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Wednesday, November 06 2019 - 23:00
AsiaNet
Polynoma Presenting Interim Phase III Data for Its Investigational Melanoma Vaccine, Seviprotimut-L, at the 2019 Society for Immunotherapy of Cancer (SITC) Annual Meeting
SAN DIEGO, Nov. 6, 2019 /PRNewswire-AsiaNet/ --

-- MAVIS Study Identifies Most Responsive Patient Subpopulations, Supporting 
the Continued Study of Adjuvant Treatment in Localized Melanoma Patients --

Polynoma LLC ( 
https://c212.net/c/link/?t=0&l=en&o=2626341-1&h=999912147&u=http%3A%2F%2Fwww.polynoma.com%2F&a=Polynoma+LLC 
), a U.S. immuno-oncology focused biopharmaceutical company and wholly-owned 
subsidiary of Hong Kong-listed CK Life Sciences Int'l., (Holdings) Inc., is 
presenting clinical data from MAVIS (Melanoma Antigen Vaccine Immunotherapy 
Study), its ongoing Phase III clinical study of seviprotimut-L, an 
investigational melanoma vaccine candidate, on November 8 at the 2019 Society 
for Immunotherapy of Cancer (SITC) Annual Meeting in National Harbor, Maryland.

Logo - https://mma.prnewswire.com/media/1019814/Polynoma_Logo.jpg

MAVIS is a multicenter, double-blind, placebo-controlled adaptive Phase III 
trial to assess the safety and efficacy of seviprotimut-L, with primary 
endpoints of recurrence-free survival (RFS) and overall survival (OS) in 
patients with American Joint Committee on Cancer (AJCC) Stage IIB/C, IIIA, 
IIIB/C melanoma at high risk of recurrence after definitive surgical resection.
 
Highlights of the data presented include:

    --  Improved outcomes in Stage IIB/C patients: Interim analysis of 
        subgroups suggested enhanced RFS for seviprotimut-L among those with 
        AJCC stage IIB/IIC melanoma, as well as those under age 60. 
    --  Favorable adverse event profile: Seviprotimut-L was well-tolerated with 
        treatment-emergent adverse events (AEs) similar to patients given 
        placebo. 

Treatment of Stage IIB/IIC melanoma is primarily limited to surgery, coupled 
with a "wait and see" approach. However, recurrence of the disease can occur 
following definitive resection of the melanoma. Many patients progress to more 
advanced stages following resection and 5-year survival rates fall sharply 
after a patient passes from localized Stage II melanoma into regional Stage III 
disease (98.4% to 63.6%). Five-year survival rates are distinctly lower (22.4%) 
for metastatic Stage IV.[1]

"The passage from Stage II to Stage III melanoma marks a critical point in time 
where survival is severely threatened. We find this initial data from MAVIS to 
be extremely encouraging and validating," said Melvin Toh, Chief Technology 
Officer at Polynoma and Vice President & Chief Scientific Officer at CK Life 
Sciences. "With promising evidence of efficacy and safety as seen in this 
analysis, seviprotimut-L has the potential to be an important new option for 
the adjuvant treatment of patients with localized melanoma." 

The preliminary data from MAVIS also suggest that seviprotimut-L could serve as 
a breakthrough in the vaccine-based treatment of melanoma, where to date, no 
other vaccine has proven successful.

"The data show that vaccines are a potentially important new class of 
immunotherapy for the treatment of stage IIB/IIC melanoma, after surgery," said 
Craig L. Slingluff Jr., MD, Professor of Surgery and Director of the Human 
Immune Therapy Center and co-leader of the Cancer Therapeutics Program of the 
UVA Cancer Center. "These promising efficacy and safety data support continuing 
the study of seviprotimut-L in melanoma, particularly in Stage IIB/C patients 
and those under the age of sixty." 

FURTHER DETAILS ON POSTER PRESENTATION:

    --  Abstract P367: A multicenter, double-blind, placebo-controlled trial of 
        seviprotimut-L polyvalent melanoma vaccine in post-resection melanoma 
        patients at high risk of recurrence. 
    --  Authors: Craig L. Slingluff, Jr., MD; Brent A. Blumenstein, PhD; Karl 
        D. Lewis, MD; Robert H. Andtbacka, MD, CM, FACS, FRCSC; John Hyngstrom, 
        MD; Mohammed Milhem, MBBS; Svetomir N. Markovic, MD, PhD; Omid Hamid, 
        MD; Leonel Hernandez-Aya, MD PhD; Tawnya Bowles, MD; Prejesh Philips, 
        MD; Joel Claveau, MD; Sekwon Jang, MD; Jose Lutzky, MD, FACP; Anna Bar, 
        MD; Peter Beitsch, MD. 
    --  Session Date and Time: Friday, November 8th from 7:00 a.m. - 8:00 p.m. 
        Eastern Standard Time

