▎药明康德近期,全球多肽和寡核苷酸(TIDES)领域迎来系列进展。Enterome公司基于肿瘤肽的免疫疗法EO2463联用来那度胺和利妥昔单抗治疗惰性非霍奇金淋巴瘤(NHL),在一项2期临床试验中的完全缓解(CR)率达60%。用于治疗代谢功能障碍相关性脂肪性肝炎(MASH)和肥胖症的胰高血糖素样肽-1(GLP-1)/胰高血糖素双重受体激动剂pemvidutide达2b期临床试验主要终点。在研环肽疗法certepetide联合标准化疗治疗转移性胰腺导管腺癌(mPDAC),患者的无进展生存期和客观缓解率(ORR)都获得了有临床意义的改善。本文将节选其中部分重要进展做简单介绍,仅供读者参阅。EO2463:公布2期联合治疗试验的中期数据Enterome公司公布了其基于肿瘤肽的免疫疗法EO2463与来那度胺和利妥昔单抗联用治疗惰性NHL的积极2期临床结果。EO2463由4种模拟B细胞肿瘤相关抗原CD20、CD22、CD37和CD268(BAFF受体)的多肽以及辅助性的UCP2肽组成,能够激活抗肿瘤免疫反应,清除癌变B细胞。此次公布的结果显示,EO2463联合来那度胺和利妥昔单抗治疗后,60%(12/20)的患者达到了CR。该组合疗法在滤泡性淋巴瘤和边缘区淋巴瘤患者中耐受性良好。此外,该研究中观察到的CR率高于历史数据中来那度胺联用利妥昔单抗治疗所预期的水平。Certepetide:公布2b期联合治疗试验数据Lisata Therapeutics公司与澳大利亚胃肠试验组(AGITG)、悉尼大学NHMRC临床试验中心公布了2b期临床试验ASCEND的初步结果。该试验评估了Lisata公司的在研环肽疗法certepetide联合标准治疗化疗用于治疗转移性胰腺导管腺癌患者的效果。Certepetide旨在激活一种肿瘤特异性的转运系统,使与之联合使用的全身性抗癌药物能够更有效地穿透肿瘤并在肿瘤内蓄积。此外,certepetide还被证明可以调节肿瘤微环境,使肿瘤对免疫疗法更加敏感。该研究包括两个队列,队列A的患者在吉西他滨输注结束后、白蛋白紫杉醇输注开始前,静脉推注certepetide 3.2 mg/kg。队列B的患者在队列A治疗方案的基础上,在首次给药4小时后追加一次certepetide或安慰剂。此前公布的队列A的结果显示,患者的总生存期呈现出积极趋势,并且有4例患者达到CR,而安慰剂组未观察到任何CR病例。此次公布的队列B的初步数据显示,certepetide组的6个月无进展生存率为60.8%,安慰剂组为25%;两组的中位无进展生存期分别为7.5个月和4.7个月;ORR分别为45.2%和19%;中位总生存期分别为10.32个月和9.23个月。队列A和队列B的数据比较表明,在标准化疗中加入两剂certepetide(队列B方案)使mPDAC患者的无进展生存期和ORR都获得了有临床意义的改善。Pemvidutide:公布2b期临床试验数据Altimmune公司公布了pemvidutide治疗MASLD的2b期试验的积极结果。Pemvidutide是一种GLP-1/胰高血糖素双重受体激动剂,目前正在开发用于治疗MASH和肥胖症。该研究中,212名经活检证实的MASH和纤维化F2/F3期伴或不伴糖尿病的受试者按1:2:2的比例被随机分配接受pemvidutide(1.2 mg或1.8 mg)或安慰剂,持续24周。此次公布的结果显示,在意向治疗(ITT)人群分析中,试验达到了其主要终点。在24周时,pemvidutide高剂量组患者中有59.1%达到了MASH缓解,且未出现纤维化的恶化;34.5%的受试者出现了纤维化改善,且没有发生MASH的加重。基于人工智能(AI)的补充分析表明,接受pemvidutide治疗24周后,患者的肝纤维化改善具有统计学意义。此外,pemvidutide高剂量组患者在24周时的平均减重幅度达到6.2%,且体重仍在持续下降,尚未出现平台期。安全性方面,pemvidutide表现出潜在“best-in-class”的耐受性,因不良事件而停药的比例低于1%。Vezocolmitide(ST-100):公布3期临床试验的初步数据Stuart Therapeutics公司公布了其3期临床试验的初步结果,该试验评估了ST-100滴眼液治疗干眼症(DED)的疗效。ST-100是一种胶原模拟肽类药物,其独特机制可通过修复眼部受损的胶原蛋白来恢复眼表稳态,从而减轻DED的影响。此次公布的结果显示,ST-100治疗起效迅速,在治疗2-4天内就能缓解患者的体征和症状。其中,ST-100治疗一周后荧光素染色评分(用于量化眼表上皮细胞损伤程度)的改善幅度超过了现有已批准的DED治疗药物/产品的公开报告数据。该研究结果将有助于指导ST-100的第二项3期研究的设计。Salanersen(BIIB115/ION306):公布1期临床试验的中期数据渤健(Biogen)公布了其在研反义寡核苷酸(ASO)疗法salanersen(BIIB115/ION306)用于治疗脊髓性肌萎缩症(SMA)的一项1期临床试验的积极结果。Salanersen最初由Ionis Pharmaceuticals发现,渤健之前从Ionis Pharmaceuticals获得了salanersen的全球开发、生产及商业化权利。该药物与渤健已获批的ASO疗法Spinraza(nusinersen)具有相同的作用机制,但在设计上追求更高效力,并有望实现每年仅需一次给药。在此次中期分析中,研究对象为一组既往接受过基因治疗但临床状态仍不理想的SMA患儿。结果显示,无论是40 mg还是80 mg剂量,salanersen均表现出良好的耐受性,并可显著降低神经退行性标志物神经丝轻链(NfL)的水平。在基线NfL浓度较高的患者中,治疗6个月后平均NfL下降幅度达70%,这一效果可持续维持至一年。除了安全性和生物标志物数据外,研究还对部分随访时间达到一年的患儿(n=8,年龄2至12岁)进行了初步临床结局评估,结果同样令人鼓舞。半数患者(4人)达成了此前无法独立完成或需他人协助完成的世界卫生组织(WHO)运动发育里程碑,如独立行走、爬行、站立或坐起。基于这一积极成果,渤健正与监管机构沟通,计划推进salanersen进入注册性临床研究阶段,进一步拓展该公司在SMA治疗领域的布局。BW-40202:1期临床试验完成首例受试者给药舶望制药宣布,其在研小干扰RNA(siRNA)药物BW-40202的1期临床试验已完成首例健康受试者给药,该里程碑在澳大利亚临床研究中心达成。