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箭头药品提供了最新初步临床数据ARO-HBV肝脏会上 [复制链接]

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发表于 2018-11-11 19:11 |只看该作者 |倒序浏览 |打印
箭头药品提供了最新初步临床数据ARO-HBV肝脏会上®2018
2018年11月9日,美国东部时间下午12:00点
——平均HBsAg减少-1.9 Log10(-98.7%)与一系列-1.3 Log10(-95.0%)到-3.8 Log10(-99.98%)——ARO-HBV似乎同时每月剂量400毫克帕萨迪纳,加利福尼亚州——(业务线)——11月。 2018——箭头制药公司。
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——平均HBsAg减少-1.9 Log10 -1.3 Log10(-98.7%) (-95.0%)-3.8 Log10(-99.98%)

——ARO-HBV似乎同时每月剂量400毫克

加州帕萨迪纳市。——(业务线)——11月。 2018——箭头制药公司。(纳斯达克:ARWR)今天宣布 初步临床数据从一个阶段1/2(AROHBV1001)的研究 ARO-HBV,第三代皮下接种RNA干扰 (RNAi)治疗候选人被开发作为一个潜在的治疗 患者慢性乙型肝炎病毒(HBV)感染。 关键新 数据突出显示从AROHBV1001将初步结果 最新的海报肝 会议®的年度会议美国协会 肝脏疾病的研究(肝病)举行旧金山。

箭头最近签订了一份许可协议詹森 制药公司。詹森制药公司的一部分强生公司、开发和商业化ARO-HBV。

初步结果从正常健康志愿者(NHV)获得 单剂ARO-HBV或安慰剂(n = 30)和慢性乙型肝炎 病人三个月剂量ARO-HBV结合 恩替卡韦和替诺福韦(NUC)大于6周的可用 乙型肝炎表面抗原(HBsAg)数据(n = 24)包括以下:

ARO-HBV皮下接种似乎很好 单个或多个月剂量400毫克
轻微的注射部位反应是观察到的大约12% 皮下注射的
强大的乙肝表面抗原在所有乙肝病毒的患者反应观察
意思是最低点-1.9 Log10(-98.7%)
范围-1.3 (-95.0%)-3.8 Log10 (-99.98%)
乙肝表面抗原在乙型肝炎e-antigen减少相似(e抗原) 积极和e抗原阴性的患者
意思是乙肝表面抗原在e抗原阳性的最低点-2.1 Log10(n = 11)
意思是乙肝表面抗原在e抗原阴性最低点-1.8 Log10 (n = 13)
HBsAg减少类似NUC天真的患者(8人) NUC经验的患者(队列9)
减少意味着HBsAg 57天群8 Log10 (n = 4) -1.7
减少意味着HBsAg 57天群9 Log10(n = 4)-1.9
该研究强调了一个箭头的改善结果 第一代复合电弧- 520,只针对乙肝病毒记录 来自cccDNA(Wooddell,2017)
HBsAg反应观察与ARO-HBV是一致的能力 ARO-HBV沉默的HBV mRNA cccDNA和host-integrated病毒 DNA,HBsAg的主要来源在某些患者群体(Wooddell, 2018)
反应也观察到在其他病毒(HBV参数 乙型肝炎病毒DNA,RNA,e抗原,HBcrAg)
“ARO-HBV继续实现高水平的活动在所有乙肝病毒 在AROHBV1001研究病人类型,此外,ARO-HBV 耐受性支持其继续发展,”说布鲁斯 鉴于,医学博士 箭头的首席运营官,主管研发。 “我们 也激动詹森作为未来的新的合作伙伴吗 发展和潜在的ARO-HBV商业化。 我们两 组织共享目标推进转型的药物 实现较高的功能性治愈一个有限的治疗时间 慢性乙型肝炎病毒感染患者。”

海报细节:

第一个结果与核糖核酸干扰(RNAi)在慢性乙型肝炎 使用ARO-HBV(慢性乙肝)

