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肝胆相照论坛 论坛 学术讨论& HBV English 春季银行制药(灰飞虱)开始在加药实现全球第2阶段计划 ...
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春季银行制药(灰飞虱)开始在加药实现全球第2阶段计划在H [复制链接]

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发表于 2016-6-23 05:16 |只看该作者 |倒序浏览 |打印
Spring Bank Pharmaceuticals (SBPH) Begins Dosing in ACHIEVE Global Phase 2 Program Evaluating SB 9200 in HBV

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June 22, 2016 8:11 AM EDT

Spring Bank Pharmaceuticals, Inc. (NASDAQ: SBPH), a clinical-stage biopharmaceutical company developing novel therapeutics for the treatment of viral infections, inflammatory diseases and cancer, today announced that it has begun dosing the first cohort of patients in the ACHIEVE global Phase 2 clinical program evaluating SB 9200 in immuno-active, treatment-naïve HBV patients without cirrhosis. SB 9200 is the Company’s novel small molecule nucleic acid hybrid (SMNH) compound being developed as both monotherapy and combination therapy for the treatment of Hepatitis B (HBV) and other viral diseases. The first portion of the ACHIEVE trial is a Phase 2a placebo-controlled, sequential-cohort, double-blind trial to evaluate increasing doses of SB 9200 as monotherapy for 12 weeks followed by tenofovir disoproxil fumarate (marketed by Gilead Sciences, Inc. as Viread®) 300 mg for an additional 12 weeks.

“The Phase 2a study is designed to enable the rapid identification of the optimal dose of SB 9200 as monotherapy by evaluating the reduction in HBV DNA and HBsAg at 12 weeks,” said Nezam Afdhal MD, Chief Medical Officer of Spring Bank. “A decline of at least 0.5log in HBsAg levels at week 12 in interferon alfa-based treatments has been shown to be predictive of a subsequent functional cure in HBV. In addition, the study will evaluate the effect of sequential dosing with tenofovir for 12 weeks, following monotherapy SB 9200, for possible synergistic effects on the reduction of HBV DNA and HBsAg.”

This Phase 2a study has an adaptive trial design that will enroll 80 chronically-infected HBV patients between 18 and 70 years of age who will be assigned to one of four dosing cohorts, 25 mg, 50 mg, 100 mg or 200 mg of SB 9200, or placebo, once daily for 12 weeks. All subjects will then receive tenofovir 300 mg once daily for an additional 12 weeks of treatment. The Phase 2b portion of the ACHIEVE program is planned to examine the concomitant use of SB 9200 and tenofovir in 200 HBV patients.

“We are excited to begin our Phase 2 program and further our understanding of the therapeutic efficacy and safety of SB 9200,” said Radhakrishnan (Kris) Iyer, PhD, Co-Founder and Chief Scientific Officer of Spring Bank. “We believe SB 9200 has a dual anti-viral mechanism by interfering with the virus’ ability to replicate while at the same time activating the host cellular proteins RIG-I and NOD2 to cause the induction of intracellular interferon signaling pathways for antiviral defense. An HBV functional cure has remained elusive predominantly because viral clearance requires activation of the immune system. SB 9200 promotes intra-hepatic activation of innate immunity and has the potential to be a backbone immuno-modulator for both current nucleoside/nucleotide therapies and novel agents under investigation.”

“The initiation of ACHIEVE represents an important step forward for our SB 9200 development program, as it is the first human trial to evaluate SB 9200 in chronic Hepatitis B patients,” said Martin Driscoll, Chief Executive Officer of Spring Bank. “We have built the capability to execute global clinical trials and look forward to the future advancement of our product pipeline. We are eager to build upon our Phase 1 findings for SB 9200 in otherwise healthy, non-cirrhotic hepatitis C-infected patients where a potent anti-viral effect was observed via innate immune activation.”

Viread is a registered trademark of Gilead Sciences, Inc.


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发表于 2016-6-23 05:16 |只看该作者
春季银行制药(灰飞虱)开始在加药实现全球第2阶段计划在HBV评估SB 9200

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2016年6月22日上午08点11分美国东部时间

春季银行制药公司(纳斯达克股票代码:灰飞虱),临床阶段的生物技术企业,开发创新疗法为病毒感染,炎症性疾病和癌症,今天宣布,它已开始用药的病人第一批在实现全球第一阶段的治疗2临床方案的免疫活性,初治患者HBV评估SB 9200无肝硬化。 SB 9200是本公司的新型小分子核酸杂交(SMNH)的化合物被开发为单一疗法和联合治疗乙型肝炎(HBV)和其他病毒性疾病的治疗。所述ACHIEVE试验的第一部分是一个阶段2a安慰剂对照,顺序的队列,双盲试验,以评估增加剂量的SB 9200作为单一疗法12周之后富马酸替诺福韦酯(由Gilead科学公司作为Viread的销售®)300毫克另外12周。

“2a期研究旨在通过评估12周时HBV DNA与HBsAg的减少,使SB 9200作为单药治疗的最佳剂量的快速鉴定,”NEZAM Afdhal MD,春季银行首席医疗官说。 “至少0.5log的HBsAg水平在第12周在基于干扰素α-治疗的下降已被证明是预测在HBV后续功能治愈的。此外,该研究将评估与替诺福韦序贯给药的效果为12周后,以下单药治疗的SB 9200,对HBV DNA和HBsAg的减少可能的协同效应“。

该2a期研究具有自适应试验设计,将招收18至80之间慢性感染乙肝病毒的患者70岁谁将会被分配到四个加药同伙,25毫克,50毫克,100毫克或200毫克的SB 9200之一或安慰剂,每日一次,共12周。然后所有的人都会每天一次接受替诺福韦300毫克额外的12周的治疗。在完成项目的阶段2b部分计划以检查乙肝200例患者同时使用SB 9200和替诺福韦。

“我们很高兴,开始我们的第二阶段方案,并进一步推动我们的SB 9200的疗效及安全性的认识,”拉达克里希南(克里斯)艾耶,博士,联合创始人和春季银行的首席科学官说。 “我们相信SB 9200具有由与复制,而在同一时间激活宿主细胞蛋白RIG-I和NOD2引起细胞内干扰素信号传导途径的抗病毒防御诱导病毒的能力干涉的双抗病毒机制。因为病毒清除需要免疫系统的活化是HBV官能固化一直难以实现主要。 SB 9200促进先天免疫的肝内激活并具有是骨干免疫调制器,用于两个电流核苷/核苷酸疗法和下调查新型制剂的潜力“。

“实现的启动代表了我们的SB 9200发展计划迈出的重要一步,因为这是人类第一次审判的慢性乙肝患者,以评估SB 9200,”马丁·德里斯科尔,春季银行的首席执行官说。 “我们已经建立执行全球临床试验,并期待我们产品线的未来发展的能力。我们渴望在通过先天免疫激活观察到强效的抗病毒的作用,否则健康的,非肝硬化丙肝感染患者建立在我们第一阶段调查结果SB 9200“。

Viread的是Gilead Sciences公司的注册商标。

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发表于 2016-6-23 08:27 |只看该作者
好久没看到springbank的消息了。原来还在进展中

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发表于 2016-6-23 16:22 |只看该作者
RIG-I那属于免疫激动剂了
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