Ionis/AstraZeneca Planning NDA for Eplontersen
Ionis Pharmaceuticals and AstraZeneca plan to submit an NDA for eplontersen later this year for treating patients with hereditary transthyretin-mediated amyloid polyneuropathy (ATTRv-PN) based on new study results announced 9/7. ATTRv is a severe, progressive, and life-threatening disease caused by the abnormal formation of the transthyretin (TTR) protein.
An interim analysis of the Phase 3 NEURO-TTRansform study of eplontersen found the therapy demonstrated a statistically significant and clinically meaningful change from baseline for its co-primary and secondary efficacy endpoints compared to a placebo, according to the companies. Eplontersen also demonstrated a favorable safety and tolerability profile, they say.
In the study, eplontersen achieved an 81.2% mean reduction in the co-primary endpoint of serum TRR concentration compared to baseline, demonstrating reduced TTR protein production, Ionis and AstraZeneca say. The therapy also demonstrated a significant treatment effect on the co-primary endpoint of modified Neuropathy Impairment Score +7 with a statistically significant difference in mean change from baseline for those treated with eplontersen versus placebo.
Eplontersen has been granted an orphan drug designation. It is also currently being evaluated in the Phase 3 CARDIO-TTRansform study for amyloid transthyretin cardiomyopathy, a systemic, progressive and fatal condition that leads to progressive heart failure and death within four years from diagnosis.