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UNPRECEDENTED overall survival (OS) benefit with 1L KIMMTRAK3-9

Largest phase 3 trial in metastatic uveal melanoma (mUM) evaluated first-line treatment with KIMMTRAK vs investigator’s choice (IC)3,4

  • Investigator’s choice included checkpoint inhibitors (pembrolizumab and ipilimumab) or chemotherapy (dacarbazine)3,4
First-line treatment with KIMMTRAK significantly extended median overall survival (mOS) by 6 months vs IC3,4

HISTORIC 5-YEAR follow-up analysis of OS2

KIMMTRAK doubled the likelihood of being alive at 5-years: 16% vs 8% with investigator's choice2,†
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Patients assigned to KIMMTRAK showed a long-term survival advantage at 5 years (KIMMTRAK median overall survival 21.6 months [19.0-24.3] vs 16.9 months [12.9-19.5] with investigator’s choice, 95% CI).2

As of July 2, 2025, all study participants had the opportunity for at least 60 months of follow-up, with a median follow-up of 62.4 months.2

Of the patients surviving at least 5 years2,10:

  • 44% (11 of 25) in the KIMMTRAK arm reported ONLY receiving KIMMTRAK
  • 86% (6 of 7) in the control group received subsequent KIMMTRAK

The planned exploratory 5-YEAR overall survival analysis occurred after the protocol-specified final analysis and was not tested for statistical significance. No statistical conclusions can be drawn.

THE KIMMTRAK ORIGIN STORY

TimelineTimeline
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CI, confidence interval; HLA, human leukocyte antigen-A; HR, hazard ratio; IC, investigator's choice.

Mechanism of action

A first-in-class T cell engager directed against mUM3

  • KIMMTRAK is an ImmTAC‡ molecule that targets gp100, an intracellular antigen presented on the cells of HLA-A*02:01-positive patients with mUM3,4,18
  • KIMMTRAK binds to the gp100/HLA-A*02:01 complex to form an immune synapse, which activates cytotoxic T cells that target and kill gp100-expressing UM tumor cells3,19,20
    • Normal melanocytes could also be targeted20
  • KIMMTRAK has 1 million-fold greater affinity for gp100 presented by HLA-A*02:01 than natural T cell receptors19,21
  • T cell engager directed against mUM based on in vitro and in vivo studies3,20,22
  • *Based on Komodo US medical claims from February 2022-December 2025 and calibrated with actual vials sold.1
  • Investigator’s choice included checkpoint inhibitors (pembrolizumab and ipilimumab) or chemotherapy (dacarbazine).2-4
  • ImmTAC (Immune Mobilizing Monoclonal TCRs Against Cancer) molecules are bispecifics comprised of a T cell receptor targeting domain and an effector function pioneered by Immunocore.3

CI, confidence interval; HLA, human leukocyte antigen-A; HR, hazard ratio; IC, investigator's choice;
mUM, metastatic uveal melanoma; UM, uveal melanoma.

Consider a blood test for your patients with mUM to determine their HLA status and if KIMMTRAK is right for them.10 Click here to learn more.

Indication
 
Important Safety Information Including Boxed Warning

KIMMTRAK is indicated for the treatment of HLA-A*02:01-positive adult patients with unresectable or metastatic uveal melanoma.

WARNING: CYTOKINE RELEASE SYNDROME
Cytokine Release Syndrome (CRS), which may be serious or life-threatening, occurred in patients receiving KIMMTRAK. Monitor for at least 16 hours following first three infusions and then as clinically indicated.

Indication and Important Safety Information Including Boxed Warning

Indication

KIMMTRAK is a bispecific gp100 peptide-HLA-directed CD3 T cell engager indicated for the treatment of HLA-A*02:01-positive adult patients with unresectable or metastatic uveal melanoma.

Important Safety Information Including Boxed Warning

WARNING: CYTOKINE RELEASE SYNDROME
Cytokine Release Syndrome (CRS), which may be serious or life-threatening, occurred in patients receiving KIMMTRAK. Monitor for at least 16 hours following first three infusions and then as clinically indicated.
Manifestations of CRS may include fever, hypotension, hypoxia, chills, nausea, vomiting, rash, elevated transaminases, fatigue, and headache. CRS occurred in 89% of patients who received KIMMTRAK with 0.8% being grade 3 or 4. Ensure immediate access to medications and resuscitative equipment to manage CRS. Ensure patients are euvolemic prior to initiating the infusions. Closely monitor patients for signs or symptoms of CRS following infusions of KIMMTRAK. Monitor fluid status, vital signs, and oxygenation level and provide appropriate therapy. Withhold or discontinue KIMMTRAK depending on persistence and severity of CRS.

Skin ReactionsSkin reactions, including rash, pruritus, and cutaneous edema occurred in 91% of patients treated with KIMMTRAK. Monitor patients for skin reactions. If skin reactions occur, treat with antihistamine and topical or systemic steroids based on persistence and severity of symptoms. Withhold or permanently discontinue KIMMTRAK depending on the severity of skin reactions.

Elevated Liver Enzymes Elevations in liver enzymes occurred in 65% of patients treated with KIMMTRAK. Monitor alanine aminotransferase (ALT), aspartate aminotransferase (AST), and total blood bilirubin prior to the start of and during treatment with KIMMTRAK. Withhold KIMMTRAK according to severity.

Embryo-Fetal ToxicityKIMMTRAK may cause fetal harm. Advise pregnant patients of potential risk to the fetus and patients of reproductive potential to use effective contraception during treatment with KIMMTRAK and 1 week after the last dose.

