Medigene AG

Medigene receives approvals for its first clinical trial with TCR therapy MDG1011

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Planegg (pta007/21.02.2018/07:30) - - German regulatory authority Paul-Ehrlich-Institut (PEI) and the ethics committee have approved Medigene's first-in-human clinical Phase I/II study design with its T cell receptor (TCR) modified T cell therapy MDG1011
- Product-specific manufacturing license for T cell product granted to Medigene's contract manufacturer by local competent authority

Medigene AG (MDG1, Frankfurt, Prime Standard, TecDAX) announced today that the German Senior Federal Authority "Paul-Ehrlich-Institute" (PEI) and the relevant ethics committee have approved the study design of the first planned Phase I/II clinical trial with its T cell receptor (TCR)-modified T cell therapy MDG1011. Additionally, Medigene's contract manufacturer has received the required product-specific manufacturing license to produce the study material from the local competent authority. PEI is currently reviewing the locally granted manufacturing license and Medigene expects to start the trial within the coming weeks.

MDG1011 is Medigene's first proprietary, clinical stage TCR immunotherapy product candidate. The TCR-modified T cell product targeting the tumor antigen PRAME (PReferentially expressed Antigen in MElanoma) will be tested in a Phase I/II clinical trial in approximately 92 blood cancer patients with acute myeloid leukemia (AML), myelodysplastic syndrome (MDS) or multiple myeloma (MM).

Dr. Kai Pinkernell, Senior Vice President Clinical Affairs and CMO of Medigene AG, said: "Attaining these approvals for MDG1011 is an important step towards the start of our clinical trial, and a further validation of our research and product development work. With our specific study design, we are able to evaluate our T cell therapy simultaneously in various diseases and to generate data in three hematological indications in parallel."

Study Design: In the Phase I part of this multi-center, open-label Phase I/II clinical trial, approximately 12 patients who are HLA-A*02:01 positive and whose advanced hematological diseases, namely acute myeloid leukemia (AML), myelodysplastic syndrome (MDS) or multiple myeloma (MM), are positive for PRAME expression, will be eligible to participate in a dose escalation trial using a 3+3 design. Three dose cohorts and an optional fourth dose cohort will test dose ranges from 100,000 to 10,000,000 transduced T cells per kg body weight. Each dose cohort will include one patient with each of the three hematological diseases. Patients will undergo preconditioning treatment with cyclophosphamide and fludarabine. After completion of treatment of all patients in a dose cohort and a four-week safety follow-up period, dose escalation will be decided by an independent Data and Safety Monitoring Board (DSMB). The primary endpoints for the Phase I part of this clinical trial will be safety, feasibility and overall response rate (ORR), together with other secondary endpoints, and will be assessed at three months with a total follow-up period of up to 12 months.