Aimmune Therapeutics Reports on Up-Dosing in Its Ongoing Phase 3 PALISADE Trial of AR101 for Peanut Allergy
- Category: Vaccines
- Published on Tuesday, 13 June 2017 13:03
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— Final Study Visits Projected Around Year-End 2017; Topline Data Expected in the First Quarter of 2018 —
— More Than 97 Percent of Patients Currently On Study Are Through the Up-Dosing Phase —
BRISBANE, CA, USA I June 12, 2017 I Aimmune Therapeutics, Inc. (Nasdaq: AIMT), a biopharmaceutical company developing treatments for life-threatening food allergies, today announced that, in the ongoing Phase 3 PALISADE trial of AR101, more than 97 percent of patients currently on study have completed up-dosing. AR101 is Aimmune’s proprietary, investigational biologic oral immunotherapy for desensitization of patients with peanut allergy.
PALISADE is a double-blind, placebo-controlled trial designed to investigate the efficacy and safety of AR101 in peanut-allergic children, adolescents, and adults. A total of 554 peanut-allergic patients, ages 4-49, were randomized to receive either AR101 or placebo for approximately six months of up-dosing followed by six months of maintenance therapy. Aimmune remains blinded to data from the trial. Based on observations of aggregated data to date, Aimmune expects that the percentage of patients completing the entire study (up-dosing and maintenance) will be well ahead of the powering calculations behind the study design.
“We are very pleased with our ongoing progress in PALISADE,” said Aimmune CEO Stephen Dilly, M.B.B.S., Ph.D. “Although the study is still blinded, we can estimate from the blended rate of discontinuations to date that the proportion of AR101-treated patients successfully completing up-dosing in PALISADE appears to be similar to what we observed in Phase 2. This is very pleasing in the context of a much larger trial (554 vs. 55 patients) and a much larger number of treatment centers in PALISADE compared to Phase 2 (74 vs. 8 centers). It’s also a positive signal for the potential application of AR101 into a broader patient population represented by a mix of academic and community centers in Phase 3. Such scalability is an important component of a viable treatment option for meeting the needs of peanut-allergic patients.”
With the vast majority of patients now successfully through up-dosing in PALISADE, Aimmune estimates that final study visits will be completed around year-end 2017, and that topline data will be available in the first quarter of 2018.
About Phase 2 Trials of AR101
In Phase 2 trials, 80 percent of patients (44 of 55 patients) successfully completed up-dosing with AR101; of those, 98 percent and 80 percent tolerated 300 mg and 600 mg of peanut protein, respectively, at the six-month, double-blind placebo-controlled food challenge (DBPCFC) versus 19 percent and zero percent, respectively, in the placebo group. For reference, the primary efficacy endpoint in PALISADE is the proportion of patients tolerating at least 600 mg of peanut protein in the DBPCFC after up-dosing and six months of maintenance therapy.
In Phase 2 trials, 90 percent of treatment-related adverse events were mild; the rest were moderate. A clear time-dependency of the AR101 tolerability profile was observed, such that the incidence of adverse events decreased progressively with prolonged dosing. A total of 10 patients (18 percent) discontinued early during up-dosing due to predominantly mild but persistent gastrointestinal symptoms, which all resolved within three weeks of discontinuation of AR101. These patients all had peanut-specific IgE levels above 100 kUA/L at baseline prior to starting therapy.
About Aimmune Therapeutics
Aimmune Therapeutics, Inc., is a clinical-stage biopharmaceutical company developing treatments for life-threatening food allergies. The company’s Characterized Oral Desensitization ImmunoTherapy (CODIT™) approach is intended to achieve meaningful levels of protection by desensitizing patients with defined, precise amounts of key allergens. Aimmune’s first investigational biologic product using CODIT™, AR101 for the treatment of peanut allergy, has received the FDA’s Breakthrough Therapy Designation for the desensitization of peanut-allergic patients 4-17 years of age and is currently being evaluated in Phase 3 clinical trials. For more information, please see www.aimmune.com.
SOURCE: Aimmune Therapeutics