更新于：2024-12-19

Batoclimab

巴托利单抗

更新于：2024-12-19

概要

概要

基本信息

药物类型

单克隆抗体

别名

Batoclimab (USAN/INN)、Immunoglobulin g1(238-alanine, 239-alanine), anti-(human fcrn receptor) (human monoclonal hl161bkn .gamma.1-chain), disulfide with human monoclonal hl161bkn .lambda.-chain, dimer、HBM-9161

+ [5]

靶点

FcRn

作用机制

FcRn拮抗剂(IgG受体FcRn大亚基p51拮抗剂)、免疫调节剂

治疗领域

肿瘤免疫系统疾病神经系统疾病+ [8]

在研适应症

重症肌无力格雷夫斯眼病免疫性血小板减少症+ [5]

非在研适应症

自身免疫性溶血性贫血

原研机构

HANALL BIOPHARMA Co., Ltd.

在研机构

Immunovant Sciences Ltd.

诺纳生物（苏州）有限公司Roivant Sciences Ltd.

+ [8]

非在研机构-

最高研发阶段申请上市

首次获批日期-

最高研发阶段(中国)申请上市

特殊审评突破性疗法 (中国)

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序列信息

Sequence Code 524289076H

来源: *****

Sequence Code 524289077L

来源: *****

关联

项与巴托利单抗相关的临床试验

NCT05907668 / Recruiting临床2期

IMVT-1401-2501: A Proof-of-Concept, Open-label Study to Assess the Safety and Efficacy of Batoclimab in Participants With Graves' Disease (GD)

The purpose of this study is to assess the efficacy and safety of 24 weeks of treatment with batoclimab in adult participants with biochemically documented hyperthyroidism due to GD who have failed to achieve euthyroidism on antithyroid drugs (ATDs).

开始日期2023-05-15

申办/合作机构

Immunovant Sciences Ltd.

EUCTR2022-002894-27-DE / Unknown status临床2期

A Proof-of-Concept, Open-label Study to Assess the Safety and Efficacy of Batoclimab in Participants with Graves’ Disease (GD)

开始日期2023-04-03

申办/合作机构

Immunovant Sciences Ltd.

NCT05524571 / Recruiting临床3期

A Phase 3, Multi-center, Randomized, Quadruple-masked, Placebo-controlled Study of Batoclimab for the Treatment of Participants With Active Thyroid Eye Disease (TED)

To evaluate the efficacy of batoclimab 680 milligrams (mg) subcutaneous (SC) once a week (QW) for 12 weeks followed by 340 mg SC QW for 12 weeks versus placebo on proptosis responder rate at Week 24.

开始日期2023-01-05

申办/合作机构

Immunovant Sciences Ltd.

100 项与巴托利单抗相关的临床结果

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100 项与巴托利单抗相关的转化医学

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100 项与巴托利单抗相关的专利（医药）

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项与巴托利单抗相关的文献（医药）

2024-05-01·Journal of neurology

The efficacy and safety of FcRn inhibitors in patients with myasthenia gravis: a systematic review and meta-analysis

Review

作者: Li, Jiaxuan ; Wu, Xin ; Chu, Tianchen ; Chen, Zhouqing ; Wang, Shixin ; Tan, Xin ; Qu, Ruisi ; Wang, Zhong

BACKGROUND:

Myasthenia gravis (MG) is an autoimmune disease that causes local or generalized muscle weakness. Complement inhibitors and targeting of the neonatal Fc receptor (FcRn) to block IgG cycling are two novel and successful mechanisms.

METHODS:

PubMed, EMBASE, the Cochrane Library, and ClinicalTrials.gov were systematically searched to identify relevant studies published before May 18, 2023. Review Manager 5.3 software was used to assess the data.

RESULTS:

We pooled 532 participants from six randomized controlled trials (RCTs). Compared to the placebo, the FcRn inhibitors were more efficacy in Myasthenia Gravis Activities of Daily Living (MG-ADL) (MD = - 1.69 [- 2.35, - 1.03], P < 0.00001), MG-ADL responder (RR = 2.01 [1.62, 2.48], P < 0.00001), Quantitative Myasthenia Gravis (QMG) (MD = - 2.45 [- 4.35, - 0.55], P = 0.01), Myasthenia Gravis Composite (MGC) (MD = - 2.97 [- 4.27, - 1.67], P < 0.00001), 15-item revised version of the Myasthenia Gravis Quality of Life (MGQoL15r) (MD = - 2.52 [- 3.54, - 1.50], P < 0.00001), without increasing the risk of safety. The subgroup analysis showed that efgartigimod was more effective than placebo in MG-ADL responders. Rozanolixizumab was more effective than the placebo except in QMG, and batoclimab was more effective than the placebo except in MG-ADL responder. Nipocalizumab did not show satisfactory efficacy in all outcomes. With the exception of rozanolixizumab, all drugs showed non-inferior safety profiles to placebo.

CONCLUSION:

FcRn inhibitors have good efficacy and safety in patients with MG. Among them, efgartigimod and nipocalimab were effective without causing an increased safety risk. Rozanolixizumab, despite its superior efficacy, caused an increased incidence of adverse events. Current evidence does not suggest that nipocalimab is effective in patients with MG.

2024-04-01·JAMA neurology

Batoclimab vs Placebo for Generalized Myasthenia Gravis

Article

作者: Zhao, Hongdong ; Tan, Ying ; Ke, Qing ; Zheng, Hui ; Zou, Zhangyu ; Dai, Tingjun ; Fu, Jia ; Duan, Ruisheng ; Dong, Jun ; Jin, Luya ; Li, Haifeng ; Chen, Sheng ; Luo, Jing ; Li, Zunbo ; Huang, Wenjiao ; Zhao, Chongbo ; Li, Xiuyun ; Zhao, Mingming ; Tu, Jianglong ; Zeng, Wenshuang ; Ding, Xiaojun ; Hu, Xingyue ; Xi, Jianying ; Shi, Jiayu ; Chang, Xueli ; Ruan, Zhe ; Yang, Bing ; Zhou, Hongyu ; Hou, Shifang ; Chen, Yu ; Yang, Ruihan ; Zeng, Quantao ; Zhang, Hua ; Xiao, Fei ; Wang, Jianwen ; Deng, Hui ; Zhang, Yali ; Lee, Michael ; Zheng, Rui ; Li, Huanhuan ; Tan, Song ; Jiao, Lidong ; Shi, Jianquan ; Zhang, Min ; Xiao, Haibing ; Yan, Chuanzhu ; Xiao, Xingyi ; Zhang, Wei ; Zhao, Yuying ; Jiang, Haishan ; Xiong, Ting ; Tao, Xiaolu ; Meng, Qiang ; Chen, Jialin ; Zhou, Hao ; Zhang, Lei ; Guan, Yuzhou ; Lu, Hui ; Song, Min ; Li, Ping ; Li, Wei ; Chang, Ting ; Du, Qin ; Ji, Xiaopei ; Ma, Jiaojiao ; Bai, Xue ; Chen, Kai ; Guo, Junhong ; Li, Wenyu ; Zeng, Li ; Wang, Congcong ; Xue, Qun ; Yue, Yaoxian ; Zhao, Shuai ; Bu, Bitao ; Li, Xiaoli ; Sun, Hongbin ; Zhang, Meng ; Xie, Yan ; Yan, Chong ; Yang, Huan ; Zhang, Bin ; Yin, Jian ; Zhao, Cuiping ; Wang, Xu

Importance:

Myasthenia gravis (MG) is caused by autoantibodies that disrupt the neuromuscular junction. The neonatal fragment crystallizable receptor (FcRn) antagonists, efgartigimod and rozanolixizumab, reduce immunoglobulin G (IgG) level in the circulation and alleviate symptoms in patients with generalized MG.

Objective:

To examine the efficacy and safety profile of batoclimab, a monoclonal IgG1 antibody, in patients with generalized MG.

Design, Setting, and Participants:

This was a multicenter randomized clinical trial conducted from September 15, 2021, to June 29, 2022, at 27 centers in China. Adult patients 18 years or older with generalized MG were screened, and those who were antibody positive were enrolled.

Intervention:

Eligible patients received batoclimab or matching placebo in addition to standard of care. Each treatment cycle consisted of 6 weekly subcutaneous injections of batoclimab, 680 mg, or matching placebo followed by 4 weeks of observation. A second treatment cycle was conducted in patients who required continuing treatment.

