▎药明康德内容团队编辑本期看点1. 接受靶向BAFFR的自体CAR-T细胞疗法PMB-CT01的首位患者在治疗后1个月就达到了完全缓解(CR)。2. 创新机制抗肿瘤疫苗AGI-134在不可切除的转移性实体肿瘤患者中的疾病稳定(SD)率达29%。3. 治疗杜氏肌营养不良症(DMD)的反义寡核苷酸(ASO)疗法WVE-N531公布积极早期临床试验结果。4. 胰高血糖素样肽-1(GLP-1)/胰高血糖素双重受体激动剂pemvidutide(ALT-801)治疗非酒精性脂肪性肝炎(NAFLD)患者,治疗24周后,患者肝脏脂肪含量相对减少超过75%。5. KRAS G12C抑制剂Krazati(adagrasib)获突破性疗法认定(BTD),并公布在结直肠癌患者中的1/2期临床试验的积极结果。药明康德内容团队整理PMB-CT01:公布1期临床试验中首例患者的数据PeproMene Bio公司公布了其靶向BAFFR的自体CAR-T细胞疗法PMB-CT01在1期临床试验中的首例患者数据。BAFF-R(B细胞活化因子受体)是肿瘤坏死因子(TNF)受体超家族成员,是几乎只在B细胞上表达的BAFF的主要受体。由于BAFF-R信号传导能够促进正常B细胞增殖,且似乎是B细胞生存所必需的。因此,肿瘤细胞不太可能通过BAFF-R抗原的丢失而逃避免疫应答。这种独特的特性使靶向BAFF-R的CAR-T细胞疗法有望成为治疗B细胞恶性肿瘤的潜在强有力的治疗方法。在体外和动物模型中,PMB-CT01都能杀死人类淋巴瘤和白血病的癌细胞。此次公布的1期临床试验结果显示,首例接受治疗的B细胞非霍奇金淋巴瘤患者在接受治疗1个月后即达到了CR,仅出现了低级的治疗紧急毒性,包括已完全康复的1级细胞因子释放综合征(CRS),未观察到神经毒性/免疫效应细胞相关神经毒性综合征(ICANS)。AGI-134:公布1/2a期临床试验数据BioLineRx公司公布了其研究性抗肿瘤疫苗AGI-134的1/2a期研究结果。AGI-134是一种用于实体肿瘤的合成α-Gal糖脂,通过肿瘤内给药,AGI-134可以用α-Gal标记癌细胞,从而让机体预先存在的大量抗α-Gal抗体,重定向至接受过AGI-134治疗的肿瘤。抗Gal抗体与肿瘤结合后会激活补体级联反应,破坏肿瘤细胞并产生促炎肿瘤微环境。这种微环境会诱导对患者自身肿瘤新抗原的全身性、特异性的抗肿瘤反应。AGI-134已在众多临床前研究中证实了它可以导致原发性肿瘤的消退,并抑制继发性肿瘤(转移)的发展。此外,当与抗PD-1免疫检查点抑制剂联合使用时,AGI-134具有协同作用,有可能扩大这种免疫疗法的效用,并提高在多种癌症类型中的缓解率和持续时间。此次公布的结果显示,AGI-134达到了1/2a期研究的安全性和耐受性的主要终点。放射学评估发现,29%(11/38)的患者的最佳总体缓解为SD,其中7例有既往免疫检查点抑制剂治疗失败的经历。此外,多种生物标志物显示AGI-134能够增加患者的整体免疫活性。WVE-N531:公布1b/2a期临床试验数据Wave Life Sciences公司发布了其反义寡核苷酸(ASO)疗法WVE-N531在三个患有杜氏肌营养不良症(DMD)的男孩身上进行的1b/2a期概念验证研究的积极结果。DMD是一种致命的X连锁遗传性神经肌肉疾病,主要由编码抗肌萎缩蛋白(dystrophin)的基因发生突变所引起。约8%-10%的DMD患儿的基因突变可通过53号外显子跳跃疗法进行治疗。外显子跳跃疗法旨在通过促进抗肌萎缩蛋白的产生来稳定或减缓疾病的进展,从而解决DMD的根本病因。WVE-N531是一种针对DMD的研究性外显子跳跃疗法,用于调控编码抗肌萎缩蛋白的RNA前体的剪接过程。三名非卧床的DMD男性患儿参加了这项开放标签、剂量递增临床试验。研究结果显示,该疗法的安全和耐受性良好,连续三次给药后可导致大量外显子跳跃。新闻稿指出,这是在患有DMD的男孩中进行的临床试验中所报告的外显子跳跃的最早时间点。Pemvidutide:公布1b期临床试验数据Altimmune公司公布了其候选药物pemvidutide治疗NAFLD患者为期24周(其中12周为延长试验)的早期临床试验的顶线结果。Pemvidutide是一款基于多肽的GLP-1/胰高血糖素双重受体激动剂。胰高血糖素能够增加能量消耗,并且促进身体中储存能量的白色脂肪转化为消耗能量的褐色脂肪。它与GLP-1产生协同作用,有望促进比GLP-1受体激动剂单药更有效的体重减轻。胰高血糖素也被认为对肝脏脂肪代谢有直接影响,能够使肝脏脂肪水平迅速降低。此次公布的1b期临床试验结果显示,在所有pemvidutide治疗组中均达到了主要终点及关键次要减肥终点。在第12周和第24周,使用pemvidutide治疗的NAFLD受试者显示出在肝脏脂肪含量、血清ALT水平和体重方面均有降低。在24周时,在1.8 mg和2.4 mg剂量下,患者的肝脏脂肪含量相对减少超过75%。在1.8 mg剂量下,无糖尿病受试者的平均体重减轻7.2%(根据安慰剂组调整后为6.0%),所有受试者的平均体重减轻6.2%(根据安慰剂组调整后4.8%)。此外,血糖控制与糖尿病受试者的空腹血糖和HbA1c改善的趋势依然得到了保持。Krazati(adagrasib):公布1/2期临床试验数据Mirati Therapeutics公司宣布FDA授予其KRAS G12C抑制剂Krazati(adagrasib)突破性疗法认定(BTD),与EGFR抑制剂cetuximab联用治疗肿瘤带有KRAS G12C突变的晚期结直肠癌患者。Krazati是一款具有高度特异性的强力口服KRAS G12C抑制剂,经过优化设计具有持久的靶点抑制能力。Krazati具有长达24小时的半衰期和广泛的组织分布,而且能够穿过血脑屏障,有助于最大限度地发挥药物效力。此前,美国FDA还授予过它另一项突破性疗法认定,用于治疗携带KRAS G12C突变的经治非小细胞肺癌患者。此次公布的数据为Krazati作为单药或与cetuximab联用治疗携带KRAS G12C突变的晚期结直肠癌患者的1/2期临床试验结果。数据显示,该候选药物对这类患者群体具有显著的临床效力与安全性。在所有28位可评估的患者中,接受Krazati与cetuximab联合疗法的患者具有46%的客观缓解率(ORR),其中位缓解持续时间(DOR)为7.6个月,中位无进展生存期(PFS)为6.9个月。