International Conference on Malignant Lymphoma (ICML) June 14-17, 2017

Similar documents
TARGETING EZH2 WITH TAZEMETOSTAT IN FOLLICULAR LYMPHOMA

Participating Institutions Insitut Gustave Roussy, Villejuif, France Institut Bergonie, Bourdeaux, France. Sponsor Epizyme, Inc

REWRITING CANCER TREATMENT THROUGH EPIGENETIC MEDICINES

DYNAMO: A PHASE 2 STUDY OF DUVELISIB IN PATIENTS WITH REFRACTORY INDOLENT NON HODGKIN LYMPHOMA

A Phase 1 Study of Tazemetostat (EPZ-6438), an Enhancer of Zeste-Homolog 2 (EZH2) Inhibitor: Preliminary Activity in INI1-Negative Tumors

BR is an established treatment regimen for CLL in the front-line and R/R settings

Bcl-2 inhibition in NHL. Jonathan W. Friedberg M.D., M.M.Sc.

Bendamustine, Bortezomib and Rituximab in Patients with Relapsed/Refractory Indolent and Mantle-Cell Non-Hodgkin Lymphoma

*Jagiellonian University, Kraków, Poland

VENETOCLAX (ABT 199) Simon Rule Professor of Clinical Haematology Consultant Haematologist Derriford Hospital and Peninsula Medical School Plymouth

MMAE disrupts cell division and triggers apoptosis. Pola binds to cell surface antigen CD79b. Pola is internalized; linker cleaves, releasing MMAE

Company Overview. April Rewriting cancer treatment NASDAQ: EPZM

Aggressive lymphomas ASH Dr. A. Van Hoof A.Z. St.Jan, Brugge-Oostende AV

OSCO/OU ASH-SABC Review. Lymphoma Update. Mohamad Cherry, MD

Have we moved beyond EPOCH for B-cell non-hodgkin lymphoma? YES!

NASDAQ: TGTX Jefferies Healthcare Conference June 2015

What are the hurdles to using cell of origin in classification to treat DLBCL?

DYNAMO: A PHASE 2 STUDY DEMONSTRATING THE CLINICAL ACTIVITY OF DUVELISIB IN PATIENTS WITH DOUBLE-REFRACTORY INDOLENT NON-HODGKIN LYMPHOMA

Tolerability and activity of chemo-free triplet combination of umbralisib (TGR-1202), ublituximab, and ibrutinib in patients with advanced CLL and NHL

Duvelisib (IPI-145), a PI3K-δ,γ Inhibitor, is Clinically Active in Patients with Relapsed/ Refractory Chronic Lymphocytic Leukemia

NASDAQ: TGTX. 33 rd Annual JP Morgan Healthcare Conference

GLSG/OSHO Study Group. Supported by Deutsche Krebshilfe

Immune checkpoint inhibitors in lymphoma. Catherine Hildyard Haematology Senior Registrar Oxford University Hospitals NHS Foundation Trust

Bendamustine is Effective Therapy in Patients with Rituximab-Refractory, Indolent B-Cell Non-Hodgkin Lymphoma

Bendamustine for Hodgkin lymphoma. Alison Moskowitz, MD Assistant Attending Memorial Sloan Kettering, Lymphoma Service

Emerging targeted therapies for follicular lymphoma A future without chemotherapy

Disclosures WOJCIECH JURCZAK

New Evidence reports on presentations given at EHA/ICML Bendamustine in the Treatment of Lymphoproliferative Disorders

The case for maintenance rituximab in FL

New Targets and Treatments for Follicular Lymphoma

eastern cooperative oncology group Michael Williams, Fangxin Hong, Brad Kahl, Randy Gascoyne, Lynne Wagner, John Krauss, Sandra Horning

Venetoclax in MCL. Prof. Le Gouill Nantes Medical University, France

Novita da EHA 2016 Copenhagen Linfomi

R/R DLBCL Treatment Landscape

Treatment Landscape in R/R DLBCL Novel Targets and Strategies. Wyndham H. Wilson, M.D., Ph.D. Senior Investigator

CARE at ASH 2014 Lymphoma. Dr. Diego Villa Medical Oncologist British Columbia Cancer Agency Vancouver Cancer Centre

How to Integrate the New Drugs into the Management of Multiple Myeloma

RADIOIMMUNOTHERAPY FOR TREATMENT OF NON- HODGKIN S LYMPHOMA

The case against maintenance rituximab in Follicular lymphoma. Jonathan W. Friedberg M.D., M.M.Sc.