Main Outcome and Measure:

The primary outcome was sustained improvement, as defined by a 3-point or greater reduction in the Myasthenia Gravis Activities of Daily Living (MG-ADL) score from baseline for 4 or more consecutive weeks in the first cycle in individuals who were positive for acetylcholine receptor or muscle-specific kinase antibodies.

Results:

A total of 178 adult patients with generalized MG were screened, 132 were randomly assigned, 131 tested positive for antibodies, and 1 tested negative for antibodies. A total of 132 patients (mean [SE] age, 43.8 [13.6] years; 88 women [67.2%]) were enrolled. The rate of sustained MG-ADL improvement in the first cycle in antibody-positive patients was 31.3% (20 of 64) in the placebo group vs 58.2% (39 of 67) in the batoclimab group (odds ratio, 3.45; 95% CI, 1.62-7.35; P = .001). The MG-ADL score diverged between the 2 groups as early as week 2. The mean (SE) maximum difference in MG-ADL score reduction occurred 1 week after the last dose (day 43, 1.7 [0.3] in the placebo group vs 3.6 [0.3] in the batoclimab group; group difference, −1.9; 95% CI, −2.8 to −1.0; nominal P &lt; .001). The rates of treatment-related and severe treatment-emergent adverse events in patients were 36.9% (24 of 65) and 7.7% (5 of 65) in the placebo group vs 70.1% (47 of 67) and 3.0% (2 of 67) in the batoclimab group, respectively.

Conclusions and Relevance:

Batoclimab increased the rate of sustained MG-ADL improvement and was well tolerated in adult patients with generalized MG. Clinical effects and the extent of IgG reduction were similar to those previously reported for efgartigimod and rozanolixizumab. Future studies of large sample size are needed to further understand the safety profile of batoclimab.

Trial Registration:

ClinicalTrials.gov Identifier: NCT05039190

2024-02-01·CNS drugs

The Efficacy and Safety of Different Targeted Drugs for the Treatment of Generalized Myasthenia Gravis: A Systematic Review and Bayesian Network Meta-analysis

Review

作者: Nie, Xiangtao ; Ma, Yongbo ; Zhu, Geke ; Hao, Lei ; Guo, Xiuming ; Qi, Wenjing

BACKGROUND:

The treatment of generalized myasthenia gravis (gMG) has been transformed by the development and approval of new targeted therapies. This analysis aimed to rank and compare the new therapies for gMG using efficacy and safety data from randomized controlled trials (RCTs).

METHODS:

We searched PubMed, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), and ClinicalTrials.gov (up to November 2022) for RCTs of targeted drugs for gMG. We used a Bayesian random-effects network meta-analysis (NMA) model and a Markov chain Monte Carlo (MCMC) model for statistical analysis. The primary outcome was the change in quantitative myasthenia gravis score (QMGS) from baseline, while the secondary outcome was the risk ratio (RR) of adverse events (AEs) during treatment. The surface under the cumulative ranking curve (SUCRA) was used to rank these targeted drugs, with higher SUCRA values indicating better efficacy or lower likelihood of AEs.

RESULTS:

In total, 13 studies (872 subjects) were included in this analysis evaluating 10 targeted drugs (batoclimab, belimumab, CFZ533, eculizumab, efgartigimod, nipocalimab, rituximab, ravulizumab, rozanolixizumab, and zilucoplan). With regards to the primary outcome, batoclimab [standardized mean difference (SMD), - 1.61; 95% credible interval (CrI), - 2.78, - 0.43] significantly reduced QMGS in patients with gMG when compared with placebo and was ranked as the most efficacious drug. Ranked second and third were eculizumab (SMD, - 0.67; 95% CrI, 1.43, 0.01) and zilucoplan (SMD, - 0.54; 95% CrI, - 1.56, 0.46), respectively. Nipoclimab (SMD, - 0.02; 95% CrI, - 1.04, 1.00) had the worst efficacy and ranked last among all targeted drugs. In our study, except for batoclimab, there was no statistically significant difference in the reduction of patient QMGS for the remaining targeted agents compared with placebo. With regards to the secondary outcomes, only batoclimab (RR, 0.19; 95% CrI, 0, 0.97) led to a significant reduction in the incidence of AEs when compared with the placebo. Belimumab (RR, 0.85; 95% CrI, 0.57, 1.19), CFZ533 (RR, 0.95; 95% CrI, 0.72, 1.25), eculizumab (RR, 0.99; 95% CrI, 0.85, 1.21), and efgartigimod (RR, 0.93; 95% CrI, 0.76, 1.15) also led to a lower incidence of AEs, although these effects were not significantly different from the placebo.

CONCLUSIONS:

Batoclimab had the best efficacy and safety for the treatment of gMG and was ranked first out of the 10 targeted drugs included in this study. Eculizumab was ranked second, and nipocalimab had the worst efficacy. With the exception of batoclimab, the incidence of AEs for the remaining drugs was not statistically significantly different from placebo. We note, however, that wide CrIs reflect the uncertainty in this analysis owing to the small number of available studies and low numbers of study participants; moreover, batoclimab had the widest CrI of all drugs in this analysis. More well-designed studies with long-term follow-up are needed to further evaluate and compare the efficacy and safety of these drugs in the future.

