uniQure Announces Updated Preliminary AMT-191 Phase I/IIa Data Showing Sustained Increases in α-Gal A Enzyme Activity in Patients with Fabry Disease
~ Supraphysiological expression of α-Gal A activity maintained for over a year in longest treated patient as of data cutoff date ~
~ Stable Lyso-Gb3 levels maintained post-dosing, regardless of enzyme replacement therapy status across all cohorts ~
~ Six of 11 patients have discontinued enzyme replacement therapy as of data cutoff date ~
As of the
Importantly, dose-dependent elevations were observed across the three dose levels with α-Gal A activity ranging from 0.34- to 82.2-fold above mean normal level1 at the lowest dose, 1.6- to 312.52-fold at the mid dose, and 27.7- to 223.7-fold at the highest dose. These increases were durable for the measured time period ranging from the longest follow-up period of more than a year in a treated patient (high-dose cohort) to the shortest follow-up period of four months in a treated patient (mid-dose cohort).
Six of 11 dosed patients were withdrawn from enzyme replacement therapy (ERT) having met a pre-specified criteria including elevated α-Gal A activity. Stable plasma lyso-Gb3 levels were maintained post-dose across all dose cohorts, regardless of ERT status through the cutoff date.
“These updated preliminary data reinforce our confidence in the biological activity of AMT-191, including sustained and dose-dependent increases in α-Gal A activity across all dose cohorts of the treated patients,” stated
AMT-191 continued to show a manageable safety profile. No Serious Adverse Events (SAEs) related to AMT-191 have been observed at the 4x1013 gc/kg and 2x1013 gc/kg doses. Two patients at the 4x1013 gc/kg dose experienced asymptomatic Grade 3 liver enzyme elevations. Both were confirmed as dose-limiting toxicity following an Independent Data Monitoring Committee review, and per protocol, the company has paused additional dosing in the mid- and high-dose cohorts pending further evaluation. Both patients have responded to corticosteroid therapy and remain in follow up.
No additional SAEs have been observed at the 6x1013 gc/kg dose beyond the five previously reported in two patients: two SAEs unrelated to AMT-191 (stroke, diplopia), two related SAEs (chest pain, increased troponin), and one possibly related SAE (leptomeningeal enhancement). As previously reported, one patient at the 6x1013 gc/kg dose experienced an asymptomatic, Grade 3 liver enzyme elevation that fully resolved with a limited course of corticosteroid therapy.
These updated data were presented at the 22nd Annual WORLDSymposium during a poster presentation (Poster Ref: LB-07) on
About the Phase I/IIa Clinical Program of AMT-191
The Phase I/IIa clinical trial of AMT-191 is a multi-center, open-label trial being conducted in
AMT-191 has been granted both Orphan Drug and
About Fabry Disease
Fabry disease is an X-linked genetic lysosomal storage disorder caused by a deficiency of the α-galactosidase A (α-Gal A) enzyme, leading to toxic accumulation of globotriaosylsphingosine (lyso-Gb3) that can damage the kidneys, heart, nervous system, eyes, gut and skin. It is estimated that type 1 classic Fabry disease affects at least one in 40,000 males and approximately one in 20,000 females, and type 2 Fabry disease may occur in some populations as frequently as 1 in 1,500 to 4,000 males. The current standard of care for Fabry disease is bi-weekly infusions of enzyme replacement therapy, a treatment with limited effectiveness in many patients due to poor cross-correction, with inefficient clearance of substrates in the target organs, in particular the kidney and the heart.
About uniQure
uniQure is delivering on the promise of gene therapy – single treatments with potentially curative results. The approvals of uniQure’s gene therapy for hemophilia B – an historic achievement based on more than a decade of research and clinical development – represent a major milestone in the field of genomic medicine and ushers in a new treatment approach for patients living with hemophilia. uniQure is now advancing a pipeline of proprietary gene therapies for the treatment of patients with
uniQure Forward-Looking Statements
This press release contains forward-looking statements. All statements other than statements of historical fact are forward-looking statements, which are often indicated by terms such as "anticipate," "believe," "could," “establish,” "estimate," "expect," "goal," "intend," "look forward to", "may," "plan," "potential," "predict," "project," “seek,” "should," "will," "would" and similar expressions. Forward-looking statements are based on management's beliefs and assumptions and on information available to management only as of the date of this press release. Examples of these forward-looking statements include, but are not limited to, statements regarding: the potential of AMT-191 to be a one-time administered gene therapy for people living with Fabry disease; and plans to provide additional AMT-191 program updates. uniQure’s actual results could differ materially from those anticipated in these forward-looking statements for many reasons. These risks and uncertainties include, without limitation: risks associated with the clinical results and the development and timing of uniQure’s programs; the risk that more patient data become available that results in different findings than that presented in preliminary or interim data; uniQure’s interactions with regulatory authorities, which may affect the initiation, timing and progress of clinical trials and pathways and timing for regulatory approval; uniQure’s ability to continue to build and maintain the company infrastructure and personnel needed to achieve its goals; uniQure’s effectiveness in managing current and future clinical trials and regulatory processes; the continued development and acceptance of gene therapies; uniQure’s ability to demonstrate the therapeutic benefits of its gene therapy candidates in clinical trials; uniQure’s ability to obtain, maintain and protect intellectual property; and uniQure’s ability to fund its operations and to raise additional capital as needed. These risks and uncertainties are more fully described under the heading "Risk Factors" in uniQure’s periodic filings with the
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1 Normal range (1.38 – 8.66 nmol); mean normal of 3.57 nmol