近日,FDA已同意快速审批GSK和美国人类基因组科学公司(HGS)合作推出的系统性红斑狼疮新药—Benlysta(belimumab),得到了FDA同意快速审批,此审批工作有望于今年12月9日完成。 Benlysta是一种蛋白质疗法药,主要用于医治系统性红斑狼疮(SLE)。 Benlysta是一种BLyS抑制剂类新型药物,也是在同类药当中首个完成Ⅲ期临床实验的产品。早在今年6月4日,GSK也向欧洲药监局递交了该药的销售申请。 Benlysta申请内容包括药物的两项关键Ⅲ期临床实验数据,参加这两次实验的受试者达1684人,均为SLE患者。实验结果显示,这种静脉注射制剂与目前的标准药联用之后,能够抑制病情的发展,并且还能防止疾病的突然发作。 如果Benlysta最后能获准在美国上市,则能为缺乏特异性治疗药物的SLE患者提供一种有效的选择,是SLE患者的福音。50多年来,还没有任何的SLE新药通过批准。 在综合指标对疗效的评价上,belimumab治疗组显效率为46%,安慰剂组为29% (P = 0.006)。在第76周时,治疗组显效率为56%。belimumab治疗有效的患者的活化B细胞减少了36%,无效患者减少了20% (P<0.05)。抗双链DNA抗体治疗组降低53%,无效患者则为38% (P<0.05)。而且belimumab治疗有效的患者在第52周时的SF-36健康量表平均为增加4.1,治疗无效者仅增加1.0(P < 0.001)。 希腊Crete大学Boumpas教授主持的委员会刚刚制定了欧洲SLE治疗指南。他评价说,这是一项规模很大的研究,该研究小组首次采用了红斑狼疮患者的综合效应评价指标,成功地证实了以前关于抑制B细胞能够改善红斑狼疮患者症状的观察结果。但其疗效中等,所以应与其他方法结合以获得更好的治疗结果 红斑狼疮是一种多发于青年女性的累及多脏器的自身免疫性的炎症性结缔组织病。近年来中西结合的治疗,皮质类固醇和免疫抑制剂的合理应用,使本病的预后有较大的改善,但还是缺乏特异性治疗药物。Benlysta研发成功,有望为全球红斑狼疮患者带来更多的获益。 HUMAN GENOME SCIENCES ANNOUNCES PRESENTATION OF ADDITIONAL PHASE 3 SLE STUDY RESULTS FOR BENLYSTA® (BELIMUMAB) AT INTERNATIONAL CONGRESS ON SLE ROCKVILLE, Maryland – June 25, 2010 – Human Genome Sciences, Inc. (Nasdaq: HGSI) today announced the presentation of additional results from BLISS-76, one of two pivotal Phase 3 trials of BENLYSTA® (belimumab) in seropositive patients with systemic lupus erythematosus (SLE). The additional data will be presented in Vancouver at the 9th International Congress on Systemic Lupus Erythematosus on Friday and Saturday, June 25-26. “The BLISS-76 Phase 3 results presented at the International Congress on SLE include new data showing that belimumab treatment, consistent with its mechanism of action, resulted in selective and significantly greater reductions in levels of B-cell and plasma B-cell subsets, with significant preservation of memory B-cells,” said William W. Freimuth, M.D., Ph.D., Vice President, Clinical Research – Immunology, Rheumatology and Infectious Diseases, HGS. “Importantly, belimumab did not significantly affect the ability of SLE patients to maintain a protective response to vaccines, a finding that is consistent with the preservation of memory B-cells.” KEY BLISS-76 FINDINGS PRESENTED AT THE INTERNATIONAL CONGRESS ON SLEBLISS-76 Patient Response Rates (SRI)BLISS-76 data recently presented at the 2010 Congress of the European League Against Rheumatism (EULAR) demonstrated that belimumab 10 mg/kg plus standard of care met the primary endpoint of the Phase 3 study by achieving a statistically significant improvement in patient response rate as measured by the SLE Responder Index (SRI) at Week 52, compared with placebo plus standard of care. At Week 76, belimumab plus standard of care also showed higher response rates compared with placebo plus standard of care as measured by SRI; however, this major secondary endpoint did not reach statistical significance.