出版号B-25
会话:最新海报会议
会议日期和时间:2018年11月12日从上午八点到下午5:30 PT
地点:Moscone中心北/南建筑大厅C
作者:博士。爱德华j . Gane,et al。
一份海报可能被访问事件 和演示页面下投资者的箭头 的网站。

关于AROHBV1001

AROHBV1001(NCT03365947) 是一个1/2期临床研究评估安全,耐受性,然后呢 药代动力学的影响single-ascending剂量的ARO-HBV(SAD) 健康的成年志愿者,以及安全,耐受性, 药效学的影响multiple-ascending剂量的ARO-HBV(疯狂) 慢性乙肝病毒的患者。

剂量的悲伤的部分研究已经完成,包括五名 军团的剂量水平35、100、200、300和400毫克。 剂量的 疯狂的部分研究正在进行,包括接收三个军团 每月的ARO-HBV皮下注射剂量的25岁,50岁,100年,200年, 300和400毫克。 25 - 50毫克剂量组最近补充道,和 群体大小在剂量增加n = 8升级乙肝病毒的病人 军团,以更好地描述ARO-HBV剂量响应。 这项研究也 评估是否有添加效果与每周或每两周 加载剂量。 AROHBV1001旨在招收30名健康志愿者 和72乙肝病毒的病人。

这个临时分析报告在所有单剂量NHV军团和初始 慢性乙肝组接受每月ARO-HBV,大于的剂量 6周的HBsAg化验结果。 对慢性乙肝病毒DNA(罗氏Cobas LLOQ 20 国际单位/毫升),病毒RNA(雅培m2000 LLOQ 1.65日志U / mL,巴特勒2018) 抗原(qHBsAg(罗氏Elecsys LLOQ 0.05国际单位/毫升),qHBeAg(Diasorin联络,LLOQ 0.01 PEIU /毫升),qHBcrAg(Fujirebo Lumipulse,LLOQ 1 kU /毫升)) 定期测量。

在这里,我们报告在所有NHV和安全,安全性和耐受性 耐受性和病毒学评估慢性乙肝组2 b-5b,8和9。 军团2 b-5b e抗原是积极的还是消极的,NUC天真或NUC 在基线和军团8和9 e抗原阳性, 分别治疗天真或NUC经验丰富。 NUC经验丰富 患者持续整个学习和日常NUC NUC天真 慢性乙肝患者开始每日NUC第一天。

单剂量NHV PK将报道。 病毒的结果 报道是通过56天后当可用的或3日剂量(113天) 最近的。

关于箭头制药

箭头制药开发药物,治疗棘手 引起疾病的基因沉默。 使用广泛的投资组合 RNA的化学反应和高效的方式交付,箭头疗法 触发RNA干扰机制诱导迅速,深, 耐用击倒目标基因。 RNA干扰、RNAi是a 机制存在于活细胞的表达有抑制作用 特定的基因,从而影响生产的一个特定的蛋白质。 箭头的RNAi-based疗法利用这个自然的途径 基因沉默。
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发表于 2018-11-11 19:12 |只看该作者
Arrowhead Pharmaceuticals Presents Late-Breaking Preliminary Clinical Data on ARO-HBV at Liver Meeting® 2018
Nov 9, 2018 at 12:00 PM EST
- Mean HBsAg reduction of -1.9 Log10 (-98.7%) with a range of -1.3 Log10 (-95.0%) to -3.8 Log10 (-99.98%) - ARO-HBV appears to be well-tolerated at monthly doses up to 400 mg PASADENA, Calif. --(BUSINESS WIRE)--Nov. 9, 2018-- Arrowhead Pharmaceuticals Inc.
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- Mean HBsAg reduction of -1.9 Log10 (-98.7%) with a range of -1.3 Log10 (-95.0%) to -3.8 Log10 (-99.98%)

- ARO-HBV appears to be well-tolerated at monthly doses up to 400 mg

PASADENA, Calif.--(BUSINESS WIRE)--Nov. 9, 2018-- Arrowhead Pharmaceuticals Inc. (NASDAQ: ARWR) today announced preliminary clinical data from a Phase 1/2 study (AROHBV1001) of ARO-HBV, a third-generation subcutaneously administered RNA interference (RNAi) therapeutic candidate being developed as a potential treatment for patients with chronic hepatitis B virus (HBV) infection. Key new data highlighting initial results from AROHBV1001 will be presented in a late-breaking poster at The Liver Meeting®, the Annual Meeting of the American Association for the Study of Liver Disease (AASLD), being held in San Francisco.

