Allogene Therapeutics, Inc. current report, 29 November 2022

Allogene Therapeutics, Inc. Form 8-K Summary

Business Context and Reporting Period

Filed November 29, 2022 under Item 8.01, “Other Events.” The filing reports clinical and research updates presented at Allogene’s R&D Showcase. Allogene is developing allogeneic CAR T-cell therapies for hematologic malignancies and solid tumors, including programs conducted with Servier and using Cellectis technologies.

This is not a periodic financial filing. The filing does not provide revenue, earnings, cash flow, margin, debt, liquidity, or other financial statement metrics.

Clinical and Operating Highlights

ProgramReported resultsKey safety or development update
ALLO-501/ALLO-501A, ALPHA trials, r/r LBCLAmong 12 patients receiving the preferred Single Dose FCA90 regimen, ORR was 67% and CR rate was 58%. Four of eight patients eligible for six-month follow-up remained in CR at both six and 12 months. Across 48 Alloy-process LBCL patients, ORR was 48% and CR rate was 29%.No dose-limiting toxicities or GvHD were observed. In the Single Dose FCA90 cohort, one patient had a Grade 3+ infection and two had prolonged Grade 3+ cytopenia. One previously reported Grade 5 event occurred; no new Grade 5 events were reported.
ALLO-501A, Phase 2 ALPHA2Approximately 100 patients are planned, using a single 120 million CAR+ cell dose and FCA90 lymphodepletion. Primary endpoint is ORR; key secondary endpoint is duration of response.The trial is described as the first potentially pivotal Phase 2 allogeneic CAR T trial initiated by the company.
ALLO-715, UNIVERSAL, r/r MMAt a median follow-up of 14.8 months, ORR was 67% in the FCA60 cohort, VGPR+ rate was 42%, and median duration of response was 9.2 months. All VGPR+ responses were MRD-negative.In the expansion cohorts, 29% experienced Grade 3+ infections and 29% prolonged Grade 3+ cytopenia. One previously reported Grade 5 event occurred; no new Grade 5 events were reported.
ALLO-605, IGNITE, r/r MMThe filing provides no new efficacy results.Patient enrollment was paused while the company reviews the manufacturing process.
ALLO-316, TRAVERSE, advanced/metastatic RCCAmong nine patients with CD70-positive tumors, DCR was 100% and three patients achieved partial responses, including two confirmed responses. Across all 17 patients, ORR was 18% and DCR was 82%.No GvHD or Grade 5 events were reported. One dose-limiting liver enzyme elevation occurred; 18% had prolonged Grade 3+ cytopenia and one patient had Grade 3 CRS.

Material Changes and Outlook

  • The company concluded that a single-dose FCA90 regimen was preferable to the consolidation regimen in the ALPHA program and is using it in the Phase 2 ALPHA2 trial.
  • The Alloy manufacturing process was reported to have performed robustly in the Phase 1 program and is being used in the ongoing Phase 2 ALPHA2 trial.
  • Allogene plans a potentially pivotal Phase 2 trial for ALLO-715, subject to regulatory discussions, manufacturing optimization, and transition to its Cell Forge 1 facility.
  • TRAVERSE is deploying an investigational CD70 companion diagnostic to identify patients most likely to benefit and will continue evaluating cell doses and lymphodepletion regimens.
  • The company plans to advance Dagger technology, intended to reduce host immune-cell rejection of AlloCAR T cells, into next-generation products.

Risks, Contingencies, and Unusual Items

  • The reported clinical data are preliminary, based on limited patient populations, and may change following additional follow-up, audit, or verification.
  • Phase 1 results may not be predictive of Phase 2 or later-stage outcomes, including the results of ALPHA2.
  • Manufacturing processes may affect clinical outcomes, and Allogene may not achieve consistent or reproducible product characteristics, particularly for ALLO-715 and ALLO-605.
  • Clinical development depends on patient enrollment, regulatory discussions, trial execution, and successful manufacturing scale-up.
  • The filing contains forward-looking statements regarding trial advancement, regulatory progress, manufacturing, product benefits, and potential approvals. No assurance is provided that these objectives will be achieved.

Facts Investors Should Verify

  • Updated response durability, survival, and safety results as ALPHA2 and other trials mature.
  • Whether Phase 2 ALPHA2 reproduces the preliminary ALPHA results in a larger, single-regimen population.
  • Regulatory feedback and the design, timing, and initiation of the planned Phase 2 ALLO-715 trial.
  • Resolution of manufacturing issues for ALLO-605 and ALLO-715, including the transition to Cell Forge 1.
  • Confirmation of TRAVERSE results in CD70-positive patients using the investigational companion diagnostic.
  • The company’s current cash runway, financing needs, debt, and operating expenses, which are not disclosed in this Form 8-K and should be reviewed in the latest periodic filing.