* p<0.05 ** p<0.01 *** p<0.001 **** New data
B-Cell Subsets Belimumab acts by specifically recognizing, binding to, and inhibiting the biological activity of the naturally occurring protein BLyS (B-lymphocyte stimulator). In lupus and certain other autoimmune diseases, elevated levels of BLyS are believed to contribute to the production of autoantibodies – antibodies that attack and destroy the body’s own cells. The presence of autoantibodies appears to correlate with disease severity. In the BLISS-76 study, belimumab treatment resulted in selective and, vs. placebo, significantly greater median percent reductions in levels of B-cell and plasma B-cell subsets, with preservation of memory B-cells. The median percent changes from baseline included the following:
Effect on Protective Immune Response
Safety
About the BENLYSTA (belimumab) Phase 3 Development ProgramThe Phase 3 development program for belimumab included two double-blind, placebo-controlled, multi-center Phase 3 superiority trials – BLISS-52 and BLISS-76 – to evaluate the efficacy and safety of belimumab plus standard of care, versus placebo plus standard of care, in seropositive (HEp-2 ANA > 1:80 and/or anti-dsDNA > 30 IU/mL) patients with SLE. Both BLISS-52 and BLISS-76 have now been completed. This is the largest clinical trial program ever conducted in lupus patients. BLISS-52 randomized and treated 865 patients at 90 clinical sites in 13 countries, primarily in Asia, South America and Eastern Europe. BLISS-76 randomized and treated 819 patients at 136 clinical sites in 19 countries, primarily in North America and Europe. The design of the two trials was similar, but the duration of therapy in the two studies was different – 52 weeks for BLISS-52 and 76 weeks for BLISS-76. The data from the BLISS-76 Phase 3 study were analyzed after 52 weeks in accord with the study protocol, in support of the BLA and MAA submissions. The BLISS-76 study then continued for an additional 24 weeks through the full 76-week treatment period, with the objective of generating additional information about belimumab based on a variety of secondary endpoints. HGS designed the Phase 3 program for belimumab in collaboration with GSK and leading international SLE experts, and the program is being conducted under a Special Protocol Assessment agreement with FDA. About BENLYSTA (belimumab)Belimumab is an investigational human monoclonal antibody drug that specifically recognizes and inhibits the biological activity of B-lymphocyte stimulator, or BLyS. BLyS is a naturally occurring protein discovered by HGS that is required for the development of B-lymphocyte cells into mature plasma B cells. Plasma B cells produce antibodies, the body’s first line of defense against infection. In lupus and certain other autoimmune diseases, elevated levels of BLyS are believed to contribute to the production of autoantibodies – antibodies that attack and destroy the body’s own healthy tissues. The presence of autoantibodies appears to correlate with disease severity. Preclinical and clinical studies suggest that belimumab can reduce autoantibody levels in SLE. The results of two pivotal Phase 3 trials, BLISS-52 and BLISS-76, suggest that belimumab can reduce SLE disease activity. In June 2010, GSK submitted a Marketing Authorization Application to the European Medicines Agency, seeking approval to market belimumab in Europe for treatment of autoantibody-positive patients with SLE, and HGS submitted a Biologics License Application (BLA) to the U.S. Food and Drug Administration seeking approval to market belimumab in the United States. No new drug for lupus has been approved by regulatory authorities in more than 50 years. About the Collaboration with GlaxoSmithKline PLC (GSK)In 2006, HGS and GSK entered into a definitive co-development and commercialization agreement under which HGS is conducting the belimumab Phase 3 trials, with assistance from GSK. The companies will share equally in Phase 3/4 development costs, sales and marketing expenses, and profits of any product commercialized under the agreement. About Systemic Lupus ErythematosusSystemic lupus erythematosus (SLE) is a chronic, life-threatening autoimmune disease. Approximately five million people worldwide, including approximately 1.5 million in the United States, suffer from various forms of lupus, including SLE. Lupus can occur at any age, but appears mostly in young people ages 15 to 45. About 90 percent of those diagnosed with lupus are women. African-American women are about three times more likely to develop lupus, and it is also more common in Hispanic, Asian and American Indian women. Symptoms may include extreme fatigue, painful and swollen joints, unexplained fever, skin rash and kidney problems. Lupus can lead to arthritis, kidney failure, heart and lung inflammation, central nervous system abnormalities, inflammation of the blood vessels and blood disorders. No new drug for lupus has been approved by regulatory authorities in more than 50 years. For more information on lupus, visit the Lupus Foundation of America at www.lupus.org, the Lupus Research Institute at www.lupusresearchinstitute.org, the National Institute of Arthritis and Musculoskeletal and Skin Diseases at www.niams.nih.gov, or Lupus Europe at www.lupus-europe.org. About Human Genome SciencesThe mission of HGS is to apply great science and great medicine to bring innovative drugs to patients with unmet medical needs. The HGS clinical development pipeline includes novel drugs to treat lupus, inhalation anthrax, hepatitis C and cancer. For more information about HGS, please visit the Company’s web site at www.hgsi.com. Health professionals and patients interested in clinical trials of HGS products may inquire via e-mail to medinfo@hgsi.com This e-mail address is being protected from spam bots, you need JavaScript enabled to view it or by calling HGS at (877) 822-8472. HGS, Human Genome Sciences and BENLYSTA are trademarks of Human Genome Sciences, Inc. Other trademarks referenced are the property of their respective owners. Safe Harbor Statement
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Benlysta(belimumab)-治疗红斑狼疮有效的选择简介:
近日,FDA已同意快速审批GSK和美国人类基因组科学公司(HGS)合作推出的系统性红斑狼疮新药—Benlysta(belimumab),得到了FDA同意快速审批,此审批工作有望于今年12月9日完成。
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