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2022.05.12- ir.aslanpharma.com/static-files/20941066-3bc3-418b-a970-9951565de0f2

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Treatment of atopic dermatitis with tralokinumab, an anti-IL-13 mAb.
Randomized controlled trial

Wollenberg A, et al. J Allergy Clin Immunol. 2019.
Show full citation

Treatment,2b,
300mg/2¶g¤@°w¡A12¶g
n=51:51,Á{§É结ªG¡AIGA 26.7%¹êÅç组vs 11.8%¹ï·Ó组¡C

Abstract
BACKGROUND: IL-13 has an important role in atopic dermatitis (AD) pathogenesis. Tralokinumab is a fully human mAb that potently and specifically neutralizes IL-13.

OBJECTIVE: We sought to evaluate the efficacy and safety of tralokinumab in adults with moderate-to-severe AD.

METHODS: In this phase 2b study (NCT02347176), 204 adults were randomized 1:1:1:1 to receive 45, 150, or 300 mg of subcutaneous tralokinumab, or placebo, every 2 weeks for 12 weeks with concomitant topical glucocorticoids. Coprimary end points were change from baseline in Eczema Area Severity Index score and percentage of participants with an Investigator¡¦s Global Assessment response (0/1 score and reduction of ≥2 grades from baseline) at week 12.

RESULTS: At week 12, 300 mg of tralokinumab significantly improved change from baseline in Eczema Area Severity Index score versus placebo (adjusted mean difference, -4.94; 95% CI, -8.76 to -1.13; P = .01), and a greater percentage of participants achieved an Investigator¡¦s Global Assessment response (26.7% vs 11.8%). Greater responses were found in participants with greater concentrations of biomarkers of increased IL-13 activity. Participants treated with 300 mg of tralokinumab demonstrated improvements in SCORAD, Dermatology Life Quality Index, and pruritus numeric rating scale (7-day mean) scores versus placebo. Upper respiratory tract infection was the most frequent treatment-emergent adverse event reported as related to study drug in the placebo (3.9%) and pooled tralokinumab (3.9%) groups.

CONCLUSIONS: Tralokinumab treatment was associated with early and sustained improvements in AD symptoms and an acceptable safety and tolerability profile, thereby providing evidence for targeting IL-13 in patients with AD.

Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.

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ASLAN004
µL½×¥HÀR¯ßª`®g©Î¥Ö¤Uª`®gªº¤è¦¡µ¹ÃÄ¡A¬Ò®i²{¨}¦nªº­@¨ü©Ê¡A¨ÃµL¤£¨}¤ÏÀ³¤§±¡§Îµo¥Í¡C
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ASLAN004 Àu²§ªºÃĪ«¯S©Ê¥i¥H¬°²§¦ì©Ê¥Ö½§ª¢¯f±w´£¨Ñ¤@­Ó¥ÎÃÄÀW²v¸û§CªºªvÀø¤è¦¡¡B¤ñ°_²{¦³ªvÀø¤è
¦¡§ó¬°«K§Qªºµ¹Ãij~®|¡AÂǦ¹´î»´²§¦ì©Ê¥Ö½§ª¢¯f±w»P¾ãÅéÂåÀøÅé¨tªº­t¾á¡C¡v

¨È·à±d-KY ©ó 2019 ¦~ 3 ¤ë¤½¥¬²Ä¤@³¡¤À¸ÕÅç ASLAN004 ¥HÀR¯ßª`®g¤è¦¡µ¹ÃĤ§¼Æ¾Úµ²ªG¡C
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Åã¥Ü ASLAN004 ¥H¥Ö¤Uª`®gµ¹ÃĦb©Ò¦³¾¯¶q¤U¬Ò®i²{¨}¦n­@¨ü©Ê¡A¨ÃµL¥X²{¥ô¦óÄY­«¤£¨}¨Æ¥ó¦Ó¾É­PªvÀø¤¤
Â_ªº±¡ªpµo¥Í¡A¶È¦³¤@¦W¨ü¸ÕªÌ¥X²{»´·Lª`®g³¡¦ì·kÄo¡A¦ý¯gª¬¦b 24 ¤p®É¤º§Y¸Ñ°£¡C
°w¹ï¤U´å¤¶½è©Ò¶i¦æ¤§
¤ÀªRÅã¥Ü¡A¦bµ¹ÃĪº¤@¤p®É¤º¡A¥]¬A¦b¹L±Ó©Êµoª¢¤ÏÀ³¤¤§êºt­«­n¨¤¦â¤§¤¶½è¡§ÁC»Ä¤Æ STAT6 (pSTAT6)¡¨§Y
¨ü¨ì§¹¥þ§í¨î¡A¥B¤@ÃĪ«°Ê¤O¦±½u¹Ï(pharmacokinetic profile)Åã¥Ü ASLAN004 ªºµ¹ÃÄÀW²v¥i±æ¬°¨C¤ë¤@¦¸¡C
¯S
§O­È±oª`·Nªº¬O¡A¸ÕÅç¼Æ¾Ú«ü¥X ASLAN004 §¹¥þ§í¨î¨ü¾¹°T¸¹¶Ç»¼©Ò»Ýªº³Ì§C¿@«×(trough level)¤ñ²{¦³ªvÀø¤è
¦¡©Ò»Ýªº¿@«×§C¡A¿@«×®t¶Z¶W¹L¤@­Ó¼Æ¶q¯Å¡C¡]®t10­¿¡A¥ÎÃĶq/ÀW²v±N¤j´T¤U­°)

³o¶µ¼Æ¾Ú¦b¨È·à±d-KY ©ó 2019 ¦~ 5 ¤ë 31 ¤é«Å¥¬»P CSL ­×­q¦X¬ù¨ú±o ASLAN004 ¥þ²y¬ãµo¡B»s³y»P°Ó«~¤ÆÅv§Q
«á¤½¥¬¡A¨È·à±d-KY ¤U¤@¨B±N©ó 2019 ¦~¤U¥b¦~±Ò°Ê°w¹ï¤¤«×¦Ü­««×²§¦ì©Ê¥Ö½§ª¢±wªÌ¤§¦h¾¯¶q»¼¼W¸ÕÅç¡C
²§¦ì©Ê¥Ö½§ª¢¬°³Ì±`¨£ªº¥Ö½§¯e¯f¡A¥þ²y¶W¹L 2 »õ¦W¯f±w²`¨ü¦¹¯e¯fªº§xÂZ1 ¡A²§¦ì©Ê¥Ö½§ª¢ªº¯SÂI¬°¥Ö½§¬õ
¸~¡B«ùÄò·kÄo¡A¥i¯àÄY­«¼vÅT¯f±w¥Í¬¡«~½è¡C°ª¹F¤T¤À¤§¤@¦¨¤H¯f±wªº¯f±¡µ{«×¹F¤¤«×¦Ü­««×¡A²§¦ì©Ê¥Ö½§
ª¢²{¦³ªvÀø¤è¦¡¦³­­¡A¦Ó±±¨î¯f±¡¹ï¤j¦h¼Æ¯f±w¨Ó»¡³£·¥¨ã¬D¾Ô
¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X¡X
¤½¥q¦b²Ä¤@¦¸ASLAN004 °·±d¤HÅéÁ{§É¹êÅ礤¡A¤w§ä¨ì§í¨îIL13R £\1¨ü¾¹ªº¿@«×¤§¤HÅé¹êÅç¼Æ¾Ú¡C