此外,BW-40202已获得中国国家药品监督管理局(NMPA)的IND批准,将在中国临床研究中心同步推进。BW-40202是一种靶向肝脏中补体因子B(CFB)mRNA的siRNA药物,用于治疗补体介导疾病。该药物通过抑制CFB mRNA的表达来降低血清CFB蛋白水平,并抑制补体替代途径(CAP)活性。在临床前研究中,BW-40202表现出优异的纯度和稳定性,能够显著降低血清CFB蛋白水平,有效抑制CAP活性,并具有长效性和良好的安全性。参考资料(可上下滑动查看)[1] RESULTS FROM AMGEN'S PHASE 2 OBESITY STUDY OF MONTHLY MARITIDE PRESENTED AT THE AMERICAN DIABETES ASSOCIATION 85TH SCIENTIFIC SESSIONS. Retrieved June 23, 2025, from https://www.prnewswire.com/news-releases/results-from-amgens-phase-2-obesity-study-of-monthly-maritide-presented-at-the-american-diabetes-association-85th-scientific-sessions-302487811.html[2] Novo Nordisk advances early-stage obesity medication, amycretin, to phase 3 clinical development based on early-phase clinical trial results in people with obesity or excess weight, published in The Lancet. Retrieved June 20, 2025, from https://www.prnewswire.com/news-releases/novo-nordisk-advances-early-stage-obesity-medication-amycretin-to-phase-3-clinical-development-based-on-early-phase-clinical-trial-results-in-people-with-obesity-or-excess-weight-published-in-the-lancet-302487500.html[3] Verdiva Bio to Present New Data Highlighting Once-Weekly Potential of Its Investigational Oral Obesity Candidates at the ADA 85th Scientific Sessions. Retrieved June 21, 2025, from https://www.businesswire.com/news/home/20250620108098/en/Verdiva-Bio-to-Present-New-Data-Highlighting-Once-Weekly-Potential-of-Its-Investigational-Oral-Obesity-Candidates-at-the-ADA-85th-Scientific-Sessions[4] Enterome presents positive Phase 2 interim results in relapsed/refractory indolent non-Hodgkin lymphoma after EO2463 OncoMimics™ immunotherapy treatment at ICML. Retrieved June 27, 2025, from https://www.globenewswire.com/news-release/2025/06/23/3103112/0/en/Enterome-presents-positive-Phase-2-interim-results-in-relapsed-refractory-indolent-non-Hodgkin-lymphoma-after-EO2463-OncoMimics-immunotherapy-treatment-at-ICML.html[5] Novo Nordisk: Higher dose of Wegovy® provided average weight loss of 21% in people with obesity – with a third achieving 25% or more – according to data presented at ADA. Retrieved June 27, 2025, from https://www.globenewswire.com/news-release/2025/06/20/3102978/0/en/Novo-Nordisk-Higher-dose-of-Wegovy-provided-average-weight-loss-of-21-in-people-with-obesity-with-a-third-achieving-25-or-more-according-to-data-presented-at-ADA.html[6] Semaglutide Increases Walking Capacity in Patients with Peripheral Artery Disease and Type 2 Diabetes. Retrieved June 27, 2025, from https://www.prnewswire.com/news-releases/semaglutide-increases-walking-capacity-in-patients-with-peripheral-artery-disease-and-type-2-diabetes-302486241.html[7] Oral Semaglutide Significantly Improves Cardiovascular Outcomes in Individuals with Type 2 Diabetes. Retrieved