Synageva
BioPharma Corp. (“Synageva”) (NASDAQ:GEVA), a clinical stage
biopharmaceutical company developing therapeutic products for rare
diseases, today announced six month results from an ongoing extension
study of sebelipase alfa in adults with late onset Lysosomal Acid Lipase
(LAL) Deficiency at the American Association for the Study of Liver
Diseases (AASLD) annual meeting being held in Boston, MA, November 9-13,
2012.
“We are encouraged by the safety and efficacy profile of sebelipase alfa
with longer term dosing in this trial of adults with late onset LAL
Deficiency,” said Anthony Quinn, MBChB, PhD, FRCP, Senior Vice President
and Chief Medical Officer of Synageva BioPharma. “Sebelipase alfa
replaces the deficient enzyme in these patients, and as anticipated, we
observe normalization of serum transaminases, which are markers of liver
damage, along with decreases in LDL-C and improvements in other lipid
abnormalities associated with LAL Deficiency. We are also pleased to see
that with sebelipase alfa treatment the improvements in blood disease
activity markers are accompanied by decreases in liver fat content and
liver volume as assessed by imaging studies. We look forward to
providing additional updates from this ongoing trial as appropriate.”
Details from the extension study of sebelipase alfa in adults with
late onset LAL Deficiency
Nine adults with LAL Deficiency were enrolled in the Phase I/II trial.
After completing four weeks of treatment in the initial portion of the
trial and at least four weeks of a post-treatment observation period,
patients were allowed to continue treatment with sebelipase alfa as part
of a long-term open-label extension study.
In the extension study, patients received four once-weekly infusions of
sebelipase alfa (0.35 mg/kg, 1.0 mg/kg, or 3.0 mg/kg) and then
transitioned to every other week infusions of sebelipase alfa (1.0 mg/kg
or 3.0 mg/kg). Eight of nine patients have enrolled in the extension
study. Data at the AASLD meeting were derived from the seven of the
eight patients who completed the first six months of dosing in the
extension study.
Patients in the Phase I/II trial were predominantly male with a mean age
of 32 years (range 19-45). Seven of nine patients had a history of
hepatomegaly and/or splenomegaly, and two of nine patients had evidence
of more advanced liver disease, including cirrhosis and portal
hypertension. Seven patients had a history of other cardiovascular
conditions. Seven of nine patients were receiving treatment with lipid
modifying therapies including ezetimibe, statins, and other medications.
For the seven patients with longer term dosing, sebelipase alfa produced
mean decreases +/- SD for ALT and AST from the initial baseline to week
24 of the extension study of 48 +/- 21 U/L (54%) and 19 +/- 18 U/L
(30%), respectively (p<0.05 for both). In addition, sebelipase alfa
resulted in mean decreases from the initial baseline to week 24 of the
extension study for total cholesterol of 69 +/- 52 mg/dL (31%), LDL-C of
62 +/- 36 mg/dL (43%) and triglycerides of 47 +/- 69 mg/dL (22%), p<0.05
for all measures, as well as mean increases in HDL of 4 +/- 5 mg/dL
(14%) (p=0.09).
Liver fat fraction was measured by multi-echo magnetic resonance imaging
(MRI) or magnetic resonance spectroscopy (MRS) and liver volume was
measured by MRI at the beginning of the extension study, at weeks 10/12,
and at week 24 of the extension study. Treatment with sebelipase alfa
resulted in a mean decrease in liver fat fraction of 34% and a mean
decrease in liver volume of 8% at week 24.
Sebelipase alfa was well tolerated throughout the initial six months of
the extension study. The majority of adverse events were mild and
unrelated to sebelipase alfa. Related or possibly related adverse events
included headache, diarrhea, mild abdominal pain and cholesterol
elevation. The majority of infusion-related reactions were
gastrointestinal (diarrhea, abdominal cramping) and of mild severity. No
antidrug antibodies were detected in any of the nine patients in the
four week portion of the trial or in the seven patients tested in the
extension study. A single patient during the extension study developed
acute cholecystitis and cholelithiasis later treated with
cholecystectomy. These two serious adverse events were considered by the
investigator as unlikely related to sebelipase alfa.