Kamakshi V Rao, PharmD, BCOP, FASHP University of North Carolina Medical Center UPDATE IN REFRACTORY HODGKIN LYMPHOMA

Patient Care and Cutting Edge Research in Hodgkin and Non-Hodgkin Lymphoma

Phase I Study of Carfilzomib and Panobinostat for Patients with Relapsed and Refractory Myeloma: A Multicenter MMRC Clinical Trial

Pembrolizumab in Relapsed/Refractory Classical Hodgkin Lymphoma: Phase 2 KEYNOTE-087 Study

Update: New Treatment Modalities

CAR-T cell therapy pros and cons

Diffuse Large B-Cell Lymphoma Front line Therapy John P. Leonard, MD Weill Cornell Medicine New York, New York USA

Strategies for the Treatment of Elderly DLBCL Patients, New Combination Therapy in NHL, and Maintenance Rituximab Therapy in FL

POST ICML Indolent lymphomas relapse treatment

Study No.: Title: Phase: Study Period: Study Design: Centres: Indication: Treatment: Objectives: Primary Outcome/Efficacy Variable:

Idelalisib in the Treatment of Chronic Lymphocytic Leukemia

Firenze, settembre 2017 Novità dall EHA LINFOMI Umberto Vitolo

Highlights of ICML 2015

Mantle Cell Lymphoma. A schizophrenic disease

ASH POSTER: LYMRIT UPDATE

BTK Inhibitors and BCL2 Antagonists

Updates in the Treatment of Non-Hodgkin Lymphoma: ASH Topics

PCI-32765DBL1002. Janssen Research & Development, Raritan, NJ, USA; 9 Janssen Research & Development, Belgrade, Serbia; 10

CPAG Summary Report for Clinical Panel Policy 1630 Bendamustine-based chemotherapy for first-line treatment of Mantle cell lymphoma (MCL) in adults

Disclosures for Dr. Peter Borchmann 48 th ASH Annual meeting, Orlando, Florida

Summary of Key AML Abstracts Presented at the European Hematology Association (EHA) June 22-25, 2017 Madrid, Spain

Aggressive B and T cell lymphomas: Treatment paradigms in 2018

Second Generation BTK Inhibitors Acalabrutinib (ACP-196) and Zanubrutinib (BGB-3111)

Genomics in diffuse large B cell lymphoma (DLBCL) not as useful as we thought. OR IS IT?

Mantle Cell Lymphoma New scenario and concepts in front-line treatment for young pa:ents

Addition of Rituximab to Fludarabine and Cyclophosphamide in Patients with CLL: A Randomized, Open-Label, Phase III Trial

Indolent Lymphomas and Hodgkin Lymphoma: Achieving Curability

CLL - venetoclax. Peter Hillmen St James s University Hospital Leeds 10 th May 2016

Corporate Presentation. Curis, Inc All Rights Reserved

Highlights in chronic lymphocytic leukemia

Update: Non-Hodgkin s Lymphoma

Expert Perspective on ASH 2014: Lymphoma

Enasidenib Monotherapy is Effective and Well-Tolerated in Patients with Previously Untreated Mutant-IDH2 Acute Myeloid Leukemia

Betalutin, a novel CD37-targeted radioimmunotherapy for NHL. Arne Kolstad Oslo University Hospital 2 October 2018

Scottish Medicines Consortium

Constan'ne S Tam Victorian Comprehensive Cancer Center Melbourne, Australia

Background. Outcomes in refractory large B-cell lymphoma with traditional standard of care are extremely poor 1

Checkpoint Blockade in Hematology and Stem Cell Transplantation

Dana-Farber Cancer Institute, Boston, MA, USA; 2. H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA; 3

At Fox Chase Cancer Centre during study participation

Title A Phase II study of oral LBH589 in adult patients with refractory cutaneous T-Cell lymphoma

CONSIDERATIONS IN DEVELOPMENT OF PEMBROLIZUMAB IN MSI-H CANCERS

Follicular Lymphoma 2016:

NSCLC: immunotherapy as a first-line treatment. Paolo Bironzo Oncologia Polmonare AOU S. Luigi Gonzaga Orbassano (To)

Treatment Nodal Marginal Zone Lymphoma

INITIAL RESULTS OF PHASE 1 STUDY OF DCC-2618, A BROAD-SPECTRUM KIT AND PDGFR

Sponsor / Company: Sanofi Drug substance(s): SAR (iniparib)

Encouraging activity of novel pan-kit and PDGFRα inhibitor DCC-2618 in patients (pts) with gastrointestinal stromal tumor (GIST)

ORIGINAL ARTICLE. Suresh Advani 1, Shubhadeep Sinha 2, Pankaj Thakur 3, Neetu Naidu 3, Sreenivas Chary 3, Ghanshyam Biswas 4, Vamsi Krishna Bandi 5

Mantle cell lymphoma An update on management

Follicular Lymphoma New Agents. Idelalisib

Citi 10 th Annual Biotech Conference! September 9, 2015!!