Krazati在此试验中的安全性与以往试验一致,而其与cetuximab的联合疗法并未造成协同不良反应。IVS-3001:IND申请获得FDA许可IVS-3001是Invectys公司与MD安德森癌症中心设立的合资公司CTMC合作开发的HLA-G靶向CAR-T细胞疗法。HLA-G不仅是一种免疫检查点,也是一种肿瘤特异性抗原。IVS-3001能够识别并杀死在细胞表面表达HLA-G的靶细胞。IVS-3001的临床前研究已经产生了足够的数据来支持其有效性和安全性,因而其IND申请获得了FDA许可。该公司正计划在局部晚期不可切除或转移性的HLA-G+选择的恶性实体肿瘤患者中启动1/2a期临床试验。MZE001:公布1期临床试验数据Maze Therapeutics公司公布了其针对庞贝病(Pompe disease)所开发的在研抑制剂MZE001于临床1期试验中的积极结果。庞贝病是由于缺乏酸性α-葡萄糖苷酶(GAA)引起的遗传性溶酶体储存障碍。酶替代疗法是目前唯一获批的疗法,但仍有未满足的临床需求。MZE001是一种口服糖原合成酶1(GYS1)抑制剂,旨在抑制庞贝病的致病原因——糖原累积。此次公布的数据分析显示,MZE001在单剂与多剂量递送时皆呈现良好的耐受性,显示具一天两剂的药代动力学特征,并具有降低生物标志物血细胞糖原(glycogen)水平的能力。STAR-0215:公布1a期临床试验的初步数据Astria Therapeutics公司公布了其用于治疗遗传性血管性水肿(HAE)的血浆激肽释放酶单克隆抗体抑制剂STAR-0215在健康受试者中的1a期临床试验的初步数据。结果显示,STAR-0215具有作为长效血浆激肽释放酶抑制剂的潜力,估计的半衰期长达110天,支持STAR-0215每三个月给药一次或以更低的频率给药。该公司计划在2023年第一季度在HAE患者中启动1b/2期试验。Emraclidine:公布1b期临床试验数据Cerevel Therapeutics公司公布了其新型毒蕈碱M4选择性正变构调节剂emraclidine用于精神分裂症成人患者的早期临床数据。结果显示,与安慰剂相比,emraclidine在阳性和阴性症状量表(PANSS)总分中显示出具有临床意义和统计学意义的改善,总体耐受性良好。动态血压监测试验结果显示,emraclidine长期给药不会引起精神分裂症患者血压升高。同时,研究结果还表明,选择性靶向M4毒蕈碱受体亚型是治疗精神分裂症的潜在新方法。ABI-4334、ABI-H3733:公布1a/1b期临床试验数据Assembly Biosciences公司公布了其下一代HBV核心抑制剂ABI-H3733的1b期临床研究和ABI-4334的1a期临床研究的中期疗效、安全性和药代动力学(PK)结果。结果显示,在为期28天的1b期研究中,8例接受ABI-H3733治疗的HBV患者中有6例在第21天时的HBV DNA低于定量检测的下限,患者的血浆HBV DNA平均减少了3.1个对数值。ABI-4334在1a期试验中的结果表现出支持其每日一次口服给药的PK特征,并且ABI-4334在临床前实验中观察到的高效力在临床试验中也展现出了早期迹象。在这两项研究中均未观察到严重不良事件或实验室异常,包括丙氨酸氨基转移酶(ALT)升高。药明康德为全球生物医药行业提供一体化、端到端的新药研发和生产服务,服务范围涵盖化学药研发和生产、生物学研究、临床前测试和临床试验研发、细胞及基因疗法研发、测试和生产等领域。如您有相关业务需求,欢迎点击下方图片填写具体信息。▲如您有任何业务需求,请长按扫描上方二维码,或点击文末“阅读原文/Read more”,即可访问业务对接平台,填写业务需求信息▲欲了解更多前沿技术在生物医药产业中的应用,请长按扫描上方二维码,即可访问“药明直播间”,观看相关话题的直播讨论与精彩回放参考资料(可上下滑动查看)[1] Astria Therapeutics Announces Positive Preliminary Results from the Phase 1a Clinical Trial of STAR-0215 in Healthy Subjects. Retrieved December 15, 2022, from https://www.businesswire.com/news/home/20221215005251/en[2] Calypso Biotech Announces First Patient with Eosinophilic Esophagitis Dosed in Anti-Interleukin-15 (IL-15) Monoclonal Antibody CALY-002 Phase 1a/b Trial, and Animal Proof of Concept Data in Atopic Dermatitis. Retrieved December 15, 2022, from https://pipelinereview.com/index.php/2022121582298/Antibodies/Calypso-Biotech-Announces-First-Patient-with-Eosinophilic-Esophagitis-Dosed-in-Anti-Interleukin-15-IL-15-Monoclonal-Antibody-CALY-002-Phase-1a/b-Trial-and-Animal-Proof-of-Conc.html[3] Rigel Doses First Patient in Phase 1b Study of R289 for the Treatment of Lower-Risk Myelodysplastic Syndromes. Retrieved December 15, 2022, from https://www.prnewswire.com/news-releases/rigel-doses-first-patient-in-phase-1b-study-of-r289-for-the-treatment-of-lower-risk-myelodysplastic-syndromes-301703773.html[4] Cerevel