Xilio Therapeutics, Inc 8-K, filed Jun 2, 2025
Xilio Therapeutics, Inc. (XLO)
About this 8-K
Xilio Therapeutics, Inc filed this 8-K on June 2, 2025, reporting on events of May 31, 2025.
Items reported
- Item 7.01: Regulation FD disclosure
- Item 8.01: Other events
- Item 9.01: Financial statements and exhibits
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CURRENT REPORT
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| Item 7.01 | Regulation FD Disclosure. |
From time to time, Xilio Therapeutics, Inc. (the “Company”) presents or distributes slide presentations to the investment community to provide updates and summaries of its business. The Company is posting a copy of its current corporate investor presentation to the “Investors & Media” portion of its website at https://ir.xiliotx.com. The information contained on, or accessible through, the Company’s website is not incorporated by reference into this Current Report on Form 8-K and should not be considered to be a part hereof. A copy of the presentation is furnished as Exhibit 99.1 to this Current Report on Form 8-K.
The information in Item 7.01 of this Current Report on Form 8-K, including Exhibit 99.1, is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Exchange Act or the Securities Act of 1933, as amended, except as expressly set forth by specific reference in such filing.
| Item 8.01. | Other Events. |
Updated Data from Phase 2 Clinical Trial for Vilastobart
On May 31, 2025, the Company issued a press release announcing updated data from its ongoing Phase 2 clinical trial evaluating vilastobart in combination with atezolizumab in patients with metastatic microsatellite stable colorectal cancer. These data were presented in a poster presentation at the 2025 American Society of Clinical Oncology (ASCO) Annual Meeting. The full text of the press release is filed as Exhibit 99.2 to this Current Report on Form 8-K and is incorporated herein by reference. The information contained on, or accessible through, the websites referenced in the press release is not incorporated by reference into this Current Report on Form 8-K and should not be considered to be a part hereof.
| Item 9.01 | Financial Statements and Exhibits. |
(d) Exhibits.
| Exhibit |
Description | |
| 99.1 | Corporate slide presentation of Xilio Therapeutics, Inc., dated May 31, 2025 | |
| 99.2 | Press release issued by Xilio Therapeutics, Inc. on May 31, 2025 | |
| 104 | Cover Page Interactive Data File (embedded within the Inline XBRL document and incorporated as Exhibit 101) | |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
| XILIO THERAPEUTICS, INC. | ||||||
| Date: June 2, 2025 | By: | /s/ Caroline Hensley | ||||
| Caroline Hensley | ||||||
| Chief Legal Officer | ||||||
Exhibit 99.1
Unleashing the Potential of Immuno-Oncology Therapies May 31, 2025 © 2025 Xilio Therapeutics, Inc.
Forward-Looking Statements and Disclaimers This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, statements regarding plans, timing and expectations related to: development timelines and anticipated milestones for Xilio’s programs; the receipt of future contingent payments under Xilio’s collaboration or partnership agreements with AbbVie and Gilead; the potential benefits of any of Xilio’s current or future product candidates in any indication; the sufficiency of, and the period in which Xilio expects to have, cash to fund its operations and additional development plans and milestones; the availability of additional capital to fund planned or future development plans and milestones, including plans and milestones beyond the period in which Xilio expects to have cash to fund its operations; and Xilio’s strategy, goals and anticipated financial performance, milestones, business plans and focus. The words “aim,” “may,” “will,” “could,” “would,” “should,” “expect,” “plan,” “anticipate,” “intend,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue,” “seek,” “target” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Any forward-looking statements in this presentation are based on management’s current expectations and beliefs and are subject to a number of important risks, uncertainties and other factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this presentation, including, without limitation, general market conditions; risks and uncertainties related to ongoing and planned research and development activities, including initiating, conducting or completing preclinical studies and clinical trials and the timing and results of such preclinical studies or clinical trials; the delay of any current or planned preclinical studies or clinical trials or the development of Xilio’s current or future product candidates; Xilio’s ability to obtain and maintain sufficient preclinical and clinical supply of current or future product candidates; Xilio’s advancement of multiple early-stage masked T cell engager programs; initial, preliminary or interim preclinical or clinical data or results, which may not be replicated in or predictive of future preclinical or clinical data or results; Xilio’s ability to successfully demonstrate the safety and efficacy of its product candidates and gain approval of its product candidates on a timely basis, if at all; results from preclinical studies or clinical trials for Xilio’s product candidates, which may not support further development of such product candidates; actions of regulatory agencies, which may affect the initiation, timing and progress of current or future clinical trials; Xilio’s ability to obtain, maintain and enforce patent and other intellectual property protection for current or future product candidates; Xilio’s ability to obtain and maintain sufficient cash resources to fund its operations; Xilio’s need to obtain additional cash resources to fund its operations beyond the first quarter of 2026, including to advance its pipeline of tumor-activated I-O molecules; the impact of international trade policies on Xilio’s business, including U.S. and China trade policies; and Xilio’s ability to maintain its collaboration or partnership agreements with AbbVie, Gilead and Roche. These and other risks and uncertainties are described in greater detail in the sections entitled “Risk Factor Summary” and “Risk Factors” in Xilio’s filings with the U.S. Securities and Exchange Commission (SEC), including Xilio’s most recent Annual Report on Form 10-K and any other filings that Xilio has made or may make with the SEC in the future. Any forward-looking statements contained in this presentation represent Xilio’s views only as of the date hereof and should not be relied upon as representing its views as of any subsequent date. Except as required by law, Xilio explicitly disclaims any obligation to update any forward-looking statements. Certain information contained in this presentation relates to or is based on studies, publications, surveys and other data obtained from third-party sources and Xilio’s own internal estimates and research. While Xilio believes these third-party studies, publications, surveys and other data to be reliable as of the date of this presentation, Xilio has not independently verified, and makes no representation as to the adequacy, fairness, accuracy or completeness of, any information obtained from third-party sources. In addition, no independent source has evaluated the reasonableness or accuracy of Xilio’s internal estimates or research and no reliance should be made on any information or statements made in this presentation relating to or based on such internal estimates and research. This presentation contains trademarks, trade names and service marks of other companies, which are the property of their respective owners. TECENTRIQ is a registered trademark of Genentech USA Inc., a member of the Roche Group. 2
Immuno-Oncology Therapy is the Key to Curative Potential, But Continues to Be Limited by Systemic Toxicity Xilio believes the next revolution in I-O therapy will harness the power of the body’s immune system by leveraging the dysregulated biology of the tumor against itself 3 I-O: immuno-oncology