B Kahl 1, M Hamadani 2, P Caimi 3, E Reid 4, K Havenith 5, S He 6, JM Feingold 6, O O Connor 7

Corporate Presentation

MabThera. SC. The wait is over. MabThera delivered in just 5 minutes. SC= subcutaneous injection

Study No Title : Rationale: Phase: Study Period: Study Design: Centres: Indication: Treatment:

New agents for recurrent FL

Clinical Commissioning Policy Proposition: Bortezomib for relapsed/refractory mantle cell lymphoma

Chimeric An+gen Receptor (CAR) Modified T Cell Therapy: Mee#ng the Unmet Need in Follicular Lymphoma

Open questions in the treatment of Follicular Lymphoma. Prof. Michele Ghielmini Head Medical Oncology Dept Oncology Institute of Southern Switzerland

Transcription:

International Conference on Malignant Lymphoma (ICML) June 14-17, 2017 INTERIM REPORT FROM A PHASE 2 MULTICENTER STUDY OF TAZEMETOSTAT, AN EZH2 INHIBITOR: CLINICAL ACTIVITY AND FAVORABLE SAFETY IN PATIENTS WITH RELAPSED OR REFRACTORY B-CELL NON-HODGKIN LYMPHOMA Franck Morschhauser, Gilles Salles, Pamela McKay, Hervé Tilly, Anna Schmitt, John Gerecitano, Peter Johnson, Steven Le Gouill, Michael J. Dickinson, Christophe Fruchart, Thierry Lamy, Aristeidis Chaidos, Wojciech Jurczak, Stephen Opat, John Radford, Pier Luigi Zinzani, Sarit Assouline, Guillaume Cartron, Alicia Clawson, Natasha Picazio, Scott Ribich, Stephen J. Blakemore, John Larus, Harry Miao, Mark Woodruff, Peter T. Ho, Vincent Ribrag 1

TAZEMETOSTAT FOR THE TREATMENT OF B-CELL NHL EZH2 is an epigenetic regulator of gene expression and plays a critical role in multiple forms of cancer PRC2 Activating mutations of EZH2 can act as an oncogenic driver for cancers, especially in FL and GCB-DLBCL, present in ~20% of patients EZH2 Y646F/N/H/S/C A682G A692V Tazemetostat First-in-class, potent and selective oral inhibitor of mutated and wild-type EZH2 Preclinical activity in DLBCL cells lines, with greater activity in EZH2 mutant models Monotherapy activity and favorable safety in phase 1 studies in patients with relapsed or refractory (R/R) NHL, as well as certain genetically defined solid tumors Tazemetostat K27me3 K27me3 K27me3 K27me3 Compacted Chromatin Transcriptional Repression 2

TAZEMETOSTAT PHASE 2 NHL STUDY DESIGN Global, multi-center, open-label study in 6 cohorts of patients with R/R DLBCL or FL Patients prospectively stratified by EZH2 mutational status and cell of origin 2 prior therapies Primary endpoint: overall response rate 1 (ORR) Secondary efficacy endpoints: progression-free survival (PFS) and duration of response Study initiated with 5 monotherapy cohorts (n=270) 3 cohorts of DLBCL (n=60 each) and 2 cohorts of FL (n=45 each) Cohort of tazemetostat + prednisolone (n=70) in DLBCL added in 2017 PRE-SCREENING Archival Tissue Central Lab COO, EZH2 COHORT ALLOCATION DLBCL, GCB EZH2 Mt (N=60) DLBCL, GCB EZH2 WT (N=60) DLBCL, NON-GCB (N=60) FL, EZH2 Mt (N=45) FL, EZH2 WT (N=45) ELIGIBILTY, ENROLLMENT Tazemetostat, 800 mg BID until PD or withdrawal ORR, PFS, DOR, safety, PK EOT FOLLOW-UP OS 1 Objective response assessed by IWG-NHL criteria (Cheson 2007) Restaging every 8 weeks for 6 cycles, then every 12 weeks thereafter 3

