UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 8-K
CURRENT REPORT
PURSUANT
TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
Date of report (Date of earliest event reported): November 14, 2014
IMMUNOCELLULAR THERAPEUTICS, LTD.
(Exact name of registrant as specified in its charter)
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Delaware |
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001-35560 |
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93-1301885 |
(State or other jurisdiction of
incorporation or organization) |
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(Commission
File Number) |
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(I.R.S. Employer
Identification No.) |
23622 Calabasas Road
Suite 300
Calabasas,
California 91302
(Address of Principal Executive Offices) (Zip Code)
Registrants telephone number, including area code: (818) 264-2300
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the
following provisions (see General Instruction A.2. below):
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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
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Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
Item 7.01 |
Regulation FD Disclosure |
On November 14, 2014, ImmunoCellular
Therapeutics, Ltd. posted slides presented by Patrick Y. Wen, David Reardon, Surasak Phuphanich, Robert Aiken, Joseph Landolfi, William Curry, Jay-Jiguang Zhu, Michael Glantz, David Peereboom, James Markert, Renato Larocca, Donald ORourke,
Karen Fink, Lyndon Kim, Michael Gruber, Glenn Lesser, Ed Pan, Santosh Kesari and John Yu in a presentation made at the Society for Neuro-Oncology 19th Annual Scientific Meeting held on
November 14, 2014 titled, A randomized double-blind placebo-controlled phase 2 trial of dendritic cell (DC) vaccine ICT-107 following standard treatment in newly diagnosed patients with GBM, a copy of which is attached as Exhibit
99.1 and is incorporated herein by reference.
The information included in this Item 7.01 of this Current Report on
Form 8-K shall not be deemed filed under the Securities Exchange Act of 1934, as amended, nor shall it be deemed incorporated by reference in any filing under this Securities Act of 1933, as amended, except as may expressly set forth by
specific reference to this Item 7.01 in such a filing.
On November 14, 2014, ImmunoCellular Therapeutics,
Ltd. issued a press release titled ImmunoCellular Therapeutics Presents Updated ICT-107 Phase II Data at the Society for Neuro-Oncology Annual Meeting 2014, a copy of which is attached as Exhibit 99.2 and is incorporated herein by
reference.
Item 9.01. |
Financial Statements and Exhibits |
99.1 Slides presented by Patrick Y.
Wen, David Reardon, Surasak Phuphanich, Robert Aiken, Joseph Landolfi, William Curry, Jay-Jiguang Zhu, Michael Glantz, David Peereboom, James Markert, Renato Larocca, Donald ORourke, Karen Fink, Lyndon Kim, Michael Gruber, Glenn Lesser, Ed
Pan, Santosh Kesari and John Yu in a presentation made at the Society for Neuro-Oncology 19th Annual Scientific Meeting held on November 14, 2014 titled, A randomized double-blind
placebo-controlled phase 2 trial of dendritic cell (DC) vaccine ICT-107 following standard treatment in newly diagnosed patients with GBM.
99.2 Press Release, dated November 14, 2014, titled ImmunoCellular Therapeutics Presents Updated ICT-107 Phase II
Data at the Society for Neuro-Oncology Annual Meeting 2014.
The information included in this Exhibit 99.1 hereto
shall not be deemed filed under the Securities Exchange Act of 1934, as amended, nor shall it be deemed incorporated by reference in any filing under this Securities Act of 1933, as amended, except as may expressly set forth by specific
reference to this Item 9.01 in such a filing.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by
the undersigned hereunto duly authorized.
