GlobeImmune Hepatitis C Therapeutic Vaccine, GI-5005, Doubles Viral Clearance and Increases RVR Rates in Phase 2 Clinical Trial
Four-Week Data Comparing GI-5005 Plus Standard of Care vs. Standard of Care to Be Presented Next Week in Late-Breaking Poster at AASLD Meeting; AASLD President Will Highlight Data at President's Press Conference
| Source: GlobeImmune, Inc.
LOUISVILLE, CO--(Marketwire - November 1, 2008) - Four-week Phase 2 clinical trial data show
that GI-5005, GlobeImmune's hepatitis C virus (HCV) targeted molecular
immunogen (Tarmogen®), doubled viral clearance overall and in all major
subgroups and doubled the rapid virologic response (RVR) rate in naïve
patients with high viral load. The study compared GI-5005 plus standard of
care (SOC) -- pegylated-interferon plus ribavirin -- versus SOC alone in
patients with chronic genotype 1 hepatitis C infection.
The study data will be presented by principal investigator John G.
McHutchison, M.D., of Duke University, in a late-breaking poster next week
at the 59th Annual Meeting of the American Association for the Study of
Liver Diseases (AASLD). Treatment-naïve patients with high viral loads at
baseline ( > 600,000 IU/mL) saw a 2.6-fold improvement in RVR, which is
defined as undetectable HCV RNA levels ( < 25 IU/ml) by four weeks.
Treatment-naïve patients with a high viral load at baseline are
particularly difficult to treat to an RVR. RVR is highly predictive of
whether a patient will achieve a sustained virologic response (SVR), or
"cure," which is defined as undetectable HCV RNA at six months
post-treatment. A significant improvement was also noted in the rate of
viral reduction in the peripheral blood using viral kinetic analysis in all
patients, with a 2-fold improved slope (0.32 log10/month difference,
p=0.02) for patients receiving GI-5005 in addition to SOC. Comparable
magnitude of increased viral clearance in GI-5005 treated patients was
noted in all patient subgroups including prior non-responders and patients
with high viral load at baseline.
"These data represent early but important evidence that a patient's natural
immune response can be harnessed to positively influence important
virologic endpoints with the potential to impact the course of chronic HCV
infection," said Dr. McHutchison. "The rational combination of novel immune
approaches such as GI-5005 with IFN-based standard of care or with novel
direct acting antiviral agents holds promise in terms of ultimately
improving clinical outcomes, shortening the exposure to toxic therapies, or
both."
David Apelian, M.D., Ph.D., GlobeImmune Chief Medical Officer, said, "These
data indicate that GI-5005 can increase the rate of clearance of infected
cells from the liver, something that interferon-based therapies and
antivirals are not designed to do. Direct acting antivirals act primarily
by inhibiting viral replication, an important step, but they have not been
shown to speed the immune clearance of infected cells from the liver.
Ultimately, to achieve sustained virologic response, HCV must be eradicated
not just from the blood, but also the liver. GI-5005 may improve this
critical part of the treatment and healing process in a way that is
complementary to standard of care and the new direct acting antivirals."
An HCV-targeted cellular immune response is essential to curing a patient
with hepatitis C. Twenty percent of patients infected with hepatitis C have
immune responses strong enough to clear the virus on their own, without
medical intervention. However, for the remaining 80 percent who go on to
develop chronic infection, it takes the immune system six to twelve months
to eliminate the infection, even with SOC and the best antivirals.
Improving the rate of viral clearance may ultimately lead to a decrease in
the time needed for therapy.
"The role of the immune response in combating hepatitis C infection is
often overlooked," added Apelian. "Most of the recent development interest
has been focused on new direct-acting antivirals, which inhibit viral
replication. However, to improve the rate of viral clearance from the
liver, it is necessary to stimulate an HCV targeted cellular immune
response. We believe that the Phase 2 data to date demonstrate the
potential of GI-5005 to be an important and complementary part of the
treatment of hepatitis C."
The GI-5005-02 clinical trial is a randomized, multi-center, Phase 2 study
evaluating 140 patients, all with genotype 1 HCV infection. In the trial,
74 percent of the patients had never received prior treatment, and the
remaining 26 percent experienced prior treatment failures.
GlobeImmune's GI-5005 is a targeted molecular immunogen (Tarmogen®)
designed to elicit an HCV-specific T-cell response. Tarmogens are whole,
heat-killed recombinant S. cerevisiae yeast that express antigens from one
or more disease-related proteins.
About GlobeImmune
GlobeImmune Inc. is a private company developing targeted molecular
immunogens, Tarmogens®, for the treatment of cancer and infectious
diseases. The company's lead product candidate, GI-5005, is a Tarmogen for
the treatment of chronic hepatitis C infection (HCV). GI-5005 is designed
to complement both the current standard of care and emerging novel
therapies for HCV. The company's lead oncology program, GI-4000, targets
mutated versions of the Ras oncoprotein for the treatment of pancreas
cancer as well as other cancers that contain mutated Ras, including
non-small cell lung cancer and colorectal cancer.
For additional information, please visit the company's Web site at
www.globeimmune.com.
This news release and the anticipated presentation contain forward-looking
statements that involve risks and uncertainties, including statements
relating to initiation and progress of the Company's clinical trial
programs and the preliminary results from the clinical trials. Actual
results could differ materially from those projected and the Company
cautions readers not to place undue reliance on the forward-looking
statements contained in the release and anticipated presentation.