Four-week Phase 2
clinical trial data show that GI-5005, GlobeImmune's hepatitis C
virus (HCV) targeted molecular immunogen (Tarmogen(R)), doubled viral
clearance overall and in all major subgroups and doubled the rapid
virologic response (RVR) rate in naive patients with high viral load.
The study compared GI-5005 plus standard of care (SOC) --
pegylated-interferon plus ribavirin -- versus SOC alone in patients
with chronic genotype 1 hepatitis C infection.
The study data will be presented by principal investigator John G.
McHutchison, M.D., of Duke University, in a late-breaking poster next
week at the 59th Annual Meeting of the American Association for the
Study of Liver Diseases (AASLD). Treatment-naive patients with high
viral loads at baseline ( 600,000 IU/mL) saw a 2.6-fold improvement
in RVR, which is defined as undetectable HCV RNA levels ( < 25 IU/ml)
by four weeks. Treatment-naive patients with a high viral load at
baseline are particularly difficult to treat to an RVR. RVR is highly
predictive of whether a patient will achieve a sustained virologic
response (SVR), or "cure," which is defined as undetectable HCV RNA
at six months post-treatment. A significant improvement was also
noted in the rate of viral reduction in the peripheral blood using
viral kinetic analysis in all patients, with a 2-fold improved slope
(0.32 log10/month difference, p=0.02) for patients receiving GI-5005
in addition to SOC. Comparable magnitude of increased viral clearance
in GI-5005 treated patients was noted in all patient subgroups
including prior non-responders and patients with high viral load at
baseline.
"These data represent early but important evidence that a patient's
natural immune response can be harnessed to positively influence
important virologic endpoints with the potential to impact the course
of chronic HCV infection," said Dr. McHutchison. "The rational
combination of novel immune approaches such as GI-5005 with IFN-based
standard of care or with novel direct acting antiviral agents holds
promise in terms of ultimately improving clinical outcomes,
shortening the exposure to toxic therapies, or both."
David Apelian, M.D., Ph.D., GlobeImmune Chief Medical Officer, said,
"These data indicate that GI-5005 can increase the rate of clearance
of infected cells from the liver, something that interferon-based
therapies and antivirals are not designed to do. Direct acting
antivirals act primarily by inhibiting viral replication, an
important step, but they have not been shown to speed the immune
clearance of infected cells from the liver. Ultimately, to achieve
sustained virologic response, HCV must be eradicated not just from
the blood, but also the liver. GI-5005 may improve this critical part
of the treatment and healing process in a way that is complementary
to standard of care and the new direct acting antivirals."
An HCV-targeted cellular immune response is essential to curing a
patient with hepatitis C. Twenty percent of patients infected with
hepatitis C have immune responses strong enough to clear the virus on
their own, without medical intervention. However, for the remaining
80 percent who go on to develop chronic infection, it takes the
immune system six to twelve months to eliminate the infection, even
with SOC and the best antivirals. Improving the rate of viral
clearance may ultimately lead to a decrease in the time needed for
therapy.
"The role of the immune response in combating hepatitis C infection
is often overlooked," added Apelian. "Most of the recent development
interest has been focused on new direct-acting antivirals, which
inhibit viral replication. However, to improve the rate of viral
clearance from the liver, it is necessary to stimulate an HCV
targeted cellular immune response. We believe that the Phase 2 data
to date demonstrate the potential of GI-5005 to be an important and
complementary part of the treatment of hepatitis C."
The GI-5005-02 clinical trial is a randomized, multi-center, Phase 2
study evaluating 140 patients, all with genotype 1 HCV infection. In
the trial, 74 percent of the patients had never received prior
treatment, and the remaining 26 percent experienced prior treatment
failures.
GlobeImmune's GI-5005 is a targeted molecular immunogen (Tarmogen(R))
designed to elicit an HCV-specific T-cell response. Tarmogens are
whole, heat-killed recombinant S. cerevisiae yeast that express
antigens from one or more disease-related proteins.
About GlobeImmune
GlobeImmune Inc. is a private company developing targeted molecular
immunogens, Tarmogens(R), for the treatment of cancer and infectious
diseases. The company's lead product candidate, GI-5005, is a
Tarmogen for the treatment of chronic hepatitis C infection (HCV).
GI-5005 is designed to complement both the current standard of care
and emerging novel therapies for HCV. The company's lead oncology
program, GI-4000, targets mutated versions of the Ras oncoprotein for
the treatment of pancreas cancer as well as other cancers that
contain mutated Ras, including non-small cell lung cancer and
colorectal cancer.
For additional information, please visit the company's Web site at
globeimmune.
This news release and the anticipated presentation contain
forward-looking statements that involve risks and uncertainties,
including statements relating to initiation and progress of the
Company's clinical trial programs and the preliminary results from
the clinical trials. Actual results could differ materially from
those projected and the Company cautions readers not to place undue
reliance on the forward-looking statements contained in the release
and anticipated presentation.
GlobeImmune Inc.