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1. §Aª¾¹D¤°»ò¬Orelapsed/refractory/poor-risk acute myeloid leukemia¶Ü¡H

2. §Aª¾¹Drelapsed/refractory/poor-risk acute myeloid leukemia­n¦³CR¦³¦hÃø¶Ü¡H

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4. §A¯àÁ|¥X¤@ºØ³æÃĪvÀørelapsed/refractory/poor-risk acute myeloid leukemia¤ñADI¦nªº¶Ü¡H

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First Data for NKTR-214 in Combination with OPDIVO® (nivolumab) for Patients with

Stage IV Melanoma, Renal Cell Carcinoma and Non-Small Cell Lung Cancers, Including

Patients with PD-L1 Negative Status, Revealed at SITC 2017

NKTR-214 is an investigational immuno-stimulatory therapy designed to expand and

activate specific cancer-fighting T cells and natural killer (NK) cells directly

in the tumor micro-environment and increase expression of cell-surface PD-1 on

these immune cells.

NKTR-214 preferentially binds to the CD122 receptor on the surface of cancer-fighting

immune cells in order to stimulate their proliferation.

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Nektar+Opdivo ¤@½uªvÀømelanoma stage IV

Advanced Treatment-Naïve 1L Melanoma Patients (Stage IV):

ORR= 7/11 (63%)

CR=2

PR=5

¥­§¡µo¥Í®ÄªGªº®É¶¡= 1.7 months

DCR(CR + PR + 3 SD)= 91%.

All 7 patients with responses continue on treatment in the trial.

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CR= 9/63 (14%)

PR= 26/63 (41%)

DCR(CR + PR + 10 SD)= 71%

mPFS= 12.4 months

PFS 6months=65%; 12 months=52%; 18months=49%

¡´Nektar+Opdivo¥u¦³11­Ó¯f¤H¡AIDO+Keytruda¦³63­Ó¯f¤H¡A¯f¤H¦¨ªø6­¿®É¡ANektar+OpdivoÁÙ¦³¤ì

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Nektar+Opdivo ¤@½uªvÀøRenal Cell Carcinoma Stage IV

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ORR= 6/13 (46%)

CR=1

PR=5

¥­§¡µo¥Í®ÄªGªº®É¶¡= 1.9 months

DCR(CR + PR + 5 SD)= 85%

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ORR= 6/10 (60%)

CR=1

PR=5

¥­§¡µo¥Í®ÄªGªº®É¶¡= 1.9 months

DCR(CR + PR + 2 SD)= 80%

All 11 patients with disease control (CR, PR or SD) continue on treatment in the trial.

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Nektar+Opdivo ¡´¤G½u¡´ªvÀøRenal Cell Carcinoma Stage IV

Advanced 2L Renal Cell Carcinoma Patients (Stage IV, I-O Naïve)

¡´°w¹ï¥u±½´y¤j©óµ¥©ó¤@¦¸ªº¯f¤H

ORR= 1/7 (14%)

CR=0

PR=1

¥­§¡µo¥Í®ÄªGªº®É¶¡= 3.5 months

DCR(CR + PR + 6 SD)= 100%

All 7 patients with disease control (PR or SD) continue on treatment in the trial.

¡´·s»D½Z¨Ã¨S¦³§i¶D¥@¤H¡A¬O¥Î¤°»ò¼Ð·Çµû¦ô¡HRECIST 1.1 or mRECIST???

¡´¤G½u¯f¤H´N¨S¦³¨º»ò¯«¤F¡I¡I¡I

Nektar+Opdivo ¡´¤G½u¡´ªvÀøPD-L1 Negative NSCLC Stage IV

Advanced 2L PD-L1 Negative Non-Small Cell Lung Cancer Patients (Stage IV, I-O Naïve)

ORR= 3/4 (75%)

CR=1

PR=2

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We remind investors that Nektar is also conducting a phase I/II PROPEL study to evaluate the efficacy and safety of NKTR-214 in combination with Roche¡¦s RHHBY Tecentriq (atezolizumab) and Merck¡¦s MRK Keytruda (pembrolizumab). The PROPEL study complements Nektar¡¦s ongoing PIVOT trial.

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Opdivo is a PD-1 immune checkpoint inhibitor designed to overcome immune suppression. NKTR-214 is an investigational immuno-stimulatory therapy designed to expand and activate specific cancer-fighting T cells and natural killer (NK) cells directly in the tumor micro-environment and increase expression of cell-surface PD-1 on these immune cells.

