Topline Six-Month Results From Phase IIb Study of Avicursen
Released
Released
Announcement PDF
ASX Announcement
TOPLINE SIX-MONTH RESULTS FROM
RANDOMISED PHASE IIB STUDY OF AVICURSEN IN DMD
Melbourne, Australia – 18 December 2024: Percheron Therapeutics Limited (ASX: PER)
(‘the Company’), an international biotechnology company focused on the development
of novel therapies for rare diseases, today announces topline six-month results from the
Company’s ongoing international phase IIb randomised, placebo-controlled trial of
avicursen (ATL1102) in non-ambulant boys with Duchenne muscular dystrophy (DMD).
Key Points
•
The trial did not meet its primary endpoint, which was Performance of the Upper
Limb 2.0 (PUL2.0) score at week 25 compared to placebo. The least squares mean
change in PUL2.0 score for patients receiving placebo was -1.4, for patients receiving
25mg of avicursen was -1.8 (p=0.695), and for patients receiving 50mg of avicursen
was -1.6 (p=0.919). A p-value above 0.05 means that any numerical difference
observed is not statistically significant.
•
There were no statistically significant differences in efficacy on available secondary
endpoints, nor was there a clear directional trend toward benefit associated with
administration of avicursen.
•
The drug was safe and well-tolerated, with injection site reactions the most common
treatment-emergent adverse event. Injection site reactions were more common at
the 50mg dose than at the 25mg dose, but all were considered mild or moderate by
investigators.
•
After careful consideration of these results, and in consultation with investigators,
the Company has determined that it is not in the best interests of patients or
shareholders for the study to continue and has therefore resolved to terminate it as
soon as practicable.
•
The Percheron team, working closely with investigators and advisors, will examine
this data, along with further data expected in January 2025, to determine the best
path forward for the avicursen program, noting in particular the drug’s favourable
safety profile. The Company expects to hold a strategic review of its pipeline in 1H
CY2025 and will share further information with investors as it becomes available.
Percheron CEO and MD, Dr James Garner, said “We are of course disappointed by these
results. In the more rigorous environment of a randomised, placebo-controlled,
international study, avicursen has not performed in the way that we had been led to
expect by earlier studies. The trial has not demonstrated therapeutic benefit in non-
ambulant DMD. We anticipate further data from this study in January 2025 and will be
examining it closely to better understand this outcome and to assess future
opportunities. The company is well-funded and so we can approach these discussions
systematically and methodically. We expect to be able to share further information and
plans with investors in the new year.”
“In the meantime, I want to pay tribute to the investigators, healthcare professionals,
and families that have placed their trust in us by participating in this study. Duchenne
muscular dystrophy is an immensely challenging illness, and the need for new
therapeutic options remains substantial. Although these results may not be as we had
hoped, we are proud to have played a small role in advancing understanding of the
disease, and in bringing hope to those affected by it.”
~ ENDS ~
About Percheron Therapeutics Limited
Percheron Therapeutics Limited [ASX: PER | US OTCQB: PERCF] is a publicly listed
biotechnology company focused on the development and commercialisation of novel therapies
for rare diseases. The company’s lead program is avicursen (ATL1102), an antisense
oligonucleotide targeting the CD49d receptor, which has been investigated in a range of
inflammatory conditions, including multiple sclerosis and Duchenne muscular dystrophy.
For more information, please contact info@PercheronTx.com.
This announcement has been authorized for release to the Australian Securities Exchange
by the Board of Directors.
Page 2 of 3
Clinical Trial Summary
Study Title
A Multicentre, Randomised, Double-blind, Placebocontrolled and Open Label Extension Study to Assess the
Efficacy, Safety, and Pharmacokinetic Profile of ATL1102 in
Non-ambulatory Participants With Duchenne Muscular
Dystrophy.
Phase of
Development
Phase IIb
Investigational
Product
Avicursen (ATL1102)
Disease Area
Non-ambulant Duchenne muscular dystrophy
Registration
NCT05938023
Study Design
This is a randomised, double-blinded, placebo-controlled
study to investigate the efficacy, safety, and
pharmacokinetics of avicursen in boys with Duchenne
muscular dystrophy.
Patients are randomised 1:1:1 to receive placebo, 25mg of
avicursen, or 50mg of avicursen for six months. After that
period, patients in the placebo group are re-randomised 1:1
to receive either of the two doses of active drug, while
patients originally randomised to active remain on their
initially assigned therapy. After a further six months on study
drug, all patients enter a four-month off-treatment follow-up
period.
Number of Subjects
48 subjects.
Patient Population
All patients had genetically-confirmed Duchenne muscular
dystrophy and were considered to be non-ambulant in the
judgment of the investigator. Patients ranged in age from 1017 years. If taking steroids, patients were required to have
been on a stable dose for at least three months prior to
study entry.
Endpoints
The primary endpoint was the performance in the upper limb
module 2.0 (PUL2.0).
Exploratory functional endpoints included PUL2.0 domain
scores, Myopinch, and Myogrip, as well as safety,
tolerability, and pharmacokinetics.
Exploratory pharmacodynamic endpoints included
lymphocyte counts over the course of the study.
Participating
Centre(s)
13 sites in Australia, United Kingdom, Turkey, Serbia, and
Bulgaria.
Page 3 of 3
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