- The preliminary response to de novo subcutaneous (SC) BION-1301 therapy in Cohort 2 is very in keeping with Cohort 1 throughout each mechanistic biomarkers and proteinuria reductions
- BION-1301 is well-tolerated, with no severe adversarial occasions (SAEs) and no therapy discontinuations on account of adversarial occasions (AEs) in sufferers with IgAN throughout Cohorts 1 and a pair of
- BION-1301 continues to reveal speedy and sustained reductions in mechanistic biomarkers, together with IgA and Gd-IgA1 ranges, in sufferers with IgAN throughout Cohorts 1 and a pair of
- In Cohort 1, BION-1301 demonstrated imply proteinuria reductions of 30.4% at 12 weeks of therapy, 48.8% at 24 weeks of therapy and 66.9% at 52 weeks of therapy, in addition to 67.4% in 4 sufferers at 76 weeks of therapy and 71.0% in two sufferers at 100 weeks of therapy
- In Cohort 2, de novo SC BION-1301 therapy resulted in imply proteinuria reductions of 28.7% in 15 sufferers at 12 weeks of therapy and 53.8% in 9 sufferers at 24 weeks of therapy
- CHK-336, a potent LDHA inhibitor with liver-targeted tissue distribution, demonstrated preclinical efficacy in PH1 and PH2 mouse fashions of major hyperoxaluria (PH), and the potential for profit in non-genetic hyperoxalurias attributable to oxalate overproduction was additionally described.
- Chinook to host investor convention name, webcast and in-person occasion at the moment at 6:30 pm EDT with Dr. Sreedhar A. Mandayam, Professor of Nephrology on the University of Texas MD Anderson Cancer Center and Baylor College of Medicine, and Laura Kooienga, MD, practising nephrologist and director of analysis at Colorado Kidney Care
SEATTLE, Nov. 04, 2022 (GLOBE NEWSWIRE) — Chinook Therapeutics, Inc. (Nasdaq: KDNY), a biopharmaceutical firm targeted on the invention, improvement and commercialization of precision medicines for kidney illnesses, introduced two posters on the BION-1301 and CHK-336 packages being introduced at the moment at ASN Kidney Week 2022 being held just about and reside in Orlando, Florida. An oral presentation and extra poster on Chinook’s collaboration with Evotec will even be introduced at ASN Kidney Week 2022 later this afternoon and tomorrow.
“The strong data we presented today at ASN Kidney Week from the ongoing phase 1/2 study of BION-1301 continue to demonstrate its disease-modifying potential in patients with IgAN,” stated Eric Dobmeier, president and chief government officer of Chinook Therapeutics. “We are pleased to see that the mechanistic biomarker and proteinuria reductions observed to date in patients receiving subcutaneous BION-1301 in Cohort 2 are highly consistent with those observed in Cohort 1. These data reinforce our confidence in the dose and schedule we have selected to take forward in the phase 3 trial of BION-1301 for patients with IgAN that we plan to initiate next year.”
FR-PO659 – Updated Interim Results of a Phase 1/2 Study of BION-1301 in Patients with IgA Nephropathy
BION-1301 is a novel anti-APRIL monoclonal antibody at present in part 2 scientific improvement for sufferers with IgAN. Blocking APRIL is a doubtlessly disease-modifying method to treating IgAN by decreasing circulating ranges of galactose-deficient IgA1 (Gd-IgA1).
Updated information from Cohort 1 and preliminary information from Cohort 2 had been introduced from Part 3 of the continuing part 1/2 multi-center trial (see www.clinicaltrials.gov, identifier NCT03945318) evaluating the security, tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and scientific responses of open-label BION-1301 therapy in sufferers with IgAN.
Key highlights from the presentation embody the next:
Patients in Cohort 1 initially obtained a 450mg intravenous (IV) dose of BION-1301 each two weeks. After a minimum of 24 weeks of IV dosing, sufferers in Cohort 1 transitioned to a 600 mg SC dose each two weeks for a complete therapy period of as much as two years. Cohort 1 enrolled 10 sufferers, of which eight sufferers stay on therapy. All eight sufferers have transitioned from IV to SC administration, with a imply SC therapy period of 40 weeks.
Patients in Cohort 2 are receiving a SC dose of 600 mg of BION-1301 each two weeks for a complete therapy period of as much as two years. Cohort 2 has enrolled 24 of the deliberate 30 sufferers. Mean therapy period was 17 weeks, with time on therapy ranging from two to 30 weeks.
Baseline 24-hour Urine Protein Excretion (g/day)
- The median baseline 24-hour urine protein excretion for sufferers enrolled in Cohort 1 was 1.2 g/day, with a spread of 0.7 – 6.5 g/day, and the median baseline 24-hour urine protein excretion for sufferers enrolled in Cohort 2 was 1.0 g/day, with a spread of 0.6 – 2.7 g/day. Cohorts 1 and a pair of each symbolize a inhabitants of sufferers with IgAN at excessive threat of kidney illness development.
