- Eight participants achieved HBsAg loss at any time.
- Two participants met criteria for functional cure.
- Two participants who discontinued NUC therapy seroconverted to HBsAb positivity.
OXFORD, United Kingdom, Nov. 15, 2024 (GLOBE NEWSWIRE) -- Barinthus Biotherapeutics plc (NASDAQ: BRNS), today announced the most significant data so far from the ongoing Phase 2b HBV003 clinical trial. The data will be presented by Dr. Chun-Jen Liu as an oral presentation on November 18, 2024, at 17:30 PT at the American Association for the Study of Liver Diseases (AASLD) – The Liver Meeting 2024. Barinthus Bio is a clinical-stage biopharmaceutical company developing novel immunotherapeutic candidates that guide T cells to control disease.
The HBV003 study (NCT05343481) is fully recruited with a total of 121 participants, including 69 participants who had entered the trial with HBsAg levels below 200 IU/mL. The study is evaluating different dosing regimens of VTP-300 in combination with low-dose nivolumab, an anti-PD-1 monoclonal antibody. The new data showed that as of data cut off, eight participants were reported with complete HBsAg loss (defined as HBsAg levels below the lower limit of quantitation [
Uniquely, two of the eight participants with HBsAg loss, became positive for anti-hepatitis B antibodies (HBsAb) that they did not have before, including one of those who met functional cure criteria. The data from this ongoing study indicate that stronger responses may happen in participants treated with the combination of VTP-300 and a low dose of the anti-PD1 antibody nivolumab (Groups 1 and 2).
"Sustained HBsAg loss has proven to be the largest hurdle in getting chronic hepatitis B patients to functional cure," said Dr. Chun-Jen Liu, investigator on HBV003 and Director of the Hepatitis Research Center and Clinical Trial Center, National Taiwan University Hospital, Taiwan. "The data we are seeing with VTP-300 is unique because they indicate a durable loss of HBsAg in participants, including two who met the criteria for functional cure. Although the study is still ongoing, these early data may bring us a step closer to potentially allowing some patients with chronic hepatitis B to come off antiviral treatment without their chronic hepatitis B progressing."
40 participants, with HBsAg below 200 IU/mL at screening, who had reached Day 169 were assessed for nucleos(t)ide analogue (NUC) discontinuation. The data showed the following:
- 24 were eligible for NUC discontinuation.
- Eight achieved HBsAg loss at any time, two of whom achieved it after Day 169.
- Nine participants chose to discontinue NUCs.
- 66% (n=6/9) remained off NUC therapy, five for more than six months.
- Two of these six have met the criteria for functional cure.
- Two of these six seroconverted to HBsAb positivity.
- Follow up is continuing with the remaining participants to assess if they will meet functional cure criteria.
- Durable HBsAg declines were observed in all treatment groups, consistent with data previously presented at the European Association for the Study of the Liver (EASL) Congress, in June 2024.
- Preliminary safety data indicate that VTP-300 in combination with low-dose nivolumab was generally well tolerated with no treatment-related SAEs observed or reported as of data cut off.
"These Phase 2 data are incredibly encouraging and highlight the ability of VTP-300 to stimulate the immune response and induce sustained reductions in HBsAg to the point of meeting functional cure criteria," said Dr. Nadege Pelletier, Chief Scientific Officer of Barinthus Bio. "Moreover, the finding that one of the participants meeting functional cure criteria had antibodies against hepatitis B is promising as HBsAb positivity is associated with long-term control of the infection by the immune system."
Functional cure is defined by AASLD as sustained HBsAg loss and hepatitis B virus DNA
About the HBV003 Trial
The HBV003 trial is designed to obtain critical information on treatment dosing regimen with participants receiving VTP-300 and low-dose (LD) nivolumab. All Groups received ChAdOx at Day 1; Groups 1 & 2 received MVA with nivolumab at Day 29; Group 2 was dosed again with MVA and nivolumab at Day 85; Group 3 received only MVA at Day 29, nivolumab at Day 36, and a conditional second MVA dose at Day 85 to evaluate anti-PD-1 inhibition timing. The conditional MVA dose was administered if participants had HBsAg ≥10 IU/mL. In 2023, the study inclusion criteria was amended from people with CHB with HBsAg ≥10 and <4,000 IU/mL to ≥10 and ≤200 IU/mL, as strongest responses were observed in participants with HBsAg ≤200 IU/ml.
