Enanta Pharmaceuticals, Inc. (NASDAQ:ENTA) today announced results from
the SAPPHIRE-II study, the second of six phase 3 registrational studies
being conducted by AbbVie for the treatment of hepatitis C virus (HCV)
genotype 1 (GT1) infection, using a regimen containing Enanta’s lead
protease inhibitor ABT-450. ABT-450 is part of AbbVie’s investigational
three direct-acting antiviral (3D) regimen, consisting of boosted
protease inhibitor ABT-450/ritonavir, NS5A inhibitor ABT-267, and
non-nucleoside polymerase inhibitor ABT-333. The SAPPHIRE-II study used
this 3D regimen plus ribavirin.
Results from the 394-patient SAPPHIRE-II trial demonstrated a sustained
virologic response at 12 weeks post-treatment (SVR12) of 96
percent in chronically infected GT1 HCV treatment experienced adult
patients who had previously failed pegylated interferon and ribavirin
treatment. Approximately 49 percent of these patients were prior null
responders, namely patients defined as not achieving a significant
reduction in the HCV virus during their prior treatment. The majority of
patients were GT1a, considered the more difficult-to-treat subtype, and
the SVR12 rates of GT1a and GT1b were 96 percent and 97
percent, respectively. These results were based on an intent-to-treat
analysis and were achieved after 12 weeks of treatment. Virologic
relapse or breakthrough was noted in 2 percent of patients receiving the
3D regimen plus ribavirin. The treatment regimen was well tolerated,
with 1 percent of patients discontinuing treatment due to adverse events.
“The high SVR rates in this SAPPHIRE-II trial and the previously
reported SAPPHIRE-I trial further validate this 3D regimen plus
ribavirin for both treatment-naive and treatment-experienced patients,”
stated Jay R. Luly, Ph.D., President and Chief Executive Officer. “We
look forward to the remaining phase 3 studies reading out using the same
3D regimen with and without ribavirin, as well as in the treatment of
HCV patients with cirrhosis.”
About Study M13-098 (SAPPHIRE-II)
Following SAPPHIRE-I, SAPPHIRE-II is the second placebo-controlled trial
and the second of six phase 3 trials supporting AbbVie’s investigational
3D regimen for the treatment of GT1 hepatitis C patients. AbbVie will
disclose detailed SAPPHIRE-II results at future scientific congresses
and in publications.
SAPPHIRE-II is a global, multi-center, randomized, double-blind,
placebo-controlled study to evaluate the efficacy and safety of 12 weeks
of treatment with ABT-333 (250mg), ribavirin (weight-based), both dosed
twice daily, and the fixed-dose, co-formulated combination of
ABT-450/ritonavir (150/100mg) and ABT-267 (25mg) dosed once daily in
non-cirrhotic, GT1a and GT1b HCV-infected, treatment-experienced adult
patients who previously failed treatment with pegylated interferon and
ribavirin.
The study population consisted of 394 GT1 treatment-experienced patients
with no evidence of liver cirrhosis. 297 patients were randomized to the
3D regimen plus ribavirin for 12 weeks, and 97 patients were randomized
to placebo for the initial 12 weeks. Patients initially randomized to
placebo for the first 12 weeks then received open-label treatment with
the 3D regimen plus ribavirin for 12 weeks. In the study, 49 percent of
patients were prior null responders to pegylated interferon and
ribavirin, generally considered among the most difficult to treat
successfully.
Following 12 weeks of treatment with AbbVie’s 3D regimen plus ribavirin,
96 percent (n=286/297) of patients achieved SVR12 based on an
intent-to-treat analysis, where patients with missing values for any
reason were considered treatment failures. The SVR12 rates in
GT1a and GT1b patients were 96 percent (166/173) and 97 percent
(119/123), respectively. One subject had HCV genotype 1 and achieved SVR12,
but was unable to be sub-genotyped.
The most commonly reported adverse events in both the 3D and placebo
arms were headache, fatigue and nausea. Discontinuations due to adverse
events were reported in three (1 percent) patients receiving the 3D
regimen and no patients receiving placebo. Virologic relapse or
breakthrough was noted in 2 percent of patients receiving the 3D regimen
plus ribavirin.
AbbVie has announced that results from the remaining four ABT-450
containing studies in AbbVie’s phase 3 program will be available in the
coming months.