305

项与巴托利单抗相关的新闻（医药）

2024-12-18

·梅斯医学

2024年度中国十大医学研究评选 | 儿科&罕见病

一年一度的中国十大医学研究评选活动拉开帷幕，2024年我国科学家在医学领域取得了丰硕的成果，这些成就不仅彰显了我国科研实力的显著提升，也为世界医学的发展做出了巨大的贡献。梅斯医学已经连续7年发布了年度十大医学研究进展。今年我们依旧通过线上评选的方式，评出“2024年度最受瞩目的中国十大医学研究”，这些研究具有原创性、突破性和引领性，在推进医疗实践、改善医疗质量方面具有重要的意义。回顾这一年，中国科学家在儿科&罕见病领域取得了众多令人瞩目的研究成果。那么，究竟有哪些研究能够荣登年度十大医学之列呢？梅斯医学诚邀您一起票选出年度十大研究，投下您宝贵的一票 1. 评选活动中，须本着公开、公平、公正的原则，保持正常的心态参与投票。 2. 禁止任何人采用任何形式进行刷票，投票以后台实时监测的真实数据为准，恶意刷票数据将做无效处理。 3. 本次投票按照投票结果及专家评分，评选出的“2024年度中国肿瘤领域的十大医学研究”。 4. 评选结果将陆续发布在“梅斯医学”公众号，敬请关注！投票截止时间 2024年12月27日 00:00 — 01 — NEJM：倪鑫团队打破“无药可治”困境！齐瑞索韦迈向呼吸道合胞病毒感染治疗的第一步 doi: 10.1056/NEJMoa2313551 儿童呼吸道合胞病毒（RSV）感染疾病负担重。根据《柳叶刀》报告，2019年全球5岁以下儿童RSV相关急性下呼吸道感染病例高达3300万例，住院患儿约360万例，死亡病例逾10万例，其中近一半死亡（近4.6万例）发生在6个月以下的儿童中。儿童RSV感染的治疗主要依赖于支持和对症治疗，包括畅通气道、辅助氧疗、液体管理、营养支持等，但全球范围内尚无抗RSV病毒的特效药物获批上市。本研究的新型抗RSV药物齐瑞索韦在3期临床试验中显示出积极结果，能够显著降低RSV感染婴幼儿的病毒载量，改善临床症状，这标志着在RSV感染治疗领域取得了突破性进展，将为临床提供了一种新的、有效的治疗方法。发表期刊：N Engl J Med . 2024 Sep 26;391(12):1096-1107 通讯作者/关键作者：赵顺英；倪鑫，刘瀚旻主要作者单位：北京儿童医院，首都医科大学附属北京儿童医院，四川大学华西第二医院 — 02 — Lancet：王昕教授团队揭示2019年早产儿呼吸道合胞病毒急性下呼吸道感染全球疾病负担和风险因素 doi: 10.1016/S0140-6736(24)00138-7 随着各国政府开始考虑将 RSV 疫苗纳入国家免疫计划，了解早产儿 RSV 相关 ALRI 的全球疾病负担和风险因素，对于制定最佳的 RSV 预防策略至关重要。研究团队在Lancet杂志上发表了一项研究，旨在评估妊娠 37 周前出生的婴幼儿中 RSV 相关 ALRI 的全球疾病负担和风险因素。研究揭示胎龄<32周早产婴儿比所有婴儿平均发病率和住院率高1.7-3.8倍，并且2岁时住院风险仍是同年龄平均水平的2.3倍。胎龄32-<37周早产儿出生6月内住院风险是同年龄所有婴儿平均水平的1.9倍。在所有婴儿RSV下呼吸道感染住院负担中，早产婴儿住院负担占25%（早产婴儿人口数约占10%）。RSV下呼吸道感染发病与围产期和社会人口学相关，而重症结局与基础疾病如先天性心脏病、支气管肺发育不良、其他慢性肺病或唐氏综合症等有关（OR=1.40~4.23）。此外，研究表明中低收入与高收入国家间发病-住院比的差距缩小且住院病死率相近，这一结果反映了中低收入国家早产儿对医院资源有较好的可及性，以及由医疗资源可及性和质量差异所导致的幸存者效应，即高收入国家患基础疾病的早产儿更易幸存（基础疾病患病率是中低收入国家的1.5倍），易罹患重症和死亡。研究还发现发展中国家RSV急性下呼吸道感染发病率、住院率和住院病死率均随时间下降，这一结果反映了风险因素暴露减少、医疗资源可及性和医疗质量的提升。发表期刊：Lancet . 2024 Mar 30;403(10433):1241-1253 通讯作者/关键作者：王昕，李有主要作者单位：南京医科大学 — 03 — JAMA Pediatrics：王海俊教授团队助力儿童肥胖率下降27%！适合中国儿童的全方位干预 doi: 10.1001/jamapediatrics.2021.4375 《中国居民营养与慢性病状况报告（2020年）》数据显示：中国儿童青少年的体重管理不容乐观，6-17岁儿童青少年中，超重率为11.1%，肥胖率为7.9%；6岁以下儿童超重率为6.8%，肥胖率为3.6%。儿童期肥胖会增加成年期肥胖、心脑血管疾病和糖尿病等慢性病发生的风险，给个人、家庭和社会带来沉重负担。既往研究报道，儿童肥胖干预的效果不一致，很难在人群中推广。那么，有没有适合中国儿童的肥胖预防有效策略？中国学者在JAMA Pediatrics发表一项重磅研究，介绍了有效预防中国儿童肥胖的多中心整群随机对照试验（cluster-RCT）研究成果。这是一项设计严谨的整群随机对照干预研究。研究者纳入了来自北京、山西长治和新疆乌鲁木齐的24所小学中的1392名8-10岁（平均年龄为9.6岁）的儿童。其中12所小学的儿童被随机分配至干预组，12所小学的儿童被随机分配至对照组。面向干预组儿童，研究者开发了一套基于社会生态模型的综合干预措施，其中包括三大项针对儿童的干预，以促进儿童养成健康的饮食和体力活动习惯，以及两大项针对儿童环境的干预，让学校和家庭支持儿童的行为改变。结果显示，干预组儿童平均体重指数（BMI）相比于对照组降低0.46kg/m2，与研究开始相比，干预组儿童肥胖率相对下降27.0%，明显高于对照组（5.6%）。该研究结果为今后在中国推广儿童肥胖干预措施提供了重要的科学依据。发表期刊：JAMA Pediatr . 2022 Jan 1;176(1):e214375 通讯作者/关键作者：刘峥；王海俊主要作者单位：北京大学公共卫生学院 — 04 — Nature Medicine：李华伟/舒易来/王武庆/陈正一教授团队终结“无声世界”，迎接耳聋基因治疗新时代 doi: 10.1038/s41591-024-03023-5 耳聋是较为常见的出生缺陷之一。近年来，基因疗法的快速发展给耳聋儿童带来了重获听力的希望。近日，复旦大学附属眼耳鼻喉科医院的李华伟教授、舒易来教授、王武庆教授以及哈佛大学医学院陈正一教授合作团队在《自然-医学》（Nature Medicine）发表了基因疗法（AAV1-hOTOF）治疗双耳遗传性耳聋的临床研究结果。研究结果显示，所有患儿（5例）双耳听力均得到恢复，言语感知和声源定位能力改善，且未引起剂量限制性毒性或严重不良事件。此研究结果为遗传性耳聋的双耳基因治疗提供了有效性和安全性证据。目前，该研究仍在进行中，将随访观察明确基因疗法的长期安全性和有效性。此前，该研究团队在《柳叶刀》（The Lancet）发表了全球首个遗传性耳聋单耳基因治疗的研究结果，83%（5/6例）的常染色体隐性遗传性耳聋9（DFNB9）患儿在接受同一基因疗法（AAV1-hOTOF）治疗后听力获得明显改善，并被选为封面导读，获得《柳叶刀》杂志同期点评，被国际同行称为“耳聋治疗的范式转变”、“标志着基因治疗听觉障碍乃至更广泛疾病的新时代开启”。发表期刊：Nat Med . 2024 Jul;30(7):1898-1904 通讯作者/关键作者：李华伟，舒易来，王武庆，陈正一主要作者单位：复旦大学附属眼耳鼻喉科医院，哈佛大学医学院 — 05 — Jama Pediatrics：潘海峰/侯胜平教授团队研究极端环境温度下的青少年全球疾病负担 doi: 10.1001/jamapediatrics.2024.4392 气候变化导致的温度极端化已成为全球儿童和青少年健康的重大威胁。极端环境温度暴露（EHCE）不仅对成年群体产生严重健康影响，对身体更脆弱、调节机制尚未成熟的儿童和青少年尤甚。EHCE会引发一系列生理应激反应，导致自主神经失调、心血管负担增加，甚至导致严重的健康损害。研究团队使用全球疾病负担研究2019（GBD 2019）数据库，涵盖1990至2019年期间204个国家和地区的0-19岁儿童和青少年数据进行了一项研究，旨在全面了解1990~2019年儿童和青少年EHCE相关疾病的全球负担并分析其时间趋势。结果表明，自1990~2019年，儿童和青少年EHCE相关疾病的全球负担总体呈上升趋势，并且其在不同性别、年龄和社会发展水平方面均存在差异。发表期刊：JAMA Pediatr . 2024 Nov 4:e244392 通讯作者/关键作者：潘海峰，侯胜平；何义胜，曹凡，王鹏，胡晓主要作者单位：安徽医科大学公共卫生学院，首都医科大学附属北京同仁医院，北京市眼科研究所，安徽医科大学第一附属医院 — 06 — The Lancet ：宋逸/马军教授发文优化方案，应对中国儿童青少年不断变化的健康需求 doi: 10.1016/S0140-6736(23)02894-5 中国正处于人口结构高速转变时期，儿童青少年人口位居世界第二。