通用中文 | 鲁玛赛仑皮下注射剂 | 通用外文 | Lumasiran |
品牌中文 | 品牌外文 | Oxlumo | |
其他名称 | |||
公司 | Sanofi /Alnylam(Sanofi /Alnylam) | 产地 | 美国(USA) |
含量 | 94.5mg/0.5ml | 包装 | 1支/盒 |
剂型给药 | 每月一次皮下注射 | 储存 | 2度-8度(冰箱冷藏,禁止冷冻) |
适用范围 | 治疗原发性高草酸尿症1型(PH1) |
通用中文 | 鲁玛赛仑皮下注射剂 |
通用外文 | Lumasiran |
品牌中文 | |
品牌外文 | Oxlumo |
其他名称 | |
公司 | Sanofi /Alnylam(Sanofi /Alnylam) |
产地 | 美国(USA) |
含量 | 94.5mg/0.5ml |
包装 | 1支/盒 |
剂型给药 | 每月一次皮下注射 |
储存 | 2度-8度(冰箱冷藏,禁止冷冻) |
适用范围 | 治疗原发性高草酸尿症1型(PH1) |
公司名称:Alnylam Pharmaceuticals,Inc.
批准日期:2020年11月23日
治疗:原发性高草酸尿症1型(PH1)
Oxlumo(lumasiran)是HAO1导向的小干扰核糖核酸(siRNA),可用于治疗1型原发性高草酸尿症(PH1),以降低儿童和成人患者的草酸尿水平。
市场资料
FDA批准Oxlumo(lumasiran)用于治疗1型原发性高草酸尿症
马萨诸塞州剑桥市-(美国商业资讯)-11月。 2020年2月24日-领先的RNAi治疗公司Alnylam Pharmaceuticals,Inc.(Nasdaq:ALNY)今天宣布,美国食品和药物管理局(FDA)批准将Oxlumo(lumasiran)注射剂用于皮下使用,这是有史以来的第一种疗法用于治疗小儿和成年患者的原发性1型高草酸尿症(PH1),以降低草酸尿水平。 PH1是一种以草酸盐过量生产为特征的超罕见遗传病。草酸盐的过量产生导致草酸钙晶体在肾脏和泌尿道中的沉积,并可能导致疼痛和复发性肾结石的形成,肾钙化,进展为肾衰竭和全身器官功能障碍。在ILLUMINATE-A(PH1有史以来最大的对照3期研究)中,Oxlumo与安慰剂相比,可显着降低草酸尿的水平,大多数患者均达到正常1或接近正常2的水平。 Oxlumo展示出令人鼓舞的安全性和耐受性,其中注射部位反应(ISR)是最常见的药物相关不良反应。在ILLUMINATE-B儿科3期研究中,证实了Oxlumo在6岁以下患者中的安全性和有效性,结果显示尿草酸减少,总体安全性和耐受性与ILLUMINATE-A一致。
“ Oxlumo的批准进一步证明了RNAi治疗剂在改变重症,危及生命的疾病(如PH1)的治疗方面所具有的作用。 ILLUMINATE-A和ILLUMINATE-B研究的结果表明,Oxlumo解决了成人,儿童和婴儿PH1的潜在病理生理问题,我们相信这种新批准的药物有可能改变这种进行性疾病的病程,” Akshay Vaishnaw说道。 ,医学博士,Alnylam研发总裁。 “ Oxlumo标志着我们在不到三年的时间内获得了FDA的第三次批准,这使我们能够达到或超过Alnylam 2020战略和目标,并进一步强调了RNAi平台的生产力以及向患者带来创新药物的速度。对于受PH1影响的患者和家庭,这是一个历史性时刻,因为Oxlumo代表了他们可获得的第一个针对性治疗方案。我们感谢参加ILLUMINATE临床研究的所有研究人员,工作人员和患者,以及他们的家人,护理人员和患者倡导者。这一刻正是我们所有人所希望的。”
FDA对Oxlumo的批准主要基于随机,双盲,安慰剂对照的ILLUMINATE-A 3期研究的阳性结果,该结果于2020年6月在第57届欧洲肾脏协会–欧洲透析和移植协会虚拟大会上公布。 FDA还考虑了单臂开放标签ILLUMINATE-B 3期儿科研究的积极中期结果。 ILLUMINATE-B研究的主要分析结果于2020年10月在虚拟的美国肾脏病学会年会上发表。
在ILLUMINATE-A中,对39例年龄在6岁及以上,肾功能相对保留(估计肾小球滤过率[eGFR]≥30 mL / min / 1.73m2)且已记录诊断为PH1的患者进行了Oxlumo的疗效和安全性评估。 。该研究在全球八个国家进行,是专门针对PH1进行的最大的干预研究。患者按2:1的比例随机分配,以3 mg / kg的剂量接受3个月的Oxlumo或安慰剂的剂量,然后每季度服用一次。研究表明Oxlumo达到了其主要终点指标,即24小时尿草酸盐的变化百分比(校正了身体表面积,平均3到6个月)。具体而言,用Oxlumo治疗可使尿草酸盐相对于基线平均减少65%,而据报道对安慰剂有所减少12%,相对于安慰剂,平均治疗差异为53%(p = 1.7x10-14)。此外,Oxlumo在所有六个测试的次要终点指标上均取得了统计学上显着的结果,包括达到或低于正常上限1(13/25患者或52%; p = 0.001)且等于或低于1.5倍的达到草酸尿水平的患者比例上限2(21/25例患者,占84%; p = 8.3 x 10-7),而接受安慰剂的患者则无(0/13)。在初步分析期间,Oxlumo表现出令人鼓舞的安全性和耐受性,没有严重或严重的不良事件。最常见的不良反应是ISR(至少有20%的患者报告); ISR在研究期间的各个时间点发生,包括红斑,疼痛,瘙痒和肿胀。这些症状通常较轻,在注射后一天之内即可缓解,并未导致治疗中断。