Overview of AbbVie’s phase 3 clinical programs:
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Study
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Patients (N)
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Treatment Regimen
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Treatment Duration
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SAPPHIRE-I
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GT1, treatment-naïve (631)
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ABT-450/rb +ABT 267c
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ABT-333
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Ribavirin
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12 weeks
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12 weeks, then active treatment for 12 weeks
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SAPPHIRE-II
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GT1, treatment-experienced (394)
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ABT-450/r +ABT-267
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ABT-333
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Ribavirin
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12 weeks
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12 weeks, then active treatment for 12 weeks
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PEARL-II
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GT1b, treatment-experienced (210 a)
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ABT-450/r +ABT-267
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ABT-333
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Ribavirin
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12 weeks
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ABT-450/r +ABT-267
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ABT-333
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12 weeks
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PEARL-III
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GT1b, treatment-naïve (400 a)
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ABT-450/r +ABT-267
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ABT-333
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Ribavirin
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12 weeks
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ABT-450/r +ABT-267
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ABT-333
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Placebo
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12 weeks
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PEARL-IV
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GT1a, treatment-naïve (300 a)
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ABT-450/r +ABT-267
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ABT-333
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Ribavirin
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12 weeks
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ABT-450/r +ABT-267
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ABT-333
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Placebo
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12 weeks
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TURQUOISE-II
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GT1, treatment-naïve and treatment-experienced (with compensated
cirrhosis) (380 a)
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ABT-450/r +ABT-267
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ABT-333
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Ribavirin
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12 weeks
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ABT-450/r +ABT-267
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ABT-333
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Ribavirin
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24 weeks
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a projected study population
b ABT-450/ritonavir
cABT-267
is co-formulated with ABT-450/r, administered as two pills once daily
Additional information about AbbVie’s phase 3 studies can be found at www.clinicaltrials.gov.
Protease Inhibitor Collaboration with AbbVie (formerly the
research-based pharmaceutical business of Abbott Laboratories)
In December 2006, Enanta and Abbott announced a worldwide agreement to
collaborate on the discovery, development and commercialization of HCV
NS3 and NS3/4A protease inhibitors and HCV protease inhibitor-containing
drug combinations. ABT-450 is a protease inhibitor identified as a lead
compound through the collaboration. Under the agreement, AbbVie is
responsible for all development and commercialization activities for
ABT-450. Enanta received $57 million in connection with signing the
collaboration agreement, has received $55 million in subsequent clinical
milestone payments, and is eligible to receive an additional $195
million in payments for regulatory milestones, as well as double-digit
royalties worldwide on any revenue allocable to the collaboration’s
protease inhibitors. Also, for any additional collaborative HCV protease
inhibitor product candidate developed under the agreement, Enanta holds
an option to modify the U.S. portion of it rights to receive milestone
payments and worldwide royalties. With this option, Enanta can fund 40
percent of U.S. development costs and U.S. commercialization
efforts (sales and promotion costs) for the additional protease
inhibitor in exchange for 40 percent of any U.S. profits ultimately
achieved after regulatory approval, instead of receiving payments for
U.S. commercial regulatory approval milestones and royalties on U.S.
sales of that protease inhibitor.
About Hepatitis C Virus (HCV)
Hepatitis C is a liver disease affecting over 170 million people
worldwide. The virus is typically spread through direct contact with the
blood of an infected person. Hepatitis C increases a person’s risk of
developing chronic liver disease, cirrhosis, liver cancer and death.
There is an acute need for new HCV therapies that are safer and more
effective for many variants of the virus.
About Enanta
Enanta Pharmaceuticals is a research and development-focused
biotechnology company that uses its robust chemistry-driven approach and
drug discovery capabilities to create small molecule drugs in the
infectious disease field. Enanta is discovering, and in some cases
developing, novel inhibitors designed for use against the hepatitis C
virus (HCV). These inhibitors include members of the direct acting
antiviral (DAA) inhibitor classes – protease (partnered with AbbVie),
NS5A (partnered with Novartis) and nucleotide polymerase – as well as a
host-targeted antiviral (HTA) inhibitor class targeted against
cyclophilin. Additionally, Enanta has created a new class of
antibiotics, called Bicyclolides, for the treatment of multi-drug
resistant bacteria, with a focus on developing an intravenous and oral
treatment for hospital and community MRSA (methicillin-resistant Staphylococcus
aureus) infections.
Forward Looking Statements Disclaimer
This press release contains forward-looking statements, including with
respect to clinical data, plans for announcing additional data, and the
planned clinical development and regulatory submissions for ABT-450.
Statements that are not historical facts are based on our management’s
current expectations, estimates, forecasts and projections about our
business and the industry in which we operate and our management’s
beliefs and assumptions. The statements contained in this release are
not guarantees of future performance and involve certain risks,
uncertainties and assumptions, which are difficult to predict.
Therefore, actual outcomes and results may differ materially from what
is expressed in such forward-looking statements. Important factors that
may affect actual results include final results of ongoing clinical
trials, the development and marketing efforts of AbbVie (our
collaborator on ABT-450), regulatory actions affecting clinical
development of ABT-450 and clinical development of competitive product
candidates. Enanta cautions investors not to place undue reliance on the
forward-looking statements contained in this release. These statements
speak only as of the date of this release, and Enanta undertakes no
obligation to update or revise these statements, except as may be
required by law.
Copyright Business Wire 2013