Companies
Announce Phase 1b Study Data for Experimental HCV Polymerase Inhibitor ANA598
and Cyclophilin Inhibitor SCY635
About
half of chronic hepatitis C patients do not
achieve a sustained response to standard treatment using pegylated
interferon plus ribavirin, researchers have sought to develop drugs that work
by different mechanisms.
While a few such candidates are nearing the end
of the development pipeline, several others are just beginning early-stage clinical
trials. Two companies this month announced data from Phase 1b studies, one looking
at Anadys Pharmaceuticals' non-nucleoside HCV polymerase inhibitor ANA598, the
other assessing SCY-635, a cyclophilin inhibitor developed by SCYNEXIS.
Below
are edited excerpts from company press releases describing the latest findings.
ANA598
Demonstrates Potent Antiviral Activity in an Early Clinical Study in HCV-Infected
Patients Patients
treated at the initial dose in an ongoing Phase 1b trial demonstrated a 2.5 log10
median viral load decline after three days
San Diego -- January 8,
2009 -- Anadys Pharmaceuticals, Inc. (Nasdaq: ANDS) today announced results from
the first cohort of an ongoing Phase 1b clinical trial of ANA598, the Company's
investigational non-nucleoside polymerase inhibitor. ANA598 was very well-tolerated
and demonstrated potent antiviral activity in patients infected with chronic Hepatitis
C virus (HCV) in this first cohort of the study.
Patients in the first
cohort received 200 mg ANA598 (n=8) or placebo (n=2), twice-daily (bid) for three
days. At the end of the treatment period, the median viral load decline was 2.5
log10 (>99%), with a range of 1.4-3.4 log10, for the eight patients who received
ANA598. Three patients who received ANA598 were genotype 1a and demonstrated a
median viral load decline of 1.6 log10, while five patients who received ANA598
were genotype 1b and demonstrated a median viral load decline of 2.6 log10. All
eight patients who received ANA598 demonstrated a rapid decline in viral load,
and no patients demonstrated viral rebound while on study drug.
In addition
to the robust viral load decline, ANA598 was very well-tolerated and there were
no serious adverse events in the first dose cohort, although conclusions regarding
longer-term safety and tolerability cannot be made until the results of future
clinical trials of longer duration in more patients are known. Patients are currently
being enrolled in the second cohort (400 mg bid) of the study. Anadys expects
to report detailed data from multiple cohorts of the study at an upcoming medical
conference.
"We are very pleased with the antiviral activity and safety
of ANA598 at this first dose tested in the Phase Ib study," commented James
Freddo, MD, Anadys' Senior Vice President, Drug Development and Chief Medical
Officer. "We believe this early data continues to position ANA598 as a leading
non-nucleoside polymerase inhibitor in development for the treatment of HCV and
we look forward to investigating ANA598 in longer-term studies in combination
with current standard of care."
"The clinical and preclinical
profile of ANA598 observed to date is very impressive," said Steve Worland,
PhD, President and CEO of Anadys. "The magnitude of viral load drop reported
today for ANA598 is greater than has been reported for any other non-nucleoside
HCV inhibitor in a monotherapy study. Furthermore, the rate of initial viral load
decline, believed to be associated with direct inhibition of viral replication,
is greater than has been reported previously for all classes of HCV polymerase
inhibitors, including nucleosides. This demonstrated antiviral potency holds significant
promise for the future use of ANA598 in combination with other anti-HCV agents."
About
ANA598
Anadys retains worldwide rights to ANA598, which
was fully discovered at the company. Preclinical evaluation of ANA598 was completed
in the first quarter of 2008, leading to submission of an Investigational New
Drug Application (IND) to the U.S. Food and Drug Administration (FDA), subsequent
allowance of the IND by the FDA and initiation of clinical investigation in the
second quarter of 2008. In December 2008, Anadys announced that the FDA granted
fast track designation to ANA598 for the treatment of chronic HCV.
In October
2008, Anadys initiated patient dosing in the Phase 1b study of ANA598 in HCV patients.
In the double-blind, randomized placebo-controlled Phase 1b study, treatment-naive
genotype 1a and 1b patients are to receive oral capsules of ANA598 over three
days at doses of 200 mg bid (twice-a-day), 400 mg bid or 800 mg bid. Ten patients
are to be enrolled at each dose level, eight receiving active drug and two receiving
placebo.
