Country for PR: United States
Contributor: PR Newswire New York
Thursday, June 27 2019 - 00:13
AsiaNet
Inovio Completes Enrollment of VGX-3100 Phase 3 Trial (REVEAL 1) for the Treatment of HPV-Related Cervical Pre-cancer
PLYMOUTH MEETING, Pennsylvania, June 26, 2019 /PRNewswire-AsiaNet/ --

Inovio Pharmaceuticals, Inc. (NASDAQ: INO) today announced the completion of 
target enrollment of 198 participants for its pivotal Phase 3 registration 
trial ("REVEAL 1") of VGX-3100, a novel DNA-based immunotherapy being tested to 
treat cervical dysplasia caused by human papillomavirus (HPV). Left untreated, 
cervical dysplasia can progress to cervical cancer. If approved, VGX-3100 would 
be the first immunotherapy and non-surgical alternative for women with 
late-stage cervical dysplasia. 

Dr. J. Joseph Kim, Inovio's President & CEO, said, "This establishes an 
important milestone for the company as it brings Inovio another step closer to 
providing an innovative treatment alternative to the women suffering with 
cervical dysplasia for whom surgery is the only option today. Both the U.S. and 
Europe represent large markets in need of a non-invasive treatment option for 
women, and we're now focused on enrolling the confirmatory study (REVEAL 2) to 
generate a U.S. FDA submission in 2021."

Inovio's Phase 3 program is assessing the efficacy of VGX-3100 to regress 
cervical HSIL (high-grade squamous intraepithelial lesions), a direct precursor 
to cervical cancer, and to eliminate the HPV infection that causes these 
lesions. The REVEAL studies are prospective, randomized (2:1), double-blind, 
placebo-controlled trials evaluating adult women with HPV 16/18 positive 
biopsy-proven cervical HSIL, otherwise known as cervical intraepithelial 
neoplasia (CIN) 2 or 3. REVEAL 1 is designed to provide a one-year safety data 
for a minimum of 198 patients on VGX-3100. A confirmatory Phase 3 trial (REVEAL 
2) is currently enrolling and is designed to provide a one-month safety data 
for a minimum of 198 patients.

The primary endpoint of the Phase 3 study is regression of cervical HSIL and 
virologic clearance of HPV 16 and/or HPV 18 in the cervix. The studies will 
evaluate cervical tissue changes at approximately 9 months after beginning a 
three dose regimen of VGX-3100 administered at months 0, 1, and 3. Secondary 
endpoints include safety; tolerability; regression of CIN 2/3 to CIN 1 or 
normal; virologic clearance of HPV; efficacy measured by non-progression to 
cancer; and clearance of HPV from non-cervical anatomic locations. 

Dr. Prakash Bhuyan, MD PhD, Clinical Development lead for VGX-3100, said, "The 
completion of REVEAL 1 enrollment is a testament to the dedication of our 
outstanding investigators and their teams, who span 19 countries – a true 
global effort – to develop a non-surgical treatment for cervical high-grade 
dysplasia."

As previously announced in March of 2019, Inovio has also begun recruitment for 
the confirmatory Phase 3 trial REVEAL 2 in March 2019. Following the completion 
of enrollment announcement for REVEAL 1, REVEAL 2 will now be enrolling from 
all sites both within the U.S. and globally, including sites that that were 
utilized in REVEAL 1. 

Inovio previously reported that VGX-3100 eliminated high grade dysplasia in 
almost 50% of women in its Phase 2b randomized, placebo-controlled trial. In 
80% of the women whose high grade dysplasia was eliminated, the HPV infection 
was also cleared by VGX-3100.  Further data analysis revealed that the 
combination of HPV detection and cervical cytology (Pap smear) following dosing 
was predictive early during the treatment period for both elimination of the 
high grade dysplasia and clearance of HPV.

In addition, Inovio continues to pursue development of pre-treatment biomarker 
tests in collaboration with QIAGEN that may provide the ability to predict 
clinical response to VGX-3100, ultimately aiding in patient selection and 
physician guidance of patient care. These pre-treatment biomarkers could 
identify patients most likely to respond to treatment with VGX-3100, increasing 
absolute efficacy of the product.

