Home ORR 42.5%: Roche Reports Promising Early-Phase Data of TIGIT Antibody Tiragolumab Combination Therapy in First-Line Unresectable Hepatocellular Carcinoma

ORR 42.5%: Roche Reports Promising Early-Phase Data of TIGIT Antibody Tiragolumab Combination Therapy in First-Line Unresectable Hepatocellular Carcinoma

May 27, 2023 10:06 CST Updated 10:06
Roche

Oncology Drug Research, Development, and Manufacturing

According to the abstract information on the ASCO official website, Roche released early data on the first-line treatment with TIGIT monoclonal antibody tiragolumab in combination therapy for patients with unresectable locally advanced or metastatic hepatocellular carcinoma (uHCC). The Ib/II phase Morpheus-Liver study showed that, compared with the control group (atezolizumab + bevacizumab, n = 18), the tiragolumab + atezolizumab + bevacizumab combination therapy group (n = 40) achieved a higher objective response rate (ORR) and longer progression-free survival (PFS).

A total of 58 treatment-naive patients with uHCC were randomly assigned to receive either atezolizumab (1200mg IV) + bevacizumab (15mg/kg IV) every 3 weeks or tiragolumab (600mg IV) + atezolizumab + bevacizumab.

As of November 28, 2022, the median follow-up time for the tiragolumab combination therapy group was 14.0 months, compared to 11.8 months in the control group. The confirmed ORR in the tiragolumab combination therapy group was 42.5%, higher than 11.1% in the control group; the median PFS for the tiragolumab combination therapy group was 11.1 months (95% CI: 8.2-NE), while it was 4.2 months (95% CI: 1.6-7.4) in the control group, corresponding to a PFS hazard ratio (HR) of 0.42 (95% CI: 0.22-0.82). Similar ORR and PFS benefits were observed in the tiragolumab combination therapy group across both the PD-L1+ (n=23) and PD-L1- (n=27) subgroups.


In terms of safety, the probabilities of grade 3/4 treatment-related adverse reactions in the tiragolumab combination therapy group versus the control group were 27.5% vs 33.3%, and the probabilities of adverse reactions leading to any treatment discontinuation were 22.5% vs 22.2%.

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