随着社会经济的发展，中国儿童青少年面临着疾病谱的转变和社会文化压力的加剧。为了全面促进儿童青少年的健康和福祉，政府需要综合考虑儿童青少年人口减少、老龄化、经济增长和环境可持续发展等因素。本研究综合了全国性调查数据、文献证据和政策文献，并通过多领域学者的合作和青年人参与，深入分析中国儿童青少年的主要健康问题、健康风险、健康决定因素和相关政策（图1），为政府制定和优化儿童青少年健康政策提供科学依据，并提供了可行的政策建议，旨在促进中国儿童青少年的健康和福祉。过去三十年，中国儿童青少年整体健康状况得到了极大改善，但也面临着新的健康问题和社会挑战。从1990年到2019年，中国5～19岁儿童青少年全因死亡率从每10万人口77.63人下降到27.79人，下降了64.2%。儿童青少年主要疾病负担由传染性疾病转向伤害和慢性非传染性疾病，非传染性疾病成为伤残损失寿命年的主要原因。1995～2019年，7～18岁儿童青少年超重肥胖率从 5.0%上升到 24.2%，视力不良率（包括近视、远视和其他视力问题）从 41.2%上升到 60.7%。不健康生活行为方式普遍存在，心理健康问题高发，青少年性成熟年龄不断提前，而性教育、咨询和治疗服务却无法满足其日益增长的需求。发表期刊：Lancet . 2024 May 4;403(10438):1808-1820 通讯作者/关键作者：宋逸，马军；陈天娇，董彬，董彦会主要作者单位：北京大学公共卫生学院，北京大学儿童青少年卫生研究所，北京大学公共卫生学院 — 07 — JAMA Network Open：张惠文教授团队开展中国6种溶酶体贮积症新生儿筛查 doi: 10.1001/jamanetworkopen.2024.10754 溶酶体贮积症（LSDs）是一类由基因突变导致溶酶体水解酶或转运蛋白异常导致其底物在细胞内外堆积所引起的疾病。LSDs包含近60种类型，大部分为常染色体隐性遗传，部分为X染色体连锁遗传。研究者利用串联质谱法（MS/MS）筛查6种LSDs，包括戈谢病、尼曼匹克病A/B型、克拉贝病、黏多糖贮积症I 型、法布雷病和庞贝病，较准确地评估了上海市6种LSDs发病率情况并判断了患儿的临床分型。该项研究成果为中国溶酶体贮积症发病率及疾病分型提供了重要的数据支撑，这是目前较大规模的关于溶酶体贮积症新生儿筛查的研究成果。研究表明， MS/MS新生儿酶活性筛查联合基因检测和生物标志物检测及临床分析，成功确认了患儿的临床亚型。上海市常见LSDs综合发病率a高达1/1 856，晚发型占比相对较高。中国人群部分基因存在热点突变，导致对应疾病发病率相对较高，比如GALC 基因c.1901T>C（p.Leu634Ser）变异，SMPD1基因c.995C>G (p.Pro332Arg) 变异，GAA基因c.2238G>C (p.Trp746Cys)变异，GBA1基因c.1448T>C (p.Leu483Pro) 变异。发表期刊：JAMA Netw Open . 2024 May 1;7(5):e2410754 通讯作者/关键作者：张惠文主要作者单位：上海交通大学医学院附属新华医院 — 08 — JAMA Neurology：赵重波教授团队发布中国首个重症肌无力治疗的III期临床研究 doi: 10.1001/jamaneurol.2024.0044 重症肌无力是一种以骨骼肌无力为特征的慢性自身免疫性神经肌肉疾病，其核心机制在于自身抗体对神经肌肉接头的破坏。为了寻求更有效的治疗方法，研究人员发现新生儿片段结晶化受体（FcRn）拮抗剂efgartigimod和rozanolixizumab具有显著潜力。这两种拮抗剂均通过降低血液循环中的免疫球蛋白G（IgG）水平，成功减轻了全身型重症肌无力患者的症状，为这一疾病的治疗开辟了新的途径。在这一背景下，来自复旦大学附属华山医院神经内科赵重波教授团队开展了Batoclimab的一项III期临床研究，旨在评估单克隆IgG1抗体batoclimab在全身型重症肌无力患者中的疗效和安全性，验证batoclimab是否能够成为治疗重症肌无力的有效药物，以期为患者提供更安全、更可靠的治疗选择。结果显示，在成年全身型重症肌无力患者中，batoclimab显著提高了MG-ADL评分的持续改善，同时患者对其的耐受性良好。其临床疗效以及IgG降低程度与先前报道的efgartigimod和rozanolixizumab药物相当。然而，为了进一步了解batoclimab的安全性，未来需要开展更大样本量的研究。发表期刊：JAMA Neurol . 2024 Mar 4;81(4):336-345 通讯作者/关键作者：赵重波主要作者单位：复旦大学附属华山医院 — 09 — EHJ：夏家红教授团队发文激动PIEZO1分子治疗马凡综合征胸主动脉瘤的新机制 doi: 10.1093/eurheartj/ehae786 马凡综合征(Marfan syndrome, MFS)是一种基因突变引起的遗传性结缔组织疾病。其主要心血管表现为胸主动脉瘤(TAA)，严重时引起夹层破裂可危及生命，且有较高的死亡率。目前缺乏有效的药物治疗，手术治疗仍然是目前唯一的治疗方法。因此，深入探究参与马凡综合征TAA的信号通路和有效治疗靶点对于该疾病的治疗至关重要。 MFS TAA的主要病理变化是血管中层平滑肌细胞(VSMC)的表型转换导致的细胞外基质降解重塑、弹性纤维减少、变形断裂，胶原过度分泌。机械敏感离子通道PIEZO1是机体重要的力感应传感器，分布于血管平滑肌细胞上，调控多种心血管系统生理过程，如血压调节、血管发育等。研究团队首次发现PIEZO1在TAA血管组织中表达减少。在马凡模型小鼠中，tamoxifen诱导的平滑肌细胞PIEZO1特异性缺失(Fbn1C1041G/+; Piezo1flox/flox; Sm22-CreERT2)显著促进了动脉瘤的形成和加重疾病严重程度。血管紧张素II诱导的主动脉瘤模型也展现了相同的效果。该研究国际上首次揭示了PIEZO1在马凡综合征胸主动脉瘤的作用及详细机制，为未来马凡综合征TAA治疗靶点的探究提供了可能性。发表期刊：Eur Heart J . 2024 Nov 25:ehae786 通讯作者/关键作者：夏家红主要作者单位：华中科技大学 — 10 — Cell Rep Med：瞿介明教授、左为教授合作研究开发肺前体细胞治疗支气管扩张症临床新策略 doi: 10.1016/j.xcrm.2024.101819 支气管扩张症（bronchiectasis，以下简称“支扩”）是一种由各种病因引起的支气管异常和持久性扩张的慢性呼吸道疾病，表现为频繁感染和持续的肺部炎症，肺组织结构破坏不可逆，患者生活质量下降，造成巨大的社会经济负担。目前，针对支扩的治疗方法主要是以抗感染为主的对症治疗，未能真正有效的再生修复受损的肺组织或改善疾病进展。因此，研究者们积极探索基于干细胞的新型再生医学方法，以期为支扩患者提供新的治疗选择。为了进一步评价自体P63+肺前体细胞治疗支扩的安全性与疗效，研究团队设计开展了一项随机、单盲、对照临床试验。研究对象为确诊支扩且弥散功能指标（DLCO）小于80%的患者，研究入组了37例受试者，最终共35例受试者完成了治疗，随机分为接受气管镜下气道廓清治疗（B-ACT）的受试者18例（对照组）和接受B-ACT+自体肺前体细胞移植治疗的受试者17例（细胞治疗组），两组受试者的基线期数据无统计学差异。其中，细胞治疗组受试者的自体肺前体细胞通过支气管镜刷检取样，在GMP车间培养扩增后，经过一系列严格质控，经纤维支气管镜以1~3×10^6细胞/kg体重的剂量移植到患者自身肺部。自体P63+肺前体细胞可能为支气管扩张症提供一种有前景的治疗方法，为肺再生医学带来了新视角，未来将进一步探索该技术在肺部疾病中的应用，期待为更多患者带来突破性的治疗手段。发表期刊：Cell Rep Med . 2024 Nov 19;5(11):101819 通讯作者/关键作者：左为；瞿介明，周敏主要作者单位：同济大学医学院/附属东方医院；上海交通大学医学院附属瑞金医院 — 11 — Lancet Oncol：胡锡春、罗志国等教授团队探讨90 基因表达分析指导的部位特异性治疗与经验性化疗对原发部位不明的癌症患者的影响（复旦 CUP-001）：一项随机对照试验 doi: 10.1016/S1470-2045(24)00313-9 经验性化疗仍然是原发不明肿瘤（cancer of unknown primary, CUP）患者的标准治疗方法。尽管基因表达谱检测已被用于推断CUP患者的肿瘤组织起源，但其在指导临床治疗中的价值尚未得到证实。该随机对照临床研究旨在评估90基因检测指导的部位特异性治疗对比经验性化疗在CUP患者中的疗效和安全性。这项单中心随机对照临床研究表明，90基因检测指导的部位特异性治疗相比经验性化疗能够显著改善初治CUP患者的无进展生存期。90基因检测提示的肿瘤组织起源可为CUP患者提供更多的疾病信息并增加治疗选择。发表期刊：Lancet Oncol . 