HIV and Hepatitis.com Coverage of the
58th Annual Meeting of the American Association
for the Study of Liver Diseases (AASLD 2007)

November 2-6, 2007, Boston, MA
  Hepatitis C Main Section   Hepatitis B Main Section   HIV and AIDS Main Section      

New Controlled-release Interferon Alfa (Locteron) Demonstrates Promising Activity against HCV 

In order to improve sustained treatment response rates in patients with chronic hepatitis C, researchers have explored new types of interferon; current standard therapy is once-weekly pegylated interferon alfa (Pegasys or PegIntron) plus ribavirin.

In a late-breaker session at the 58th Annual Meeting of the American Association for the Study of Liver Diseases in Boston (November 2-6, 2007), researchers reported data from a study of Locteron, a novel controlled-release formulation of interferon alfa-2b administered once every 2 weeks in combination with ribavirin, in previously untreated patients with HCV genotype 1.

Below is an excerpt from a press release from OctoPlus, the Dutch company developing Locteron, describing the results:

OctoPlus Presents Positive Phase IIa Study Results for Locteron in Hepatitis C at AASLD Conference

Leiden, Netherlands -- Marketwire -- November 6, 2007 -- OctoPlus N.V. ("OctoPlus") (Euronext: OCTO), the drug delivery and development company, announces that full and complete results from its successful SELECT-1 Phase IIa clinical trial of Locteron for the treatment of chronic hepatitis C will be presented today at the 58th Annual Meeting of the American Association for the Study of Liver Diseases (AASLD).

Viral kinetic modeling of the SELECT-1 results by Eva Herrmann, PhD, and Stefan Zeuzem, MD, of Saarland University Hospital, Homburg/Saar, Germany, demonstrated a statistically significant dose response. The study results also showed that patients receiving Locteron experienced side effects that were less frequent and less severe than those previously reported in clinical trials for the currently marketed pegylated interferons and for a development-stage product, Albuferon [albumin interferon].

OctoPlus is co-developing Locteron with its partner Biolex Therapeutics. SELECT-1 (Safety and Efficacy of Locteron: European Clinical Trial-1) was designed to evaluate four different doses of Locteron, 160, 320, 480 and 640 micrograms (mcg) administered once-every-two-weeks in combination with ribavirin administered orally twice per day in 32 treatment-naive hepatitis C patients with the genotype-1 variant of the virus.

SELECT-1 results demonstrate Locteron's strong antiviral effect:

A statistically significant dose response was observed in the study, and viral kinetic modeling by Drs. Herrmann and Zeuzem also demonstrated a statistically significant reduction in viral RNA during the entire 12-week treatment period. Specifically the dose effect was associated with mean and maximal antiviral efficiency of Locteron (p=0.003 and p=0.006, respectively; Jonckheere-Terpstra-Test).

Average viral reduction after 12 weeks of treatment was greater than four logs for each of the 640, 480 and 320 mcg doses, compared to 1.8 logs for the lowest dose of 160 mcg.

The percentage of patients who achieved early virologic response (EVR), defined as at least a two-log reduction in hepatitis C virus, was 100% in the 640 and 480 mcg dose cohorts and 88% in the 320 mcg dose cohort, compared to 37.5% in the 160 mcg dose cohort. The results compare favorably with results previously reported in clinical trials for the currently marketed pegylated interferon alfa products and for Albuferon for which EVR rates ranging from approximately 74% to 90% in clinical trials have been reported.

SELECT-1 results confirm Locteron's superior tolerability:

Locteron was well tolerated at all doses.

Approximately 90% of adverse events were rated as mild.

There were no serious adverse events in the 160, 320, and 480 mcg dose cohorts.

There was one serious adverse event in the 640 mcg cohort. This was a case of inflammation of the ear, which completely resolved.

The majority of the side effects experienced by patients treated with Locteron in the SELECT-1 study appear to be less frequent and less severe than the side effects reported in previous clinical trials for pegylated interferons and Albuferon. For example, only one patient (3%) in the SELECT-1 study receiving Locteron experienced a clinical adverse event rated as severe, indicating an improvement over previously reported incidences of 14% and 18% in clinical trials for Pegasys and Albuferon, respectively. In addition, serious adverse events in SELECT-1 were limited to the one event discussed above.

Injection site reactions were reported in 41% of the patients in SELECT-1. All injection site reactions were mild with the exception of one patient in the 640 mcg cohort who had a reaction rated as moderate. The SELECT-1 results are within the range of the incidence of injection site reactions reported in clinical trials of Intron-A, PegIntron, and Pegasys of 49%, 75%, and 22%, respectively.

About Locteron

Locteron is designed to be a best-in-class therapeutic for patients with chronic hepatitis C, with the potential to induce less side effects, improve patient compliance and provide a more convenient once-every-two-week dosing schedule compared with current therapies. Locteron combines OctoPlus' proprietary PolyActive drug delivery technology with BLX-883, a recombinant alfa interferon produced by OctoPlus' co-development partner Biolex Therapeutics in its patented LEX SystemSM. Locteron is produced in OctoPlus' cGMP manufacturing facilities in Leiden, the Netherlands.

OctoPlus and Biolex plan to commence SELECT-2, a Phase IIb trial of Locteron in the middle of 2008. The 12-week results of the Phase IIb trial will be used as the basis for dose selection for the commencement of the Phase III development program.

11/30/07

Sources

OctoPlus N.V. OctoPlus presents positive Phase IIa study results for Locteron in hepatitis C at AASLD conference. Press release. November 6, 2007.

I Dzyublyk, T Yegorova, L Moroz, and others. Phase 2a study to evaluate the safety and tolerability and anti-viral of 4 doses of a novel, controlled-release interferon-alfa 2b (Locteron) given every 2 weeks for 12 weeks in treatment-naive patients with chronic hepatitis C (genotype 1). 58th Annual Meeting of the American Association for the Study of Liver Diseases. Boston, MA, November 2-6, 2007. Abstract LB10.

 



 




 

 

 

 




 

 

 

 








 

 

 

 


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