Xilio Exploits Dysregulated MMP Activity, a Hallmark of Invasive Cancer Common Across a Wide Range of Solid Tumors, to Activate Molecules in the Tumor MMPs are dysregulated broadly across solid tumors MMP mRNA expression in tumor vs. normal tissue MMPs MMPs and immune cells co-localize at the invasive edge of tumors In situ mRNA expression in human breast cancer Tumor cells MMP T cells (TROP2) (MMP2) (CD4, CD8A) intensity tracks with log2-transformed fold changes (log2FC). Pre-processed TCGA data were obtained from UCSC Xena. Right panel: Spatial gene expression analysis using Xenium platform (10X Genomics) showing expression of TROP2 (TACSTD2, pink), MMP2 (yellow), CD4 and CD8A (blue) in a human breast cancer sample. https://www.10xgenomics.com/products/xenium-in- 4 situ/human MMP: matrix -breast metalloproteases -dataset-explorer; Xenium Explorer Version 1.2.0; Instrument Analysis Version: Xenium- 1.0.1
Xilio Platform and Capabilities Delivering a Portfolio of Differentiated Molecules Across Diverse Mechanisms and Architectures T Cell Antibodies Cytokines Bispecifics Engagers Vilastobart XTX301 XTX501 Tumor-Activated Cell Engagers Tumor-activated Tumor-activated IL-12 Tumor-activated PD-1/IL-2 bispecific PSMA, CLDN18.2, STEAP1 Fc-enhanced anti-CTLA-4 and AbbVie Program Clinically Validated Platform Technology and Capabilities ü Proprietary masking libraries and custom computational design workflowsü Clinically validated protease cleavage elements tumor-selective activation of molecules (250+ patients enrolled to date across clinical programs)ü Proprietary preclinical and clinical translational modelsü Highly developable architectures with low immunogenicity in clinic and excellent stability Top-Tier Pharma Partnerships and Collaborations Significant future contingent payments, Co-funded clinical supply including:* $17.5M development milestone prior to opt-in (Gilead) Near-term collaboration milestones (AbbVie) Option to license IL-12 Nomination fees for additional programs (AbbVie) $75M option fee on Phase 1/2 data package (Gilead) Multi-program collaboration and option to license tumor-activated cell engagers *Cash runway currently anticipated into Q1 2026, prior to and any potential future contingent payments under AbbVie and Gilead agreements. 5 PSMA: prostate-specific membrane antigen; CLDN18.2: claudin 18.2; STEAP1: six-transmembrane epithelial antigen of prostate 1
Advancing Pipeline of Tumor-Activated Immunotherapies Leveraging Clinically-Validated Platform Technology, Including Masked T Cell Engagers Collaborations and Program Tumor Types Discovery IND-Enabling Phase 1 Phase 2 Phase 3 Partnerships Vilastobart (1) Metastatic Tumor-activated anti-CTLA-4 MSS CRC Co-funded clinical supply XTX301 (2) Advanced Tumor-activated IL-12 Solid Tumors Option to license XTX501 Advanced Tumor-activated PD-1/IL-2 Solid Tumors PSMA Prostate Masked T cell engager CLDN18.2 Gastric, Pancreatic, Masked T cell engager Esophageal, Lung STEAP1 Prostate, Lung Masked T cell engager Colorectal Undisclosed Undisclosed Masked T cell engagers (3) Collaboration and option 1 2. . Evaluating Evaluating vilastobart XTX301 in in Phase combination 1 monotherapy with atezolizumab dose escalation (Tecentriq®) and dose in expansion patients with for metastatic the treatment MSS of CRC advanced under solid co-funded tumors clinical under trial exclusive supply global agreement partnership with Roche with Gilead . . 3. Advancing an initial masked T cell engager program in collaboration with AbbVie, and AbbVie has the right to nominate up to two additional masked T cell engager programs. 6 CRC: colorectal cancer; MSS: microsatellite stable
Anticipated Milestones* Anticipated Milestone Timing Vilastobart (tumor-activated anti-CTLA-4) Reported updated Phase 2 data in combination with atezolizumab in MSS CRC May 2025 (ASCO) Report updated Phase 2 data in combination with atezolizumab in MSS CRC, including at the 150 mg Q6W dose level for vilastobart 1H 2026 XTX301 (tumor-activated IL-12) Development milestone ($17.5M) prior to potential Phase 1/2 opt-in Undisclosed XTX501 (tumor-activated PD-1/IL-2) IND submission Mid 2026 Masked T cell engager programs Nominate development candidate for PSMA Q3 2025 Nominate development candidate for CLDN18.2 Q4 2025 Nominate development candidate for STEAP1 1H 2026 IND submissions for at least two masked T cell engager programs 2027 *Cash runway currently anticipated into Q1 2026, prior to any potential future contingent payments under AbbVie and Gilead agreements 7 Q6W: once every six weeks
Vilastobart Tumor-Activated, Fc-enhanced Anti-CTLA-4
Vilastobart: Tumor-Activated, High Affinity Binding, Fc-Enhanced Anti-CTLA-4 Highlights from Previously Reported Data Inactive State ü High affinity binding, 10x potency of ipilimumab in preclinical studies(1)ü Fc mutations for enhanced effector function (ADCC), improved T cell priming and Treg Variable Domain depletion ADCC-enhanced Fc ü On-treatment biopsies in Phase 1 monotherapy Cleavage Sites demonstrated >70% activated molecule in tumor with <15% activated molecule in peripheryü Generally well-tolerated in Phase 1/2 (both as a Masking Domain monotherapy and combination therapy) consistent with tumor-activated designü Confirmed PRs observed with monotherapy and combination 1. Ipilimumab analog used for preclinical studies 9 ADCC: antibody-dependent cell-mediated cytotoxicity; NSCLC, non-small lung cancer; PR: partial response; Treg: regulatory T cells
CRC Incidence is Increasing, Particularly In Young Adults, with New Cases Typically Identified at Later Stages ~90,000 new cases of Stage 4 CRC patients ~95% of Stage 4 CRC patients have MSS CRC (1) estimated in the US per year CRC is 2nd in cancer-related deaths in the US and leading cause of cancer-related death in MSI-H men younger than 50 in the US (2) ~5% CRC is 3rd in total annual new cases globally, with ~1.9M new cases and ~900,000 deaths MSS CRC related to CRC globally (3) ~95% 1. Kawazoe. J Clin Oncol. 2024;42:2918. 2. Siegel. CA Cancer J Clin.2023;73:233. 3. Bray. CA Cancer J Clin 2024;74:229. 10 MSI-H: microsatellite instability-high
Approved I-O Therapies Have Shown Little to No Efficacy in MSS CRC, While Other Anti-CTLA-4 Molecules in Development Have Been Limited by Toxicity to Date Treatment for advanced MSS CRC typically includes Current Standard of Care in 3L+ MSS CRC Provides Minimal Benefit chemotherapy combinations, (1) followed by clinical trials or late-line therapies with minimal benefit (OS: ~6-9 Treatment Line ORR% months) (2) Regorafenib 3L/4L+ ~1% Immune checkpoint inhibitors (pembrolizumab/ Fruquintinib 3L/4L+ ~1.5% nivolumab) approved in MSI-H CRC have no meaningful Lonsurf 3L/4L+ ~1.5% efficacy in patients with MSS CRC (0-3% ORR) (3)t Lonsurf + Avastin 3L ~6% Atezolizumab (PD-1) demonstrated no meaningful monotherapy efficacy in patients with MSS CRC (≤2% ORR) Third party anti-CTLA-4 agents in development:—Fc-enhanced, not masked anti-CTLA-4 reported 8-19% ORR in patients with MSS CRC without liver metastases but up to ~30% discontinuation rates due to AEs (4)—Not Fc-enhanced, masked anti-CTLA-4 reported 17-24% ORR in patients with MSS CRC without liver metastases but up to ~40% Grade 3+ treatment-related AEs (5) 2024;42:2918 1. Eng. Lancet . .3 2024;404:294 . Sahin. Am Soc . 2. Clin Grothey Oncol . Lancet Educ .Book 2013;381:303; . 2022:42:1 Mayer . 4. Phase . N Engl 2 response J Med. 2015;372:1909; data and Phase Li 1. safety JAMA .data 2018;319:2486; reported by Dasari Agenus . Lancet Inc. for. 2023;402:41; the combination Kawazoe of botensilimab . J Clin Oncol (anti.- 11 CTLA 3L: third -4) line; and balstilimab 4L: fourth line; (PD AE: -1). 5 adverse . Phase event; 2 data ORR: by Adagene objective Inc response . for the combination rate; OS: overall of muzastotug survival (anti-CTLA-4) and pembrolizumab (PD-1).
