Equillium Announces Positive Interim Analysis from Phase 3 EQUATOR Study of Itolizumab in Acute Graft-Versus-Host Disease
2024年8月6日 - 9:00PM
ビジネスワイヤ(英語)
The Independent Data Monitoring Committee
(IDMC) recommended continuation of the clinical trial based on
safety assessment and pre-determined futility and efficacy stopping
boundaries
The results of the IDMC review have been
delivered to Ono Pharmaceutical Co., Ltd. triggering the 90-day
period to exercise its option to acquire Equillium’s rights to
itolizumab for JPY 5 billion plus potential milestone payments
Equillium, Inc. (Nasdaq: EQ), a clinical-stage biotechnology
company focused on developing novel therapeutics to treat severe
autoimmune and inflammatory disorders, today announced a positive
recommendation from the Independent Data Monitoring Committee
(IDMC) based on its review of the interim results from the Phase 3
EQUATOR study evaluating itolizumab in subjects with acute
graft-versus-host disease (aGVHD). The IDMC reviewed unblinded data
on over 100 patients through Day 29 of treatment from the study,
with pre-determined futility and efficacy stopping boundaries, and
recommended that the study proceed with continued enrollment,
without modifications.
“We are pleased with the outcome of the interim review where the
Independent Data Monitoring Committee did not raise any safety or
futility concerns and recommended that the Phase 3 EQUATOR study
continue as planned,” said Bruce Steel, chief executive officer at
Equillium. “We have over 100 clinical sites worldwide enrolling
patients and look forward to completing the study expeditiously. We
believe that itolizumab may demonstrate a significant benefit for
patients suffering from acute graft-versus-host disease, where
mortality rates are very high and first-line standard of care
remains high-dose corticosteroids. The blinded interim data along
with the IDMC recommendation has been delivered to our partner, Ono
Pharmaceutical, who has until the end of October 2024 to make its
decision to acquire our rights to itolizumab, which would result in
a one-time payment of JPY 5.0 billion, or approximately $35.0
million based on the currency exchange rate on August 5, 2024.
Should Ono exercise its option, Equillium would also be eligible to
receive up to USD $101.4 million upon the achievement of certain
clinical, regulatory, and commercialization milestones.”
About the EQUATOR Study
The Phase 3, randomized, double-blind, placebo-controlled
multicenter study (NCT05263999) compares the efficacy and safety of
intravenous administered itolizumab versus placebo (randomized 1:1)
as a first-line therapy in approximately 200 adult and adolescent
patients with Grade III-IV aGVHD, or Grade II aGVHD with lower
gastrointestinal involvement, in combination with high doses of
corticosteroids, the current standard of care. The primary study
endpoint is complete response rate at Day 29; key secondary
endpoints include overall response rate at Day 29 and durability of
complete response rate from Day 29 through Day 99.
Per the study protocol, patients must receive itolizumab within
3-days of the first administration of high-dose corticosteroids
with a treatment period from Days 1-99, and a follow-up period from
Days 100-365. Approximately 200 eligible subjects will receive 2
mg/kg methylprednisolone or equivalent on Day 1 and will be
randomized in a 1:1 ratio to the following two treatment
groups:
- Group A: Itolizumab, 1.6 mg/kg initial dose followed by 6 doses
of 0.8 mg/kg once every 2 weeks (q2w), plus systemic
corticosteroids (100 subjects)
- Group B: Placebo, 7 doses q2w, plus systemic corticosteroids
(100 subjects)
An independent data monitoring committee regularly reviews
safety data, and an interim analysis for both futility and efficacy
was conducted after approximately 100 subjects had completed Day 29
assessments.
About Itolizumab
Itolizumab is a clinical-stage, first-in-class anti-CD6
monoclonal antibody that selectively targets the CD6-ALCAM
signaling pathway to selectively downregulate pathogenic T effector
cells while preserving T regulatory cells critical for maintaining
a balanced immune response. This pathway plays a central role in
modulating the activity and trafficking of T cells that drive a
number of immuno-inflammatory diseases.
About Equillium
Equillium is a clinical-stage biotechnology company leveraging a
deep understanding of immunobiology to develop novel therapeutics
to treat severe autoimmune and inflammatory disorders with high
unmet medical need. The company’s pipeline consists of the
following novel first-in-class immunomodulatory assets and product
platform targeting immuno-inflammatory pathways. EQ101: a selective
tri-specific cytokine inhibitor targeting IL-2, IL-9, and IL-15;
recently announced positive results from a Phase 2 proof-of-concept
clinical study of patients with alopecia areata. EQ302: an orally
delivered, selective bi-specific cytokine inhibitor targeting IL-15
and IL-21; currently in pre-clinical development. The
multi-cytokine platform: generates rationally designed composite
peptides that selectively block key cytokines at the shared
receptor level targeting pathogenic cytokine redundancies and
synergies while preserving non-pathogenic signaling. Itolizumab: a
monoclonal antibody that targets the CD6-ALCAM signaling pathway
which plays a central role in the modulation of effector T cells;
currently under evaluation in a Phase 3 clinical study of patients
with acute graft-versus-host disease (aGVHD) and announced positive
data from a Phase 1b clinical study of patients with lupus/lupus
nephritis in April 2024. Equillium acquired rights to itolizumab
through an exclusive partnership with Biocon Limited and has
entered a strategic partnership with Ono Pharmaceutical Co., Ltd.
(Ono), for the development and commercialization of itolizumab
under an option and asset purchase agreement.
For more information, visit www.equilliumbio.com.
Forward-Looking Statements
Statements contained in this press release regarding matters
that are not historical facts are "forward-looking statements"
within the meaning of the Private Securities Litigation Reform Act
of 1995. Forward-looking statements may be identified by the use of
words such as "anticipate," "believe," “could,” “continue,”
"expect," "estimate," “may,” "plan," "outlook," “future” and
"project" and other similar expressions that predict or indicate
future events or trends or that are not statements of historical
matters. These statements include, but are not limited to,
statements regarding Equillium’s plans for developing EQ101, EQ302
and itolizumab; the expected timeline for results from clinical
studies, the expected timing for Ono to make its decision regarding
exercising its option and the potential consideration that may be
payable to Equillium; and the potential benefits of Equillium’s
product candidates. Because such statements are subject to risks
and uncertainties, many of which are outside of Equillium’s
control, actual results may differ materially from those expressed
or implied by such forward-looking statements. Risks that
contribute to the uncertain nature of the forward-looking
statements include: Equillium’s ability to execute its plans and
strategies; risks related to performing clinical and pre-clinical
studies; whether the results from clinical and pre-clinical studies
will validate and support the safety and efficacy of Equillium’s
product candidates; changes in the competitive landscape; and risks
related to Ono’s financial condition and decision to exercise its
option, if ever, to purchase itolizumab, and the risk that
Equillium may never receive any of the contingent consideration
under the asset purchase agreement. These and other risks and
uncertainties are described more fully under the caption "Risk
Factors" and elsewhere in Equillium's filings and reports, which
may be accessed for free by visiting the Securities and Exchange
Commission’s website at www.sec.gov and on Equillium’s website
under the heading “Investors.” Investors should take such risks
into account and should not rely on forward-looking statements when
making investment decisions. All forward-looking statements
contained in this press release speak only as of the date on which
they were made. Equillium undertakes no obligation to update such
statements to reflect events that occur or circumstances that exist
after the date on which they were made, except as required by
law.
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version on businesswire.com: https://www.businesswire.com/news/home/20240806271893/en/
Investor Contact Michael Moore Vice President, Investor
Relations & Corporate Communications 619-302-4431
ir@equilliumbio.com
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