15/10/02说明:此前论坛服务器频繁出错,现已更换服务器。今后论坛继续数据库备份,不备份上传附件。

肝胆相照论坛

 

 

肝胆相照论坛 论坛 学术讨论& HBV English 存档 1 HBV新药pradefovir 2期48周试验结果
查看: 6652|回复: 17

HBV新药pradefovir 2期48周试验结果 [复制链接]

Rank: 7Rank: 7Rank: 7

现金
3700 元 
精华
16 
帖子
1790 
注册时间
2002-12-9 
最后登录
2021-4-14 

旺旺勋章 大财主勋章 如鱼得水 黑煤窑矿工勋章

1
发表于 2006-4-7 02:25
HBV Drug Pradefovir Phase 2 48 Week Study Results

"Metabasis Comments on Positive 48 Week HBV Data From Pradefovir Mesylate Phase 2 Study Reported by Valeant Pharmaceuticals"

press release distributed by company today.

- Significant Decline in HBV Viral Load Reported -

SAN DIEGO, March 16, 2006 /PRNewswire-FirstCall/ -- Metabasis Therapeutics Inc. commented today on the 48 week results from a Phase 2 study of pradefovir, an oral anti-viral product candidate it discovered and subsequently licensed to Valeant Pharmaceuticals International. Valeant is evaluating the safety and efficacy of pradefovir for the treatment of compensated chronic hepatitis B. The data from the Phase 2 study showed that the patient group that received 30 mg (QD) pradefovir achieved a 5.54 log (10) drop in hepatitis B viral (HBV) DNA, a measure of viral load, from baseline as compared to a 4.19 log(10) drop in the 10 mg (QD) Hepsera (adefovir dipivoxil) group (p < 0.001). Pradefovir at doses of 10 and 20 mg (QD) also showed significantly greater reduction in viral load compared to Hepsera. The percentage of patients in the 30 mg (QD) pradefovir cohort achieving undetectable HBV DNA (< 400 c/mL) was almost double that of patients receiving 10 mg (QD) of Hepsera.

Pradefovir uses Metabasis' proprietary HepDirect(TM) pro-drug technology to achieve higher concentrations of the anti-viral compound adefovir in the liver, the primary site of HBV replication, while reducing exposure to the drug outside the liver, including the kidney where adefovir is believed to cause toxicity at high concentrations. Hepsera, a non-liver targeted pro-drug of adefovir, was approved by the Food and Drug Administration (FDA) for use at 10 mg (QD), however, previous clinical trials showed that at a dose of 30 mg (QD) and above Hepsera was associated with evidence of potential kidney toxicity.

The Phase 2 study conducted by Valeant is an open-label, randomized, multiple dose study with 242 patients enrolled at 21 sites in the United States, Taiwan, Singapore and Korea. Approximately half of the patients had been previously treated with interferon or an antiviral and are considered to be more difficult to treat. Seventy percent of the patients were HBeAg positive. The Phase 2 study consisted of five treatment groups: pradefovir -- 5, 10, 20 and 30 mg (QD), and Hepsera (adefovir dipivoxil) -- 10 mg (QD), with an overall treatment duration of 48 weeks.

In the Phase 2 study, 10, 20 and 30 mg (QD) of pradefovir had a statistically superior viral load reduction compared to 10 mg (QD) of Hepsera. The study results are summarized as follows:
http://www.medhelp.org/user_photos/show/154916?personal_page_id=1697291

Rank: 7Rank: 7Rank: 7

现金
3700 元 
精华
16 
帖子
1790 
注册时间
2002-12-9 
最后登录
2021-4-14 

旺旺勋章 大财主勋章 如鱼得水 黑煤窑矿工勋章

2
发表于 2006-4-7 02:25

The percentage of patients with HBV DNA of less than 400 c/mL were 45 percent, 63 percent, 56 percent, and 71 percent for the pradefovir 5, 10, 20, and 30 mg (QD) groups, respectively, and 36 percent for the Hepsera group.