Vilastobart Has Demonstrated Meaningful Clinical Activity and Differentiated Safety Profile in Combination, Supporting Opportunity in MSS CRC and a Range of Other Tumor Types 26% preliminary ORR observed in Phase 2 in heavily pre-treated patients (80% of patients 3L+) with MSS CRC without liver metastases Deep and durable responses ongoing for up to 37 weeks as of the data cutoff Combination of vilastobart and atezolizumab continued to demonstrate differentiated safety and tolerability profile Low incidence of colitis and other immune-mediated AEs, which have limited the potential for other anti-CTLA-4 agents Significant opportunity for vilastobart as a combination treatment in multiple tumor types 12 Data cutoff date: May 12, 2025
Vilastobart (anti-CTLA-4) Phase 2 Data for Combination of Vilastobart and Atezolizumab Presented at ASCO on May 31, 2025
Phase 1/2 Study Design for Vilastobart in Advanced Solid Tumors and Metastatic MSS CRC KEY PHASE 2 ELIGIBILITY PHASE 1A/B PHASE 1C PHASE 2 At least 1 prior chemotherapy Monotherapy Dose-Escalation Vilastobart + Atezolizumab Vilastobart + Atezolizumab regimen for metastatic CRC and Expansion Dose-Escalation No prior checkpoint inhibitors Advanced Solid Tumors Advanced Solid Tumors Metastatic MSS CRC (n=39) (n=26) (n=44) Must be assessed for MSI-H or dMMR status – patients Vilastobart monotherapy RP2D Vilastobart dose levels up to Vilastobart 100 mg Q6W + with MSI-H/dMMR tumors established as 150 mg Q6W 150 mg Q6W recently cleared atezolizumab 1200 mg Q3W are excluded Enrollment completed Evaluation of patients ongoing Enrolling ~10 patients at vilastobart 150 mg Q6W to evaluate efficacy at higher dose level 14 NCT04896697 Q3W: once every three weeks
Phase 2 Enrolled Heavily Pre-Treated (3L+) Patients With MSS CRC With and Without Liver Metastases, Including Patients With Peritoneal Metastases Patient Total Prior Lines of Anti-Cancer Tumor Total Treatment Total Characteristics (n=44) Treatment Types (n=44) Status (n=44) Age, median (range) 55 (25-82) Median 4 (1-8) MSS CRC 44 Continuing on Treatment 14 Female 22 (50%) 1 4 (9%) with liver metastases 17 Discontinued Treatment 30 ECOG PS 0 18 (41%) 2 5 (11%) without liver Disease Progression 23 27 ECOG PS 1 26 (59%) metastases Adverse Events 4 with peritoneal Investigator Decision 1 8 metastases Other 2 80% of patients had 3 or more prior lines of treatment 15 Data cutoff date: May 12, 2025
Preliminary 26% ORR Reported in Patients With MSS CRC Without Liver Metastases 200% 80 Best Response  Without With Best Response Liver Metastasis Liver Metastasis 60 Partial Response Per RECIST (n = 27) (n = 17) PR 7* 0 in 41% 40% Stable Disease 40 SD 5 3 Disease Progression ORR 26% 0% lesions 30% 25% 22% baseline 20 16% +20% 10% 10% 9% target 8% 7% 3% 2% 0% 0% fromof 0 -2% change -20 diameters -30% % -40 -32% of # -42% Best -47% -52% sum -60 -54% # -61% -71% -80 * Responders include: patients with both KRAS mutant and KRAS wild type tumors a patient with peritoneal metastases Data # PR cutoff confirmed date: after May the 12, data 2025 cutoff date * 6 confirmed PRs, 1 unconfirmed PR. In figure above, unconfirmed PR is noted with an asterisk.  Figure above represents best response in target lesions. 3 patients with MSS CRC without liver metastases not included in figure above had progressive disease (patients had new 16 lesions but target lesions were not assessed).
Durable Anti-Tumor Activity Observed in Patients With MSS CRC Without Liver Metastases 6 out of 7 responders remain on treatment Treatment duration currently up to 37 weeks Best Response Partial response Stable disease Disease progression New lesion Treatment Status Ongoing Discontinued # Data cutoff date: May 12, 2025 17 # PR confirmed after the data cutoff date
Significant Reductions in Tumor Burden With Meaningful Improvements in Clinical Symptoms and Decreases in Tumor Biomarkers Data cutoff date: May 12, 2025 18 CEA: carcinoembryonic antigen; ctDNA: circulating tumor DNA
Radiographic Responses Were Accompanied by Substantial ctDNA Reductions Changes in sum of diameters Changes in ctDNA score 200% Baseline Best Baseline % from in Diameters of ctDNA Change Change Sum % in from Best Score * Data cutoff date: May 12, 2025 Dodged waterfall plot showing best % change from baseline in the sum of diameters of target lesions (left y-axis; purple bars) and best % change from baseline in ctDNA score (right y-axis; 19 yellow bars). Each pair of bars corresponds to the same patient (x-axis).
