Intensity Therapeutics Reports INVINCIBLE-4, Presurgical Triple-Negative Breast Cancer Study Update
Intensity Therapeutics (NASDAQ:INTS) has reported an update on its INVINCIBLE-4 trial for triple-negative breast cancer treatment. The company achieved a significant milestone with a pathological complete response (pCR) in the first evaluated patient from Cohort A, where patients receive two doses of INT230-6 before standard immunochemotherapy.
While safety in Cohort A has been generally favorable and patients show significant tumor necrosis, the trial has temporarily paused new enrollment due to localized skin irritation in some patients. The company plans to evaluate the data and implement necessary modifications to the INT230-6 dosing regimen before resuming enrollment. The pause was a company decision, not a regulatory directive.
Intensity Therapeutics (NASDAQ:INTS) ha comunicato un aggiornamento sullo studio INVINCIBLE-4 per il trattamento del carcinoma mammario triplo negativo. L'azienda ha raggiunto un traguardo importante con una risposta patologica completa (pCR) nel primo paziente valutato della Cohort A, in cui i pazienti ricevono due somministrazioni di INT230-6 prima della chemioterapia immunologica standard.
La sicurezza nella Cohort A è risultata generalmente favorevole e i pazienti mostrano una necrosi tumorale significativa, tuttavia l'arruolamento di nuovi pazienti è temporaneamente sospeso a causa di irritazione cutanea localizzata osservata in alcuni soggetti. L'azienda valuterà i dati e apporterà le modifiche necessarie al regime di somministrazione di INT230-6 prima di riprendere l'arruolamento. La sospensione è stata decisa dall'azienda, non imposta da autorità regolatorie.
Intensity Therapeutics (NASDAQ:INTS) ha informado una actualización sobre su ensayo INVINCIBLE-4 para el tratamiento del cáncer de mama triple negativo. La compañía alcanzó un hito relevante con una respuesta patológica completa (pCR) en el primer paciente evaluado de la Cohorte A, en la que los pacientes reciben dos dosis de INT230-6 antes de la inmunoquimioterapia estándar.
Si bien la seguridad en la Cohorte A ha sido en general favorable y los pacientes muestran necrosis tumoral significativa, el ensayo ha pausado temporalmente el nuevo reclutamiento debido a irritación cutánea localizada en algunos pacientes. La compañía evaluará los datos y efectuará las modificaciones necesarias en el régimen de dosificación de INT230-6 antes de reanudar el reclutamiento. La pausa fue decisión de la compañía, no una directiva regulatoria.
Intensity Therapeutics (NASDAQ:INTS)� 삼중음성 유방� 치료� 위한 INVINCIBLE-4 임상시험� 대� 업데이트� 발표했습니다. 회사� 코호� A� � 번째 평가 환자에서 병리학적 완전관�(pCR)� 달성하는 중요� 이정표를 세웠습니�. 코호� A에서� 환자들이 표준 면역화학요법 전에 INT230-6� � � 투여받습니다.
코호� A� 안전성은 전반적으� 양호했고 환자들은 상당� 종양 괴사� 보였지� 일부 환자에서 국소� 피부 자극� 발생� 신규 등록은 일시 중단되었습니�. 회사� 데이터를 검토하� 등록� 재개하기 전에 INT230-6 투여 요법� 필요� 수정� 시행� 계획입니�. 이번 중단은 규제 당국� 지시가 아닌 회사� 결정입니�.
Intensity Therapeutics (NASDAQ:INTS) a publié une mise à jour sur l'essai INVINCIBLE-4 pour le traitement du cancer du sein triple négatif. La société a atteint une étape importante avec une réponse pathologique complète (pCR) chez le premier patient évalué de la cohorte A, où les patients reçoivent deux doses d'INT230-6 avant l'immunochimiothérapie standard.