The most common adverse reactions (≥30%) in patients who received KIMMTRAK were cytokine release syndrome, rash, pyrexia, pruritus, fatigue, nausea, chills, abdominal pain, edema, hypotension, dry skin, headache, and vomiting. The most common (≥50%) laboratory abnormalities were decreased lymphocyte count, increased creatinine, increased glucose, increased AST, increased ALT, decreased hemoglobin, and decreased phosphate.

Please see full Prescribing Information, including BOXED WARNING for CRS.

References: 1. Data on file. Immunocore. [2026-C003]. 2. Nathan P. Five-year survival with tebentafusp in previously untreated metastatic uveal melanoma in a phase 3 trial. Presented at: American Association for Cancer Research Annual Meeting; April 19, 2026; San Diego, CA. 3. KIMMTRAK. Prescribing information. Immunocore Ltd; 2024. 4. Nathan P, Hassel JC, Rutkowski P, et al; IMCgp100-202 Investigators. Overall survival benefit with tebentafusp in metastatic uveal melanoma. N Engl J Med. 2021;385(13):1196-1206. doi:10.1056/NEJMoa2103485 5. Khoja L, Atenafu EG, Suciu S, et al. Meta-analysis in metastatic uveal melanoma to determine progression free and overall survival benchmarks: an International Rare Cancers Initiative (IRCI) ocular melanoma study. Ann Oncol. 2019;30(8):1370-1380. doi:10.1093/annonc/mdz176 6. Rantala ES, Hernberg M, Kivelä TT. Overall survival after treatment for metastatic uveal melanoma: a systematic review and meta-analysis. Melanoma Res. 2019;29(6):561-568. doi:10.1097/CMR.0000000000000575 7. Carvajal RD, Sacco JJ, Jager MJ, et al. Advances in the clinical management of uveal melanoma. Nat Rev Clin Oncol. 2023;20(2):99-115. doi:10.1038/s41571-022-00714-1 8. Augsburger JJ, Corrêa ZM, Shaikh AH. Effectiveness of treatments for metastatic uveal melanoma. Am J Ophthalmol. 2009;148(1):119-127. doi:10.1016/j.ajo.2009.01.023 9. Petzold A, Steeb T, Wessely A, et al. Is tebentafusp superior to combined immune checkpoint blockade and other systemic treatments in metastatic uveal melanoma? A comparative efficacy analysis with population adjustment. Cancer Treat Rev. 2023;115:102543. doi:10.1016/j.ctrv.2023.102543 10. Data on file. Immunocore. [2026-C002]. 11. About Us. Immunocore corporate website. Accessed March 3, 2026. https://www.immunocore.com/about-us?utm_source=chatgpt.com 12. FDA. Center for Drug Evaluation and Research. Meeting minutes. March 2021. Accessed March 3, 2026. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2022/761228Orig1s000AdminCorres.pdf 13. Yang J, Manson DK, Marr BP, Carvajal RD. Treatment of uveal melanoma: where are we now? Ther Adv Med Oncol. 2018;10:1758834018757175. doi:10.1177/1758834018757175 14. Pandiani C, Béranger GE, Leclerc J, Ballotti R, Bertolotto C. Focus on cutaneous and uveal melanoma specificities. Genes Dev. 2017;31(8):724-743. doi:10.1101/gad.296962.117 15. Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Melanoma: Uveal V.2.2022. © National Comprehensive Cancer Network, Inc. 2022. All rights reserved. Accessed January 20, 2026. To view the most recent and complete version of the guideline, go online to NCCN.org. NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way. 16. Centers for Medicare & Medicaid Services (CMS) healthcare common procedure coding system (HCPCS) application summaries and coding recommendations. Second Quarter, 2022. Accessed March 3, 2026. https://www.cms.gov/files/document/2022-hcpcs-application-summary-quarter-2-2022-drugs-and-biologicals-updated-07192022.pdf?utm_source=chatgpt.com 17. Hassel JC, Piperno-Neumann S, Rutkowski P, et al. Three-year overall survival with tebentafusp in metastatic uveal melanoma. N Engl J Med. 2023;389(24):2256-2266. doi:10.1056/NEJMoa2304753 18. Bakker AB, Schreurs MW, de Boer AJ, et al. Melanocyte lineage-specific antigen gp100 is recognized by melanoma-derived tumor-infiltrating lymphocytes. J Exp Med. 1994;179(3):1005-1009. doi:10.1084/jem.179.3.1005 19. Damato BE, Dukes J, Goodall H, Carvajal RD. Tebentafusp: T cell redirection for the treatment of metastatic uveal melanoma. Cancers (Basel). 2019;11(7):971. doi:10.3390/cancers11070971 20. Middleton MR, McAlpine C, Woodcock VK, et al. Tebentafusp, a TCR/anti-CD3 bispecific fusion protein targeting gp100, potently activated antitumor immune responses in patients with metastatic melanoma. Clin Cancer Res. 2020;26(22):5869-5878. doi:10.1158/1078-0432.CCR-20-1247 21. Oates J, Hassan NJ, Jakobsen BK. ImmTACs for targeted cancer therapy: why, what, how, and which. Mol Immunol. 2015;67(2, pt A):67-74. doi:10.1016/j.molimm.2015.01.024 22. Boudousquie C, Bossi G, Hurst JM, et al. Polyfunctional response by ImmTAC (IMCgp100) redirected CD8+ and CD4+ T cells. Immunology. 2017:152(3):425-438. doi:10.1111/imm.12779