2024 Aug;25(8):1092-1102 通讯作者/关键作者：胡锡春；罗志国主要作者单位：复旦大学附属肿瘤医院 — 12 — Cell Stem Cell：蔡玉佳，李士奇教授团队开展改良慢病毒珠蛋白基因治疗儿童β(0)/β(0)输血依赖性β地中海贫血：一项单中心、单臂试点试验 doi: 10.1016/j.stem.2024.04.021 β0/β0 地中海贫血是输血依赖性 β 地中海贫血（TDT）中最严重的类型，并且仍然是慢病毒基因治疗面临的一个挑战。在此，本团队报告一项单中心、单臂初步试验（NCT05015920）的中期分析，该试验评估一种 β 珠蛋白表达优化且带有绝缘子的慢病毒修饰细胞产品（BD211）在 β0/β0 TDT 中的安全性和有效性。两名女童入组，接受了 BD211 输注，并平均随访了 25.5 个月。两名患者的基因修饰造血干细胞和祖细胞均成功且持续植入。在预处理期间或输注后未出现意外的安全问题。两名患者均实现了超过 22 个月的输血独立性。该治疗将红细胞的寿命延长了超过 42 天。对基因修饰细胞的动态变化、转基因表达和癌基因激活进行的单细胞 DNA/RNA 测序分析显示无显著不良影响。优化的慢病毒基因治疗可能安全有效地治疗所有 β 地中海贫血。发表期刊：Cell Stem Cell . 2024 Jul 5;31(7):961-973.e8 通讯作者/关键作者：蔡玉佳；李士奇主要作者单位：上海系统生物医学研究中心；中国人民解放军联勤保障部队第920医院 — 13 — Signal Transduct Target Ther：魏文斌、杨丽萍研究团队探索Bietti 结晶性角膜视网膜营养不良症的基因替代疗法：一项开放标签、单臂、探索性试验 doi: 10.1038/s41392-024-01806-3 Bietti 结晶样角膜视网膜营养不良是一种由 CYP4V2 基因突变引起的遗传性视网膜疾病，可导致劳动年龄人群失明，目前尚无有效治疗方法。在此，我们报告 Bietti 结晶样角膜视网膜营养不良基因治疗的首次人体临床试验（NCT04722107）结果，包括 12 名随访 180 - 365 天的受试者。这项开放标签、单臂探索性试验旨在评估一种编码人 CYP4V2 蛋白的重组腺相关病毒血清型 2/8 载体（rAAV2/8 - hCYP4V2）的安全性和有效性。受试者接受单次单侧视网膜下注射 7.5×10¹⁰个 rAAV2/8 - hCYP4V2 载体基因组。总体而言，报告了 73 例治疗中出现的不良事件，其中大多数（98.6%）为轻度或中度强度，被认为与手术或皮质类固醇相关；未观察到治疗相关的严重不良事件或局部 / 全身免疫毒性。与基线测量值相比，77.8% 的治疗眼在第 180 天最佳矫正视力（BCVA）有所改善，在分析的 9 只眼中平均 ± 标准差增加了 9.0±10.8 个字母（p = 0.021）。到第 365 天，80% 的治疗眼 BCVA 增加，在评估的 5 只眼中平均增加 11.0±10.6 个字母（p = 0.125）。重要的是，通过多焦视网膜电图、微视野计和视觉功能问卷 - 25 观察到的患者改善进一步支持了该治疗的有益效果。发表期刊：Signal Transduct Target Ther. 2024 Apr 24;9(1):95 通讯作者/关键作者：魏文斌；杨丽萍主要作者单位：北京同仁眼科中心 — 14 — Orphanet Journal of Rare Diseases：刘杰教授团队探讨罕见病肺淋巴管肌瘤病中国人群接种COVID-19疫苗的安全性和有效性 doi: 10.1186/s13023-024-03260-4 淋巴管肌瘤病（lymphangioleiomyomatosis，LAM）是一种罕见的多系统肿瘤性疾病，主要特征是肺部弥漫性囊性病变。据最新研究估计，LAM在普通人群中的发病率为每百万成年女性中有5例。由于其罕见性和复杂性，LAM的治疗选择非常有限。目前，主要治疗方法是使用雷帕霉素靶蛋白（mTOR）抑制剂，能稳定部分LAM患者肺功能，改善生活质量。在新冠疫情背景下，接种疫苗已成为预防COVID-19重症和死亡的关键措施。然而，对于LAM患者来说，接种COVID-19疫苗的安全性和有效性仍然存在不确定性。这主要是由于LAM患者的特殊病情以及他们常用的mTOR抑制剂可能对免疫系统产生影响。因此，研究LAM患者接种疫苗的反应具有重要的临床意义。本研究通过问卷调查的方式，于2022年12月1日到2023年1月期间收集了来自全国各地181名LAM患者和143名年龄匹配的健康参与者的信息。结果表明，尽管22.7 %的LAM患者对COVID - 19疫苗接种存在犹豫，LAM患者的疫苗接种率低于普通人群。然而，研究也显示LAM患者接种COVID - 19疫苗的安全性与健康人群相当，且疫苗接种可以降低LAM患者COVID - 19症状的发生率。此外，mTOR 抑制剂似乎不会增加 LAM 患者在 COVID-19 期间出现并发症的风险。这些数据将有助于我们更好地理解LAM患者在疫苗接种中的表现，并为他们的疫苗接种策略提供科学依据。发表期刊：Orphanet J Rare Dis . 2024 Jul 3;19(1):247 通讯作者/关键作者：刘杰，江梅，王蔚林主要作者单位：广州医科大学附属第一医院，国家呼吸医学中心罕见病与间质性肺疾病专业组 — 15 — 双重磅 Nat Med&Lancet：我国科学家在基因治疗遗传性耳聋取得进展 01 Nat Med：王武清、李华为等教授发布常染色体隐性遗传性耳聋 9 型儿童的双侧基因治疗的单臂试验结果 doi: 10.1038/s41591-024-03023-5 基因治疗是治疗遗传性耳聋的一种有前景的方法。我们最近表明，使用携带人 OTOF 转基因的双腺相关病毒（AAV）血清型 1 进行单侧 AAV1 - hOTOF 基因治疗在常染色体隐性遗传性耳聋 9 型（DFNB9）患者中是安全的，并与功能改善相关。随后该方案被修订并获批允许进行双侧基因治疗。在此我们报告一项单臂试验的中期分析，该试验研究双侧治疗在 5 名 DFNB9 儿童患者中的安全性和有效性。主要终点是 6 周时的剂量限制性毒性，次要终点包括安全性（不良事件）和有效性（听觉功能和言语感知）。共发生 36 例不良事件。最常见的不良事件是淋巴细胞计数增加（36 例中有 6 例）和胆固醇水平升高（36 例中有 6 例）。所有患者双侧听力均恢复。所有患者基线时右（左）耳的平均听性脑干反应阈值均 > 95 dB（>95 dB），在 26 周时患者 1 右（左）耳的平均听性脑干反应阈值恢复到 58 dB（58 dB），患者 2 为 75 dB（85 dB），患者 3 为 55 dB（50 dB）；在 13 周时患者 4 为 75 dB（78 dB），患者 5 为 63 dB（63 dB）。所有 5 名患者的言语感知和声源定位能力均恢复。这些结果为双侧 AAV 基因治疗遗传性耳聋的安全性和有效性提供了初步见解。该试验正在进行中，将进行更长时间的随访来验证其安全性和有效性。发表期刊：Nat Med . 2024 Jul;30(7):1898-1904 通讯作者/关键作者：王武清，李华为主要作者单位：复旦大学眼耳鼻喉医院 02 Lancet：舒宜来、李华为教授团队开展AAV1-hOTOF基因治疗常染色体隐性遗传性耳聋 9 型的一项单臂试验 doi: 10.1016/S0140-6736(23)02874-X 由 OTOF 基因突变引起的常染色体隐性遗传性耳聋 9 型，其特征为先天性或语前性、重度至极重度双侧听力损失。然而，目前尚无针对先天性耳聋的药物治疗方法。在本文中，我们报告了使用携带人 OTOF 转基因的腺相关病毒（AAV）血清型 1（AAV1 - hOTOF）进行基因治疗对常染色体隐性遗传性耳聋 9 型儿童的安全性和有效性。在 2022 年 10 月 19 日至 2023 年 6 月 9 日期间，我们筛选了 425 名受试者的入组资格，并招募了 6 名儿童进行 AAV1-hOTOF 基因治疗（1 名儿童接受了 9×10¹¹ 载体基因组 [vg] 的剂量，5 名儿童接受了 1.5×10¹² vg 的剂量）。所有受试者均完成了直至 26 周的随访。总共观察到 48 例不良事件；46 例（96%）为 1-2 级，2 例（4%）为 3 级（1 名受试者中性粒细胞计数减少）。5 名儿童听力恢复，表现为 0.5-4.0 kHz 平均听性脑干反应（ABR）阈值降低 40 - 57 dB。在接受 9×10¹¹ vg 剂量的受试者中，平均 ABR 阈值从基线时的大于 95 dB 改善至 4 周时的 68 dB、13 周时的 53 dB 和 26 周时的 45 dB。在接受 1.5×10¹² AAV1 - hOTOF 的受试者中，4 名听力恢复的儿童在 26 周时平均 ABR 阈值从基线时的大于 95 dB 变为 48 dB、38 dB、40 dB 和 55 dB。听力恢复的受试者言语感知能力得到改善。发表期刊：Lancet . 2024 May 25;403(10441):2317-2325 通讯作者/关键作者：舒宜来，李华为主要作者单位：复旦大学眼耳鼻喉医院注：排名不分先后点击下方「阅读原文」立刻下载梅斯医学APP！