La sécurité dans la cohorte A a été globalement favorable et les patients présentent une nécrose tumorale significative, mais le recrutement de nouveaux patients a été temporairement suspendu en raison d'irritations cutanées localisées chez certains patients. La société examinera les données et mettra en œuvre les modifications nécessaires du schéma posologique d'INT230-6 avant de reprendre le recrutement. La pause a été décidée par la société et non imposée par une autorité réglementaire.
Intensity Therapeutics (NASDAQ:INTS) hat ein Update zur INVINCIBLE-4-Studie zur Behandlung von triple-negativem Brustkrebs veröffentlicht. Das Unternehmen erreichte einen wichtigen Meilenstein mit einer pathologischen Komplettremission (pCR) beim ersten ausgewerteten Patienten aus Kohorte A, in der die Patienten zwei Dosen INT230-6 vor der standardmäßigen Immunchemotherapie erhalten.
Die Sicherheit in Kohorte A war insgesamt günstig und die Patienten zeigten eine erhebliche Tumornekrose. Dennoch wurde die Neueinschreibung vorübergehend ausgesetzt wegen lokalisierter Hautreizungen bei einigen Patienten. Das Unternehmen wird die Daten auswerten und vor Wiederaufnahme der Einschreibung die erforderlichen Anpassungen am INT230-6-Dosierungsschema vornehmen. Die Aussetzung erfolgte auf Unternehmensentscheidung, nicht auf regulatorische Anordnung.
- Achieved pathological complete response (pCR) in first evaluated patient
- Favorable overall safety profile in Cohort A
- Evidence of significant tumor necrosis and immune activation before standard care therapy
- Clinical trial enrollment temporarily paused due to skin irritation issues
- Dosing regimen requires modifications before trial can resume
Insights
Intensity reports promising early efficacy with one complete response in TNBC trial, but pauses enrollment due to skin irritation issues.
The preliminary data from Intensity Therapeutics' INVINCIBLE-4 trial shows some promising efficacy signals for INT230-6 in triple-negative breast cancer (TNBC). Most notably, a pathological complete response (pCR) was observed in the first evaluated patient from Cohort A, which is highly significant in TNBC treatment. A pCR indicates no detectable cancer remains after treatment, which correlates with improved long-term outcomes.
The trial design for Cohort A includes two doses of INT230-6 administered eight days apart, followed by standard immunochemotherapy. Tumor scans showed substantial tumor necrosis after just the two INT230-6 doses, suggesting the drug effectively penetrates and kills cancer cells before standard therapy begins.
However, this early efficacy comes with a notable safety concern. Localized skin irritation near the tumor site has occurred in some patients, prompting a voluntary enrollment pause. This issue is particularly important in breast cancer treatment, where cosmetic outcomes significantly impact patient quality of life. The company is now evaluating data to modify the dosing regimen before resuming enrollment.
While the skin irritation is a setback, it's worth noting that the pause was a decision between investigators and Intensity, not a regulatory mandate, suggesting the issues are manageable. The company appears confident they can implement necessary adjustments while preserving the treatment's efficacy. The fact that the drug shows significant tumor necrosis and immune activation prior to standard care remains an encouraging signal for this novel intratumoral approach.
Early efficacy promising with one pCR, but skin irritation issues cause enrollment pause - mixed near-term implications.
Intensity's INVINCIBLE-4 trial update presents a complex picture for investors. The observation of a pathological complete response in the first evaluated patient is a significant positive signal. In the triple-negative breast cancer space, pCR rates are considered a strong surrogate endpoint for long-term outcomes, and achieving this after just two doses of INT230-6 prior to standard care is noteworthy.
However, the enrollment pause due to skin irritation introduces uncertainty about the timeline and ultimate approvability of the therapy. Breast cancer treatments must balance efficacy with cosmetic outcomes, so this safety signal requires careful evaluation. While the company states the pause was voluntary and not regulatory-mandated, addressing these issues will likely extend the development timeline.
