Spearheading Immunotherapies
ESMO 2023 - HPN328
INVESTOR WEBCAST OCTOBER 23, 2023
Forward-looking Statements
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Harpoon Therapeutics
HPN328 Major Value Driver and Additional Opportunity in HPN217/601/Platform
LEAD ASSET
HPN328
(DLL3 T-CELL ENGAGER)
HPN328
NEAR-TERM CATALYSTS
ADDITIONAL VALUE
DRIVERS
- Potential for best-in-class efficacy in small cell lung cancer and neuroendocrine tumors
- Confirmed response rate 35% across 1mg priming dose cohorts
- Generally well tolerated at 1mg priming and target doses
- Large markets with high unmet needs across various tumor types and lines of therapy offer opportunity for multiple products
- Completion of monotherapy dose optimization enrollment in October 2023
- RP2D identification YE 2023
- Phase 2/3 registrational studies to begin in 2H 2024
- HPN217 (BCMA) - Clinically active and differentiated tolerability profile
- HPN601 (EpCAM) - IND ready conditionally activated T-cell engager with large market potential
- Multiple next-genT-cell engager platforms - TriTAC®, ProTriTACTM, TriTAC-XRTM
WELL FUNDED
- Supported by top-tier investor syndicate with cash runway into 2026
Unaudited database cutoff as of 9/12/2023, subject to change | 3 |
Large Addressable Population in SCLC and Other High Grade NENs with Significant Unmet Need
7 Major Market Incidence1 | 5-yr Survival | DLL3 Expression (>1%) | |
Small Cell Lung Cancer | ~90,000 | 7%2 | 82%3 |
Neuroendocrine | ~20,0004 | 14%5,6 | 77%7 |
Prostate Cancer (NEPC) | |||
NET, High Grade | ~11,500 | mOS 10 months8 | Highly expressed |
Stomach 9%9 | Cervix 81%10 | ||
Rectum 11%9 | Gastroentero-pancreatic | ||
Extrapulmonary NEC, | ~2,600 | Colon 15%9 | 77%11 |
except NEPC | Pancreas 20%9 | Pancreas 19-50%12 | |
Small Intestine 43%9 | Bladder 68%13 | ||
Appendix 65%9 | |||
LCNEC, Lung | ~1,300 | 21%2 | 82%3 |
High grade NENs have an estimated annual incidence >120K across 7 major markets, mostly with high DLL3 expression
1. GlobalData Forecast 2023 incidence, 7 major markets (7MM) - US, Japan, France, Germany, Italy, Spain, UK; 2. SEER; 3. Lima et al. Cancer Res (2022); 4. Aparicio et al. Cancer Discov (2011); 5. Alabi et al. Pharmacology & Therapeutics (2022); 6. Bhagirath et al. Sci Rep (2021); 7. Puca et al. Sci. Transl Med. (2019); 8. Dasari, JAMA Oncol. (2017); 9. White, Lancet (2018); 10. Cimic, Appl Immunohistochem Mol Morphol
(2021); 11. Liverani, Endocr Onc (2021); 12. Yao, Oncologist (2022); 13. Koshin, Clin Cancer Res (2019)
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HPN328 Phase 1 Interim Update
Unaudited database as of 9/12/2023
Data subject to change
HPN328: A DLL3-TARGETED T CELL ENGAGER
- DLL3 is significantly expressed in SCLC and other neuroendocrine tumor types
- HPN328 is a DLL3-targeting T cell engager built on the TriTAC platform
- Redirects T cells to kill DLL3-expressing cancer cells
- Small protein (~50kDa) to potentially enable efficient solid tumor penetration with prolonged half-life
- Designed to minimize non-specific T cell activation and Fc receptor engagement, intended to increase therapeutic window
Figure 1. HPN328 Mechanism of Action
HPN328 Mechanism of Action
T cell
T cell receptor complex
Anti CD3 domain
Anti albumin | HPN328 |
domain | |
Anti DLL3 domain
DLL3
Tumor Cell
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HPN328 Phase 1 Trial
Target Population
- Extensive stage SCLC relapsed after platinum chemotherapy
- Neuroendocrine prostate cancer and other DLL3 expressing tumors with high grade neuroendocrine features relapsed/refractory to standard therapy
Trial Design
- Assess safety and tolerability at increasing dose levels
- PK and pharmacodynamic data
- Evaluate preliminary anti-tumor activity
Dosing & Administration
- IV infusion with weekly and Q2W administration schedules
