Aeglea's pegzilarginase and Neurocrine in development issues are additionally explored by GlobalData's Analytical News group.
The Investigative News team at GlobalData looks over the data that is produced by an internal model that combines machine learning and its own proprietary algorithm. The likelihood that a drug will receive regulatory backing is represented by the Likelihood of Approval (LoA) score; The probability of a drug moving on to the next phase of development is known as the Phase Transition Success Rate (PTSR). The model purposes pieces of information from individual medications, clinical preliminaries, administrative achievements, organization, and monetary data sets.
After receiving favorable Phase IIb data, Xenon Pharmaceuticals' XEN-1101 for focal Epilepsy Drugs Development Market saw its PTSR rise 34 points to 44%, making it more likely to advance in this area. On December 4, the findings were displayed on a poster, and on December 7, the PTSR change took effect. The drug's LoA increased by 15 percentage points to 19% as a result of the completed trial.
The coprimary endpoints of focal seizure frequency and adverse events were the focus of the 325-patient Phase IIb trial (NCT03796962). All doses resulted in a dose-dependent, statistically significant decrease in seizure frequency. This included a seizure reduction of 54.5 percent at the highest 25 mg dose, as opposed to a reduction of 14.9 percent at the placebo (p 0.001). In 24.6 percent of treated patients, dizziness and somnolence were the most common adverse events.
On June 10, Clinical Trials Arena said that XEN-1101 would probably reach its Phase II endpoint, but experts doubted its long-term ability to free people from seizures. A potassium channel opener called XEN-1101 is being developed to treat major depressive disorder and focal onset seizures.
Pegzilarginase, a hyperargininemia candidate from Aeglea Biotherapeutics, saw its LoA rise by 15 points to 28% following the release of positive topline data from a Phase III study. The topline data for the PEACE study (NCT03921541) were released on December 6. The asset was valued by GlobalData on December 7.
The primary endpoint, the mean plasma arginine concentration, was significantly reduced by 80% in participants treated with PEACE. Similarly, none of the subjects in the placebo cohort had normal plasma arginine levels, whereas 90.5% of those receiving pegzilarginase did. 32 individuals with hyperargininemia, also known as arginase-1 deficiency (ARG1-D), participated in the double-blind, 24-week study.
An inherited condition known as hyperargininemia involves the accumulation of the amino acid arginine in addition to a deficiency in the enzyme arginase-1. The urea cycle is disrupted, which can cause neurological damage. Pegzilarginase is an enzyme that depletes arginine.
Neurocrine gains ground in chorea
Neurocrine Biosciences' valbenazine tosylate for chorea saw its LoA flood ten focuses to 68% following positive Stage III information. Positive topline trial data were made available by the biotech on December 7, and the LoA score change became effective on December 9.
Valbenazine was tested in 120 patients with chorea associated with the rare neurological disorder Huntington's Disease in the Phase III KINECT-HD trial (NCT04102579). The review met its essential endpoint of progress in the Bound together Huntington's Sickness Rating Scale (UHDRS) Complete Maximal Chorea (TMC) Score, which estimates chorea in seven body parts. There was a fake treatment changed mean improvement in the TMC score of 3.2 units following 12 weeks (p<0.0001).
Neurocrine stated that it intends to present additional KINECT-HD data at an upcoming medical conference and plans to submit an NDA in 2022. Chorea is a movement disorder that affects about 90% of Huntington's disease patients. Valbenazine is a selective inhibitor of VMAT2 (vesicular monoamine transporter 2). Under the brand name Ingrezza, it is FDA-approved for tardive dyskinesia in the United States.
Acadia Pharmaceuticals' Rett syndrome candidate trofinetide saw a ten-point increase in its LoA to 29% following the release of positive topline data from a Phase III study (NCT04181723). On December 6, the study's results, also known as LAVENDER, were made public. The asset was valued by GlobalData on December 7.
Over the course of 12 weeks, LAVENDER outperformed placebo on the coprimary endpoint, the Rett Syndrome Behavior Questionnaire (RSBQ), by a margin of statistical significance (p=0.0175). The twofold dazed concentrate on evaluated the viability of trofinetide in 187 female subjects. On November 11, Clinical Trials Arena wrote about LAVENDER and said that the RSBQ will probably get better.
A genetic neurological disorder known as Rett syndrome causes girls to lose their speech and motor skills and impairs brain development. Trofinetide is a synthetic analog of a molecule from insulin-like growth factor 1 (IGF-1) that supports synaptic function and reduces neuroinflammation.
The Incyte Phase I/II study concluded that Incyte's INCB-53914 for advanced cancers had a PTSR in myelofibrosis that had decreased by 21 points to 12 percent. On December 8, a Phase I/II trial update on ClinicalTrials.gov changed from "completed" to "terminated." This led to the decline. The PTSR change took place on December 10th. The drug's LoA decreased by eight points to 4% as a result of the trial's termination.
According to the results posted on ClinicalTrials.gov, the Phase I/II trial (NCT02587598) was stopped because the combination therapy of INCB-53914 and cytarabine was found to be difficult to tolerate. With 97 patients participating, the primary endpoint was the number of adverse events.
INCB-53914 affects PIM kinases in a negative way. The asset is supposed to promote cancer cell death and inhibit cell proliferation by targeting PIM 1, 2, and 3 kinases.