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Date: November 14, 2014 |
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IMMUNOCELLULAR THERAPEUTICS, LTD. |
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By: |
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/s/ David Fractor |
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David Fractor |
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Principal Accounting Officer |
EXHIBIT INDEX
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Exhibit |
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Description |
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99.1 |
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Slides presented by Patrick Y. Wen, David Reardon, Surasak Phuphanich, Robert Aiken, Joseph Landolfi, William Curry, Jay-Jiguang Zhu, Michael Glantz, David Peereboom, James Markert, Renato Larocca, Donald ORourke, Karen Fink,
Lyndon Kim, Michael Gruber, Glenn Lesser, Ed Pan, Santosh Kesari and John Yu in a presentation made at the Society for Neuro-Oncology 19th Annual Scientific Meeting held on November 14, 2014
titled, A randomized double blind placebo-controlled phase 2 trial of dendritic cell (DC) vaccine ICT-107 following standard treatment in newly diagnosed patients with GBM. |
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99.2 |
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Press Release, dated November 14, 2014, titled ImmunoCellular Therapeutics Presents Updated ICT-107 Phase II Data at the Society for Neuro-Oncology Annual Meeting 2014. |
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Exhibit 99.1
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Exhibit 99.1
A randomized double blind
placebo-controlled phase 2 trial of dendritic cell (DC) vaccine ICT-107 following standard treatment in newly diagnosed patients with GBM
Patrick Y. Wen, David Reardon, Surasak Phuphanich, Robert Aiken, Joseph Landolfi, William Curry, Jay-Jiguang Zhu, Michael Glantz, David Peereboom, James Markert, Renato Larocca, Donald
ORourke, Karen Fink, Lyndon Kim, Michael Gruber, Glenn Lesser, Ed Pan, Santosh Kesari, John Yu
Society
for Neuro-Oncology 19th Annual Scientific Meeting
November 14, 2014
Copyright 2014
Rationale for Immunotherapy in GBM
Immunoprivilege of the CNS is circumvented in diseased brain tissue such as in brain tumors and MS
Patients with GBM demonstrate impaired immune function in numbers and function of cytotoxic and helper T cells, with
decreased antigen presentation function of dendritic cells
DC vaccination removes DCs from immunosuppressive
milieu, increasing the yield and potency of these antigen presenting cells
T cells generated from DCs can
target intracranial glioblastoma
Copyright 2014
ICT-107 is an Autologous Six-antigen DC Vaccine
Matured, Activated,
Peptide-loaded DC
MHC
Class I
Six 9-10 amino acid antigen epitopes
MAGE-1
(HLAA1)
AIM-2 (A1) gp100 (HLAA2)
IL-13R 2 (A2)
HER2/neu (A2)
TRP-2 (A2)
Rationale for antigen choice
Targeting multiple antigens minimizes tumor escape
High expression levels for all antigens on GBM samples
Bias toward TAA associated with cancer stem cells
Control used in Ph II
Matured, activated DC
without peptide loading
Copyright 2014
ICT-107 Ph II Trial Design
Consent Randomize
Phase Patient-Specific
Screen SOC Eligibility Vaccination
Surgery and
Chemo- ICT-107 or Control
Confirmation Induction
Enroll radiation 1/wk for 4 wks
Vaccine
Week 3
Phase Week 1 Week 2 Clinical Assessments Week 4
+ maintenance vaccine
SOC Maintenance TMZ Rest Week (ICT-107 or Control) Rest Week
Maintenance + tumor assessments
Maintenance
includes vaccination on a 1, 3, 6, 6
monthly schedule as long as the patient does not recur
Copyright
2014
Eligibility Criteria and Objectives
Key INCLUSION
Criteria
Complete surgical resection or minimum residual tumor <1 cm3 GBM
