Biohaven Presents Clinical Safety and Efficacy Data for BHV-1510, a Next-Generation Trop2 Antibody Drug Conjugate in Combination with Cemiplimab at the 2025 European Society for Medical Oncology (ESMO) Immuno-Oncology Congress
- In a pretreated population of participants with advanced/metastatic cancer and the majority with prior PD-(L)1 treatment, BHV-1510 2.5 mg/kg Q3W plus cemiplimab resulted in confirmed objective response rates 3/5 (60%) in NSCLC, 4/4 (100%) in endometrial cancer, and 1/2 (50%) in urothelial cancer
- There were low rates of adverse events attributed to unconjugated payload such as hematological toxicities and diarrhea, and there were no cases of interstitial lung disease, showing a differentiated safety profile of BHV-1510 from other Trop2 ADCs
- BHV-1510, a highly differentiated Trop2 ADC incorporating the proprietary TopoIx payload, demonstrates encouraging early clinical activity and favorable safety profile in a Phase 1 study in combination with the anti-PD-1 cemiplimab
At the BHV-1510 dose of 2.5 mg/kg Q3W in combination with cemiplimab, confirmed ORR was 72.7%. Confirmed responses were observed in 3/5 (60%) in NSCLC, 4/4 (100%) in endometrial cancer, which included a complete response, and 1/2 (50%) in urothelial cancer (Fig.1). In all 23 efficacy evaluable participants treated with BHV-1510 in combination with cemiplimab across dose levels, as of the clinical cutoff date (
In the population studied, the median prior lines of therapy for advanced/metastatic disease were two and the majority (87.1%) had prior PD-(L)1 exposure with 16 participants (51.6%) receiving a PD-(L)1 as the most recent treatment prior to receiving study treatment. The maximum tolerated dose was not reached and only one participant had a dose limiting toxicity of stomatitis (Grade 3) at the 2.75 mg/kg Q3W dose. As of the clinical cutoff date, a total of 31 participants were treated with the combination of BHV-1510 and cemiplimab, with BHV-1510 doses ranging from 2-2.75 mg/kg Q3W and 1.25-1.5 mg/kg D1D8Q3W. Cemiplimab was given at 350 mg Q3W.
Across all doses BHV-1510, was generally well tolerated with a safety profile differentiated from other Trop-2 ADCs. The rate of neutrophil count decrease was low and manageable; all Grade (Grade ≥3), 12.9% (6.5%). Similarly, the rates of treatment emergent diarrhea and alopecia were low; all Grade (Grade ≥3), 6.5% (0) and 9.7% respectively. The most frequent toxicity observed was oral mucositis/stomatitis all Grade (Grade ≥3), 59.1% (22.7%) in the Q3W regimen and all Grade (Grade ≥3), 33.3% (11.1%) in the D1D8Q3W regimen. This is a well-known class effect which is manageable. Importantly, there were no cases of interstitial lung disease, and no participants discontinued treatment due to an adverse event. Treatment emergent SAEs were reported in 4 participants, none of which were related to the study treatment. The pharmacokinetic profile for BHV-1510 was favorable, the unconjugated payload concentration was low with a payload-to-ADC molar ratio < 1%, indicating that ADC was highly stable in the circulation.
Poster Presentation Information:
Poster 252P: Phase 1 clinical trial of BHV-1510, a next generation Trop2 ADC, in combination with the PD-1 monoclonal antibody, cemiplimab in patients with advanced solid tumors.
Date/Time:
The poster will be available on the Posters and Presentations page after the conference at www.biohaven.com.
About Biohaven
Biohaven is a biopharmaceutical company focused on the discovery, development and commercialization of life-changing treatments in key therapeutic areas, including immunology, neuroscience and oncology. Biohaven is advancing its innovative portfolio of therapeutics, leveraging its proven drug development experience and multiple proprietary drug development platforms. Biohaven's key clinical and preclinical programs include Kv7 ion channel modulation for epilepsy and mood disorders; MoDE™ and TRAP™ extracellular protein degradation for immunological diseases; and myostatin-activin pathway targeting agent for neuromuscular and metabolic diseases, including SMA and obesity. For more information, visit www.biohaven.com.
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