¡]¤W¦¸Á{§É¤£¦P¾¯¶q¥´¤@°w¡AÆ[¹î85¤Ñ,16­Ó®ÉÂI, Time Frame: Predose,1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 72 hour, 168 hour, 240 hour and up to 3 months ]

¦¸­n¦¨ªG«ü¼Ð¡G
1.PK°Ñ¼Æ¡G±q¹s®É¶¡¨ì³Ì«á¤@­Ó¥i¶q¤Æ¿@«×®É¶¡ªº¦±½u¤U­±¿n¡]AUC¡^[AUC¡]0-last¡^] [®É¶¡½d³ò¡Gµ¹ÃÄ«e¡A1¤p®É¡A2¤p®É¡A4¤p®É¡A8¤p®É¡A24¤p®É¡A 72¤p®É¡A168¤p®É¡A240¤p®É¥H¤Î³Ì¦h3­Ó¤ë]
µû¦ô³q¹LÀR¯ß¤º©Î¥Ö¤Uª`®g³~®|³æ¾¯µ¹ÃÄ«áASLAN004¦b°·±d§ÓÄ@ªÌ¤¤ªºÃÄ¥N°Ê¤O¾Ç¡]16­Ó®É¶¡ÂI¡^

2.PK°Ñ¼Æ¡G¦ô­píºA¤À§G¶q¡]Vss¡^[®É¶¡½d³ò¡GªAÃÄ«e¡A1¤p®É¡A2¤p®É¡A4¤p®É¡A8¤p®É¡A24¤p®É¡A72¤p®É¡A168¤p®É¡A240¤p®É¥H¤Î³Ì¦h3­Ó¤ë]
µû¦ô³q¹LÀR¯ß¤º©Î¥Ö¤Uª`®g³~®|³æ¾¯µ¹ÃÄ«áASLAN004¦b°·±d§ÓÄ@ªÌ¤¤ªºÃÄ¥N°Ê¤O¾Ç¡]16­Ó®É¶¡ÂI¡^

3.PK°Ñ¼Æ¡G¥Ö¤U¥Íª«§Q¥Î«×¡]F¡^[®É¶¡½d³ò¡GªAÃÄ«e1¤p®É¡A2¤p®É¡A4¤p®É¡A8¤p®É¡A24¤p®É¡A72¤p®É¡A168¤p®É¡A240¤p®É¥H¤Î³Ì¦h3­Ó¤ë]
¶È³q¹LSC³~®|³æ¦¸µ¹ÃÄ«áµû¦ôASLAN004¦b°·±d§ÓÄ@ªÌ¤¤ªºÃÄ¥N°Ê¤O¾Ç¡]16­Ó®É¶¡ÂI¡^

4.PK°Ñ¼Æ¡G¾¯¶q¼Ð·Ç¤ÆCmax¡]Cmax /¾¯¶q¡^[®É¶¡½d³ò¡GªAÃÄ«e¡A1¤p®É¡A2¤p®É¡A4¤p®É¡A8¤p®É¡A24¤p®É¡A72¤p®É¡A168¤p®É¡A240¤p®É¥H¤Î³Ì¦h3­Ó¤ë]
µû¦ô³q¹LÀR¯ß¤º©Î¥Ö¤Uª`®g³~®|³æ¾¯µ¹ÃÄ«áASLAN004¦b°·±d§ÓÄ@ªÌ¤¤ªºÃÄ¥N°Ê¤O¾Ç¡]16­Ó®É¶¡ÂI¡^

5.PK°Ñ¼Æ¡GAUC¡]AUC¡]0-inf¡^/¾¯¶q¡^[®É¶¡½d³ò¡Gµ¹ÃÄ«e¡A1¤p®É¡A2¤p®É¡A4¤p®É¡A8¤p®É¡A24¤p®É¡A72¤p®É¡A168¤p®É¡A240¤p®É¥H¤Î³Ì¦h3­Ó¤ë]
µû¦ô³q¹LÀR¯ß¤º©Î¥Ö¤Uª`®g³~®|³æ¾¯µ¹ÃÄ«áASLAN004¦b°·±d§ÓÄ@ªÌ¤¤ªºÃÄ¥N°Ê¤O¾Ç¡]16­Ó®É¶¡ÂI¡^

Secondary Outcome Measures :
1.PK parameters: Area under the curve (AUC) from time zero to the time of the last quantifiable concentration [AUC(0-last)] [ Time Frame: Predose,1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 72 hour, 168 hour, 240 hour and up to 3 months ]
To assess the pharmacokinetics of ASLAN004 in healthy volunteers following single dose administration via IV or SC route (16 timepoints)

2.PK parameters: Estimate of volume of distribution at steady state (Vss) [ Time Frame: Predose,1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 72 hour, 168 hour, 240 hour and up to 3 months ]
To assess the pharmacokinetics of ASLAN004 in healthy volunteers following single dose administration via IV or SC route (16 timepoints)

3.PK parameters: Subcutaneous bioavailability (F) [ Time Frame: Predose,1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 72 hour, 168 hour, 240 hour and up to 3 months ]
To assess the pharmacokinetics of ASLAN004 in healthy volunteers following single dose administration via SC route only (16 timepoints)

4.PK parameters: Dose-normalized Cmax (Cmax/dose) [ Time Frame: Predose,1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 72 hour, 168 hour, 240 hour and up to 3 months ]
To assess the pharmacokinetics of ASLAN004 in healthy volunteers following single dose administration via IV or SC route (16 timepoints)

5.PK parameters: AUC (AUC(0-inf)/dose) [ Time Frame: Predose,1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 72 hour, 168 hour, 240 hour and up to 3 months ]
To assess the pharmacokinetics of ASLAN004 in healthy volunteers following single dose administration via IV or SC route (16 timepoints)


clinicaltrials.gov/ct2/show/NCT03721263

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¸ÕÅç¼Æ¾Ú«ü¥X ASLAN004 §¹¥þ§í¨î¨ü¾¹°T¸¹¶Ç»¼©Ò»Ýªº³Ì§C¿@«×(trough level)¤ñ²{¦³ªvÀø¤è¦¡©Ò»Ýªº¿@«×§C¡A¿@«×®t¶Z¶W¹L¤@­Ó¼Æ¶q¯Å (®t¶Z¤j©ó10­¿ ) ÁöµMªi¨¦¤ô¥­¤ñ²{¦³ªvÀø¤è¦¡©Ò»Ýªº¿@«×§C ¦ý±wªÌ¦å¬y¤¤ªºÃĪ«¶q¤´µM°ª¨ì¨¬¥HªvÀø ³o¬OASLAN004 ¦b²§¦ì©Ê¥Ö½§ª¢¤£»ÝÀWÁcµ¹ÃĪº­«­n¬ì¾ÇÃÒ¾Ú