No patient demonstrated an increase in serum creatinine levels over baseline of greater than or equal to 0.5 mg/dL, a marker for the severe renal toxicity associated with higher doses of adefovir. Renal safety was comparable between all treatment groups. There were no serious adverse events related to treatment. The most frequently reported adverse events were similar across all treatment groups, including Hepsera. No dose-related trends regarding safety were identified and no events resulted in a patient being withdrawn prematurely from treatment.

Paul Laikind Ph.D., chairman, president and chief executive officer at Metabasis, said, "The results reported by Valeant today give us greater confidence that this drug could become a leading product for the treatment of hepatitis B, should it be approved. The combination of robust efficacy, even in difficult to treat patients that have failed on previous treatment regimens, good safety and the expected low viral resistance appears to provide potential advantages over competitive products. The team at Valeant has done an excellent job with the product, and we look forward to their initiation of Phase 3 trials later this year."

Mark Erion, Ph.D., executive vice president, research and development and chief scientific officer, said, "The greater than 5.5 log reduction of HBV DNA level in the 30 mg pradefovir cohort from a baseline of only around 8 logs is impressive, as is the fact that 71 percent of patients at that dose achieved undetectable levels of HBV DNA compared to only 36 percent of patients treated with Hepsera. This strong efficacy combined with the good safety data suggests that our HepDirect technology is performing as expected."

Valeant plans to present the detailed Phase 2 results at the 41st Annual Meeting of the European Association for the Study of the Liver in April 2006 in Vienna, Austria. Phase 3 pivotal trials for pradefovir are expected to begin in mid-2006.

About Hepatitis B
Hepatitis B is a potentially fatal disease that can lead to complications such as cirrhosis and liver cancer. Approximately 2 billion people worldwide are estimated to have hepatitis B, with 350-400 million people estimated to be chronically infected. According to a recent study, the HBV market currently represents more than $1 billion in annual sales, and is expected to grow to over $2.8 billion by 2012.

Pradefovir is an investigational compound that has not been found by the FDA or any other regulatory agency to be safe or effective in the diagnosis, mitigation, treatment or cure of any disease or illness. It may not be sold or promoted in the United States unless and until the FDA has approved its New Drug Application. Similar restrictions apply in other countries.

About Metabasis (www.mbasis.com):
Metabasis Therapeutics, Inc. is a biopharmaceutical company uniquely focused on the discovery, development and commercialization of novel drugs to address some of the world's most widespread and costly chronic diseases involving pathways in the liver. The Company has established a pipeline that includes clinical stage and preclinical product candidates targeting large markets with significant unmet medical needs. Targeted diseases include major metabolic diseases such as diabetes, hyperlipidemia and obesity as well as liver diseases such as hepatitis and primary liver cancer. Metabasis has developed several proprietary technologies for use in discovering and optimizing drugs, including the NuMimetic(TM) and HepDirect(TM) technologies. Metabasis is continuing to identify and develop new product candidates using its proprietary technologies and expertise.

Forward-Looking Statements:

Statements in this press release that are not strictly historical in nature constitute "forward-looking statements." Such statements include, but are not limited to, references to the design, efficacy, safety, use and potential further development and clinical trials of pradefovir, the potential of pradefovir in the market, and the potential and progress of, Metabasis' other clinical and preclinical compounds. Such forward-looking statements involve known and unknown risks, uncertainties and other factors which may cause Metabasis' actual results to be materially different from historical results or from any results expressed or implied by such forward-looking statements. These factors include, but are not limited to, risks and uncertainties related to Metabasis' dependence on Valeant and its other licensees or collaborators for the clinical development and registration of certain of its product candidates, among other things; the initiation, progress and timing of clinical trials for pradefovir and Metabasis' other product candidates; the ability to duplicate results from early stage clinical trials in later stage clinical trials; serious adverse side effects or inadequate efficacy of, or serious adverse events related to, Metabasis' product candidates or proprietary technologies; difficulties or delays in development, testing, obtaining regulatory approval, producing and marketing Metabasis' product candidates; the potential and progress of preclinical compounds and programs; Metabasis' ability to retain and motivate key management and scientific personnel; and other factors discussed in the "Risk Factors" section of Metabasis' Quarterly Report on Form 10-Q for the quarter ended September 30, 2005. All forward-looking statements are qualified in their entirety by this cautionary statement. Metabasis is providing this information as of this date of this release and does not undertake any obligation to update any forward-looking statements contained in this release as a result of new information, future events or otherwise.