关于Oxlumo™(lumasiran)
Oxlumo是一种靶向羟基酸氧化酶1(HAO1)的RNAi治疗药物,可用于治疗1型原发性高草酸尿症(PH1),以降低儿童和成人患者的草酸尿水平。 HAO1编码乙醇酸氧化酶(GO),该酶是PH1中引起疾病的缺陷的上游。 Oxlumo通过降解HAO1信使RNA并减少GO的合成来发挥作用,GO的合成可抑制肝中草酸盐的产生,草酸盐是负责PH1临床表现的有毒代谢产物。在关键的ILLUMINATE-A研究中,与安慰剂相比,Oxlumo被证明可以显着降低草酸尿的水平,大多数患者达到正常或接近正常水平。注射部位反应(ISR)是最常见的药物相关不良反应。在ILLUMINATE-B儿科3期研究中,Oxlumo证明其功效和安全性与ILLUMINATE-A一致。 Oxlumo利用Alnylam的增强稳定化学(ESC)-GalNAc共轭技术来提高效能和耐久性。 Oxlumo每月一次皮下注射,持续三个月,然后每季度一次,以实际体重为基础。对于体重不足10公斤的患者,仍需每月继续服用。 Oxlumo应该由医疗保健专业人员管理。
− Company Plans to Accelerate Development with Phase 3 Start in Late 2018 −
− Lumasiran Granted Breakthrough Therapy Designation by the United States Food and Drug Administration −
CAMBRIDGE, Mass.--(BUSINESS WIRE)--Mar. 12, 2018-- Alnylam Pharmaceuticals, Inc. (Nasdaq: ALNY), the leading RNAi therapeutics company, announced today that Sanofi Genzyme has declined its opt-in for the development and commercialization of lumasiran (ALN-GO1), an investigational RNAi therapeutic for the treatment of Primary Hyperoxaluria Type 1 (PH1). Based on this decision, Alnylam intends to rapidly advance lumasiran into a Phase 3 pivotal study in late 2018, and to commercialize lumasiran globally, assuming product approval. In addition, the Company also announced that lumasiran has been granted Breakthrough Therapy Designation (BTD) by the U.S. Food and Drug Administration (FDA), representing the third BTD the Company has received to date for programs in its pipeline. BTD is intended to expedite the development and review of investigational drugs for the treatment of serious or life-threatening conditions based on preliminary clinical evidence indicating that the drug may demonstrate substantial improvement on clinically significant endpoint(s) over available therapies.
