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标题: 箭头开始第1阶段试的RNAi治疗ARC-520用于治疗慢性乙型肝炎感 [打印本页]

作者: StephenW    时间: 2013-7-23 21:36     标题: 箭头开始第1阶段试的RNAi治疗ARC-520用于治疗慢性乙型肝炎感

Arrowhead Begins Phase 1 Trial of RNAi Therapeutic ARC-520 for Treatment of Chronic Hepatitis B Infection


PASADENA, Calif. - July 23, 2013 - Arrowhead Research Corporation (NASDAQ: ARWR), a biopharmaceutical company developing targeted RNAi therapeutics, today announced that it has initiated dosing in a Phase 1 clinical trial of ARC-520, the Company's candidate for the treatment of chronic hepatitis B virus infection. Trial initiation followed successful completion of the Clinical Trial Notification (CTN) regulatory process in Australia. The objectives of the study are to characterize the safety profile of ARC-520, determine maximum tolerated dose, and evaluate pharmacokinetics in healthy volunteers. ARC-520 is the first candidate to use Arrowhead's proprietary Dynamic Polyconjugate (DPC) delivery platform and includes two distinct siRNA sequences that have pan-genotypic coverage for 99.6% HBV GenBank sequences.  

The Phase 1 trial is a single-center, randomized, double-blind, placebo-controlled, single dose-escalation, first-in-human study of ARC-520 administered intravenously to healthy adult volunteers and is being conducted in Melbourne, Australia. Each dose cohort includes 6 subjects randomized at ratio of 1:2 (placebo: active) to receive a single intravenous injection of either placebo or ARC-520. Arrowhead expects to complete this Phase 1 trial in the fourth quarter of 2013 and begin a Phase 2a trial in chronic HBV patients in 2014.

"This Phase 1 study will establish a safety profile for ARC-520 as well as provide the first human data for our DPC delivery platform. This is an important step forward as we seek to advance ARC-520 into HBV patients and build additional RNAi therapeutics based on what we believe is the most potent delivery system in the industry," said Dr. Christopher Anzalone, President and Chief Executive Officer.

Hepatitis B is the world's most common serious liver infection. It is estimated that 350 million people worldwide are chronically infected with HBV, representing approximately 1 in 20 people on the planet. No currently available treatment methods can reliably achieve meaningful cure rates. ARC-520 is designed to reduce the production of new viral particles and viral proteins. Many experts believe that reducing key viral proteins can revive patients' adaptive immune response and potentially lead to a functional cure of chronic HBV infection with a finite treatment regimen. Arrowhead previously presented data generated in rodent models and in a chimpanzee chronically infected with HBV, showing that ARC-520 induces rapid, deep, and durable knockdown of both circulating HBV DNA and key viral proteins, including hepatitis B s-antigen, e-antigen, and the core protein that forms the capsid.

About ARC-520

Approximately 350 million people worldwide are chronically infected with the hepatitis B virus. Chronic HBV infection can lead to cirrhosis of the liver and is responsible for 80% of primary liver cancers globally. Arrowhead's RNAi-based candidate ARC-520 is designed to treat chronic HBV infection by reducing the expression and release of new viral particles and key viral proteins. The goal is to achieve a functional cure, which is an immune clearant state characterized by hepatitis B s-antigen negative serum with or without sero-conversion. The siRNAs in ARC-520 intervene at the point of DNA transcription, upstream of where nucleotide and nucleoside analogues act. In transient and transgenic mouse models of HBV infection, a single co-injection of Arrowhead's DPC delivery vehicle with cholesterol-conjugated siRNA targeting HBV sequences resulted in multi-log knockdown of HBV RNA, proteins and viral DNA with long duration of effect. In a chimpanzee chronically infected with HBV and high viremia and antigenemia, ARC-520 induced rapid reductions of 90-95% in HBV DNA, e-antigen, and s-antigen. Arrowhead is conducting a phase 1 single ascending dose study in normal volunteers, which the company expects to follow with a phase 2a study in chronic HBV patients.



About Arrowhead Research Corporation



Arrowhead Research Corporation is a biopharmaceutical company developing targeted RNAi therapeutics. The company is leveraging its proprietary drug delivery technologies to develop targeted drugs based on the RNA interference (RNAi) mechanism that efficiently and specifically silence target genes. Arrowhead technologies also enable partners to create peptide-drug conjugates (PDCs) that specifically home to cell types of interest while sparing off-target tissues. Arrowhead's pipeline includes programs in chronic hepatitis B virus, obesity, and cancer.



