Allakos Announces Phase 2 Lirentelimab Trials in Atopic Dermatitis and Chronic Spontaneous Urticaria Did Not Meet Their Primary Endpoints
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– Management to host conference call and webcast today at
“We are disappointed that these trials did not meet their primary endpoint, particularly given the need for new treatment options for patients with these severe diseases. Given that neither trial met its primary endpoint, we have decided to not pursue further clinical development of lirentelimab,” said
ATLAS: Phase 2 Trial of Lirentelimab in Patients with Atopic Dermatitis
Lirentelimab (n=61) | Placebo (n=61) | p-value | |||
Baseline Eczema Area and Severity Index (EASI) | 26.8 | 26.9 | |||
Primary Endpoint | |||||
Proportion of patients who achieved |
23% | 18% | NS | ||
Prespecified Endpoints | |||||
Percent change in |
-36% | -26% | NS | ||
Percent Change in |
-30% (n=29) | -34% (n=30) | NS | ||
Percent Change in |
-45% (n=32) | -19% (n=31) | p=0.0476 | ||
>4-Point Improvement in PP-NRS (Itch) | 20% | 8% | p=0.0696 |
1 = proportion of participants achieving a 75% reduction in the Eczema Area and Severity Index
NS = Not Significant
MAVERICK: Phase 2b Trial of Lirentelimab in Patients with Chronic Spontaneous Urticaria
Lirentelimab (n=64) | Placebo (n=59) | p-value | |||
Baseline Urticaria Activity Score (UAS7) | 31.4 | 32.4 | |||
Primary Endpoint | |||||
Change in UAS7 | -7.9 (-27%) | -8.4 (-26%) | NS | ||
Prespecified Endpoints | |||||
UAS7=0: Complete Response | 6% | 0% | NS | ||
HSS7=0: Weekly Hives Severity Score of 0 | 6% | 3% | NS | ||
ISS7=0: Weekly Itch Severity Score of 0 | 9% | 2% | NS |
Eosinophils Levels
Consistent with previously reported antibody-dependent cellular cytotoxicity (ADCC) activity of lirentelimab on eosinophils, patients treated with lirentelimab showed sustained depletion of blood eosinophil counts. In the ATLAS trial, lirentelimab-treated patients’ blood eosinophils decreased by 96% versus placebo-treated patients’ blood eosinophils which decreased by 15%. In the MAVERICK trial, lirentelimab-treated patients’ blood eosinophils decreased by 95% versus placebo-treated patients’ blood eosinophils which increased by 9%.
Safety Results
Across both trials safety was similar to previous clinical trials of lirentelimab. The most common adverse events were injection-related reactions (IRRs). In the ATLAS trial, 18.5% of lirentelimab treated patients experienced IRRs versus 6.2% of placebo treated patients. In the MAVERICK trial, 18.2% of lirentelimab treated patients experienced IRRs versus 8.2% of placebo treated patients.
Phase 2 ATLAS Trial Design
The 14-week, randomized, double-blind, placebo controlled, multicentered trial evaluated the efficacy, safety and tolerability of lirentelimab versus placebo in adult patients with moderate-to-severe atopic dermatitis inadequately controlled by topical medications. 122 patients were randomized 1:1 to receive 300 mg of subcutaneous lirentelimab (n=61) or placebo (n=61) once every two weeks (Q2W).The primary endpoint was the proportion of patients who achieve at least a 75% reduction from baseline in eczema area and severity index (
Phase 2b MAVERICK Trial Design
The 12-week, randomized, double-blind, placebo controlled, multicentered trial evaluated the efficacy, safety and tolerability of lirentelimab versus placebo in adult patients with moderate-to-severe chronic spontaneous urticaria refractory to antihistamines. 123 patients were randomized 1:1 to receive 300 mg of subcutaneous lirentelimab (n=64) or placebo (n=59) once every two weeks (Q2W). The primary endpoint was the absolute change from baseline in Urticaria Activity Control (UAS)-7 at 12 weeks.
Conference Call and Webcast Information
The webcast and conference call will take place at
A webcast of the live call will be available online in the investor relations section of the
About Allakos
Allakos is a clinical stage biotechnology company developing therapeutics which target immunomodulatory receptors present on immune effector cells involved in allergy, inflammatory and proliferative diseases. Activating these immunomodulatory receptors allows for the direct targeting of cells involved in disease pathogenesis and, in the setting of allergy and inflammation, has the potential to result in broad inhibition of inflammatory cells. The Company’s most advanced antibody in ongoing clinical development is AK006. AK006 targets Siglec-6, an inhibitory receptor expressed selectively on mast cells. Mast cells are widely distributed in the body and play a central role in the inflammatory response. Inappropriately activated mast cells have been identified as key drivers in a number of severe diseases affecting the gastrointestinal tract, eyes, skin, lungs and other organs. In preclinical studies, AK006 appears to provide deep mast cell inhibition and, in addition to its inhibitory activity, reduce mast cell numbers. For more information, please visit the Company's website at www.allakos.com.
Forward Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 as contained in Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Such forward-looking statements include, but are not limited to, statements regarding Allakos’ business plans and areas of focus; and the potential of AK006. Such statements are subject to numerous important factors, risks and uncertainties that may cause actual events or results to differ materially from current expectations and beliefs, including but not limited to: Allakos’ stages of clinical drug development; Allakos’ ability to timely initiate and complete clinical trials for AK006; Allakos’ ability to obtain required regulatory approvals for its clinical trials; uncertainties related to the enrollment of patients in its clinical trials; Allakos’ ability to demonstrate sufficient safety and efficacy of its product candidates in its clinical trials; uncertainties related to the success of clinical trials, regardless of the outcomes of preclinical testing or early-stage trials; Allakos’ ability to advance additional product candidates beyond AK006; Allakos’ ability to obtain additional capital to finance its operations; general economic and market conditions, both domestic and international; domestic and international regulatory obligations; and other risks. Information regarding the foregoing and additional risks may be found in the section entitled “Risk Factors” in documents that
Investor Contact:
ir@allakos.com
Media Contact:
denise@redhousecomms.com
Source: Allakos Inc.