JUNO - Efficacy and Safety Update of JCAR017

JUNO AND CELGENE release additional data from transcend trial of JCAR017 in patients with relapsed or refractory aggressive B-Cell non-hodgkin lymphoma.

As of the October 9, 2017 data cutoff date

Efficacy

—74% (14/19) ORR and 68% (13/19) CR rate at 3 months and 50% (7/14) CR at 6 months in core group at dose level 2

—Across doses, 80% (16/20) of core group patients in CR at month 3 remain in response at month 6; 92% (11/12) of core group patients in response at 6 months remain in response

Safety in core group

-1% (1/91) experienced severe CRS and 12% (11/91) experienced severe NT.

-35% (32/91) had any grade CRS and 19% (17/91) had any grade NT.

-60% (55/91) had no CRS or NT of any grade.

As a comparison, below shows the related result as of a data cutoff date of July 7, 2017

Efficacy

-Dose level 2, 3 month overall response rate (ORR) of 80% (12/15) and a 3 month complete response (CR) rate of 73% (11/15) in the core group.

Safety

-1% (1/69) experienced severe CRS and 14% (10/69) experienced severe NT.

-30% (21/69) had any grade CRS and 20% (14/69) had any grade NT.

-64% (44/69) had no CRS or NT.

From the comparison above, we can notice that the efficacy and safety of JCAR017 are maintained even when the number of patients and the treatment period increase.

Alex

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From the comparison above, we can notice that the efficacy and safety of JCAR017 are maintained even when the number of patients and the treatment period increase.

What safety? 35% neurotoxicity or cytokine response is not something to be taken lightly.

Additionally, they have yet to be able to predict who develops neurotoxicity or CRS- it doesn’t seem to correlate with severity of disease or anything else that they can pin down yet.

All of this taken into account likely means you are far, far away from this ever becoming anything more than a compassionate care drug / 3rd/4th/5th line agent.

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OT: Blue had good news (with CELG) at the conference. Check out the amazing volume in BLUE today
http://stockcharts.com/freecharts/gallery.html?blue