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Phase 1 TCER IMA401 Shows Early Safety and Tumor Responses in Solid Cancers

Data presented May 31 show manageable immune‑activation side effects and encouraging responses that justify planned combination studies and larger trials.

Overview

  • The first‑in‑human Phase Ia/Ib trial of IMA401 was reported on May 31 at ASCO and in Nature Medicine after enrolling 61 patients with treatment‑refractory solid tumours.
  • IMA401 is a bispecific T‑cell engager that links the intracellular cancer antigen MAGE‑A4/8 to CD3 on T cells so the immune system can recognise and kill tumour cells.
  • Safety findings showed treatment‑related immune activation that was mostly low grade, with cytokine release syndrome in 38% of patients, lymphopenia in 33%, and reversible neutropenia in 31%.
  • The study recorded anti‑tumour activity across several tumour types and four of 14 head and neck cancer patients at the selected dose had marked shrinkage, with a median response duration of 8.8 months in responders.
  • Investigators plan to test IMA401 in combination with other TCERs and checkpoint inhibitors and to expand early‑phase research, while stressing that these Phase 1 results require confirmation in larger, disease‑specific trials.