About VTP-300
VTP-300 is an immunotherapeutic candidate consisting of an initial dose using the ChAdOx vector and a secondary dose(s) using the MVA vector, both encoding multiple HBsAg, including full-length surface, modified polymerase, and core antigens. VTP-300 is the first antigen-specific immunotherapy that has been shown to induce sustained reductions in HBsAg. Barinthus Bio is studying VTP-300 in combination with other agents, including siRNA and low-dose anti-PD-1 antibodies in the ongoing IM-PROVE II trial, to control the infection, and counterbalance the immune suppression and T cell exhaustion in the liver caused by chronic HBV infection.
About Barinthus Bio
Barinthus Bio is a clinical-stage biopharmaceutical company developing novel immunotherapeutic candidates designed to guide the immune system to overcome chronic infectious diseases and autoimmunity. Helping people living with serious diseases and their families is the guiding principle at the heart of Barinthus Bio. With a focused pipeline built around our proprietary platform technologies, Barinthus Bio is advancing immunotherapeutic product candidates in infectious diseases and autoimmunity, including: VTP-300, utilizing our ChAdOx/MVA platform designed as a potential component of a functional cure for chronic HBV infection and VTP-1000, utilizing our SNAP-Tolerance Immunotherapy (SNAP-TI) platform and designed to treat people with celiac disease. Barinthus Bio is also conducting a Phase 1 clinical trial for VTP-850, a second-generation immunotherapeutic candidate designed to treat recurrent prostate cancer. Barinthus Bio's differentiated technology platforms and therapeutic approach, coupled with deep scientific expertise and focus on clinical development, uniquely positions the company to navigate towards delivering treatments that improve the lives of people with chronic infectious diseases and autoimmunity. For more information, visit .
Barinthus Bio's Forward Looking Statements
This press release contains forward-looking statements regarding Barinthus Bio within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, which can generally be identified as such by use of the words "may," "will," "plan," "forward," "encouraging," "believe," "potential," and similar expressions, although not all forward-looking statements contain these identifying words. These forward-looking statements include, without limitation, express or implied statements regarding our product development activities and clinical trials, including timing for readouts of any interim data or next steps for any of our programs, including VTP-300 and the HBV003 trial, the tolerability or potential benefits of VTP-300 or imdusiran, including in combination with nivolumab, and our ability to develop and advance our current and future product candidates and programs. Any forward-looking statements in this press release are based on our management's current expectations and beliefs and are subject to numerous risks, uncertainties and important factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this press release, including, without limitation, risks and uncertainties related to the success, cost and timing of our pipeline development activities and planned and ongoing clinical trials, including the risk that the timing for preliminary, interim or final data or initiation of our clinical trials may be delayed, the risk that interim or topline data may not reflect final data or results, our ability to execute on our strategy, regulatory developments, the risk that we may not achieve the anticipated benefits of our pipeline prioritization and corporate restructuring, our ability to fund our operations and access capital, our cash runway, including the risk that our estimate of our cash runway may be incorrect, global economic uncertainty, including disruptions in the banking industry, the conflict in Ukraine, the conflict in Israel and Gaza, and other risks identified in our filings with the Securities and Exchange Commission, including our Annual Report on Form 10-K for the year ended December 31, 2023, our Quarterly Reports on Form 10-Q and Current Reports on Form 8-K. We caution you not to place undue reliance on any forward-looking statements, which speak only as of the date they are made. We expressly disclaim any obligation to publicly update or revise any such statements to reflect any change in expectations or in events, conditions or circumstances on which any such statements may be based, or that may affect the likelihood that actual results will differ from those set forth in the forward-looking statements.
IR contacts:
Christopher M. Calabrese
Managing Director
LifeSci Advisors
+1 917-680-5608
ccalabrese@lifesciadvisors.com
Kevin Gardner
Managing Director
LifeSci Advisors
+1 617-283-2856
kgardner@lifesciadvisors.com
Media contact:
Audra Friis
Sam Brown, Inc.