PROTOCOL SPECIFIED MOLECULAR CHARACTERIZATION OF B-CELL NHL PATIENTS Prospective testing: required for cohort allocation FL & DLBCL cobas EZH2 Mutation Test (Roche Molecular Systems, in development) Allele specific PCR test for EZH2 hot spot mutations DLBCL only Hans IHC for determination of cell of origin (COO) Retrospective testing: NGS on archival and circulating tumor DNA collected at screening for common NHL mutations in a panel of 62 genes Lymph2Cx nanostring assay for more accurate COO determination Published discordance rate of ~20% between nanostring vs. Hans 4

PHASE 2 NHL STUDY PROGRESS Data cut-off: June 1, 2017 218 patients enrolled into monotherapy cohorts 81% of total of 270 Closed to accrual: FL wild-type EZH2 54 pts, 54 evaluable for efficacy DLBCL wild-type EZH2 (GCB EZH2 WT + non-gcb) 120 pts, 119 evaluable for efficacy Open to accrual: FL mutated EZH2 19 pts, 13 evaluable for efficacy DLBCL mutated EZH2 22 pts, 17 evaluable for efficacy Evaluable population Safety: 210 pts Efficacy: 203 pts 5

PHASE 2 NHL DEMOGRAPHICS & DISEASE CHARACTERISTICS Characteristic Follicular Lymphoma DLBCL EZH2 Status Mutant Wild-type Mutant Wild-type n 13 54 17 120 Age, median years 62 61 61 69 Males 46% 63% 53% 58% ECOG PS, median (range) 0 (0-2) 0 (0-2) 1 (0-2) 1 (0-2) Prior lines of therapy, n (%) 1 1 ( 8%) 0 0 3 ( 3%) 2 2 (15%) 11 (20%) 4 (24%) 40 (33%) 3 3 (23%) 9 (17%) 7 (41%) 28 (23%) 4 1 ( 8%) 14 (26%) 3 (18%) 18 (15%) 5 6 (46%) 20 (37%) 3 (18%) 31 (26%) median 4 4 3 3 Refractory to last regimen, n (%) 7 (54%) 26 (48%) 14 (82%) 75 (63%) Prior HSCT 23% 41% 41% 24% Median time from initial diagnosis years 7.4 4.9 1.0 2.0 Median time from last prior therapy weeks 13.0 41.3 8.6 11.6 Data as of 6/1/2017 Refractory to last regimen defined as SD or PD as best response to most recent prior therapy 6

PHASE 2 NHL DEMOGRAPHICS & DISEASE CHARACTERISTICS Characteristic Follicular Lymphoma DLBCL EZH2 Status Mutant Wild-type Mutant Wild-type n 13 54 17 120 Age, median years 62 61 61 69 Males 46% 63% 53% 58% ECOG PS, median (range) 0 (0-2) 0 (0-2) 1 (0-2) 1 (0-2) Prior lines of therapy, n (%) 1 1 ( 8%) 0 0 3 ( 3%) 2 2 (15%) 11 (20%) 4 (24%) 40 (33%) 3 3 (23%) 9 (17%) 7 (41%) 28 (23%) 4 1 ( 8%) 14 (26%) 3 (18%) 18 (15%) 5 6 (46%) 20 (37%) 3 (18%) 31 (26%) median 4 4 3 3 Refractory to last regimen, n (%) 7 (54%) 26 (48%) 14 (82%) 75 (63%) Prior HSCT 23% 41% 41% 24% Median time from initial diagnosis years 7.4 4.9 1.0 2.0 Median time from last prior therapy weeks 13.0 41.3 8.6 11.6 Data as of 6/1/2017 Refractory to last regimen defined as SD or PD as best response to most recent prior therapy 7