Arrowhead recently entered into a license agreement with Janssen Pharmaceuticals, Inc., part of the Janssen Pharmaceutical Companies of Johnson & Johnson, to develop and commercialize ARO-HBV.

Initial results from normal healthy volunteers (NHV) who received a single dose of ARO-HBV or placebo (n=30) and chronic hepatitis B patients who received three monthly doses of ARO-HBV in combination with entecavir or tenofovir (NUC) with greater than six weeks of available hepatitis B surface antigen (HBsAg) data (n=24) include the following:

ARO-HBV administered subcutaneously appears to be well-tolerated at single or multiple monthly doses up to 400 mg
Mild injection site reactions were observed with approximately 12% of subcutaneous injections
Strong HBsAg responses were observed in all HBV patients
Mean NADIR -1.9 Log10 (-98.7%)
Range -1.3 (-95.0%) to -3.8 Log10 (-99.98%)
HBsAg reductions were similar in hepatitis B e-antigen (HBeAg) positive and HBeAg negative patients
Mean HBsAg NADIR in HBeAg positive (n=11) -2.1 Log10
Mean HBsAg NADIR in HBeAg negative (n=13) -1.8 Log10
HBsAg reductions were similar for NUC naïve patients (cohort 8) and NUC experienced patients (cohort 9)
Mean HBsAg reduction on day 57 for cohort 8 (n=4) -1.7 Log10
Mean HBsAg reduction on day 57 for cohort 9 (n=4) -1.9 Log10
This study highlighted an improvement over results with Arrowhead’s first-generation compound ARC-520, which targeted only HBV transcripts derived from cccDNA (Wooddell, 2017)
HBsAg responses observed with ARO-HBV are consistent with the ability of ARO-HBV to silence HBV mRNA from cccDNA and host-integrated viral DNA, a major source of HBsAg in certain patient populations (Wooddell, 2018)
Responses were also observed in all other virologic parameters (HBV DNA, HBV RNA, HBeAg, HBcrAg)
“ARO-HBV continues to achieve high levels of activity across all HBV patient types in the AROHBV1001 study and, additionally, ARO-HBV’s tolerability profile supports its continued development,” said Bruce Given, M.D., Arrowhead’s chief operating officer and head of R&D. “We are also thrilled to have Janssen as a new partner for the future development and potential commercialization of ARO-HBV. Both of our organizations share the aim to advance transformational medicines that achieve higher rates of functional cure with a finite treatment duration for patients with chronic hepatitis B viral infection.”

Poster Details:

First Results with RNA interference (RNAi) in Chronic Hepatitis B (CHB) Using ARO-HBV

Publication Number: LB-25
Session: Late-Breaking Poster Session
Session Date and Time: November 12, 2018 from 8:00 AM to 5:30 PM PT
Location: Moscone Center North/South Building, Hall C
Authors: Dr. Edward J. Gane, et al.
A copy of the poster may be accessed on the Events and Presentations page under the Investors section of the Arrowhead website.

About AROHBV1001

AROHBV1001 (NCT03365947) is a Phase 1/2 clinical study evaluating the safety, tolerability, and pharmacokinetic effects of single-ascending doses (SAD) of ARO-HBV in healthy adult volunteers, as well as the safety, tolerability, and pharmacodynamic effects of multiple-ascending doses (MAD) of ARO-HBV in patients with chronic HBV.

Dosing in the SAD portion of the study is complete and included five cohorts at dose levels of 35, 100, 200, 300, and 400 mg. Dosing in the MAD portion of the study is ongoing and includes cohorts receiving three monthly subcutaneous injections of ARO-HBV at doses of 25, 50, 100, 200, 300, and 400 mg. The 25 and 50 mg dose cohorts were recently added, and cohort sizes were increased to n=8 in the dose escalation HBV patient cohorts to better characterize ARO-HBV dose response. The study is also evaluating whether there is added effect with weekly or bi-weekly loading doses. AROHBV1001 is designed to enroll 30 healthy volunteers and up to 72 HBV patients.

