Enanta Pharmaceuticals Announces Investigational Regimen Containing Enanta’s Next-Generation Protease Inhibitor ABT-493 Demonstrates High Sustained Virologic Response Rates in Phase 2 Studies in Patients with Chronic Hepatitis C
- Data from AbbVie’s SURVEYOR-I and SURVEYOR-II studies demonstrate high sustained virologic response rates at 12 weeks post-treatment (SVR12) in non-cirrhotic patients with genotype 1 (GT1), genotype 2 (GT2) and genotype 3 (GT3) chronic hepatitis C virus (HCV) infection
- Late-breaking data demonstrate 97 percent SVR12 in GT1 non-cirrhotic HCV patients after 8 weeks of treatment with ABT-493 and ABT-530
- First patient enrolled in Phase 3 trials
Separately, in a late-breaking presentation of the SURVEYOR-1 trial, additional data will show non-cirrhotic GT1 chronic HCV patients who received a shorter duration of treatment for 8 weeks with ABT-493 and ABT-530 achieved a SVR12 rate of 97 percent.4
SURVEYOR-I and SURVEYOR-II are ongoing Phase 2b clinical studies that evaluate the safety and efficacy of treatment with combinations of ABT-493 and ABT-530, with or without ribavirin (RBV), for 8 to 12 weeks. The data presented at the AASLD meeting will include non-cirrhotic patients with GT1, GT2 and GT3 chronic HCV infection. Data in additional patient populations (genotypes 4-6) will be presented at future meetings.
About SURVEYOR-I
SURVEYOR-I is an ongoing Phase 2b two-part study designed to evaluate the safety and efficacy of ABT-493 and ABT-530, with or without RBV, for 8 to 12 weeks, in cirrhotic and non-cirrhotic adult GT1 patients, and non-cirrhotic adult patients with genotypes 4, 5 or 6 chronic HCV infection who were new to therapy or did not respond to previous treatment with pegIFN/RBV (null responder).1,4
In Part 1 of SURVEYOR-I, with 12 weeks of treatment, no patients discontinued treatment due to severe adverse events. The most commonly-reported DAA-related adverse reactions (>10 percent of patients) were fatigue, headache and nausea. One patient experienced a serious adverse event of metastatic prostate cancer, unrelated to the study drugs and had onset after completion of study treatment.1 In Part 2, with 8 weeks of treatment, there were no study-related serious or severe adverse events reported. One subject discontinued the study at treatment week 4 due to adenocarcinoma, unrelated to study drugs. The most frequent adverse event (>5 percent of patients) was fatigue.4
About SURVEYOR-II
SURVEYOR-II is an ongoing Phase 2b three-part study designed to evaluate the safety and efficacy of ABT-493 and ABT-530, with or without RBV, in cirrhotic and non-cirrhotic adult patients with GT2 or GT3 chronic HCV infection who were new to therapy or had failed previous treatment with pegIFN/RBV.2,3 In GT2 study patients, the most commonly-reported DAA-related adverse reactions (>10 percent of patients) were fatigue, nausea, diarrhea and headache. No GT2 study patients discontinued treatment due to an adverse event; one patient experienced a serious adverse event of atrial fibrillation unrelated to the study drugs.2 In GT3 study patients, the most commonly-reported DAA-related adverse reactions (>10 percent of patients) were fatigue, nausea and headache. One patient discontinued treatment due to DAA- and RBV-related adverse events of abdominal pain and heat sensation. Two patients experienced a serious adverse event, one with pneumonia and one with B-cell lymphoma, both unrelated to the study drugs.3 Part 1 results of SURVEYOR-II are presented at AASLD.