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2019¦~6¤ë4¤é¤½§iªº ASLAN004 ²§¦ì©Ê¥Ö½§ª¢¤@´ÁÁ{§É¸ÕÅç

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ASLAN004 ¤@´Á¸ÕÅ窺³Ì«á¼Æªº½TÅý§Ú­Ì¹ï©ó¦¨¬°²§¦ì©Ê¥Ö½§ª¢¦P¯Å³Ì¨ÎÀøªkªº«H¤ß


¤½§i¤º¤å¦³¨â­Ó±M¦³¦Wµü trough level »P ¼Æ¶q¯Å ?

trough level
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trough level¬O±wªÌ¦å¬y¤¤ÃĪ«ªº³Ì§C¤ô¥­¡A¨Ã¥B¦b¬I¥Î¤U¤@¾¯ÃĪ«¤§«e´ú¶q¡C ø»sªi¨¦¤ô¥­ªº¥Øªº¬O½T«O±wªÌ¦å¬y¤¤ªºÃĪ«¶q¤´µM°ª¨ì¨¬¥HªvÀø¡C
´úªi®p(peak level )¿@«×®É¡AÀ³¦bÃĪ«§¹¦¨§l¦¬¤Î¤À§G´Á«á©â¦å¡C
´úªi¨¦(trough level )¿@«×®É¡AÀ³¦b¤U¤@¦¸µ¹ÃÄ«e©â¦å

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³q±`±¡ªp¤U¡A¼Æ¶q¯Å«ü¤@¨t¦C 10 ªº¾­(¦¸¤è)¡A§Y¬Û¾F¨â­Ó¼Æ¶q¯Å¤§¶¡¤ñ¬° 10¡C¨Ò¦p»¡¨â¼Æ¬Û®t¤T­Ó¼Æ¶q¯Å¡A¨ä¹ê´N¬O»¡¤@­Ó¼Æ¤ñ¥t¤@­Ó¤j 1000 ­¿¡C
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zh.wikipedia.org/wiki/%E6%95%B0%E9%87%8F%E7%BA%A7

µ²½×:
¸ÕÅç¼Æ¾Ú«ü¥X ASLAN004 §¹¥þ§í¨î¨ü¾¹°T¸¹¶Ç»¼©Ò»Ýªº³Ì§C¿@«×(trough level)¤ñ²{¦³ªvÀø¤è¦¡©Ò»Ýªº¿@«×§C¡A¿@«×®t¶Z¶W¹L¤@­Ó¼Æ¶q¯Å (®t¶Z¤j©ó10­¿ ) ÁöµMªi¨¦¤ô¥­¤ñ²{¦³ªvÀø¤è¦¡©Ò»Ýªº¿@«×§C ¦ý±wªÌ¦å¬y¤¤ªºÃĪ«¶q¤´µM°ª¨ì¨¬¥HªvÀø ³o¬OASLAN004 ¦b²§¦ì©Ê¥Ö½§ª¢¤£»ÝÀWÁcµ¹ÃĪº­«­n¬ì¾ÇÃÒ¾Ú

ASLAN004 Àu²§ªºÃĪ«¯S©Ê¥i¥H¬°²§¦ì©Ê¥Ö½§ª¢¯f±w´£¨Ñ¤@­Ó¥ÎÃÄÀW²v¸û§CªºªvÀø¤è¦¡¡B¤ñ°_²{¦³ªvÀø¤è
¦¡§ó¬°«K§Qªºµ¹Ãij~®|¡AÂǦ¹´î»´²§¦ì©Ê¥Ö½§ª¢¯f±w»P¾ãÅéÂåÀøÅé¨tªº­t¾á (°Ñ¦Ò6¤ë4¤é¤½§i )

¥[¤W°Æ§@¥Î§C»PÀx¦sÄâ±a¤è«K ASLAN004 ¤@´Á¸ÕÅ窺³Ì«á¼Æªº½TÅý§Ú­Ì¹ï©ó¦¨¬°²§¦ì©Ê¥Ö½§ª¢¦P¯Å³Ì¨ÎÀøªkªº«H¤ß


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°O¦í¥H¤Uªº¼Æ¾Ú¡AASLAN004 ,¤é«á¥²¶W¶V¥L­Ì¡A¤è¦p¤½¥q©Ò¨¥¡A¦P¯Å³Ì¨Î¡C

2.Lebrikizumab 2b ¤¤-­««×AD Á{§Éªº«ü¼Ð(2019/3¤ë¤½¥¬)

(¤@).250 mg Q2W(¨â¶g¤@°w)/16¶g
EASI-50 81.0%***
EASI-75 60.6%***
EASI-90 44.0%***
IGA0/1 44.6%**

¤G).250 mg Q4W(¥|¶g¤@°w)/16¶g
EASI-50 77.0%**
EASI-75 56.1%**
EASI-90 36.1%**
IGA0/1 33.7%*

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1.Dupliumab 3´Á ¤¤-­««×AD, 2­ÓSOLO1/SOLO2 Á{§Éªº«ü¼Ð(2016¤ë¤½¥¬)

(¤@).300 mg Q2W(¨â¶g¤@°w/16¶g)
EASI-50 65%/69%
EASI-75 51%/44%
EASI-90 36%/30%
IGA0/1 38%/36%


(¤T)¹ï·Ó²ÕPlacebo

EASI-50 25%/22%
EASI-75 15%/12%
EASI-90 8%/7%
IGA0/1 10%/8%

www.nejm.org/doi/full/10.1056/NEJMoa1610020?cookieSet=1

2.Lebrikizumab 2b ¤¤-­««×AD Á{§Éªº«ü¼Ð(2019/3¤ë¤½¥¬)

(¤@).250 mg Q2W(¨â¶g¤@°w)
EASI-50 81.0%***
EASI-75 60.6%***
EASI-90 44.0%***
IGA0/1 44.6%**

(¤G).250 mg Q4W(¥|¶g¤@°w)
EASI-50 77.0%**
EASI-75 56.1%**
EASI-90 36.1%**
IGA0/1 33.7%*

(¤T)¹ï·Ó²ÕPlacebo

EASI-50 45.8%
EASI-75 24.3%
EASI-90 11.4%
IGA0/1 15.3%

*p<0.05, **p<0.01, and ***p<0.001 versus placebo
www.businesswire.com/news/home/20191017005896/en/Dermira-Presents-Data-Phase-2b-Study-Lebrikizumab
-------------

Lebrikizumab 2b (¼Ð¹vµ²¦XIL13°tÅé) ¼Æ¾ÚÀu ©ó Dupliumab(¼Ð¹vµ²¦XIL4¨üÅé) .
¦ÓAslan004 ¼Ð¹vµ²¦XIL13¨üÅé,±NÀu©óLebrikizumab ¼Ð¹vµ²¦X IL13°tÅé.