The data presented assessed the treatment effects of seviprotimut-L in patients 
with AJCCv7 stage IIB-III cutaneous melanoma after surgical resection. 347 
patients ages 18-75, ECOG PS 0-1, were enrolled and randomized 2:1 to 
seviprotimut-L 40 mcg or placebo, administered intradermally every 2 weeks x 5, 
then monthly x 4, then every 3 months to month 24. Patients were stratified by 
stage (IIB/C, IIIA, IIIB/C).

By intent-to-treat (ITT) analysis, RFS was not significantly enhanced for 
seviprotimut-L in the full study population but trended slightly higher. 
However, interim efficacy analysis of subgroups based on pre-planned 
stratification suggested enhanced RFS for seviprotimut-L among Stage IIB/IIC 
melanoma patients (Hazard Ratio= 0.59, 95% CI [0.33,1.07]).

Age has been identified as a cause of decreased immune competence[2]; thus, 
outcomes were assessed as a function of age as an effect modifier. Effects 
estimates for patients aged less than 60 years are favorable to seviprotimut-L 
in the overall population (Hazard Ratio= 0.61, 95% CI [0.36, 1.05]) and in the 
Stage IIB/IIC population (Hazard Ratio= 0.239, 95% CI [0.083, 0.69]). 

In the study, seviprotimut-L was well-tolerated with treatment-emergent adverse 
events (AEs) similar to placebo patients. There were no serious adverse events 
or Grade 4 or 5 adverse events in the 347 patients studied, and the vast 
majority of events were Grade 1-2 injection site reactions that were managed by 
topical cream/s or an over-the-counter antihistamine.   

About MAVIS 
MAVIS (Melanoma Antigen Vaccine Immunotherapy Study) is a multicenter, 
double-blind, placebo-controlled adaptive Phase III trial to assess the safety 
and efficacy of seviprotimut-L, with primary endpoints of recurrence-free 
survival (RFS) and overall survival (OS) in patients with melanoma at high risk 
of recurrence after definitive surgical resection. MAVIS is being conducted 
under a Special Protocol Assessment (SPA) agreement with the FDA. 

For additional information about the trial, please visit 
https://clinicaltrials.gov/ct2/show/NCT01546571.

About Seviprotimut-L
Seviprotimut-L is an allogeneic, polyvalent, partially purified shed melanoma 
antigen vaccine derived from three proprietary human melanoma cell lines. 
Seviprotimut-L stimulates humoral and cellular immune responses. 
Melanoma-associated antigens (MAAs) found in seviprotimut-L are taken up by 
antigen-presenting cells (e.g., dendritic cells) which then activate the 
production of antigen-specific cytotoxic T-lymphocytes (CTLs) as well as 
develop antibody responses against MAAs. These CTLs and antibodies then 
recognize and act on tumor cells expressing the MAAs on their surfaces, causing 
cell death. Seviprotimut-L is currently in development for the adjuvant 
treatment of patients with Stages IIB to IIIC melanoma, following definitive 
resection.

About Polynoma
Polynoma LLC is a U.S. immuno-oncology focused biopharmaceutical company 
headquartered in San Diego, California. A wholly-owned subsidiary of CK Life 
Sciences Int'l., (Holdings) Inc., Polynoma's lead asset is a novel polyvalent 
antigen vaccine, seviprotimut-L, for the prevention of recurrence of melanoma. 
The vaccine has been safely administered in over 1,000 patients. For additional 
information, please visit www.polynoma.com. 

About CK Life Sciences 
CK Life Sciences Int'l., (Holdings) Inc. (stock code: 0775) is listed on the 
Stock Exchange of Hong Kong. With a mission of improving the quality of life, 
CK Life Sciences is engaged in the business of research and development, 
manufacturing, commercialization, marketing, sale of, and investment in, 
products and assets which fall into three core categories: nutraceuticals, 
pharmaceuticals and agriculture-related. Regarding pharmaceutical research and 
development, CK Life Sciences' operations are focused on conducting research 
and development into cancer vaccines and pain management solutions. CK Life 
Sciences is a member of the CK Hutchison Group. For additional information, 
please visit www.ck-lifesciences.com.

