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Replicor披露了NAP的HBV和HDV 1年功能控制成果,NAP药理学的新机 [复制链接]

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发表于 2017-4-20 22:16 |只看该作者 |倒序浏览 |打印

Replicor discloses achievement of 1 year functional control of HBV and HDV with NAPs and new mechanistic insights in NAP pharmacology


MONTREAL, April 20, 2017 – Replicor Inc., a privately held biopharmaceutical company targeting a cure for chronic HBV and HDV infection, today disclosed significant new data on NAP activity in HBV and HDV infections at the European Association for the Study of the Liver (EASL) 2017 annual meeting held April 19-23, 2017 in Amsterdam, The Netherlands.

Updates in the REP 301 (HBV/HDV coinfection) and REP 401 (HBV infection) studies demonstrated important advances:

1.       In the REP 301 study, previously reported functional control at 24 weeks follow-up of HBV (5/12 patients) and HDV (7/12 patients) was shown to be maintained at one year, demonstrating the durability of functional control established with NAP based therapy (poster LBP-507).

2.       In the REP 401 study, 30 patients have received at least 12 weeks of NAP exposure and serum HBsAg response over time continues to improve: current reductions from baseline presented were >1log in 29 patients, >2logs in 25 patients, >4logs in 19 patients, with HBsAg loss in 14 patients.  Improved efficacy of pegIFN (marked anti-HBs production and/or therapeutic transaminase flares) occurred in all patients with HBsAg reduction > 4 log (poster THU-154).

3.       Surprisingly, analysis of serum HBsAg, HBeAg, HBcrAg, HBV RNA, HBV DNA and HDV RNA in both studies indicated that circulating HBsAg appears to be almost completely derived from integration.

“The notion that almost all circulating HBsAg is derived from integration has important therapeutic implications.” said CSO Dr. Andrew Vaillant, “As the primary immunosuppressive agent in HBV and HDV infections, HBsAg removal will be critical.  It’s very likely that new investigational agents with other antiviral mechanisms will still require agents directly targeting HBsAg release like NAPs in order to achieve a high rate of functional control.” Dr. Bazinet, CEO, added “our continually expanding clinical data continues to demonstrate that significant rates of functional control of HBV and HDV can be achieved with currently approved drugs and NAPs.”

Deep sequencing of HBsAg in the previous REP 102 study showed no selection pressure with REP 2139, further validating the serum HBsAg response to NAP therapy (Poster THU-155).  A recently developed tissue culture system now reproduces for the first time the post-entry effects of NAPs on secretion of HBV particles observed preclinically and clinically (Poster THU-156).

Dr. Vaillant remarked, “The ability to model the post-entry effects of NAPs in tissue culture is the culmination of more than 6 years of work which including various collaborators worldwide.  With this tool finally in place, the host mechanisms targeted by NAPs can now begin to be explored.

Replicor’s presentations from EASL 2017 are now available at www.replicor.com/science/conference-presentations.  For the 2017 EASL Meeting: https://ilc-congress.eu/.

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发表于 2017-4-20 22:16 |只看该作者
复制者披露了NAP的HBV和HDV 1年功能控制成果,NAP药理学的新机理见解


蒙特利尔,2017年4月20日 - Replicor Inc.是一家旨在治愈慢性乙型肝炎病毒和HDV感染的私人生物制药公司,今天在欧洲肝脏研究协会(European Association for the Liver)上公布了关于HBV和HDV感染的NAP活动的重要新资料EASL)2017年4月19日至23日在荷兰阿姆斯特丹举行的年会。

REP 301(HBV / HDV合并感染)和REP 401(HBV感染)研究中的更新显示出重要进展:

1.在REP 301研究中,以前报告的24周的HBV功能控制(5/12例)和HDV(7/12例)的功能控制显示维持在一年,表明建立了功能控制的耐久性采用基于NAP的疗法(海报LBP-507)。

在REP 401研究中,30例患者接受了至少12周的NAP暴露,血清HBsAg反应随时间推移不断改善:29例患者的基线显示当前减少> 1log,25例患者> 2log>> 4logs 19例患者中,HBsAg损失14例。所有HBsAg减少≥4log(海报THU-154)的患者均发生了pegIFN(标记的抗HBs产生和/或治疗性转氨酶耀斑)的功效改善。

令人惊讶的是,两项研究中血清HBsAg,HBeAg,HBcrAg,HBV RNA,HBV DNA和HDV RNA的分析表明,循环HBsAg似乎几乎完全来源于整合。

“几乎所有流行的HBsAg都来源于整合的概念具有重要的治疗意义。”CSO Andrew Vaillant博士说,“作为HBV和HDV感染中的主要免疫抑制剂,HBsAg的去除将至关重要。新的具有其他抗病毒机制的研究药物很可能仍然需要直接针对HBsAg发布(如NAP)的代理商,以实现高比例的功能控制。“首席执行官Bazinet博士补充说:”我们不断扩大的临床资料继续证明目前批准的药物和国家行动方案可以实现HBV和HDV功能控制的显着比例。

先前REP 102研究中HBsAg的深度测序显示REP 2139没有选择压力,进一步证实了血清HBsAg对NAP治疗的反应(Poster THU-155)。最近开发的组织培养系统现在首次再现了NAP对临床前和临床观察到的HBV颗粒分泌的进入后影响(Poster THU-156)。

Vaillant博士评论说:“组织培养中NAPs进入后效应模型的能力是包括全球各种合作者在内的6年以上工作的顶峰。随着这一工具的到位,国家行动方案目标的主机机制现在可以开始探索。

来自EASL 2017的复印机演示文稿现已在www.replicor.com/science/conference-presentations上发布。对于2017年EASL会议:https://ilc-congress.eu/

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发表于 2017-4-20 23:43 |只看该作者
功能控制,是神马意思,又不是功能治愈。能一辈子停药?

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发表于 2017-4-21 16:32 |只看该作者
回复 kite2002005 的帖子

我也不知道"功能控制"的意思.

如果长时间停药, 能保持功能控制, 那就是功能治愈.
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