Human leukocyte antigen (HLA) A1, HLA-A2, or HLA-A1/A2
Karnofsky Performance Status (KPS) score of 70% Key EXCLUSION Criteria
Recurrent disease assessed after surgery / before chemoradiation
Radiosurgery and placement of Gliadel Primary Objective
OS
Secondary Objectives
PFS
Safety and tolerability of ICT-107
Describe the immune response to ICT-107
Determine predictors of response Outcome Stratification
MGMT methylation status: single largest factor for predicting survival
Age category: 50 and >50
Copyright 2014
Patient Demographics
Population Characteristic
ICT-107 Control Total P-Value
(N=81) (N=43) (N=124) Fishers Exact
Gender [n(%)] 0.082
Male 44 (54.3%) 31 (72.1%) 75 (60.5%)
Female 37 (45.7%) 12 (27.9%) 49 (39.5%)
Age Category [n(%)] 0.830
<50 years 20
(24.7%) 12 (27.9%) 32 (25.8%)
>50 years 61 (75.3%) 31 (72.1%) 92 (74.2%)
MGMT status [n (%)] 0.476
Methylated 28 (34.6%) 18 (41.9%) 46 (37.1%)
Unmethylated 47 (58.0%) 24 (55.8%) 71 (57.3%)
KPS Category [n (%)] 0.241
100 24 (29.6%) 8
(18.6%) 32 (25.8%)
90 36 (44.4%) 18 (41.9%) 54 (43.5%)
<90 20 (24.7%) 17 (39.5%) 37 (29.8%)
HLA Type [n (%)] 0.289
A1=Positive, A2=Negative
33 (40.7%) 14 (32.6%) 47 (37.9%)
A1=Negative, A2=Positive 42 (51.9%) 22 (51.2%) 64
(51.6%)
A1=Positive, A2=Positive 6 (7.4%) 7 (16.3%) 13 (10.5%)
Resection Status 0.834
Complete resection 58 (71.6%) 32 (74.4%) 90 (72.6%)
Subtotal resection 23 (28.4%) 11 (25.6%) 34 (27.4%)
Copyright 2014
Safety Common Adverse Events
Adverse
Events by Body System with an Incidence >5%
AE Category ICT-107 (N=80) Control DC (N=43)
Grade 2 Grade 3 Grade 4 Grade 2 Grade 3 Grade 4
Nervous system 25(31.3%) 14(17.%) 21(48.8%) 7(16.3%)
General 16(20.0%) 6(7.5%) 12(27.9%) 5(11.6%)
Fatigue 9(11.3%) 3(3.8%) 8(18.6%) 3(7.0%)
Gastrointestinal 11(13.8%) 6(14.0%)
Musculoskeletal 10(12.5%) 1(1.3%) 8(18.6%)
Weakness 2(2.5%) 3(7.0%) 3(7.0%)
Investigations
5(6.3%) 4(5.0%) 4(9.3%) 2(4.7%)
WBC Decreased 4(5.0%) 0(0.0%)
Skin/subcut 7(8.8%) 7(16.3%)
Blood/lymphatic 9(11.3%) 6(7.5%) 6(14.0%) 4(9.3%)
Infections 13(16.3%) 11(25.6%)
Psychiatric 9(11.3%) 6(14.0%)
Metabolism 5(6.3%)
3(3.8%) 7(16.3%) 4(9.3%)
Procedural 9(11.3%) 4(9.3%)
complications
Copyright 2014
Safety SAEs Above Grade 3
Active Patients
and Control Patients
Relationship
Pt # SAE CTCAE Resolution
Grade to Drug
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Intracranial hemorrhage 4 Resolved with sequelae NR |
Increase intracranial pressure 5 Fatal NR
Cardiac arrest 4 Resolved NR
Retroperitoneal
hemorrhage 5 Fatal NR
Thrombocytopenia 4 Resolved NR
Neutropenia 4 Resolved NR
2 |
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Thrombocytopenia 4 Resolved NR |
3 |
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Septic shock 4 Resolved NR |
4 |
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Pulmonary embolism 4 Resolved NR |
5 |
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Pulmonary emboli-bilateral 4 Resolved with sequelae NR |
DVT right lower extremity 4 Resolved with sequelae NR
6 |
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Thrombocytopenia 4 Resolved NR |
Seizure 4 Resolved NR
Altered mental state 4 Unknown NR
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Thromboembolic event 4 Resolved NR |
9 Acute renal failure 5 Fatal NR
Copyright 2014
Summary of Main Results
Group Statistic
Dec2013 ASCO2014 SNO 2014
ITT OS p-value 0.568 0.676 0.488
OS HR 0.861 0.904 0.854
PFS p-value 0.014 0.010 0.033
PFS
HR 0.565 0.571 0.640
PP HLA-A2* MGMT UnMeth OS p-value 0.284 0.207 0.233
OS HR 0.648 0.634 0.652
PFS p-value 0.227 0.442 0.364
PFS
HR 0.614 0.758 0.720
PP HLA-A2* MGMT Methylated OS P-value 0.428 0.523 0.404
OS HR 0.591 0.692 0.631
PFS p-value 0.020 0.005 0.004
PFS
HR 0.329 0.259 0.257
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Includes HLA-A1/A2 dual positive patients |