MSS CRC Patient With Liver Metastasis and Previously Reported Confirmed PR From Phase 1C Still On Treatment After 14+ Months With Response Deepening Patient with MSS CRC and Liver Metastasis Screening 9 weeks 18 weeks 27 weeks 36 weeks 45 weeks 57 weeks Sum of diameters 98.4 mm 70.5 mm 71.0 mm 66.3 mm 68.9 mm 59.2 mm 58.8 mm Change—28%—28%—33% -30% -40% -40% 69 year-old female Target Liver Lesion – Baseline Target Liver Lesion – 9 Weeks 5 prior lines of therapy:—FOLFOX-Avastin 15.6 mm 6.8 mm—FOLFIRI-Avastin—Cetuximab—Lonsurf Target Liver Lesion – 18 Weeks Target Liver Lesion – 27 Weeks—FOLFIRI-Panitumamab Phase 1C (combination dose escalation) 5.8 mm No visible lesion Administered vilastobart (150 mg Q6W) + atezolizumab (1200 mg Q3W) 20
Combination of Vilastobart and Atezolizumab Demonstrated Meaningfully Differentiated Safety and Tolerability Compared to Other Anti-CTLA-4 Agents All Phase 2 Patients Dose Reduction and Treatment Discontinuation TRAEs ≥10% incidence (any Grade) or (n=44) Vilastobart dose reduction due to TRAE+ 1 (2%) Grade 3/4 TRAEs with ≥ 5% incidence Any grade Grade 3 Fatigue 13 (30%) 0 Treatment discontinuation due to TRAE 2 (5%) Infusion related reaction 10 (23%) 2 (5%) + Dose reduction of atezolizumab is not permitted per protocol  Reflects discontinuation of both vilastobart and atezolizumab related to vilastobart 9 (21%) 2 (5%) related to atezolizumab 2 (5%) 0 No Grade 5 TRAEs and only 2 Grade 4 TRAEs (neutropenia and thrombocytopenia, n=1 each, Diarrhea or colitis 9 (20%) 2 (5%) both recovered) Diarrhea 8 (18%) 0 11 patients (25%) required steroids or other Colitis 3 (7%) 2 (5%) immunosuppression for imAEs AST increased 6 (14%) 2 (5%) 3 patients (7%) experienced colitis ALT increased 5 (11%) 2 (5%) 2 patients (5%) required treatment discontinuation for TRAEs: 1 patient with Grade 3 maculopapular rash, Pruritus 5 (11%) 0 pruritis and febrile neutropenia; 1 patient with Grade 3 Pyrexia 5 (11%) 0 Triple-M overlap syndrome WBC decreased 3 (7%) 2 (5%) TRAEs are related to vilastobart or atezolizumab 21 Data cutoff date: May 12, 2025
Potential Development Plan for 3L+ MSS CRC in Patients Without Liver Metastases 3L+ MSS CRC Current Standard of Care in 3L+ MSS CRC Without Liver Metastases Provides Minimal Benefit Patient population Eligible for 3L+ therapy Median OS Investigational Arm Vilastobart + anti-PD-(L)1 Treatment Line ORR% (months) Regorafenib, Lonsurf or Fruquintinib Control Arm Regorafenib 3L/4L+ ~1% 6.4 (physician’s choice) OS Fruquintinib 3L/4L+ ~1.5% 7.4 Primary Endpoint (with opportunity to explore ORR for potential accelerated approval pathway) Lonsurf 3L/4L+ ~1.5% 7.1 Estimated # Patients for Phase 3 Study in US ~450 patients Lonsurf + Avastin 3L ~6% 10.8 Estimated Duration of Phase 3 Study in US ~27 months (from FPI to BLA submission) ≥ 25,000 patients Estimated Annual Incidence in US (MSS CRC without liver metastases) Plan to engage with FDA for feedback on development path Seeking opportunities to partner the vilastobart program to accelerate and expand further development and advance in 3L+ MSS CRC 22 FPI: first patient dosed
Broad Opportunity for Vilastobart Across a Range of Tumor Types Where Approved Therapies Have Insufficient Efficacy or Limited by Safety and Tolerability Issues “Cold Tumors” with Rationale Clinical Activity Demonstrated Potential to Replace Currently for Fc-Enhanced, for Anti-CTLA-4, But No Currently Approved Therapies Masked Anti-CTLA-4 Approved Therapies for Anti-CTLA-4 MSS CRC NSCLC (post PD-1 NSCLC progression) Pancreatic/ ampullary MSI-H CRC carcinoma Prostate cancer Hepatocellular Carcinoma Ovarian Neoadjuvant MSI-H CRC Esophageal (squamous) Sarcoma Gastric cancer Melanoma Esophageal (non-squamous) Renal Cell Carcinoma Squamous Cell Lung Cancer Urothelial cancer Neoadjuvant melanoma 23 FPI: first patient dosed
XTX301 Tumor-Activated IL-12
XTX301: Tumor-Activated IL-12 XTX301 Designed to Overcome the Limitations of Inactive State Systemic Recombinant Human IL-12 Half-Life Extension Domain Activated XTX301 designed to have optimized short half-life IL-12 (half-life extension domain not retained) Potential for broad therapeutic index supported by robust preclinical data Efficient activation by human tumors demonstrated ex vivo Robust anti-tumor activity and tumor-selective PD in vivo Preliminary Phase 1 data demonstrating promising clinical profile:1 Cleavage Site—Sustained IFNc signaling without evidence of tachyphylaxis throughout treatment cycles Effector Domain—Generally well-tolerated with no DLTs and no dose reductions observed Masking Domain—No Grade 4 or Grade 5 treatment-related AEs, with majority of treatment-related AEs Grade 1 or 2 MTD not yet established and continuing to advance in Phase 1 dose escalation in partnership with Gilead 1. As of November 25, 2024. Treatment-related AEs most commonly consisted of flu-like symptoms, cytokine release syndrome, increased aspartate aminotransferase (AST) and alanine aminotransferase (ALT) and decreased blood cell counts. 25 MTD: maximum tolerated dose
XTX301 Advancing in Partnership with Gilead, Designed to Explore Broad Potential of IL-12 Across Solid Tumors with $75M Option Fee at Phase 1/2 Data Package $55.0M Gilead received an exclusive global total received to date ($30M cash upfront payment + license to develop and commercialize $25M in total equity investments) Xilio’s tumor-activated IL-12 program, including XTX301 Up to $592.5M Xilio responsible for clinical development total contingent payments: of XTX301 in ongoing Phase 1 trial $17.5M development milestone prior to option fee through initial planned Phase 2 trial $75M option fee Up to $500M for additional development, regulatory Following delivery by Xilio of specified and sales-based milestones after option fee Phase 1/2 clinical data package, Gilead can elect to pay option fee and becomes responsible for all further development Tiered royalties: and commercialization for XTX301 high single-digits to mid-teens Contingent payments are subject to meeting the terms under Gilead agreement, as more fulsomely described in our public filings. If Gilead elects not to opt-in, the agreement will 26 automatically terminate
XTX501 PD-1/IL-2 bispecific
XTX501: Tumor-Activated PD-1/IL-2 Bispecific Designed to Enable High Potency, PD-1 Antibody-Like PK and Tolerability Demonstrated Synergistic Anti-Tumor Activity, Antibody-Inactive State Like PK and Favorable Tolerability in NHP Full potency alpha-optimized IL-2 with affinity-tuned, VHH-based mask Alpha-optimized IL-2 Non-masked PD1 in Fc-silenced heterodimeric IgG1 backbone Cleavage Site XTX501 designed to direct IL-2 to PD1+ T cells and induce a domain mAb variable differentiated, enhanced immune response to cancer compared to PD-(L)1 monotherapy or PD-(L)1 + IL-2 combination Effective masking in vitro, potent in vivo pharmacology as monotherapy and antibody-like half-life and tolerability in NHP XTX501 currently advancing in initial IND-enabling activities PD-1 mAb Masking Domain Next Anticipated Milestone Mid 2026: IND submission 28 NHP: non-human primate; VHH: variable heavy domain of heavy chain.