June 27, 2025, from https://www.prnewswire.com/news-releases/oral-semaglutide-significantly-improves-cardiovascular-outcomes-in-individuals-with-type-2-diabetes-302487712.html[8] 甘李药业双周GLP-1RA博凡格鲁肽在第85届美国糖尿病协会年会(ADA 2025)公布优异数据. Retrieved June 27, 2025, from https://mp.weixin.qq.com/s/Me2jPwZs4apc8h1oGrMzWg[9] Biogen to Advance Investigational Spinal Muscular Atrophy Asset to Registrational Studies Based on Positive Interim Phase 1 Results. Retrieved June 25, 2025 from https://investors.biogen.com/news-releases/news-release-details/biogen-advance-investigational-spinal-muscular-atrophy-asset[10] Innovent announces the Phase 3 Clinical Study DREAMS-1 of Mazdutide in China were Orally Presented at ADA 85th Scientific Sessions. Retrieved June 25, 2025 from https://www.prnewswire.com/news-releases/innovent-announces-the-phase-3-clinical-study-dreams-1-of-mazdutide-in-china-were-orally-presented-at-ada-85th-scientific-sessions-302489772.html[11] 博瑞医药在ADA2025发布GLP-1/GIP受体激动剂BGM0504II期积极数据及新型Amylin BGM1812临床前成果. Retrieved June 27, 2025, from https://mp.weixin.qq.com/s/a8v46EscZGWt3LaqlYCQ9w[12] Positive Preliminary Cohort B Results from the AGITG-led ASCEND Trial to be Presented at ESMO GI Evaluating Lisata’s Certepetide in Combination with Standard-of-Care Chemotherapy in Metastatic Pancreatic Cancer. Retrieved June 27, 2025, from https://ir.lisata.com/news-releases/news-release-details/positive-preliminary-cohort-b-results-agitg-led-ascend-trial-be[13] Altimmune Announces Positive Topline Results from the IMPACT Phase 2b Trial of Pemvidutide in the Treatment of MASH. Retrieved June 27, 2025, from https://ir.altimmune.com/news-releases/news-release-details/altimmune-announces-positive-topline-results-impact-phase-2b[14] Stuart Therapeutics Announces Initial Results of Phase III Clinical Trial for ST-100 (Vezocolmitide) Ophthalmic Solution, a Novel Dry Eye Disease Candidate. Retrieved June 27, 2025, from https://www.prnewswire.com/news-releases/stuart-therapeutics-announces-initial-results-of-phase-iii-clinical-trial-for-st-100-vezocolmitide-ophthalmic-solution-a-novel-dry-eye-disease-candidate-302489203.html[15] W. Timothy Garvey, et al., (2025). Coadministered Cagrilintide and Semaglutide in Adults with Overweight or Obesity. The N Engl J Med, DOI: 10.1056/NEJMoa2502081[16] Melanie J. Davies, et al., (2025). Cagrilintide–Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes. The N Engl J Med, DOI: 10.1056/NEJMoa2502082[17] 舶望制药治疗补体介导疾病新药BW-40202完成临床I期首例受试者给药. Retrieved June 27, 2025, from https://www.argobiopharma.com/cn/news/113.html免责声明:本文仅作信息交流之目的,文中观点不代表药明康德立场,亦不代表药明康德支持或反对文中观点。本文也不是治疗方案推荐。如需获得治疗方案指导,请前往正规医院就诊。版权说明:欢迎个人转发至朋友圈,谢绝媒体或机构未经授权以任何形式转载至其他平台。转载授权请在「药明康德」微信公众号回复“转载”,获取转载须知。分享,点赞,在看,聚焦全球生物医药健康创新