OncoSec Slashes Headcount by Almost Half, Goes All-In on Lead Candidate

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Businessperson Walking Out With Exit Sign On Wall

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OncoSec Medical Inc. announced Tuesday that it was laying off around 45% of its workforce to focus its resources on the development of its lead asset TAVO-EP.

Cancer immunotherapy biotech OncoSec Medical Inc. will lay off around 45% of its workforce to focus its resources on the development of its lead asset, TAVO-EP (tavokinogene telseplasmid), the company announced Tuesday.

The pipeline prioritization move will help OncoSec minimize operating expenses. Employees that will remain with the company will prioritize the pipeline activities of TAVO-EP in melanoma, working toward an upcoming data milestone of the KEYNOTE-695 trial. Downsizing will also extend the company’s cash runway.

Initial readout for objective response rate (ORR) as assessed by the investigator, a KEYNOTE-695 secondary endpoint, is expected later this year. Top-line data for ORR determined by blinded independent central review (BICR) will come out early next year.

In a statement, company CEO Robert H. Arch, Ph.D. said that after a review of OncoSec’s technology and pipeline, he deemed it best to restructure the company’s operations and refocus its plans, allowing OncoSec to accelerate the clinical development and assessment of TAVO-EP.

The company will provide a more thorough financial summary, including details about the implications of its restructuring, later in October via a Form 10-K.

With more than 150 patients enrolled, KEYNOTE-695 is a non-comparative, open-label and single-arm study of TAVO-EP with intravenous Keytruda (pembrolizumab). The intervention is being tested against locally advanced or metastatic melanoma, with a primary endpoint of ORR by BICR.

AVO-EP is a plasmid that encodes for IL-12, which is delivered directly into the tumor through electroporation. Once inside, TAVO-EP induces the expression of pro-inflammatory cytokine IL-12 in the tumor’s direct vicinity, which in turn can recruit the immune system to attack the cancer cells.

Through this mode of action, TAVO-EP has been postulated to enhance the effects of anti-PD-1 drugs, and could even convert non-responders to responders.

From Launch to Layoffs

In 2018, OncoSec launched a Phase II clinical trial called KEYNOTE-890, which assessed TAVO-EP in combination with Merck’s blockbuster anti-PD-1 drug Keytruda for the treatment of late-stage and triple-negative breast cancer.

Two years later, in June 2020, based on positive data, tumor regression and clinical response to the active intervention, OncoSec expanded KEYNOTE-890, adding another cohort of patients with metastatic triple-negative breast cancer. The TAVO-EP/Keytruda combo was tested as a first-line treatment in these patients.

In July 2021, OncoSec inked a deal with Merck for a pivotal and global Phase III study dubbed Keynote-C87. The trial is meant to evaluate TAVO-EP plus Keytruda in metastatic melanoma patients refractory to immune checkpoint therapy, with standard chemotherapy as the reference. Findings from KEYNOTE-C87 are meant to support accelerated FDA approval.

Aside from Keytruda, OncoSec also launched another Phase II study of TAVO-EP in 2020, assessing its efficacy as a neoadjuvant intervention for melanoma in combination with BMS’s anti-PD-1 checkpoint inhibitor Opdivo (nivolumab). The trial included only patients with operable, locally or regionally advanced malignancies and was designed to see if TAVO-EP could boost Opdivo’s published anti-tumor response.

Tristan is an independent science writer based in Metro Manila, with more than eight years of experience writing about medicine, biotech and science. He can be reached at tristan.manalac@biospace.com, tristan@tristanmanalac.com or on LinkedIn.
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