events
    • Immune-related events were reported in both monotherapy and combination arms, supporting the immune-modulatory effect of IK-175

Dr. David Aggen, one of the lead investigators on the trial and author on the poster commented: “This bladder cancer patient population are often out of options, and it is extremely challenging to find therapies that can overcome their previous treatment failures. It is exciting to see this type of antitumor activity with IK-175-nivolumab combination therapy for these patients and I am looking forward to seeing how IK-175 advances the bladder cancer treatment paradigm.”

Presentation Details

  • Poster #: 661
  • Title: Initial results from a Phase 1a/b study of IK-175, an oral AHR inhibitor, as a single agent and in combination with nivolumab in patients with advanced solid tumors and urothelial carcinoma
  • Presenter: David Aggen, M.D. Ph.D. (MSKCC)
  • Available in the poster hall November 10, 2022, through the conference website, and on the company website

About IK-175-001
The study is an ongoing Phase 1b, open-label dose escalation and expansion study of IK-175 in those diagnosed with local or advanced solid tumors or unresectable urothelial carcinoma who have exhausted prior therapies and have seen disease progression on or within 12 weeks of the last dose of checkpoint inhibitor. IK-175 treats cancer through a novel mechanism, inhibiting the cancer-driving transcription factor known as the aryl hydrocarbon receptor (AHR) and modulating the tumor microenvironment. Through a body of translational data, including data generated with Ikena’s internally discovered biomarkers and novel assays, AHR has been demonstrated to be upregulated in urothelial carcinoma and other solid tumors leading to an increase in immunosuppressive effects and resistance to checkpoint inhibitor treatment. Responses are evaluated through RECIST 1.1. The expansion cohorts enrolled only urothelial carcinoma patients and are designed as Simon-2-stage cohorts. Both the monotherapy and combination arms advanced to stage 2 and enrollment is ongoing. Ikena’s IK-175 program is being developed in collaboration with Bristol Myers Squibb. Bristol Myers Squibb has an option to exclusively license the program through early 2024. The therapy is also being studied in a Phase 1, open-label, single-arm dose expansion study in combination with nivolumab in advanced head and neck cancer (IK-175-002).

About Ikena Oncology
Ikena Oncology™ is focused on developing novel therapies targeting key signaling pathways that drive the formation and spread of cancer. The Company’s lead targeted oncology program, IK-930, is a paralog-selective TEAD inhibitor addressing the Hippo signaling pathway, a known tumor suppressor pathway that also drives resistance to multiple targeted therapies. The Company’s ongoing discovery research spans other targets in the Hippo pathway as well as the RAS signaling pathway. Additional programs targeting the tumor microenvironment and immune signaling are in the clinic, including IK-175, an AHR antagonist, which is being developed in collaboration with Bristol Myers Squibb. Ikena’s pipeline is built on addressing genetically defined or biomarker-driven cancers and developing therapies that can serve specific patient populations in need of new therapeutic options. To learn more, visit www.ikenaoncology.com or follow us on Twitter and LinkedIn.

SOURCE: Ikena Oncology