ImmunoGen,
Inc. (Nasdaq: IMGN), a
biopharmaceutical company that develops anticancer products using its
Targeted Antibody Payload (TAP) technology and antibody expertise, today
announced the presentation of overall survival (OS) data from the
trastuzumab emtansine Phase III trial, EMILIA. Trastuzumab emtansine is
in global development by Roche under an agreement between ImmunoGen and
Genentech, a member of the Roche Group, and utilizes ImmunoGen's TAP
technology with the trastuzumab antibody. Genentech and Roche have
applied for marketing approval of trastuzumab emtansine in the US and
Europe, respectively.
The EMILIA trial was designed to evaluate trastuzumab emtansine for the
treatment of patients with metastatic HER2-positive breast cancer who
have previously received trastuzumab (Herceptin®) and a taxane. Patients
enrolled were randomized to treatment either with trastuzumab emtansine
used alone or with lapatinib (Tykerb®) plus capecitabine (Xeloda®),
standard-of-care in this setting. EMILIA progression-free survival (PFS)
and tolerability findings were previously reported at the American
Society of Clinical Oncology (ASCO) annual meeting in June 2012:
patients treated with trastuzumab emtansine had a significant
improvement in PFS (hazard ratio=0.65, p<0.0001) and experienced fewer
Grade 3 or greater (severe) adverse events (40.8 percent vs. 57.0
percent) than those treated with standard-of-care. PFS and
OS are co-primary endpoints of the EMILIA trial.
The OS data reported today showed that the risk of death was reduced by
32 percent for patients who received trastuzumab emtansine compared to
those who received standard-of-care (hazard ratio=0.68, p=0.0006).
Patients treated with trastuzumab emtansine survived a median of
5.8 months longer than those who received Tykerb plus Xeloda: median OS
was 30.9 months for patients receiving trastuzumab emtansine versus 25.1
months for patients receiving standard-of-care.
"We're thrilled that trastuzumab emtansine provided this significant
overall survival benefit," commented Daniel Junius, President and CEO.
"We believe trastuzumab emtansine is an important new medicine and are
hopeful it will advance into the hands of practicing oncologists as
rapidly as possible."
The data are being presented today at the ESMO 2012 Congress taking
place in Vienna, Austria (abstract #LBA12; oral presentation at 2:10 pm
CEST). The results of the EMILIA study are also being published today in
the New England Journal of Medicine (www.nejm.org).
Other Trastuzumab Emtansine Registration Trials
In HER2-positive breast cancer - Roche has Phase III trials underway
evaluating trastuzumab emtansine both for newly diagnosed and for
previously treated metastatic disease. It plans to initiate a trial
program in early stage disease in 2013, with studies to evaluate the
compound for adjuvant use, for neoadjuvant use, and as a treatment for
patients with residual invasive disease following standard neoadjuvant
therapy.
In HER2-positive gastric cancer - Roche is assessing trastuzumab
emtansine for the treatment of advanced, relapsed HER2-positive gastric
cancer.