Note: p-values and HRs are stratified for age and MGMT where appropriate; December 2013 and ASCO 2014
results have changed slightly due to a minor correction in patient data
Copyright 2014
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Progression Free Survival (PFS) for ITT Population
October 2014 results
100%
ICT-107
90% Control
80%
ITT Population (N=124)
70%
ICT-107
N = 81 (63 events)
60%
SURVIVING Median = 11.4 months
50% Age stratified
HR = 0.640 (0.423 0.968)
Age stratified P = 0.033
40%
Control
PERCENT N = 43 (41 events)
30%
Median = 10.1 months
20%
10%
0%
0 100 200 300 400 500 600 700 800 900 1000
DAYS
Copyright 2014
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Overall Survival (OS) for ITT Population
October
2014 results
100%
90% ICT-107
80% Control
70%
SURVIVING 60% ITT Population (N=124)
50% ICT-107
N = 81 (56 events)
40% Median = 18.3 months
PERCENT Age stratified
HR = 0.854 (0.547 1.334)
30% Age stratified P = 0.488
20% Control
N = 43 (32 events)
10% Median = 16.7 months
0%
0 200 400 600 800 1000 1200
DAYS
Copyright 2014
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Antigen Presentation in Primary Tumors
Percentage
of Patients Expressing TAA via qPCR
99% 99% 100% 100% 100% 100%
100% 94%
91%
90%
79%
80%
70%
60%
48% A2 A2 A2 A2 A2 A2 A2 A2
50%
40%
A1 A1
30%
20%
10% 6% 5%
0% A1 A1
ICT-107 (n = 77) Control (n=42)
AIM-2 MAGE-1 gp100 Her2/neu IL-13Ra2 TRP-2
Copyright 2014
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PFS for HLA-A2* Methylated MGMT
PP Population
October 2014 results
100%
ICT-107
90%
Control
80% Censored
70%
SURVIVING 60%
50% PP Population (N=31)
15.6 month median PFS
ICT-107
40% N = 17 (9 events) benefit for ICT-107
PERCENT
Median = 24.1 months
30% Age stratified HR = 0.257 (0.095 0.697)
Age stratified P = 0.004
20%
Control
10% N = 14 (13 events)
Median = 8.5 months
0%
0 100 200 300 400 500 600 700 800 900 1000
DAYS
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Includes dual HLA-A1/A2 |
Copyright 2014
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OS for HLA-A2* Methylated MGMT
PP Population
October 2014 results
100%
90% ICT-107
Control
80% Censored
70%
SURVIVING 60%
50% PP Population (N=31)
40% ICT-107 65% of ICT-107 patients alive
N = 17
(6 events)
PERCENT Median = not yet defined 50% of Control alive
30% Age stratified HR = 0.631 (0.212 1.880)
Age stratified P = 0.404
20%
Control
10% N = 14 (7 events)
Median = 23.9 months
0%
0 200 400 600 800 1000 1200
DAYS
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Includes dual HLA-A1/A2 |
Copyright 2014
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PFS for HLA-A2* Unmethylated MGMT
PP Population
October 2014 results
100% Early progressors in
both groups could ICT-107
90% have been excluded
Control
80% Censored
70%
PP Population (N=38)
60%
SURVIVING 4.5 month median PFS ICT-107
50%
benefit for ICT-107 N = 24 (21 events)
Median = 10.5 months
40% Age stratified HR = 0.720 (0.351 1.474)
PERCENT Age stratified P = 0.364
30% Control
N = 14 (14 events)
20% Median = 6.0 months
10%
0%
0 100 200 300 400 500 600 700 800 900 1000
DAYS
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Includes dual HLA-A1/A2 |
Copyright 2014
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OS for HLA-A2* Unmethylated MGMT
PP Population
October 2014 results
100%
ICT-107
90%
Control
80% Censored
70%
60%
SURVIVING 4 month median OS
50% PP Population
(N=38) benefit for ICT-107
40% ICT-107
N = 24 (21 events)
PERCENT Median = 15.8 months
30% Age stratified
HR = 0.652 (0.320 1.325)
Age stratified P = 0.233
20%
Control
10% N = 14 (13 events)
Median = 11.8 months
0%
0 200 400 600 800 1000
DAYS
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Includes dual HLA-A1/A2 |
Copyright 2014
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Early Unmethylated MGMT Progressors can be Excluded in the Phase III Design
Phase II Design
