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标题: Arbutus宣布,在慢性乙型肝炎受試者中,每8週以60 mg的劑量服 [打印本页]

作者: StephenW    时间: 2020-12-11 10:38     标题: Arbutus宣布,在慢性乙型肝炎受試者中,每8週以60 mg的劑量服

Arbutus Announces Robust HBsAg Decline Data with AB-729 Dosed at 60 mg Every 8 Weeks in Chronic Hepatitis B Subjects
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December 10, 2020 07:30 ET | Source: Arbutus Biopharma Corporation

Repeat dosing of 60 mg AB-729 every 8 weeks resulted in mean HBsAg declines of –1.37 log10 (N=6) comparable to AB-729 dosed every 4 weeks (–1.44 log10, N=7, p<0.7)

AB-729 remains generally safe and well tolerated with no SAEs or treatment discontinuations in any cohort

WARMINSTER, Pa., Dec. 10, 2020 (GLOBE NEWSWIRE) -- Arbutus Biopharma Corporation (Nasdaq: ABUS), a clinical-stage biopharmaceutical company primarily focused on developing a cure for people with chronic hepatitis B virus (HBV) infection as well as therapies to treat coronaviruses (including COVID-19), today announced additional clinical data from an ongoing Phase 1a/1b clinical trial (AB-729-001) with AB-729, its proprietary GalNAc delivered RNAi compound.

William Collier, President and Chief Executive Officer of Arbutus, stated, “Throughout 2020, Arbutus has reported data that demonstrate the robust safety and efficacy of AB-729 in multiple patient cohorts. These data support advancing AB-729 into phase 2a clinical studies in 2021 and further support our confidence in its potential to become a cornerstone drug in future combination regimens to cure chronic hepatitis B.”

Summary of new data

Repeat dosing of AB-729 60 mg every 4 and 8 weeks results in comparable declines in mean HBsAg through week 16
Δlog10 HBsAg/(SE)
(IU/mL)        Mean (SE) Week 12        Mean (SE) Week 16        Mean (SE) Week 24
Cohort E Q4W (N=7)        -1.10 (0.15)        -1.44 (0.18)        -1.84 (0.16)
Cohort F Q8W (N=7)        -1.02 (0.11)        -1.37* (0.08)        N/A**

*Mean determined based on N=6 since one subject has not reached week 16.
**Data not yet available since none of the subjects have reached week 24.

Dr. Gaston Picchio, Chief Development Officer of Arbutus, commented, “The mean reduction in HBsAg seen at week 16 in Cohort F suggests that AB-729 could offer patients the advantage of being dosed every 8 weeks versus every 4 weeks. Further dosing should allow us to confirm this finding.”

Dr. Picchio added, “Importantly, safety continues to be unremarkable. We have not seen any related Grade 3/4 AEs or treatment-related discontinuations in any cohorts to date. In Cohort F, two subjects had asymptomatic ALT elevations not considered AEs; one subject with Grade 1 ALT elevations prior to trial entry has had intermittent Grade 2 elevations, while another subject had a transient Grade 1 elevation which resolved with continued treatment.

Further, in Cohort E, the two subjects previously reported with Grade 2 and two subjects with Grade 1 ALT elevations have improved to Grade 1 and Grade 0, respectively, after week 24. All seven subjects in the cohort have consented to continue dosing with AB-729 for an additional 6 months.”

Summary of clinical trial design

AB-729-001 is an ongoing first-in-human clinical trial consisting of three parts:
In Part 1, three cohorts of healthy subjects were randomized 4:2 to receive single-doses (60 mg, 180 mg or 360 mg) of AB-729 or placebo.

In Part 2, non-cirrhotic, HBeAg positive or negative, chronic HBV subjects (N=6) on a background of nucleos(t)ide therapy with HBV DNA below the limit of quantitation received single-doses (60 mg to 180 mg) of AB-729. An additional cohort in Part 2 included 90 mg single-dose of AB-729 in HBV DNA positive chronic HBV subjects.

In Part 3, chronic HBV subjects, HBV DNA negative first and HBV DNA positive later, are receiving multi-doses of AB-729 for up to six months.