A total of 38 patients were enrolled in the dose-escalation phase of the ongoing PIVOT study in a number of dose cohorts. Responses were measured per RECIST 1.1 for efficacy-evaluable ( > 1 on treatment scan) patients as of November 2, 2017.

Highlights from the oral presentation include:

Advanced Treatment-Naïve 1L Melanoma Patients (Stage IV):

Responses were observed in 7/11 (63%) efficacy-evaluable patients (2 CR and 5 PR) ◊. Median time to response was 1.7 months. DCR, also known as disease control rate (CR + PR + 3 SD), was 91%. All 7 patients with responses continue on treatment in the trial.

Advanced Treatment-Naïve 1L Renal Cell Carcinoma Patients (Stage IV):

For patients with one or more baseline scans, responses were observed in 6/13 patients (46%) (1 CR+ and 5 PR). DCR (CR + PR + 5 SD) was 85%. Median time to response in these patients was 1.9 months. For patients with two or more scans available, responses were observed in 6/10 patients (60%) (1 CR, 5 PR, 2 SD). All 11 patients with disease control (CR, PR or SD) continue on treatment in the trial.

Advanced 2L Renal Cell Carcinoma Patients (Stage IV, I-O Naïve)

For patients with one or more baseline scans, responses were observed in 1/7 patients (14%) (1 PR). DCR (CR + PR + 6 SD) was 100%. Median time to response was 3.5 months. All 7 patients with disease control (PR or SD) continue on treatment in the trial.

Advanced 2L PD-L1 Negative Non-Small Cell Lung Cancer Patients (Stage IV, I-O Naïve)

Responses were observed in 3/4 patients (75%) (1 CR¡Ó and 2 PR). DCR (CR + PR) was 75%. Median time to response was 1.7 months. All 3 patients with responses continue on treatment in the trial.

Robust expansion of ICOS+ CD4 and CD8+ T cells in the blood and increased ICOS gene expression in the tumor were both observed with the combination of NKTR-214 and nivolumab.

The most common grade 1-2 adverse events were fatigue (74%), flu-like symptoms (68%), rash (60%) and pruritus (42%). There were no treatment discontinuations due to adverse events (AEs) or study deaths.

There were no grade 3 or higher immune-mediated AEs (such as colitis, dermatitis, hepatitis, pneumonitis or endocrinopathies) at the recommended Phase 2 dose or below

A recommended Phase 2 dose of NKTR-214 0.006 mg/kg q3w + nivolumab 360 mg q3w was established and is being evaluated in expansion cohorts in over 10 patient populations with melanoma, renal cell carcinoma, non-small cell lung cancer, bladder, and triple-negative breast cancers (n=~330).

Nektar and Bristol-Myers Squibb entered into a clinical collaboration in September of 2016 to evaluate the potential for the combination of Opdivo and NKTR-214 to show improved and sustained efficacy and tolerability above the current standard of care. Bristol-Myers Squibb and Nektar are equally sharing costs of the combined therapy trials. Nektar maintains its global commercial rights to NKTR-214.

NKTR-214 preferentially binds to the CD122 receptor on the surface of cancer-fighting immune cells in order to stimulate their proliferation. In clinical and preclinical studies, treatment with NKTR-214 resulted in expansion of these cells and mobilization into the tumor micro-environment.1,2,3 NKTR-214 has an antibody-like dosing regimen similar to the existing checkpoint inhibitor class of approved medicines.

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Abstract A31: Arginine deiminase can boost anti-tumor immune surveillance.

Abstracts: AACR Special Conference on Tumor Immunology and Immunotherapy; October 20-23, 2016; Boston, MA

Elena Brin, Katherine Wu, Hsin-Tze Lu, Yudou He, Zhaoming Dai, and Wei He

cancerimmunolres.aacrjournals.org/content/5/3_Supplement/A31

PEGylated arginine deiminase can modulate tumor immune microenvironment by affecting immune checkpoint expression, decreasing regulatory T cell accumulation and inducing tumor T cell infiltration

Received: November 08, 2016 Accepted: July 16, 2017 Published: July 26, 2017

www.impactjournals.com/oncotarget/index.php?journal=oncotarget&page=article&op=view&path[]=19564&path[]=62521