Surgery and Recovery
ChemoRadiation Randomization
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weeks 6 weeks and Vaccination |
Inclusion/exclusion criteria checked Progression assessed via MRI
Some patients known to progress in this period
Most progressors are unmethylated MGMT patients who are unresponsive to chemotherapy
Some inclusion/exclusion criteria re-checked at randomization
Progression NOT reassessed Last assessment of progression was post-surgery
Phase III trial design will re-assess progressive disease at randomization and exclude patients who have progressed This practice is built into GBM trial designs for other experimental
treatments
Copyright 2014
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Change in Treatment Effect when Early Progressors are Removed
PP Patients Who Progressed in 90 Days were Removed 8 Total; 6 Active, 2 Control
Group / Endpoint Medians P-value HR
HLA-A2* Stayed the same at Changed from 0.364 Changed from 0.720
unmethylated PFS 4.5 months in favor to 0.149 to 0.556
of ICT-107
HLA-A2* Increased from 4.0 Changed from 0.233 Changed from 0.652
unmethylated OS months to 5.9 to 0.183 to 0.580
months in favor of
ICT-107
This analysis informs phase III design
and statistics
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Includes dual HLA-A1/A2 |
Age stratified
Copyright 2014
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Antigen-Specific Vaccine Response
Percent of
Patients Responding to Antigen Challenge in Elispot*
Study Arm Tested Samples Responders (rate)*
ICT-107 69 25 (36.2%)
Control 40 7 (17.5%)
Fishers exact
p-value = 0.03
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Response was assessed based on a score using a modified distribution free resampling (mDFR) analysis
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Copyright 2014
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Conclusions for the ICT-107 Phase II Trial
No
significant difference in adverse events between ICT-107 and control The vaccine is biologically active in terms of producing an immune response PFS was statistically improved for the entire treated population
No other immunotherapy has shown statistical benefit for a clinical outcome in newly diagnosed GBM in a controlled
trial
ICT-107 activity is strongest in the predefined HLA-A2 subgroup
Tumor antigen expression proportions were high for A2 antigens
The MGMT methylated subgroup showed the largest treatment effect with statistically significant PFS and OS expected
to trend toward significance as more events occur
The MGMT unmethylated subgroup showed trends toward
PFS and OS treatment benefit that were more pronounced when early progressors were removed
Results support
advancement to phase III testing
OS hazard ratios in both per-protocol HLA-A2 MGMT subgroups are better
than 0.70
Copyright 2014
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Acknowledgements
The Authors and ImmunoCellular
Therapeutics Wish to Thank
Additional Investigators:
Andrew Sloan, Susan C. Pannullo, James Chandler, Jeffrey Raizer, David Schiff, Tina Mayer, Jay Grewel
Terri Armstrong for Analysis of the QOL Data
Trial Sites:
Johns Hopkins University, New York
University, University of Texas at Houston, Northwestern University, Arizona Cancer Center, New Jersey Neuroscience Institute, UC San Diego, Moffitt Cancer Center, Penn State, University of Pennsylvania, University of Virginia, Wake Forest Cornell
Presbyterian, Massachusetts General, Kentuckiana Cancer Institute, Cedars-Sinai Medical Center, University Hospital Case Medical Center, Rush University, Overlook Hospital, Baylor University, Cleveland Clinic, University of Alabama, Thomas
Jefferson, Long Island Brain Center
Patients and Families
Copyright 2014
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Exhibit 99.2
Contact:
ImmunoCellular Therapeutics, Ltd.