The mechanism of action appears to be working as intended - INT230-6 is designed to directly kill cancer cells when injected into tumors while enhancing immune recognition. The reported tumor necrosis and evidence of immune activation support this mechanistic hypothesis. The company's proprietary non-covalent conjugation technology seems to be effectively delivering the therapeutic payload to cancer cells.
From a development perspective, the company must now balance the promising efficacy with resolving the skin irritation issues. Intensity indicates they plan to implement a modified dosing regimen, suggesting they believe the issue is manageable through dosing adjustments rather than requiring fundamental reformulation. This increases the likelihood of successfully addressing the problem, though the timeline remains uncertain until specific modifications are announced.
- A pathological complete response ("pCR") has been observed in the first patient evaluated in Cohort A, where each patient receives two doses of INT230-6 eight days apart, followed by the standard of care immunochemotherapy ("SOC")
- Safety looks favorable in Cohort A
- Some INT230-6 patients begin to show localized skin irritation, and new patient enrollment has been paused to implement modifications to resolve the issue
- Patients being treated with INT230-6 continue to show significant necrosis after two doses of INT230-6 and prior to the initiation of the SOC, as shown in the photos below of a single patient's breast tumor scans
"While efficacy of INT230-6 is quite promising, and we are excited by the early radiological and pathological results, an essential aspect of any treatment for breast cancer patients is to have a good cosmetic result post-surgery," said Ursina Zürrer, M.D. Chief Physician for Genetic Counseling, Department of Medical Oncology and Hematology, Cantonal Hospital Winterthur,
"As was seen in our prior studies, tumor scans indicate high levels of drug absorption and significant tumor necrosis with evidence of immune activation before the initiation of the standard of care therapy, and we are excited that the first patient evaluated who received our drug had a pCR," said Lewis H. Bender, Intensity's President and CEO. "We plan to complete a data evaluation to determine the cause of the skin irritation and implement changes needed to eliminate or reduce the issue. Our objective is to reinitiate enrollment and complete the study as soon as possible. Intensity's ultimate goal is to provide patients with a new product that offers presurgical triple-negative breast cancer patients improved safety and a greater likelihood of having a pathological complete response, while also providing a good appearance post-surgery."
About INT230-6
INT230-6, Intensity's lead proprietary investigational product candidate, is designed for direct intratumoral injection. INT230-6 was discovered using Intensity's proprietary DfuseRx� technology platform. The drug consists of two proven, potent anti-cancer agents, cisplatin and vinblastine sulfate, and a diffusion and cell penetration enhancer molecule ("SHAO") that conjugates non-covalently to the two payload drugs and facilitates the dispersion of the potent cytotoxic drugs throughout tumors, allowing the active agents to diffuse into cancer cells. These agents remain in the tumor, resulting in a favorable safety profile. In addition to local disease control and direct tumor killing, INT230-6 causes a release of a bolus of neoantigens specific to the malignancy, leading to immune system engagement and systemic anti-tumor effects. Importantly, these effects are mediated without immunosuppression, which often occurs with systemic chemotherapy.
