Elicio pancreatic cancer vaccine misses Phase II primary endpoint but shows post-hoc signal in resected patients

Elicio Therapeutics' Phase II AMPLIFY-7P trial of its pancreatic cancer vaccine ELI-002 7P failed to meet its primary endpoint of disease-free survival (DFS) in the intent-to-treat population of patients with resected, stage I–III mKRAS-driven pancreatic ductal adenocarcinoma.

Shares of Elicio plummeted by roughly 47–72% following the announcement, reflecting the significance of the miss and the loss of a straightforward path to Phase III approval.

Despite the overall miss, a post-hoc analysis of the R0 completely resected subgroup (about 84% of enrolled patients) showed a statistically significant DFS improvement (HR 0.65, p=0.048), with median DFS of 23.8 months versus 12.8 months for observation, giving the company a signal to pursue a refined Phase III strategy focused on this subgroup.

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