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Biotech / Medical : ImmunityBio converts from Immunomedics
IBRX 2.115+0.2%3:43 PM EST

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To: zagnut1 who wrote (1064)6/2/2025 9:42:59 AM
From: End2War1 Recommendation   of 1229
 
Here is Chat GPT's summary, and assessment of that PR:

ImmunityBio's recent FDA Expanded Access Authorization (EAA) for ANKTIVA® (nogapendekin alfa inbakicept-pmln) to treat lymphopenia in patients with solid tumors marks a significant advancement in oncology therapeutics. This authorization permits the use of ANKTIVA in adult patients with refractory or relapsed solid tumors who have failed first-line treatments and exhibit low Absolute Lymphocyte Counts (ALC <1,000/µL) .

Summary of the Press Release:

  • Expanded Access Authorization: The FDA has granted EAA for ANKTIVA to treat lymphopenia, a life-threatening immune deficiency induced by chemotherapy, radiotherapy, and immunotherapy, characterized by the depletion of natural killer (NK) and CD4+ CD8+ T cells.

  • Patient Inclusion: The EAA encompasses all patients with solid tumors who have failed first-line treatments and exhibit low ALC.

  • Clinical Findings: At the 2025 ASCO Annual Meeting, ImmunityBio presented data indicating that treatment with ANKTIVA in patients with third- to sixth-line metastatic pancreatic cancer significantly prolonged overall survival.

  • Mechanism of Action: ANKTIVA is an interleukin-15 (IL-15) agonist that activates and proliferates NK and T cells without inducing immunosuppressive regulatory T cells (Tregs), offering a novel approach to reversing lymphopenia.

  • Regulatory Milestone: In February 2025, ImmunityBio received a Regenerative Medicine Advanced Therapy (RMAT) designation from the FDA for ANKTIVA and CAR-NK (PD-L1 t-haNK) for the reversal of lymphopenia in patients undergoing standard-of-care chemotherapy/radiotherapy and in relapsed locally advanced or metastatic pancreatic cancer .

Assessment of the Press Release:

The press release effectively communicates the FDA's EAA for ANKTIVA, highlighting its potential to address a significant unmet medical need in oncology. By focusing on lymphopenia—a condition previously lacking targeted therapies—the release underscores ANKTIVA's novel mechanism of action and its potential to improve patient outcomes. The inclusion of clinical data from the ASCO Annual Meeting lends credibility to the therapeutic claims, and the mention of the RMAT designation indicates a regulatory pathway that could expedite further development and approval.

Analysis of How Expanded Access Authorization May Expedite Approval:

The EAA for ANKTIVA serves as a critical step in the drug development and approval process, particularly for conditions with high unmet medical needs. Here's how the EAA could expedite ANKTIVA's approval for treating lymphopenia:

  1. Real-World Evidence Collection: The EAA allows for the collection of real-world data on ANKTIVA's safety and efficacy in a broader patient population, which can supplement clinical trial data and provide a more comprehensive understanding of the drug's performance.

  2. Regulatory Engagement: The RMAT designation facilitates more frequent and intensive interactions with the FDA, enabling the company to receive guidance on the development program and potentially accelerate the review process. BioInformant

  3. Bridging to Biologics License Application (BLA): Data obtained from patients under the EAA can be instrumental in supporting a BLA submission, particularly if the data demonstrate significant clinical benefits and a favorable safety profile.

  4. Addressing Unmet Medical Needs: Given that lymphopenia currently lacks approved therapies, demonstrating ANKTIVA's effectiveness in this area could satisfy criteria for accelerated approval pathways, especially if the treatment shows substantial improvement over existing options.

In conclusion, the FDA's EAA for ANKTIVA represents a pivotal development in addressing lymphopenia in cancer patients. By enabling broader patient access and facilitating the collection of valuable clinical data, this authorization could significantly expedite the approval process for ANKTIVA in this new indication, ultimately improving outcomes for patients with limited treatment options.
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