PHASE 2 NHL DEMOGRAPHICS & DISEASE CHARACTERISTICS Characteristic Follicular Lymphoma DLBCL EZH2 Status Mutant Wild-type Mutant Wild-type n 13 54 17 120 Age, median years 62 61 61 69 Males 46% 63% 53% 58% ECOG PS, median (range) 0 (0-2) 0 (0-2) 1 (0-2) 1 (0-2) Prior lines of therapy, n (%) 1 1 ( 8%) 0 0 3 ( 3%) 2 2 (15%) 11 (20%) 4 (24%) 40 (33%) 3 3 (23%) 9 (17%) 7 (41%) 28 (23%) 4 1 ( 8%) 14 (26%) 3 (18%) 18 (15%) 5 6 (46%) 20 (37%) 3 (18%) 31 (26%) median 4 4 3 3 Refractory to last regimen, n (%) 7 (54%) 26 (48%) 14 (82%) 75 (63%) Prior HSCT 23% 41% 41% 24% Median time from initial diagnosis years 7.4 4.9 1.0 2.0 Median time from last prior therapy weeks 13.0 41.3 8.6 11.6 Data as of 6/1/2017 Refractory to last regimen defined as SD or PD as best response to most recent prior therapy 8

TAZEMETOSTAT DEMONSTRATED FAVORABLE SAFETY PROFILE Treatment-Emergent Adverse Event All TEAEs Patients (n=210) with: Treatment-Related TEAEs All Grades Grade 3 All Grades Grade 3 Nausea 42 (20%) 1 (<1%) 29 (14%) 0 Thrombocytopenia 39 (19%) 19 ( 9%) 28 (13%) 12 ( 6%) Anaemia 33 (16%) 16 ( 8%) 21 (10%) 9 ( 4%) Cough 30 (14%) 1 (<1%) 4 ( 2%) 1 (<1%) Fatigue 26 (12%) 5 ( 2%) 15 ( 7%) 2 ( 1%) Diarrhoea 24 (11%) 1 (<1%) 17 ( 8%) 1 (<1%) Asthenia 22 (10%) 3 ( 1%) 16 ( 8%) 1 (<1%) Neutropenia 21 (10%) 15 ( 7%) 19 ( 9%) 13 ( 6%) Pyrexia 21 (10%) 1 (<1%) 2 ( 1%) 0 Vomiting 21 (10%) 2 ( 1%) 7 ( 3%) 1 (<1%) Bronchitis 14 ( 7%) 0 2 ( 1%) 0 Constipation 13 ( 6%) 1 (<1%) 4 ( 2%) 1 (<1%) Decreased appetite 13 ( 6%) 0 6 ( 3%) 0 Upper respiratory tract infection 13 ( 6%) 0 1 (<1%) 0 Abdominal pain 12 ( 6%) 3 ( 1%) 4 ( 2%) 0 Headache 12 ( 6%) 0 4 ( 2%) 0 Urinary tract infection 12 ( 6%) 0 4 ( 2%) 0 Back pain 11 ( 5%) 2 ( 1%) 1 (<1%) 0 Oedema peripheral 11 ( 5%) 2 ( 1%) 1 (<1%) 0 Dysgeusia 10 ( 5%) 0 7 ( 3%) 0 Rhinitis 10 ( 5%) 0 1 (<1%) 0 9 1 One (1) TEAEs of Febrile Neutropenia Data as of 6/1/2017 Adverse events reported in 5% of patients

ADVERSE EVENTS LED TO LOW RATE OF DOSE REDUCTIONS AND DISCONTINUATIONS Patients (n=210) Treatment-Emergent Adverse Events (TEAEs) * Treatment-Related TEAEs Adverse Event (any) 190 (90%) 123 (59%) Grade 3 91 (43%) 38 (18%) Serious AE 81 (39%) 20 (10%) AE Leading to Dose Interruption 50 (24%) 31 (15%) AE Leading to Dose Reduction 8 ( 4%) 7 ( 3%) AE Leading to Drug Discontinuation or Study Withdrawal 26 (12%) 5 ( 2%) Data as of 6/1/2017 * TEAEs are adverse events that first appear during treatment, which were absent before or which worsen relative to the pre-treatment 10

TAZEMETOSTAT DEMONSTRATED HIGHER RESPONSE RATES IN EZH2 MUTATED NHL Best Response FL EZH2 MT (n=13) FL EZH2 WT (n=54) DLBCL EZH2 MT (n=17) DLBCL EZH2 WT (n=119) Objective Response Rate (CR + PR) 12 (92%) 14 (26%) 5 (29%) 18 (15%) Complete Response (CR) 1 (8%) 3 (6%) 0 10 (8%) Partial Response (PR) 11 (85%) 11 (20%) 5 (29%) 8 (7%) Stable Disease 1 (8%) 23 (43%) 6 (35%) 22 (18%) SD study drug ongoing 1 (8%) 12 (22%) 1 (6%) 4 (3%) Progressive Disease 0 13 (24%) 6 (35%) 60 (50%) No Data, Unknown (UNK) 0 4 (7%) 0 19 (16%) Time to first Response (wks) median (range) 11.9 (6.9 35.9) 15.2 (8.1-32.1) 8.3 (4.6 48.1) 8.5 (5.3 24.7) Data as of 06/1/2017 Ongoing patients with Best Response of 'No Data, Unknown' are not included in this table 11