Poster 1339 entitled “Enzyme Replacement with Recombinant Human
Lysosomal Acid Lipase (rhLAL) in Patients with Cholesteryl Ester Storage
Disease, the Late Onset Form of LAL Deficiency, Produces Sustained
Decreases in Transaminases and Reduction in Liver Fat Content” can be
viewed during the poster session on Monday, November 12, 2012 at 8:00
a.m.-5:30 p.m. EST.
Additional sebelipase alfa data presented at the AASLD meeting
Poster 1351 entitled “Recombinant Human Lysosomal Acid Lipase Decreases
Hepatic Macrophage Aggregates and Colocalized Fibrosis in a Rat Model of
Lysosomal Acid Lipase Deficiency” can be viewed during the poster
session on Monday, November 12, 2012 at 8:00 a.m.-5:30 p.m. EST. The aim
of this study was to further characterize the histopathological
abnormalities associated with LAL Deficiency and to examine the effects
of sebelipase alfa on liver fibrosis in the preclinical rat model. In
this study, enzyme replacement with sebelipase alfa was associated with
a marked reduction of fat in disease causing cells including macrophages
and hepatocytes with an accompanying reduction in fibrosis relative to
untreated LAL deficient animals.
About Synageva’s Lead Program
Sebelipase
alfa is a recombinant form of the human LAL enzyme under development
by Synageva as an enzyme replacement therapy for LAL Deficiency, a
lysosomal storage disorder (LSD). Synageva is currently evaluating
sebelipase alfa in global clinical trials and sebelipase alfa has been
granted orphan designations by the U.S. Food and Drug Administration
(FDA), the European Medicines Agency, and the Japanese Ministry of
Health, Labour and Welfare. Additionally, sebelipase alfa received “fast
track” designation by the FDA.
About LAL Deficiency
LAL
Deficiency is a rare, autosomal recessive LSD caused by a marked
decrease in LAL enzyme activity. Late onset LAL Deficiency, sometimes
called Cholesteryl Ester Storage Disease (CESD), affects both children
and adults. In these patients, the buildup of fatty material in the
liver, spleen and blood vessel walls leads to complications resulting in
significant morbidity and mortality. Early onset LAL Deficiency,
sometimes called Wolman disease, affects infants and is characterized by
severe malabsorption, growth failure, and liver failure and is usually
fatal within the first six months of life.
About Synageva BioPharma Corp.
Synageva is a clinical stage biopharmaceutical company focused on the
discovery, development, and anticipated commercialization of therapeutic
products for patients with life-threatening rare diseases and unmet
medical need. Synageva has several protein therapeutics in its drug
development pipeline. The company has assembled a team with a proven
record of bringing therapies to patients with rare diseases.
Further information regarding Synageva BioPharma Corp. is available at www.synageva.com.
Forward-Looking Statements
This news release contains “forward-looking statements” under the
provisions of the Private Securities Litigation Reform Act of 1995. Such
statements can be identified by introductory words such as “expects,”
“plans,” “intends,” “believes,” “will,” “estimates,” “forecasts,”
“projects,” or words of similar meaning and by the fact that they do not
relate strictly to historical or current facts. Many factors may cause
actual results to differ materially from forward-looking statements,
including inaccurate assumptions and a broad variety of risks and
uncertainties, some of which are known, including those identified under
the heading “Risk Factors” in the Company’s Quarterly Report on Form
10-Q filed with the Securities and Exchange Commission (the “SEC”) on
November 6, 2012, and other filings Synageva periodically makes with the
SEC and others of which are not. Synageva cannot be sure when or if it
will be permitted by regulatory agencies to undertake additional
clinical trials or to commence any particular phase of clinical trials
or how quickly patient enrollment in clinical trials will occur. In
addition, early clinical results are not necessarily predictive of
results that may be achieved from subsequent clinical trials. Because of
this, statements regarding the expected timing of clinical trials or
ultimate regulatory approval cannot be regarded as actual predictions of
when Synageva will obtain regulatory approval for any phase of clinical
trials or when it will obtain ultimate regulatory approval by a
particular regulatory agency or when any of its drug product candidates
might be commercialized. Synageva’s future financial results may differ
from those currently anticipated due to a number of factors, including
unanticipated costs in its research and development programs,
fluctuations in royalty revenues and unplanned costs associated with
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forward-looking statement is a guarantee of future results or events,
and investors should avoid placing undue reliance on such statements.
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statements, whether as a result of new information, future events or
otherwise.
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