This interim analysis reports on all single dose NHV cohorts and initial CHB cohorts that received monthly doses of ARO-HBV and had greater than 6 weeks of HBsAg assay results. For CHB, viral DNA (Roche Cobas, LLOQ 20 IU/mL), viral RNA (Abbott m2000, LLOQ 1.65 Log U/mL, Butler 2018) and antigens (qHBsAg (Roche Elecsys, LLOQ 0.05 IU/mL), qHBeAg (Diasorin Liaison, LLOQ 0.01 PEIU/mL), qHBcrAg (Fujirebo Lumipulse, LLOQ 1 kU/mL)) were measured periodically.

Here we report on safety and tolerability in all NHV and safety, tolerability and virologic assessments in CHB cohorts 2b-5b, 8 and 9. Cohorts 2b-5b were HBeAg positive or negative, NUC naïve or NUC experienced at baseline, and cohorts 8 and 9 were HBeAg positive, treatment naïve or NUC experienced, respectively. NUC experienced patients continued their daily NUC throughout the study and NUC naïve CHB patients started daily NUC on day 1.

Single dose PK in NHV will be reported elsewhere. Virologic results reported are through 56 days after 3rd dose (day 113) when available or most recent.

About Arrowhead Pharmaceuticals

Arrowhead Pharmaceuticals develops medicines that treat intractable diseases by silencing the genes that cause them. Using a broad portfolio of RNA chemistries and efficient modes of delivery, Arrowhead therapies trigger the RNA interference mechanism to induce rapid, deep, and durable knockdown of target genes. RNA interference, or RNAi, is a mechanism present in living cells that inhibits the expression of a specific gene, thereby affecting the production of a specific protein. Arrowhead’s RNAi-based therapeutics leverage this natural pathway of gene silencing.

For more information, please visit www.arrowheadpharma.com, or follow us on Twitter @ArrowheadPharma. To be added to the Company's email list and receive news directly, please visit http://ir.arrowheadpharma.com/email-alerts.

Safe Harbor Statement under the Private Securities Litigation Reform Act:

This news release contains forward-looking statements within the meaning of the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995. These statements are based upon our current expectations and speak only as of the date hereof. Our actual results may differ materially and adversely from those expressed in any forward-looking statements as a result of various factors and uncertainties, including the safety and efficacy of our product candidates, the duration and impact of regulatory delays in our clinical programs, our ability to finance our operations, the likelihood and timing of the receipt of future milestone and licensing fees, the future success of our scientific studies, our ability to successfully develop and commercialize drug candidates, the timing for starting and completing clinical trials, rapid technological change in our markets, and the enforcement of our intellectual property rights. Our most recent Annual Report on Form 10-K and subsequent Quarterly Reports on Form 10-Q discuss some of the important risk factors that may affect our business, results of operations and financial condition. We assume no obligation to update or revise forward-looking statements to reflect new events or circumstances.

Source: Arrowhead Pharmaceuticals, Inc.



View source version on businesswire.com: https://www.businesswire.com/news/home/20181109005084/en/

Source: Arrowhead Pharmaceuticals, Inc.

Arrowhead Pharmaceuticals, Inc.
Vince Anzalone, CFA
626-304-3400
[email protected]
or
Investors and Media:
LifeSci Advisors, LLC
Brian Ritchie
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[email protected]
www.lifesciadvisors.com

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发表于 2018-11-11 19:19 |只看该作者
“ARO-HBV continues to achieve high levels of activity across all HBV patient types in the AROHBV1001 study and, additionally, ARO-HBV’s tolerability profile supports its continued development,” said Bruce Given, M.D., Arrowhead’s chief operating officer and head of R&D. “We are also thrilled to have Janssen as a new partner for the future development and potential commercialization of ARO-HBV. Both of our organizations share the aim to advance transformational medicines that achieve higher rates of functional cure with a finite treatment duration for patients with chronic hepatitis B viral infection.”