About VGX-3100 

VGX-3100 is a DNA-based immunotherapy under investigation for the treatment of 
HPV 16 and HPV 18 infection and pre-cancerous lesions of the cervix (Phase 3) 
and vulva and anus (Phase 2). VGX-3100 has the potential to be the first 
approved treatment for HPV infection of the cervix and the first non-surgical 
treatment for pre-cancerous cervical lesions. VGX-3100 works by stimulating a 
specific immune response to HPV 16 and HPV 18, which targets the infection and 
causes destruction of pre-cancerous cells. In a randomized, double-blind, 
placebo-controlled Phase 2b study in 167 adult women with histologically 
documented HPV 16/18 cervical HSIL (CIN2/3), treatment with VGX-3100 resulted 
in a statistically significantly greater decrease in cervical HSIL and 
clearance of HPV infection vs. placebo. The most common side effect was 
injection site pain, and no serious adverse events were reported. VGX-3100 
utilizes the patient's own immune system to clear HPV 16 and HPV 18 infection 
and pre-cancerous lesions without the increased risks associated with surgery, 
such as loss of reproductive health and negative psychosocial impacts.

About Inovio Pharmaceuticals Inc.

Inovio is an innovative biotechnology company focused on the discovery, 
development, and commercialization of its synthetic nucleic technology targeted 
against cancers and infectious diseases. Inovio's proprietary technology 
platform applies antigen sequencing and delivery to activate potent immune 
responses to targeted diseases. The technology functions exclusively in vivo, 
and has been demonstrated to consistently activate robust and fully functional 
T cell and antibody responses against targeted cancers and pathogens. Inovio's 
most advanced clinical program, VGX-3100, is in Phase 3 for the treatment of 
HPV-related cervical pre-cancer. Also in development are Phase 2 
immuno-oncology programs targeting HPV-related cancers, bladder cancer, and 
glioblastoma, as well as platform development programs in hepatitis B, Zika, 
Ebola, MERS, and HIV. Partners and collaborators include AstraZeneca, 
Regeneron, Roche/Genentech, ApolloBio Corporation, GeneOne Life Science, The 
Bill & Melinda Gates Foundation, Coalition for Epidemic Preparedness 
Innovations, Defense Advanced Research Projects Agency, National Institutes of 
Health, National Institute of Allergy and Infectious Diseases, National Cancer 
Institute, HIV Vaccines Trial Network, Walter Reed Army Institute of Research, 
The Wistar Institute, and the University of Pennsylvania. For more information, 
visit www.inovio.com.

This press release contains certain forward-looking statements relating to our 
business, including our plans to develop DNA-based immunotherapies, our 
expectations regarding our research and development programs, including the 
planned initiation and conduct of clinical trials and the availability and 
timing of data from those trials. Actual events or results may differ from the 
expectations set forth herein as a result of a number of factors, including 
uncertainties inherent in pre-clinical studies, clinical trials and product 
development programs, the availability of funding to support continuing 
research and studies in an effort to prove safety and efficacy of 
electroporation technology as a delivery mechanism or develop viable DNA 
immunotherapies, our ability to support our pipeline of SynCon(R) active 
immunotherapy and vaccine products, the ability of our collaborators to attain 
development and commercial milestones for products we license and product sales 
that will enable us to receive future payments and royalties, the adequacy of 
our capital resources, the availability or potential availability of 
alternative therapies or treatments for the conditions targeted by us or our 
collaborators, including alternatives that may be more efficacious or cost 
effective than any therapy or treatment that we and our collaborators hope to 
develop, issues involving product liability, issues involving patents and 
whether they or licenses to them will provide us with meaningful protection 
from others using the covered technologies, whether such proprietary rights are 
enforceable or defensible or infringe or allegedly infringe on rights of others 
or can withstand claims of invalidity and whether we can finance or devote 
other significant resources that may be necessary to prosecute, protect or 
defend them, the level of corporate expenditures, assessments of our technology 
by potential corporate or other partners or collaborators, capital market 
conditions, the impact of government healthcare proposals and other factors set 
forth in our Annual Report on Form 10-K for the year ended December 31, 2018, 
our Quarterly Report on Form 10-Q for the quarter ended March 31, 2019  and 
other filings we make from time to time with the Securities and Exchange 
Commission. There can be no assurance that any product candidate in our 
pipeline will be successfully developed, manufactured or commercialized, that 
final results of clinical trials will be supportive of regulatory approvals 
required to market products, or that any of the forward-looking information 
provided herein will be proven accurate. Forward-looking statements speak only 
as of the date of this release, and we undertake no obligation to update or 
revise these statements, except as may be required by law.

Contact:
Investors
Ben Matone
1-484-362-0076
ben.matone@inovio.com

Media
Jeffrey C. Richardson
1-267-440-4211
jrichardson@inovio.com

SOURCE: Inovio Pharmaceuticals, Inc.
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