Tumor-Activated Design of XTX501 Demonstrated Optimal PK and Tolerability Preclinically Non-Masked PD-1/IL-2 Bispecific Was Rapidly XTX501 Achieved Antibody-Like Exposures and Cleared and Poorly Tolerated Was Well-Tolerated Even at High Doses Non-masked PD1/IL2 Bispecific Non-masked PD1/IL2 Bispecific XTX501 XTX501 Concentration vs. Time Body weight change vs. Time Concentration vs. Time Body weight change vs. Time 1000 20 1000 20 100 change 10 100 change 10 % % ug/mL 10 weight 0 ug/mL 10 weight 0 1 Body -10 1 -10 Body 0.1 -20 0.1 -20 0 100 200 300 400 0 5 10 15 0 100 200 300 400 0 5 10 15 Time (hr) Days post-treatment start Time (hr) Days post-treatment start Equimolar dosing aligned with XTX501 2.75 or 0.92 mg/kg intravenous injection in non-tumor bearing C57BL/6-hFcRn mice. Body weight data are displayed until day 14 the last time point measured.
XTX501 Demonstrated Tumor-Specific Pharmacology with Peripheral Effects Limited to Increases in Antigen-Specific/Memory Cells Peripheral Expansion of T Cells in Response to XTX501 XTX501 Treatment Demonstrated Robust Increases in Was Limited to Antigen-Specific/Memory Cells Activated T Cell Populations in Tumor 100 100 Spleen Tumor 80 80 60 60 Vehicle Vehicle 40 40 Over Over 20 20 change change 4 4 3 Fold 3 Fold 2 2 1 1 0 0 CD8 Effector Granz B IFN³ TCF1 Antigen-CD8 Effector Granz B IFN³ TCF1 Antigen-Memory specific Memory specific Vehicle XTX501 Vehicle XTX501 Female or vehicle C57BL/6 . The percentage hPD-1 mice of cells (n=5 for in each each treatment immune phenotype group) were was inoculated calculated with as 0 percentage .5x106 MC38 of live tumor CD45+ cells cells subcutaneously and the ratio in of the percent right flank cells . On after day XTX501 0, 3 mice treatment received to XTX501 vehicle treatment bispecific is presented as mean ± SEM. Effector memory (CD44+CD62L-), Antigen-Specific (p15E-Pentamer). Data generated with analogue of XTX501 with minimal variance in amino acid 30 sequence.
XTX501 Demonstrated Differentiated Pharmacology vs PD1 and Combination of PD1+IL-2 in Tumor Model, Suggesting Enhanced Anti-Tumor Immunity Preclinically Robust Preclinical Monotherapy Activity Beyond XTX501 Demonstrated Increased Intra-Tumoral Cytotoxic Fc-IL-2 + PD1 Combination was Observed with XTX501 and TCF1+ Stem-Like T Cells Tumor CD8+GranzymeB+ T cells Tumor CD8+TCF1+ T cells Fc-IL-2 + 20 20 Vehicle PD1 XTX501 Vehicle Vehicle 1000 15 15 500 Over Over Baseline 10 10 8 8 100 from 80 6 6 4 4 60 Change Change 40—2—2 Change 20 Fold 0 Fold 0 0 -20 Volume -40 -60 Tumor -80 -100 (pembrolizumab) Left panel: Female plus C57BL/6 XTX202 hPD (Masked -1 mice ²³ (n=8 IL- 2), in each or XTX501 treatment . Tumor group) volume were change inoculated on day with 12 MB49 post tumor treatment cells relative . On day to 0, baseline 5 mice received is shown vehicle as a waterfall or equimolar plot. Right doses panel: of anti Female -PD1 antibody plus C57BL/6 XTX202 hPD (Masked -1 mice (n=5 ²³IL in -2), each or XTX501 treatment . Tumors group) were were harvested inoculated on with day MB49 7 post tumor initial cells treatment . On day and 0, tumor 5 mice infiltrating received lymphocytes vehicle or equimolar were phenotyped doses of anti using -PD1 flow antibody cytometry (pembrolizumab) . Fold-over mean vehicle is shown for the treatment arms for CD8+/GranzymeB positive and CD8+/TCF1+ T cells. 31 Data generated with analogue of XTX501 with minimal variance in amino acid sequence.
XTX501 Demonstrated Favorable Tolerability in NHP Single Dose PK Study in NHP Minimal Effects of XTX501 on Serum Albumin Tolerable Up to 30 mg/kg (i.e., No Signs of Vascular Leak Syndrome) XTX501 Concentration Over Time Serum Albumin Concentration Over Time 1000 6 100 5 10 (g/dL) 4 3 g/mL 1 ¼ 3 mg/kg 0.1 LLOQ ALB 2 3 mg/kg 10 mg/kg 10 mg/kg 1 30 mg/kg 0.01 Reference range 30 mg/kg 0.001 0 0 100 200 300 400 0 168 336 Time (hr) Time (hr) Female PK analysis cynomolgus demonstrated monkeys dose were -proportional given a single exposure 30-minute and linear intravenous elimination infusion across of all XTX501 doses at tested 3, 10, . (B) and Albumin 30 mg/kg remained and samples within were normal collected ranges for in animals PK and receiving clinical pathology 3 and 10 analysis mg/kg PD . (A)— 1/IL-2 and was transiently decreased in animals receiving 30 mg/kg XTX501. There were no observed adverse clinical observations, and transaminase levels remained within normal 32 ranges for all animals. Data generated with analogue of XTX501 with minimal variance in amino acid sequence.