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发表于 2018-11-11 19:37 |只看该作者
不错

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发表于 2018-11-12 16:29 |只看该作者
但愿可以成为乙肝的“索灵布韦”,期盼救星尽快到来!

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发表于 2018-11-12 23:05 |只看该作者
回复 左罗 的帖子

我可不奢望它,跟丙肝药不一样。你卖房子都不够你医治

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发表于 2018-11-14 21:57 |只看该作者
先前研究表明,RNAi 技术能通过抑制 HBV mRNA 从而减少所有病毒产物,尤其是HBsAg ,其已经表现出成为慢性乙型肝炎(CHB)患者有限治疗的潜在组成部分。此前由于该药物通过 IV(静脉滴注)递送和/或存在一定安全性问题,临床实用性受限。

Arrowhead 公司采用二代 RNAi 技术研发的乙肝新药 ARO-HBV 是由两个 siRNA 组成的RNAi新药,每个 siRNA 通过与 N-乙酰半乳糖胺直接缀合以驱动肝细胞递送。该药为皮下注射(SQ),其设计用于沉默来自 cccDNA 和宿主整合病毒DNA的所有mRNA,且无需额外的递送元件。

在11月9号至13号旧金山召开的 2018 美国肝病学会(AASLD)年会上 Arrowhead 公司公布了该药在 Phase 1 期临床试验中的结果。

正常健康志愿者(NHV)队列(4名活性,2名安慰剂)接受35, 100, 200, 300 或400mg 的单一SQ剂量。慢乙肝组2b-5b(n = 4,HBeAg 阳性或阴性,NUC处理或未接受NUC)接受每月一次剂量×3次 100, 200, 300 或 400mg 用药。 HBeAg 阳性、NUC初治和经治的慢乙肝组(分别为8,9组,每组n = 4)每月接受 300mg ×3次。未接受NUCs治疗过的患者从第1天开始接受NUC治疗。

此次报告的结果来自第3次给药后28天(第85天 )或最近时间点可获得的数据。

研究结果显示,健康志愿者组和慢乙肝患者组均没有报告严重的AE或脱落受试者。对于用药组或安慰剂对照组,AE均为轻微的并且相似。注射部位AE(均为轻度)在约11%的注射受试者中发生。

对于2b-5b队列(n = 16名用药 ),14名的 HBV DNA BLQ,13名基线时 HBeAg 阴性;14使用NUCs。在各队列慢乙肝患者中,HBsAg 的平均(最大)log10降低为:第85天100mg 队列为 2.0(4.0)log10,第85天 200mg 队列为 1.6(2.2)log10,第85 天 300mg 队列为 1.5(2.2)log10 ,第 71 天 400mg 队列为 1.7 (3.0) log10,第43天队列8为1.5 (3.0),第15天队列9为 1.0 (1.3) 。

所有到达第85天的慢乙肝患者均实现 HBsAg降低> 1.0 log10,而在第二剂和第三剂用药后还观察到了额外的HBsAg降低。

在这24名慢乙肝患者中,21名基线时HBsAg> 100 IU / ml,目前有17名达到 HBsAg <100, 7名≤10, 4名≤1。基线时其他病毒参数均在LLOQ以上的慢乙肝患者中,ARO-HBV用药后均有所改善,包括降至BLQ(以下):HBV DNA(2/7),HBV RNA(8/14),HBeAg(0/11)和 HBcrAg( 3/15)。

综上,研究人员认为 ARO-HBV 在NHV 和 CHB 中耐受性良好。约11%的SQ注射对象发生轻度注射部位AE。RNAi 药物 ARO-HBV 的每月使用可有效降低所有可测量的病毒产物,包括 HBsAg。RNAi 药物 ARO-HBV 具有成为针对慢乙肝患者中 HBsAg 清除有限方案的基础疗法的潜力。


LB-25

First Results with RNA interference (RNAi) in Chronic Hepatitis B (CHB) Using ARO-HBV
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