Abstract 5569: The impact of ADI-PEG20 on PDL1 expression in ASS1 deficient uveal melanoma

Proceedings: AACR Annual Meeting 2017; April 1-5, 2017; Washington, DC

Ramsay S. Khadeir, Melissa M. Phillips, Mandeep Sagoo, Victoria Cohen, Caroline Thuang, and Peter W. Szlosarek

cancerres.aacrjournals.org/content/77/13_Supplement/5569

MA 19.05 - Pegylated Arginine Deiminase Potentiates PD-1/PD-L1 Immune Checkpoint Blockade in Malignant Mesothelioma

WCLC 2017 10/18/2017, 11:00 - 12:30, Room 315

Peter Szlosarek, R. Khadeir, M. Sheaff, M. Locke, K. Lau, B. Wu, J. Bomalaski, S. Martin, S. Quezada

library.iaslc.org/search-speaker?search_speaker=57350

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2016¦~ªºPhase III¡A±ÄÀH¾÷¤À°t(ADI vs. placebo)¡A635¦W¯f±w¤¤¤£ª¾¦³µL¸~½FÁY¤p­Ó®×¡A¥D­nÀø®Ä«ü¼ÐOS¦MÀI¤ñ1.022¡B¤¤¦ì¼Æ 7.8 vs. 7.4 months¡C

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1. 2004 Phase I/II¡Adoi: 10.1200/JCO.2004.11.120

2. 2010 Phase II¡Adoi: 10.1200/JCO.2009.26.7765

3. 2010¥xÆWPhase II¡Adoi:10.1038/sj.bjc.6605856

µù1¡Garginine depletion >= 4 weeks vs. < 4 weeks, mOS 10.0 vs. 5.8

µù2¡GIf <2 responders were observed among the initial 10 evaluable patients, ¡K the accrual would be terminated.

4. 2016 Phase III¡Adoi: 10.1200/JCO.2016.34.15_suppl.4017

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D= detection bias

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Roche

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Encouraging Response Observed with Opdivo (nivolumab) Plus Investigational IDO1

Inhibitor, BMS-986205, in Heavily Pre-Treated Patients with Advanced Cancers in Phase 1/2a Study CA017-003

First disclosure of anti-tumor activity from the bladder and cervical cancer cohorts showed objective response rates

of 32% and 14%, respectively, and was 46% and 25% in patients who express PD-L1 ≥1%

Increased proliferating cytotoxic T cell count and decreased kynurenine production

were also observed, providing evidence of immunomodulation within the tumor

Safety profile is consistent with that previously reported for the BMS-986205 plus

Opdivo combination

Incyte

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Gilead

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Pfizer

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www.marketwatch.com/investing/stock/incy

Incyte ¥«­È221»õ¬üª÷.

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07 November 2017

FDA approves Roche¡¦s Alecensa (alectinib) as first-line treatment for people with

specific type of lung cancer

¡´Approval based on phase III results that showed Alecensa extended the average time

that people lived without their disease worsening compared to crizotinib

Roche (SIX: RO, ROG; OTCQX: RHHBY) today announced that the US Food and Drug Administration (FDA)

approved the supplemental New Drug Application (sNDA) for Alecensa® (alectinib) for

the treatment of people with anaplastic lymphoma kinase (ALK)-positive metastatic

non-small cell lung cancer (NSCLC) as detected by an FDA-approved test.

The approval is based on results from the phase III ALEX study, which showed

Alecensa significantly reduced the risk of disease worsening or death

(progression-free survival, PFS) by 47% (HR=0.53, 95% CI: 0.38, 0.73, p<0.0001)

compared to crizotinib as assessed by independent review committee (IRC).

Median PFS was 25.7 months (95% CI: 19.9, not estimable) for people who received

Alecensa compared with 10.4 months (95% CI: 7.7, 14.6) for people who received

crizotinib.

2017/10/31

Astrazenca¤w«Å§G,2018¶}©l¶i¦æImfinzi(anti-PD-L1)+IDO phase 3 NSCLC, ¥B¬O¥ÑAstraZenca¥D¾É!!!

¡´AstraZeneca and Incyte enter clinical trial collaboration in early lung cancer

Phase III trial evaluating Imfinzi and epacadostat in patients with locally-advanced,

unresectable non-small cell lung cancer is expected to begin in the first half of

2018

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