Therapeutics Announces Publication in The Lancet of Emraclidine Data from Phase 1b Clinical Trial in People Living with Schizophrenia. Retrieved December 15, 2022, from https://investors.cerevel.com/news-releases/news-release-details/cerevel-therapeutics-announces-publication-lancet-emraclidine[5] Maze Therapeutics Announces Completion of Phase 1 First-in-Human Trial Evaluating MZE001 as a Potential Oral Treatment for Pompe Disease. Retrieved December 15, 2022 from https://www.businesswire.com/news/home/20221215005328/en/Maze-Therapeutics-Announces-Completion-of-Phase-1-First-in-Human-Trial-Evaluating-MZE001-as-a-Potential-Oral-Treatment-for-Pompe-Disease[6] Frequency Therapeutics Announces First Patient Dosed in Phase 1b Study of FX-345, the Company’s Second Therapeutic Candidate for Sensorineural Hearing Loss. Retrieved December 15, 2022 from https://www.businesswire.com/news/home/20221215005106/en/[7] SwanBio Therapeutics Initiates First-in-Human Study of AAV Gene Therapy for Adrenomyeloneuropathy. Retrieved December 15, 2022, from https://www.businesswire.com/news/home/20221215005320/en/[8] Nuvation Bio Doses First Patient in Phase 1b Combination Study of NUV-868. Retrieved December 19, 2022, from https://www.businesswire.com/news/home/20221219005673/en/[9] Wave Life Sciences Provides Positive Update on Proof-of-Concept Study for WVE-N531 in Duchenne Muscular Dystrophy. Retrieved December 19, 2022, from https://ir.wavelifesciences.com/news-releases/news-release-details/wave-life-sciences-provides-positive-update-proof-concept-study[10] erevel Therapeutics Announces Positive Results in Emraclidine Ambulatory Blood Pressure Monitoring Trial. Retrieved December 19, 2022, from https://investors.cerevel.com/news-releases/news-release-details/cerevel-therapeutics-announces-positive-results-emraclidine[11] Assembly Biosciences Announces Promising Interim Results from Two Clinical Trials Evaluating Highly Potent Next-Generation Core Inhibitor Candidates ABI-H3733 and ABI-4334. Retrieved December 19, 2022, from https://investor.assemblybio.com/news-releases/news-release-details/assembly-biosciences-announces-promising-interim-results-two[12] BioInvent Initiates Phase 1 Trial with Subcutaneous Formulation of BI-1206. Retrieved December 19, 2022, from https://www.accesswire.com/732321/BioInvent-Initiates-Phase-1-Trial-with-Subcutaneous-Formulation-of-BI-1206[13] Invectys and CTMC announce FDA clearance of IND application for anti-HLA-G CAR-T cell therapy. Retrieved December 19, 2022, from https://www.globenewswire.com/news-release/2022/12/19/2576489/0/en/Invectys-and-CTMC-announce-FDA-clearance-of-IND-application-for-anti-HLA-G-CAR-T-cell-therapy.html[14] BioLineRx