临床3期AHA会议

2024-12-04

·GlobeNewswire-Health Care

Roivant Announces Topline Results from Phase 2 RESOLVE-Lung Study of Namilumab in Chronic Active Pulmonary Sarcoidosis

Namilumab failed to show treatment benefit in patients with pulmonary sarcoidosis Further development of namilumab for the treatment of sarcoidosis will be discontinued Dec. 03, 2024 -- Kinevant Sciences, a clinical-stage biopharmaceutical company developing new medicines for rare inflammatory and autoimmune diseases, today announced its Phase 2 study failed to show treatment benefit in patients with chronic active pulmonary sarcoidosis. The Phase 2 RESOLVE-Lung study (NCT05314517) evaluated the efficacy and safety of namilumab, an investigational anti-GM-CSF monoclonal antibody administered once-monthly as a subcutaneous injection, in participants with chronic active pulmonary sarcoidosis. Primary Endpoint Details: Namilumab failed to meet the primary endpoint of proportion of subjects with a Rescue Event during the double-blind period. Secondary Endpoints Details: Secondary efficacy endpoints, including change in percent predicted forced vital capacity, corticosteroid tapering success, and change in the patient reported King’s Sarcoidosis Questionnaire failed to show a treatment benefit consistent with the primary endpoint. Safety Details: The safety profile of namilumab in RESOLVE-Lung remains similar to previous studies. With these results, Kinevant will be discontinuing further development of namilumab for the treatment of sarcoidosis. Kinevant is committed to publishing the results of RESOLVE-Lung to inform future sarcoidosis research. “Although RESOLVE-Lung failed to show a treatment benefit for namilumab, the significant amount of information produced by the study will be tremendously helpful to those in the field who are committed to improving the lives of sarcoidosis patients,” said Bill Gerhart, CEO of Kinevant. “I would like to thank all the patients who courageously volunteered to participate in the study, as well as the Kinevant team, industry partners, principal investigators, site staff, and patient advocacy groups who all worked together to successfully conduct this important study for sarcoidosis.” “Risk-taking in clinical development is at the heart of our industry, and core to Roivant’s mission of developing new medicines for patients in need. It’s evident from our data that the RESOLVE-Lung study was thoughtfully designed and gave us a clear read on the potential benefits of namilumab in this patient population,” said Matt Gline, CEO of Roivant. “Unfortunately science is sometimes humbling, and we are proud to have made the attempt, as well as of our successes in other programs this year. We look forward to taking calculated risks on similar programs in the future.” The RESOLVE-Lung study is a Phase 2 randomized, double-blind, placebo-controlled study of namilumab for the treatment of pulmonary sarcoidosis at sites in the U.S. and Europe. The study enrolled 107 patients with pulmonary sarcoidosis considered to have chronic, active disease not well-controlled despite available therapeutic options. Patients in the study received a once-monthly subcutaneous injection of namilumab or placebo (following the initial dosing period) for approximately six months. All patients who complete the 26-week double-blind treatment period were eligible to participate in a 28-week open-label extension treatment period on namilumab. The primary endpoint of this study was proportion of subjects with a Rescue Event during the double-blind period. Rescue Event was defined as clinically significant worsening of a subject’s sarcoidosis requiring treatment, failure to adhere to the protocol defined OCS taper, or premature discontinuation from the study associated with lack of benefit during the double-blind treatment period. Study eligibility did not require subjects to be on high dose corticosteroids. If subjects were on >5mg/day of oral corticosteroid (OCS) at baseline, they were required to taper down to 5mg/day 8-10 weeks after randomization. If patients were on an immunosuppressive therapy (IST), they were required to stop the IST at randomization. Notably, all subjects enrolled had evidence of active pulmonary sarcoidosis disease, defined as a positive HRCT scan, significant lung inflammation on PET, and moderate to severe self-reported breathlessness. Pulmonary sarcoidosis is a lung disease characterized by the presence of granulomas (clumps of immune cells) of unknown etiology that can cause breathlessness, fatigue, and pain. The resulting inflammation, if not effectively treated, can result in lung tissue scarring (fibrosis), lung dysfunction, and eventually lung failure. Approximately 50% of diagnosed patients require chronic therapy to treat symptoms and prevent progression. Oral steroids (e.g., prednisone) and off-label immunosuppressive therapies (e.g., methotrexate) are first- and second-line therapies respectively for sarcoidosis; however, these therapeutic options are often not effective or can be accompanied by serious side effects. Approximately 200,000 people in the U.S. (and more than 1 million worldwide) are estimated to have sarcoidosis, an immune-mediated inflammatory disease that can affect any organ in the body, with about 90% of cases involving the lung. Granulocyte macrophage colony stimulating factor (GM-CSF) is a pro-inflammatory cytokine over-expressed in several inflammatory diseases, including sarcoidosis. GM-CSF mediated pro-inflammatory signaling is thought to play a central role in recruitment of macrophages and monocytes to the lung and to trigger a granulomatous response, including the fusion of macrophages into multinucleated giant cells. Namilumab is an anti-GM-CSF monoclonal antibody formulated to be administered once-monthly as a subcutaneous injection being investigated for the treatment of pulmonary sarcoidosis. Roivant is a biopharmaceutical company that aims to improve the lives of patients by accelerating the development and commercialization of medicines that matter. Roivant’s pipeline includes IMVT-1402 and batoclimab, fully human monoclonal antibodies targeting FcRn in development across several IgG-mediated autoimmune indications; brepocitinib, a potent small molecule inhibitor of TYK2 and JAK1 in development for the treatment of dermatomyositis and non-infectious uveitis; and mosliciguat, an inhaled sGC activator in development for pulmonary hypertension associated with interstitial lung disease. We advance our pipeline by creating nimble subsidiaries or “Vants” to develop and commercialize our medicines and technologies. Beyond therapeutics, Roivant also incubates discovery-stage companies and health technology startups complementary to its biopharmaceutical business. For more information, www.roivant.com. The content above comes from the network. if any infringement, please contact us to modify.