In a Phase 1 study in healthy volunteers, ANA598 was administered
as capsules at single oral doses of 400 mg, 800 mg, 1400 mg, 2000 mg (fed and
fasted), and 3000 mg. In addition, a separate cohort received two 800 mg doses
12 hours apart. ANA598 was well tolerated at all doses and there were no serious
adverse events or withdrawals from the study. All reported adverse events were
classified as mild or moderate, with no apparent dose relationship. The pharmacokinetic
profile demonstrated sustained plasma levels of ANA598 consistent with the potential
for once-daily or twice-daily oral dosing.
In the preclinical program,
ANA598 was well tolerated at all doses tested in 28-day GLP toxicology studies.
In September 2008, Anadys initiated long-term, chronic toxicology studies of ANA598.
If ANA598 is successful in early stage development, the Company anticipates
completion of the clinical, toxicology and manufacturing activities required to
initiate Phase 2 studies of ANA598 in combination with current standard of care
in mid-2009.
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. For the treatment of chronic hepatitis C, the Company is developing
two potentially complementary agents, ANA598, a non-nucleoside polymerase inhibitor
and ANA773, an oral TLR7 agonist prodrug. The Company is also developing ANA773
for the treatment of cancer.
For more information, visit http://anadyspharma.com.
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First
Candidate from SCYNEXIS Novel Cyclophilin Inhibitor Platform, SCY-635, Establishes
Proof of Concept in HCV-Infected Adults Research
Triangle Park, NC -- January 8, 2009 -- Drug discovery company, SCYNEXIS, Inc.,
today announced top-line results from a Phase 1b randomized, double-blind, placebo-controlled
study of its lead oral antiviral drug candidate, SCY-635, in adult patients with
chronic hepatitis C (HCV) infection. Treatment with SCY-635 was well tolerated
and produced a clinically relevant reduction in plasma HCV RNA. Full results of
the study will be presented in 2009. SCY-635, a cyclophilin inhibitor, represents
a new class of drugs for the treatment of HCV infection and is the first candidate
from a broad platform of proprietary cyclophilin inhibitors developed by SCYNEXIS.
"These
data are very encouraging, demonstrating the therapeutic potential of SCY-635
in patients with HCV as well as validating our core discovery platform which is
focused on developing cyclophilin inhibitors for multiple diseases, including
serious viral diseases, central nervous system disorders and autoimmune diseases,"
commented Dr. Yves Ribeill, President and Chief Executive Officer of SCYNEXIS.
"Based on these promising results, we are actively planning the clinical
and regulatory path forward for the development of SCY-635 and will continue to
advance additional novel candidates from the platform for other therapeutic indications."
About
the Clinical Trial
The clinical study was conducted as a
Phase 1b, randomized, double-blind, placebo-controlled, multi-dose study in adult
volunteers with genotype 1 chronic hepatitis C infection. SCY-635 was given as
an oral capsule for 15 consecutive days.
About
SCY-635 and SCYNEXIS' Cyclophilin Inhibitor Platform
SCY-635
represents a new class of therapeutic agents for the treatment of HCV infection.
SCY-635 is the first candidate in a novel class of non-immunosuppressive cyclophilin
inhibitors owned by SCYNEXIS. Cyclophilins are a family of enzymatic proteins
that assist in the folding and transport of other proteins synthesized within
a cell. Cyclophilin inhibitors, such as Cyclosporine A, have been used for decades
for the prophylaxis of organ rejection in transplant patients. Scientists at SCYNEXIS
have synthesized derivatives of Cyclosporine A in which cyclophilin binding activity
is separated from calcineurin binding activity (which mediates immunosuppression).
A growing body of scientific evidence indicates that non-immunosuppressive analogs
of Cyclosporine A may have applications in multiple therapeutic areas. Cyclophilins
play a central role in the pathophysiology of chronic viral infection, neurodegenerative
diseases and malignant transformation. Cyclophilin inhibition therefore represents
an attractive target for drug discovery and development.
About
SCYNEXIS
SCYNEXIS
is a premier drug discovery and development company delivering effective and innovative
drug pipeline solutions to pharmaceutical and global health partners. The company,
which is located in Research Triangle Park, North Carolina, is also focused on
developing a proprietary internal pipeline based on cyclophilin inhibitors, a
class of drugs that hold significant potential for the treatment of a broad range
of diseases.
For more information, visit the website at www.scynexis.com.
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1/23/09
Sources
Anadys
Pharmaceuticals, Inc. ANA598 Demonstrates Potent Antiviral Activity in an Early
Clinical Study in HCV-Infected Patients. Press release. January 8, 2009.
SCYNEXIS,
Inc. First Candidate from SCYNEXIS Novel Cyclophilin Inhibitor Platform, SCY-635,
Establishes Proof of Concept in HCV-Infected Adults. Press release. January
8, 2009.
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