Announces Results from Phase 1/2a Study of Investigational Anti-Tumor Vaccine AGI-134 in Metastatic Solid Tumors. Retrieved December 20, 2022, from https://ir.biolinerx.com/news-releases/news-release-details/biolinerx-announces-results-phase-12a-study-investigational-anti[15] PeproMene Bio, Inc. Announced Complete Response of The First Patient Treated in Its B-cell Non-Hodgkin Lymphoma (B-NHL) Phase 1 Clinical Trial of PMB-CT01 (BAFFR-CAR T Cells) at City of Hope. Retrieved December 20, 2022, from https://www.prnewswire.com/news-releases/pepromene-bio-inc-announced-complete-response-of-the-first-patient-treated-in-its-b-cell-non-hodgkin-lymphoma-b-nhl-phase-1-clinical-trial-of-pmb-ct01-baffr-car-t-cells-at-city-of-hope-301707651.html[16] ERASCA ANNOUNCES FIRST PATIENT DOSED IN HERKULES-1 PHASE 1B TRIAL EVALUATING ERAS-007 AND ERAS-601 MAPKLAMP COMBINATION IN RAS/MAPK PATHWAY-ALTERED SOLID TUMORS. Retrieved December 20, 2022, from https://investors.erasca.com/news-releases/news-release-details/erasca-announces-first-patient-dosed-herkules-1-phase-1b-trial[17] Altimmune Announces Positive Topline Results From 24-Week (12-Week Extension) Trial Of Pemvidutide In Subjects With Non-Alcoholic Fatty Liver Disease (NAFLD). Retrieved December 20, 2022, from https://ir.altimmune.com/news-releases/news-release-details/altimmune-announces-positive-topline-results-24-week-12-week[18] BioNTech Initiates Phase 1 Clinical Trial for Malaria Vaccine Program BNT165. Retrieved December 23, 2022, from https://investors.biontech.de/news-releases/news-release-details/biontech-initiates-phase-1-clinical-trial-malaria-vaccine[19] BioNTech Starts Phase 1 Clinical Trial for Prophylactic Herpes Simplex Virus-2 Vaccine Candidate BNT163. Retrieved December 23, 2022, from https://investors.biontech.de/news-releases/news-release-details/biontech-starts-phase-1-clinical-trial-prophylactic-herpes[20] Mirati announces Adagrasib (KRAZATI™) Receives Breakthrough Therapy Designation from FDA for Patients with Advanced, KRAS-Mutated Colorectal Cancer and NEJM Publishes Phase 1b/2 Data from Adagrasib With or Without Cetuximab in Colorectal Cancer. Retrieved December 21, 2022, from https://ir.mirati.com/press-releases/press-release-details/2022/Mirati-announces-Adagrasib-KRAZATI-Receives-Breakthrough-Therapy-Designation-from-FDA-for-Patients-with-Advanced-KRAS-Mutated-Colorectal-Cancer-and-NEJM-Publishes-Phase-1b2-Data-from-Adagrasib-With-or-Without-Cetuximab-in-Colorectal-Cancer/default.aspx免责声明:药明康德内容团队专注介绍全球生物医药健康研究进展。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:本文来自药明康德内容团队,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