Investor Relations
Jane Green
415.348.0010 direct
415.652.4819 mobile
jane@jmgcomm.com
ImmunoCellular Therapeutics Presents Updated ICT-107 Phase II Data
at the Society for Neuro-Oncology Annual Meeting 2014
Continued Positive Trends in Overall Survival and Progression-Free Survival;
Phase 3 Registration Program Anticipated to Start 1H15;
Company to Host Conference Call on Tuesday, November 18th
Los Angeles, CA November 14, 2014 ImmunoCellular Therapeutics, Ltd. (ImmunoCellular) (NYSE MKT:IMUC) announces the presentation
today of updated efficacy data from the phase II trial of dendritic cell-based immunotherapeutic vaccine ICT-107 at the 19th Annual Scientific Meeting and Education Day of the Society for
Neuro-Oncology, being held in Miami, FL. Patrick Y. Wen, MD, Director of the Center for Neuro-Oncology at Dana Farber Cancer Institute and Professor of Neurology at Harvard Medical School, and principal investigator on the trial, will present the
maturing data set in patients with newly diagnosed glioblastoma multiforme (GBM) in an oral presentation.
Consistent with prior data presentations in
December 2013 and June 2014, the results demonstrate a statistically significant progression-free survival (PFS) benefit, and a numeric overall survival (OS) benefit in ICT-107 treated patients compared to the control group. The ICT-107 treatment
effect continues to be strongest in the pre-defined HLA-A2 subgroup of patients in which the MGMT methylated patients showed the largest treatment effect, with a significant PFS advantage over the control group, and continued potential for the OS
advantage to move toward significance as more events occur. There were no differences in adverse events between the ICT-107 treated group and the control group.
ICT-107 continues to hold promise for patients with newly diagnosed glioblastoma, as no other immunotherapy has shown statistical benefit for a clinical
outcome in a controlled trial in this patient population, said Dr. Wen. I think that the data from the phase II trial strongly support advancing to a registrational program.
With this second update of the original trial results, we remain confident that there is a meaningful
treatment benefit in HLA-A2 patients. In the per-protocol population, OS hazard ratios are in the 0.6-0.7 range for all HLA-A2 patients as a group as well as for each of the MGMT subgroups. If our upcoming phase III program generates statistically
significant results in this range, ICT-107 could represent a clinically meaningful advance for GBM patients, said Andrew Gengos, ImmunoCellulars Chief Executive Officer. The US FDA and three national European regulators have
indicated support for phase III testing. We anticipate hearing shortly from the EMA, and then expect to be in position to finalize our phase III design and move into trial execution in 2015.
Updated ICT-107 Phase II OS and PFS Results
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As of October 2014, a total of 88 events (patient deaths) had been recorded from the 124 randomized patients, representing 9 additional events since these data from the phase II trial were last updated in June 2014.