“We are extremely pleased to retain worldwide development and commercialization rights for lumasiran, expanding the number of global rare disease opportunities for Alnylam. Based on Phase 1/2 clinical data presented to date, we believe lumasiran could be a transformative treatment for patients with PH1, an ultra-rare disease with no approved therapies, in which excess oxalate production leads to kidney failure and significant morbidity and mortality,” said Yvonne Greenstreet, MBChB, MBA, Chief Operating Officer of Alnylam. “We are also thrilled with FDA’s decision to grant Breakthrough Therapy Designation to lumasiran. We believe this is a testament to the drug’s potential to address the severe unmet medical need that PH1 represents for patients and their families. Alnylam is now poised to advance lumasiran into Phase 3 in late 2018 and, assuming approval, to commercialize lumasiran globally.”
The clinical dataset informing the Sanofi Genzyme decision consisted of results from Parts A and B of the ongoing Phase 1/2 study of lumasiran, recently presented at the American Society of Nephrology (ASN) Kidney Week 2017 Annual Meeting in November. Through the end of 2019 and, potentially for up to two years thereafter, Sanofi Genzyme retains the right to opt into other Alnylam rare genetic disease programs for development and commercialization in territories outside of the United States, Canada, and Western Europe, as per the terms of the 2014 collaboration, as well as one right to a global license for a rare disease program.
About Lumasiran
Lumasiran (formerly known as ALN-GO1) is an investigational RNAi therapeutic targeting glycolate oxidase (GO) in development for the treatment of Primary Hyperoxaluria Type 1 (PH1). Lumasiran is designed to reduce the hepatic levels of the GO enzyme, thereby depleting the substrate necessary for oxalate production, which directly contributes to the pathophysiology of PH1. Lumasiran utilizes Alnylam's Enhanced Stabilization Chemistry (ESC)-GalNAc-conjugate technology, which enables subcutaneous dosing with increased potency and durability and a wide therapeutic index. Lumasiran has received both U.S. and EU Orphan Drug Designations. The safety and efficacy of lumasiran have not been evaluated by the U.S. Food and Drug Administration or any other health authority.
About Primary Hyperoxaluria Type 1 (PH1)
PH1 is an ultra-orphan disease in which excessive oxalate production results in the deposition of calcium oxalate crystals in the kidneys and urinary tract and can lead to the formation of painful and recurrent kidney stones or nephrocalcinosis. Renal damage is caused by a combination of tubular toxicity from oxalate, calcium oxalate deposition in the kidneys, and urinary obstruction by calcium oxalate stones. Compromised kidney function exacerbates the disease as the excess oxalate can no longer be effectively excreted, resulting in subsequent accumulation and crystallization in bones, eyes, skin, and heart, leading to severe illness and death. About 50 percent of patients will have kidney failure by age 15, and about 80 percent will have end stage renal disease by age 30. Current treatment options for advanced disease are very limited and include frequent renal dialysis or combined organ transplantation of liver and kidneys, a procedure with high morbidity that is limited due to organ availability. Although a small minority of patients respond to Vitamin B6 supplementation, there are no approved pharmaceutical therapies for PH1.
About RNAi
RNAi (RNA interference) is a natural cellular process of gene silencing that represents one of the most promising and rapidly advancing frontiers in biology and drug development today. Its discovery has been heralded as “a major scientific breakthrough that happens once every decade or so,” and was recognized with the award of the 2006 Nobel Prize for Physiology or Medicine. By harnessing the natural biological process of RNAi occurring in our cells, a major new class of medicines, known as RNAi therapeutics, is on the horizon. Small interfering RNA (siRNA), the molecules that mediate RNAi and comprise Alnylam's RNAi therapeutic platform, function upstream of today’s medicines by potently silencing messenger RNA (mRNA) – the genetic precursors – that encode for disease-causing proteins, thus preventing them from being made. This is a revolutionary approach with the potential to transform the care of patients with genetic and other diseases.
Alnylam – Sanofi Genzyme Alliance
In January 2014, Alnylam and Sanofi Genzyme, the specialty care global business unit of Sanofi, formed an alliance to accelerate the advancement of RNAi therapeutics as a potential new class of innovative medicines for patients around the world with rare genetic diseases. The alliance enables Sanofi Genzyme to expand its rare disease pipeline with Alnylam's novel RNAi technology and provides access to Alnylam's R&D engine, while Alnylam benefits from Sanofi Genzyme's proven global capabilities to advance late-stage development and, upon commercialization, accelerate market access for these promising genetic medicine products.