¤é«áÁ{§É±N¤@¤@µý©ú¤§.

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EASI-50 ¤TÃļƾÚ:
ASLAN001 100% (1b/200mg/Q1W--3¦ì)
Lebrikizumab EASI-50 81.0%(2b/250mg/Q2W)>Lebrikizumab EASI-50 77.0%(2b/250mg/Q4W)
Dupliumab 71.4%(1b/300mg/Q1W)>Dupliumab 65%~69%(3phs/300mg/Q2W)

------
¾÷ÂàMOA ASLAN001©MLebrikizumab©M Dupliumab, ¤@¼Ë¥ØªºªýÂ_IL-4R£\ »P IL-13R£\1 ¤§¶¡ªº°T®§¶Ç¾É,¹vÂI¤£¤@¼Ë.
12¤ë13¤éªk»¡·|
p.8, ¼Ð¹vÃĪ«µ²¦X¦b¨üÅé¤WÀu©óµ²¦X°tÅé¤W.¬Û¹ï©ó¹ï·Ó²Õ¼W¥[ÃĮħó¦h.(¹êµý)
p.9, ¼Ð¹vÃĪ«µ²¦X¦bIL13¤ñµ²¦X¦bIL4 ,¥i­°§CÅ餺©Ò»ÝªºÃĪ«¿@«×.
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²z½×¤W:ASLAN004 ¾¯¶q ±N< Lebrikizumab 250mg ,©Î³\200mg~250mg ±N¬OASLAN004³Ì¨Î.

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ASLAN001 ¾÷ÂàMOA :
ÂǥѻPIL-13 ¨üÅéR£\1¦ìµ²¦X ¡A ªýÂ_IL-4R£\ »P IL-13R£\1 ¤§¶¡ªº°T®§¶Ç¾É¡C

Lebrikizumab¾÷ÂàMOA:
Lebrikizumab ¬O­«²Õªº IgG4 §ÜÅé¡A
ÂǥѻPIL-13 °tÅé¤Wªº B¡BC Á³±Û¤Wªº§Ü­ìªí¦ìµ²¦X ¡A ªýÂ_IL-4R£\ »P IL-13R£\1 ¤§¶¡ªº°T®§¶Ç¾É¡C

Dupilumab ¬O­«²Õªº IgG4 §ÜÅé¡A¦]¬°»P IL-4R£\ µ²¦X¡A©Ò¥H¯à¦P®ÉªýÂ_ IL-4 ¤Î IL-13 »P²Ä¤@«¬¤Î²Ä¤G«¬¨üÅ骺µ²¦X¡C
ªýÂ_IL-4R£\ »P yC ¤§¶¡°T®§¶Ç¾É¡CªýÂ_²Ä¤@«¬¨üÅéµ²¦X¡C¡]¥i¯à²£¥Í²´·ú结¼Òª¢°Æ§@¥Î¤§­ì¦]¡^
ªýÂ_IL-4R£\ »P IL-13R£\1¤§¶¡°T®§¶Ç¾É¡CªýÂ_²Ä¤G«¬¨üÅéµ²¦X¡C

----------
1.Lebrikizumab 2b Á{§Éªº«ü¼Ð(2019/3¤ë¤½¥¬)

(¤@).250 mg Q2W(¨â¶g¤@°w)
EASI-50 81.0%***
EASI-75 60.6%***
EASI-90 44.0%***
IGA0/1 44.6%**

(¤G).250 mg Q4W(¥|¶g¤@°w)
EASI-50 77.0%**
EASI-75 56.1%**
EASI-90 36.1%**
IGA0/1 33.7%*

(¤T)¹ï·Ó²ÕPlacebo

EASI-50 45.8%
EASI-75 24.3%
EASI-90 11.4%
IGA0/1 15.3%

*p<0.05, **p<0.01, and ***p<0.001 versus placebo
www.businesswire.com/news/home/20191017005896/en/Dermira-Presents-Data-Phase-2b-Study-Lebrikizumab

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²z½×¤W ASLAN004 ¦UÀø®Ä«ü¼Ð±NÀu©ó Lebrikizumab

¦ÓLebrikizumab 2b Á{§Éªº«ü¼Ð , ¤wÀu©ó dupilumab.



About the Lebrikizumab Phase 2b Study

The randomized, double-blind, placebo-controlled, parallel-group Phase 2b study was designed to evaluate the safety and efficacy of lebrikizumab as monotherapy compared with placebo and establish a dosing regimen for the Phase 3 program in patients with moderate-to-severe atopic dermatitis. The study enrolled 280 patients ages 18 years and older with moderate-to-severe atopic dermatitis at 57 sites in the United States. Three different lebrikizumab treatment dosing arms were evaluated, compared to a placebo arm, with patients randomized in a 3:3:3:2 fashion as follows:

Group 1: A loading dose of 250 mg of lebrikizumab at baseline (day 0), followed by 125 mg of lebrikizumab every four weeks.
Group 2: A loading dose of 500 mg of lebrikizumab at baseline (day 0), followed by 250 mg of lebrikizumab every four weeks.
Group 3: A loading dose of 500 mg of lebrikizumab at baseline (day 0) and week 2, followed by 250 mg of lebrikizumab every two weeks.
Group 4: Placebo at baseline (day 0) and every two weeks thereafter.
The inclusion criteria for patients enrolled in this study included the presence of chronic atopic dermatitis for at least one year, an Eczema Area and Severity Index (EASI) score of 16 or greater, an Investigator¡¦s Global Assessment (IGA) score of 3 or 4 (on a 5-point scale ranging from 0 to 4) and body surface area (BSA) involvement of at least 10 percent at screening and baseline.

The primary endpoint of the study was the percent change in EASI from baseline to week 16. Secondary endpoints that were evaluated during the 16-week treatment period included: the proportion of patients with a 75 percent improvement from baseline in EASI score (EASI-75); the proportion of patients with a reduction of 2 or more points in IGA score from baseline to a final score of 0 (clear) or 1 (almost clear) (IGA0/1); the proportion of patients achieving EASI-50 and EASI-90; changes in pruritus (itch) and sleep loss scores from baseline, each scored using a numerical rating scale (NRS); and the proportion of patients with an improvement in pruritus NRS score (on an 11-point scale) of at least 4 points from baseline.

Newly Presented Lebrikizumab Phase 2b Study Results Presented at Fall Clinical Dermatology Conference

Initial topline findings from the Phase 2b study were previously announced in March 2019, showing that across all doses evaluated, lebrikizumab demonstrated dose-dependent and statistically significant improvements in the primary endpoint, the mean percent change in EASI score from baseline to week 16.

