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Thursday, May 14 2020 - 21:00
AsiaNet
INOVIO's INO-5401 in Combination with PD-1 Inhibitor Libtayo(R) (cemiplimab) Demonstrates 85% of Newly Diagnosed Glioblastoma Patients Are Alive 12 Months Following Treatment
PLYMOUTH MEETING, Pennsylvania, May 14, 2020 /PRNewswire-AsiaNet/ --

- Results Will Be Presented at the American Society of Clinical Oncology (ASCO) 
2020 Annual Meeting

INOVIO (NASDAQ: INO) today announced that 85 percent (44 out of 52) of patients 
newly diagnosed with the deadly brain cancer glioblastoma multiforme (GBM) who 
received the company's DNA medicine INO-5401, in combination with INO-9012 and 
PD-1 inhibitor Libtayo(R) (cemiplimab), were alive for at least 12 months or 
more (overall survival at 12 months: OS12) following treatment. These data will 
be featured at an oral poster presentation at the ASCO 2020 Virtual Scientific 
Program, May 29-31, 2020.

GBM is the most common and aggressive type of brain cancer. Currently, the 
median overall survival with standard of care therapy, which includes radiation 
and chemotherapy (temozolomide: TMZ), is approximately 15 to 22 months.

The Phase 1/2 clinical trial demonstrated that 84.4% percent (27 of 32) of 
patients with MGMT promoter unmethylated tumors, and 85% (17 of 20) of patients 
with MGMT promoter methylated tumors were alive at 12 months. This promising 
clinical result is coupled with a robust immunological response to all three 
cancer antigens in INO-5401, including human telomerase (hTERT), Wilms Tumor-1 
(WT-1) and prostate specific membrane antigen (PSMA). Activated, cytotoxic T 
cells directed towards these cancer antigens commonly expressed on GBM tumors 
were detected in all patients tested to date and continue to support the 
immunogenic potential of INOVIO's DNA medicines. Importantly, INO-5401 + 
INO-9012 was safe and well-tolerated when given not only with radiation and 
TMZ, but also with PD-1 inhibition with Libtayo, which is being jointly 
developed by Regeneron and Sanofi. These results are being presented in a 
virtual format at the 2020 Annual ASCO meeting (Abstract #2514). 

Dr. David Reardon, Clinical Director, Center for Neuro-Oncology of Dana-Farber 
Cancer Institute and coordinating principal investigator of GBM-001 said, 
"Although these data are preliminary, and follow-up remains early, this novel 
combination of a cancer antigen-specific, T cell generating DNA medicine with a 
PD-1 inhibitor is exciting and may overcome more than 20 years of a standard of 
care that has proven sub-optimal for our patients with GBM. A tolerable, new 
combination of medicines utilizing a novel mechanism of action, such as that 
provided by INO-5401 and INO-9012 with cemiplimab, is very welcome for this 
hard-to-treat brain cancer, especially when shown to be tolerable with 
standards such as radiation and chemotherapy, and when demonstrating the 
immunogenicity seen in the GBM-001 study."

Dr. J. Joseph Kim, INOVIO's President & CEO, said, "While we recognize these 
data are early, we are very excited to see robust immunogenicity and the 
potential for extending survival, coupled with a clear ability to be able to 
combine not only with the standard of care, but with a checkpoint inhibitor, 
Libtayo. Where others have failed with single-agent checkpoint inhibition in 
GBM, our DNA medicine combined with Libtayo and standard of care has 
demonstrated clear immunogenicity and the potential to extend overall survival."

In a previous announcement, INOVIO reported key interim data from the 
52-patient clinical trial showed that 80% (16 of 20) of MGMT gene promoter 
methylated patients and 75% (24 of 32) unmethylated patients were 
progression-free at six months (PFS6) measured from the time of their first 
dose, exceeding historical standard-of-care data.

This immunotherapy combination with a PD-1 checkpoint inhibitor also exhibited 
supportive safety, tolerability, and immunogenicity data and suggested an 
acceptable safety profile consistent with that of Libtayo and INOVIO's platform 
technology. The majority of patients tested had a T cell immune response to one 
or more tumor-associated antigens encoded by INO-5401. Immune responses to all 
three tumor-associated antigens were demonstrated in this study. INOVIO plans 
to report 18-month overall survival data later this year. 

Study Design

The trial was designed to evaluate safety, immunogenicity and preliminary 
efficacy of INO-5401 and INO-9012 in combination with Libtayo, with radiation 
and chemotherapy, in subjects with newly-diagnosed glioblastoma (GBM). This is 
a Phase 1/2, open-label, multi-center trial conducted in 52 evaluable patients 
with GBM. There are two cohorts in this trial. Cohort A includes 32 
participants with a tumor with an unmethylated 
O6-methylguanine-deoxyribonucleic acid (DNA) methyltransferase (MGMT) promoter. 
Cohort B includes 20 participants with a tumor with a MGMT methylated promoter. 
Both cohorts received INO-5401 and INO-9012 and Libtayo at the same doses and 
on the same dosing schedule, and both cohorts received radiation and 
temozolomide (TMZ). Interim data presented here and at SITC was obtained as of 
October 2019 and overall survival data at 18 months is expected in Q4 2020. For 
more information of the clinical study, see www.clinicaltrials.gov, identifier 
NCT03491683.

Poster Details

Abstract/Poster 2514 
Poster Discussion Session: Central Nervous System Tumors 
The ASCO 2020 Virtual Scientific Program runs from May 29 -31.