+1 917-519-9577
audrafriis@sambrown.com
Company contact:
Jonothan Blackbourn
IR & PR Manager
Barinthus Bio
ir@barinthusbio.com
- 八名參與者在任何時候都出現了HbSaG流失。
- 兩名參與者符合功能治療標準。
- 兩名停止NUC治療的參與者血清轉化爲HbSab陽性。
英國牛津,2024年11月15日(GLOBE NEWSWIRE)——Barinthus Biotherapeutics plc(納斯達克股票代碼:BRNS)今天公佈了迄今爲止正在進行的20期 HBV003 臨床試驗中最重要的數據。這些數據將由劉春仁博士於太平洋時間2024年11月18日 17:30 在美國肝病研究協會(AASLD)— 2024年肝臟會議上以口頭陳述的形式公佈。Barinthus Bio是一家處於臨床階段的生物製藥公司,正在開發新的候選免疫療法,以指導T細胞控制疾病。
HBV003 研究(NCT05343481)已全部招募,共有 121 名參與者,包括 69 名在 HbsAg 水平低於 200 IU/mL 的情況下進入試驗的參與者。該研究正在評估 VTP-300 與低劑量 nivolumab(一種抗 PD-1 單克隆抗體)聯合使用的不同給藥方案。新數據顯示,截至數據截止時,有八名參與者報告完全流失了HbsAg(定義爲HbsAg水平低於定量下限)[
獨特的是,在八名HbsAg流失的參與者中,有兩名以前沒有的抗乙型肝炎抗體(HbsAb)呈陽性,其中包括一名符合功能治癒標準的參與者。這項正在進行的研究的數據表明,聯合使用 VTP-300 和低劑量抗 PD1 抗體 nivolumab(第 1 組和第 2 組)的參與者可能會出現更強的反應。
HBV003 研究員、臺灣國立臺灣大學醫院肝炎研究中心和臨床試驗中心主任劉春仁博士說:「事實證明,持續流失乙型肝炎表面抗原是慢性乙型肝炎患者獲得功能治癒的最大障礙。」「我們看到的 VTP-300 數據是獨一無二的,因爲它們表明參與者(包括兩名符合功能治癒標準的人)會長期流失乙型肝炎表面抗原。儘管研究仍在進行中,但這些早期數據可能使我們離允許一些慢性乙型肝炎患者在慢性乙型肝炎不進展的情況下停止抗病毒治療又近了一步。」
對40名已進入第169天的篩查時HbsAg低於200 IU/mL的參與者進行了停藥評估。數據顯示以下內容:
- 有24人符合取消NUC資格。
- 有八人在任何時候都出現了HbsAg流失,其中兩人是在第169天之後實現的。
- 九名參與者選擇停用 NUC。
- 66%(n=6/9)仍未接受NUC治療,其中5%的人持續了六個月以上。
- 這六個中有兩個符合功能性治療的標準。
- 這六個血清中有兩個轉化爲乙型肝炎抗原陽性。
- 正在繼續對其餘參與者進行隨訪,以評估他們是否符合功能治癒標準。
- 與先前於2024年6月在歐洲肝臟研究協會(EASL)大會上公佈的數據一致,所有治療組均觀察到乙型肝炎表面抗原持續下降。
- 初步安全數據表明,VTP-300 與低劑量 nivolumab 聯合使用時總體耐受性良好,截至數據截止時未觀察到或報告與治療相關的 SAE。
Barinthus Bio首席科學官納德吉·佩萊捷博士說:「這些二期數據非常令人鼓舞,突顯了 VTP-300 刺激免疫反應和誘導乙型肝炎表面抗原持續降低至達到功能治癒標準的能力。」「此外,一項符合功能治癒標準的參與者具有針對乙型肝炎的抗體的發現令人鼓舞,因爲HbsAb陽性與免疫系統對感染的長期控制有關。」
AASLD 將功能性治癒定義爲持續的 HbsAg 流失和乙型肝炎病毒 DNA
關於 HBV003 試用版
HBV003 試驗旨在獲取有關受試者接受 VTP-300 和低劑量 (LD) nivolumab 的治療給藥方案的關鍵信息。所有組在第1天接受了ChadOx;第1組和第2組在第29天接受了MVA和nivolumab;第2組在第85天再次接受了MVA和nivolumab的劑量;第3組在第29天僅接受了MVA,在第36天接受了nivolumab,在第85天接受了有條件的第二劑MVA,以評估抗PD-1抑制時機。如果參與者的乙型肝炎表面抗原 ≥10 IU/mL,則給予有條件的 MVA 劑量。2023 年,研究納入標準從 HbsAg ≥10 和 <4,000 IU/mL 的患者修改爲 ≥10 和 ≤200 IU/mL,因爲在 HbsAg ≤200 IU/mL 的參與者中觀察到的反應最強。