The data being presented highlight secondary endpoints assessing measures spanning the range of signs and symptoms of atopic dermatitis, including skin lesions (the proportions of patients achieving EASI-50, EASI-75, EASI-90 and IGA0/1) and pruritus (mean percent change in pruritus NRS score and the proportion of patients achieving an improvement of at least 4 points in pruritus NRS score) over the 16-week treatment period. Key findings include the following:

Skin Lesions

A response was observed as early as the first on-treatment visit at week 4 for all atopic dermatitis severity scores. Lebrikizumab demonstrated a dose-dependent response across each of the EASI-50, EASI-75, EASI-90 and IGA0/1 endpoints, with marked improvement at both the 250 mg every two weeks (Q2W) and 250 mg every four weeks (Q4W) doses.
A greater proportion of lebrikizumab- versus placebo-treated patients achieved EASI-50, EASI-75, EASI-90 and IGA0/1 at week 16, with statistically significant improvements seen with lebrikizumab as follows:

EASI-50
EASI-75
EASI-90
IGA0/1
250 mg Q2W

81.0%***

60.6%***

44.0%***

44.6%**
250 mg Q4W

77.0%**

56.1%**

36.1%**

33.7%*
125 mg Q4W

66.4%

43.3%

26.1%

26.6%
Placebo

45.8%

24.3%

11.4%

15.3%
*p<0.05, **p<0.01, and ***p<0.001 versus placebo
Pruritus (Itch)

Dose-dependent improvements in pruritus, as reported by patients, were observed as early as day 2 and continued through week 16.
By week 16, patients receiving lebrikizumab at doses of 125 mg Q4W, 250 mg Q4W and 250 mg Q2W reported mean improvements in pruritus NRS score of 36.9% (p<0.01), 48.6% (p<0.001) and 61.8% (p<0.001), compared to a mean worsening of 6.8% in patients receiving placebo.
The proportion of patients reporting an improvement of at least 4 points in pruritus NRS score was highest in the 250 mg Q2W group, reaching 51.9% by week 4 and at week 16, 70.0% (p<0.001 vs. placebo).
As expected, based on prior experience, lebrikizumab was generally well-tolerated, with a safety profile consistent with that observed in prior studies in more than 4,000 patients. Adverse events observed in lebrikizumab-treated patients were primarily mild to moderate in severity and infrequently led to treatment discontinuation. The most common adverse events reported across the lebrikizumab 250mg Q2W, 250mg Q4W and 125mg Q4W dosing arms were upper respiratory tract infection (2.7%, 11.3% and 8.2%, respectively, vs. 5.8% for placebo), nasopharyngitis (12.0%, 2.5% and 5.5%, respectively, vs. 3.8% for placebo), headache (5.3%, 1.3% and 4.1%, respectively, vs. 5.8% for placebo) and injection site pain (5.3%, 3.8% and 0.0%, respectively, vs. 1.9% for placebo). Rates of herpes viral infections (which includes oral herpes, herpes zoster, genital herpes, herpes simplex, and eczema herpeticum) were 2.7%, 5.0% and 2.7%, respectively, vs. 3.8% for placebo) and conjunctivitis (2.7%, 3.8% and 1.4%, respectively, vs. 0.0% for placebo) were low. Across all studies of lebrikizumab conducted to date in atopic dermatitis, conjunctivitis has been reported at low rates similar to those in patients receiving placebo.

¡§Our goal with lebrikizumab is to develop a best-in-disease therapy for patients with moderate-to-severe atopic dermatitis that not only improves the severity of disease, but that is also safe and convenient,¡¨ said Eugene A. Bauer, M.D., chief medical officer at Dermira and a dermatologist. ¡§These results support our belief that specifically targeting IL-13 with lebrikizumab has the potential to deliver on all of these objectives and thus help address the substantial unmet medical need in this prevalent, debilitating condition.¡¨

Based on the Phase 2b study results, Dermira recently announced the initiation of a Phase 3 clinical development program to further evaluate lebrikizumab in adult and adolescent patients with moderate-to-severe atopic dermatitis.

www.businesswire.com/news/home/20191017005896/en/Dermira-Presents-Data-Phase-2b-Study-Lebrikizumab

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Sanofi and Regeneron Report Positive Proof-of-Concept Data for Dupilumab, an IL-4R alpha Antibody, in Atopic Dermatitis
Update: Dupixent (dupilumab) Now FDA Approved - March 28, 2017
Facebook Twitter Email to a friend Print this page
Phase 1b Data Presented at Late Breaking Session of 71st Annual Meeting of the American Academy of Dermatology

PARIS and TARRYTOWN, N.Y., March 02, 2013, 2013 /PRNewswire/ -- Sanofi and Regeneron Pharmaceuticals, Inc. today announced that pooled data from two Phase 1b trials with dupilumab (REGN668/SAR231893), an investigational, high-affinity, subcutaneously administered, fully-human antibody targeting the alpha subunit of the interleukin 4 receptor (IL-4R alpha), were presented at the 71st Annual Meeting of the American Academy of Dermatology (AAD) in Miami.

A responder analysis demonstrated that at week 4, 54.5% of patients treated with the 150mg dose and 71.4% of patients treated with the 300mg dose achieved a reduction in EASI score of 50% or greater compared to 18.8% with placebo (p<0.05).

the Phase 1b trials included 67 patients randomized to three different doses of dupilumab (75mg, n=8; 150mg, n=22; 300mg, n=21) and placebo (n=16).

www.drugs.com/clinical_trials/sanofi-regeneron-report-positive-proof-concept-data-dupilumab-il-4r-alpha-antibody-atopic-dermatitis-15200.html

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Breakthrough Results from Phase 2 Clinical Trial of Bermekimab in the Treatment of Atopic Dermatitis (AD) to be Presented on March 2, 2019 at American Academy of Dermatology Annual Meeting




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March 01, 2019 11:44 ET | Source: XBiotech Inc.

•Rapid and significant reduction in skin lesions, 66% (p<0.001) and 76% (p<0.001) mean reduction in EASI score in 4 and 7 weeks, respectively.

•Rapid and significant resolution of worst itch and pain, 57% (p<0.001) and 61% (p<0.001) mean reduction within 4 weeks, respectively.

•Substantial mean reduction of worst itch and pain 71% (p<0.001) and 84% (p<0.001) within 7 weeks, respectively.

AUSTIN, Texas, March 01, 2019 (GLOBE NEWSWIRE) -- XBiotech (NASDAQ: XBIT) announced today that breakthrough results from its Phase 2 clinical trial of its antibody therapy, bermekimab, are being presented tomorrow at a late-breaking oral presentation during the annual meeting of the American Academy of Dermatology (AAD) being held in Washington, DC. The presentation titled, ¡§Bermekimab is a Rapid and Effective Treatment for Atopic Dermatitis (AD)¡¨ will take place on Saturday, March 2 at 1:10pmET in Ballroom A and will be presented by international dermatology expert, and lead researcher in the development of approved therapies for atopic dermatitis, Eric Simpson, M.D, M.C.R. Professor of Dermatology at Oregon Health & Science University, School of Medicine.

