ImmunityBio Reports Median Overall Survival Not Yet Reached and Lymphopenia Reversed in Recurrent Glioblastoma Patients Receiving ANKTIVA® Plus CAR-NK, Chemo-Free Therapy
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Primary endpoint of QUILT-3.078 is overall survival; median overall survival has not yet been reached, with 19 of 23 enrolled patients alive as of
January 22, 2026 - Fourteen patients have evaluable data, with the longest survival from time of disease recurrence reaching 12 months to date and ongoing
- Baseline mean absolute lymphocyte count (ALC) among these 14 patients was 0.9 x 103/uL, confirming severe lymphopenia at enrollment
- ALC increased within one treatment cycle, with mean ALC rising to ≥ 1.4 x 103/uL (p <0.001, N=14)
- Immune competence (as measured by ALC) was maintained, with statistically significant increases from baseline observed at all assessments through 20 weeks (p ≤ 0.026) with ANKTIVA® + CAR-NK
- ANKTIVA + CAR-NK demonstrated a manageable safety profile following a total of 219 doses administered to date, with three treatment-related serious adverse events reported among 41 GBM patients (2L and 3L+) enrolled across QUILT-3.078 (N=23) and single-patient INDs (N=18)
- Randomized controlled trials in both first line (1L) and second line (2L+) glioblastoma are in development
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Figure 1
QUILT-3.078 enrolled patients with recurrent GBM at first recurrence. In the spIND population, seven patients were first line and are alive to date. Randomized clinical trials for both first line and second line+ GBM patients are in development.
QUILT-3.078 Phase 2 Results to Date
As of
Of the 23 enrolled patients, 14 currently have evaluable clinical data and comprise the efficacy population for the current analysis. Among these evaluable patients, a total of 139 doses of combination immunotherapy have been administered. The median follow up is 6 months in the evaluable cohort. All four deaths to date occurred within the evaluable cohort, and median overall survival has not yet been reached. See figure 2.
“Across contemporary studies, median overall survival for patients with recurrent glioblastoma is approximately six to nine months. Outcomes beyond this benchmark remain uncommon, underscoring the substantial unmet medical need in this disease. The patients enrolled in this study represent a particularly challenging population, having progressed after standard therapies and with severe lymphopenia. Observing ongoing treatment durability, survival beyond historical expectations in some patients, and a manageable safety profile without chemotherapy represents a paradigm change in the treatment of patients with glioblastoma,” said
Immune competence and lymphocyte recovery
At study entry, patients demonstrated immune compromise consistent with prior standard of care, including radiation and alkylating chemotherapy. The baseline mean absolute lymphocyte count (ALC) was approximately 900 cells per µL, consistent with lymphopenia commonly observed after prior therapy in recurrent GBM. See figure 3.
“These Phase 2 data reflect outcomes in a second- and third-line glioblastoma population where immune collapse after standard therapy is common and options are limited. With 19 of 23 enrolled patients alive and median overall survival not yet reached, the survival profile warrants continued follow up,” said
Safety
The treatment regimen has demonstrated a manageable safety profile. Three participants experienced serious adverse events suspected to be related to the experimental therapy. Importantly, no cytokine release syndrome (CRS) or immune effector cell associated neurotoxicity syndrome (ICANS) was observed.
“Glioblastoma remains one of the most lethal cancers we treat, with five-year survival still below ten percent and little meaningful improvement despite decades of drug development. A central challenge has been the disconnect between therapeutic development and a mechanistic understanding of how these agents behave in the human brain. Lymphopenia has been underrecognized as a significant consequence of our standards of care and the effect of a low ALC level on overall survival,” said
About QUILT-3.078 (NCT06061809)
Overall survival is the primary endpoint of QUILT-3.078. The study includes an open-label, single-arm Phase 2 portion evaluating ANKTIVA® (nogapendekin alfa inbakicept) in combination with PD-L1 t-haNK, bevacizumab, and Tumor Treating Fields in patients with recurrent glioblastoma.
The program also includes a randomized Phase 2B component designed to further evaluate durability of benefit. In Phase 2B, patients are randomized 1:1 to receive ANKTIVA, bevacizumab, and Tumor Treating Fields, either with or without PD-L1 t-haNK. Per protocol, study therapy is administered on an every-two-week dosing schedule within protocol-defined treatment periods. A Phase 2B expansion cohort is currently enrolling, with a target enrollment of 20 patients. To date, 8 patients have been enrolled in the Phase 2B cohort. This expansion is intended to further evaluate overall survival, durability of clinical outcomes, and exploratory immune biomarker analyses in this setting.