In January 2018, Alnylam and Sanofi Genzyme restructured their alliance, providing Alnylam with global rights to develop and commercialize products for the treatment of ATTR amyloidosis, including investigational RNAi therapeutics patisiran and ALN-TTRsc02, and Sanofi Genzyme with global rights to develop and commercialize fitusiran, an investigational RNAi therapeutic for the treatment of hemophilia and potentially other rare bleeding disorders. Sanofi Genzyme continues to have the right to opt into other Alnylam rare genetic disease programs for development and commercialization in territories outside of the United States, Canada, and Western Europe, as well as one right to a global license.
About Alnylam Pharmaceuticals
Alnylam (Nasdaq: ALNY) is leading the translation of RNA interference (RNAi) into a whole new class of innovative medicines with the potential to transform the lives of people afflicted with rare genetic, cardio-metabolic, and hepatic infectious diseases. Based on Nobel Prize-winning science, RNAi therapeutics represent a powerful, clinically validated approach for the treatment of a wide range of severe and debilitating diseases. Founded in 2002, Alnylam is delivering on a bold vision to turn scientific possibility into reality, with a robust discovery platform and deep pipeline of investigational medicines, including four product candidates that are in late-stage development. Looking forward, Alnylam will continue to execute on its "Alnylam 2020" strategy of building a multi-product, commercial-stage biopharmaceutical company with a sustainable pipeline of RNAi-based medicines to address the needs of patients who have limited or inadequate treatment options. Alnylam employs over 700 people in the U.S. and Europe and is headquartered in Cambridge, MA. For more information about our people, science and pipeline, please visit www.alnylam.com and engage with us on Twitter at @Alnylam or on LinkedIn.
Alnylam Forward Looking Statements
Various statements in this release concerning Alnylam's future expectations, plans and prospects, including, without limitation, Alnylam's views with respect to potential for lumasiran to be a transformative treatment for patients with PH1, the plans and timing to advance lumasiran into a pivotal study, expectations regarding Alnylam’s global commercialization of lumasiran, if approved, the continuing option rights of Sanofi Genzyme through 2019 and potentially beyond, and expectations regarding "Alnylam 2020" guidance for the advancement and commercialization of RNAi therapeutics, constitute forward-looking statements for the purposes of the safe harbor provisions under The Private Securities Litigation Reform Act of 1995. Actual results and future plans may differ materially from those indicated by these forward-looking statements as a result of various important risks, uncertainties and other factors, including, without limitation, Alnylam's ability to discover and develop novel drug candidates and delivery approaches, successfully demonstrate the efficacy and safety of its product candidates, the pre-clinical and clinical results for its product candidates, which may not be replicated or continue to occur in other subjects or in additional studies or otherwise support further development of product candidates for a specified indication or at all, actions or advice of regulatory agencies, which may affect the design, initiation, timing, continuation and/or progress of clinical trials or result in the need for additional pre-clinical and/or clinical testing, delays, interruptions or failures in the manufacture and supply of its product candidates, obtaining, maintaining and protecting intellectual property, Alnylam's ability to enforce its intellectual property rights against third parties and defend its patent portfolio against challenges from third parties, obtaining and maintaining regulatory approval, pricing and reimbursement for products, progress in establishing a commercial and ex-United States infrastructure, competition from others using technology similar to Alnylam's and others developing products for similar uses, Alnylam's ability to manage its growth and operating expenses, obtain additional funding to support its business activities, and establish and maintain strategic business alliances and new business initiatives, Alnylam's dependence on third parties for development, manufacture and distribution of products, the outcome of litigation, the risk of government investigations, and unexpected expenditures, as well as those risks more fully discussed in the "Risk Factors" filed with Alnylam's most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission(SEC) and in other filings that Alnylam makes with the SEC. In addition, any forward-looking statements represent Alnylam's views only as of today and should not be relied upon as representing its views as of any subsequent date. Alnylam explicitly disclaims any obligation, except to the extent required by law, to update any forward-looking statements.
Lumasiran has not been approved by the U.S. Food and Drug Administration, European Medicines Agency, or any other regulatory authority and no conclusions can or should be drawn regarding the safety or effectiveness of this investigational therapeutic.
View source version on businesswire.com: http://www.businesswire.com/news/home/20180312005358/en/
Source: Alnylam Pharmaceuticals, Inc.
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