The results being presented by Dr. Simpson demonstrate that bermekimab treatment resulted in rapid and significant improvement of disease in patients with moderate-to-severe AD. After only 7 weeks of treatment, 71% of patients that received a 400mg bermekimab weekly regimen had at least 75% reduction in their disease, as measured by the Eczema Area and Severity Index (EASI) score (this compares to 44-51% of patients achieving 75% improvement in EASI score after 16 weeks therapy as reported for two Phase III clinical trials for the existing FDA approved biological drug for AD). Moreover, within 7 weeks, using patient reported Numerical Rating Scale (NRS) for itch and pain, patients receiving the 400mg bermekimab treatment regimen had 71% reduction in itch and an 84% reduction in pain (this compares to 36-41% reduction in itch [pain was not reported] after 16 weeks of treatment with the existing approved therapy for AD).

XBiotech CEO John Simard commented, ¡§We are thrilled to have Dr. Simpson present these findings at the AAD tomorrow. We expect these results to enable the advancement of a new and very important treatment for what is a rather under appreciated disease in terms of its severity and wide-spread impact on the lives of people around the world.¡¨

In the study, 38 patients in two treatment groups received a low (200mg) or high (400mg) dose of bermekimab once weekly for either a 4 or 7-week treatment regimen, respectively. There was statistically and clinically significant improvement in treatment response for key measures of disease severity in the high dose versus the low dose group.

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A Study to Evaluate the Safety and Efficacy of Bermekimab in Patients With Moderate to Severe Atopic Dermatitis
clinicaltrials.gov/ct2/show/NCT04021862

Detailed Description:
This is a phase II, randomized, double-blind, placebo-controlled study of bermekimab in patients with moderate to severe atopic dermatitis. The primary objective of the study is to analyze the safety and efficacy of different dose regimens of bermekimab compared to placebo treatment in adult patients with moderate-to-severe AD. The study is multicenter and will consist of three groups:

Treatment Arm 1: Bermekimab every week (qw)

Treatment Arm 2: Bermekimab every other week (q2w)

Arm 3 (Placebo): Placebo every week (qw)
Study Type :
Interventional (Clinical Trial)
Estimated Enrollment :
90 participants
Allocation:
Randomized
Intervention Model:
Sequential Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase II, Randomized, Double-Blind, Placebo-Controlled Study of Bermekimab in Patients With Moderate to Severe Atopic Dermatitis
Estimated Study Start Date :
November 2019
Estimated Primary Completion Date :
July 2020
Estimated Study Completion Date :
September 2020



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Analyst Price Target on ASLN
$6.50
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Based on 2 analysts offering 12 month price targets for Aslan Pharmaceuticals in the last 3 months. The average price target is $6.50 with a high forecast of $8.00 and a low forecast of $5.00. The average price target represents a 196.80% increase from the last price of $2.19.

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Date Article

Mar 28, 2017 Approval FDA Approves Dupixent (dupilumab) for Eczema¡]Moderate-to-Severe Atopic Dermatitis)¡C
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Mar 4, 2017 Sanofi and Regeneron Announce Presentation of Positive Data from Long-Term Pivotal Phase 3 CHRONOS Study of Dupixent (dupilumab) in Moderate-to-Severe Atopic Dermatitis
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Sep 26, 2016 Sanofi and Regeneron Announce Dupilumab Biologics License Application Accepted for Priority Review by U.S. FDA
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Jun 6, 2016 Sanofi and Regeneron Announce that Dupilumab Used with Topical Corticosteroids (TCS) was Superior to Treatment with TCS Alone in Long-term Phase 3 Trial in Inadequately Controlled Moderate-to-Severe Atopic Dermatitis Patients.

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Apr 1, 2016 Sanofi and Regeneron Announce Positive Dupilumab Topline Results From Two Phase 3 Trials in Inadequately Controlled Moderate-To-Severe Atopic Dermatitis Patients
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Nov 20, 2014 Sanofi And Regeneron Announce That Dupilumab Has Received FDA Breakthrough Therapy Designation In Atopic Dermatitis
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Oct 20, 2014 Sanofi And Regeneron Announce Start Of Phase 3 Study Of Dupilumab in Patients With Atopic Dermatitis
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Jul 9, 2014 Regeneron and Sanofi Announce Positive Results from Phase 2b Study of Dupilumab for Atopic Dermatitis
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Mar 4, 2013 Sanofi and Regeneron Report Positive Proof-of-Concept Data for Dupilumab, an IL-4R alpha Antibody, in Atopic Dermatitis
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Upon closing, Janssen will make a cash payment of $750 million to XBiotech. In addition, XBiotech may receive up to $600 million in potential milestone payments. XBiotech expects to generate additional revenue from the manufacturing supply agreement and clinical services agreement with Janssen over the next two years.
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ASLN stock continued to rise in after-hours trading on December 17, 2019. ASLN stock continues to attract buyers after the H.C. Wainwright¡¦s price target hike back on December 10, 2019.


ASLN stock in the 15-minute time frame shows an incredible move that continued in after-hours trading (brows shaded area) on December 17, 2019.
On December 10, 2019, H.C. Wainwright analyst Yi Chen raised Aslan Pharmaceuticals¡¦ price target to $5 from $2 and reiterates a Buy rating on the shares.Low-dose ASLAN004 demonstrateed positive efficacy and safety in atopic dermatitis, Chen tells investors in a research note. These early signs of efficacy are very encouraging as 200 mg is the lowest dose cohort in the study, and the observed efficacy has yet to peak, Chen tells investors in a research note.

On December 2, 2019, Piper Jaffray analyst Edward Tenthoff upgraded Aslan Pharmaceuticals to Overweight from Neutral with a price target of $8, up from $1. The stock in premarket trading is up 85%, or $3.24, to $7.06. The company reported preliminary Phase I multiple-ascending dose data on subcutaneous ASLAN004 to treat moderate-to-severe atopic dermatitis, and in the lowest dose cohort, three evaluable patients experienced at least 60% reduction in the Eczema Area Severity Index score at one month, Tenthoff tells investors in a research note. Further, ASLAN004 was safe with no discontinuations or serious adverse events reported, the analyst adds. He also notes that Aslan is also conducting a Phase II study of ASLAN003 in acute myeloid leukemia. Both or either drug could represent partnering opportunities, says Tenthoff.


On December 1, 2019, ASLAN Pharmaceuticals announced positive preliminary data from the lowest dose cohort of its ongoing multiple ascending dose, or MAD, study of ASLAN004 for the treatment of moderate-to-severe atopic dermatitis, or AD. ASLAN004 is a first-in-class fully human monoclonal antibody that binds to the IL-13 receptor alpha1 subunit (IL-13Ralpha1), blocking signalling of two pro-inflammatory cytokines, IL-4 and IL-13, which are central to triggering symptoms of AD, such as redness and itching of the skin. The first patient was enrolled into the double blind study at Changi General Hospital in Singapore on 22 October 2019. As of November 29, 6 patients had been treated in the lowest dose cohort and 3 have completed at least one month of dosing. In a review of unclean blinded data, the Eczema Area and Severity Index, or EASI, scores of the 3 patients were reduced by 85%, 70% and 59% from baseline and the EASI score continued to fall at 4 weeks with maximal efficacy expected at 6 to 8 weeks. ASLAN004 was well-tolerated and, to date, there have been no serious adverse events or treatment discontinuations. Corresponding changes were seen in other measures of efficacy. The data monitoring committee, or DMC, will meet in late December, after which the second dose cohort is expected to open. The randomised, double-blind, placebo-controlled MAD study will evaluate 3 doses of ASLAN004 delivered subcutaneously and will be followed by an expansion cohort at the most efficacious dose. Each dose cohort will contain up to 6 patients on ASLAN004 and 2 patients on placebo, and the expansion cohort will contain 12 patients on ASLAN004 and 6 patients on placebo. Patients are dosed weekly for 8 weeks to determine safety and the maximal efficacy of ASLAN004. The study will recruit up to 50 moderate-to-severe atopic dermatitis patients and study completion is expected in the second half of 2020, with interim results expected in early 2020.