临床结果

2024-11-25

·PRNewswire

HanAll Biopharma, Daewoong Pharmaceutical and NurrOn Pharmaceuticals Announce Successful Completion of a First-in-Human Study for Potential Disease-Modifying Therapy for Parkinson's Disease

HL192 (ATH-399A) was well tolerated with no major safety issues in any of the 76 participants. No serious treatment related adverse events were reported and such findings were proportional between placebo and dosed groups. PK results support once a day dosing. ROCKVILLE, Md. and SEOUL, South Korea, Nov. 25, 2024 /PRNewswire/ -- HanAll Biopharma, Daewoong Pharmaceutical and NurrOn Pharmaceuticals successfully completed their Phase 1 study of HL192 (ATH-399A), which is being developed as a disease-modifying therapy for Parkinson's disease. The study met its primary endpoints of safety and tolerability in 5 different ascending dose groups, demonstrating significant progress in the treatment of this debilitating neurological disorder. This first-in-human study included single ascending dose (SAD), multiple ascending dose (MAD), and food effect components. "We are extremely pleased to announce the completion of the first-in-human study," said Sean Jeong, MD, MBA, CEO of HanAll Biopharma. "Successfully demonstrating the safety and tolerability in healthy volunteers, including older adults, is a key step in our mission to develop a disease-modifying therapy for Parkinson's disease. These findings bring hope to millions of patients and their families who are affected by this challenging condition." "We are excited to report positive results for our Phase 1 trial, confirming the well-tolerated safety profile of HL192 (ATH-399A) in healthy participants and expect to launch the next clinical trial in people with Parkinson's disease," said Deog Joong Kim, PhD., CEO of NurrOn Pharmaceuticals. NurrOn was awarded a $1.7 million grant from The Michael J. Fox Foundation for Parkinson's Research (MJFF) in support of the Phase 1 clinical trial of HL192 (ATH-399A), that initiated in the second half of 2023. "The Michael J. Fox Foundation remains steadfast in our commitment to accelerate the development of better treatments for the more than 6 million people living with Parkinson's disease around the world," said Katharina Klapper, principal of clinical research at MJFF. "The successful completion of the study's Phase 1 HL192 (ATH-399A) trial marks a meaningful step forward in advancing today's therapeutic pipeline." Parkinson's disease is a progressive neurological disorder that affects millions of people worldwide. Current treatments primarily focus on managing symptoms, but there is an urgent need for therapies that can alter the disease's progression. HL192 (ATH-399A) represents a promising approach, targeting the underlying mechanisms of Parkinson's disease to provide a more effective and long-lasting treatment. The study enrolled 76 healthy participants. Participants in the SAD and food effect arms received HL192 (ATH-399A) once, while participants in the MAD arm received a single dose once a day for twelve days, with careful monitoring and assessment of safety and tolerability. The results demonstrated a favorable safety profile. Key findings include equivalent percentages of treatment emergent adverse events (TEAEs) between those who received treatment compared to those who received placebo, with no clear dose dependent trends. Additionally, all tested dose levels were well below the pre-determined NOAEL (no observed adverse effect level) concentrations, further confirming the safety and tolerability of the chosen dose levels. HanAll and Daewoong plan to initiate the next clinical trial in people with Parkinson's disease in collaboration with NurrOn. The study will further evaluate the safety of HL192 (ATH-399A). The companies remain dedicated to developing this important asset with the goal to improve patient lives in an area of great unmet need. About HanAll Biopharma HanAll Biopharma (KRX: 009420.KS) is a global biopharmaceutical company with presence in Korea, the USA, Japan, and Indonesia with the mission of making meaningful contributions to patients' lives by introducing innovative, impactful medicines to address severe unmet medical needs. HanAll has been operating a portfolio of pharmaceutical products in the therapeutic areas of endocrine, circulatory, and urologic diseases for over 50 years. HanAll has also expanded its focus to immunology, oncology, neurology, and ophthalmology to discover and develop innovative medicines for patients with diseases for which there are no effective treatments. One of its lead pipeline assets, HL161 (INN: batoclimab), an anti-FcRn antibody, is being developed in Phase 3 and Phase 2 trials across the world for the treatment of autoimmune diseases including generalized myasthenia gravis (gMG), thyroid eye disease (TED), chronic inflammatory demyelinating polyneuropathy (CIDP). HL161ANS (IMVT-1402), another anti-FcRn antibody from HanAll, is planned to begin registrational studies in GD and Rheumatoid Arthritis (RA). Another lead asset, HL036 (INN: tanfanercept), a TNF inhibitor protein, has commenced a Phase 3 clinical study in the US and is also being evaluated in China for the treatment of dry eye disease. HL192 (ATH-399A), a Nurr1 activator targeting Parkinson's Disease, has completed a Phase 1 study in healthy volunteers. For further information, visit our website and connect with us on LinkedIn. For any media inquiries, please contact HanAll PR/IR ([email protected], [email protected]). About Daewoong Pharmaceutical. Co., Ltd. Daewoong Pharmaceutical (KRX: 069620.KS), established in 1945, is a global pharmaceutical company based in South Korea. The company is committed to the development, manufacturing, and commercialization of pharmaceutical products, with a mission to provide the most beneficial total solutions, including pharmaceuticals and services, which contribute to improving the quality of life of valued consumers. Operating with a keen focus on both domestic and international markets, Daewoong Pharmaceutical specializes in developing treatments for intractable and rare diseases. The company's diverse portfolio encompasses novel drugs, biologics, new products, and C&D, all supported by in-house research and development, open collaboration, and advanced manufacturing facilities. Marking significant achievements in drug development, Daewoong Pharmaceutical has successfully developed novel drugs for GERD, featuring the active ingredient Fexuprazan, and for Type 2 diabetes, with the active ingredient Enavogliflozin, in two consecutive years. The company is currently advancing in the development of First-in-Class Oral Anti-Fibrotic Agent for Idiopathic Pulmonary Fibrosis, utilizing Bersiporocin as a PRS Inhibitor. Notably, Bersiporocin has been designated by the U.S. FDA as an orphan drug and a Fast Track development product. Daewoong is dedicated to completing the Phase 2 clinical study of this drug by 2025. For more information, visit Daewoong Pharmaceutical's website and LinkedIn page. Media inquiries can be directed to Daewoong's PR at [email protected]. About NurrOn Pharmaceuticals NurrOn Pharmaceuticals is a clinical-stage biopharmaceutical company dedicated to developing novel, targeted therapeutics for the treatment of Parkinson's disease (PD) and other Nurr1-related incurable human disorders. Through targeting Nurr1, the master regulator for dopaminergic neuron development and maintenance, we aim to develop a paradigm changing PD treatment to improve patients' quality of life. While currently there are only symptomatic treatment options for patients with PD, there have not been any successful therapies to slow or prevent the progression of the disease. We believe that disease-modifying therapies will be achieved through targeting Nurr1, which has generated supportive data as a new druggable PD target. NurrOn was awarded a substantial grant from Michael J. Fox Foundation in support of the Phase 1 clinical trial of HL192 (ATH-399A), that initiated in the second half of 2023. For further information on NurrOn Pharmaceuticals, please visit our official website or contact [email protected]. Disclaimer Statement The contents of this announcement include statements that are, or may be deemed to be, "forward-looking statements." These forward-looking statements can be identified by the use of forward-looking terminology, including the terms "believes," "estimates," "anticipates," "expects," "intends," "may," "will," or "should," and include statements HANALL (the company, we) makes concerning its 2024 business and financial outlook and related plans; the therapeutic potential of its product candidates; the intended results of its strategy and the company, and its collaboration partners', advancement of, and anticipated clinical development, data readouts and regulatory milestones and plans, including the timing of planned clinical trials and expected data readouts; the design of future clinical trials and the timing and outcome of regulatory filings and regulatory approvals. By their nature, forward-looking statements involve risks and uncertainties, and readers are cautioned that any such forward-looking statements are not guarantees of future performance. The company's actual results may differ materially from those predicted by the forward-looking statements. These may include various significant factors, such as our expectations regarding the inherent uncertainties associated with competitive developments, preclinical and clinical trial and product development activities, and regulatory approval requirements. In addition, performance may be affected by our reliance on collaborations with third parties, estimating the commercial potential of our product candidates, our ability to obtain and maintain protection of intellectual property of technologies and drugs, our limited operating history, and our ability to obtain additional funding for operations and to complete the development and commercialization of product candidates. A further list and description of these risks, uncertainties, and other risks can be found in Korea Stock Exchange (KRX) filings and reports, including in our most recent annual report as well as subsequent filings and reports filed by the company with the KRX. Given these uncertainties, the reader is advised not to place any undue reliance on such forward-looking statements. These forward-looking statements speak only as of the date of publication of this document. We undertake no obligation to publicly update or revise the information in this press release, including any forward-looking statements, except as may be required by Korean law and regulations. SOURCE HanAll Biopharma WANT YOUR COMPANY'S NEWS FEATURED ON PRNEWSWIRE.COM? 440k+ Newsrooms & Influencers 9k+ Digital Media Outlets 270k+ Journalists Opted In GET STARTED

