I-Mab Highlights Positive Givastomig Phase 1b Dose Escalation Data in Combination with Immunochemotherapy in Patients with 1L Gastric Cancers at ESMO GI 2025
71% objective response rate (ORR) (12/17) per RECIST v1.1, with a favorable safety profile
83% ORR (10/12) in patients across doses selected for ongoing dose expansion study
Responses observed in patients with low PD-L1 and/or CLDN18.2 expression
Updated results to be presented at ESMO GI on
Company to host investor event on
The abstract is based on the results of the dose escalation part of a Phase 1b study (NCT04900818) evaluating the safety, efficacy, pharmacokinetics (PK), and pharmacodynamics (PD) of givastomig used in combination with nivolumab and mFOLFOX6 as first line therapy (1L) in patients with Claudin 18.2-positive gastric cancers (≥1+ intensity in ≥1% of cells). The primary endpoint is safety. The study only enrolled patients in the
“We are excited to share positive initial data from the Phase 1b dose escalation study of givastomig in gastric cancers at ESMO GI 2025. Givastomig shows promising activity in the first line setting, with responses that are both rapid onset and durable, deepening over time. This is the first study to evaluate givastomig in combination with immunochemotherapy and we are very pleased by the overall tolerability, consistent pharmacokinetic data and soluble 4-1BB induction. We look forward to sharing the data with the oncology and investment communities at ESMO GI 2025 on
“Givastomig's strong response data and favorable safety profile are encouraging. I look forward to presenting the data for this novel Claudin 18.2 targeted therapy next week at ESMO GI and discussing with colleagues,” said Samuel J Klempner, MD, Associate Professor of Medicine at
ESMO GI Presentation Details:
Title: Preliminary Safety and Efficacy of Givastomig, a Novel Claudin 18.2/4-1BB Bispecific Antibody, in Combination with Nivolumab and mFOLFOX in Metastatic Gastroesophageal Carcinoma (mGEC)
Speaker:
Presentation Number: 388MO
Date and Time:
Givastomig Phase 1b Dose Escalation Data Summary in 1L Gastric Cancers
- 17 advanced metastatic gastric cancer patients were treated with givastomig across the 5 mg/kg (n=5), 8 mg/kg (n=6), and 12 mg/kg (n=6) dose levels as of the
February 28, 2025 , data cutoff. All patients were efficacy evaluable
Patient Characteristics:
- The 17 patients enrolled in the study were treatment naïve metastatic gastric, esophageal or gastroesophageal adenocarcinomas
- Patients were HER2-negative, Claudin 18.2-positive (defined as >1+ intensity in >1% of tumor cells) regardless of PD-L1 expression levels
- All patients were enrolled at sites within
the United States
Efficacy Results:
- Objective Response Rates (ORRs):
- 71% of patients (12/17) achieved a partial response (PR) per RECIST v1.1
- 5 mg/kg (2/5)
- 8 mg/kg (5/6)
- 12 mg/kg (5/6), with one unconfirmed response as of the data cutoff
- At the doses selected for dose expansion (8 and 12 mg/kg), 83% (10/12) of patients achieved PRs
- 80% of patients (4/5) with CLDN18.2 expression below 75% (CLDN-Low) achieved a PR. The CLDN-Low response rate increased to 100% of patients (3/3) in the doses selected for expansion (8 and 12 mg/kg)
- 71% of patients (12/17) achieved a partial response (PR) per RECIST v1.1
- The disease control rate (DCR) was 100% across the three dose levels
- Dose-dependent PK was observed, similar to monotherapy PK.
- Patients also experienced a dose dependent induction of soluble 4-1BB, a positive indicator of T cell activation and engagement
| ORR: % (n) | All (n=17) |
Cohorts Chosen for expansion (8 and 12 mg/kg) (n=12) |
| PD-L1 | ||
| Any | 71 (12/17) | 83 (10/12) |
| ≥5 | 82 (9/11) | 89 (8/9) |
| <5 | 50 (3/6) | 67 (2/3) |
| ≥1 | 73 (11/15) | 82 (9/11) |
| <1 | 50 (1/2) | 100 (1/1) |
| CLDN18.2 | ||
| ≥75 | 67 (8/12) | 78 (7/9) |
| <75 | 80 (4/5) | 100 (3/3) |
Durability:
- 8 of 17 patients remained on study treatment and the longest treatment duration was 11.3 months as of the data cutoff
Safety:
- No dose limiting toxicities (DLT) were observed and a maximum tolerated dose (MTD) was not reached
- Common treatment related adverse events (TRAEs, ≥10% of patients) were generally Grade 1 or Grade 2 including nausea, vomiting, infusion related reaction, fatigue, decreased appetite, diarrhea, abdominal pain, chills, dyspepsia and gastritis
- Grade 3 TRAEs attributed to givastomig were rare, with single cases of abdominal pain, ALT/AST increases, gastritis, and infusion related reaction
- No Grade 4 or Grade 5 TRAEs were reported
Virtual Investor Event:
Register for the Post-ESMO GI 2025 Investor Event here. A replay of the webinar will be accessible on the News & Events page of the
About Givastomig
Givastomig (TJ033721 / ABL111) is a bispecific antibody targeting Claudin 18.2 (CLDN18.2)-positive tumor cells. It conditionally activates T cells through the 4-1BB signaling pathway in the tumor microenvironment where CLDN18.2 is expressed. Givastomig is being developed for first line (1L) metastatic gastric cancers, with further potential in other solid tumors. In Phase 1 trials, givastomig has shown promising anti-tumor activity attributable to a potential synergistic effect of proximal interaction between CLDN18.2 on tumor cells and 4-1BB on T cells in the tumor microenvironment, while minimizing toxicities commonly seen with other 4-1BB agents.
An ongoing Phase 1b study is evaluating givastomig for the treatment of gastric cancer in the 1L setting in combination with standard of care, nivolumab (an anti-PD-1 checkpoint inhibitor) plus chemotherapy, in dose escalation and dose expansion cohorts. Dose escalation is complete, and enrollment in the first dose expansion cohort (n=20) finished ahead of schedule. Enrollment continues to progress ahead of schedule in the second dose expansion cohort (n=20). The study builds on positive Phase 1 monotherapy data.
Givastomig is being jointly developed through a global partnership with ABL Bio, in which I-Mab is the lead party and shares worldwide rights, excluding Greater China and South Korea, equally with ABL Bio.
About
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I-Mab Forward-Looking Statements
This announcement contains forward-looking statements. These statements are made under the “safe harbor” provisions of the
I-Mab Investor & Media Contacts
| PJ Kelleher | |
| +1-617-430-7579 | |
| pkelleher@lifesciadvisors.com | |
| IR@imabbio.com |
Source: I-Mab Biopharma
