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Protalix BioTherapeutics Reports Positive Long Term Data on PRX-102 for Fabry Disease
Significantly Improved PK Characteristics Result in:
Higher Active Enzyme Quantities, Induced Immune Tolerance
Meaningful Clinical Benefit Demonstrated Across All Key Disease Parameters
Reversal in eGFR Slope Achieved Suggesting Improvement in Kidney Function
"We continue to see excellent results from PRX-102 and are very pleased with what we see in our lowest dose of the study," said
The phase I/II clinical trial of PRX-102 for the treatment of Fabry disease is an open-label, dose-ranging study treating up to 18 naïve male and female patients. The three dose cohorts include dosage groups of 0.2 mg/kg, 1mg/kg and 2mg/kg with intravenous infusions of PRX-102 every two weeks. The data presented herein is from patients in the 0.2mg/kg dose group following 12 months of treatment.
"The results to date from the 12 month interim report of the 0.2mg/kg of the Phase I/II clinical trial are promising on both efficacy and safety," commented Prof. David G Warnock, Professor of Nephrology at
The Company has scheduled an end of phase II meeting with the
Clinical Data on Kidney Functions
Among the leading causes for death of Fabry patients include renal failures. On average, patients that participated in the 0.2mg/kg cohort of the PRX-102 trial exhibited stability in kidney function with favorable trends shown, as measured by estimated Glomerular filtration rate (eGFR).
In a typical Fabry patient, the eGFR deteriorates over time, showing that kidney function is worsening. After dosing with 0.2mg/kg of PRX-102 for 12 months, a majority of the patients (4/6) experienced a stabilization or improvement in kidney function; a reversal of the decline shown by annualized eGFR slope was observed.
Detailed Clinical Data on Other Biomarkers and Scales
Lyso-Gb3 is a sensitive and reliable biomarker of Fabry disease. It is used as a biomarker as it dramatically increases and accumulates in the plasma of Fabry patients. Throughout the study, continuous and durable reduction of up to 61.8% of plasma lyso-Gb3 levels from base line was observed in patients in the 0.2mg/kg cohort. This represents a meaningful positive outcome of PRX-102 treatment.
In addition, Fabry patients of the 0.2mg/kg cohort of the PRX-102 trial showed a continuous reduction and durable improvement in Mainz Severity Score Index (MSSI), a tool for disease status evaluation of a variety of signs and symptoms of Fabry disease including cardiovascular, renal and neurological.
PRX-102 unique and enhanced PK properties resulted in long half-life, high AUC and measured levels of enzyme found throughout the entire two weeks infusion intervals in all patients of the 0.2mg/kg cohort of the trial, potentially contributing to an immune tolerance phenomenon. This resulted in low incidence of antibody formation with low titers in general, and moreover, in antibody positive patients it resulted in a transient and reversible shift of overall drug availability. Mean values for Cmax, and AUC were found to have briefly shifted at three and six months in antibody positive patients, where at 12 months, PK parameters returned to the high AUC levels observed at baseline, demonstrating that the antibody presence and its impact was transient, leading to full active dose availability for effective treatment.
In addition, PRX-102 continues to be well tolerated with a favorable safety profile, with the majority of adverse events being mild and moderate in severity with a very low rate of antibody formation.
Protalix is a biopharmaceutical company focused on the development and commercialization of recombinant therapeutic proteins expressed through its proprietary plant cell-based expression system, ProCellEx®. Protalix's unique expression system presents a proprietary method for developing recombinant proteins in a cost-effective, industrial-scale manner. Protalix's first product manufactured by ProCellEx, taliglucerase alfa, was approved for marketing by the U.S. Food and Drug Administration (
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