About AB-729

AB-729 is an RNA interference (RNAi) therapeutic targeted to hepatocytes using Arbutus’ novel covalently conjugated N-acetylgalactosamine (GalNAc) delivery technology that enables subcutaneous delivery. AB-729 inhibits viral replication and reduces all HBV antigens, including hepatitis B surface antigen in preclinical models. Reducing hepatitis B surface antigen is thought to be a key prerequisite to enable reawakening of a patient’s immune system to respond to the virus. In an ongoing single- and multi-dose Phase 1a/1b clinical trial, AB-729 demonstrated positive safety and tolerability data and meaningful reductions in hepatitis B surface antigen.
作者: StephenW    时间: 2020-12-11 10:39

Arbutus宣布,在慢性乙型肝炎受試者中,每8週以60 mg的劑量服用AB-729,HBsAg下降的穩健數據
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美國東部時間2020年12月10日07:30 |資料來源:楊梅生物製藥公司

每8週重複給藥60 mg AB-729,平均HBsAg下降–1.37 log10(N = 6),相當於每4週一次AB-729給藥(–1.44 log10,N = 7,p <0.7)

AB-729通常保持安全並且耐受性良好,任何隊列均無SAE或治療中斷

賓夕法尼亞州沃明斯特,2020年12月10日(全球新聞)-臨床階段生物製藥公司Arbutus Biopharma Corporation(Nasdaq:ABUS),主要致力於為慢性乙型肝炎病毒(HBV)感染者開發治療方法作為治療冠狀病毒(包括COVID-19)的療法,今天宣布了正在進行的1a / 1b階段臨床試驗(AB-729-001)的其他臨床數據,其中包括其專有的GalNAc交付的RNAi化合物AB-729。

Arbutus總裁兼首席執行官William Collier表示:“整個2020年,Arbutus報告的數據證明了AB-729在多個患者隊列中的強大安全性和有效性。這些數據支持將AB-729推進到2021年的2a期臨床研究,並進一步支持我們對其在未來治療慢性乙型肝炎的聯合療法中成為基礎藥的潛力的信心。”

新數據匯總

每4和8週重複服用AB-729 60 mg,導致第16週的平均HBsAg下降相當
Δlog10HBsAg /(SE)
(IU / mL)平均(SE)第12周平均(SE)第16周平均(SE)第24週
同類群組E Q4W(N = 7)-1.10(0.15)-1.44(0.18)-1.84(0.16)
同類群組F Q8W(N = 7)-1.02(0.11)-1.37 *(0.08)N / A **

*由於一名受試者尚未達到第16週,因此根據N = 6得出的平均值。
**由於沒有受試者達到第24週,因此尚未提供數據。

Arbutus首席開發官Gaston Picchio博士評論說:“在隊列F中,第16週的HBsAg平均降低表明,AB-729可以為患者提供每8周而不是每4週一次給藥的優勢。進一步加藥應使我們能夠確認這一發現。”

Picchio博士補充說:“重要的是,安全性仍然不顯著。迄今為止,我們尚未在任何隊列中看到任何相關的3/4級AE或與治療相關的停藥。在隊列F中,兩名受試者的無症狀ALT升高不被視為AE。一名患者在進入試驗前患有ALT升高1級的受試者間歇性地發生了2級升高,而另一名受試者的瞬時ALT升高了一次,並通過繼續治療而消失。

此外,在隊列E中,先前報告的2位受試者和2位ALT升高的兩名受試者在24週後分別改善為1級和0級。該隊列中的所有7位受試者均同意繼續使用AB給藥-729,再增加6個月。”

臨床試驗設計總結

AB-729-001是一項正在進行的首次在人體中進行的臨床試驗,包括三個部分:
在第1部分中,將三組健康受試者以4:2隨機分配,以接受單劑量(60 mg,180 mg或360 mg)的AB-729或安慰劑。

在第2部分中,接受低於定量限的HBV DNA核苷酸治療的非肝硬化,HBeAg陽性或陰性的慢性HBV受試者(N = 6)接受單劑量(60 mg至180 mg) AB-729。第2部分中的另一個隊列包括在HBV DNA陽性慢性HBV受試者中90 mg單劑量的AB-729。

在第3部分中,慢性HBV受試者首先接受HBV DNA陰性,然後接受HBV DNA陽性,最多可接受六個月的多劑量AB-729。

關於AB-729

AB-729是一種利用Arbutus的新型共價結合N-乙酰半乳糖胺(GalNAc)輸送技術實現肝細胞靶向的RNA干擾(RNAi)治療劑,可實現皮下輸送。在臨床前模型中,AB-729抑制病毒複製並減少所有HBV抗原,包括乙肝表面抗原。減少乙型肝炎表面抗原被認為是重新喚醒患者免疫系統以應對病毒的關鍵前提。在一項正在進行的單劑量和多劑量1a / 1b期臨床試驗中,AB-729證實了積極的安全性和耐受性數據以及乙肝表面抗原的顯著降低。
作者: 齐欢畅    时间: 2020-12-12 00:36






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