關於 VTP-300
VTP-300 是一種候選免疫療法,由使用 ChadoX 載體的初始劑量和使用 MVA 載體的次要劑量組成,兩者均編碼多個 HbsAG,包括全長表面、改性聚合酶和核心抗原。VTP-300 是第一種抗原特異性免疫療法,已被證明可誘導乙型肝炎表面抗原持續降低。Barinthus Bio正在研究 VTP-300 與其他藥物聯合使用,包括正在進行的 im-Prove II 試驗中的 siRNA 和低劑量抗 PD-1 抗體,以控制感染,抵消慢性 HBV 感染導致的免疫抑制和 T 細胞衰竭。
關於 Barinthus Bio
Barinthus Bio是一家處於臨床階段的生物製藥公司,正在開發新的免疫療法候選藥物,旨在指導免疫系統克服慢性傳染病和自身免疫。幫助患有嚴重疾病的人及其家人是Barinthus Bio的核心指導原則。Barinthus Bio圍繞我們的專有平台技術建立了重點產品線,正在推進傳染病和自身免疫領域的候選免疫療法,包括:VTP-300,利用我們設計爲慢性乙型肝炎功能性治療的潛在組成部分的Chadox/MVA平台和VTP-1000,利用我們的SNAP耐受免疫療法(SNAP-TI)平台,旨在治療乳糜瀉患者。Barinthus Bio還正在對旨在治療複發性前列腺癌的第二代候選免疫療法 VTP-850 進行1期臨床試驗。Barinthus Bio的差異化技術平台和治療方法,加上深厚的科學專業知識和對臨床開發的關注,使公司在提供改善慢性傳染病和自身免疫患者生活的治療方面處於獨特地位。欲了解更多信息,請訪問。
Barinthus Bio的前瞻性陳述
本新聞稿包含經修訂的1995年《私人證券訴訟改革法》所指的有關Barinthus Bio的前瞻性陳述,儘管並非所有前瞻性陳述都包含這些識別詞,但通常可以使用 「可能」、「將」、「計劃」、「向前」、「鼓勵」、「相信」、「潛力」 和類似的表述來識別這些前瞻性陳述。這些前瞻性陳述包括但不限於有關我們的產品開發活動和臨床試驗的明示或暗示陳述,包括我們任何項目(包括 VTP-300 和 HBV003 試驗)的任何中期數據或下一步措施的公佈時間、VTP-300 或imdusiran(包括與nivolumab聯合使用)的耐受性或潛在益處,以及我們開發和推進當前和未來候選產品和計劃的能力。本新聞稿中的任何前瞻性陳述均基於我們管理層當前的預期和信念,並受許多風險、不確定性和重要因素的影響,這些風險和不確定性可能導致實際事件或結果與本新聞稿中包含的任何前瞻性陳述所表達或暗示的重大差異,包括但不限於與我們的管道開發活動以及計劃和正在進行的臨床試驗的成功、成本和時機相關的風險和不確定性,包括時機風險初步、中期或最終數據或臨床試驗的啓動可能會延遲,臨時或主要數據可能無法反映最終數據或結果的風險,我們執行戰略的能力,監管發展,我們可能無法從管道優先排序和企業重組中獲得預期收益的風險,我們爲運營和獲得資本的能力,我們的現金跑道,包括我們對現金跑道的估計可能不正確的風險,全球經濟的不確定性,包括銀行業的混亂,烏克蘭衝突、以色列和加沙衝突以及我們在向美國證券交易委員會提交的文件中確定的其他風險,包括我們截至2023年12月31日的10-k表年度報告、我們的10-Q表季度報告和8-k表最新報告。我們提醒您不要過分依賴任何前瞻性陳述,這些陳述僅代表其發表之日。我們明確表示沒有義務公開更新或修改任何此類陳述,以反映預期或任何此類陳述所依據的事件、條件或情況的任何變化,或者可能影響實際業績與前瞻性陳述中列出的結果不同的可能性。
投資者關係聯繫人:
克里斯托弗·卡拉布雷斯
董事總經理
生命科學顧問
+1 917-680-5608
ccalabrese@lifesciadvisors.com
凱文·加德納
董事總經理
生命科學顧問
+1 617-283-2856
kgardner@lifesciadvisors.com
媒體聯繫人:
Audra Friis
Sam Brown, Inc.
+1 917-519-9577
audrafriis@sambrown.com
公司聯繫人:
喬諾森·布萊克本
投資者關係和公關經理
Barinthus Bio
ir@barinthusbio.com