For more information please visit http://www.arrowheadresearch.com, or follow us on Twitter @ArrowRes. To be added to the Company's email list to receive news directly, please send an email to [email protected]

作者: StephenW    时间: 2013-7-23 21:38

箭头开始第1阶段试的RNAi治疗ARC-520用于治疗慢性乙型肝炎感染


加利福尼亚州帕萨迪纳 -  7月23日,2013  - ,一家生物制药公司,开发有针对性的RNAi疗法箭头研究公司(NASDAQ:ARWR)今天宣布,它已开始在第1阶段的临床试验,ARC-520给药,本公司的候选者治疗慢性乙肝病毒感染者。审判开始,随后成功完成临床试验的通知(CTN)澳大利亚监管过程中。研究目标是表征ARC-520的安全性,确定最大耐受剂量,并评估在健康志愿者中的药代动力学。 ARC-520是第一候选人使用箭头的专有的动态Polyconjugate(DPC)交付平台,并包括两个不同的siRNA序列有99.6%HBV GenBank中序列覆盖泛基因型。

第一阶段的试验是一个单中心,随机,双盲,安慰剂对照,单剂量递增,第一,在人类研究ARC-520静脉给药健康成年志愿者,并在澳大利亚墨尔本进行。每一个剂量组群包括6个科目的比例为1:2(安慰剂组:活跃)接受单次静脉注射安慰剂或ARC-520随机。箭头预计在2013年第四季度完成此第1阶段临床试验,并开始在2014年慢性乙肝患者中的一个阶段2a试算。

“这第一阶段的研究将建立一个安全配置文件ARC-520,以及提供为我们DPC交付平台的人类最早的数据,这是向前迈出的重要一步,因为我们寻求推进到乙肝患者的ARC-520和增建RNAi疗法基础上,我们相信什么是最有效的传递系统在同行业中,说:“博士,总裁兼首席执行官克里斯托弗·Anzalone。

乙型肝炎是世界上最常见的严重的肝脏感染。据估计,全世界350万人感染慢性乙肝病毒,代表约20人在这个星球上。目前没有可用的治疗方法能够可靠地实现有意义的治愈率。 ARC-520的设计,以减少生产新的病毒颗粒或病毒的蛋白质。许多专家认为,减少关键病毒蛋白,可以恢复患者的适应性免疫反应,并可能导致有限的治疗方案治疗慢性HBV感染的功能。箭头以前提出的啮齿类动物模型,并在慢性HBV感染的黑猩猩中产生的数据,ARC-520诱导快速,深沉,持久击倒循环HBV DNA和病毒蛋白关键,包括乙肝表面抗原的,e抗原,核心蛋白形成的衣壳。

关于ARC-520

世界各地的约350万人感染慢性乙肝病毒。慢性乙肝病毒感染可导致肝硬化和原发性肝癌的全球癌症的80%负责。箭头的RNAi为基础的候选人ARC-520是用来治疗慢性乙肝病毒感染新的病毒颗粒和关键病毒蛋白的表达和释放减少。我们的目标是实现一个功能的固化,这是一个免疫clearant的状态,其特征在于由B型肝炎表面抗原的血清转换带或不带阴性血清。 ARC-520的siRNA介入在该点的DNA的转录,在核苷酸和核苷类似物作为上游。 HBV序列的HBV感染,单一合作注入箭头的DPC运载工具与胆固醇结合的siRNA靶向在瞬态和转基因小鼠模型中导致乙肝病毒RNA,蛋白质和病毒DNA多日志击倒的效果持续时间长。在黑猩猩的慢性感染和HBV病毒血症和高抗原,ARC-520诱导快速减少90-95%的HBV DNA,e抗原和表面抗原的。箭头进行第一阶段的单剂量递增研究中正常的志愿者,该公司预计在慢性乙肝患者遵循一个阶段2a研究。



关于箭头的研究公司



箭头研究公司是一家生物制药公司,开发有针对性的RNAi疗法。该公司利用其专有的给药技术,制定有针对性的药物的基础上的RNA干扰(RNAi)机制,有效和具体的靶基因沉默。慈姑技术也使合作伙伴能够创建肽偶联药物(PDC)的特别感兴趣的细胞类型,同时保留脱靶组织。箭头的管道,包括计划在慢性B型肝炎病毒,肥胖和癌症。


作者: jsmscym    时间: 2013-7-23 21:51

5年内用于临床就不错了
作者: mingbai    时间: 2013-7-23 23:25

好消息,希望快点临床
作者: 咬牙硬挺    时间: 2013-7-24 12:36

感谢分享


作者: 次第332    时间: 2013-7-24 16:36

这个若是有效的话 是达到什么样的效果呢?请问  前几天看王宇医生说的 现在研究方向都是错误的 感觉很不开心啊
作者: StephenW    时间: 2013-7-24 17:00

回复 次第332 的帖子

这个若是有效的话 是达到什么样的效果呢?
降低HBVDNA,HBeAg的数量,乙肝表面抗原数量.

