Abstract

33rd Annual Meeting & Pre-Conference Programs of the Society for Immunotherapy of Cancer (SITC 2018): Late-Breaking Abstracts

Highlights

  • Tumor mutational burden (TMB) is a measure of the number of somatic mutations and a predictive biomarker of response to immune checkpoint inhibitors (ICI) across several cancers

  • Panel-derived TMB strongly correlated with whole exome sequencing (WES)-derived TMB

  • As Imprime is known to complex with serum IgG Anti-beta glucan antibodies (ABA), a drop in the free ABA levels and a concomitant increase in the circulating immune complexes (CIC) was observed at the end of infusion (EOI) of every Imprime dose

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Summary

Introduction

Tumor mutational burden (TMB) is a measure of the number of somatic mutations and a predictive biomarker of response to immune checkpoint inhibitors (ICI) across several cancers. There were no treatment-related deaths.Translational data is being evaluated for alterations in MDSCs, interferon-gamma-induced proteins and proliferation of previously exhausted CD8 memory T-cells in blood, as well as changes in immune infiltrates from paired tumor biopsies Currently, translational data is available in the anti-PD1 therapy refractory melanoma patient showing an 86% reduction in MDSCs at C2D1 by flow cytometry and a 68% increase in the proliferative fraction of previously exhausted T-cells at C3D1 relative to baseline.Updated clinical and translational data from the combination expansion cohorts will be presented. We examined how well functional tumor-immune biology was preserved across the lymphoid and myeloid compartments during ex-vivo culture using multiple different platforms including cytokine multiplex analysis, flow cytometry, gene expression quantification and multispectral immunohistochemistry In this platform, we interrogated clinically-approved PD-1 inhibitors (e.g. Nivolumab and Pembrolizumab) using tumor biopsies from patients (N=50) with head and neck squamous cell carcinoma (HNSCC). Our study indicates the potential of PSI as an integral clinical biomarker for evaluating the efficacy of the therapy on a per-patient basis, and enables understanding of the checkpoint mechanism and its application to drug development

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