- Monotherapy cohorts for all tumor types, and combination cohorts with atezolizumab for SCLC
- Premedication and step dosing to manage cytokine release syndrome (CRS)
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Dose Escalation and Optimization Enrollment Nearing Completion
Monotherapy Cohorts - Q4'23; Combination Cohorts - 1H'24
Dose Escalation 3+3 Design Including Fixed & Step Dose Cohorts and Dose Optimization (N=71)
Ongoing 1 mg priming Step-dose Escalation
and Optimization Cohorts
Early Fixed Dose & Step dose Escalation Cohorts
2 24 mg
N = 4
2 12 mg
N = 5
3.6 7.2 mg
N = 4
0.015-3.6 mg
N = 11
Q1W | Q2W | HPN328: Q2W + Atezo Q4W | |||||||||||||||
1 12 24 mg* | 1 12 24 mg* | 1 12 24 mg* | |||||||||||||||
N = 8‡ | N = 9‡ | ||||||||||||||||
1 12 mg | 1 | | 12 mg | † | |||||||||||||
N = 8‡ | 1 12 mg | ||||||||||||||||
N = 6‡ | |||||||||||||||||
1 | 6 mg | * 1 mg to 24 mg cohorts use a 12 mg intermediate step up prior to moving to 24 mg target | |||||||||||||||
N = 16 | † Atezo combination cohorts recently opened; data to be presented at later date | ||||||||||||||||
‡ Still enrolling: protocol allows for cohorts of up to 17 patients, depending on cohort |
De-escalation to 1 mg prime
Current 1mg Priming Cohorts | |
Planned Cohorts | |
Early Step-dose Escalation Cohorts | Early Dose Escalation Cohorts |
Fixed-dose Escalation
Unaudited database cutoff as of 9/12/2023, subject to change | 8 |
Phase 1 Population Includes Heavily Pre-treated Refractory Patients
Baseline Characteristics (N=71)
Age (Years)
Median | 64 | |
Range | 41-81 | |
Sex | ||
Female | 29 | (40.8%) |
Male | 42 | (59.2%) |
Race | n (%) | |
White | 65 | (91.5%) |
Asian | 3 | (4.2%) |
American Indian or Alaska Native | 1 | (1.4%) |
Multiple | 1 | (1.4%) |
Unknown | 1 | (1.4%) |
Diagnosis
SCLC | 46 (64.8%) |
NEPC | 11 (15.5%) |
Other NENs | 14 (19.7%) |
Sites of Metastases | |
Brain | 29 (40.8%) |
Liver | 37 (52.1%) |
ECOG | n (%) |
0 | 29 (40.8%) |
1 | 42 (59.2%) |
# Prior Therapies | n (%) |
Median | 2.5 |
Range | 1-8 |
PD(L)-1 Inhibitors | 56 (78.9%) |
Unaudited database cutoff as of 9/12/2023, subject to change | 9 |
Adverse Events Manageable with No DLTs at Target Doses
No Grade 3 CRS with 1 mg Priming Regimens
Treatment-Related Adverse Events (TRAEs) Incidence ≥10% Patients by
Grade a (N=71)
Adverse Events | All Grades, | Grade ≥3, | ||
n (%) | n (%) | |||
Any treatment-emergent AE | 70 | (98.6%) | 33 | (46.5%) |
Any treatment-related AE | 67 | (94.4%) | 18 | (25.4%) |
Treatment-Related AEs in ≥10% of patients | ||||
Cytokine release syndrome (CRS) | 42 | (59.2%) | 2 c (2.8%) | |
Dysgeusia | 24 | (33.8%) | 0 | |
Fatigue | 24 | (33.8%) | 1 | (1.4%) |
Nausea | 12 | (16.9%) | 0 | |
Vomiting | 11 | (15.5%) | 0 | |
Diarrhea | 10 | (14.1%) | 1 | (1.4%) |
Decreased appetite | 8 (11.3%) | 0 | ||
Neutropenia b | 7 | (9.9%) | 4 | (5.6%) |
Pruritus | 7 | (9.9%) | 0 | |
Pyrexia | 7 | (9.9%) | 0 |
Note: Post 9/12/2023 data cut-off, 1 Gr5 SAE (pneumonitis)
Adverse Events | Grade 1 | Grade 2 | Grade 3 | ||
CRS | 21 | (29.6%) | 19 | (26.8%) | 2 c (2.8%) |
ICANS d | 4 | (5.6%) | 1 | (1.4%) | 0 |
No DLTs Observed at Target Doses;
Target dose MTD Not Reached
ICANS=Immune effector cell-associated neurotoxicity syndrome
- Grading per CTCAE v5.0, except cytokine release syndrome (grading per ASTCT 2019)
- Includes both neutropenia and neutrophil count decreased
- Two Grade 3 CRS events were DLTs at 2 mg priming dose (above current priming dose)
- Immune effector cell encephalopathy (ICE) score for ICANS assessment performed at Screening and 6 times during Cycle 1; All events of ICANS were transient; none resulted in dose reduction
Unaudited database cutoff as of 9/12/2023, subject to change | 10 |
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Harpoon Therapeutics Inc. published this content on 23 October 2023 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 23 October 2023 13:07:34 UTC.