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Press Release

Allakos Announces Positive Results with AK002 in Patients with Severe Allergic Conjunctivitis

May 7, 2019 at 4:01 PM EDT

-- Substantial reduction of patient reported symptoms and physician assessed signs and symptoms --

-- Improvements also observed in atopic dermatitis, asthma and allergic rhinitis --

-- Conference call and webcast today at 5:00 pm ET --

REDWOOD CITY, Calif., May 07, 2019 (GLOBE NEWSWIRE) -- Allakos Inc. (Nasdaq: ALLK), a biotechnology company developing AK002 for the treatment of eosinophil and mast cell related diseases, today announced positive Phase 1 results in patients with severe allergic conjunctivitis. Patients administered AK002 reported a 78% median improvement in ocular symptoms by Allergic Conjunctivitis Symptom (ACS) Score and a 71% median improvement in physician assessed signs and symptoms using the Ocular Symptom Score (OSS). In addition, patients suffering from comorbid atopic dermatitis, asthma and allergic rhinitis, despite treatment with currently available therapies, reported improvements in their symptoms while receiving AK002.

“Patients receiving AK002 had a dramatic reduction in allergic conjunctivitis signs and symptoms, including resolution of eyelid papillae. The results are exciting because severe allergic conjunctivitis is a sight-threatening disease with no safe chronic treatment options,” said principal investigator of the study, Dr. C. Stephen Foster, M.D., Professor of Ophthalmology at Harvard Medical School. “Many patients with allergic conjunctivitis also suffer from other atopic conditions like asthma, atopic dermatitis and rhinitis, and AK002 not only improved allergic conjunctivitis but also had a dramatic impact on these comorbid atopic conditions.”

Phase 1 Study Design
This open-label, multi-dose, 6-month, Phase 1 trial of AK002 enrolled 29 patients with severe allergic conjunctivitis requiring steroid treatment, consisting of 13 patients with atopic keratoconjunctivitis, 16 patients with perennial allergic conjunctivitis, and one patient with vernal keratoconjunctivitis. Patients received a 0.3 mg/kg dose of AK002 for the first month, followed by a 1 mg/kg dose the next month, then monthly doses of 1 or 3 mg/kg for four additional months. Disease symptoms were reported by patients using a daily ACS questionnaire and disease signs and symptoms were assessed by investigators monthly using the OSS. Patients with comorbid asthma, atopic dermatitis and rhinitis also reported severity of these diseases using a zero to 10 point daily global severity questionnaire.

Data are presented below; more detailed results from the study will be presented during the conference call being held today and at an upcoming medical conference.

ACS Symptom (N=29) Patient Assessed
Median Change from Baseline to Weeks 21 to 22
  Itching -75%
  Light Sensitivity -57%
  Eye Pain -75%
  Foreign Body Sensation -80%
  Watering Eyes -76%


OSS Symptom (N=29) Investigator Assessed
Median Change from Baseline to Day 140
  Itching -67%
  Redness -67%
  Tearing -50%
  Chemosis -100%


Comorbid Condition Patient Assessed
Change in Median Global Severity from
 Baseline to Weeks 21 to 22
Asthma (N = 9) -72%
Atopic Dermatitis (N = 11) -65%
Rhinitis (N = 11) -69%

Similar improvements in allergic conjunctivitis symptoms were observed across all three disease subtypes of atopic keratoconjunctivitis (AKC), perennial allergic conjunctivitis (PAC), and vernal keratoconjunctivitis (VKC). AK002 was generally well tolerated. The most common adverse event was mild to moderate infusion-related reactions (flushing, feeling of warmth, headache, nausea, dizziness) which occurred mostly during the first infusion.

AK002 has been tested in four clinical studies. In these studies, AK002 eliminated blood eosinophils and improved disease symptoms in patients with chronic urticaria, severe allergic conjunctivitis, and indolent systemic mastocytosis.

Conference Call
The Company will host a conference call and webcast today at 5:00 p.m. Eastern Time / 2:00 p.m. Pacific Time. To participate by telephone, please dial 1-888-882-4478 (domestic) or 323-794-2590 (international). The conference ID number is 1381640. A live and archived audio webcast can be accessed through the Investors section of the Company's website at https://www.allakos.com/. The archived audio webcast will remain available on the Company's website for 30 days following the conference call.

About Severe Allergic Conjunctivitis
Severe allergic conjunctivitis, including atopic keratoconjunctivitis, perennial allergic conjunctivitis, and vernal keratoconjunctivitis, is a group of a severe ocular disorders resulting from allergic inflammation of the conjunctiva (tissue lining the eye and eyelids). Patients with severe allergic conjunctivitis suffer from persistent severe ocular pain, itching, photophobia (sensitivity to light), foreign body sensation, watering eyes, redness, swelling and the formation of papillae and can experience loss of vision. First-line therapy consists of topical steroid treatment, however steroid use is limited by serious side effects such as glaucoma and cataract formation when used chronically. Patients with severe allergic conjunctivitis also often suffer from other atopic conditions such as asthma, atopic dermatitis and rhinitis. Approximately 50,000 to 150,000 patients in the United States have severe AKC, VKC or PAC requiring steroid treatment and could be candidates for treatment with AK002.

About Allakos
Allakos is a clinical stage biotechnology company developing antibodies that target immunomodulatory receptors present on immune effector cells involved in allergic, inflammatory, and proliferative diseases. The Company’s lead antibody, AK002, targets Siglec-8, an inhibitory receptor selectively expressed on human mast cells and eosinophils. AK002 has been shown to inhibit mast cells and deplete eosinophils.  Inappropriately activated eosinophils and mast cells have been identified as key drivers in a number of severe diseases affecting the gastrointestinal tract, eyes, skin, lungs and other organs. AK002 has been tested in four clinical studies. In these studies, AK002 eliminated blood eosinophils and improved disease symptoms in patients with chronic urticaria, severe allergic conjunctivitis, and indolent systemic mastocytosis. AK002 is currently being tested in a double-blind, placebo-controlled Phase 2 trial for the treatment of eosinophilic gastritis and eosinophilic gastroenteritis. 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. Such forward-looking statements include, but are not limited to, the timing of top-line results from Allakos’ ongoing clinical trials. 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’ early stages of clinical drug development; Allakos’ ability to timely complete clinical trials for, and if approved, commercialize AK002, its lead compound; Allakos’ ability to obtain required regulatory approvals for its product candidates; 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 later-stage clinical trials, regardless of the outcomes of preclinical testing and early-stage trials; market acceptance of Allakos’ product candidates; uncertainties related to the projections of the size of patient populations suffering from the diseases Allakos is targeting; Allakos’ ability to advance additional product candidates beyond AK002; Allakos’ ability to obtain additional capital to finance its operations; and other important risk factors set forth in Allakos’ Form 10-K filed with the SEC on March 14, 2019 and Allakos’ future reports to be filed with the SEC. Any forward-looking statements contained in this press release speak only as of the date hereof, and Allakos specifically disclaims any obligation to update any forward-looking statement, except as required by law.

Source: Allakos Inc.

Investor Contact:
Adam Tomasi, COO, CFO
ir@allakos.com

Media Contact:
Denise Powelldenise@redhousecomms.com

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Source: Allakos Inc.

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