TUMOR REDUCTION IN FOLLICULAR LYMPHOMA 75% of patients experienced reduction of tumor burden Data as of 6/1/2017 12

DURATION OF TUMOR RESPONSE IN FOLLICULAR LYMPHOMA 48% of patients remain on study 0 5 10 15 Months Since Treatment Initiation Data as of 6/1/2017 13

TUMOR RESPONSE IN FL WITH MUTATED EZH2 cobas Test Y646F;; NGS Y646F;; ctdna Y646F 68 y.o female Baseline Week 24 Chlorambucil Prednisone R-CHOP PI3K/mTOR inhibitor Tazemetostat: week 36+ 1998 1999 2007 2012 2014 CR CR SD 2016 2017 PR at week16 14

DURATION OF TUMOR RESPONSE IN DLBCL Data as of 6/1/2017 12% of patients remain on study 0 5 10 15 20 Months Since Treatment Initiation 15

TUMOR RESPONSE IN DLBCL WITH MUTATED EZH2 cobas Test Y646X;; NGS Y646H;; ctdna Y646H 61 y.o. male 1 0 0 0 0 L e s i o n s i z e, S P D 8 0 0 0 6 0 0 0 4 0 0 0 2 0 0 0 0 0 2 0 4 0 6 0 Baseline Week 24 T i m e p o s t t r e a t m e n t, w k R-CHOP Carmustine Etoposide Cytarabine Melphalan Rituximab Epratuzumab ha20 Rituximab Lenalidomide Obinutuzumab Bendamustine Tazemetostat: week 60+ 1999 2003 2005 2007 2012 2014 CR PR PR PR PD SD 2016 2017 PR at week 48 16

RESPONSE AFTER INITIAL DISEASE PROGRESSION IN DLBCL NON-GCB (PMBCL) 36 y.o. male 1 5 0 0 0 L e s io n s iz e, S P D 1 0 0 0 0 5 0 0 0 0 0 8 1 6 2 4 T im e p o s t tr e a tm e n t, w k Screening Week 8 Week 16 17

NGS analysis performed on archive tumor and circulating tumor DNA (ctdna) for a subset (n = 92) of patients Custom 62 gene panel includes common NHL somatic mutations Responder (CR+PR) vs. Non-Responder analyses Details presented in Poster #154 (Blakemore et al.) Results: MOLECULAR PROFILING IDENTIFIES POTENTIAL TAZEMETOSTAT RESPONSE PREDICTORS Positive and negative predictors for tazemetostat response (PR/CR) identified Positive predictors = EZH2 & MYD88 activating mutations Negative predictors = MYC, TP53 and HIST1H1E EZH2 and MYD88 mutually exclusive in this cohort i.e. potential for independent mechanism of sensitivity to tazemetostat in these patients Patients, % 100 80 60 40 20 0 7 3 EZH2 MT 18 63 EZH2 WT Patients, % 100 80 60 40 20 0 4 3 MYD88 MT 21 64 MYD88 WT Non-Responder Responder Non-Responder Responder Detection of EZH2 mutations in ctdna indicates potential for future potential use of plasma for patient identification Data as of 6/1/2017 18

SUMMARY Tazemetostat shows efficacy in heavily pretreated relapsed/refractory FL and DLBCL Follicular Lymphoma 92% ORR in patients with mutated EZH2 26% ORR in patients with wild-type EZH2 with 22% of patients on-study in SD 48% overall with treatment ongoing DLBCL 29% ORR in patients with mutated EZH2 15% ORR with 8% CRs in WT patients Durable responses in both WT and mutants Late responses and conversion to CR in both subtypes Molecular profiling may help predict response Tazemetostat is safe Low incidence of treatment-related grade 3, mainly thrombocytopenia (6%) and neutropenia (6%) Enrollment of EZH2 mutated DLBCL and FL continues 19

ACKNOWLEDGEMENTS We wish to thank all of the physicians, nurses, study staff, scientists, and most of all, the patients and families who contributed to this study 20