本期看点
1. 用于治疗阿尔茨海默病的多肽疫苗ACI-35.030的1b/2a期临床试验结果积极,仅需1次注射即可让所有受试者产生抗磷酸化Tau(pTau)IgG抗体滴度,2周时所有剂量组的应答率达100%。
2. 口服小分子IKZF1/3蛋白降解剂cemsidomide联合地塞米松治疗复发/难治性多发性骨髓瘤(RRMM)的1期临床试验数据积极,最高剂量组的总缓解率(ORR)达50%,关键靶蛋白IKZF1的降解率>50%,IKZF3降解率>80%。
ACI-35.030(JNJ-2056):公布1b/2a期临床试验数据
AC Immune公司公布了其用于治疗阿尔茨海默病的免疫疗法ACI-35.030的1b/2a期临床试验结果。ACI-35.030基于AC Immune的SupraAntigen技术平台开发,该技术将pTau肽锚定在脂质体中,同时包含非Tau T细胞表位和佐剂。试验还研究了另一种免疫疗法JACI-35.054,两种疗法针对同一靶点。
临床数据显示,针对同一靶点的两种不同主动免疫疗法制剂,能在早期阿尔茨海默病患者体内诱导产生有差异的抗体反应。安全性方面,ACI-35.030和JACI-35.054均未报告任何具有临床意义的安全性或耐受性问题。ACI-35.030仅需一次注射即可使所有受试者产生抗pTau IgG抗体滴度,并在后续接种中持续提升抗体水平。在接受ACI-35.030治疗后2周时,所有剂量组的所有受试者均被认定为抗pTau IgG应答者。在两个高剂量组中,应答率在第74周时仍维持在94%至100%之间。目前,ACI-35.030已被选中推进至关键性2b期ReTain临床试验,用于治疗临床前期阶段的阿尔茨海默病。
Cemsidomide:公布1期临床试验数据
C4 Therapeutics公司公布了其在研口服小分子IKZF1/3蛋白降解剂cemsidomide联合地塞米松治疗复发/难治性多发性骨髓瘤的1期临床试验数据。截至2025年7月23日的数据,在接受过多线治疗的RRMM患者中,cemsidomide联合地塞米松展现出强劲且持久的抗肿瘤活性。最高剂量组(100 µg)患者的ORR达50%;75 µg剂量组的ORR为40%。所有剂量组的中位缓解持续时间(DOR)为9.3个月,在两个最高剂量组中,中位缓解持续时间尚未达到。
药效学(PD)结果显示,cemsidomide与地塞米松联用可高效降解靶蛋白并激活T细胞,在人外周血单核细胞中,IKZF1的降解率>50%、IKZF3降解率>80%,且在所有剂量下均显著增强T细胞活化和IL-2等细胞因子的产生,展现出与地塞米松联用或与地塞米松+BCMA双特异性T细胞衔接器(BCMA BiTE)联用的潜力。安全性方面,没有与cemsidomide相关的停药事件,且很少有剂量减少事件(6%),为其在联合治疗方案中的广泛应用提供了有力支持。
SYT-510:公布1期临床试验数据
Synendos Therapeutics公司公布了其核心候选药物SYT-510在健康受试者中开展的1期临床试验的积极结果。SYT-510靶向内源性大麻素系统(ECS)中一个新近发现的靶点,属于新型ECS调节剂——选择性内源性大麻素再摄取抑制剂(SERIs)类别。
研究结果表明,SYT-510在所有剂量下均具有良好的耐受性,安全性良好。药代动力学(PK)数据显示,SYT-510能够穿透血脑屏障,在中枢神经系统(CNS)中达到有效浓度。该药物展现出明确的脑部药效学作用,其对脑电图(EEG)的影响与成功用于控制焦虑症状的抗焦虑药物一致。
MF-300:公布1期临床试验数据
Epirium Bio公司宣布,其潜在“first-in-class”的口服15-羟基前列腺素脱氢酶(15-PGDH)抑制剂MF-300,在针对肌肉减少症的1期临床试验中取得积极结果。5-PGDH是一种能将前列腺素E2(PGE2)转化为非活性代谢物的酶。MF-300旨在可逆地结合到15-PGDH的PGE2结合位点上,阻止该酶转化PGE2。在生化试验中,MF-300能够抑制15-PGDH的活性。在临床前的细胞和动物研究中,MF-300可稳定和增加PGE2的水平。
此次试验达到了主要安全性终点,所有研究剂量的MF-300总体耐受性良好,且无受试者因不良反应而退出。MF-300呈现出剂量依赖性的PD应答,该应答出现较早并随时间的推移持续存在,而安慰剂组则未观察到显著变化,表明药物成功与靶点结合并具有生物学活性。PK分析显示,药物暴露量随剂量增加而上升,其半衰期支持每日一次口服给药方案。
参考资料:
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