Development Strategy: Focus Phase 1 on Tumor Types with Demonstrated Responses to a Non-Masked PD-1/IL-2, Including Post-PD-1 and PD-L1 Low/Negative Tumors PD-(L)1 Monotherapy ORR: Lung adenocarcinoma 17% Clinical data for PD-(L)1 monotherapy and Lung SCC 17% for IBI363 (non-masked PD-1/IL-2) guide Head & neck SCC 16% Cervical & endocervical 15% strategy to start enrichment in Phase 1 for Colorectal, MSI-h 39% particular tumor types, including: Stomach adenocarcinoma 20% Skin cutaneous melanoma 37%—Melanoma (including mucosal) Breast, TNBC 21%*—NSCLC (PD-L1 low/negative; post IO) Kidney renal clear cell 20%* Thyroid carcinoma 6%*—HNSCC Bladder urothelial carcinoma 23%—Ovarian Breast, HER2+ 12%* Colorectal, MSS 0% Pancreatic adenocarcinoma 0% Breast, invasive 7%* Also consider: Ovarian cancer 11%*—Cervical Uterine corpus endometrial 19% Liver hepatocellular 15%—Breast (TNBC) Prostate adenocarcinoma 5%*—CRC Glioblastoma multiform 9%* 0 25 50 75 100 Fraction of tumors ( % ) list TCGA of indications data were of obtained interest from was www obtained .cbioportal from .org/. The molecular subtypes of colorectal and breast cancer samples were derived from Cortes-Ciriano I et al, 2017 and Lehmann BD et al, 2016 respectively. The Cristescu R et al, 2018 (10.1126/science.aar3593). The top tertile expression value was computed for both PD-1 and PD-L1 using all samples from all indications of 33 interest, and used as cutoff to determine the PD-1 and PD-L1 expression status (high, low) of each sample. Indications were sorted according to the percentage of PD-1high PD-L1high samples. PD-(L)1 monotherapy ORRs from Mao et al., Cancer Immunology, Immunotherapy, 2023 except where noted with asterisk *: ORRs here from Chen et al., Frontiers in Oncology, 2022
Masked T Cell Engager Programs
Masked T Cell Engagers (TCE) Have Untapped Potential in Solid Tumors TCEs are a promising new modality for cancer immunotherapy with meaningful clinical activity However, many compelling TCE targets have remained out of reach due to toxicity limitations TCEs simultaneously bind to CD3 on T cells and tumor-associated antigens (TAAs) on tumor cells forming a synapse that induces T cell-mediated killing of tumor cells Selective activation in the tumor via masking has been shown clinically to meaningfully improve the therapeutic index Masking has the potential to enable opportunities for many TAA targets previously thought to be undruggable Adding co-stimulatory signaling can further enhance sustained T cell-mediated killing 35
Masked T Cell Engagers are Designed to Optimize Therapeutic Index by Maximizing Tumor Exposure and Minimizing Peripheral Activity and Off-Tumor Cytotoxicity “ATACR” Format (masked cell engager) Designed to release a potent, short half-life T cell engager upon tumor-selective activation Optimized for speed + simplicity “SEECR” Format (masked cell engager + co-stimulatory domain) Builds on the ATACR format and adds a co-stimulatory domain designed to further enhance potency and durability of T cell response Added in Optimized for differentiation + enhanced activity SEECR format only Illustrations generated using Biorender.com 36 ATACR: advanced tumor-activated cell engager; SEECR: selective effector-enhanced cell engager
Xilio’s Masked T Cell Engagers Incorporate Our Validated Masking Approach, Conditional Half-Life Optimization +/- Co-Stimulation Target: PSMA Target: CLDN18.2 Target: STEAP1 (ATACR Format) (ATACR Format) (SEECR Format) Potential best-in-class anti-tumor First-in-class potential as masked T First-in-class potential as masked T activity and masking profile cell engager for CLDN18.2 cell engager for STEAP1 Designed with CD3 masking to Design incorporates preclinically Preclinical studies demonstrated release active molecule with short validated ATACR platform enhanced activity with antibody-like half-life components and high-affinity PK and favorable tolerability in vivo Protease-dependent activity CLDN18.2 binding domain Preclinical validation of multiple co-validated in vitro and in vivo stimulatory domains Anticipated Milestones: Q3 2025: nominate development candidate Q4 2025: nominate development candidate 1H 2026: nominate development candidate 2027: IND submissions for at least two masked T cell engager programs Addressable Tumor Types: Gastric, esophageal, Prostate, colorectal Prostate cancer pancreatic and lung cancers and lung cancers 37 PK: pharmacokinetics
ATACR Format for PSMA Demonstrated Potential for Improvement in Therapeutic Index In Vitro and Anti-Tumor Activity with Favorable Tolerability In Vivo ATACR Format for PSMA Demonstrated Potential for ATACR Format for PSMA Elicited Significant Protease-Meaningful Improvement in Therapeutic Index In Vitro Dependent Anti-Tumor Activity In Vivo T Cell Activation Anti-Tumor Activity SEM) 2500 100 + 2000 Vehicle 80 (mm³ 1500 TAA-ATACR Non-activatable Control Killing 1000 60 TAA-ATACR volume 500 *** 40 Tumor 0 20 0 5 10 15 20 Days post-treatment initiation %Normalized 0 -20 Tolerability 01 1 00 0 20 . 1 SEM) 0 1000 + Concentration (pM) ( 10 Vehicle PSMA-ATACR change 0 TAA-ATACR Non-activatable Control % PSMA-ATACR + MMP TAA-ATACR # weight -10 JANX007 (PSMA) JANX007# (PSMA) + MMP -20 Body 0 5 10 15 20 Days post-treatment initiation based Left panel: cell viability Primary readout human . Right T cells panel: were co A375 -cultured tumor with cells LNCAP were inoculated prostate cancer in NSG cells mice . Tumor engrafted cell killing with human in response T cells to . Anti indicated -tumor titrations activity and of test tolerability articles by was body evaluated weight using change a luciferase in response— 38 to indicated test articles was evaluated over time. Two-way ANOVA followed by Dunnett’s multiple comparisons test was used for statistical analysis (***P < 0.001) # JANX007 analogue generated in-house
SEECR Format Demonstrated Unique Ability to Drive Sustained, Serial Tumor Cell Killing Over Multiple Rounds of Stimulation in Preclinical Model Longitudinal Target Cell Killing 100 Killing 50 Addition of co-stimulatory signaling Cell resulted in sustained activity enabling Target more durable T cell responses % 0 1st 2nd 3rd 4th 5th Round Round Round Round Round Control TCE Non-masked TCE SEECR 39 Human T cells were incubated over five consecutive rounds with indicated test articles and A431 cancer cells and percent tumor cell killing was assessed using a luminescence readout.
Prototype SEECR Molecules Demonstrated Differentiated Activity Compared to Unmasked T Cell Engagers In Vivo SEECR Drove Enhanced Tumor T Cell SEECR Enabled Superior Anti-Tumor Activity Infiltration and Proliferation vs Non-Masked TCE in Multiple Mouse Models vs . 25 Breast Cancer Model 1 (CD3+) 100 1 cells 20 1200 TGI%=58 80 SEM) TGI%=110 T(live) cells + 15T 800 CD3TCE 60 (mm³ CD8 10 40 ** volume 400 changecontrol Ki67+ ***—5 20 **** Fold 0 0 Tumor 0 Percent 0 10 20 30 E E R E E R Days post-engraftment C C C C TTTT l l d o e d SEEC r o e SEEC Vehicle t r k t k n s n s o a o a Control TCE C C—m—m n Non-masked TCE n o o N SEECR N Left and middle panel: Immunophenotyping (flow cytometry) of tumor-infiltrating T cells from A375 tumor model treated with indicated test articles. Right panel: HCC70 tumor cells were inoculated in NSG mice engrafted with human T cells. Anti-tumor activity of indicated test articles was evaluated over time. Two-way ANOVA followed by Dunnett’s multiple comparisons 40 test was used for statistical analysis (*P < 0.05; **P < 0.005; ***P < 0.001)
Collaboration, License and Option Agreement with AbbVie to Develop Novel Tumor-Activated Immunotherapies, Including Masked T Cell Engagers $52.0M total received to date ($42M cash upfront payment + $10M equity investment) Initial programs for tumor-activated immunotherapies Up to ~$2.1B 1. Masked T cell engager program: total contingent payments: Xilio responsible for advancing through opt-in by AbbVie prior to IND submission option-related fees for masked T cell engager programs development, across all programs regulatory and sales-based milestones 2. Masked antibody-based program: Xilio responsible for advancing through early preclinical development Tiered royalties: mid to high single-digits Payments are subject to meeting the terms under the AbbVie agreement, as more fulsomely described in our public filings. Subject to the terms of the agreement, AbbVie has the right to 41 nominate up to two additional masked T cell engager programs (option programs).