临床1期临床结果临床2期孤儿药快速通道

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外链

KEGG	Wiki	ATC	Drug Bank
D11983	-	-	DB16104

研发状态

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适应症	最高研发状态	国家/地区	公司	日期
重症肌无力	申请上市	中国	SAMSUNG BIOLOGICS Co., Ltd.	2023-06-28
重症肌无力	申请上市	中国	诺纳生物（苏州）有限公司	2023-06-28
重症肌无力	申请上市	中国	佳曦控股有限公司	2023-06-28
免疫性血小板减少症	临床3期	中国	和铂医药（上海）有限责任公司	2022-06-23
格雷夫斯眼病	临床3期	中国	和铂医药（广州）有限公司	2021-09-22
血小板减少症	临床3期	-	Roivant Sciences Ltd.	-
血小板减少症	临床3期	-	HANALL BIOPHARMA Co., Ltd.	-
慢性炎症性脱髓鞘性多发性神经病	临床2期	美国	Immunovant Sciences Ltd.	2022-12-15
慢性炎症性脱髓鞘性多发性神经病	临床2期	阿根廷	Immunovant Sciences Ltd.	2022-12-15
慢性炎症性脱髓鞘性多发性神经病	临床2期	比利时	Immunovant Sciences Ltd.	2022-12-15

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


NCT05907668 (GlobeNewswire) 人工标引	临床2期	格雷夫斯病	-	12 weeks of high dose batoclimab, followed by 12 weeks of lower dose batoclimab	鹽築簾積簾壓糧簾壓選(齋膚遞簾醖餘鑰醖膚鏇) = 淵鏇鏇繭衊窪鏇鹽製觸獵窪衊鏇鹽積鏇鹽繭憲 (蓋襯夢觸獵遞齋窪鏇窪 ) 更多	积极	2024-09-09
				12 weeks of high dose batoclimab	鹽築簾積簾壓糧簾壓選(齋膚遞簾醖餘鑰醖膚鏇) = 蓋蓋觸繭夢構網觸齋醖獵窪衊鏇鹽積鏇鹽繭憲 (蓋襯夢觸獵遞齋窪鏇窪 ) 更多
NCT05039190 (Literature) 人工标引	临床3期	重症肌无力	132	Batoclimab	遞餘夢壓遞積餘襯網繭(積構鬱顧壓醖憲醖獵選) = 獵鏇顧醖鏇簾糧繭齋觸獵網構獵鑰鏇顧糧壓鹽 (鬱鑰網膚範憲襯醖淵壓 ) 更多	积极	2024-03-04
				Placebo	遞餘夢壓遞積餘襯網繭(積構鬱顧壓醖憲醖獵選) = 顧簾範淵糧願淵糧積鹹獵網構獵鑰鏇顧糧壓鹽 (鬱鑰網膚範憲襯醖淵壓 ) 更多
NCT03922321 (Corporate Publications) 人工标引	临床2期	格雷夫斯眼病	-	RVT-1401	鏇夢壓齋築願膚願鬱獵(鑰餘選蓋網鹹廠鏇膚齋) = 鏇鬱簾淵醖蓋網範繭膚範蓋構願繭膚廠窪選繭 (顧壓憲餘憲膚製鑰築簾 ) 更多	积极	2023-12-20
NCT03863080 (Phase 2 Study of Subcutaneous IMVT-1401 \| ASCEND MG, CTgov)	临床2期	重症肌无力	17	RVT-1401+DB (Double-blind Treatment Period: Placebo)	製製遞簾簾製廠願衊餘(鬱艱顧鏇積憲積遞鹹網) = 淵鹹築鑰窪繭衊網膚衊廠壓鏇簾蓋願鹽顧獵夢 (遞窪鹹範鏇窪淵餘獵築, 壓選鏇艱獵簾襯簾遞顧 ~ 夢鹹築衊構範鑰衊壓鬱) 更多	-	2023-12-20
				RVT-1401 (Double-blind Treatment Period: RVT-1401 340 mg/Week)	製製遞簾簾製廠願衊餘(鬱艱顧鏇積憲積遞鹹網) = 膚觸齋願鬱壓夢積構壓廠壓鏇簾蓋願鹽顧獵夢 (遞窪鹹範鏇窪淵餘獵築, 壓鬱憲廠夢壓築遞壓齋 ~ 憲醖糧鬱鹹憲範願艱齋) 更多
NCT04253236 (ASCEND-WAIHA, CTgov)	临床2期	自身免疫性溶血性贫血	5	RVT-1401 (Cohort 1: RVT-1401 680 mg/Week)	積窪齋鏇夢衊醖夢選艱(範衊憲淵製範廠製鑰糧) = 淵製遞築膚淵蓋夢製觸繭鑰鹹構鑰淵鬱選築淵 (鬱壓衊顧網壓衊選齋醖, 膚醖製繭範築觸夢鑰醖 ~ 鬱構蓋繭製願範積夢艱) 更多	-	2022-07-28
				RVT-1401 (Cohort 2: RVT-1401 340 mg/Week)	窪簾觸膚積衊鬱衊淵鬱(壓憲繭襯顧鹽鏇網獵鹹) = 製鬱壓築鑰廠選壓齋構夢膚壓夢壓簾獵繭繭齋 (鑰夢製齋衊衊築鏇願觸, 壓鹹顧選簾窪齋觸醖廠 ~ 簾廠襯窪範簾糧願範鬱) 更多
NCT03922321 (CTgov)	临床2期	格雷夫斯眼病	7	RVT-1401	齋蓋獵艱壓鹹鹹獵艱築(壓簾蓋構鹹膚醖範鹹糧) = 選餘餘繭憲糧網壓壓襯艱鹹顧顧醖壓齋網糧艱 (襯衊獵製艱淵築壓膚鑰, 蓋獵餘醖繭壓餘鏇顧淵 ~ 築選簾衊糧蓋範簾鏇鬱) 更多	-	2022-01-24
NCT03971916 (Pubmed \| Clin Transl Sci) 人工标引	临床1期	-	24	HBM9161	鏇齋憲遞淵鑰壓淵壓積(壓衊遞鹽蓋築糧顧壓糧) = All reported AEs were mild in severity. 鹽夢構襯廠齋窪糧壓範 (壓簾襯鏇鑰壓淵憲廠網 ) 更多	积极	2021-09-01
				Placebo
NCT04346888 (PipelineReview) 人工标引	临床2期	重症肌无力	30	Batoclimab	襯築艱範膚積繭糧網壓(鬱餘壓鑰膚夢願範範築) = 蓋繭構齋醖膚網顧壓廠積艱願醖鹽廠鬱窪蓋淵 (觸醖壓簾齋鹹繭願積壓 ) 更多	积极	2021-07-06
				Placebo	襯築艱範膚積繭糧網壓(鬱餘壓鑰膚夢願範範築) = 構繭構糧築醖積窪製願積艱願醖鹽廠鬱窪蓋淵 (觸醖壓簾齋鹹繭願積壓 ) 更多
NCT03863080 (Phase 2 Study of Subcutaneous IMVT-1401, AAN2021)	临床2期	重症肌无力 AChRAb-positive	-	IMVT-1401 680 mg	蓋艱醖簾壓範糧遞簾艱(壓鹽遞獵築築繭獵艱蓋) = 範艱願積遞糧齋獵憲鹹觸範蓋獵醖範簾簾範憲 (醖繭艱鏇願繭醖鑰齋窪 ) 更多	积极	2021-04-13
				IMVT-1401 340 mg	蓋艱醖簾壓範糧遞簾艱(壓鹽遞獵築築繭獵艱蓋) = 繭繭積遞獵範遞艱鏇鏇觸範蓋獵醖範簾簾範憲 (醖繭艱鏇願繭醖鑰齋窪 ) 更多
NCT03863080 (ASCEND MG, BusinessWire) 人工标引	临床2期	重症肌无力	15	Batoclimab	顧膚顧餘鹽構範鹹積鑰(襯願遞齋繭簾壓壓壓觸) = 鏇醖繭簾網襯願廠遞網鏇醖膚夢廠憲淵膚膚構 (積廠齋衊顧鹹糧蓋襯觸 ) 更多	积极	2020-08-25
				Placebo	顧膚顧餘鹽構範鹹積鑰(襯願遞齋繭簾壓壓壓觸) = 顧鏇積網壓獵範膚醖願鏇醖膚夢廠憲淵膚膚構 (積廠齋衊顧鹹糧蓋襯觸 ) 更多