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Tuesday, July 2, 2024

"The rapid and complete resolution of aggressive MSS colorectal cancer tumors observed in this study is unprecedented in the field" says the author Dr. Kasi

 On June 28th Agenus Inc. ("Agenus") (Nasdaq: $AGEN), announced results from an investigator-sponsored trial (IST) of botensilimab and balstilimab (BOT/BAL) in the neoadjuvant setting for colon cancer. 

Data were presented at the 2024 European Society for Medical Oncology (ESMO) Gastrointestinal Cancers Congress in Munich, Germany.

Dr. Pashtoon Kasi, the originator of this groundbreaking study, stated, 

"The rapid and complete resolution of aggressive MSS colorectal cancer tumors observed in this study is unprecedented in the field. The exceptional activity of the BOT/BAL combination therapy in the neoadjuvant setting offers new hope for patients facing this challenging cancer subtype. Furthermore, the pattern of response and the lack of clinical recurrence speaks to the curative potential of one's own body to fight cancer."







Study Highlights:
   --  Enrollment: 20 patients were evaluable at the data cutoff with 
      available pathology results, 17 microsatellite stable (MSS) and 3 high 
      microsatellite instability (MSI-H). 
 
   --  Treatment Regimens: Both cohorts received one dose of botensilimab with 
      balstilimab. The NEST-1 cohort received one additional dose of 
      balstilimab two weeks later, whereas the NEST-2 cohort received up to 3 
      additional doses of balstilimab. 

Clinical Findings:
   --  Pathologic Response: In the NEST-2 cohort, 78% (7/9) of MSS patients 
      achieved pathologic responses of at least 50% tumor regression, with 56% 
      (5/9) reaching complete pathologic responses. 
 
   --  Surgical Outcomes and Safety: No surgeries were delayed due to adverse 
      events, and no patients had unresolved immune related adverse events. 
      Side effects were manageable, and no new safety concerns emerged. 

Agenus Inc. is emerging as a significant player in the treatment of colorectal cancer, particularly with their innovative combination therapy of botensilimab and balstilimab. Their recent clinical trial results have shown unprecedented tumor shrinkage and robust biomarker responses, making them a promising leader in this field.

  1. Clinical Trial Success: The NEST-1 and NEST-2 studies demonstrated significant tumor regression in patients with both MSS and MSI-H colorectal cancer, with manageable side effects and no delays in surgical procedures. This positions Agenus at the forefront of developing effective and less invasive treatment options​ (Agenus Bio)​​ (Agenus Bio)​.

  2. FDA Fast Track Designation: The FDA has granted Fast Track designation to the botensilimab and balstilimab combination for non-MSI-H/dMMR metastatic colorectal cancer, recognizing the high unmet medical need in this population and potentially expediting the development and review process​ (Cancer Network)​​ (Pharmaceutical Technology)​.

  3. Innovative Approach: Botensilimab, a multifunctional CTLA-4 immune activator, is designed to boost both innate and adaptive anti-tumor immune responses, targeting "cold" tumors that typically respond poorly to standard therapies. This innovative approach extends the benefits of immunotherapy to a broader range of tumor types, further establishing Agenus as a leader in immuno-oncology​ (Agenus Bio)​​ (Pharmaceutical Technology)​.

Overall, while Agenus is not the only company working in the immunotherapy space, their recent advancements and strategic milestones indicate that they are making significant strides and establishing themselves as a leader in colorectal cancer treatment.


The outlook for Agenus Inc. (AGEN) over the next 36 months appears promising according to several analysts and recent company developments.

  1. Analyst Ratings and Price Targets:

    • Analysts have a generally positive outlook on Agenus, with a consensus price target significantly higher than its current price. The average 12-month price target is around $70, with high estimates reaching up to $100, indicating a potential upside of over 350% from current levels​ (Stock Analysis)​​ (MarketBeat)​.
    • Recommendations are predominantly "Strong Buy," reflecting confidence in the company's future performance and growth potential.
  2. Clinical and Regulatory Progress:

    • Agenus has reported encouraging results from its Phase 1 and Phase 2 trials, particularly in the development of its BOT/BAL combination therapy for metastatic MSS colorectal cancer. These trials have shown promising overall survival rates, which strengthens the company's potential in the oncology market​ (Agenus Bio Investor Relations)​.
    • The company plans to submit a Biologics License Application (BLA) to the FDA and present further data at a major medical conference later this year. Successful regulatory approvals and positive trial results could significantly boost the stock's value.
  3. Financial Projections:

    • Revenue for 2024 is projected to increase to approximately $224.75 million, up from $156.31 million in 2023, reflecting strong growth. However, there is a slight expected decrease in revenue for 2025, followed by a return to growth in subsequent years​ (Stock Analysis)​.
    • Earnings per share (EPS) are expected to improve, though the company is still projected to incur losses in the near term. Improvements in EPS and revenue growth are key indicators of the company's financial health and market potential.

Overall, the combination of strong analyst ratings, positive clinical trial outcomes, and promising financial forecasts contribute to an optimistic long-term outlook for Agenus Inc

However, as with any biotech company, there are inherent risks related to clinical trial results, regulatory approvals, and market conditions that should be considered.

Update: July 18, 2024

The FDA has discouraged Agenus from submitting BOT/BAL for accelerated approval and the stock sold off over 54%.   Regulatory approval is often an obstacle for smaller healthcare companies!

For more detailed and up-to-date information, you can refer to sources like Stock Analysis and MarketBeat​ (Stock Analysis)​​ (MarketBeat)​​ (Agenus Bio Investor Relations)​.

Agenus Inc. (formerly known as Agenus Therapeutics) is not claiming to be close to a cure for any form of cancer, but they are making significant strides in developing innovative cancer therapies.


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