Recent Financial Results and Management Overview
Q1 2025 Financial Results (1) Anticipate Cash Runway Into Q1 2026 Balance Sheet March 31, 2025 Cash and Cash Equivalents $89.1M Statement of Operations Three Months Ended March 31, 2025 Collaboration and License Revenue $2.9M Research & Development Expenses $8.3M General & Administrative Expenses $8.5M Net Loss $(13.3M) Common Stock Outstanding (2) Prefunded Warrants Outstanding (2) 51,782,273 shares of common stock 25,602,707 shares of common stock underlying prefunded warrants 1. Unaudited. Estimated cash runway is prior to any potential future contingent payments under AbbVie and Gilead agreements 43 2. As of May 5, 2025
Deep Expertise to Build a Transformational Immuno-Oncology Company ULI BIALUCHA, PH.D. SCOTT COLEMAN, PH.D. Chief Scientific Officer Chief Development Officer CHRIS FRANKENFIELD CAROLINE HENSLEY Chief Financial and Operating Officer Chief Legal Officer KATARINA LUPTAKOVA, M.D. RENÉ RUSSO, PHARM.D. Chief Medical Officer Chief Director Executive Officer and President, Experienced Leadership Team with Proven Track Record in Biotech and Pharma Developing Novel Therapies 44
Exhibit 99.2
Xilio Therapeutics Announces Updated Phase 2 Data for Vilastobart, a Tumor-Activated Anti-CTLA-4, in Combination with Atezolizumab in Patients with Metastatic Microsatellite Stable Colorectal Cancer
26% preliminary objective response rate observed in heavily pre-treated patients with metastatic microsatellite stable colorectal cancer (MSS CRC) without liver metastases
Deep and durable responses ongoing for up to 37 weeks through the data cutoff, accompanied by substantial decreases in tumor biomarkers and improvements in clinical symptoms
MSS CRC patient with liver metastasis and previously reported confirmed partial response from Phase 1C (combination dose escalation) remains on treatment after more than 14 months
Combination continued to demonstrate differentiated safety and tolerability profile with low incidence of colitis and other immune-related adverse events
Data are being presented in a poster presentation today at the 2025 ASCO Annual Meeting
WALTHAM, Mass., May 31, 2025 — Xilio Therapeutics, Inc. (Nasdaq: XLO), a clinical-stage biotechnology company discovering and developing tumor-activated immuno-oncology therapies for people living with cancer, today announced updated data from its ongoing Phase 2 clinical trial evaluating vilastobart, a tumor-activated, Fc-enhanced, high affinity binding anti-CTLA-4, in combination with atezolizumab (Tecentriq®) in patients with metastatic MSS CRC. The data will be presented in a poster session (abstract #3553) today at the American Society of Clinical Oncology (ASCO) Annual Meeting in Chicago.
“These Phase 2 data for the combination of vilastobart and atezolizumab demonstrate a meaningfully differentiated safety and tolerability profile for an anti-CTLA-4 combination therapy, together with a preliminary 26% objective response rate in patients with late-line metastatic MSS CRC without liver metastases,” said Katarina Luptakova, M.D., chief medical officer of Xilio. “Responses were deep and durable for up to 37 weeks and were accompanied by substantial decreases in tumor biomarkers such as circulating tumor DNA and improvements in clinical symptoms. Currently, no immunotherapy treatment options are available for patients with MSS CRC, an immunologically cold tumor type that is rising in incidence. We are very encouraged by these data demonstrating the potential of vilastobart, a next generation anti-CTLA-4, as a combination therapy not only for patients with MSS CRC but also a range of other tumor types traditionally resistant to treatment with immunotherapy.”
“These data further highlight the potential for vilastobart, a tumor-activated anti-CTLA-4, in combination with PD-(L)1 inhibitors to provide a meaningful clinical benefit for patients with metastatic MSS CRC without liver metastases, an area of significant and increasing unmet need, especially in younger people,” said Marwan G. Fakih, M.D., Professor in the Department of Medical Oncology and Therapeutics Research and Division Head, GI Medical Oncology at City of Hope. “I am particularly excited to see the depth and durability of responses in these late-line patients, as well as the low incidence of colitis and other immune-related adverse events that are common dose-limiting adverse events for other anti-CTLA-4 agents. Beyond MSS CRC, I believe these data support the potential for vilastobart as a combination therapy across a range of tumor types, including those where toxicity has limited the significant opportunity for anti-CTLA-4 to date.”
Updated Data from Phase 2 Trial for Vilastobart, a Tumor-Activated Anti-CTLA-4, in Combination with Atezolizumab in Patients with Metastatic MSS CRC
As of a data cutoff date of May 12, 2025, 44 patients with metastatic MSS CRC had been treated with the combination of vilastobart at 100 mg once every six weeks (Q6W) and atezolizumab at 1200 mg once every three weeks (Q3W). The median age was 55 years (ranging from 25 to 82 years), and patients were heavily pre-treated, with 80% having previously received three or more prior lines of anti-cancer therapy.
Anti-Tumor Activity Data
In patients with metastatic MSS CRC without liver metastases, the preliminary objective response rate (ORR) was 26% with seven partial responses (PRs), including six confirmed PRs. Responses were deep and durable and were accompanied by substantial decreases in tumor biomarker levels, as well as improvements in clinical symptoms.
As of the data cutoff date, 44 patients were evaluated for response (per RECIST version 1.1 criteria), consisting of 27 patients without liver metastases and 17 patients with liver metastases.
In patients with metastatic MSS CRC without liver metastases:
| • | Investigators reported a preliminary ORR of 26% consisting of seven PRs (six confirmed, including two confirmed after the data cutoff, and one unconfirmed), with six of these patients still on treatment as of the data cutoff date. Responders included a patient with peritoneal metastases as well as patients with both KRAS mutant and KRAS wild type tumors. In addition, investigators reported stable disease in five patients without liver metastases, with three of these patients remaining on treatment as of the data cutoff date. |
| • | Responses were deep and durable, with reductions in target lesions of up to 71% from baseline and responders ongoing on treatment for up to 37 weeks as of the data cutoff date. |
| • | Responses were accompanied by substantial decreases in tumor biomarkers for circulating tumor DNA (ctDNA) and carcinoembryonic antigen (CEA) levels. In addition, investigators observed improvements in clinical symptoms. |
In patients with metastatic MSS CRC with liver metastases, investigators reported stable disease in three patients, each of whom was still on treatment as of the data cutoff date.
