Roche Reports Mixed Data on COPD Studies
Roche says its investigational chronic obstructive pulmonary disease (COPD) drug astegolimab showed mixed results in two key late-stage clinical trials evaluating its effectiveness in reducing patient exacerbations in those with moderate to very severe chronic conditions.
The company’s Phase 2B ALIENTO trial met its primary endpoint, with astegolimab demonstrating a statistically significant 15.4% reduction in the annualized exacerbation rate (AER) over 52 weeks compared to placebo, when administered every two weeks alongside standard-of-care maintenance therapy. However, the larger Phase 3 ARNASA trial failed to meet its primary endpoint, showing a 14.5% reduction in AER that did not reach statistical significance, the company says.
Despite the difference in primary outcomes, Roche says results across secondary endpoints were generally consistent between the two studies, and the overall number of exacerbations was lower than expected in both trials, which may have impacted statistical power. The safety profile of astegolimab remained in line with previous data, and no new safety concerns were identified, it says.
Roche plans to engage with regulatory authorities to determine the appropriate next steps for astegolimab, adding that full results from both studies will be presented at an upcoming medical conference.
Astegolimab is described as a monoclonal antibody that targets the ST2 receptor, aiming to block IL-33 signaling, a pathway thought to affect airway inflammation.