About Melanoma
Skin cancer is the most commonly diagnosed cancer in the U.S and around the 
world. Of those skin cancers, melanoma is the most serious and deadly form.[3] 
Historically, melanoma was a rare cancer, but in the last 50 years its 
incidence has risen faster than almost any other cancer and it is projected to 
continue to rise across the world.[4] In 2019, an estimated 96,480 new cases of 
melanoma will be diagnosed in the U.S. alone, and an estimated 7,230 people in 
the U.S. will die from the disease.[5] Globally, there are approximately 
350,000 cases of melanoma and nearly 60,000 deaths a year.[6]

While it still represents less than 5% of all cutaneous malignancies, melanoma 
accounts for the majority of skin cancer deaths.[4] Most early skin cancers are 
diagnosed and treated by removal and microscopic examination of the cells. For 
melanoma, the primary growth and surrounding normal tissue are removed and 
sometimes a sentinel lymph node is biopsied to determine stage. Melanomas with 
deep invasion or that have spread to lymph nodes may be treated with surgery, 
immunotherapy, chemotherapy, and/or radiation therapy.

Melanoma is the most diagnosed cancer among 25 to 29 year-olds in the United 
States and the third and fourth most common for 15 to 29 year old males and 
females, respectively.[7] The majority of melanoma cases are diagnosed at a 
localized stage.[8],[9]Stage IIB melanomas are more than 2.0 millimeters and 
less than 4.0 millimeters thick, with ulcerated (broken) skin or more than 4.0 
millimeters without ulceration. Stage IIC melanomas are more than 4.0 
millimeters thick with broken skin/ulceration.  

Media Contact: 
Brittany Horowitz
+1 (646) 229-0213
Brittany.Horowitz@edelman.com 

REFERENCES
1. Melanoma Research Alliance. Melanoma Survival Rates. Accessed October 14, 
2019 at 
https://www.curemelanoma.org/about-melanoma/melanoma-staging/melanoma-survival-rates/. 
 
2. Weyand CM, Goronzy JJ. Aging of the Immune System. Mechanisms and 
Therapeutic Targets. Ann Am Thorac Soc. 2016;13 Suppl 5(Suppl 5):S422--S428. 
doi:10.1513/AnnalsATS.201602-095AW. Accessed October 14, 2019 at 
https://www.ncbi.nlm.nih.gov/pubmed/28005419. 
3. Guy GP, Thomas CC, Thompson T, Watson M, Massetti GM, Richardson LC. Vital 
signs: Melanoma incidence and mortality trends and projections--United States, 
1982--2030. MMWR Morb Mortal Wkly Rep. 2015;64(21):591-596. Accessed October 
14, 2019 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4584771/. 
4. Matthews NH, Li W, Qureshi AA, Weinstock MA, and Cho E. Cutaneous Melanoma: 
Etiology and Therapy. Chapter 1: Epidemiology of Melanoma. Accessed October 14, 
2019 at 
https://www.ncbi.nlm.nih.gov/books/NBK481860/pdf/Bookshelf_NBK481860.pdf. 
5. American Cancer Society. Key Statistics for Melanoma Skin Cancer. Accessed 
October 14, 2019 at 
https://www.cancer.org/cancer/melanoma-skin-cancer/about/key-statistics.html.
6. Karimkhani C, Green AC, Nijsten T, Weinstock MA, Dellavalle RP, Naghavi M, 
Fitzmaurice C.  The global burden of melanoma: results from the Global Burden 
of Disease Study 2015. Accessed October 14, 2019 at  
https://onlinelibrary.wiley.com/doi/full/10.1111/bjd.15510.
7. Melanoma Research Alliance. Melanoma Statistics. Accessed November 4, 2019 
at https://www.curemelanoma.org/about-melanoma/melanoma-statistics-2/. 
8. National Cancer Institute. SEER Cancer Statistics Review 1975-2010. Melanoma 
of the Skin (Invasive). Accessed October 28, 2019 at 
https://seer.cancer.gov/archive/csr/1975_2010/results_merged/sect_16_melanoma_skin.pdf.

9. Enninga E, Moser J, Weaver A, Markovic S, Brewer J, Leontovich A, Hieken T, 
Shuster L, Kottschade L, Olariu A, Mansfield A, Dronca R. Cancer Med. Survival 
of cutaneous melanoma based on sex, age, and stage in the United States, 
1992--2011. Accessed November 4, 2019 at 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633552/.

SOURCE: Polynoma LLC