There were 25 active and 11 control patients alive for a total of 36 patients available for additional follow-up. |
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Median PFS for the HLA-A2 methylated MGMT per-protocol (PP) population was 24.1 months for the ICT-107 treated group and 8.5 months for control, representing a statistically significant 15.6-month PFS benefit for the
ICT-107 treated group (age stratified HR = 0.257 [0.095-0.697], p = 0.004). |
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Median OS for the HLA-A2 methylated MGMT PP population was 23.9 months for the control group, and the median has not yet been reached for the ICT-107 treated group. At the time of the analysis, 65% of ICT-107 patients
and 50% of the control patients were alive (age stratified HR = 0.631 [0.212-1.880], p = 0.404), suggesting the potential for long-term survival with ICT-107 treatment. |
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Median PFS for the HLA-A2 unmethylated MGMT PP population was 10.5 months for the ICT-107 treated group and 6.0 months for the control group, representing a 4.5-month median PFS benefit for the ICT-107 treated group
(age stratified HR = 0.720 [0.351-1.474], p = 0.364). |
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Median OS for the HLA-A2 unmethylated MGMT PP population, was 15.8 months for ICT-107 patients, and 11.8 months for the control group, representing a 4-month median OS benefit for the ICT-107 treated group (age
stratified HR = 0.652 [0.320-1.325], p = 0.233). |
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Median PFS in the intent-to-treat (ITT) population (all phase II patients) was 11.4 months for the ICT-107 treated group and 10.1 months for the control group, representing a statistically significant benefit in the
ICT-107 treated group (age stratified HR = 0.640 [0.423-0.968], p = 0.033). |
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Median OS in the ITT population was 18.3 months for the ICT-107 treated group and 16.7 for the control group, representing a numeric, but not statistically significant, advantage for the treatment group (age stratified
HR = 0.854 [0.547-1.334], p = 0.487). |
The Company is utilizing all available information from the controlled phase II trial to design phase III testing
in order to increase its probability of success, including the timing of randomization within the standard-of-care treatment these patients receive, in an attempt to limit the number of patients who are early progressors and unlikely to
respond to therapy.
About the ICT-107 Phase II Trial
The ICT-107 phase II trial is a randomized, double-blind, placebo-controlled phase II study of the safety and efficacy of ICT-107 in patients with newly
diagnosed glioblastoma multiforme following resection and chemoradiation. ICT-107 is an intradermally administered autologous vaccine consisting of the patients own dendritic cells pulsed with six synthetic tumor-associated antigens: AIM-2,
MAGE-1, TRP-2, gp100, HER-2, IL-13Ra2. The placebo control consists of the patients unpulsed dendritic cells.
A total of 124 patients were randomized at 25 clinical trial sites in the US. One third of the patients or 43 patients were treated with placebo, and the
treatment arm included two thirds or 81 patients. All patients in the trial received standard-of-care temozolomide. The regimen is four induction doses of ICT-107 after chemoradiation, and then maintenance doses until the patient progresses. The
primary endpoint of the trial is OS, defined as the time from randomization until date of death or the last date the patient is known to be alive. Secondary endpoints include PFS, defined as the time from randomization until the date of documented
progressive disease or death, whichever occurs first, or the last date the patient is known to be alive and progression-free if progression or death is not observed. Other secondary endpoints include the rates of OS and PFS at six months after
surgery, then assessed every three months until the end of the study. Safety and immune response are additional secondary endpoints.
Both the OS and PFS
median results in the ICT-107 phase II trial were measured from the time of randomization (at the start of vaccination after standard-of-care surgery and chemoradiation). In historical studies of newly diagnosed GBM patients (e.g., Stupp, et al.),
OS and PFS measurements were likely assessed from the time of surgery. In the ICT-107 phase II trial, there was an average of about 83 days from surgery to randomization.