CONTACT: Paul Laikind, Ph.D., Chairman, CEO & President of
MetabasisTherapeutics, Inc., +1-858-622-5550

http://www.medhelp.org/user_photos/show/154916?personal_page_id=1697291

Rank: 9Rank: 9Rank: 9

现金
19775 元 
精华
帖子
8446 
注册时间
2006-1-6 
最后登录
2017-7-30 

管理员或超版 荣誉之星 白衣天使

3
发表于 2006-4-7 21:06
换了马甲的阿德,思路不错
目前的慢性乙肝患者,大多数死于盲目的治疗和过重的心理负担

Rank: 4

现金
2319 元 
精华
帖子
466 
注册时间
2003-12-20 
最后登录
2012-6-1 
4
发表于 2006-4-12 01:59
翻译一下,好久没有看到有用的新药了

Rank: 4

现金
843 元 
精华
帖子
50 
注册时间
2005-11-20 
最后登录
2015-9-20 
5
发表于 2006-4-12 02:56
大概翻译了一下,供各位战友参考:

Pradefovir二期临床研究结果
总计有来自美国、台湾、新加坡、韩国四个国家,21个地区的242名病例参与了临床试验。这些病例中大概有一半的人以前使用过干扰素或其他抗病毒药物,并被认为较难获得抗病毒应答。其中70%的病例e抗原呈阳性。

所有病例被分为5个组
其中四组分别服用5mg, 10mg, 20mg, 30mg剂量的Pradefovir
另外一组服用10mg的贺维力

48周后服用Pradefovir组HBV DNA<400c/ml的比例分别为45%,63%,56%,71%
服用贺维力组HBV DNA<400c/ml的比例为36%
可以看出30mg组的效果最好

试验过程中无论是服用5mg的Pradefovir组还是服用更高剂量的Pradefovir,都没有发现血浆肌酐 (衡量肾功的一个指标)升高的趋势,而当使用高剂量的贺维力时,这个指标有时会升高。试验过程中的其他副作用在各个组的出现频率是相似的(包括贺维力组)。整个试验过程中,没有发现与剂量相关的副作用,也没有一例病人因为强烈的副作用退出试验。

三期临床预计2006年中开始
我的病历: http://www.hbvhbv.com/forum/dispbbs.asp?boardID=27&ID=516651&page=1

Rank: 4

现金
3086 元 
精华
帖子
405 
注册时间
2006-2-19 
最后登录
2009-10-4 
6
发表于 2006-4-12 03:33
好吧!那我们接着等待吧!

Rank: 6Rank: 6

现金
3507 元 
精华
帖子
1680 
注册时间
2005-6-21 
最后登录
2008-2-22 
7
发表于 2006-4-19 00:06
比阿德、恩替好哪里去么?

Rank: 4

现金
883 元 
精华
帖子
491 
注册时间
2003-11-5 
最后登录
2013-3-28 
8
发表于 2006-4-19 09:50

比阿德好在肾毒性小

好久没来,希望大家都好
4801480 该用户已被删除
9
发表于 2006-4-21 09:12
提示: 作者被禁止或删除 内容自动屏蔽

Rank: 3Rank: 3

现金
308 元 
精华
帖子
24 
注册时间
2006-4-19 
最后登录
2006-10-6 
10
发表于 2006-5-1 21:46

有用用不起又有什么用啊

‹ 上一主题|下一主题

肝胆相照论坛

GMT+8, 2024-7-9 01:01 , Processed in 0.018202 second(s), 12 queries , Gzip On.

Powered by Discuz! X1.5

© 2001-2010 Comsenz Inc.