InterMune
and Anadys Begin Phase 1 Clinical Trials of Experimental HCV Therapies ITMN-191
and ANA598 Given
the limitations of treating chronic hepatitis C virus (HCV) infection with interferon-based
therapy, several pharmaceutical companies are developing oral agents that directly
target different stages of the HCV viral lifecycle. Two
companies recently announced the initiation of Phase 1 studies of such agents:
InterMune's experimental HCV protease inhibitor ITMN-191 (also known by the Roche
designation R7227) and Anadys Pharmaceuticals' HCV polymerase inhibitor ANA598. Below
are recent press releases from InterMune and Anadys describing the new trials: InterMune
Announces Start of 14-Day Triple Combination Study of ITMN-191 in Patients with
Chronic Hepatitis C Fifth
cohort of MAD study supports continued development in treatment-experienced patients
-
BRISBANE,
Calif., May 29 -- InterMune, Inc. (Nasdaq: ITMN - News) today announced that it
has begun dosing in its Phase 1b clinical trial evaluating ITMN-191, designated
R7227 at Roche (SWX: ROG - News), in combination with Pegasys (pegylated interferon
alpha-2a) and Copegus (ribavirin) in treatment-naive patients infected with chronic
hepatitis C virus (HCV) genotype 1 infection. InterMune also reported
that results from the only cohort of treatment-experienced patients in its Phase
1b multiple-ascending-dose (MAD) clinical trial of ITMN-191 given as monotherapy
support continued development of the compound in treatment-experienced patients.
InterMune expects to submit results from all dose cohorts in the MAD study for
possible presentation at the Annual Meeting of the American Association for the
Study of Liver Diseases (AASLD).
Dan Welch, Chairman and Chief Executive
Officer of InterMune, said, "After having recently announced excellent safety
and very competitive reductions in serum HCV RNA levels following monotherapy
of ITMN-191 in treatment-naive chronic hepatitis C patients, we are pleased to
announce the start of our very important 14-day triple combination study of ITMN-191
plus Pegasys and ribavirin, also in treatment-naive patients."
He
continued, "We are also pleased to report that ITMN-191 given as monotherapy
to treatment-experienced patients demonstrated a safety profile and viral kinetic
performance that support the continued development of ITMN-191 in this patient
population. Based on the monotherapy results to date, we and our partner Roche
are planning the development of ITMN-191 in combination with various antiviral
compounds, including other small molecule direct antivirals, in both treatment-naive
and treatment-experienced patients."
Phase
1b Triple Combination Trial Design
The Phase 1b placebo-controlled,
triple combination study is anticipated to enroll up to approximately 50 treatment-naive
patients chronically infected with HCV genotype 1. The study will assess the effects
of multiple doses and regimens of ITMN-191 given in combination with pegylated
interferon alpha-2a (Pegasys) and ribavirin on safety, efficacy, pharmacokinetics
and viral kinetics compared to the effects in patients treated only with pegylated
interferon alpha-2a and ribavirin. All patients will receive standard treatment
with pegylated interferon alfa-2a and ribavirin. In addition to this standard
treatment, patients will be randomized to receive either ITMN-191 or placebo,
administered with a meal for a period of 14 days, and a single dose on Study Day
15.
Up to five cohorts of patients will be enrolled, exploring total daily
doses starting at 300mg. Both twice daily and three-times-daily regimens will
be studied to collect data on the safety, pharmacokinetic and viral kinetic effects
of ITMN-191 when given with Pegasys and ribavirin.
InterMune expects to
announce top-line results from the triple combination study during the fourth
quarter of this year.
Publication Plans for
ITMN-191
InterMune intends to submit several abstracts regarding
ITMN-191 for possible presentation at the 59th Annual Meeting of the American
Association for the Study of Liver Diseases (AASLD), scheduled for October 31
- November 4, 2008 in San Francisco. Among the abstracts submitted will be the
clinical experience with ITMN-191 to date including, but not limited to, the results
of the single-ascending-dose (SAD) study, the multiple-ascending-dose (MAD) monotherapy
study of ITMN-191 as well as in-vitro results of ITMN-191 in combination with
various direct antiviral compounds.
About InterMune
InterMune
is a biotechnology company focused on the research, development and commercialization
of innovative therapies in pulmonology and hepatology. InterMune has a pipeline
portfolio addressing idiopathic pulmonary fibrosis (IPF) and hepatitis C virus
(HCV) infections. The pulmonology portfolio includes the Phase 3 program, CAPACITY,
which is evaluating pirfenidone as a possible therapeutic candidate for the treatment
of patients with IPF and a research program focused on small molecules for pulmonary
disease. The hepatology portfolio includes the HCV protease inhibitor compound
ITMN-191 (referred to as R7227 at Roche) in Phase 1b, a second-generation HCV
protease inhibitor research program, and a research program evaluating a new target
in hepatology.