About the INVINCIBLE-4 Study
The INVINCIBLE-4 study is a Phase 2 non-comparative, hypothesis-driven randomized open-label, two-cohort multicenter study to analyze the clinical activity, safety, and tolerability of INT230-6 given before administration of the standard of care immunochemotherapy ("SOC") treatment in patients with early-stage, operable triple-negative breast cancer andSOC alone. The primary endpoint is the pathological complete response rate for the combination and the SOC alone. pCR is the absence of cancer at the time of surgery in the tumor and nodes. pCR is an FDA accelerated approval endpoint. Clinical evidence is strong that the risk of a patient's cancer returning is significantly reduced when there is a pCR at the time of surgery. The Swiss Medic and the European Medicines Agency authorized the initiation of the INVINCIBLE-4 Study in
About Intensity Therapeutics
Intensity is a late-stage clinical biotechnology company whose novel engineered chemistry enables aqueous cytotoxic-containing drug formulations to mix and saturate a tumor's dense, high-fat, pressurized environment following direct intratumoral injection. As a result of the saturation, Intensity's clinical trials have demonstrated the ability of INT230-6 to kill tumors and elicit an adaptive immune response within days of injection, representing a new approach to cancer cell death that holds the potential to shift the treatment paradigm and turn many deadly cancers into chronic diseases even for malignancies that do not respond to conventional immunotherapy. Intensity has completed two clinical studies and enrolled over 200 patients using INT230-6: a Phase 1/2 dose escalation study in metastatic cancers including sarcomas ), and a Phase 2 randomized control clinical trial in locally advanced breast cancer (the "INVINCIBLE-2 Study") (NCT04781725) in women without undergoing chemotherapy prior to their surgery.The Company initiated a Phase 3 trial in soft tissue sarcoma (the "INVINCIBLE-3 Study") (NCT06263231), testing INT230-6 as second or third-line monotherapy compared to the standard of care ("SOC") with overall survival as an endpoint. Intensity also initiated a Phase 2 study in collaboration with The Swiss Group for Clinical Cancer Research, SAKK (the "INVINCIBLE-4 Study") (NCT06358573) as part of a Phase 2/3 program evaluating INT230-6 followed by the SOC immunochemotherapy and the SOC alone for patients with presurgical triple-negative breast cancer. Pathological complete response ("pCR") is the endpoint. For more information about Intensity, including publications, papers, and posters about its novel approach to cancer therapeutics, visit.
Forward-Looking Statements
Certain statements in this press release may constitute "forward-looking statements" within the meaning of the United States Private Securities Litigation Reform Act of 1995, as amended to date. These statements include, but are not limited to, the potential efficacy and safety of INT230-6 for patients with triple-negative breast cancer, statements relating to the Company's expected future plans, cash runway, development activities, projected milestones, business activities or results. When or if used in this communication, the words "may," "could," "should," "anticipate," "believe," "estimate," "expect," "intend," "plan," "predict" and similar expressions and their variants, as they relate to the Company or its management, may identify forward-looking statements. The forward-looking statements contained in this press release are based on management's current expectations and projections about future events. Nevertheless, actual results or events could differ materially from the plans, intentions, and expectations disclosed in, or implied by, the forward-looking statements. These risks and uncertainties, many of which are beyond our control, include: the initiation, timing, progress and results of future preclinical studies and clinical trials and research and development programs; the need to raise additional funding before the Company can expect to generate any revenues from product sales; plans to develop and commercialize product candidates; the timing or likelihood of regulatory filings and approvals; the ability of the Company's research to generate and advance additional product candidates; results observed from preliminary data are not necessarily indicative of final results and one or more of the clinical outcomes may materially change following more comprehensive reviews of the data and as more patient data becomes available, including the risk that unconfirmed responses may not ultimately result in confirmed responses to treatment after follow-up evaluations; the risk that product candidates that appear promising in early research and clinical trials do not demonstrate safety and/or efficacy in larger-scale or later clinical trials; the implementation of the Company's business model, strategic plans for the Company's business, product candidates and technology; commercialization, marketing and manufacturing capabilities and strategy; the rate and degree of market acceptance and clinical utility of the Company's system; the Company's competitive position; the Company's intellectual property position; developments and projections relating to the Company's competitors and its industry; the Company's ability to maintain and establish collaborations or obtain additional funding; expectations related to the use of cash and cash equivalents and investments; our potential inability to satisfy the Nasdaq Capital Market's requirements for continued listing and be subject to delisting; estimates regarding expenses, future revenue, capital requirements and needs for additional financing; and other risks described in the section entitled "Risk Factors" in the Company's Annual Report on Form 10-K for the year ended December 31, 2024 and in the Company's subsequent SEC filings, which can be obtained on the SEC website at . Readers are cautioned not to place undue reliance on the forward-looking statements, which speak only as of the date on which they are made and reflect management's current estimates, projections, expectations and beliefs. The Company does not plan to update any such forward-looking statements and expressly disclaims any duty to update the information contained in this press release except as required by law.
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