Safety and Tolerability
- As of the October 13, 2022 information cutoff, BION-1301 has been well-tolerated, with no severe adversarial occasions or therapy discontinuations on account of adversarial occasions. Of all 34 sufferers enrolled in each Cohorts 1 and a pair of:
- Eight sufferers skilled gentle (Grade 1 or 2) treatment-related AEs, together with three sufferers with fatigue and three sufferers with injection website reactions.
- Seventeen sufferers skilled gentle (Grade 1 or 2) infections, of which just one Grade 1 an infection was assessed as treatment-related.
Pharmacokinetics (PK)
- The PK profile demonstrated low inter-individual variability in BION-1301 serum concentrations and constant trough concentrations following IV and SC administrations.
- To date, no anti-drug antibodies have been noticed in sufferers.
Mechanistic Biomarkers
- BION-1301’s results on mechanistic biomarkers had been extremely constant between Cohorts 1 and a pair of.
- In Cohort 1, reductions in IgA and Gd-IgA1 had been maintained past 52 weeks of therapy. Reductions in IgM, and to a lesser extent IgG, had been additionally noticed (see figures beneath). Reductions in free APRIL verify sturdy goal neutralization sustained by one yr.
- In Cohort 2, SC BION-1301 therapy resulted in speedy and sustained reductions in IgA and Gd-IgA1, IgM, and to a lesser extent IgG, by 24 weeks of therapy, in keeping with Cohort 1 (see figures beneath).
24-hour UPCR
- In Cohort 1, BION-1301 demonstrated imply reductions in 24-hour urine protein creatinine ratio (UPCR) of 30.4% in seven sufferers at 12 weeks of therapy, 48.8% in all eight sufferers at 24 weeks of therapy, 66.9% in all eight sufferers at 52 weeks of therapy, 67.4% in 4 sufferers at 76 weeks of therapy and 71.0% in two sufferers at 100 weeks of therapy (see determine beneath).
- Clinically significant reductions in UPCR from baseline had been seen in sufferers with IgAN throughout a variety of baseline proteinuria ranges by Week 12.
- UPCR continued to say no by one yr, and reductions had been maintained by two years, offering proof of sustained efficacy.
- Among sufferers with out there information at Week 52, seven of eight sufferers demonstrated a higher than 50% imply discount in 24-hour UPCR from baseline at Week 52
- In Cohort 2, BION-1301 demonstrated imply reductions in 24-hour UPCR of 28.7% in 15 sufferers at 12 weeks of therapy and 53.8% in 9 sufferers at 24 weeks of therapy, extremely in keeping with reductions noticed on the similar timepoints in Cohort 1 (see determine beneath).
FR-PO334 – Preclinical Efficacy of CHK-336: A First in Class, Liver-Targeted, Small Molecule Inhibitor of Lactate Dehydrogenase for the Treatment of Primary Hyperoxalurias (PH)
CHK-336 is a potent LDHA inhibitor with liver-targeted tissue distribution that’s efficacious in PH1 and PH2 mouse fashions and has potential profit in non-genetic hyperoxalurias attributable to oxalate overproduction.
CHK-336 demonstrates potent inhibition of LDHA in enzyme assays (IC50 = 0.2-0.3 nM) and first hepatocyte assays throughout a number of species (IC50 = 52-165 nM). CHK-336 additionally demonstrates tight LDHA binding with a really gradual off-rate (hours to days). CHK-336 reveals a liver-targeted tissue distribution profile in mice, rats and monkey with excessive liver concentrations and low extra-hepatic tissue exposures.
Since LDHA catalyzes the ultimate step of oxalate manufacturing from glycolate, in vivo conversion of a 13C2-glycolate secure isotope tracer to 13C2-oxalate was dose-dependently blocked by CHK-336, demonstrating goal engagement. Human PK predictions counsel CHK-336 has the potential to be a low, once-daily oral dose therapeutic in people.
CHK-336 was dosed orally, once-daily for seven days in male Agxt KO mice, a PH1 mouse mannequin, and urinary oxalate concentrations had been in comparison with a car management group. Low, oral, once-daily doses of CHK-336 considerably and dose-dependently diminished urinary oxalate; the vast majority of handled mice reached the traditional vary noticed in wild-type mice. CHK-336 additionally had a extra speedy onset of motion and comparable magnitude of urinary oxalate discount in comparison with a GO-targeting siRNA.
CHK-336 was dosed orally, once-daily for seven days at 25 mg/kg in male Grhpr KO mice, a PH2 mouse mannequin, and considerably diminished urinary oxalate concentrations in comparison with the car management group.
Increased urinary oxalate and altered hepatic expression of genes concerned in oxalate synthesis had been noticed in overweight, hypertensive and diabetic rats in comparison with controls. This helps the potential therapeutic good thing about CHK-336 in non-genetic oxalate nephropathies related to elevated endogenous manufacturing of oxalate.