For additional information about InterMune and its R&D
pipeline, please visit http://www.intermune.com. |
Anadys
Pharmaceuticals Initiates Phase I Clinical Trial of ANA598 Company
Developing Non-Nucleoside Polymerase Inhibitor for Treatment of Hepatitis C
SAN
DIEGO, June 2 -- Anadys Pharmaceuticals, Inc. (Nasdaq: ANDS - News) announced
today the initiation of dosing in a Phase I clinical trial of ANA598, an investigational
oral non-nucleoside polymerase inhibitor for the treatment of chronic hepatitis
C virus (HCV) infection. The objectives of this trial are to assess safety, tolerability,
and pharmacokinetics following ascending single oral doses of ANA598 in healthy
volunteers. Approximately 40 healthy subjects will participate in the study, which
is being conducted in the United States. Following successful completion of the
healthy volunteer study, Anadys plans to begin a Phase Ib study of ANA598 in HCV-infected
patients in the third quarter of 2008.
"Based on its very favorable
preclinical profile, including potency, pharmacokinetics, and tolerability, we
believe ANA598 has the potential to become an important component of future combination
therapy for patients with HCV infection," said James Freddo, M.D., Anadys'
Chief Medical Officer. "We are excited about initiating this clinical program
and look forward to future trials of ANA598 in HCV patients, first as a single
agent and then in subsequent combination studies. We expect the full benefit of
direct antivirals to be demonstrated when studied as components of novel combination
regimens incorporating multiple anti-HCV agents."
Steve Worland, Ph.D.,
Anadys' President and CEO commented, "This is a significant milestone for
Anadys. ANA598 is the second internally discovered compound that we've moved into
clinical studies this year. With the commencement of dosing in a Phase I clinical
trial for ANA773 in cancer patients in February and this study of ANA598 underway,
Anadys is now focused on achieving important clinical milestones in both programs."
About
ANA598
ANA598 is a highly potent and selective inhibitor
of HCV genotypes 1a and 1b NS5b RNA polymerases (IC50 < 1 nM) and of HCV replication
in cell culture (EC50 values for genotypes 1b and 1a replicons are 3 and 50 nM,
respectively). ANA598 has been well-tolerated in all preclinical studies, including
28-day GLP toxicology studies, and was selected as a development candidate in
June 2007.
Clinical Need and Market Opportunity
in HCV Infection
Chronic hepatitis C virus (HCV) infection
is a serious public health concern affecting approximately 2.7 million people
in the United States and approximately 170 million people worldwide. HCV causes
inflammation of the liver, which may lead to fibrosis and cirrhosis, liver cancer,
and ultimately, liver failure. Cirrhosis of the liver resulting from chronic HCV
infection is the leading indication for liver transplantation in the U.S. Due
to the asymptomatic nature of HCV infection, it often goes undetected for up to
20 years following initial infection. Each year, 8,000 to 10,000 people in the
U.S. die from complications of HCV.
The current standard of care is a combination
of pegylated interferon and ribavirin. Inadequate response rates, in particular
for patients infected with genotype 1 HCV, along with significant side effects
of approved therapy, support the medical need for improved treatment options.
It is estimated that fewer than 5% of people with chronic HCV infection living
in the U.S. are under treatment today. The majority of infected individuals are
unaware of their infection status and the large majority of individuals who know
their status do not currently receive drug therapy. There is also a growing number
of individuals who have failed interferon-based regimens who may be successfully
treated with combinations of two or more direct antivirals. It is expected that
the next generation of therapies for treatment of HCV will include small molecules,
such as ANA598, that act directly upon specific viral enzymes to inhibit viral
replication. These direct antivirals are expected to improve overall therapy by
increasing cure rates and improving tolerability and convenience of treatment.
About
Anadys
Anadys Pharmaceuticals, Inc. is a clinical-stage
biopharmaceutical company dedicated to improving patient care by developing novel
medicines in the areas of hepatitis C and oncology. The Company is developing
ANA598, a non-nucleoside polymerase inhibitor for the treatment of chronic hepatitis
C and ANA773, an oral TLR7 agonist prodrug for the treatment of cancer.
For
further information, visit http://www.anadyspharma.com/. |
6/06/08
Sources
Anadys
Pharmaceuticals, Inc. Anadys Pharmaceuticals Initiates Phase I Clinical Trial
of ANA598. Press release. June 2, 2008.
InterMune, Inc. InterMune
Announces Start of 14-Day Triple Combination Study of ITMN-191 in Patients with
Chronic Hepatitis C. Press release. May 29, 2008.
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