Dr Mark McHale, Head of R&D, ASLAN Pharmaceuticals, said: ¡§We are pleased to report encouraging preliminary data from this study of ASLAN004. Whilst the data remains early, we had not anticipated to observe such pronounced improvements in patients enrolled into the lowest dose cohort. We look forward to the second dose cohort opening following the DMC meeting in December and further interim data in early 2020.¡¨

Atopic dermatitis is the most common dermatological disease, affecting over 200 million patients worldwide, characterized by red inflamed skin and severe daytime and night-time itching, which can severely impact patients¡¦ quality of life. Up to one-third of adult atopic dermatitis patients are considered moderate to severe, for which currently available therapeutics are limited and management is challenging in the majority of cases.

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AUSTIN, Texas, Dec. 07, 2019 (GLOBE NEWSWIRE) -- XBiotech Inc. (XBIT) announced today that it has entered into a definitive agreement with Janssen Biotech, Inc., a Janssen Pharmaceutical Company of Johnson & Johnson, to sell XBiotech¡¦s novel antibody (bermekimab) that neutralizes interleukin-1 alpha (IL-1⍺). IL-1⍺ promotes disease-causing inflammation in a wide range of medical conditions. Janssen will acquire all rights to bermekimab under the terms of the agreement, and XBiotech will be free to use its True Human Antibody discovery program to develop new antibody therapeutics that target IL-1⍺ to treat non-dermatological diseases. XBiotech plans to re-enter clinical development expeditiously with a next generation anti-IL-1⍺ therapeutic.


Following the acquisition, XBiotech will use its proprietary manufacturing technology to produce clinical supplies of bermekimab for Janssen under a supply agreement. In addition, XBiotech will contract with Janssen to provide clinical trial operation services to complete two ongoing Phase II clinical studies evaluating bermekimab in Hidradenitis Suppurativa and Atopic Dermatitis.

Upon closing, Janssen will make a cash payment of $750 million to XBiotech. In addition, XBiotech may receive up to $600 million in potential milestone payments. XBiotech expects to generate additional revenue from the manufacturing supply agreement and clinical services agreement with Janssen over the next two years.

XBiotech plans to use a portion of the proceeds from this transaction to fund discovery and development of its next generation True Human anti-IL-1⍺ antibody program. Additionally, a portion of the revenue will be dedicated to advancing other antibody therapeutics in XBiotech¡¦s pipeline. The Company is also planning to use part of the proceeds in a capital transaction, such as a stock repurchase, subject to board review and approval.

John Simard, XBiotech¡¦s President & CEO, stated, ¡§We are proud that Janssen has chosen bermekimab as an agent it believes could have an important impact. We believe their acquisition will enable recognition and increase awareness of the full potential of this first-in-class therapeutic. This transaction also provides us the opportunity to showcase our powerful True Human antibody discovery platform, which we are now utilizing to pursue next generation anti-Il-1⍺ antibody therapeutics to treat multiple areas of unmet need outside of dermatology.¡¨

The acquisition of bermekimab provides further validation of the foundational science behind targeting IL-1a as a means to block disease-causing inflammation. Clinical and pre-clinical research suggests blocking IL-1a may be used to treat a number of chronic and acute inflammatory conditions, including skin disease, heart disease, heart attack, stroke, rheumatological disease, gastrointestinal diseases, and cancer.

Simard further stated, ¡§The cash infusion from the bermekimab transaction will enable XBiotech to accelerate our True Human antibody pipeline. The Company will also have sufficient cash to support a significant capital transaction, which could provide for a non-dilutive liquidity event for our valued shareholders who have supported XBiotech¡¦s pioneering work.¡¨

The transaction is subject to customary closing conditions, including clearance under the Hart-Scott-Rodino Antitrust Improvements Act, and is expected to close shortly after HSR approval.

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Sanofi and Regeneron Report Positive Proof-of-Concept Data for Dupilumab, an IL-4R alpha Antibody, in Atopic Dermatitis

Update: Dupixent (dupilumab) Now FDA Approved - March 28,2017

Phase 1b Data Presented at Late Breaking Session of 71st Annual Meeting of the American Academy of Dermatology

PARIS and TARRYTOWN, N.Y., March 02, 2013, 2013 /PRNewswire/ -- Sanofi and Regeneron Pharmaceuticals, Inc. today announced that pooled data from two Phase 1b trials with dupilumab (REGN668/SAR231893), an investigational, high-affinity, subcutaneously administered, fully-human antibody targeting the alpha subunit of the interleukin 4 receptor (IL-4R alpha), were presented at the 71st Annual Meeting of the American Academy of Dermatology (AAD) in Miami.

The primary objective of the Phase 1b studies was to assess the safety profile of dupilumab. Other exploratory endpoints included pharmacokinetic, biomarker, and efficacy parameters. The efficacy data showed that treatment with four weekly subcutaneous injections of dupilumab at either 150 milligrams (mg) or 300mg per week, significantly improved the signs and symptoms of patients with moderate-to-severe atopic dermatitis (AD) whose disease was not adequately controlled with topical medications. Specifically, patients treated with dupilumab had significant improvements in body surface area (BSA) score, Investigator Global Assessment (IGA) score, and Eczema Area Severity Index (EASI) from baseline to week 4 compared to placebo (p<0.05 vs. placebo for all measures and doses). The significant improvements in BSA, IGA, and EASI scores were maintained at week 8 in the 300mg dose group (p<0.05 vs. placebo). A responder analysis demonstrated that at week 4, 54.5% of patients treated with the 150mg dose and 71.4% of patients treated with the 300mg dose achieved a reduction in EASI score of 50% or greater compared to 18.8% with placebo (p<0.05). The most common adverse events (AEs) were nasopharyngitis (19.6% vs 12.5% for placebo) and headache (11.8% vs 6.3% for placebo).

Through blockade of IL-4R alpha, dupilumab modulates signaling of both the IL-4 and IL-13 pathway, which have been implicated in the pathophysiology of allergic disease, said George D. Yancopoulos, M.D., Ph.D., Chief Scientific Officer of Regeneron and President of Regeneron Laboratories. We look forward to presenting additional data from a 12-week, Phase 2a trial in atopic dermatitis, as well as starting a larger Phase 2b trial with dupilumab in patients with atopic dermatitis, later this year.