About Glioblastoma Multiforme (GBM)

GBM is the most common and aggressive type of brain cancer and remains a 
devastating disease for both patients and caregivers. Its prognosis is 
extremely poor, despite a limited number of new therapies approved over the 
last 10 years. The median overall survival for patients receiving standard of 
care therapy is approximately 15 to 22 months and the median progression-free 
survival is approximately 7 months. In the U.S., the estimated annual incidence 
of GBM is 11,362 cases or 3.21 cases per 100,000 persons and the median age at 
diagnosis is 65 years. 

About INO-5401 and INO-9012

INO-5401 encodes for INOVIO's SynCon(R) antigens for hTERT, WT1, and PSMA, and 
has the potential to be a powerful cancer immunotherapy in combination with 
checkpoint inhibitors. The National Cancer Institute previously highlighted 
hTERT, WT1, and PSMA among a list of important cancer antigens, designating 
them as high priorities for cancer immunotherapy development. These three 
antigens were reported to be over-expressed, and often mutated, in a variety of 
human cancers, and targeting these antigens may prove efficacious in the 
treatment of patients with cancer. INO-9012 encodes for IL-12, which is a T 
cell immune activator.

About INOVIO's DNA Medicines Platform

INOVIO has 15 DNA medicine clinical programs currently in development focused 
on HPV-associated diseases, cancer, and infectious diseases, including 
coronaviruses associated with MERS and COVID-19 diseases being developed under 
grants from the Coalition for Epidemic Preparedness Innovations (CEPI). DNA 
medicines are composed of optimized DNA plasmids, which are small circles of 
double-stranded DNA that are synthesized or reorganized by a computer 
sequencing technology and designed to produce a specific immune response in the 
body.

INOVIO's DNA medicines deliver optimized plasmids directly into cells 
intramuscularly or intradermally using INOVIO's proprietary hand-held smart 
device called CELLECTRA(R). The CELLECTRA device uses a brief electrical pulse 
to reversibly open small pores in the cell to allow the plasmids to enter, 
overcoming a key limitation of other DNA and other nucleic acid approaches, 
such as mRNA. Once inside the cell, the DNA plasmids enable the cell to produce 
the targeted antigen. The antigen is processed naturally in the cell and 
triggers the desired T cell and antibody-mediated immune responses. 
Administration with the CELLECTRA device ensures that the DNA medicine is 
efficiently delivered directly into the body's cells, where it can go to work 
to drive an immune response. INOVIO's DNA medicines do not interfere with or 
change in any way an individual's own DNA. The advantages of INOVIO's DNA 
medicine platform are how fast DNA medicines can be designed and manufactured, 
the stability of the products which do not require freezing in storage and 
transport, and the robust immune response, safety profile, and tolerability 
that have been demonstrated in clinical trials.

With more than 2,000 patients receiving INOVIO investigational DNA medicines in 
more than 6,000 applications across a range of clinical trials, INOVIO has a 
strong track record of rapidly generating DNA medicine candidates with 
potential to meet urgent global health needs.

About INOVIO

INOVIO is a biotechnology company focused on rapidly bringing to market 
precisely designed DNA medicines to protect and treat people from infectious 
diseases, cancer, and diseases associated with HPV. INOVIO is the first and 
only company to have clinically demonstrated that a DNA medicine can be 
delivered directly into cells in the body via a proprietary smart device to 
produce a robust and tolerable immune response. Specifically, INOVIO's lead 
candidate VGX-3100, currently in Phase 3 trials for precancerous cervical 
dysplasia, destroyed and cleared high-risk HPV 16 and 18 in a Phase 2b clinical 
trial. High-risk HPV is responsible for 70% of cervical cancer, 91% of anal 
cancer, and 69% of vulvar cancer. Also in development are programs targeting 
HPV-related cancers and a rare HPV-related disease, recurrent respiratory 
papillomatosis (RRP); non-HPV-related cancers glioblastoma multiforme (GBM) and 
prostate cancer; as well as externally funded infectious disease DNA vaccine 
development programs in Zika, Lassa fever, Ebola, HIV, and coronaviruses 
associated with MERS and COVID-19 diseases. Partners and collaborators include 
Advaccine, ApolloBio Corporation, AstraZeneca, The Bill & Melinda Gates 
Foundation, Coalition for Epidemic Preparedness Innovations (CEPI), Defense 
Advanced Research Projects Agency (DARPA)/Department of Defense (DOD), GeneOne 
Life Science/VGXI, HIV Vaccines Trial Network, International Vaccine Institute 
(IVI), Medical CBRN Defense Consortium (MCDC), National Cancer Institute, 
National Institutes of Health, National Institute of Allergy and Infectious 
Diseases, Ology Bioservices, the Parker Institute for Cancer Immunotherapy, 
Plumbline Life Sciences, Regeneron, Richter-Helm BioLogics, Roche/Genentech, 
University of Pennsylvania, Walter Reed Army Institute of Research, and The 
Wistar Institute. INOVIO also is a proud recipient of 2020 Women on Boards "W" 
designation recognizing companies with more than 20% women on their board of 
directors. For more information, visit www.inovio.com.

CONTACTS:

Media: Jeff Richardson, 267-440-4211, jrichardson@inovio.com 
Investors: Ben Matone, 484-362-0076, ben.matone@inovio.com

This press release contains certain forward-looking statements relating to our 
business, including our plans to develop DNA medicines, our expectations 
regarding our research and development programs, including the planned 
initiation and conduct of preclinical studies and clinical trials, and the 
availability and timing of data from those studies and 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, product development programs and commercialization activities 
and outcomes, 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 medicines, our ability to support 
our pipeline of DNA medicine 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, 2019, 
our Quarterly Report on Form 10-Q for the quarter ended March 31, 2020 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.

SOURCE  INOVIO Pharmaceuticals, Inc. 
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