|
Overview of SURVEYOR-I and SURVEYOR-II Clinical Data Presented at AASLD: |
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|
SURVEYOR-I (Genotype 1, Non-cirrhotic) |
||||||||||||||||||||
| Number of Patients (n)/
Patient Population |
Duration of Treatment | Treatment Arm | Treatment Regimen | SVR12 Rates | ||||||||||||||||
| n=40
Treatment-naïve=63% pegIFN/RBV null responders=37% |
12 Weeks |
Arm A |
ABT-493 (200mg) + ABT-530 (120mg) once daily |
100%
(n=40/40) |
||||||||||||||||
|
n=39 Treatment-naïve=64% pegIFN/RBV null responders=36% |
Arm B |
ABT-493 (200mg) + ABT-530 (40mg) once daily |
97%
(n=38/39) |
|||||||||||||||||
| n=34
Treatment-naïve=85% pegIFN/RBV treatment experienced=15% |
8 weeks | Arm K (n=34) |
ABT-493 (300mg) + ABT-530 (120mg) once daily |
97%
(n=33/34) |
||||||||||||||||
|
SURVEYOR-II (Genotype 2, Non-cirrhotic) |
||||||||||||||||||||
| Number of Patients (n)/
Patient Population |
Duration of Treatment | Treatment Arm | Treatment Regimen | SVR12 Rates | ||||||||||||||||
| n=74
Treatment-naïve=88% pegIFN/RBV treatment experienced=12% |
12 weeks |
Arm A (n=25) |
ABT-493 (300mg) + ABT-530 (120mg) once daily |
96%
(n=24/25) |
||||||||||||||||
|
Arm B (n=24) |
ABT-493 (200mg) + ABT-530 (120mg) once daily |
100%
(n=24/24) |
||||||||||||||||||
|
Arm C (n=25) |
ABT-493 (200mg) + ABT-530 (120mg) once daily + RBV (weight-based, 1000 or 1200mg) twice daily |
100%
(n=25/25) |
||||||||||||||||||
| SURVEYOR-II (Genotype 3, Non-cirrhotic) | ||||||||||||||||||||
|
Number of Patients (n)/ Patient Population |
Duration of Treatment | Treatment Arm | Treatment Regimen | SVR12 Rates | ||||||||||||||||
|
n=30 Treatment-naïve=90% pegIFN/RBV treatment experienced=10% |
12 weeks | Arm D |
ABT-493 (300mg) + ABT-530 (120mg) once daily |
93%
(n=28/30) |
||||||||||||||||
| n=30
Treatment-naïve=93% pegIFN/RBV treatment experienced=7% |
Arm E |
ABT-493 (200mg) + ABT-530 (120mg) once daily |
93%
(n=28/30) |
|||||||||||||||||
|
n=31 Treatment-naïve=90% pegIFN/RBV treatment experienced=10% |
Arm F |
ABT-493 (200mg) + ABT-530 (120mg) once daily + RBV (weight-based, 1000 or 1200mg) twice daily |
94%
(n=29/31) |
|||||||||||||||||
|
n=30 Treatment-naïve=93% pegIFN/RBV treatment experienced=7% |
Arm G |
ABT-493 (200mg) + ABT-530 (40mg) once daily |
83%
(n=25/30) |
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About Enanta
Forward Looking Statements Disclaimer
This press release contains forward-looking statements, including statements with respect to the prospects for AbbVie’s next-generation treatment regimen under development for HCV. 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 the efforts of
1 Poordad, F., et al. SURVEYOR-I: 98% – 100% SVR4 in HCV Genotype 1 Non-Cirrhotic Treatment-Naïve or Pegylated Interferon/Ribavirin Null-Responders with the Combination of the Next Generation NS3/4A Protease Inhibitor ABT-493 and NS5A Inhibitor ABT-530; Oral presentation #41; presented at The Liver Meeting®, the Annual Meeting of the
2 Wyles, D., et al. SURVEYOR-II: High SVR4 Rates Achieved With the Next Generation NS3/4A Protease Inhibitor ABT-493 and NS5A Inhibitor ABT-530 in Non-Cirrhotic Treatment-Naïve and Treatment-Experienced Patients With HCV Genotype 2 Infection; Oral presentation #250; presented at The Liver Meeting®, the Annual Meeting of the
3 Kwo, P, et al. SURVEYOR-II: High SVR4 Rates Achieved With the Next Generation NS3/4A Protease Inhibitor ABT-493 and NS5A Inhibitor ABT-530 In Non-Cirrhotic Treatment-Naïve and Treatment-Experienced Patients With HCV Genotype 3 Infection; Oral presentation #248; presented at The Liver Meeting®, the Annual Meeting of the
4 Poordad, F., et al. 100% SVR4 in HCV Genotype 1 Non-Cirrhotic Treatment-Naïve or -Experienced Patients With the Combination of ABT-493 and ABT-530 for 8 Weeks (SURVEYOR-I); Poster presentation #; presented at The Liver Meeting®, the Annual Meeting of the
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