The human security and PK profiles of CHK-336 are at present beneath investigation in a part 1 wholesome volunteer SAD/MAD research (see www.clinicaltrials.gov, identifier NCT05367661) and information is anticipated to be introduced within the first half of 2023. Administration of the 13C2-glycolate secure isotope tracer has been integrated into the part 1 research to evaluate LDHA goal engagement in people.
FR-OR60 – A Multi-Omics Approach to IgA Nephropathy Characterization within the NURTuRE Cohort Enables Precision-Based Treatment Approaches
An overview of the multi-omics evaluation of the NURTuRE IgAN affected person cohort will probably be delivered at the moment as an oral presentation in the course of the Glomerular Diseases: From Bench to Bedside session at 4:30 – 6:00 pm EDT in W414 on the Orange County Convention Center, West Building.
SA-PO1011 – Unsupervised Characterization of the NURTuRE Cohort Reveals Gene Expression and Tissue Remodeling Dynamics alongside a Synthetic CKD Progression Axis
An overview of the unsupervised characterization of the QUOD and NURTuRE affected person cohorts will probably be delivered in collaboration with Evotec tomorrow (Saturday, November 5th) as a poster presentation at 10:00 am – 12:00 pm EDT within the Exhibit Hall of the Orange County Convention Center, West Building.
Once revealed by ASN, all 4 shows might be discovered within the Scientific Publications part of Chinook’s web site.
Live Conference Call and Webcast
Chinook will host a reside convention name, webcast and in-person occasion at the moment at 6:30 pm EDT to debate shows on the ASN Kidney Week 2022 and supply program updates. Members of the Chinook government group will probably be joined by Dr. Sreedhar A. Mandayam, Professor of Nephrology on the University of Texas MD Anderson Cancer Center and Baylor College of Medicine and Laura Kooienga, MD, practising nephrologist and director of analysis at Colorado Kidney Care.
Conference Call and Webcast Details
To entry the decision, please dial (800) 715-9871 (home) or (646) 307-1963 (worldwide) and supply the Conference ID 7505851 to the operator.
To entry the reside webcast and subsequent archived recording of this and different firm shows, please go to the Investors part of Chinook’s web site. The archived webcast will stay out there for replay on Chinook’s web site for 90 days.
About Chinook Therapeutics, Inc.
Chinook Therapeutics, Inc. is a clinical-stage biopharmaceutical firm creating precision medicines for kidney illnesses. Chinook’s product candidates are being investigated in uncommon, extreme continual kidney problems with alternatives for well-defined scientific pathways. Chinook’s lead program is atrasentan, a part 3 endothelin receptor antagonist for the therapy of IgA nephropathy and different proteinuric glomerular illnesses. BION-1301, an anti-APRIL monoclonal antibody, is being evaluated in a part 1/2 trial for IgA nephropathy. CHK-336, an oral small molecule LDHA inhibitor for the therapy of hyperoxalurias, is being evaluated in a part 1 wholesome volunteer trial. In addition, Chinook is advancing analysis packages for different uncommon, extreme continual kidney illnesses. Chinook is constructing its pipeline by leveraging insights in kidney single cell RNA sequencing, human-derived organoids and new translational fashions, to find and develop therapeutics with differentiating mechanisms of motion in opposition to key kidney illness pathways. To study extra, go to www.chinooktx.com.
Cautionary Note on Forward-Looking Statements
Certain of the statements made on this press launch are ahead wanting, together with these referring to Chinook’s business, future operations, development of its product candidates and product pipeline, scientific improvement of its product candidates, together with expectations relating to money forecasts and timing of initiation and outcomes of scientific trials, and regulatory submissions, together with the timing of the outcomes of our part 3 ALIGN trial and part 2 AFFINITY trial of atrasentan and submission for potential accelerated approval. In some instances, you’ll be able to establish these statements by forward-looking phrases corresponding to “may,” “will,” “continue,” “anticipate,” “intend,” “could,” “project,” “expect” or the adverse or plural of those phrases or comparable expressions. Forward-looking statements are usually not ensures of future efficiency and are topic to dangers and uncertainties that might trigger precise outcomes and occasions to vary materially from these anticipated, together with, however not restricted to, our skill to develop and commercialize our product candidates, together with initiation of scientific trials of our present product candidates or these developed as a part of the Evotec collaboration, whether or not outcomes of early scientific trials or preclinical research will probably be indicative of the outcomes of future trials, our skill to acquire and keep regulatory approval of our product candidates, our skill to function in a aggressive business and compete efficiently in opposition to rivals that could be extra superior or have higher assets than we do, our skill to acquire and adequately defend mental property rights for our product candidates and the consequences of COVID-19 on our scientific packages and business operations. Many of those dangers are described in higher element in our filings with the SEC. Any forward-looking statements on this press launch communicate solely as of the date of this press launch. Chinook assumes no obligation to replace forward-looking statements whether or not because of new info, future occasions or in any other case, after the date of this press launch.
Photos accompanying this announcement can be found at
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