The subgroups analyzed in the phase II trial were based on age, gender, HLA type, MGMT status, performance status and resection status.
HLA (human leukocyte antigens) are cell-surface antigen-presenting proteins. These molecules are on dendritic cells and present the tumor-associated antigens
to T-cells to induce the immune response to the ICT-107 vaccine. HLA-A2 was one of two HLA types that were treated in the phase II trial. Of the two types, HLA-A2 is twice as common in the population as HLA-A1, and is the most common HLA type in
North America and the EU.
HLA-A2 patients comprised about 62% of all patients randomized in the trial, meaning that these numeric and
statistical outcome benefits were conveyed to a majority of treated patients.
MGMT status has been demonstrated to be predictive of response to radiation
or chemotherapy. The O(6)-methylguanine-DNA methyltransferase, or MGMT, gene is responsible for a DNA repair mechanism in cells. Methylation of MGMT impedes the DNA repair mechanism in cancer cells, making them susceptible to radiation or
chemotherapy, such as temozolomide. The DNA repair mechanism in cancer cells with unmethylated MGMT is intact, enabling them to survive and proliferate. GBM is the most common and aggressive primary cancer of the brain. Patients with this disease
have few therapeutic options; temozolomide is currently the only FDA-approved systemic chemotherapy for newly diagnosed GBM.
For patient-related
information about the ICT-107 clinical program in glioblastoma, please visit the ImmunoCellular website at www.imuc.com and access the ICT-107 Frequently Asked Questions. The email address to contact the company directly is
clintrials@imuc.com.
ImmunoCellular to Host Conference Call on Tuesday, November 18th
ImmunoCellular plans to host a conference call and webcast to discuss the ICT-107 updated data presented at SNO and other corporate matters on
Tuesday, November 18, 2014, at 5:00 pm EST. The call will be hosted by Andrew Gengos, President and CEO.
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LIVE CALL: |
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(877) 853-5636 (toll-free); international dial-in: (631) 291-4544; conference code 35132957 |
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WEBCAST: |
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Interested parties who wish to listen to the webcast should visit the Investor Relations section of ImmunoCellulars website at www.imuc.com, under the Events and Presentations tab. A replay of the webcast will be
available one hour after the conclusion of the event. |
The conference call will contain forward-looking statements. The information provided on the teleconference is accurate only
at the time of the conference call, and ImmunoCellular will take no responsibility for providing updated information except as required by law.
About
ImmunoCellular Therapeutics, Ltd.
ImmunoCellular Therapeutics, Ltd. is a Los Angeles-based clinical-stage company that is developing immune-based
therapies for the treatment of brain and other cancers.
ImmunoCellular is conducting a phase II trial of its lead product candidate, ICT-107, a dendritic cell-based vaccine targeting multiple tumor-associated antigens for glioblastoma.
ImmunoCellulars pipeline also includes ICT-121, a dendritic cell vaccine targeting CD133, and ICT-140, a dendritic cell vaccine targeting ovarian cancer antigens and cancer stem cells. To learn more about ImmunoCellular, please visit
www.imuc.com.
Forward-Looking Statements for ImmunoCellular Therapeutics
This press release contains certain forward-looking statements that are subject to a number of risks and uncertainties, including the risk that ICT-107 can be
further successfully developed or commercialized, the timing and outcome of the post-phase II meeting with the FDA and EU regulatory authorities, the status of the current data and whether further analyses or later studies may confirm the successful
PFS results to date, the potential for initiation and design of phase III trials and possibility of successful results from such studies. Additional risks and uncertainties are described in IMUCs most recently filed quarterly report on Form
10-Q and annual report on Form 10-K. Except as permitted by law, IMUC undertakes no obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. In this press release, you can
identify forward-looking statements by terms such as may, will, should, could, would, expect, plan, anticipate, believe,
estimate, project, predict, potential, future, intend, certain, and similar expressions intended to identify forward-looking statements.
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