Presented today in a late-breaking clinical trials session at the AAD meeting, the Phase 1b trials included 67 patients randomized to three different doses of dupilumab (75mg, n=8; 150mg, n=22; 300mg, n=21) and placebo (n=16). The primary objective of the Phase 1b studies was to assess the safety profile of dupilumab. Other endpoints included pharmacokinetic, biomarker, and efficacy parameters. Following the 4-week treatment period, patients in the studies were followed for an additional 4 weeks for a total of 8 weeks.
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Upon closing, Janssen will make a cash payment of $750 million to XBiotech. In addition, XBiotech may receive up to $600 million in potential milestone payments.

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XBiotech Announces Agreement to Sell True Human Antibody Bermekimab Targeting IL-1a to Janssen

GlobeNewswireDecember 7, 2019

XBiotech will continue its True Human anti IL-1⍺ antibody discovery program outside of dermatology and use its manufacturing technology to produce clinical supplies of bermekimab for Janssen

AUSTIN, Texas, Dec. 07, 2019 (GLOBE NEWSWIRE) -- XBiotech Inc. (XBIT) announced today that it has entered into a definitive agreement with Janssen Biotech, Inc., a Janssen Pharmaceutical Company of Johnson & Johnson, to sell XBiotech¡¦s novel antibody (bermekimab) that neutralizes interleukin-1 alpha (IL-1⍺). IL-1⍺ promotes disease-causing inflammation in a wide range of medical conditions. Janssen will acquire all rights to bermekimab under the terms of the agreement, and XBiotech will be free to use its True Human Antibody discovery program to develop new antibody therapeutics that target IL-1⍺ to treat non-dermatological diseases. XBiotech plans to re-enter clinical development expeditiously with a next generation anti-IL-1⍺ therapeutic.


Following the acquisition, XBiotech will use its proprietary manufacturing technology to produce clinical supplies of bermekimab for Janssen under a supply agreement. In addition, XBiotech will contract with Janssen to provide clinical trial operation services to complete two ongoing Phase II clinical studies evaluating bermekimab in Hidradenitis Suppurativa and Atopic Dermatitis.

Upon closing, Janssen will make a cash payment of $750 million to XBiotech. In addition, XBiotech may receive up to $600 million in potential milestone payments. XBiotech expects to generate additional revenue from the manufacturing supply agreement and clinical services agreement with Janssen over the next two years.

XBiotech plans to use a portion of the proceeds from this transaction to fund discovery and development of its next generation True Human anti-IL-1⍺ antibody program. Additionally, a portion of the revenue will be dedicated to advancing other antibody therapeutics in XBiotech¡¦s pipeline. The Company is also planning to use part of the proceeds in a capital transaction, such as a stock repurchase, subject to board review and approval.

John Simard, XBiotech¡¦s President & CEO, stated, ¡§We are proud that Janssen has chosen bermekimab as an agent it believes could have an important impact. We believe their acquisition will enable recognition and increase awareness of the full potential of this first-in-class therapeutic. This transaction also provides us the opportunity to showcase our powerful True Human antibody discovery platform, which we are now utilizing to pursue next generation anti-Il-1⍺ antibody therapeutics to treat multiple areas of unmet need outside of dermatology.¡¨

The acquisition of bermekimab provides further validation of the foundational science behind targeting IL-1a as a means to block disease-causing inflammation. Clinical and pre-clinical research suggests blocking IL-1a may be used to treat a number of chronic and acute inflammatory conditions, including skin disease, heart disease, heart attack, stroke, rheumatological disease, gastrointestinal diseases, and cancer.

Simard further stated, ¡§The cash infusion from the bermekimab transaction will enable XBiotech to accelerate our True Human antibody pipeline. The Company will also have sufficient cash to support a significant capital transaction, which could provide for a non-dilutive liquidity event for our valued shareholders who have supported XBiotech¡¦s pioneering work.¡¨

The transaction is subject to customary closing conditions, including clearance under the Hart-Scott-Rodino Antitrust Improvements Act, and is expected to close shortly after HSR approval.

About XBiotech
XBiotech is a fully integrated, global biopharmaceutical company dedicated to pioneering the discovery, development and commercialization of therapeutic antibodies. XBiotech currently is advancing a pipeline of therapies by harnessing naturally occurring antibodies from patients with immunity to certain diseases. Utilizing natural human immunity as a source of new medicines offers the potential to redefine the standards of care for a wide range of diseases. The discovery and manufacturing techniques which enable this were designed by and are exclusive to XBiotech. Headquartered in Austin, Texas, XBiotech also leads the development of innovative, proprietary manufacturing technology to reduce the cost and complexity of biological drug production. For more information, visit www.xbiotech.com.

Story continues


About True Human™ Therapeutic Antibodies
XBiotech¡¦s True Human™ antibodies are the only available antibodies derived without modification from humans who possess natural immunity to certain diseases. (Unlike all commercially available antibodies, which are called ¡§Humanized¡¨ or ¡§Fully Human,¡¨ XBiotech¡¦s True Human™ antibodies are directly sourced from the natural human immune response for specific diseases without modification, and thereby have not been shown to cause immunogenicity.) With discovery and clinical programs across multiple disease areas, XBiotech¡¦s True Human antibodies have the potential to harness the body¡¦s natural immunity to fight disease with unprecedented safety, efficacy, and tolerability.

Cautionary Note on Forward-Looking Statements
This press release contains forward-looking statements, including declarations regarding management¡¦s beliefs and expectations, including with respect to XBiotech¡¦s strategic ambitions, regarding the expected timing of closing of the transaction with Janssen, filings and approvals relating to the transaction, the amount and timing of potential future milestone payments by Janssen, the mechanism of action and potential safety and efficacy of bermekimab, the anticipated timing of clinical studies with bermekimab, the progression and results of such studies, statements regarding the regulatory pathway for bermekimab and the timing of regulatory filings, and statements regarding any capital allocation decisions, including as to potential share repurchases. In some cases, you can identify forward-looking statements by terminology such as may, will, should, would, could, expects, plans, contemplate, anticipates, believes, estimates, predicts, projects, intend or continue or the negative of such terms or other comparable terminology, although not all forward-looking statements contain these identifying words. Forward-looking statements are subject to inherent risks and uncertainties in predicting future results and conditions that could cause the actual results to differ materially from those projected in these forward-looking statements. These risks and uncertainties are subject to the disclosures set forth in the Risk Factors section of certain of our SEC filings. Forward-looking statements are not guarantees of future performance, and our actual results of operations, financial condition and liquidity, and the development of the industry in which we operate, may differ materially from the forward-looking statements contained in this press release. Any forward-looking statements that we make in this press release speak only as of the date of this press release. We assume no obligation to update our forward-looking statements whether as a result of new information, future events or otherwise, after the date of this press release.

Contact
Ashley Otero
aotero@xbiotech.com
512-386-2930

finance.yahoo.com/news/xbiotech-announces-agreement-sell-true-080532684.html

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