Single Patient IND (spIND) experience
In parallel with the clinical trial program, 18 patients with recurrent GBM have initiated treatment under a single patient IND, of which seven patients are first line.
About Glioblastoma
Glioblastoma (GBM) is the most common and aggressive primary malignant brain tumor in adults. Despite maximal multimodal therapy consisting of surgical resection, radiation, and temozolomide-based chemotherapy, outcomes remain poor. Median overall survival following initial diagnosis is approximately 14–16 months, and in the recurrent setting, median survival is typically ranges from 6 to 9 months. Five-year survival rates remain below 10 percent, underscoring the limited impact of existing therapeutic approaches.
A defining but underappreciated feature of glioblastoma management is treatment-induced immune suppression, particularly lymphopenia.i, ii Multiple clinical studies have demonstrated that low absolute lymphocyte count (ALC) at baseline or following standard-of-care therapy is independently associated with inferior survival in glioblastomaiii, regardless of tumor burden or extent of resection. Radiationiv and alkylating chemotherapyv have been shown to cause profound and durable depletion of circulating lymphocytesvi, which may impair antitumor immune surveillance and limit the effectiveness of subsequent therapies.
Published analyses have further shown that persistent lymphopenia following chemoradiation is associated with shortened overall survival, while preservation or recovery of lymphocyte populations correlates with improved outcomesvii. These observations have contributed to growing recognition that immune competence is a biologically relevant determinant of survival in glioblastomaviii, and that therapies capable of restoring or sustaining lymphocyte populations may be necessary to enable durable disease control. As a result, glioblastoma is increasingly understood not only as a locally aggressive malignancy, but also as a disease characterized by systemic immune collapse, creating a rationale for treatment strategies that prioritize immune restoration alongside tumor-directed interventions.
About
Forward Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements in this press release include, without limitation, statements regarding: the interpretation, significance, and potential implications of clinical data from the Company’s Phase 2 clinical trial QUILT 3.078 (NCT06061809), evaluating a chemotherapy-free combination immunotherapy regimen in patients with second-line recurrent or progressive glioblastoma (GBM), as well as patients treated under single-patient Investigational New Drug (IND) applications across first- to third-line disease; the potential safety, tolerability, efficacy, and therapeutic profile of the Bioshield regimen in this investigational context; the potential for observed clinical activity to translate into clinical benefit; anticipated future clinical development plans, including the initiation, design, timing, and outcomes of future studies; regulatory interactions and pathways; and the potential role of the Bioshield regimen in the treatment of cancer.
Forward-looking statements are based on the Company's current expectations, assumptions, and beliefs and involve risks, uncertainties, and other factors that could cause actual results to differ materially than those expressed or implied by such statements. These risks and uncertainties include among others: the early and preliminary nature of clinical data; the fact that data from single patient IND use is limited in scope and may not be predictive of results in larger controlled clinical trials; the possibility that interim or topline results may change as additional data become available or as data are further analyzed; variability in patient response, particularly in oncology populations; unexpected safety signals or adverse events; challenges in patient enrollment and retention; the risk that clinical trial results may not support further development, regulatory approval, or commercialization; the timing, outcome, and unpredictability of regulatory review by FDA and other regulatory authorities; manufacturing and supply risks; and competition from existing or future therapies. The investigational product candidate discussed in this press release has not been approved by FDA or any other regulatory authority and its safety and efficacy has not been established.
More details about these and other risks that may impact the Company’s business are described under the heading “Risk Factors” in the Company’s Form 10-K filed with the U.S. Securities and Exchange Commission (SEC) on
References:
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Sengupta S, Marrinan J, Frishman C, Sampath P. Impact of temozolomide on immune response during malignant glioma chemotherapy. Clin Dev Immunol. 2012;2012:831090. doi: 10.1155/2012/831090. Epub 2012 Oct 24. PMID: 23133490; PMCID: PMC3486128.
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Anas Saeed Bamashmos et al. Absolute lymphocyte count in patients with glioblastoma treated with temozolomide chemoradiation. J Clin Oncol37, e13564-e13564(2019). DOI:10.1200/JCO.2019.37.15_suppl.e13564
- Xi J, Hassan B, Katumba RGN, Khaddour K, Govindan A, Luo J, Huang J, Campian JL. The predictive value of absolute lymphocyte counts on tumor progression and pseudoprogression in patients with glioblastoma. BMC Cancer. 2021 Mar 16;21(1):285. doi: 10.1186/s12885-021-08004-2. PMID: 33726710; PMCID: PMC7968315.
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