王宇(?)医生说的 现在研究方向都是错误的 - 为什么呢?
作者: 次第332    时间: 2013-7-24 17:54

回复 StephenW 的帖子

就是有一个帖子里面 他说了很多 我就是这么理解的 是王振宇吧 名字写错了 不好意思
作者: StephenW    时间: 2013-7-24 19:20

回复 次第332 的帖子

据他,人人是错的,一切是错的,除了他自己和拉米夫定
作者: 希望奇迹    时间: 2013-7-24 20:31

静侯佳音!
作者: StephenW    时间: 2013-7-27 18:51

一些更多的信息
http://clinicaltrials.gov/ct2/show/study/NCT01872065?term=arrowhead+research&rank=1
Some more information:

Study Type:     Interventional
Study Design:     Allocation: Randomized
Endpoint Classification: Safety Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title:     A Phase I, Randomized, Double-Blind, Placebo-Controlled, Dose-Escalating Study to Evaluate the Safety, Tolerability and Pharmacokinetics of ARC-520 in Normal Adult Volunteers

Further study details as provided by Arrowhead Research Corporation:

Primary Outcome Measures:

    To determine the incidence and frequency of adverse events as a measure of safety and tolerability of ARC-520 [ Time Frame: One month ] [ Designated as safety issue: Yes ]
    The incidence and frequency of adverse events (AEs), serious adverse events (SAEs), related AEs, related SAEs, and AEs leading to withdrawal, dose modification, or treatment discontinuation will be summarized by dose and treatment group.


Secondary Outcome Measures:

    To evaluate the pharmacokinetics of ARC-520 at different dose concentrations [ Time Frame: 2 days ] [ Designated as safety issue: No ]
    Plasma concentrations following a single dose of ARC-520 at different dose levels will be used to calculate the following ARC-520 pharmacokinetic parameters: Cmax, tmax, AUC0-24, AUCinf, and t1/2. Descriptive statistics of pharmacokinetic parameters will include mean, standard deviation, and coefficient of variation.


Estimated Enrollment:     44
Study Start Date:     July 2013
Estimated Primary Completion Date:     October 2013 (Final data collection date for primary outcome measure)

研究类型:介入
研究设计:分配:随机
端点分类:安全性研究
介入模式:并行分配
屏蔽:双盲(主题,照顾者,研究者,成果评税)
主要目的:治疗
官方题名:A阶段随机,双盲,安慰剂对照,剂量递增研究,以评价其安全性,耐受性和药代动力学的ARC-520在正常成人志愿者

进一步研究细节箭头研究公司所提供的:

主要成果的措施:

    要确定不良事件的发生率和频率作为衡量安全性和耐受ARC-520[时限:一个月] [指定安全问题:是]
    将总结剂量和治疗组的不良事件(AE),严重不良事件(SAE),相关的不良事件,相关的严重不良反应,不良事件导致停药,调整剂量或停药的发生率和频率。


次要结局指标:

    为了评估不同剂量浓度的ARC-520的药代动力学研究[时间框架:2天][指定安全问题:否]
    将被用于在不同剂量水平的单剂量ARC-520后的血浆浓度,来计算以下ARC-520的药代动力学参数:tmax分别的Cmax,AUC 0-24,AUCinf,和t1/ 2。药代动力学参数,包括描述性统计均值,标准差,变异系数。


预计招生:44
研究开始日期:2013年7月
估计完成日期:10月2013(主要转归指标的最终数据收集日期)

作者: tonychant    时间: 2013-8-2 06:06

默默祈祷吧!
作者: 疯一点好    时间: 2013-8-2 09:50

又是好消息呢,这样的报道越多越好,有一定的实现率吧,希望我们能等到有救的那天吧。
作者: wunaidewo    时间: 2013-8-2 11:43

剑头公司是美国纳斯达克上市的一家科技公司,该公司股价近一个月已经上涨一倍,堪比重庆啤酒!希望美国的上市公司能靠谱点。默默祈祷!
作者: hchu    时间: 2013-8-2 16:16

如果明年如期转入香港在携带者身上进行实验,那希望就大大增加了。




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