Safety Data
The combination of vilastobart and atezolizumab continued to demonstrate a differentiated and well-tolerated safety profile, consistent with the tumor-selective design for vilastobart. Patients experienced a low incidence of immune-mediated adverse events (imAEs), including only three patients (7%) experiencing colitis.
As of the data cutoff date, 44 patients were evaluable for safety. Across all patients treated, the combination of vilastobart at 100 mg Q6W and atezolizumab at 1200 mg Q3W was generally well-tolerated:
| • | Only three patients (7%) experienced colitis (one patient with Grade 1 colitis and two patients with Grade 3 colitis). In addition, only 11 patients (25%) required steroids or other immunosuppression for imAEs. |
| • | Only two patients (5%) discontinued treatment for the combination of vilastobart and atezolizumab due to a treatment-related adverse event (AE). |
| • | The most common treatment-related AEs (≥10% incidence) of any grade reported by investigators were fatigue (30%); infusion-related reactions (23%); diarrhea (18%); aspartate aminotransferase (AST) increase (14%); alanine aminotransferase (ALT) increase (11%); pruritus (11%); and pyrexia (11%). |
| • | The only Grade 3 treatment-related AEs reported by investigators in more than one patient were the following (2 patients each (5%)): colitis; AST increase; ALT increase; infusion-related reactions; and white blood cell decrease. |
| • | As previously reported, there were no Grade 5 treatment-related AEs and investigators reported only two Grade 4 treatment-related AEs (laboratory abnormalities of thrombocytopenia and neutropenia, one patient each) both of which resolved. |
Phase 1C (Combination Dose Escalation) Updates
In the ongoing Phase 1C, the 150 mg Q6W dose level was recently cleared for vilastobart, and evaluation of patients enrolled in Phase 1C is ongoing.
In addition, as previously reported, an MSS CRC patient with a metastatic liver lesion enrolled in Phase 1C achieved a confirmed partial response, including full resolution of the liver lesion. As of the data cutoff date, this patient was still on treatment after more than 14 months.
Clinical Development Plans for Vilastobart
In the ongoing Phase 2 trial, Xilio recently began enrolling a cohort of patients with metastatic MSS CRC at the 150 mg Q6W dose level for vilastobart. Xilio anticipates initially enrolling approximately 10 patients with metastatic MSS CRC without liver metastases in the Phase 2 trial at the 150 mg Q6W dose level for vilastobart, with the goal of further evaluating the efficacy and safety of the combination at this higher dose level. Xilio anticipates reporting additional data from the Phase 2 trial in the first half of 2026, including data for patients at the 150 mg Q6W dose level for vilastobart.
Based on the encouraging Phase 1/2 data for vilastobart in patients with metastatic MSS CRC, Xilio is seeking opportunities to partner the vilastobart program to accelerate and expand further development.
About Vilastobart and the Phase 1/2 Combination Clinical Trial
Vilastobart is an investigational tumor-activated, Fc-enhanced, high affinity binding anti-CTLA-4 monoclonal antibody designed to block CTLA-4 and deplete regulatory T cells when activated in the tumor microenvironment (TME). In 2023, Xilio entered into a co-funded clinical trial collaboration with Roche to evaluate vilastobart in combination with atezolizumab (Tecentriq®) in a multi-center, open-label Phase 1/2 clinical trial. Xilio is currently evaluating the safety of the combination in Phase 1C dose escalation in patients with advanced solid tumors and the efficacy and safety of the combination in Phase 2 in patients with metastatic microsatellite stable colorectal cancer (MSS CRC) with and without liver metastases. Please refer to NCT04896697 on www.clinicaltrials.gov for additional details.
About Xilio Therapeutics
Xilio Therapeutics is a clinical-stage biotechnology company discovering and developing tumor-activated, or masked, immuno-oncology (I-O) therapies with the goal of significantly improving outcomes for people living with cancer without the systemic side effects of current I-O treatments. The company is leveraging its proprietary platform to advance a pipeline of novel, tumor-activated I-O molecules that are designed to optimize the therapeutic index by localizing anti-tumor activity within the tumor microenvironment. Learn more by visiting www.xiliotx.com and follow us on LinkedIn (Xilio Therapeutics, Inc.).
Cautionary Note Regarding Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, statements regarding the potential for vilastobart to provide benefit as a combination therapy in any indication or at any dose level; the development plans for vilastobart and the timing thereof; the timing of clinical data for vilastobart; the ultimate efficacy and safety profile of vilastobart; the ability to partner the vilastobart program; and Xilio’s strategy, goals and anticipated financial performance, milestones, business plans and focus. The words “aim,” “may,” “will,” “could,” “would,” “should,” “expect,” “plan,” “anticipate,” “intend,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue,” “seek,” “target” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Any forward-looking statements in this press release are based on management’s current expectations and beliefs and are subject to a number of important risks, uncertainties and other factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this press release, including, without limitation, risks related to general market conditions and geopolitical uncertainties; risks and uncertainties related to ongoing and planned research and development activities, including initiating, conducting or completing preclinical studies and clinical trials and the timing and results of such preclinical studies or clinical trials; the delay of any current or planned preclinical studies or clinical trials or the development of Xilio’s current or future product candidates; Xilio’s ability to obtain and maintain sufficient preclinical and clinical supply of current or future product candidates; Xilio’s ability to advance multiple early stage masked T cell engager programs; initial, preliminary or interim preclinical or clinical data or results may not be replicated in or predictive of future preclinical or clinical data or results; Xilio’s ability to successfully demonstrate the safety and efficacy of its product candidates and gain approval of its product candidates on a timely basis, if at all; results from preclinical studies or clinical trials for Xilio’s product candidates may not support further development of such product candidates; actions of regulatory agencies may affect the initiation, timing and progress of current or future clinical trials; Xilio’s ability to obtain, maintain and enforce patent and other intellectual property protection for current or future product candidates; Xilio’s need to obtain additional cash resources to fund its operations beyond the first quarter of 2026, including to advance its pipeline of tumor-activated I-O molecules; the impact of international trade policies on Xilio’s business, including U.S. and China trade policies; and Xilio’s ability to maintain its collaboration or partnership agreements with AbbVie, Gilead and Roche. These and other risks and uncertainties are described in greater detail in the sections entitled “Risk Factor Summary” and “Risk Factors” in Xilio’s filings with the U.S. Securities and Exchange Commission (“SEC”), including Xilio’s most recent Quarterly Report on Form 10-Q and any other filings that Xilio has made or may make with the SEC in the future. Any forward-looking statements contained in this press release represent Xilio’s views only as of the date hereof and should not be relied upon as representing its views as of any subsequent date. Except as required by law, Xilio explicitly disclaims any obligation to update any forward-looking statements.
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