Proteostasis Therapeutics Announces Progression of PTI-428 and PTI-801 to Longer Duration Studies in CF Subjects
Proteostasis Therapeutics, Inc. (NASDAQ:PTI), a biopharmaceutical company developing small molecule therapeutics to treat diseases caused by dysfunctional protein processing such as cystic fibrosis (CF), announced updates across the Company’s later stage development programs in CF, including PTI-428, a cystic fibrosis transmembrane conductance regulator (CFTR) amplifier, PTI-801, a new generation CFTR corrector, and PTI-808, a CFTR potentiator.
Proteostasis announced that it has completed dosing of 19 patients as part of the ongoing Phase 1/2 study designed to evaluate the safety and pharmacokinetics of PTI-428, the Company’s CFTR amplifier. PTI-428 was administered together with background Orkambi® (lumacaftor/ivacaftor) or as the only CFTR modulator therapy in CF subjects over a 14-day period (7-day dosing followed by 7-day follow-up period). The trial met its primary safety and pharmacokinetic endpoints, confirming PTI-428’s safety, tolerability and lack of clinically meaningful drug-drug interaction with ivacaftor and lumacaftor.
“Preliminary data suggests that PTI-428 continues to demonstrate a favorable safety and pharmacokinetic profile, which has enabled the initiation of Phase 2, enrolling CF subjects on background Orkambi® taking PTI-428 or placebo for 28 days,” said Meenu Chhabra, President and CEO of Proteostasis Therapeutics. “We continue to make meaningful progress with all three components of our proprietary triple combination: with the support of US and EU patient advocacy groups for the PTI-801 protocol, we are eligible to begin screening and enrolling CF subjects on background Orkambi® and 40 clinical sites in the US, Canada and EU have been identified or are in process of activation; enrollment continues in our 28-day study of PTI-428 across 14 active clinical sites in the US, with activation of another 23 sites in both the US and EU in process; and we have initiated a Phase 1 study of PTI-808 in healthy volunteers.”
In the Phase 1 portion of the PTI-428 study, 11 subjects in the Orkambi® cohort and eight in the PTI-428 monotherapy cohort were enrolled, with each group enrolling 2 placebo subjects. All adverse events (AEs) were mild or moderate and none occurred in more than one subject. There were no hematology-related adverse events and no serious adverse events (SAEs) reported. Safety endpoints evaluated included lung function as measured by forced expiratory volume in one second (FEV1), although the study was not designed to show a statistically significant difference. In the subjects who received PTI-428 in addition to their background Orkambi, there was no significant improvement of FEV1 compared to placebo, although there was a numerical increase in FEV1 at day 7. Measurements of sweat chloride and mRNA in nasal mucosa were used as exploratory biomarkers but the changes were not significant nor correlated with lung function changes.
Ms. Chhabra added, “While confirming the safety of PTI-428, the phase 1 portion of this study was not expected to demonstrate efficacy over a 7-day dosing period, as PTI-428, as a CFTR amplifier, is designed to deliver substrate to correctors and was investigated in combination with Orkambi®, whose signal of efficacy required a 28-day study. As a result, we look forward to generating data in our 28-day proof-of-concept study to begin understanding the activity profile of PTI-428.” Proteostasis is enrolling patients in the Phase 2 safety and efficacy portion of the study, which explores PTI-428 dosed over a 28-day period, and preliminary data is expected in Q4 2017.
Po-Shun Lee, M.D., Executive Vice President, Chief Medical Officer, added: “This is a very exciting time for the CF community, with the potential of next generation CFTR modulator therapies and combinations just beginning to emerge inclusive of doublets, triplets and quadruplets. We believe that PTI-428, PTI-801 and PTI-808 have the potential to play a pivotal role in emerging next generation therapies as proprietary combinations and as add-ons to the evolving standard of care. In fact, recent clinical data published with triple combinations of CFTR modulators confirms that in vitro assays have high translational value correlating with improvements in lung function beyond what had been observed to date. This continues to reinforce the correlation between in vitro chloride transport and FEV1 and further suggests a ceiling on lung function improvement has not yet been established.”
Proteostasis also announced today that the protocol for the CF portion of its Phase 1/2 study of PTI-801, a new generation CFTR corrector with Fast Track designation from the FDA, has been endorsed by the Cystic Fibrosis Foundation Therapeutics Development Network (TDN) Protocol Review Committee and the European Cystic Fibrosis Society Clinical Trial Network (CTN). Screening of CF subjects for 14-day dosing in this study is in the process of being initiated, with initial data expected in Q4 2017. A total of 52 healthy volunteers have participated and completed the study. All AEs in the healthy volunteer portion of the study that have been reported to date were of mild or moderate intensity. No AEs were reported in more than one subject and no SAEs were reported. PTI-801 was found to be generally well tolerated. Preliminary PK assessments indicated that PTI-801 was well absorbed following single and multiple oral administrations, and suggest that it could be suitable for once daily dosing. In vitro studies have shown that the addition of PTI-801 to either a lumacaftor/ivacaftor or tezacaftor/ivacaftor combination increased the effect of both combinations by approximately three-fold.
The Company also announced today that its Investigational New Drug application with the U.S. Food and Drug Administration for PTI-808, a CFTR potentiator, is now active and that the Company has initiated a Phase 1 study in healthy volunteers. If positive efficacy results are achieved in the PTI-428 and PTI-801 programs, Proteostasis intends to initiate a triple combination study at the end of 2017 with all three agents (also known as PTI-NC-733). The study will explore different doses of PTI-808 with fixed dose combination of PTI-428 and PTI-801 in an F508del homozygous population who are not taking Orkambi®.
About Proteostasis Therapeutics, Inc.
Proteostasis Therapeutics, Inc. is a biopharmaceutical company dedicated to the discovery of groundbreaking therapies to treat diseases caused by dysfunctional protein processing, such as cystic fibrosis (CF). Headquartered in Cambridge, MA, the Proteostasis Therapeutics team focuses on identifying therapies that restore protein function. In addition to its multiple programs in cystic fibrosis, Proteostasis Therapeutics has formed a collaboration with Astellas Pharma, Inc. to research and identify therapies targeting the Unfolded Protein Response (UPR) pathway. For more information, visit www.proteostasis.com.