Copenhagen, Denmark; December 12, 2005 – Genmab A/S (CSE:
GEN) announced today preliminary results in the Phase II study using
HuMax-CD4™ to treat patients with refractory or
relapsed non-cutaneous T-cell lymphoma. At week 6, according to the Cheson
criteria, 3 patients achieved objective responses as assessed by CT scan
and clinical investigation, including 1 complete response unconfirmed (CRu)
and 2 partial responses (PR). Two of the patients (CRu and PR) had
progressive disease at week 12, whereas the third patient had only the week
6 CT scan to date and is still being treated in the study.
In addition to the responses verified by CT scan, study investigators
reported significant improvement in another 3 patients. Following treatment
with 2 and 3 infusions of HuMax-CD4, most of the lymph nodes in 2 patients
returned to normal size lasting for a period of 3 and 6 weeks,
respectively, after which both patients were withdrawn from the study due
to disease progression. The third patient had received 7 infusions of
HuMax-CD4 and described an overall improvement in general condition during
the course of treatment, however, CT scan at week 6 demonstrated
progressive disease.
A total of 14 patients were enrolled in the study. The efficacy data
represent 11 patients who received at least 1 infusion of HuMax-CD4 and
were followed for at least 6 weeks or were withdrawn for safety
reasons. Three of the 11 patients have received all 12
infusions. The remaining 8 patients received 2 to 7 infusions. One of
the 11 patients is still being treated.
Safety
The safety data include all 14 patients. HuMax-CD4 was generally well
tolerated in this patient population. Four patients had serious adverse
events (SAE) considered treatment related by investigator: 1 patient had 2
grade 1 SAEs, hyperthermia and hypotension; 1 patient had a grade 2 SAE,
infusion related reaction, 2 patients had 2 grade 4 SAEs, febrile
neutropenia and thrombocytopenia. The incident of thrombocytopenia
was observed the day after the patient’s first infusion. Eight hours
after the first measurement, the thrombocyte count had returned to normal
and the patient received 5 additional infusions of HuMax-CD4 without
reoccurrence.
“We are encouraged by the responses with this intractable disease where
there is currently no approved therapy available, and believe further
development of HuMax-CD4 for non-cutaneous T-cell lymphoma is warranted,”
said Lisa N. Drakeman, Ph.D., Chief Executive Officer.
The poster was presented today at the 2005 Annual Meeting of the American
Society of Hematology and is available at www.genmab.com.
Conference Call
Genmab will hold a conference call about this news, as well as news from
the HuMax-CD20 presentation at ASH, today, Monday, December 12, 2005 at
8:45 p.m. CET
7:45 p.m. GMT
2:45 p.m. EST
The dial in numbers are as follows:
+1 800-289-0743 (in the US) and ask for the Genmab conference call
+1 913-981-5546 (outside the US) and ask for the Genmab conference call
The conference call will be held in English.
About CTCL and NCTCL
Cutaneous T-cell lymphomas (CTCL) are a group of lymphomas characterized by
abnormal accumulation of malignant T-cells in the skin, resulting in the
development of rashes, plaques and tumors. The most common types of CTCL
include mycosis fungoides (MF) and Sezary syndrome (SS). CTCL result from
transformation of T-lymphocytes into malignant cells. Abnormal,
uncontrolled growth and multiplication of malignant T-lymphocytes result in
accumulation of these lymphocytes in the skin and may in some cases spread
and affect the lymph nodes and other body tissues and organs, resulting in
life-threatening complications.
Non-cutaneous T-cell lymphoma (NCTCL) is defined by highly malignant
diseases, which have localized to the lymph nodes even at the earliest
stage of presentation, and include angioimmunoblastic T-cell lymphoma,
anaplastic large cell lymphoma (ALCL) and unspecified peripheral T-cell
lymphoma. This disease entity is characterized by aggressive progression
with average survival time of approximately two years.
About HuMax-CD4 (Zanolimumab)
HuMax-CD4 (zanolimumab) is a human monoclonal antibody currently in Phase
III development for cutaneous T-cell lymphoma (CTCL) and in Phase II for
non-cutaneous T-cell lymphoma. These types of lymphomas express the CD4
receptor, which is the target of HuMax-CD4. In April 2005, Genmab and the
United States Food and Drug Administration (FDA) reached an agreement on
the design of its pivotal study protocol for HuMax-CD4 to treat CTCL under
the Special Protocol Assessment process (SPA). The pivotal study will
include patients with mycosis fungoides (MF) who are refractory to or
intolerant of Targretin and one other standard therapy, and will treat a
total of 88 patients.
In March 2004, Genmab announced that HuMax-CD4 had been designated a Fast
Track Product by the US Food and Drug Administration (FDA). This
designation covers patients with CTCL for whom no available therapy exists,
i.e. have failed at least two systemic treatment regimens. HuMax-CD4 for
the treatment of MF has also been granted Orphan Drug status in the US and
Europe.